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21 ila\vilL9~Marrled Woman, Married Man 01 Unmarried Person Making Speclllo Bequests)
lrast Will anb ~t.stamtnt
of
c
1/1. t; y ()
~Li'L l> Y P C .II I L I- preuently residing at
16~ ~('.r;e!l/CY Wb/JDs (N6~TIJ) CARL ISI.~ PA J1~/J,
being of full "ge and sound and disposing mind and memory, hereby make, publish
and declare this to be my Last Will and Testament
FIRST: I hereby revoke any and all Wills and Codicils by me anytime
heretofore made,
I-IILL
SECOND: I direct that all of my just debts and funeral expenses be paid out
of my Estate as soon as practicable after my death,
THIRD: I hereby nominate and appoint ~<; Tc HA ,(), BAt:..C!.. R,
to be the Executor/Executrix of this, my Last Will and Testament, and I direct that no
bond or other security shall be required of him/her In any jurisdiction, If my said
Executor/Executrix hereinabove named Is unable to serve as Executor/Executrix then
I nominate and appoint -r / N 4 /1." 1<: e R. ' , Executor/
Executrix of this my Last Will and Testament, and I further direct that he/she not be
required to post any bond or other security.
FOURTH: I give to my Executor/Executrix, authority to exercise all the
powers, duties, rights and Immunities conferred upon fiduciaries by law with full
power to sell to mortgage and to lease, and to Invest and re-Invest all or any part of
my, Estate on such terms as he/she deems best.
FIFTH:
I LeA V e, {O ;vI '/
S 21M of f'JjI~
(JA'1./G'h Nfl. {JoNAI/C
(~', 6 t1) DtJUA n S
/'1/1. ~ e P. l' /1 e..
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(Over)
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11111\ ~II\ III \ ..~"
This is III n:rtH)' [hilt rill' illtO/'lllillioll IWH' ~i\,(,1I is cOIITrd\, t'ppi('d IIOJll .111 uri,L:in,d rt'l'lifi(illl: III ilt,.ItI,1 ,dilly (1I('t! with llll' as
I.ocal Registrar. The lld~dllill n'rtificiue ",illlw fjJfWilrdl.d l\l tht' S!.lll' "il,d 1{(Tord., ()ffi\(' for perlllilllt'1I1 flllll,L:.
WARNING: It Is Illegal to duplicate IhlR copy by pholostQt or photograph.
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COMMONWEALTH OF PENNSYLVANIA' DSPARTMENT OF HU,TH. VITAL RECOROS
CERTIFICATE OF DEATH
0,
1..lJI'U'Il....111I
~..... <<efOCIf1,'" "'.,.~ I'.' "l IOCo~l nCll~"Y"\'VOlI'l ('\All {)I' OI!ATHI\....., r.., ""1
' Lloyd C, Hill ,Hole I 18G _ 10 _ 9774 , Aug, 28, 1904
Aile .."._,." U"I')('lllj1:HI -'i>.ti,-,il5~- '7imri;1iiiiil-g:-'Wiiii'iiil.TIi,~i;"i~I._.~ r\7rl~i7~".,;".",. '....'I''',.'.;;~,~..
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Cumberland I ~hdd] 050-,; Twp. 102 Rogoncy I'/ood I North "'''~'' ,.....1<I~.."1 ~/htto
.-.... i<<'..!L.SJJ1JJ.I.~~.f-lJ!~1l5:: t "',~~.r~[~J",Wol ~t.",:'~ orCfN"T ~lt~..c~l"(1lj U'l'lll1 "IJ~ ~"'"'' ~11"mLM\6I'OU1l
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Carlisle, PA 17013 ';;?/.~.,~~;~' Cumborlar,d ~~~~, _ "l<H:""'.""1
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StMlo' Hill CloI'O Colm
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c.... ".' ....-0.._0-..__..__.... ";-- - ----., ) 1904, Ht, Zion Cornntery wl1anI'oa Twp. Cumb, Co, PA
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COMMONW!AlIH O' "rNlYLVANIA
, D!PARTM!NT (Jp R VrNU!
om. 11060
HAUISlU'O. PA 171l1.0601
. ~IOD~~ INITIAL)
/ </- ,1 (/ t/ - .'/
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
<! i!':'.
,.,_ DATil 0' DUm Anu 12/31191 CHICK HUI
I' A II'OUIAL
POVI_" C.IDIT II CLAIMID 0
'Ill NUM".
