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Home My WebLink About08-15-07 'D aqQS) 3~B8' G 2> 55%33~J3 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-06-0004 ESTATE OF HYUNG JOO BAIR, DECEASED o Co -.71 -- YJ f'l:-) '" C~::"" C.;.~ -. >>,.a (:::~ G') '-'fl :--1 ; '-:-) - -) I I ---------------------------------- ---------------------------------- -'11 ACCOUNT OF Marlin R. McCaleb, Administrator rn _1, ,r- C,;O ================================================================================ Date of Death: December 2, 2005 Date of Executor's Appointment: January 3, 2006 Date of First Advertisement of Letters: January 31, 2006 Accounting for the Period: December 2, 2005 to August 13, 2007 ================================================================================ Purpose of Account: Marlin R. McCaleb, Administrator, offers this account to acquaint interested parties with the transactions that have occurred during this administration. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Marlin R. McCaleb Esq. Attorney Identification No. 06353 Law Offices-Marlin R. McCaleb 219 East Main Street Mechanicsburg, PA 17055 717/691- 7700 GROSS ESTATE (Principal Receipts + Income Receipts) 355,833.13 9" SUMMARY OF ACCOUNT Estate of Hyung Joo Bair, Deceased For Period of 12/02/2005 through 08/13/2007 Page Current Value Proposed Distributions to Beneficiaries 0.00 PRINCIPAL Receipts: Per Inventory Filed 1-3 Subseq Prn Receipts Net Gain (or Loss) on Sales or Other Disposition 4-5 Less Disbursements: Debts of Decedent 6 Funeral Expenses 6 Administration Expenses 6-9 Federal and State Taxes 9 Fees and Commissions 10 Family Exemption 136.23 8,177.00 20,461. 94 16,252.85 13,665.51 0.00 Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand 11 For Information: Investments Made Changes in Investment Holdings INCOME Receipts: This Account 12-14 Net Gain (or Loss) on Sales or Other Disposition Less Disbursements Balance Before Distribution Distributions to Beneficiaries Income Balance on Hand 15 Investments Made Changes in Investment Holdings COMBINED BALANCE ON HAND Fiduciary Acquisition Value 0.00 330,517.16 10,071.81 2,373.78 342,962.75 58,693.53 284,269.22 0.00 284,269.22 15,244.16 0.00 15,244.16 0.00 15,244.16 0.00 15,244.16 299,513.38 SCHEDULE A RECEIPTS OF PRINCIPAL CASH: 12/02/05 Cash and coins in Decedent's possession. 12/02/05 PNC Bank, - Checking Acct. #5070100843, principal balance as of D.O.D.: $8,152.85; interest accrued to D.O.D. : $0.60. 12/02/05 PNC Bank, - Certificate of Deposit #31200263312, principal balance as of D.O.D.: $8,818.60; interest accrued to D.O.D.: $121.40. 12/02/05 PNC Bank, - Certificate of Deposit #31500262623, principal balance as of D.O.D.: $10,171.00; interest accrued to D.O.D.: 14.93. 12/02/05 PNC Bank, - Certificate of Deposit #31500262624, principal balance as of D.O.D.: $22,586.87; interest accrued to D.O.D.: $36.51. PERSONAL PROPERTY: 12/02/05 12/02/05 1987 Ford Escort automobile. Allstate Life Insurance Co. , Annuity Contract #GA274090, - balance as of D.O.D. -1- 4,890.22 8,153.45 8,940.00 10,185.93 22,623.38 175.00 43,476.40 Fiduciary Acquisition Value 54,792.98 12/02/05 Allstate Life Insurance Co. , Annuity Contract #GA274091, - balance as of D.O.D. 12/02/05 Allstate Life Insurance Co., Annuity Contract #GA276974, - balance as of D.O.D. 12/02/05 Hartford Life Insurance Co., - Annuity Contract #7102588852, balance as of D.O.D. 12/02/05 Household contents, - furniture, furnishings, etc. REAL ESTATE/PA: 12/02/05 House and 11.986 acres, - Silver Spring Township, Cumberland County, PA, known as 76 North Old Stone House Road, being the same tract that Decedent acquired by deed of W.D.C., Inc., dated 08/09/1977, recorded in Deed Book "I", Volume 27, Page 895. SUBSEQUENT PRINCIPAL RECEIPTS: OS/24/06 Community Banks Insurance Services, LLC, - refund of homeowner's insurance premium. 