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HomeMy WebLinkAbout02-0226PETITION FOR PROBATE & GRANT OF LETTERS Estate of LARRY L. HILL also known as , deceased· Social Security No. 195-28-0021 No. 21-02- To: Register of Wills for the County of Cumberland Commonwealth of Pennsylvania The Petition of the undersigned respectfully represents that: Your Petitioners, who is 18 years of age or older and the Executrix named in the Last Will of the above decedent dated February 8 ,1991, and codicils dated none ,19 The Executrix named none died Renunciations for none attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 515 Mohawk Road, Newville, Upper Frankford Township Decedent, then 63 years of age, died Re,qional Medical Center February 10 ,2002, at Carlisle Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the Will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in PA (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania, situated as follows: 515 Mohawk Road, Newville, PA 17241 $100,000.00 WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented herewith and the grant of letters testamentary thereon. Signature(s) and Residence(s) of Petitioner(s): Donna L. Hill 515 Mohawk Road Newville, PA 17241 717-776-7532 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ' COUNTY OF CUMBERLAND · SS The Petitioner(s) above named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that as personal representative of the above decedent, petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this 1 st. day of March ,2002. Donna L. Hill /7-- No. 21-02- Estate of Larry L. Hill , deceased. DECREE OF PROBATE & GRANT OF LETTERS AND NOW, March 4th , 2002, in consideration of the Petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated February 8, 1991 described therein be admitted to probate and filed of record as the Last Will of Larry L. Hill ; and Letters Testamentary are hereby granted to Donna L. Hill FEES Probate, Letters, Etc ........ $. 200.00 Short Certificates( 5 ) ..... $ 1 5.0 0 Renunciation(s) ........... $-0- JCP .................... $ 5.00 Other Will Pages (-3-) .... $.9.00 TOTAL: .... $ 2,~.~.00 Filed . . .3.-~ 1. ~-.0.2. .................. call attroney on 3-4-02 IRWIN McKNIGHT & HUGHES Marcus A. McKniqht III, Esq. (25476) ATTORNEY (Sup. Ct. I.D. No.) 60 West Pomfret St., Carlisle, PA 17013 ADDRESS 717-249-2353 PHONE his is to certify that the information here given is correctly copied ftom an original certificate of death duly filed with me as l,ocal Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 8168837 No. Local Registrar Date .[ '. Larry , 63 Y,,. ~mm, ~. Cumberland ,.. Clerk ,~,, Rubbe~ r'oo~inq 515 Mohawk Road RE~"CE ,. Newville PA 17241 ~) ,,. Paul Hill COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH (Coroner) atll I" ~le I" 195,28~21 ]4 February' i~, 2002 ~ ' ' ~U~: OTHER: Carlisle ].~arlisle Regional Medical Center 1, .=~" ~D~m--~'.. ~,% ~ite KIND ~ 6U~NE~N~STRY ~S ~O~n~NT EVER IN . OECE~NT'S EDWIN ~1~ ST~U~ · M~ ] S~ 8~SE '~, ~3. 12 [,4. ~rri~ I,s. ~fuia L~ Wic~ ,,. Kathryn Mullen Im.' 515 Mohawk Road~ Newville PA 17241 I,,,UDr ~a~fo~ Bri~ ~. N~ille PA I · NAM I~, , ~ ~*.o~m~ ~ff~-Rocn ...... ~eral ~ -- l~.2m . .anover sc. ~rlisle,p~ lvol~ ~e ~ T~). ~b. ~ ~T' ~Y' ~ ITIME ~ ~H ID~E PRoDUcED DEAD (M~' ~' 'r, '8 ~ REFE~O ~=~L E~MINE~R~E. ~ [0:00 ~ ;eb;uet7 [0, 2002 Donna Lee Hill ~,,~ ,. ~ ~ ~1b~eb~ 14, 2~2 ~ ~ - ~ ~ ~,~ ~1~. ,~ .. I~. I~. ~ ~ ~ ~~ UI~.¢~) ' ' ' I '-- ' ~'~) ~N~ ~UM~ ' / ~ ---'""--~'---~'~'-,~,'".--,~-~.).--.---~ .......................... ~ ,,0. I.dyebruary 11, 2002 II~~'~/~'~'''n'ln~nl~'~ahtl~'d~e'~d~'a~et°~")a~~ ~::~ :~ :lt~2~T~Pdm Michael L. Norris, Coroner 6375 Basehore Road, Suite ~ ......................................................................... ~ Mechanicshurg, Pa. 17050 I, LARRY L. HILL, of 515 Mohawk Road, Newville, Cumberland County, Pennsylvania, do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills heretofore made by me. 1. I direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. 2. I authorize and empower my personal representative, subject to the provisions hereinafter made, to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee simple, as I could do if living. My representatives are authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said representatives. 