1. R.al Ellalt (S,h.dul. A) 1 11
2. Slack I and Bond. (Sch.dul. BI 1 21
3. Clallly H.ld Slack/PaNn."hlp Inl""1 (Sch.dul. q ( 3)
4. Martgagll and Nol.. RIC.I,ablo (Sch.dulo D) ( 41
5. Calh, Sank OjPOIII. & MIIe.llanoaul P."onal PrapoNy( 51 5772,98
(Sch.dul. E
6. Jalnlly Own.d ProporlY (Sch.dul. F) ( 6) 0,00
7. TranI"" (Sch.dul. 0) (Sch.dul. L) ( 71 0,00
B. Talal Orall AII.II(lolalllnll 1.7)
9. Fun"al E'P'""I, Admlnillrallvo COlli, Mlleollan.au. ( 9) 3216,00
E.ponlll (Sch.dul. H)
10. D.bll, MONgag. Llabllltlo., L1... ISch.dul. II (10) 3343.80
11. Tolal Doduetlon'llatalllnll 9 & 10)
12. N.I Valu. of E,lal. (IIn. 8 mlnu,lIn. II)
13. Charllabl. and Gav..nmonlal B'quIIII(S,hodulo J)
14. N.t Valu. Sub.et To To. (IIn. 12 mlnullln. 13)
15. Amount of IIn. 1A to. obi. 01 6% ral.
(Indud. valulI from Sch.dul. K or Sch.dul. M.I
16. Amount a' IIn. 14 ta.abl. 01 15% ral.
(Indud. valulI 'ram Sch.dul. K or Sch.dul. M,)
17. Principal to. duo (Add 10. 'ram IIn. 15 and ',om IIn. 16.1
18. Credit. Spoulal PavoNy Crodlt Prior Paym.nll
- + +
19. If IIn. lB II groal.. than IIn. 17, .nt.. tho dIH".nCl an IIn. 19, Thl,I. Ih. OVERPAYMENT,
riD
20. If IIn. 17 II groat.. than IIn. lB, .nt" tho dlHoronco on IIn. 20. Thl, II tho TAX DUE,
A. Enl" ,h. Inl....t an Ih. balanco duo on IIno 2DA.
B. Entor Ih. tolal a' IIn. 20 and 20A an IIn. 20B. Thl. 1,lh. BALANCE DUE,
Make Ch.ck Payabl. '.1 R.gl.,.. ., Will., Ag.n'
.. II IUR. TO ANSWIR ALL QUm'ONS ON RlYm.SID. AND TO RKHICK MATH..
Ufld,r plnallll. of p.rlury, I dicier. that I ha.... tKomln.d this r'lurn, Including accompanying Ichedule. and Ilal'mlnh, otld to ,h, bill 01 my knowl.dCI and belief,
II It truI, corrlct and cotnplttl, I dtdor. I~ol all r.ol I1latl ~al bun rlportld allrul mark" valut. Dlclaratlon of pr.partr oth.r than Ih, p'rlonal r'p"..ntallvl h
bal.d on alllnfarmollon of which pr'parlr hal any knowl.dge.
!IONAlU!!OrP!R!ONRUPON!lllrrnRfI\INORHU'N A1ilillll Stulln S, Ilnkur, Executrix ~/'1IqS
.J 102 Reg"nc~ IVoodn, Carlin]u, PA 17013 ~
ADD.m BROll.lOS, (;ILROY & 1I0USTON, PC..,I" /('1:' -
4 N, IIlll10vur St.. Cnrll"lu, PA 17QI3 ~~___.
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COUNTY CODE
YEAR 94
927
NUMBER
lIill, Lloyd C, nlkln Floyd C, lIill
I ~;)~!~~!~T~;~~UR ID^'~;~~!;~~, IDA'; ~~ ;'~f/l H
o 2, Suppl.m.nlal Rllurn
o 40, Fuluro Intorllt CompramllO
(for dalll a' d.alh ahor 12.12.B2)
R 6. DIC.d.nt Ol.d T.llall 0 7. DlCed.n' Malntaln.d a Living Trull
(Mach cop a' Willi (~Ilach copy 0' TrUll)
AU. CO....PONDINC. AND CON.ID.NT1AL TAX INPORMAtlON SHOULD I' DIRICTlD TOI
AM MPlUE MAiliNG ADDRESS
102 Regul1cy IVood"
Cnrlinlu, PA 17013
COl//l1
Cumburland County
o 3. R.malndor R.lurn
('or dalll of d.a,h prlorlo 12.13.921
o 5. Fedoral E.lal. Yo.