05/05/06 Darren E. and Christina L. Valentine, - 2005-06 real estate tax proration adjustment on sale of real estate. -2- 23,267.86 21,118.37 5,815.55 871. 00 181,000.00 263.68 633.75 94,724.18 181,000.00 03/21/06 State Farm Insurance Co., - refund of auto insurance premium. 07/27/07 U. S. Treasury, - federal income tax refund for 2006. 08/07/07 U. S. Treasury, - federal income tax refund for 2006. 01/30/06 Verizon, - refund on telephone service. 63.3S 498.11 8,608.08 4.81 TOTAL RECEIPTS OF PRINCIPAL........ ....... -3- 10,071. 81 340,588.97 03/08/06 03/08/06 04/06/06 04/11/06 04/11/06 04/11/06 SCHEDULE B GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS - PRINCIPAL Gain 1987 Ford Escort automobile. - sold at public auction. Net Proceeds Fid. Acq. Value 175.00 175.00 0.00 Household contents, - furniture, furnishings, public sale. Net Proceeds Fid. Acq. Value 871. 00 871.00 0.00 Hartford Life Insurance Co., - Annuity Contract #7102588852, redeemed. Net Proceeds Fid. Acq. Value 7,259.43 5,815.55 1,443.88 Allstate Life Insurance Co., Annuity Contract #GA274090, - withdrawal of annuity. Net Proceeds Fid. Acq. Value 43,936.53 43,476.40 460.13 Allstate Life Insurance Co. , Annuity Contract #GA274091, - withdrawal of annuity. Net Proceeds Fid. Acq. Value 23,514.12 23,267.86 246.26 Allstate Life Insurance Co., Annuity Contract #GA276974, - withdrawal of annuity. Net Proceeds Fid. Acq. Value 21,341. 88 21,118.37 223.51 -4- Loss 05/05/06 Darren E. and Christina L. Valentine, - sale of house and 11.986 acres. Net Proceeds Fid. Acq. Value 181,000.00 181,000.00 TOTAL GAINS AND LOSSES/PRINCIPAL........... LESS LaSS............................. NET GAIN OR LOSS. . . . . . . . ... .. . . . . . . . . . . . . . . -5- 0.00 2,373.78 0.00 0.00 2,373.78 12/27/05 01/11/06 01/11/06 01/11/06 01/12/06 01/17/06 01/17/06 SCHEDULE C DISBURSEMENTS OF PRINCIPAL SCHEDULE C-l DEBTS OF DECEDENT PP&L, - account payable, utility service (electric). 136.23 TOTAL DEBTS OF DECEDENT........... ........ ..... ..... SCHEDULE C-2 FUNERAL EXPENSES Richardson Funeral Home, - funeral expense. 8,177.00 TOTAL FUNERAL EXPENSES............ ..... ... ... ....... SCHEDULE C-3 ADMINISTRATION EXPENSES Penn Waste, Inc. - refuse removal in preparation for sale. 39.18 Register of Wills, - probate expense (Letters of Administration) . 388.00 PP&L, - electric service to heat house in preparation for sale. 217.38 State Farm Insurance Co., - auto insurance premium. 80.94 Verizon, - telephone service. 26.70 -6- 136.23 8,177.00 01/18/06 01/24/06 01/24/06 01/24/06 01/24/06 01/24/06 01/24/06 01/25/06 01/27/06 01/31/06 02/06/06 02/09/06 02/16/06 Silver Spring Ambulance & Rescue Assoc., - medical expense, ambulance and life-support services. 390.00 Cumberland Law Journal, - advertising Letters. 75.00 Dan White Plumbing, - winterizing house in preparation for sale. 74.00 Glass Lock & Key, - installation of deadbolt locks to protect house, in preparation for sale. 154.00 Glass Lock & Key, - repair lock on car door in preparation for sale. 35.00 PA Auto License Brokers, - replace lost title for car with duplicate title in preparation for sale. 34.50 Register of Wills, - Short Certificates. 8.00 Karl Stine, - refuse removal from house in preparation for sale. 150.00 Community Banks Insurance Services, - premium for homeowner's insurance. 404.43 Brett Lechthaler, Appraiser, - appraisal of real estate. 275.00 PP&L, - electric service to heat house in preparation for sale. 219.93 Russell Klinger, - cleaning car in preparation for sale. 48.00 The Patriot-News, - advertising Letters. 