Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
02-0913
PETITION FOR PROBATE and GRANT OF LETTERS .2/-Od.-QIB Estate of ~"'.. I. J.lniHU/ also known as No. To: Register of Wills for the Deceased. County of QlJ1"Ihprl ""cJ in the Social Security No. 182- 22- 9068' Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut"" in the last will of the above decedent, dated t:u.",.~.,. 2./f and codicil( s) dated named ,~~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in C~_ I.erl.. J h ,,~ last family or principal residence at t,,:~ J'1:. -r.. sr: ~~ 1'1" P~...... ;a.S".bD~'" (list street, number and muncipality) County, Pennsylvania, with LJ~~"" '~'''V;L'''I" PA /702S 7':s~,._ rA.,~ Decendent, then 72 at 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: Nfl Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: "1(), DOD years of age, died ~...-.-r.__J."'''' , 20 ,~200:2 , $ $ $ $ T,/J""u/ - To/OJ 4f(}() "00. tJo WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters request(s) the probate of the last will and codicil(s) 7~ f'1" ..... -.-..~ a "'I (testamentary; administration c.t.a.; administration d.h.D.c.La.) theron. -st 6P ~ " u ~3 'J.. 7.3......;...,. .2.~ "" "'~ "00 82" r/;",.:t'/.i:K I€.'.l.,e /2~~ c',O CU',= hecA....t./c;..r.oc.:Y ,PA- 17oS$ 3~ "~ ~o 1ii c w in 'J<-~~r:~, jfc'l' r .G7Y<.tA .1);c, E""'(~. .<19-. 170.2~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA "1 ss COUNTY OF OnnhE>rl ""CJ J 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 represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed be e me this 9th tober and subscribed day of ~ 002 \J. rJ.--:" ~ .z .~ Donna M. otto,1st Deputy /'7~9.:j'-//) ~~?H"~/-. '" 00' ;:, " ;: ~ ~ No. 21-2002-913 Estate of FNA I. HOOVER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW October 9th 1l9'C 2007in 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 28th, 2001 described therein be admitted to probate and filed of record as the last wil1 of YNA I. HCXHER and Letters Testanentary are hereby granted to Brian L. Hoover and Charles E. Hoover ~~.A_ mf)~/~~ Register of Wills Ixmna M. Otto, 1st Deputy :.&~. FEES Probate, Letters, Etc. ......... Shon Cenificates( 3) . . . . . . . . . . ~.$~~g~ti~~). . . . . . . . . . . . . . . . JCP $ 80.00 $ 9.00 $ $ Ls:HH TOTAL _ $ 115.00 .~tO~.9tn,. .2002............. AITORNEY (Sup. Ct. LD. No.) ADDRESS Filed PHONE MAILED LETI'ERS 'TO BRIAN'S ADDRESS a-I OC'IDBER 9th, 2002 H](l'UW5IUX')/ll(, This is to certifY that the information here given is correctly copied from an original certificate of death duly flIed with me as Local 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. P 8629270 No. ,"~"';':"~~..'i:'.\\.'..af"p.E~.~.""" l~ .:-" -.~_. , ~\. t~~_. . ~\ ~~ ..~, , "'P'~ ~c;g." --, '1~~ ~c..:a --~. l:;b~ ~*' ...... ~I*~ '* ..-:..~:'.=:'~ ~l~ ~~. ~\\ 7>'-.:?lAfENl ~\~;"i -'''..,....",,,,,,III1,,J' ~/?(~~ Local Registrar Fee for thi~ certificate, $2.00 OCT 0 2 2002 DatC' ;Q~21I7 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAAoEOFOECEDENTlf"!l,~. ~.. I. Eva I. Hoover AGE IUR 8d>de~ UNDER 1 YEAPl ..... .... '" 2.Female S"(Jllf~"'f."'--E" $OC1A,l stCUAlrv NlJM8EA ,. 182 _ 22 _ 9068 ". c-,. (I'~OO-$.. DAl"EOFOfATH,MclIfI.Oay. _I ..Se tember 30. 2002 72 VIS. COUNTY OF CEAl'H UNOER 1 0Ifi -1.,- .4/8/1930 CITY.8OflO. TWP OF oe""-H ORE OF "ATH ,MonlI>,Oay'_. 8IR1"Hf'lACf :C"'t....4 PlACE OFDERHIC",,"," ",...,.",... __,,,,,(,,,,..,,,,__1 SIaIe",fcreognCOUnlryj HOSPITAl - Enola, Pa. ~O EI'\Klo,oCpIl"",O , k FM;l-1TY NAME /II A(lI..........""", go.. ...100II'"""....._, ~o Cumberland DECEDE"'" USUAL 0CCUf'Rl0N ~"':=:~:..~.::~::r H Waitress 1 -Mart Corp. DECEOENl.1l1UlUMO.AODAES6\S1l__ C.,ro-.~llJlc-l Cl:DEMt.s ,':TUAO. ...... - -- East Pennsboro Tw 463 State St. IQNOOF8U$lNESSllNDUSlRY 'MSOECEO€NTEVEAIN US,AAMEQFOACI:$? ..0 NDtKI OECEOEMT'S€OlJC,o;(ION 2002 '" - _.. -...? 11..0 ::""-=-=ol UOTHER.SNAUlEof.Sl.~.~SuI~ 1.. Eva Morris INFORMANT'S WoLlNG AODAeSSlSM-_Ofy/bton,~. Zicleoa.t 823 Flintlock Ridge Rd. Mechanicsburg, Pa. 17055 ~~OISPOSITJOH-"""oI~Cl~ lOCRl(lH.C~"'.lipCclrJll Rolling Green MeLl. Park Lu'Wer Allen 'h/p. \70ll 310. 21.. HMIE A>>J AoOOAESS OF FAGIUTY 22c.Richardson F.R. 29 S. Enola Dr. inoia Pa. 17025 LICENSE NUMllifR ORE SIGNED ENRrJ. 5V7%4. L ""-, ". l1C.~'IlM.___tllM... touoI'lI1AlSWl}S.-.." ............-.~ --- Widowed East """'............. (.....'7""_........ 17..s... a. oro 463 State Rd. '" West Fairview. Fa. \7025 FRttER"SHNEtFO-.. Moo<Se, l_ 1a. Harvey Fake H'ORIMNT'SNAMl(fp/PfinIJ Brian L. Hoover ........OF_ O 8uMl~ c,-,O .........StlNO ~ c..~ ... _OF' ... ,,,. Cumberland -- WUlCASERfFERAEDlOMfOlCALE~? .,../" ..0 Nol:J wchU~QI:,..........,...._.~t;",~~. ,- '-...- l--..... . i ....... OII..-..............~ta......_ ..............~_......MRTI. .. t~/1."O DUE lO~A,$A,CONSfOUENCE Oft E OUElOp'Jo$A.CONSroUEttCE Of); DUE 1O(OR AS '" CONSEQUENCE OF): ..,.,...."........ IMNHER OF DEAfH AIIUlAkE PAIOR 10 [l(" OF"""" 0 OF.......' -. -- - 0 """"""'->gMiat\ 0 ...0 .. ",0 ..0 - 0 CouIdnolbif......._ 0 OJIfE OF INJURV IMonln[>>y.....) TIMEOf'WJW"" IMJlIllYJiS'NQfIK1 DESCRIllEHOW\HJUflVOCCIJAflED. .. 0 Nl>O ". ... PUCE OFIfllJUAV. ~ """"'. _. $II.... t~. oIIIcoI -.g,-,lSp.or;M _. lOCAfIONcs.-.CtyIbon ~ - - carr.....cCtoe:*~ ""* .CEflT....INDP'tfYSICIAHlPII,-C8IIfwW)_"'_""""_pI>ysoc:...._P"~_;onacQl'l'lllleltl<lllernlJ. ,.......ot.,.............. ....__............. MUM(.,____.--. "'. SlGHJiTUAf A.ND TITLE fY CEATIFIER ~~"'~ !'lEGIST ""...."~ tAr/' C. ..rdA.-J. ~~~ ~ ~ };.,/~(( I , lICENSE NUMBER ORE SIGtrIEO,........., 0.,-......) o 1c. ~-A) '.] 'I) ").C"i"''i::.. 31 j'O/It...... NA.MEI\HDAOOAESSOFPERISOf!WJtOCClMPlET~)l.C OF lIern?7}TYiNOI'PMtpe..{.~ M.. ~ ' [] \0 LOW'\- " '\ OA.1"EfIl.EOt_o..,._, .~J1Ir::l4'lIANOCEftTIP'rIHO""SlOANl~bojh;l<O<>oIJ"""'O_..o<l"~IOUOISeOl_\ ,......."'.,~.""__...III..............._~.._.....Io_cawM(.'_....._.._.... .