3. I give, devise and bequeath all of my estate of whatever nature and wherever situate to my spouse, DONNA L. HILL. 4. If my spouse does not survive me by a period of at least sixty (60) days, and if my daughter, Michelle L. Hill is not under the age of thirty (30) years at my death, then my estate I give devise and bequeath to my daughter, Michelle L. Hill, or if she be deceased, then to her issue, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living and subject to the same trust provisions that are provided for my daughter below. If, however, my daughter be deceased leaving no issue, then my estate I give, devise and bequeath as follows: A. 50% to Larry Wickard and Barbara Wickard, or the survivor thereof, or if both be deceased then to their issue, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living; and B. 50% to George Wickard and Juanita Wickard, or the survivor thereof, or if both be deceased then to their issue, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 5. If my spouse does not survive me by a period of at least sixty (60) days, and if my daughter. Michelle L. Hill, is under the age of thirty (30) years at my death, then my estate I give devise and bequeath to be held in trust under the following terms and conditions: The trustee, as well as my representative, is hereby authorized to retain, unconverted, any property, real or personal, that I may own at my death and shall be under no duty to convert it into legal investments. The trustee shall have the power and authority, to sell, transfer, convey, invest and reinvest and to pay over the net income of the trust property, to or for the use of my daughter, or to accumulate it in the sole discretion of the trustee. The trustee is also authorized and empowered to pay over to, or for the use and benefit of my daughter such portion of or all of the principal of the trust estate as in the trustee's sole discretion seems proper for her education, medical care support and maintenance. My primary object is to insure the education, medical care, support and maintenance of my daughter until she reaches the age of twenty- one (21) years. When my daughter reaches the age of twenty-one (21) years, then twenty-five (25%) percent of whatever remains of the principal and accumulated income of the trust estate shall be distributed to her. When my daughter reaches the age of twenty- five (25) years, then thirty-five (35%) percent of whatever remains of the principal and accumulated income of the trust estate shall be distributed to her. When my daughter reaches the age of thirty (30) years, then whatever remains of the principal and accumulated income of the trust estate shall be distributed to her. If my daughter does not survive the aforementioned distribution of my estate, then my estate I give, devise and bequeath to her issue, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living but subject to the trust provisions that are provided for my daughter herein. If, however, my daughter be deceased leaving no issue, my estate I give, devise and bequeath as follows: then A. 50% to Larry Wickard and Barbara Wickard, or the survivor thereof, or if both be deceased then to their issue, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living; and B. 50% to George Wickard and Juanita Wickard, or the survivor thereof, or if both be deceased then to their issue, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 6. I nominate and appoint my spouse to be the personal representative of my estate, to serve without bond. In the event that my spouse cannot or does not serve, then I appoint Larry Wickard to be the substitute personal representative with the same powers and without the filing of any bond. 7. I nominate and appoint Larry and Barbara Wickard, or if they cannot or do not serve, George and Juanita Wickard, to be the guardians of my daughter if she be under the age of eighteen (18) years at my death. 8. I appoint Dauphin Deposit Bank, Harrisburg, Pennsylvania, to be the trustee of the trust established above. 9. I suggest that my personal representative retain the services of Irwin, Irwin & McKnight, Carlisle, Pennsylvania in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and this ~ day of February, 1991. seal LARRY~-~. HILL Signed, sealed, published and declared by the above-named person as and for a last will and testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. ACKNOWLEDGEMENT AND AFFIDAVIT WE, LARRY L. HILL, BETZI A. MORRISON and SHARON L. SCHWALM, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in their presence and hearing of the testator, signed the Will as a witness and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. LAI~RY L. HILL  .~TZI A~. MORRISON / SHARON -L, ~SCHWALM COMMONWEALTH OF PENNSYLVANIA: : SS. COUNTY OF CUMBERLAND : Subscribed, sworn to and acknowledged before me by LARRY L. HILL, the testator, and subscribed and sworn to before me by BETZI A. MORRISON and SHARON L. SCHWALM, witnesses, this day of February, 1991. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Estate No.: LARRY L. HILL February 10, 2002 21-02-0226 To the Register: I certify that notice of the beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on March 27, 2002 . Name Donna L. Hill Michelle L. Hill Address 515 Mohawk Road, Newville, PA 17241 515 Mohawk Road, Newville, PA 17241 Notice has now been given to all persons entitled thereto under R~ 5.6(a) Date: 03/27/02 ~~~ IRWIN, McKNIGH~I t:ept none. lES Name Marcus A. McKnight III, Esquire Address 60 West Pomfret Street ~'r"'~ '. Carlisle~ PA 17013 c.-~ Telephone (717) 249-2353 Capacity: X __ Personal Representative Counsel for Personal Representative REV- 1500~1< · ~ C~OMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~ DEPT. 280601 HARRISBURG, PA 1711~8-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Hill Larry L. Hill, CAPB HpRL EpIO CRAC KOTK ES Co" R E C A P I T U L A T I O N C 0 M T I 0 DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 02/10/2002 04/23/1938 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND M DDLE N T AL) Donna L. 1. original Return 4. Limited Estate 8. Decedent Died Testate (Attach copy of Will) I~ S. Litigation Proceeds Received U 10. Spousal Povert7 Credit (date of death between 12-31-91 and 1 - 1-95) OFFICIAL USE ONLY FILE NUMBER 21-02-0226 COUNTYCODE YEAR NUMBER SOCIAL SECURITY NUMBER 195-28-0021 THIS RETURN MUST BE FILED IN DUPUCATEW1TH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER (d .ate of .d_ea.t_h 3. Remainder Return prlorto 8. Federal Estate Tax Return Required I 8. Total Number of Safe Deposit Boxes F"-I Election to tax under Sec. 9113(A) 1 1. (Attach Sch O) NAME Marcus A. McKnisht Esq. FIRM NAME (If Applicable) IRWIN McKNIGHT & HUGHES TELEPHONE NUMBER 717/~49-2353 ~27~' Supplemental Return · Future Interest Compromise (date of death after 12-12-82) Decedent Maintained a Living Trust (Attach copy of Trust) 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or (3) Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) r--I Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. 14. COMPLETE MNLING ADDRESS 60 West Pomfret Street West Pomfret Professional Bldg. Carlisle, PA 17013 OFFICIAL USE ONLY (8) ~: 494,902.99 (11) 18,625.33 (12) 476,277.66 110,000.00 387.66 None None 384,515.33 None None 18,625.33 None 476,277.66 Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13), made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 476,277.66 x .0 0 X .0 45 (16) X .12 (17) X .lS (18), 0.00 0.00 0.00 0.00 0.00 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due Copyright (c) 2000 form software only The Lackner Group, Inc. Form REt/-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 515 Mohawk Road CITY Newville Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A, Spousal Poverty Credit B. Prior Payments C, Discount 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty STATE I ZIP PA 17241 (1) 0.00 Total Credits ( A + B + C ) Total Interest/Penalty ( D + E ) (3) 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 (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (SB) 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 ;. retain the use or income of the property transferred; ......................... ~ ~ , retain the right to designate who shall use the property transferred or its income; ........... ¢. retain a reversionary interest; or .................................... d. receive the promise for life of either payments, benefits or care? ................... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................ ~ ~'J 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. 0.00 0,00 0.00 0.00 0.00 0.00 Ur~ler 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. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Donna L. Hill DATE ,.~ , ~/ 515 Mohawk Road % / ........................... ~/(/~/Z~ ~ 60 ,es~ Pomfret Street ~/ / surviving spouse is 3% [72 P.S. 911~. For dates of death on or after Janua~ 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. 9116 (a) (1.1) (ii)]. The statute does not exempt a transfer m a surviving spouse from tax, and the ~atuto~ require~nts for disclosure of assets and filing a tax return are still applicable even ~ the surviving spouse is the on~ beneficial. For dates of death on or aEer Ju~ 1, 2000: The tax rate imposed on the net value of transfers from a deceased child ~en~-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a smpparent of the child is 0% [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%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116(aXl)]. 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. 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. Copyright (c) Z~O form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-~) REV- 15,02 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Larry L. }{ill SS~) 195-28-0021 SCHEDULE A REAL ESTATE 02/10/2002 FILE NUMBER 21-02-0226 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge ITEM NUMBER ,f the relevant facts. Real property which is jointly-owned with ri~]ht of survivorship must be disclosed on Schedule F. DESCRIPTION 515 Mohawk Road, Upper Frankford Township, Cumb. Co. VALUE AT DATE OF DEATH 110,000.00 TOTAL (Also enter on line 1, Recapitulation) $ 110,000.