90.63 -7- 03/07/06 03/15/06 03/20/06 03/21/06 03/21/06 03/28/06 03/29/06 04/03/06 04/10/06 04/12/06 04/25/06 05/08/06 Register of Wills, - Short Certificate. 4.00 Chuck Bricker, Auctioneer, - commission on public sale of furniture and car. 306.00 Dan White Plumbing, - restoring water service to house in preparation for sale. 120.00 Di1lsburg Excavating & Septic, - locate and inspect septic system in preparation for sale. 248.00 PP&L, - electric service to heat house in preparation for sale. 256.00 Register of Wills, - Short Certificates. 8.00 Debra Basehore Wiest, Tax Collector, - 2006 County and Township real estate taxes. 549.86 Sandra Kit1e, - cleaning house in preparation for sale. 60.00 PP&L, electric service to house. 162.30 Filson Water, LLC, - install water filter in preparation for sale of house. 662.50 Community Banks Insurance Services, - homeowner's insurance premium 281.00 M. C. Walker Realty, - Realtor's commission on sale of real estate. 12,670.00 -8- 05/08/06 05/08/06 05/11/06 08/15/06 08/15/06 07/20/07 04/06/06 04/11/06 04/11/06 04/11/06 03/23/07 Murrel R. Walters, III, Esquire, - fee for notarizing documents for sale of real estate. 10.00 Recorder of Deeds, - Realty Transfer Tax on sale of real estate. 1,810.00 PP&L, electric service to house (final bill). 58.59 Register of Wills, - Reserve for filing Account, Releases, etc. 500.00 Register of Wills, - filing Inventory and Appraisement. 30.00 Register of Wills, - filing Rule 13.3 Report. 15.00 TOTAL ADMINISTRATION EXPENSES............. ..... ..... SCHEDULE C-4 FEDERAL AND STATE TAXES u. S. Treasury, - federal income tax withholding on redemption of The Hartford Annuity. 498.11 U. S. Treasury, - federal income tax withholding (ALLSTATE #GA276974). 953.81 U. S. Treasury, - federal income tax withholding (ALLSTATE #GA274090). 14,499.05 U. S. Treasury, - federal income tax withholding (ALLSTATE #GA27409l). 81.88 PA Department of Revenue, - 2006 Fiduciary Income Tax. 220.00 TOTAL FEDERAL AND STATE TAXES..... ........ ..... ..... -9- 20,461. 94 16,252.85 06/09/06 10/26/06 SCHEDULE C-S FEES AND COMMISSIONS Marlin R. McCaleb, - payment on account of attorney's fees. 7,500.00 Marlin R. McCaleb, - balance of attorney's fees. 6,165.51 TOTAL FEES AND COMMISSIONS.......................... TOTAL DISBURSEMENTS OF PRINCIPAL.................... -10- 13,665.51 58,693.53 # Units Description PNC Bank PRINCIPAL BALANCE ON HAND -11- Current Value or as Noted 284,269.22 Fiduciary Acquisition Value 284,269.22 284,269.22 284,269.22 JJB Hilliard Lyons, Inc., --- - --- - - ------- - --- --- -- 03/21/06 SCH~DUL~ C RECEIPTS OF INCOME SCHEDULE G-1 DIVIDENDS 1.87 TOTAL DIVIDEND INCOME.................. ... 1.87 PNC Bank, 03/06/06 04/05/06 05/04/06 06/06/06 07/06/06 08/04/06 09/07/06 10/05/06 11/06/06 12/06/06 01/05/07 02/06/07 03/06/07 04/05/07 05/04/07 06/06/07 07/06/07 08/06/07 PNC Bank, 06/06/06 07/06/06 08/04/06 09/07/06 SCHEDULE G-2 INTEREST 1.53 6.64 27.35 78.93 4.83 4.47 5.25 4.31 3.50 1.04 1.04 1.11 0.97 1.03 0.95 0.88 0.80 0.79 145.42 442.35 991.25 961.68 1,131.43 -12- 1.0/05/06 11/06/06 12/06/06 01/05/07 02/06/07 04/05/07 05/04/07 06/06/07 07/06/07 08/06/07 PNC Bank, 12/15/05 PNC Bank, 01/06/06 PNC Bank, 02/21/06 PNC Bank, 05/31/06 PNC Bank, 03/06/07 u. S. Treasury, 08/07/07 935_60 1,072.87 909.21 780.31 832.19 782.22 758.24 865.13 788.89 817.45 TOTAL INTEREST INCOME............ ......... -13 - 12,068.82 0.36 19.33 70.25 407.62 728.18 198.44 13,638.42 SCYEDULE C-3 OTHER INCOME Allstate Life Insurance Co., Annuity Contract #GA274090, --- ----- -------- - --- - -- - --- --- - ----- 12/02/05 Allstate Life Insurance Co., Annuity Contract #GA274091, - - ---- ----- - ----- - --- - -- - -- - --- - - - -- 12/02/05 Allstate Life Insurance Co., Annuity Contract #GA276974, --- ---- - - ------- - - -- - --- -- - --- - ----- 12/02/05 Hartford Life Insurance Co., Annuity Contract #7102588852, - - ---- ------- - -- - - --- --- - -- - --- - - --- 12/02/05 U. S. Treasury, 12/21/05 TOTAL OTHER INCOME........................ TOTAL RECEIPTS OF INCOME.................. -14- 321.55 209.13 156.19 250.00 667.00 1,603.87 15,244.16 if Units Description PNC Bank INCOME BALANCE ON HAND Current Value -15- or as Noted 15,244.16 Fiduciary Acquisition Value 15,244.16 15,244.16 15,244.16 =============== =============== AFFIDAVIT Marlin R. McCaleb hereby certifies and says: that I am the Administrator of the Estate of Hyung Joo Bair, Deceased; that I am the Accountant herein; that I have fully and faithfully discharged the duties of my office; that the foregoing accounting is true, correct and complete; that the attached list or schedule (*) contains the names, addresses and amounts due unpaid creditors having given notice of their claims; that the attached list or schedule (**) contains the names and addresses of all persons interested in the distribution of the said Estate; that there are no unpaid claimants or persons interested in the distribution of the Estate who have given notice to the Administrator and who are not listed herein; and that the facts set forth in the foregoing Account are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S., Section 4904, relating to unsworn f lsification to authorities. Date: August 13, 2007 * UNPAID CREDITORS None ** PERSONS INTERESTED IN ESTATE: 1. Commonwealth of Pennsylvania c/o Warren Klunk Department of Revenue Bureau of Individual Taxes Dept. 280603 Harrisburg, PA 17128-0603 -16- STATEMENT OF PROPOSED DISTRIBUTION BY MARLIN R. McCALEB, ADMINISTRATOR OF THE ESTATE OF HYUNG JOO BAIR, LATE OF THE TOWNSHIP OF SILVER SPRING, PENNSYLVANIA, DECEASED MARLIN R. McCALEB, Administrator of the Estate of Hyung Joo Bair, Deceased, proposes to distribute the balance of said Estate in his hands, to wit: $299,513.38, in accordance with Section 2103(6) of the Probate, Estates and Fiduciaries Code of Pennsylvania (20 Pa.C.S. 2103(6)), as follows: TO: Commonwealth of Pennsylvania c/o Warren Klunk Department of Revenue Bureau of Individual Taxes Department 280603 Harrisburg, PA 17128-0603 $299,513.38 TOTAL TO BE DISTRIBUTED: $299.513.38 AFFIDAVIT MARLIN R. McCALEB, hereby certifies and says: that he is the Administrator of the Estate of Hyung Joo Bair, Deceased; and that the facts set forth in the foregoing Statement of Proposed Distribution are true and correct to the best of his knowledge, information and belief. I understand that false statements herein are made subject penalties of 18 Pa.C.S., Section 4904, rela~i to unsworn falsi authorities. Date: August 13, 2007 Marlin R. McCaleb Administrator to DECEDENT'S ESTATE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIV1SION ESTATE OF HYUNG JOO BAIR ,DECEASED No. 21-06-0004 PETITION FOR ADJUDICATION / STATEMENT OF PROPOSED DISTRIBUTION PURSUANT TO Pat a.c. Rule 6.9 1) ~qqS\3.38 c; 356~03. \3 ("") So :-;] ~V.n :.~:~~1 ,.