Return R.qultld
_ 8. Tolal Numbor of Sol. O.po.lt Ba,"
~ 1. Orlglnol R.turn
o 4. Llmlt.d E,lal.
.Johl1 H, Brou.Jo", Enquire
N N M
lIROU.JOS, GILROY & HOUSTON, PC
4 North Hanover Street
Cnrlin]e, PA 17013
71U 243-4574
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1161
l< .15.
(17)
DIICount
Inler.,1
(111'(" 111'1(' .f vou UH' 1t'C1lJU\IIIH) n 1I"OfHI 0' youl UVI"f1"vml'nf
(18)
(19)
(20)
(20A)
120B)
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0 ... I 01' 0
u.. ..-:. 111 I 3M
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ffi ..1..>- ..0 I A>-<r '0
~ MOOU C'- I~~ I >-w... ,
:z:r--z I\l I 3ffiw
o NW W t'- ~~ I
UttlUl -' 0 I 1.1.~...I
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Commonwealth of P.nlllYlvlnla SCHEDULE H
, .lnh.rltIno. Tlx R.tum FUNERAL EXPENSES
Rllldlnt Dlold.nt ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Eltatl of FII. Numblr
Lloyd C. Hili, IIkll Floyd C. Hili 1114-00127
ITEM DESCRIPTION AMOUNT
NUMBIR
A. Funlrel Expln..1
1~ Hoffmln-Roth Fun.rel HOlnl
. 211 N. Hlnovlr Street
Clrtll'I, PA 17013
Funlrel Expen"l P...plld
o.lth Clrtlflcat.. 10.00
B. Admlnlltretlvl COltl:
1. P.reonll R.pre..ntatlvl Commission I - Stalll S. Blklr
Soolll S.ourlty Number of P.rsonll Rlpre..ntatlvl: 111-32-4838
V.lr Commlulonl plld: 1194 '1110.00
2. AltornlY Fe..: Broulol, Gilroy & Houlton, P.C.
, " 4 North Hlnovlr Street, Clrtlsle, PA 17013 , IIIO.no
3. ' Flmlly EXlmptlon
Clllmlnt Stelll 8. Blk.r Rllltlonlhlp: wlf. 2,000.00
Addre.s of Clllmlnt It d.c.d.nt's dllth: 102 RIlI.noy Wood.,
Clrtll". PA 17013
4. Problt. FHS - RIlIllter 0' Willi, Cumblrtlnd County, PA 84.00
,
C. .Mllcllllnlou, Exp.n..l:
1. R'lIlster 0' Will., Cumb.rtlnd County, PA -lnh.rltancl TIX R.tum 111.00
2. R'lIlltar of Will., Cumbertlnd County, PA -Inv.ntory 10.00
a. RIIII,t.r 0' Willi, Cumbertlnd County, PA - Family S.ltl.m.nt AlIl'Hmtnt 17.00
TOTAL (Allo .nter on IInl " Rlclpltulltlon)41114111
, 3,211.00
"
Commonwealth of Penneylvlnle SCHeDULe I
Inherltlnce Tal( Return DeBTS OF DeceDeNT,
Rllldant Decedent . MORTGAGe LIABILITies AND tleNS
.... - = - - -
Eetltt of File Numb.r
Lloyd C. Hili, tlkla Floyd C. Hili 1 'M-00127
ITIlM BILL DATil DE8CRIPTION AMOUNT
NUMIIR
1. 12/14114 Boecov'e C...dlt Card . ".11 .
2. 01102/14 Zlmm.rmlln Plumbing, HlIItlng & Air Condl!lonlng, Inc. 112.31
, 3. 07111114 Th.... Springe Family P...ctlc. 8,37
4. OY127114 Th.... Springe Flmlly P...ctlc. 1.37
I. 11118/14 Th.... Sprlngl Flmlly P...ctlc. 13041
e. 08/28/14 Vamlhl MUllc Flnlnce, Inc, 1,138.71
7. " 11118/14 Olrtlll. HOlplttl - (blllnclI Ift.r M.dlca..) 111.17
Acct. ~8001 000 23.11
Acct. ~7117831 811.00
Acct. ~7141370 13,32
Acct. ~7131381 118,02
Acct. ~7814151 10.42
e. ' 10113/14 Oartlll. Clrdlopulmonlry AI.oc. 2.11'
.. 10112/14 Plt'lnt Accounting SerYlclI, Inc. (Clrtll" Imaging Alloc.) 31.41
10. . 10127114 J. Edwlrd Dlg.n, M.D. 2UI
11. 10118114 . RWC Em.rgency PhYllclanl 1.11
12. 01113/14 RWC Em.rgency PhYllclane 12.27
13. 12/01114 Trt.county Ambulance S.rvlce, Inc. 31.20
'"
14. 10111114 Bell Atlantic 24.21
"
TOTAL (Allo .nt.r onlln.'0, R.capltulatlon)
3,M3,1~
,
.