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form RE¥-1502 EX (Rev. 1-97) REV- 15,03 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS Larry L. Hill SS~/ 195-28-0021 02/10/2002 FILE NUMBER 21-02-0226 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE NUMBER OF DEATH 1 United States Series E, $50.00 savings bond, issued 387.66 05/56 TOTAL (Also enter on line 2, Recapitulation) 387.66 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form RE¥-1503 EX (Rev, 1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT · I II ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER Larry L. Hill SSf/ 195-28-0021 02/10/2002 21-02-0226 Inch,a., ,k= ,..,~-,=,,~o ~, '~;-.-.;--- --" .~--- date the proceeds were received by the estate. All property jointly-owned with the right of sum ~lule F. ITEM VALUE AT DATE NUMBf DESCRIPTION OF DEATH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 t box M market checking - #0094230714 ~ook savings #87004906705855 Allfisrt Bank, relationship checking - #0042936411 Commerce Bank, checking account #513034322 First Union, certificate of deposit - #247412051296628 First Union, checking account - #1000294143277 First Union, savings account - #3083379322080 172 4 7 6,474.59 6 802.56 11,498 45 10,138 68 68,882 56 M&T Bank, checking account - #418188 M&T Bank, certificate of deposit #31003908164955 Members First Federal Credit Union, regular savings Orrstown Bank, checking account #409413 1987 Chevrolet, 1984 Ford Money collection #113604-00 078.00 182.40 917.22 935 50 2,719 04 2,327 22 86,145 11 4,000 00 414 00 TOTAL (Also enter on line 5, Recapitulation) $ 384,515.33 (if more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV- 1508 EX (Rev. 1-97) REV- 1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Larry L. Hill SS~ 195-28-0021 SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS 02/10/2002 FILENUMBER 21-02-0226 Debts of decedent must be reported on Schedule I. ITEM NUMBER 1 2 3 4 5 DESCRIPTION FUNERAL EXPENSES: Hoffman-Roth Funeral Home ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) /EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: Attorney's Fees IRWIN McYJ~TIG[-D' & HUGHES Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees Register of Wills Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs Cumberland Law Journal - Recorder of Deeds Register of Wills Register of Wills The Sentinel State Zip estate notice publication filing fee filing fee additional probate fee Legal - estate notice publication TOTAL (Also enter on line 9, Recapitulation) AMOUNT 7,051.00 7,500.00 3,500.00 229.00 75.00 26.50 10.00 140.00 93.83 $ 18,625.33 (if more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV'-1511 EX (Rev. 1-97) REV- 1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Larr2 L. Hill SS~ 195-28-0021 SCHEDULE J BENEFICIARIES 02/10/2002 NUMBER II. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distribution, a~ tran~em u~er Sec. 9116~1.2)J Donna L. Hill 515 Mohawk Road Newville, PA 17241 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Spouse FILE NUMBER 21-02-0226 AMOUNT OR SHARE OF ESTATE remainder ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 0.00 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Copyright (c) Z000 form software only T he Lackner Group, Inc. Form REV- 1513 EX (Rev. 9-00) !, LARRY L. HILL, of 515 Mohawk Road, Newviile, Cumberland County, Pennsy[vanla, de hereby make, publish and dec[are this to be my I ~ a .... will and testament~ hereby revoking alt wills heretofore made by me. I. ! direct my personal representative to pay ail of my debts, funeral and administrative expenses as soon as convenient after my decease. 2. I authorize and empower my personal representative, subject to the provisions hereinafter made~ to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sate therefor, in fee simple, as i could do if living. My representatives are authorized and empowered to engage in any business in which i may be engaged at my death, for such period of time after my death as seems expedient to said representatives. 