~~-3'J This form may be used in all cases involving the Audit of the Account of a Decedent's Estate. If space is insufficient, riders may be attached. Attach the spouse's election, if any; the papers required under items 8-19 inclusive; and any instrument pertinent to the adjudication. INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM. Name of Counsel: Marlin R. McCaleb, Esquire Supreme Court LD. No.: 06353 Name of Law Firm: Law Offices - Marlin R. McCaleb Address: Telephone: (717) 691-7770 219 East Main Street, P.O. Box 230, Mechanicsburg, PA 17055-0230 Fax: (717) 691-7772 Form OC-OJ rev. 10.13.06 Page 1 of 10 ~ "..:.::~._"i ~~ ---J :P- C G') cn C::J r-l .r:- c;) ~ Estate of Hyung Joo Bair , Deceased 1. Name(s) and addressees) ofPetitioner(s): Name: Marlin R. McCaleb Address: 219 East Main Street P.O. Box 230 Mechanicsburq, PA 17055-0230 Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution and state reason: None Is this the first accounting by this fiduciary? . . . . . . . . . . . . . . . . . . . . . IilVes D No If not, identify prior accountings, the accounting periods covered, and the date of adjudication of the prior accounting. 2. Decedent died on December 2, 2005 o Letters Testamentary or IKlLetters of Administration were granted to Petitioner(s) on January 3, 2006 Date of Will (if applicable): N/A Date(s) ofCodici1(s) (if applicable): N/A Date of probate (if different from date Letters granted): Was a bond required? DYes I:X1I No If yes, state amount: Are proofs of advertising of the grant of Letters attached? ......... DVes 0 No Dates of advertising of the grant of Letters: see proofs Form DC-OJ rev. JO.13.06 Page 2 of 10 Estate of Hyung Joo Bair , Deceased 3. Was decedent survived by a spouse? . . .. . . . . . . . . . . . . . . . . . . . . . . . .. DYes ~No If yes, name of the surviving spouse: 4. Has the surviving spouse filed to take an elective share? .. ~(~. . . . . . .. DYes D No (See Section 2201 et seq. of the Probate, Estates and Fiduciaries Code) If yes, date of election: 5. In the case of an intestacy, state the names of the decedent's surviving children or surviving issue of deceased children (ifnone, so state): None 6. Did decedent marry after execution of Will or Codicil(s)? N/A DYes D No W~re any c~l?re~ born to decedent after execution of N/A . , Will or COdiCll(s). ........................................... DYes D No If yes, give names and dates of birth: Name: Date of Birth: 7. If required by the Medical Assistance Estate Recovery Act, 62 P.S. S 1412, was a request for a statement of claim sent to the Department of Public Welfare? ... .. . .. . . . .. . . . . . . . . . . . . . . . .. aYes 0 No Form OC-OJ rev. 10.13.06 Page 3 of 10 Estate of Hyung Joo Bair , Deceased 8. Written notice of the Audit as required by Pa. a.c. Rules 6.3, 6.7 and 6.8 has been or will be given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants listed in item 10 below. In addition, notice of any questions requiring Adjudication as discussed in item 14 below has been or will be given to all persons affected thereby. A. If Notice has been given, attach a copy of the Notice as well as a list of the names and addresses of the parties receiving such Notice. B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and addresses of the parties receiving such Notice shall be submitted at the Audit together with a statement executed by a Petitioner or counsel certifying that such notice has been given. C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated persons), Notice of the Audit has been or will be given to the appropriate representative on such party's behalf as required by Pa. a.c. Rule 5.2. D. If any charitable interest is involved, Notice of the Audit has been or will also be given to the Attorney General as required under Pa. a.c. Rule 5.5. In addition, the Attorney General's clearance certificate (or proof of service of Notice and a copy of such Notice) must be submitted herewith or at the Audit. 