"
CommonWtl"h of Plnn.ylvlnll
Inh,rltInae Tlx Rltum
"uldflntDlcldlnt
aCHEDULE J
BBNEFICI~RIEa
-
~.tIte of,
Fill Numb.r
I.loyd C. Hili, Ilk/I Floyd C. HIli
1814-00.27
ITI'"
NUMIIR
NAMI AND ADORe.. Of
IINlflCIAIIY
RBLATIONCHIP
AMOUNT OR
IHARI Of IIITATI
A. TI.lbll l,qUlltll
1.
lonnl' M. Miller
1017 Mlln Itre't
Oblrlln, PA 17111
Dlughllr
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lID WILL (Marrted Woman. Marrted Man or Unmarried Peraon MakIng SpecI1lc Bequests)
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Last Will snb 't'tstamtnt
of
c
LLt;yP
I, 1i () y ~ C J./I L t. _ presently residing at
/6,J. ~('.r;e/l.lCY w~s (N6~rlJ) CARL I,SJ.~ PA J7~/~~,
. being of full age and sound and disposing mind and memory, hereby make, publish
and declare this to be my Last WI11 and Testament.
FIRST: I hereby revoke any and all Wl11s and Codicils by me anytime
heretofore made, '
HII.L
SECOND: I direct that all of my just debts and funeral expenses be paid out
of my Estate as soon as practicable after my death,
THIRD: I hereby nominate and appolnt.s. T C H A ' S 8 At:.. C!.. R ,
to be the Executor/Executrix of this, my Last WI11 and Testament, and I direct that no
bond or other security shall be required of him/her III any jurisdiction, If my said
Executor /Executrix hereinabove named Is unable to serve as Executor/Executrix then
I nominate and appoint ..,- / AlA, If." /<:: e R. . , Executor/
Executrix of this my Last WI11 and Testament, and I further direct that he/she not be
required to post any bond or other security,
FOURTH: I give to my Executor/Executrix, authority to exercise all the
~wers, duties, rights and Immunities conferred upon fiduciaries by law with full ,
power to sell to mortgage and to lease, and to Invest and re-invest all or allY part of
my Estate on such terms as he/she deems best,
FIFTH:
I LeA V e If) 11 >'
SUM uF FI?Je.
(JA'l/G'hr~A {J()NIVIC
(~",4t1) J)otLAns
1'1 /1. ~ eRr,' /1~'
(CMr)
t
Name of Decedent:
Lloyd C. Hill
Date of Death:
August 28, 1994
WlII No.
1994-00927
Admin. No.
To the Register:
I certify that notice of beneficial interest required by Rule 5,6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
November 14, 1994:
~
Address
Stella S. Baker
102 Regency Woods North
Carlisle, PA 17013
Bonnie M, MlIIer
1037 Main Street
Oberlin, PA 17113
. Date: ~ 's
Notice has now been given to all persons entitled thereto under Rule 5,6(a) except: none
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BROUJOS, GILROY & HOUSTON, P,C,
4 North Hanover Street
Carlisle, Pennsylvania 17013
717/243-4574 7171766-1690
FAX# 717/243-8227
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Capacity: Counsel for personal representative
yiV01547 EX AFP (12094*
C_AL TH OF pt;~VLVINIA
O€PlRTItENT flf RtYfNUE
/ IWAU Of' INDIVIOUIL TAXES
L/ DEPT, zeOUI
IWIMISlIJAO. PA l7l1l.QUI
l/j.. 2<1t/- 7
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NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF OEDUCTIONS AND ASSESSHENT OF TAM
ACN 101
DATI 05-08"95
FILE NO.