3. i give, devise and bequeath all of my estate of whatever nature and wherever situate to my spouse, DONNA L. HILL. 4. If my spouse does not survive me by a period of at least sixty (60) days, and if my daughter, Michelle L. Hill is not under the age of -thirty (30) years at my death., then my estate I give devise and bequeath tb my daughter, Micheiie L. Hill, or if she be deceased '~== , =~=n to her issue, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living and subject to the same trust provisions that are provided for my daughter below. If, however~ mv~ daughter be deceased leaving no ~ssue,. then my es~aue~ ~ I give, devise and bequeath as follows: A. 50% to Larry Wickard and Barbara Wickard, or 'the survivor thereof, or if both be deceased then to their issue~ share and share mlike, the child or children of any' deceased child taking the share their parent would have taken if living; and B. 50% to George Wickard and Juanit~ Wickard, or the survivor, thereof, or if both be deceased then to their Issue, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 5. If my spouse does not survive me by a period of at least sixty (60) days, and if my daughter'. Micheile L. Hill, is under the age of thirty (30} years at my death, then my estate I give devise and bequeath to be held in trust under the ~ollowing terms and conditions: The trustee, as well as my rep~esentative~ is hereby authorized to retain, unconverted, any property, real or personal, that ! may own at my death and shall be under no duty to convert it into legal investments. The trustee shall have the Dower and authority to sell, transfer, convey, invest and reinvest and to pay over the net income of the trust property, to or for the use of my daughter, or to accumulate it in the sole discretion of the trustee. The trustee is also authorized and empowered to pay over 'to, or for the use and benefit of my daughter such portion of cr all of the principal of the trust estate as in the trustee's sole discretion seems proper for her education, medical care support and maintenance. My primary object is to insure the education, medical care, support and maintenance of my daughter until she reaches the age of twenty- one (~ ] years When my daughter reaches the age of twenty-one ~[21) years, then twenty-~lve (25%~ percent cf whatever remains o~ ~.n_ principal and accumulated income of the trust estate shall be distributed to her. When my daughter reaches the age of twenty- five (,25) years, then thirty-five (,35%) percent of whatever remains of the principal and accumulated income of the trust estate shall be distributed to n~_r When my daughter reaches the age of thirty (30) years, then whatever remains cf the principal and accumulated income of the trust estate shall be distributed to her. if my. daughter does not ~=urvzve t¼=..~ =forementioned_ distribution of my estate, then my estate I give, devise and bequeath to her ~ss~.e~ share and share alike, the child or children of any deceased child taking the share their parent would have taken if living but subject to the trust provisions that are provided for my daughter herein. !f~ however, my daughter be deceased leaving no issue~ my estate i give~ devise and bequeath as follows: then A. 50% to Larry Wickard and Barbara Wickard, or the survivor thereof, or if both be decease~ then to their issue, share and share alike~ the child or children of any deceased child taking the sh~re their parent would have taken if living; and B. 50% to George Wickard and Juanita Wickaud, or the survivor thereof, or if both be deceased then to their issue, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. i nominate a~d .a:;'~oint my -,fy,-,, re~resentativ~ of my ~state to s~rve without ' ' Wickard to be the substi*ute bersonal ..=~ .... · , ,. ~ ..... " - - .-_.~ ==~ntatzve wit~ the same po~,=,s and ~;~itnouz abe filina- cf any bon~. ' 7. i nominate and apoo~nt Larry and .arbara Wickard~ or if they cannc-t or do not serve, George and Juanita Wickard, to be the guardians of my daughter if she be unde~- the age of (18) years at my death. ' i appoint DauBhin -n,~...,., Pennsylvania, 2o be the trustee of the trusm established above. 9. ! suggest that my servic=~ o~ i~ ~ . _ ~u ..... ,~ re~ ~eatat .... w.n irwin & · ' ~ _.e=. ire retaia the ~ , McKn,ght Cariisl~ Pennsvl vani~ iN ~[iTNESS WHEREOF, I have hereunto set my hand ~ this .~ day of February, 1991. ='~'~ seal LARRY.'. HiLL -- - Signed, sealed, ~ublished and declared by the above-named person as and for a last will and testament, in cur .presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as suoscribinc witnesses. ACKNOWLEDGEMENT AND AFF£OAVIT WE, LARRY L. HILL, BETZI A. MORRISON and SHARON L. SCHWALM, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in their presence and hearing of the testator, signed the Will as a witness and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. d~ ? '~' ,';,~ ~:" i "' SHARON L.'SCHWALM COMMONWEALTH OF PENNSYLVANIA: : SS, COUNTY OF CUMBERLAND : Subscribed, sworn to and acknowledged before me by LARRY L. HILL, the testator, and subscribed and sworn to before me by BETZI A. MORRISON and SHARON L. SCHWALM, witnesses, this day of February, 1991. Form View - public tax file 1-8-02.fp5 Page ! of ! Form View S~a r~c~h public tax file 1-8-02.fp5 T_~_bl~e__View Viewing: [ of ! District_Number 43 Parcel_Identifier 43-05-0417-022A Map_Suffix_Number House_Number 515 Street MOHAWK ROAD Owner..Name_l HILL, LARRY LEE Owner_Name_2 Land_Use_Code R Properly_Description & T-405 Living_Area 1400 Current_Land_Valu 26360 Current_Improvement_Value 87070 Current_Total_Valu 113430 Current_Preferred_Value Acreage ,89 CleanGreen_Status Taxable_or_Exempt 1 Sale_Amount Sale_Month Sale_Day Sale_Century Sale_Year H~o_._m~e I Help_ ~ ~ ~/ F MPr~ ?