9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice or knowledge, having or claiming any interest in the estate as beneficiaries under the Will or Codici1(s) or as intestate heirs if there is a complete or partial intestacy: A. State each party's relationship to the decedent and the nature of each party's interest( s ): Name and Address of Each Party in Interest Relationshiv and Comments, if any Interest Warren G. Klunk, for statutory heir Commonwealth of PA (20 Pa.C.S.2105(6)) Dept. of Revenue Bureau of Ind. Taxes Dept. 280603 Harrisburg, PA 17128-0603 100% Form DC-OI rev. IO.l3.06 Page 4 of 10 Estate of Hyung Joo Bair , Deceased Name and Address of Each Party in Interest Relationship and Comments, if any Interest B. Identify each party who is not sui juris (e.g., minors or incapacitated persons). For each such party, give date of birth, the name of each Guardian and how each Guardian was appointed. If no Guardian has been appointed, identify the next of kin of such party, giving the name, address and relationship of each. N/A C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for this Audit (~ee Pa. D.C. Rule 12.4). N/A D. If distribution is to be made to the personal representative of a deceased party, state date of death, date and place of grant of Letters and type of Letters granted. N/A Form DC-OJ rev. 10.13.06 Page 5 ofl 0 Estate of Hyung Joo Bair , Deceased 10. Other than the claim for the family exemption, list the names of all known claimants and the amount of their claims and state whether each claim is admitted. Name and Address of Each Claimant Amount of Claim Claim Will Claim Admitted? Be Paid In Full? None DYes DYes DNo DNo DYes DYes DNo DNa DYes DI Yes DNo DNo DYes DYes DNo DNa If the estate is insolvent, attach a schedule setting forth the order of preference under 20 Pa.C.S. S 3392 and the proposed payments. Was family exemption allowed? DYes DYes IrnNo DNo 11. Was family exemption claimed? Family exemption claimant's name and relationship: Name: Relationship: Form OC-OJ rev. 10.13.06 Page 6 of 10 Estate of Hyung Joo Bair , Deceased 12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate Tax paid, the date(s) ofpayment(s), and the interest(s) upon which paid, are as follows: Date Payment Interest None 13. On the date of death, was the decedent a fiduciary (personal representative, trustee, guardian, agent under power ofattomey) or surety on the bond ofa fiduciary? .. . . . . . . . . . . . . . . . . . DYes ~ No If yes, provide the name of the estate, indicate whether an accounthas been filed and confirmed absolutely and all awards performed, or, in the alternative, how the decedent's estate will be discharged for the decedent's fiduciary administration of the estate. 14. A. Describe in detail any questions requiring adjudication and state the position of the Petitioner(s) as to eachquestion::~ Was Decedent survived by next-of-kin within the degrees of relationship set forth in 20 Pa.C.S. 2103(1) through (5)? Answered by Petitioner in the negative (see Report Pursuant to D.C. Rule No. 13.3 filed herein on July 20, 2007). B. Has notice of the question requiring adjudication been given to the parties identified in Paragraph 9 above? .................. a/Yes D N,p 15. IfPetitioner(s) haslhave knowledge that a share has been assigned, renounced, disclaimed or attached, provide a copy of the assignment, renunciation, disclaimer or attachment, together with any relevant supporting documentation. N/A Form DC.OJ rev. JO.13.06 .. Page 7 of 10 Estate of Hyung Joo Bair , Deceased 16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . .. D Yes m No If yes, attach a copy of the Order if available; otherwise state the Court, term, number, date, and name of Hearing Judge. 