~U~lR On 1M bII...ot .JlanllnaClon.MdlcN"IfI....ti1JaUWl' in m1 ClpftIioft. deatt. occ....r.d.. the I...... d.ll. M\d pIKe. _dveto the UUH(S) and -............................... ............. :11.. " ~.CfJd~ -ItJO L , LAST WILL AND TESTAMENT OF EVA I. HOOVER ;2J-();2 - q'1..3 I, Eva I. Hoover, of Enola, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my Last Will and Testament, hereby revoking all prior wills and codicils. FIRST: The expenses of my last illness and funeral shall be paid out of my Estate. SECOND: I may leave a written statement or list in my safe deposit box or with this will disposing of certain items of my tangible personal property not otherwise specifically disposed of herein. Any such statement or list in existence at the time of my death shall be deemed determinative with respect to all items bequeathed therein. If no written statement or list is found in my safe deposit box, or elsewhere, and properly identified by the Executor within thirty (30) days after the probate of my will, it shall be presumed that there is no such statement or list; any subsequently discovered statement or list shall be ignored. Except for any specific items contained in the list referenced above, I direct that all items of personal property be sold at auction and the proceeds be distributed as directed in paragraph "THIRD" of this Last Will and Testament. THIRD: I direct that my home be sold. I give, devise and bequeath the proceeds of my estate as follows: Lorenzo Figueroa $4,000.00 I of 8 t.J. fI, Brian L. Hoover $3,000.00 Cheryl Hoover $3,000.00 Jeffrey Hoover $1,000.00 Evonne Hoover $1,000.00 Lois Hoover $1,000.00 Charles E. Hoover, Jr. $1,000.00 Nancy Buczeskie $1,000.00 Michelle Myers $1,000.00 Dennis Parrish $1,000.00 Travis Holler $1,000.00 Joseph Hoover $1,000.00 Lisa Hoover $1,000.00 Lori Hoover $1,000.00 Josiah Hoover $1,000.00 Kara Myers $1,000.00 Dillon Myers $1,000.00 In the event there is a residuary in my estate, I give, devise and bequeath all the rest, residue and remainder of my Estate to my children, in equal shares, who survive me by thirty (30) days, per stirpes. The share of any beneficiary who has not attained the age of eighteen (18) years at the date of my death shall be held in an appropriate account established by 2 of 8 tJ. Ii my Executor for the benefit of said beneficiary, to be distributed to said beneficiary when he or she reaches the age of eighteen (18). FOURTH: In the settlement of my estate, the Executor shall possess, among others, the following powers: (a) To retain any investments I may have at my death, including specifically those consisting of stock of any bank even if I have named such bank as the Executor herein, so long as the Executor may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other property, real or personal, as they shall deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. (c) To sell either at public or private sale and upon such terms and conditions as the Executor may deem advantageous to the estate, any or all real or personal estate or interest therein owned by the estate severally or in conjunction with other persons or acquired after my death by the Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers 3 of 8 t.JII. to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the Executor in this paragraph or elsewhere in my will. (d) To mortgage real estate, and to make leases of real estate. (e) To borrow money from any party, including the Executor, to pay indebtedness of mine or my estate, expenses of administration or inheritance, legacy, estate and other taxes, and to assign and pledge assets of my estate therefor. (f) To pay all costs, taxes, expenses and charges in connection with the administration of my estate. (g) To make distributions of income and of principal to the proper beneficiaries thereof, during the administration of my estate, with or without court order, in such manner and in such amounts as my Executor deems prudent and appropriate. (h) To vote any shares of stock which form a part of the estate, and otherwise to exercise all the powers incident to the ownership of such stock. (i) In the discretion of the Estate, to unite with other owners of similar property in carrying out any plans for the reorganization 4 of 8 t:J. f/. of any corporation or company whose securities form a part of the estate. (j) To disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means; as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under a third-party beneficiary contract. (k) To do all other acts in their judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate. FIFTH: Wherever and as often as any Beneficiary hereunder, to whom payments are herein directed to be made, shall be under legal disability, or, in the sole judgment of the Executor, shall otherwise be unable to apply such payments to his own or her own best interests and advantages, the Executor may make all or any portion of such payments in anyone or more of the following ways: (a) Directly to the Beneficiary; (b) To the Legal Guardian or Conservator of such Beneficiary; (c) To a relative of such Beneficiary, to be expended by such relative for the benefit of such Beneficiary; or (d) By itself expending same for the benefit of said Beneficiary. 5 of 8 e. J. II SIXTH: I appoint Brian L. Hoover and Charles E. Hoover, Jr., co- executors of this my will. In case one is unable or unwilling to act or to continue as my Executor, I hereby appoint the other as sole Executor. SEVENTH: I direct that all estate, inheritance and other taxes in the nature thereof, together with any interest and penalties thereon, becoming payable because of my death with respect to the property constituting my gross estate for death tax purposes, whether or not such property passes under this will, shall be paid to the principal of my residuary estate, and no person receiving or having a beneficial interest in any such property, whether under this will or otherwise, shall at any Hme be required to contribute to or refund any part thereof; provided, however, that this discretion shall not apply to the taxes on any property included in my estate solely because of a power of appointment thereover which I possess but have not exercised or any qualified terminable interest or to any generation-skipping transfer taxes. EIGHTH: Any person who has died at the same time as me or within thirty days of my death, or under such circumstances that the order of our deaths cannot be established by proof, shall be deemed to have predeceased me. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding five (5) pages, at the end of each page of which I have also set my initials for greater security and better identification this J.'8*' day of ~~\J~o.'J--' 200!. t: I{ Ci j. fI.n...m . d_ _ (SEAL) Eva I. Hoover 6 of 8 c.J II We, the undersigned, hereby certifY that the foregoing Will was signed, sealed and published and declared by the above-named Testatrix as and for her Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certifY at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. 7 of 8 (SEAL) (SEAL) (SEAL) COMMONWEALTH OF PENNSYLVANIA COUNTY OF \jPooVf'; tV , We, Eva I. Hoover, 'Dr..",} J. ea~it , (,(1/(/111"" lIMp!. and t.....dl'l J, 04M"~, the testatrix and the witnesses respectively, whose names are signed to the attached or foregoing lllstrument, being first dully sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as witness and that to the best of their knowledge the testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. SSN: Witness, residing at Lt./d OclM4.(~ctr . !?... / c;.""f {.l,'ll, ~ Testator, Witness, residing at Witness, re,idi"" ~ esiding at t Q. Subscribed, sworn to and acknowledged before me by Eva I. Hoover, the testator, and subscribed to before me by l>e"';'l T. 15IJ^-J-fi WIII/"""" f a./t/lS and tt...rJA J. ~...h1, witnesses, this Zk+~ay of JI Peb,t.o./ll.,. , 2001. ~(~~/h)~ Notary Pub c Notarial Seal P Kathryn Swartz, Notary Public Harrisburg, Dauphin County My Commission Expires Mar. 30, 2003 '}";110;~i. PBnn~v~\l2nmt\..s~oC!atlon ot Notaries 8 of 8 Register of Wills, County 01 Cumberland, Pennsylvania \. CERTIFICATION OF NOTICE UNDER RULE 5.6(11) Name of Decedent: Eva I. Hoover Date of Death: 9/30/02 Estate No. 21-02-0913 SSN: 182-22-9068 File No. 2oo2..Q0913 Date Letters Granted: 10/9/02 Will or Administration No. To the Register: I certify that Notice of Estate Administration 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 __.. ~ Brian L. Hoover Chervl Hoover Jeffrey Hoover Evonne Hoover Charles E. Hoover Lois Hoover Nancy Buczeskie Michelle Mvers Dennis Parrish Lisa Hoover Josiah Hoover Lori Hoover Address 823 Flintlock Ridge Road, Mechanicsburg, PA 17055 PO Box 626. HarrisburQ. PA 17108-0626 235 S. Enola Dr., Enola, PA 17025.2811 235 S. Enola Dr.. Enola. PA 17025.2811 404 S. Enola Dr., Enola, PA 17025.3009 404 S. Enola Dr.. Enola. PA 17025-3009 702 Mountain Rd., Shermansdale, PA 19090 100 Mill Road. Shermansdale. PA 17090 5904 Waggoners Gap Rd., Landisburg, PA 17040 235 S. Enola Dr.. Encla. PA 17025.2811 823 Flintlock Ridge Road, Mechanicsburg, PA 17055 235 S. Enola Dr.. Enola. PA 17025.2811 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Lorenzo Figueroa (address unknown at this time) :apacity: _ Personal Representative --X- Counsel for Personal Representative . C~ ) "'U SIgnature William J. Peters. Esquire Name (Please type or print) 2931 North Front Street Address ...~ )ate: 1/24/03 Harrisbura PA 17110 Telephone No. 717.238.7555 ::.-' ~uL~rmana county - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/03/2004 HOOVER CHARLES E JR 404 S ENOLA DRIVE ENOLA, PA 17025 RE: Estate of HOOVER EVA I File Number: 2002-00913 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 9/30/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge STATUS REPORT UNDER RULE 6.12 Name of Decedent' Eva I. Hoover Date of Death' 9/30/02 Will No. 2002-00913 Admin. No. 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' State whether administration of the estate is complete' Yes No )q .. 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Three Honths 3. If the answer to No. I is Yes, state the following: account with the Court ? Did the personal representative file a final Yes ~ 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 ? Yes .~ No ~ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date' ~/29/04 S~e w -. William J. Peters. Esauire Name (Please type or print ) 2931 No, th Front Street Harrisbura PA Address 17~o (717) -238-755 Tel.No. Capacity Personal Representative Counsel for personal representative COMtvlONWEALTH OF PENNSYLVANIA DEPART%lENT OF REVENOE 8UREAd OF ~ND~VIDdAL TAXES DEPT 280601 HARR!SBLJRG PA 17128 0601 P~bCEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV 1162 EX(11 96} NO. CD 004527 HOOVER BRIAN L 823 FLINTLOCK RIDGE ROAD MECHANICSBURG, PA 17055 ESTATE INFORMATION: SSN: 182 22 9068 FILE NUMBER: 2102-091 3 DECEDENT NAME: HOOVER EVA I DATE OF PAYMENT: 10/21/2004 POSTMARK DATE: 10/21/2004 COUNTY: CUMBERLAND DATE OF DEATH: 09/30/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $474.37 TOTAL AMOUNT PAID: $474.37 REMARKS: B LHOOVER SEAL CHECK// 1043 INITIALS: VZ RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST AND M~DDLE INITIA Z Hoover, Eva I. ~ DATE OF DEATH (MM-DD Year) I,LI REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DATE OF BIRTH (MM-DD-Year) OFFICIAL USE ONLY FILE NUMBER 2 1 -0 2 0 9 1 3 SOCrAL SECURITY NUMBER 1 8~2- 2 2-9 0 6 8 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 09/30/2002 04/08/1930 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) REGISTER OF WILLS SOCIAL SECURITY NUMBER Z [] 1. Odginal Return [~4, Limited Estate r'~6. Decedent Died Testate fNtach copy of Will) [] 9 Litigation Proceeds Received NAME William J. Peters, Esquire FIRM NAME (If Applicable) Peters & Wasilefski TELEPHONE NUMBER 717-238-7555 E~2. Supplemental Return E~ 7, Decedent Maintained a Living Trust [A~h copy ofTrus0 E~5 Federal Estate Tax Return Required -- 8 Total Number of Safe Depceit Boxes ] 11 Election to tax under Sec. 9 t 13{Al I^~ach Sch O) COMPLETE MAILING ADDRESS 2931 North Front Street 1, Real Estate (Schedule A) (1) . 2, Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Soie-Proprietorship (3) , 4. Mortgages & Notes Receivable (Schedule D) (4) _ 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) ' 6. Jointly Owned Property (Schedule F) (6) . ] Seearate Billing Requested 7. inter-Vivos Transfers & Miscellaneous Non-Probate Properly (7) fSchedule G or L) 8 Total Gross Assets {total Lines %7) 9, Funeral Expenses & Administrative Costs (Schedule H) (9) . 