~db ~ ~ub ~ i ~ % 2 ~t ax % 2 ~f i ~e % 2 ~ ~~8~~ 2 ~ f p 5&~~~ ~ eq&H~use %5 f Number~ 515 % 2 ~&-~p :2 / 2 8 / ~ 2 Redemption Date: 3/2002 Larry Lee Hill Estate Accrual Bonds Issue Yield Next Final Serial Number Denom. Series Date Value Interest To Date Accrual Maturity L315982512E $50 E 5/1956 $387.66 $350.16 5.93% 5/1996 3 I = Not eligible for payment (purchase price) 2 = Matured (exchangeable for HH) 3 = Matured (not exchangeable) * = Possibly eligible for U.S. Savings Bond Education Benefit Program, See footnotes on Inventory Summary page. Redemption Date: 3/2002 Accrual Bonds Pre-January 1990 Issue Dates: January 1990 and Later Issue Dates: Current Income Bonds Inventory Totals Larry Lee Hill Estate Inventory Summary Number Inventory Redemption of Bonds Value Value Interest 1 $387.66 $387.66 $350.16 0 $0.00 $0.00 $0.00 * $387.66 $387.66 $350.16 $0.00 $0.00 $0.00 t $387.66 $387.66 $350.16 Footnotes * Proceeds from Series EE & I Savings Bonds with issue dates beginning January 1990 may be eligible for special tax exemption when used for post-secondary education. For'further information concerning the benefits and restrictions that apply, please contact the Internal Revenue Service. i These bonds are not eligible for payment within 6 months of their issue date. 2 These bonds have reached final maturity and will earn no additional interest. They can be exchanged for HH Bonds within a year of their final maturity date. 3 These bonds have reached final maturity and will earn no additional interest. They are not eligible for exchange for Series HH Bonds since they have been held over a year past their final maturity date. 2 Appraisal by: Harry E. Donson Carlisle Coin Shop 25 Circle Drive Carlisle, PA 17013 Larry L. Hill Estate d/old- February 10, 2002 243-8943 allfirst Irwin, McKnight & Hughes Attorneys At Law West Pomfret Prof. Bldg 60 West Pomfret Street Carlisle, PA 17013-3222 Re: Estate of Larry Lee Hill Social Security: 195-28-0021 Date of Death: February 1 O, 2002 Allfirst Financial Center N.A. P.O. Box Millsboro. DE { 9966 Phone (302) 934-2909 Fax (302) 934-2955 March 20, 2002 Dear Sir or Madam: Per your inquiry dated March 11, 2002, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Account Number Ownership (Names oJ) Opening Date Balance on Date of Death Accrued Interest Relationship Checking W/Interest 0042936411 Larry Lee Hill, Owner 08/28/64 $6,474.41 $ .18 $6,474.59 o Type of Account Account Number O~nership (Names oJ) Opening Date Balance on Date of Death Accrued Interest Total Money Market Checking 0094230714 Larry Lee Hill, Owner 04/28/83 $3,833.05 $ .42 $4,182.40 o Type of Account Account Number Ownership (Names oJ) Opening Date Balance on Date of Death Accrued Interest Total Type of Account Account Number Ownership (Names of) Opening Date Passbook Savings 87004906705855 Larry Lee Hill, Owner 01/01/68 $7,905.79 $ 11.43 $7,917.22 Safe Deposit Box 1000613100001079 Larry Lee Hill, Owner 11/13/98 Type o fA ccount Account Number Ownership (Names oJ) Opening Date Safe Deposit Box 1000613100001565 Larry Lee Hill, Owner 11/13/98 This letter does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of Uniform Transfers, Representative Payee, or Trustee under a Written Agreement. For further account info~, ation, closures and/or reimbursement of funds refer to below branch: CARLISLE WEST OFFICE 812 ¼ WEST HIGH STREET CARLISLE, PA 17013-2706 Assistant I Cis Services, (302) 934-2909 TO: Law Offices Irwin McKnight & Hughes 60 West Pomfret Street Carlisle, PA 17013 FROM: ORRSTOWN BANK P.O. BOX 25O SHIPPENSBURG PA 17257-0250 RE: ESTATE OF Larry Lee Hill DECEASED DATE OF DEATH: February 10, 2002 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: (1) CHECKING ACCOUNTS ACCOUNT NO. TITLE OF ACCOUNT 409413 Larry Lee Hill DATE OPENED 3/29/96 DATE OF DEATH PRINCIPLE & ACCRUED INTEREST 86,145.11 (2) SAVINGS ACCOUNT ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED DATE OF DEATH PRINCIPLE & ACCRUED INTEREST (3) CERTIFICATES OF DEPOSIT ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED DATE OF DEATH PRINCIPLE & ACCRUEDINTEREST Date: 03/26/02 By: Timothea Customer Service Operator MAE{ 2 8 2002 IRWIN, McKNIGt'iT & HUGHES P,O. BOX 250 · SHIPPENSBURG, PA 