DATI OF DEATH 08-28"94 COUNTY CUMBERLAND
--
NOTE, TO INSURe PROPER CREDIT TO YOUR ACCOUNT, SUlHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REGISTER OF WULS. HAME CHECK PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAVMENT TOl
JOHN H BROUJOS ESQ
BROUJOS ET AL
4 N HANOVER ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.ollnt R..itt.d
CUT ALONO THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiili: iiii'i OiX"AFP""C rF 94T"iiCii"ic r "OF "i:"NHiiiiTAiicli"YAx" 'A-P'iiii'A-i iiMENi'";. Ar.rowAiicli"cfli".."" -"" """"""" --
DISALLOWANOE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HILL LL~VD C FILE NO. 21 94-0927 ACN 101 DATE 05-08-95
TAM RETURN WAS I I X I ACCEPTED AS FILEO
If .n ......m.nt w.. i..u.d pr.viou.ly, lin.. 14, lS .nd/or 16, 17 Ind 18 will
rlfl.ot figur.. th.t inolud. the tot.l of abh r.turn. .......d to dlt..
ASSESS"ENT OF TAXI
Ii, AMOUnt of Line 14 .t Spou..l r.t. 11&1
16, AMOUnt of Line 14 t.xobl. .1 Llnt.l/Cl... A r.I. 1161
17, AMOUnt of Line 14 t.xobl. .t Coll.t.r.l/Cl... I r.t. 1171
II, Prinolp.l T.x Duo
TAX CREDITS I
PAYHENT
DATE
RESERVATION CONCERNING FUTURE INTEREST 0 SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, R..l Eot.t. (Sch.dul. Al (1)
2, Stock. ""Il Sond. (Sch.dul. II (21
5, Clc..ly Hold Stock/P.rtn.r.hlp Int.r..t (Sch.dul. Cl (51
4, Hcrl,ogo./Not.. R.c.lv.bl. (Sch.dul. DI (41
J, Cllh/lonk Dopo.it./Hhc, P.r.on.l p,'op.rty (Sch.dul. El (il
6, JointlY O.n.d Prop.rty (Sch.dul. FI 161
7, Tron.f.r. (Sc~dul. Gl (7)
I, Tobl AII.to
APPROVED DEDUCTIONS AND EXE"PT~ONSI
9, Funor.l exp.n.../AdM, Co.t./HI.o. Exp.n... (Sch.dul. HI 191
la, Dobb/Hort,.,. U.bllIU../Li.n. (So~h II UOI
11, Tot.l D.duallon.
12, Not V.luo of T.x R.turn
IS, Ch.rltobl./Ocv.rn..nt.l I.qu..t. (Schedul. JI
14. Not V.luo of E.t.t. Subj.cl to T.x
NOTlI
RECEIPT
NUttiER
DISCOUNT l+)
INTEREST (.)
I CHANGED
00
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':t..lL. ;::.1,
,00 ::(
,00 I
,00 Ul
5,1.72,98 .,:
.;00 ."
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5,77~,98
3,ii'6,00
3.343.u...
Ul)
(2)
US)
n41
it.~IiCJ AD
786,82-
,00
786,82-
,00 M ,03.
,DO M ,06.
,00 M ,15.
nil
,DO
,DO
,00
,00
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTERI!ST
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERIE
FOR CALCULATION OF ADDITIONAL INTEREST,
,00
,00
,00
,00
( IF TOTAL DUE IS LESS THAN II. NO PAYHENT IS REQUIRBD,
IF TOTAL DUE IS REFLECTED AS A "CREDn" (CRI, YDU HAY IE DUB
A RBFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS..
" .
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10, Exeoutrlx Stella S, Balcer has givenn(ltioe of interest required by law, together with .
copy of this Family Agreement by registered mail and first olass mail to Bonnie M, Miller
and has direoted her a<<omey to oallto Bonnlo M, Miller to determine her position on signing,
By information from counsel, Bonnio M, Miller Indicated she wants no Interest in the estate, .