10. Debts of Decedent, Mortgage Lia bilities, & Liens (Scheduie I) (10) 11, Total Deductions {total Lines 9 & 10) 12 Net Value of Estate (Line 8 minus Line 11) 13, Chahtable and Governmental Bequests/Sec 9113 Trusts for which an ejection to tax has not been made (Schedule J) 14, Net Value Bubiect to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SiDE FOR APPLICABLE RATES 35,000.00 OFFICIAL USE ONLY 590.75, 125.33 (8) 35,716.0R 7,330.27 21,387.5~ (11) . 28,717.82 (12) , 6,998.26 (13). 6,998.26 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 taxabie at collaterai rate 19. Tax Due x __ (15) 5,976.51 x 45 {16) x .12 117) 1,021.75 x .15 (18) (19) _ 268.94 153.26 422 20 ECKMATH < < Decedent's Complete Address: STREET ADDRESS 463 State Street OTY West Fairview I STATE pA I Z~P 17025 j Tax Payments and Credits: 1. Tax Due(Page I Line 19) 2. Credits/Payments A. Spousal Povedy Credit B. Prior Payments C. Discount (f) Total Credits ( A + 8 + C ) (2) 3. Interest/Penalty if applicable D. Interest 3.34 E. Penalty 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. (5A) .. B. Enter the total of Line 5 + 5A. This is the BALAN6E DUE. (5B). Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... [] [] b. retain the right to designate who shall use the properly transferred or its income; ........................................ [] [] c. 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 proberty within coe year of death without receiving adequate consideration? ............................................................................................... [] [] 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 60MPLETE SCHEBULE G ANB FILE IT AS PART OF THE RETURN. Under penalties of perlury. I declare that I have exarnmed this return, including accompanying sched uths and statements, ned to the best of my knowledge and belief, g is true. correct and complete 422.20 52.17 0.00 66.46 474.37 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 ? 7 D^TE ,,,' /,,//,,x-,,- ADBRESS 823 Flintlock Ridge Road Mechan csbur'g, ~enns' ' ylvaHi~a 1:7055 (arian Hoover) 404 South Enola Drive, Enola, Pennsylvania 17025 (Charles Hoover, Jr.) SIGNATURE OF .PREPARER OTHER .THAN REPRESENTAT VE DATE i! For dates of death on or after July 1, 1994 and before January 1, !995, the tax rate imposed on the net value of lransfers to or for the use of the surviving spouse is 3% [72 P S, §9116 (a) (t .1)(i)] For dates of dealh on or after January 1, 1995, the tax rate ~mposed 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)l. Tho statute does not exempt a transfer to a surviving spouse from tax, and lhe statutory requirements for disclosure of assets and tiling a tax return are still applicable even it the surviving spouse is the only beneficiary, For dates of death on or after .July 1,2000: The tax rate imposed on lhe net value of transfers from a deceased child twenty-one years of age or younger at death to or for lhe use of a natural parenl, an adoptive parent, or a s epparen of the child is 0% [72 P.S. §9116(a)(1.2)]. The lax rate imposed on the net value of transfers to or for the use of the decebenrs lineal beneficiaries is 4,5%, except as noted in 72 P,S §9116(1.2) [72 PS. §91 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 Seclion 9102, as an individual who has at least one parenl in common with the decedenl, whether by blood or adoption, REV-1502 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Hoover. Eva I. 2'1 02 0913 All real I~roperty owned solely or as a tenant in common must be reported at fair market value. Fair mad(et value is defined as lhe price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy (~r sell. both having reasonable knowledge of the relevant facts. Real propedy which is iointl)'-ov,med with right of survivorship must be disclosed on Schedule F. ~TEM NUMBER DESCRIPTION 463 State Street, West Fairview, Pennsylvania 17025 VALUE AT DATE OF DEATH 35,000.00 TOTAL (Also enter on line 1, RecapituJation) $ 35,000.00 (If more space is needed, insert additional sheets of the same size) REV-!508 EX + COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Hoover. Eva I. ITEM NUMBER 1 FILE NUMBER 21 02 0913 include the proceeds of litigation and the date the proceeds were received by the estate All property jointly.owned v~th right of survivorship must be disclosed on Schedule F, DESCRIPTION VALUE AT DATE Coin OF DEATH 90.75 State Farm Insurance Company Refund on Homeowners Policy #38-LD-0776-6 Bankers Life Insurance Company Refund on Health Coverage Policy #950129612 180.00 320.00 TOTAL (Also enter on line 5, Recapitulation) $ 590.75 (If more space is needed, insed additional sheets of the same size) REV-1509 EX + (6 98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Hoover. Ey~ I, 21 02 If an asset was made joint within one year of the decedent"s date of death, it must be reported on Schedule G. SCHEDULE F JOINTLY-OWNED PROPERTY 0913 SURVIVING JOINT TENANT/S) NAME ADDRESS RELATIONSHIP TO DECEDENT A Brian L, Hoover 823 Flintlock Ridge Road Son Mechanicsburg, Pennsylvania 17055 B Cheryl Hoover C Post Office Box 626 Harrisburg, Pennsylvania 17108-0620 Daughter JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERIW % OF DATE OF DEATH iTEM FOR JOINT MADE iNCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OE DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OE ASSET INTEREST DECEDEN¥S INTEREE 1, A. Waypoint Bank, Post Office Box 1711, Harrisburg, 376.00 0.3 125.3; Pennsylvania 17105-1711 Account #0950004777 TOTAL (Also enter on line 6, RecapfMation) $ 125,33 ([ mo e space is needed insert additional sheets of the same size) REV-1511 EX + (12-99) COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN RESIDENT DECEDENT ADMINISTRATIVECOSTS ESTATE OF Hoover. Eva I, FILE NUMBER ~1 02 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A FUNERAL EXPENSES: 1, Richardson Funeral Home, Inc. 29 South Enola Drive, Enola, Pennsylvania 17025 5 6. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Secudty Numberls)/EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: AttomeyFees Peters & Wasilefski Family Exemption: (If decedent's address is not the same as daimanfs, attach explanation) Claimant Zip Street Address City. State Relationship of Claimant to Decedent Probate Fees Register of Wills, Cumberland County, Pennsylvania Accountant's Fees Tax Return Prepare¢s Fees H&R Block Cumberland Law Journal The Sentinel Zip TOTAL (Also enter on line 9, Recapitulation AMOUNT 5,204.00 1,760.00 115.00 63.00 75,00 113.27 $ 7,330.27 (if more space is needed, Jnsed additional sheets of the same size) REV-1512 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Hoover. Eva I. 21 02 Include unreimbursed medical expenses. ITEM NUMBER 2. 3, 4. 5. 6. 7. 8. 9. 10 11. 12 13. DESCRIPTION Total cost for sale of 463 State Street, West Fairview, Pennsylvania 17025 Copy of settlement sheet attached PPL Electric UGI Gas PAWC (Water) West Shore Oil Capital One (Credit Card) ¢Vaypoint (Mortgage) East Pennsboro Township (sewage) Holy Spirit Hospital K-Mart returned pension payment CIGNA returned pension payment State Farm ~/oof Appraisal TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) 0913 VALUE AT DATE OF DEATH 16,071.94 11378 19979 106.39 z~95~48 2,122.13 1,407.09 158.40 9.54 7037 3364 324.00 27500 21,387.5h REV-1513 EX * (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hoover. ~!va [, NUMBER 1. 2. 3. 4 5 6. 7 SCHEDULE J BENEFIClARIES~_~,~~~. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outdght spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Brian L Hoover 823 Flintlock Ridge Road Mechanicsburg, Pennsylvania Cheryl Hoover Post Office Box 626 Harrisburg, Pennsylvania 17108-0626 Jeffrey Hoover 235 South Enola Drive, Enola, Pennsylvania 17025 Evonne Hoover 235 South Enola Drive, Enola, Pennsylvania 17025 Charles E. Hoover 404 South Enola DrJve Enola, Pennsylvania 17025 Lois Hoover 404 South Enola Drive Enola, Pennsylvania 17025 Nancy 8uczeskie 702 Mountain Road Shermansdale, Pennsylvania 17090 FILE NUMBER 21 o2 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Son Daughter Son Daughter-In-Law Son Daughter-In-Law Granddaughter 0913 AMOUNT OR SHARE OF ESTATE 12.81% 12.81% 4.27% 4.27% 4.27% 4.27% 4.27% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: ~ ~ ~ A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART l! - ENTER TOTAL NON-TAXABLE DISTRIBUTrONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insed additional sheets of the same size) 0.Oil Hoover1 Eva I. Decedent's Name Continuation of REV-1500 Inheritance Tax Return Resident Decedent 21 Page 1 02 0913 File Number Schedule J - Beneficiaries RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBEF NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE [ TAXABLE DISTRIBUTIONS (include outright spousal distributions) 8. Michelle Myers 100 Mill Road Granddaughter 4.27% Shermansdale, Pennsylvania 17090 9. Dennis Parrish Grandson 4.27% 5904 Waggners Gap Road Landisburg, Pennsylvania 17040 lQ Lisa Hoover 235 South Enola Drive Granddaughter 4.27% Enola, Pennsylvania 17025 11. Josiah Hoover Grandson 4.27% 823 Flintlock Ridge Road Mechanicsburg, Pennsylvania 17055 12. Lori Hoover 235 South Enola Drive Granddaughter 4.27% Enola, Pennsylvania 17025 13 Travis Holler Grandson 4.27% 404 South Enola Drive Enola, Pennsylvania 17025 I4. Joseph Hoover Grandson 4.27% 404 South Enola Drive Enola, Pennsylvania 17025 15. Kara Myers 100 Mill Road Great Granddaughter 4.27% Shermansdale, Pennsylvania 17090 16. Dillon Myers Great Grandson 4.27% 100 Mill Road Shermansdare, Pennsylvania 17090 17. Lorenzo Figueroa Friend 14.60 620 Willow Street Highspire, Pennsylvania 17034 Register of Wills Cumberland County, Pennsylvania INVENTORY Estate of Eva I. Hoover also known as , Deceased No. 21 02 0913 Date of Death 9/30/02 Social Security No. 182-22-9068 Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commor~wealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct, lANe understand that false statements herein made are subiect to the penalties of 18 Pa C.S. Section 4904 relating to unsworn falsification to authorities Personal Representative: Name of Attorney: No.: William J. Peters, Esquire 09983 Address: 2931 North Front Street Harrisbur,q Telephone: 717-238-7555 PA 17110 Brian L. Hoover Charles E. Hoover Dated September 23, 2004 Description 463 State Street West Fairview, Pennsylvania 17025 Coin Waypoint Bank Post Office Box 1711, Harrisburg, Pennsylvania 17105-1711 Account #0950004777 State Farm Homeowners Refund #38-LD-0776-6 Bankers Life Insurance Company Health Coverage Refund #950129612 Value 35.000.00 90.75 125.33 180.00 320.00 Total 35,716.08 (Attach Additional Sheets if necessary) NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may. at the election of the personal representative. inciude the value of each item. but such figures should not be extended into the total of the Inventory. RW-4 COHHONNEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIv'rszoN NOTICE OF INHERITANCE TAX PO BOX 280601 APPRAISEMENT, ALLONANCE OR DZSALLONANCE HARRISBURG, P~7128-0601 OF DEDUCTIONS AND ASSESSHENT OF TAX ~ __~ ~ ~-- DATE ELT ~ ESTATE OF C7),7~ ~'-~ DATE OF DEATH CZ~ ~ ~ ~=~*:T FILE NUH~ER ~ ~-7 ~ ~. ¢- COUNTY ~ ~L_~' WI~IAM~ERS ESQ 0 ~? ACN PA 1711O 12-27-2004 HOOVER 09-SO-ZOOZ 21 02-0915 CUHBERLAND 101 Amount Remitted REV-l;4? EX &FP (09-0¢) EVA L HAKE CHECK PAYABLE AND REMIT PAYHENT TO: REGISTER OF HILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~.~ REV-1547 EX AFP [01-03) NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLONANCE OR DISALLONANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF HOOVER EVA L FILE NO. 21 02-0913 ACN 101 DATE 12-27-2004 TAX RETURN NAS: (X) ACCEPTED AS FILED ( } CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Reel Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) ($) fi. Mortgages/Notes Rece/veble (Schedule D) (~) $. Cash/Bank Deposits~Misc. Personal Property (Schedule E) ($) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/N/sc. Expanses (Schedule H) (9) 10. Debts/Mortgage Liebil/tims/Lians (Schedule T) (10) 11. Total Deduct/OhS 12. Nat Value of Tax Return 35~000.00 .00 .00 .00 590.75 125.33 .00 (8) 7,330.27 NOTE: To insure proper credit to your account, submit the upper port/on of this form with your tax payment. 