17257 · TEL. (717) 532-6114 Reference ID: 246495 First Union National Bank Attn: Account Verifications P O Box 40028 Roanoke VA 24022-7313 March 29, 2002 APR -4 20O2 IRWIN MCKNIGHT & HUGHES 60 WEST POMFRET STREET CARLISLE, PA 17013-3222 SUBJECT: Verification / Confirmation of Account and Balance Information provided for: LARRY LEE HILL (SSN# 195-28-0021) Date of Death: February 10, 2002 Deposit Account Information Account Account Date of Death Average Date Maturity Interest Accrued YTD Date Type Number Balance Balance* Opened Date Rate Interest Interest Paid Closed CERTIFICATE OF DEPOSIT 247412051296628 $11,497.74 8/8/2000 8/8/2003 $3.71 $76.30 LEGAL TITLE: LARRY LEE HILL CHECKING 1000294143277 $10,137.92 3/23/1992 $0.76 $8.96 3/25/2002 LEGAL TITLE: LARRY LEE HILL SAVINGS 3083379322080 $68,881.81 1/2/1950 $0.75 $2.32 3/25/2002 LEGAL TITLE: LARRY LEE HILL * Due to system limitations, we can only provide a twelve month average balance on depository accounts. No Safe Deposit Box found for customer. * Date of death balance does not include accrued interest. * If date of death occurrs on a weekend or a holiday, date of death balance does not include any transactions that were made during that time period. Signatur~ o{ I~epository Repre~efit~e Drema Rubinoff Depository Representative abs; ses March 29, 2002 Date Servicenter Associate (540)563-7323 Title Phone Number O01032 April 18, 2002 APR 2.,5 RE: Estate Search The Estate of: LARRY LEE HILL Date of Death (D.O.D.) 2/10/2002 To Whom It May Concern: Identified below is the account information requested. I. M&T Bank accounts in which the decedent's name appears: IRWIN, McKNIGHT & HUGHES Account Account Number Account Title Opening Branch D.O.D. Type Balances (Includes Accr. Int.) CHK 418188 LARRY L HILL 4319 $935.50 $.00 OPENED 9/67 CD 31003908164955 LARRY L HILL 4345 $2659.52 ' $59.52 OPENED 7/01 Accrued Interest 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Owed Account Description No Safe Deposit Box titled in the Decedent's name existed at our office. If you have any questions about the information provided, please contact our Records Department at (716) 635-4010 or 1-800-724- 2440 outside of the Buffalo, NY calling area. Thank you. Sincerely, M&T BANK CORPORATION BY: Authorized S~gnature DATE: Manufacturers and Traders Trust Company · 1100 Wehrle Drive, P.O. Box 767, Buffalo, NY 14240-0767 Commerce Bank. April 8, 2002 Irwin, McKnight & Hughes West Pomfret Professional Building 60 W Pomfret St Carlisle, PA 17013-3222 Dear Sir/Madam: RE: Estate of: Larry Lee Hill Social Security #: 195-28-0021 Date of Death: February 10, 2002 In reference to the letter regarding the above mentioned Estate, we would like to inform you of the information that we have researched and found. Type: Checking Account #: 513034322 Date Opened: 8/26/99 Primary Owner: Larry Lee Hill Date of Death Balance: $6802.56 Accrued Interest: $4.84 If there are any questions or additional information that is needed, please feel free t© contact me at (717) 795-7118 ext. 3151. Sincerely, Wanda J. Morris CIF Associate Commerce Bank/HBG, N.A. P.O. Box 8599 1 O0 Senate Avenue Camp Hill, Pennsylvania 17001-8599 Membersl FEDERAL CREDIT UNION INSURANCE DEPARTMENT 5000 Louise Drive P. O. Box 40 Mechanicsburg, PA 17055 1-800-283-2328 or (717) 697-1161 March 26, 2002 Marcus A. McKnight, III Irwin, McKnight & Hughes West Pomfret Professional Building 60 W. Pomfret Street Carlisle, PA 17013-3222 RE: Estate of Larry L. Hill SSIN 195-28-0021 MAR 2'7 2002 Dear Mr. McKnight, Enclosed is the information requested in your letter of March 25, 2002 regarding the accounts held with Members 1st by Larry Hill. Please do not hesitate to contact me should you have any questions or require additional information. Insurance Supervisor Enclosure ' Memberslx, FEDERAL CREDIT UNION INSURANCE DEPARTMENT 5000 Louise Drive P. O. Box 40 Mechanicsburg, PA 17055 1-800-283-2328 or (717) 697-1161 REGULAR SAVINGS ACCOUNT: Account Number/Suffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner 113604 -00 03/12/199O $2,326.22 $1.00 $2,327.22 None Insurance Products Supervisor March 26, 2002 Estate of: LARRY L. HILL Date of Death: 02/10/2002 Social Security Number: 195-28-0021 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Donna L. Hill being duly sworn according fo law, deposes and says that she is the Executrix of the Estate of Larry L. Hill late of _Uppe_r _Fr~an_kfpr~d _Town~h__ip , Cumberland County, Pa., deceased and that the w~fhin is an inventory made by Donna L. Hill , the said Executrix of the entire estate of said decedent, consisting of all the personal property and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. Sworn ~__ and subscribed before me, th~ 20t .