17. A. List or attach a separate list of additional receipts and disbursements since the closing date of the Account. N/A B. Has notice of the additional receipts and disbursements been given to the parties identified in Paragraph 9 above? ............. DYes D No N/A 18. If a reserve is requested, state amount and purpose. Amount: ! $500.00 Purpose: filing Account, other final expenses. If a reserve is requested for counsel fees, has notice of the amount of fees to be paid from the reserve been given to the . . ..? N/A partIes In mterest. ........................................ DYes DNo If so, attach a copy of the notice. 19. Is the Court being asked to direct the filing of a Schedule of Distribution? DYes ~No As to real estate only? ...... .~(r:.. . . .. ..... .. .... .. . .. ..... ... DYes DNo Form DC-OJ rev. ]0.13.06 Page 8 of 10 Estate of Hyung Joo Bair , Deceased Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled and suggest( s) that the distributive shares of income and principal (residuary shares being stated in proportions, not amounts) are as follows: A. Income: Proposed Distributee(s) Amount/Proportion Commonwealth of Pennsylvania $ 15,244.16 B. Principal: Proposed Distributee(s) Amount/Proportion Commonwealth of Pennsylvania $284,269.22 Submitted By: (All petitioners must sign. Add additional lines if necessary): dt/itLl~ Name of Petitioner: Marlin R. McCaleb, Administrator Name of Petitioner: Form OC-OJ rev. JO.13.06 Page 9 of 10 Estate of Hyung Joo Bair , Deceased Verification of Petitioner 01 erification must be by at least one petitioner.) The undersigned hereby verifies * 21:ihei:~~xxxxxxx~~xxxxxXXXXXX'lo(XXXXXX'lo('IO( (jf}tlU!~~ll~~~~XXxxxxxxxxxxxxxxxxxxxxxxxxxxx>>luikthat the facts set forth in the foregoing Petition for Adjudication / Statement of Proposed Distribution which are within the personal knowledge of the Petitioner are true, and as to facts based on the information of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false statements herein are made subject to the penalties of 18 Pa. C.S. S 4904 (relating to unsworn falsification to authorities). ~#~ Signature of Petitioner Marlin R. McCaleb * Corporate petitioners must complete bracketed information. Certification of Counsel The undersigned counsel hereby certifies that the foregoing Petition for Adjudication! Statement of Proposed Distribution is a true and accurate reproduction of the form Petition authorized by the Supreme Court, and that no changes to the form have been made beyond the responses herein. 4t~i1?~ Signature of Counsel for Petitioner Marlin R. McCaleb, Esq. Form DC-OJ rev. JO.13.06 Page 10 of 10 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16,1929), P. L.1784 COMMONWEALTH OF PENNSYL VANIA ss. COUNTY OF CUMBERLAND Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, beirig duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, V1Z: January 27, February 3, 10,2006 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Hair, Hyung Joo, dec'd. · Late of Silver Spring Township. Administrator: Marlin R. McCaleb, Esquire, 219 East Main Street. P.O. Box 230, Mechanicsburg, PA 17055. Attomey: Marlin R. McCaleb, Es- quire, 219 East Main Street. P.O. Box 230, Mechanicsburg, PA 17055. SWO TO AND SUBSCRIBED before me this 10 day of February. 2006 l~~~_";.y_~t~/ . " .',. _____.-------~-J----~. THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16,1929 Commonwealth of Pennsylvania, County of Dauphin} ss Michael Morrow, being duly sworn according to law, deposes and says: That he is the Controller of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared in the 31st day(s) of January and the 7th and 14th day(s) of February 2006. That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY MARLIN R. MCCALEB, ESQUIRE 219 EAST MAIN STREET P.O. BOX 230 MECHANICSBURG, P A. 17055