13. 1~. NOTE: 35,716.08 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (is) .00 x 00 = .00 (16) 5,976.51 x 045 = 268.94 (17) .00 x 12 = .00 (18) 1,0Z1.75 x 15 = 153.26 (19)= 422.20 AMOUNT PAID 474.37 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ASSESSHENT OF TAX: 1.6. Amount of L/ne 1~ at Spouse1 rate 16. Amount of L/ne lq taxable at Lineal/Class A rata 17. Amount of Line 1~ at Sibling rata 18. Amount of Line lq taxable at Collateral/Class B rata 19. Principal Tax Due TAX CREDITS: PAYNEN1 RECEZPT DISCOUNT t+J DATE NUMBER TNTEREST/PEN PATD (- 10-21-2004 CD004527 450.03 Z7.83CR .00 27.83CR IF TOTAL DUE IS LESS THAN $1, NO PAYNENT IS REQUIRED. TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE ~L,~ REFUND. SEE REVERSE SIDE OF THIS FORN FOR ZNSTRUCTIONS.) ~ Charitable/Governmental Bequests; Non-elected 911:5 Trusts (Schedule J) (1:5) . O0 Net Value of Estatm Subject to Tax (1~) 6,998.26 If an assessment ~as lssued previously, lines 14, 15 and/or 16, 17, 18 and 19 ~111 reflect flgures that include the total of ALL returns assessed to date. 21~387.55 (11) 28.717.82 (12) 6,998.26 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-1U7 EX AF' llZ-D~1 WILLIAM J PETERS ESQ PETERS & WASILEFSKI 2931 N FRONT ST HBG PA 17110 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-14-2005 HOOVER 09-30-2002 21 02-0913 CUMBERLAND 101 EVA L Allount Rellitted I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ... A~:r~~~.I5r.~'Jr.{81~.~!'......ii;..:rA~I~e1r.fA5r.~'l~AlArf.b".A~l:60~...j(..........._.......... ESTATE OF HOOVER EVA L FILE NO.21 02-0913 ACN 101 DATE 03-14-2005 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-27-2004 PRINCIPAL TAX DUE:. 422.20 PAYMENTS (TAX CREDITS): PAYMENT DATE 10-21-2004 02-28-2005 RECEIPT NUMBER CD004527 REFUND DISCOUNT (+) INTEREST/PEN PAID (-) 24.34- .00 AMOUNT PAID ~ 474.37 27.83- .-: 1 C,) O~ TOTAL TAX CREDIT 422.20 BALANCE OF TAX DUE . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l TOTAL DUE .00 .00 .00 INTEREST AND PEN. , s. ~ Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/30/2005 HOOVER BRIAN L 823 FLINTLOCK RIDGE ROAD MECHANICSBURG, PA 17055 RE: Estate of HOOVER EVA I File Number: 2002-00913 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/30/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge cP I Register of Wi Us of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: t:'Vt1_ I H{)ov~x" Date of Death: Se9L30 . ~OO:l Estate No.: .;< 00 d' (') 09 ,'--~ 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: Yes 0 No &r 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: t,Ua:-/1 ~3 0n -Me . /~w~~r .- hop:-fz,-II j . I VI d" 3 ,~C-.(: ,~ 3. lfthe answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 0 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? Yes 0 No 0 c. Copies of receipts, releases,joinders and approval offonnal or informal accounts maybe filed with the Clerk of the Orphans' Court and may be attached to this report. Date: Cf - d5 -05 -p~ 2. ~~ Signature -- Dr;(J\ L Mccvc.r Name c::> (,') .. co! ~3 ~I:f'\-\-\OC\( K:d~. ~" ~h. I VA 11065 Address L:...- ( .'-.J ('7Jrt) 740-Cl7'7'-] Telephone No. c.....J Capacity: I!a Personal Representative o Counsel for personal representative \--~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 Date: 7/27/2006 HOOVER BRIAN L 823 FLINTLOCK RIDGE ROAD MECHANICSBURG, PA 17055 RE: Estate of HOOVER EVA I File Number: 2002-00913 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/30/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, /~ ~ ~ ):./) . P'f ~_ L~~V~)J~- , ,. V / i Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of WillE; One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/27/2006 HOOVER CHARLES E JR 404 S ENOLA DRIVE ENOLA, PA 17025 RE: Estate of HOOVER EVA I File Number: 2002-00913 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COUR.T RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing lS due by: 9/30/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, J! ~'~~ 1(/' _ - _ ,'~ .- - . /. ~ )~ L'2U#'U-,~J v~: / 7 . , Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel \,._~,",. (~> C.i'~' LU C) [i, u_ C., ..-1 c:::J f~~ C) c.) ~_!.~, L':_ . . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: E: VL I. J-/t:Jl'Jvpr Date of Death: 0/'301 () ~ Estate No.: () q"g 3 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: Yes 0 No ur 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: H()flef.~/fy tVt<ftv~ A "ce.w ~iU'-,J':r-1'7,,_re I ~ IUt.- ~er/t_t i.,jfA, ~",of ,6e.ltTC4.ieL. Ik k.r exAlre.n-d / 'ti -+- 3. If the answer to No.1 is Yes, state the following: . -/L ' -h --,-' L l "-S "'" e'CJ I I^ 1AfL.,",~ ''V,,,,e..,tLJ/ w~ I t:. '_n J / ~a_s ~ (f~ k,lt ~ "'" c)r,..~ he a. Did the personal representative file a final account with the Court? a.p:;. Yes 0 No 0 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? Yes 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: r/22/0C ~n"~-A 2.~ Signature 13r;'fLII. L HfJove.r Name Y23 P/'ic.'tltJe/( IGf~'e.. /let; l1ed~d,uo'J' ~I/ Address 7'10 -q777 Telephone No. Capacity: QPersonal Representative o Counsel for personal representative J en .~ 1-- 0: .~ L!:-6 (_;CI b~ Sf) "- LL::'r; uif~: ex: ::::,::. 05 (..) ::!C 0- If) "" 0- I...t..J (/) ....0 = ~ C"'-I Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/07/2007 HOOVER BRIAN L 823 FLINTLOCK RIDGE ROAD MECHANICSBURG, PA 17055 RE: Estate of HOOVER EVA I File Number: 2002-00913 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/30/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~L~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/07/2007 HOOVER CHARLES E JR 404 S ENOLA DRIVE ENOLA, PA 17025 RE: Estate of HOOVER EVA I File Number: 2002-00913 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/30/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. D.