~ ~y qf/~u~st,l ~ 7/- v v No.al Seal ~ ~c J~queline E. Dmw~uffh, Not~ C~rlisle B~, Cure.fiend Count~ ~ Commls~l~ ~Hm~ A~, 14. ~ Date of Death D~nna L. Hill,"E~e-cutrix 5--15 Moh__~aw_k R__oad___ Newville, PA 17241 Address 02 2002 Day Month Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. , ti. 0 .~ -= Inventory of the real and personal estate of LARRY L. HILL deceased 1. 515 Mohawk Road, Upper Frankford Township, Cumberland County ........ 2. United States Series E, $50.00 Savings Bonds - Issued 05/56 ........ 3. Cash in Safe Deposit Box .......................... 4. Allfirst Bank - Money Market Checking #0094230714 ............. 5. Allfirst Bank - Passbook Savin, gs #87,004906705855 .............. 6. Allfirst Bank - Relationship Checking #0042936411 ............. 7. Commerce Bank- Checking #513034322 .................... 8. First Union - Certificate of Deposit #247412051296628 ........... 9. First Union - Checking Account #1000294143277 ............... 10. First Union - Savings Account #3083379322080 ................ 11. M&T Bank - Checking Account #418188 12. M&T Bank - Certificate of Deposit #31003908164955 ............. 13. Members 1st Federal Credit Union - Regular Savings #113604-00 ....... 14. Orrstown Bank - Checking Account #409413 .................. 15. 1987 Chevrolet; 1984 Ford 16. Money Collection .............................. 110,000 00 387 66 172,078 00 4,182 40 7,917 22 6,474 59 6,802 56 11,498 45 10,138 68 68,882 56 935 50 2,719 04 2,327 22 86,145 11 4,000 00 41z 00 TOTAL .................. 494,902 99 BUREAU OF ]:NDZVZDUAL TAXES INHERITANCE TAX DZVZSTON DEPT. 280601 HARR/SBURG, PA 17128-0601 CONMONWEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE NOTICE OF ZNHERZTANCE TAX APPRAZSENENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSNENT OF TAX MARCUS A MCKNIGHT ESQ IRWIN ETAL 60 W POMFRET ST CARLISLE PA 17015 DATE ESTATE OF DATE OF DEATH FILE NUNBER cOUNTy ACN RE¥-16~i? EX AFP (D1-02) 10-07-2002 HILL 02-10-2002 21 OZ-OZZ6 CUMBERLAND 101 Amount Remitted LARRY L MAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LZNE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLOWANCE OR ESTATE OF HZLL DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX LARRY L FZLE NO. 21 02-0226 ACN 101 DATE 10-07-2002 TAX RETURN HAS: (X) ACCEPTED AS FZLED RESERVATZON CONCERNZNG FUTURE ZNTEREST - SEE REVERSE ( ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGZNAL RETURN 1. Real Estate (Schedule A) (1).. 2. Stocks and Bonds (Schedule B) (2) $. Closely Held Stock/Partnership Zntarast (Schedule C) ($) ~. Nortgagas/Notas Receivable (SchaduZa D) (~) E. Cash/Bank Daposits/Nisc. Personal Property (Schedule E) (5) 6. JointZy Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTZONS AND EXENPTZONS: 9. Funara! Expansas/Adm. Costs/Nisc. Expenses (Schedule H) (9) 10. Dabts/Nortgaga Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Nat Value of Tax Return 110/000.00 387.66 .00 .00 38~515.$$ .00 .0O (8) 18,625.33 .00 (11) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payaent. R9~,90Z.99 476,277.66 15. Charitable/Governmental Bequests; Non-elected 911:5 Trusts (Schedule J) (15) . O0 1~+. Net Value of Estate Subject to Tax (~) 476,277.66 NOTE: Z~ an assessment was issued previousZy, lines 14, 15 and/or 16, 17, 18 and 19 will reflect flgures that lncZude the total of ALL returns assessed to date. ASSESSNENT OF TAX: " 15. Amount of Line 1~ at Spousal rata 16. Amount of Line 1~ taxabZa e~ LinaaZ/Class A rata 17. Amount of L/ne lfi et Sibling rata 18. Amount of L/ne 1~ taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: PAYmeNT R~CEZP1 DISCOUNT (+j DATE NUNBER INTEREST/PEN PAID (-) (z$). 476,277.66 x O0 = .00 (16) .00 x 045 = .00 (17).. .00 x 12 = .00 (18) .00 x 15 = .00 (19)~ . O0 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDIT/ONAL INTEREST. ANOUNT PAZD ZNTEREST AND PEN./ .00 TOTAL DUE J . O0 ( TF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REqUZRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDZT' (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SZDE OF THZS FORH FOR ZNSTRUCTZONS.) STATUS REPORT UNDER RULE 6.12 Name of Decedent: LARRY L. HILL Date of Death: FEBRUARY 10, 2002 No. 21-02-226 Pursuant to 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: X Yes ~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a f'mal account with the Court? Yes X No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? X Yes ~ No Date: d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cler~f Orph~)~ff Court and may be 12/4/0?ached t° this rep°rt' ~.2.v///~~ '~Signature/ -~' ~) IRWIN, McKNIGHT & HUGHES Marcus A. McKni~ht III, Esquire Name (please type or print) 60 West Pomfret Street Address Carlisle, PA 17013 City, State, Zip {717) 249-2353 Telephone Number Capacity: X Personal Representative Counsel for Personal Representative