has reoeived the agroement and le<<ers and would retum the agreement signed, However, she
has failed to. do so, The costs of filing a first and final account and schedule of distrlbutl(ln
woUld be prohibitive, Whc.reby Exeoutrix files this a8reetnent without the signature of
Bonnie M, Miller, since the estate Is insolvent and Executrix has paid from hor own funds
many of the debts of the estate,
IN WITNESS WHEREOF, the executrix and beneficiary Stella S, Baker, intending t(lbe
legally bound hereby Slits her hand and soal the day and year first above wri<<en,
.ltttelW:
,~J{~cJ-
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Stella S, Baker
102 Regency Woods
Carlisle, PA 17013
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COMMONWEAL11I Oil PENNSYLVANIA
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On thil, the.,.)S day of 1995, before me the undersigned officer pe~sonally
appeared Stella S, Baker known to me (or satisfactorily provon) to be the person whose name
II subscribed to the within instrument, and acknowledged that she exeouted the lame for the
PUrpolO therein contained, '
IN WITNESS WHEREOF, I havo hereunto set my hand and notarial seal,
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Not Public
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Notarial Saal
Shalrl L, Murphy, Notary Publlo
Carll.laBoro, Cumbertarid County '
My Commission Explras Jan. 4. 1899
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, I, 'Mobile home in park at:
102 Regency Woods North
Carlisle, PA 17013
(Appraisal attached)
.2, Ckecking Account at Farrners Tru~Company 909,88
(,I' Acct. No. 0005-49479
,3. 1993 Rebate Check from Commonwealth of PA; Dept. of'Revenue 290.00
4, Check for Medical supplies reimbursement from
Professional Home Health Care Agency 11.81
, 5, Adams Electric Cooperative, Inc, One-time retirement patronage capital 61.29
TOTAL
,
. S 5,772.98
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A, Funeral Expenses
I. Hoffman-Roth Funeral Home
219 N, Hanovar Street
, Carlisle, PA 17013
Funeral Expenses ' Pre-Paid
Death Certificates 10,00
B, Administrative Costs:
I. Personal Representative Commissions. Stella S, Balcer
Social Security Number of Personal Representative: 161.32.4538
Year Commissions paid: 1994 5550,00
2, Attomey Fees: Broujos, Gilroy & Houston, P,C,
4 North Hanover Street, Carlisle, PA 17013 . $ 550,00
3, Pamlly Exemption
Claimant Stella S, Baker Relationship: wife 2,000,00
Address of Claimant at decedent's death: 102 Regency Woods,
Carlisle, PA 17013
4, Probate Pees. Register of Wills, Cumberland County, PA 64,00
C. Miscellaneous Expenses:
I. Register of Wills, Cumberland County, PA . Inheritance Tax Retum 15,00
2, Register of Wills, Cumberland County, PA - Inventory 10,00
3, Register of Wills, Cumberland County, PA . Family Settlement Agreementl7,OO
D, Debts of Decedent
I.
2,
3,
4,
5,
6,
7,
12/14/94
09/02/94
07/11/94
07127/94
11/15/94
08/26/94
11/15/94
8,
10/13/94
Doscov's Credit Card $ 84,86
Zimmerman Plumbing, Heating & Air Conditioning, Inc, j 12,36
Three Springs Family Practice 6,37
Three Springs Family Practice 6,37
Three Springs Family Practice 73.41
Yamaha Music Finance, Inc, 1,938,75
Carlisle Hospital .. (balances after Medicare) 981.S7
Accl. #&001000 23,81
Accl. #7967631 696,00
Accl. #7941370 83,32
Accl. #7931389 118,02
Acet, #7894959 , 60,42
Carlisle Cardiopulmonary Assoc. 2,16
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9,
10.
11,
12.
,13,
14,
10/12/94
10/27/94
10/18/94
09/13/94
12/01/94
1 0/19/94
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Patient Accounting Services, Inc, (Carlisle lmaslng Assoc,) 39,41
J, Edward Dagen, M,D. ' . .2',28
RWC Emergency Physicians'.SJ.
RWC Emergency Physicians 12.27
Tri.County Ambulance Service, lno, 31.20
Bell Atlantic 24.28
TOT~
6,559.80
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Name of Decedent:
Date of Death:
Will No,
v
STAl'VS ~RT UN,DER IU!LUJa.
Lloyd C, Hill, aIk/a Floyd C, Hill
August 28, 1994
21.94.927
Admin. No. ·
Pursuanlto Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete: No
2, If the answer is No, state when the personal representative reasonably beHeves
that the administration will be complete: As soon as the Family Settlement
Agreement is sign by both parties at interest.
3, If the answer to No, I is Yes, state the following:
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(MAH:rmClAM3)
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a.
Did the personal representative file a final account with the Court?
Yes_ No_x_,
b,
The separate Orph8l13' Court No, (if any) for the personal
representative's account is: nla
, c,
Did the personal representative state an account informally to the parties
in interest? Yes_x_ No_
d,
Copies of receipts, releases, joinders and approvals of formal or
informal accounts may be filed with the C Orphans' Court
and may be attached to this re rt.
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BROUJOS GILROY & HOUSTON PC
4 North Hanover Street
Carlisle, Pennsylvania 17013
717/243.4574..717/766.1690
FAX #717/243.8227
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Capacity: Counsel for personal representative
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