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF {J/.JJYtbu--/G..hLL COUNTY, PENNSYLVANIA Name of Decedent: EvO- I. t-l()O v€..;\,,-- Date of Death:-9, 30 - O:J File Number: ~ 00 d - 00<1 /3 Pursuant to Pa. D.C. Rule 6.12, I report the following with respect to completion ofthe administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . ., DYes [t(No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: I..J~ We-h1~ C6A--/dc-l 0:+h +~ H""e-f /'#"-her;fGY-+ 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a final account :with the Court? . . . . . .. DYes 0 No b. The separate Orphans' Court No. (if any) for the personal. representative's account is: c. Did the personal representative state an account . ~ 11 h ... ? DY mlorma y to t e partIes m mterest. ............................... . es DNo d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date !It- 7/d7 ~;{~ Signature of Person Filing this Form Capacity: ~sonal Representative D Counsel !3r.-AA-- t..--. /hove r Name of PerSOIl Filing this Form 1'10 7 p:. r7' ;t.~+;(, i!,l,- Address 9:, I"k . ~ /j ~oy , S I :2 t.ld \ - lJU luGl ~ ~/7)--8i)2-32f(( Telephone "- qf Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone;(717) 240-6345 Date: 8/28/2008 c -; HOOVER CHARLES E JR ~~"`-_; `~~• _ - ~ :-: c-. 404 S ENOLA DRIVE ~--l r~ ENOLA, PA 17025 ~J -~~ _ :`~ , ~~ .. _~. RE: Estate of HOOVER EVA I File Number: 2002-00913 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/30/2008 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Since e y, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Via. ®.C. Mule 6.1~ ST~~'1.TS P®~~ REGISTER OF WILLS OF G ~c~x,.,ber~o_rc~ COUNTY, PENNSYLV NIA Name of Decedent: ~/~ ~ ~ao ver ~ Date of Death: q/~~~0 2 _ File Number: .~-- ~- d ~ " (~ 3 D.,,-,,,,,,,~++r, D., t-1 (` A„lo ~ 17 T `e.-,n,-t t},a f~11 r,~z~ina tziith racr~Pr.i~ to nmm~l Pt;o„ of the administration of 1 ILLJLLC1111 Lv 1 u. V.\,'. 1\uav v.1., • rvi. uav ..D r--- r the above-captioned estate: 1. State whether administration of the estate is complete: .................... ~ Yes [ o 2. If the answei is No, state when the personal representative reasonably believes that the administration will be complete: ~S .rU'Tiri- /,t,,~ (~rc ! ric_rt /~~=,j~ ~o (/~LSL ~.rr ~~ La-t~- :E''C- (O-G-4-/' 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... Yes ~] 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? ............................... Yes ['No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe . filed with the Clerk of the Orphans' Court and maybe attached to this report. r~ cv -r Dnte Sri ~/~t~~ lt= ~ -- Ct.. - 4~ -_. F- r ~ ~ Ci_ ~ ~,... . ~- - c'> ~=-' C r~ Si,;nat~ fPerso+i Filing this Form Capacity: ersonal Representative Q Course] Name of Person Filing this Form Address ~]l7~ -OS z-.~2~fG Telephone r orm RN'-10 rev. IOJ3.06 v - - Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Eva I. Hoover Date of Death: 9/30!2002 File Number: ?nn2 00913 Pursuant to Pa. O.C. Rule 6.12, 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 :........................ ^ Yes ^X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Two Months 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court?......... ^ Yes ^ 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? ...................................... ^ Yes ^ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: Signature of Person Filing this orm Capacity: ^ Personal Representative 0 Counsel Wiliiam J. Peters. Esquire r'- Name of Person Filing this Form ~ ~_ ~~- 2931 North Front Street ni -- Address a,. ___ _ , Harrisbur4 PA 17110 ``~` ~'- _ 717-238-7555 ext 101 ~ ~_ _ Telephone ~'~ '- '.a ~~ - ~: .. r_~ c~~ Form RW-!0 rev. /0.13.06 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY HOOVER EVA I PENNSYLVANLa NO. 2002-00913 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOOVER BRIAN L Counsel for Personal Representative: Date of Decedent's Death: 9/30/2002 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule Ei.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.1:?, Supreme Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. 11~~i~~2'~p Date: 10/1/2008 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative rv Counsel for Personal Representative n ~ Estate File > ~ o r_ _:. '~;_ _~ ^ c-~ --~ < ~ -~ ~; ~;% ~ --~ ~ , .'~ O ~._..i .. ~ ~ .. ~~ ORPHANS' COURT, DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY HOOVER EVA I PENNSYLVANIA NO. 2002-00913 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HOOVER CHARLES E JR Counsel for Personal Representative: Date of Decedent's Death: 9/30/2002 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. ts~~/Ltt,¢~t.l~~Z~e~b Date: 10/1/2008 Glenda Farner Strasbau~;h Clerk of the Orphans' Court :r, ~~ Distribution: Personal Representative ' '. ~ ~ __ Counsel for Personal Representative i'_ c?~-a Estate File ~' ` ~ ° _ -' _l ~.. - _ i ~=z=~ ~ ; ; "~ ~ ~ --_; C'> N ~c-i. ~~ ~ ~ ` rn ~ ~ ~ ~,r ~ t ~ -'~; Wi : FAMILY SETTLEMENT AND FINAL RELEA~=-~t~ a' -~_ ~,__~ c .__~ O ~ ©'~ ESTATE OF EVA L HOOVER a 3, ~_ ~~ =--. I - 02. - C~ c 3 --c ~ ~" , _ _ KNOW ALL MEN BY THESE PRESENTS, that m WHEREAS, Eva I. Hoover, late of 463 State Street, West Fairview, Cumberland County, Pennsylvania, Deceased, died Testate on September 30, 2002, having made her Last Will and Testament, which was duly executed on February 28, 2001, and duly recorded in Cumberland County, Pennsylvania on October 9, 2002 at File No: 2002-00913, Register of Wills; and WHEREAS, the said Eva I. Hoover, by her aforesaid Last Will and Testament, named her Brian L. Hoover and Charles E. Hoover, Jr., Executors of her Last Will and Testament; and WHEREAS, Letters Testamentary on the Estate of the said Eva L Hoover were duly issued by the Register of Wills of Cumberland County, Pennsylvania, to the said Executors on October 9, 2002; and WHEREAS, the said Brian L. Hoover and Charles E. Hoover, Jr., as Executors of the Estate of Eva I. Hoover, having gathered the assets of the Estate of the said decedent and the assets consist of personal property in the total value of $716.08, and real estate in the total value of $35,000.00 as set forth in "Exhibit A", which is a statement of account of the said Executors and which is attached hereto and made a part hereof and marked "Exhibit A"; and WHEREAS, the debts and deductions, including the payment of Pennsylvania Inheritance Tax in the said Estate, amount to $28,967.46, leaving a balance for distribution of $6,748.62, also set forth in the statement of said Executors, which is attached hereto and marked as "Exhibit A"; and WHEREAS, the balance for distribution as shown in the said statement marked "Exhibit A" has been distributed in accordance with the terms of the Last Will and Testament of the said Eva I. Hoover. NOW, THEREFORE, KNOW YE, that I, Brian L. Hoover, Son, 823 Flintlock Ridge Road, Mechanicsburg, Pennsylvania 17055; I, Cheryl Hoover, Daughter, Post Office Box 626, Harrisburg, Pennsylvania 17108-0626; I, Jeffrey Hoover, 235 South Enola Drive, Enola, Pennsylvania 17025; Evonne Hoover, Daughter-In-Law, 235 South Enola Drive, Enola, Pennsylvania 17025; Charles E. Hoover, Son, 404 South Enola Drive, Enola, Pennsylvania 17025; Lois Hoover, Daughter-In-Law, 404 South Enola Drive, Enola, Pennsylvania 17025; Nancy Buczeskie, Granddaughter, 702 Mountain Road, Shermansdale, Pennsylvania 17090; Michelle Myers, Granddaughter, 100 Mill Road, Shermansdale, Pennsylvania 17090; Dennis Parrish, Grandson, 5904 Waggoners Gap Road, Landisburg, Pennsylvania 17040; Lisa Hoover, Granddaughter, 235 South Enola Drive, Enola, Pennsylvania 17025; Josiah Hoover, Grandson, 823 Flintlock Ridge Road, Mechanicsburg, Pennsylvania 17055; Lori Hoover, Granddaughter, 235 South Enola Drive, Enola, Pennsylvania 17025; Travis Holler, Grandson, 404 South Enola Drive, Enola, Pennsylvania 17025; Joseph Hoover, Grandson, 404 South Enola Drive, Enola, Pennsylvania 17025; Kara Myers, Great Granddaughter, 100 Mill Road, Shermansdale, Pennsylvania 17090; Dillon Myers, Great Grandson, 100 Mill Road, Shermansdale, Pennsylvania 17090; and Lorenzo Figueroa, Friend, 620 Willow Street, Highspire, Pennsylvania 17034, being those persons entitled to inherit under the terms of the Last Will and Testament of Eva L Hoover, do hereby acknowledge that we have this day had and received from the aforesaid Executrix, in full satisfaction and payment of all sum or sums of money, legacies, bequests and devises as are' given, devised and bequeathed to me by the said Last Will and Testament the amounts due me under the said Last Will and Testament, which amounts we have received this day, and which amounts are in the amount set opposite my respective name in the Table and Schedule of Distribution and said Statement attached hereto and marked as "Exhibit A"; and I do hereby stipulate that in order to avoid the expense and time involved in the filing of a Formal Account and Schedule of Distribution, I agree that no account is necessary and do hereby agree that I do consent to distribution being made without the filing of an Account and Schedule of Distribution, the same to be with the same force and effect as if one had been filed and confirmed by the Orphans Court Division of the Court of Common Pleas of Dauphin County, Pennsylvania. THEKEFORE, I do hereby remise, release, quit claim and forever discharge the same Brian L. Hoover and Charles E. Hoover, Jr., Executors aforesaid, their heirs, Executors, and administrators and assigns, of and form the said Estate from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever, touching upon the Estate of said Eva I. Hoover, and the deeds of the Executors of the Estate, and I do further hereby covenant and agree that should any liability come due to the Estate of the said Eva I. Hoover after the signing of this Agreement, I hereby covenant and agreed , as an aforesaid heir, that I will contribute pro rata, my share of the Estate to satisi:y any and all claims, demands, suits or causes of action which may be successfully prosecuted against the Estate of Eva I. Hoover, Deceased, or the aforesaid Executors after the signing, sealing and delivery of this Family Settlement and Final Release. [SIGNATURES START ON NEXT PAGE] • • IN WITNESS WHEREOF, I hereunto set my hand seal this ~`1~ day of ~~~~_~ , 2005. Brian L. Hoover, Executor ,I/s tness [SIGNATURES CONTINUE ON NEXT PAGE] r , Brian Hoover, Executor under the Last Will and Testament of Eva I. Hoover, deceased, hereby declares under Penalties of Perjury that he has fully and faithfully discharged the duties of his office; that t:he foregoing Statement of Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Estate have been paid in full; that the first complete advertisement of the grant of letters was more than four months from the date the account was filed; that to his knowledge, there are no claims now outstanding against the Estate; and that all taxes presently due from the Estate have been paid. He understands that false statements herein are made subject to the penalties of 18 Pa. C.S.A. §4904 relating to unsworn falsification to authorities. ~"~- ~2 Brian Hoover Sworn to and :>ubscribed before me this ~ day of ~,rc',/)' ~7/ , 2005 Notary Public L'?~'"`~ ,~'~rv Public "; ; ~ ~ ~'~~; - s r ., r ~ ,_,. 11 : ~~^ • IN WITNESS WHEREOF, I hereunto set my hand seal this of ~%~~~r , 2005. • ~~ day Charles E. Hoover, Executor Witness [SIGNATURES CONTINUE ON NEXT PAGE] • • Charles Hoover, Executor under the Last Will and Testament of Eva I. Hoover, deceased, hereby declares under Penalties of Perjury that he has fully and faithfully discharged the duties of his office; that the foregoing Statement of Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Estate have been paid in full; that the first complete advertisement of the grant of letters was more than four months from the date the account was filed; that to his knowledge, there are no claims now outstanding against the Estate; and that all taxes presently due from the Estate have been paid. He understands that false statements herein are made subject to the penalties of 18 Pa. C.S.A. §4904 relating to unsworn falsification to authorities. Charles Hoover Sworn to and subscribed 7~° before me this ~_ day of f ~ G',° ~~ ~ ~ , 2005 /^ ///~jJ/f r... otary ublic '/f/ „~ ~.,.+~+iviti VV ~F4L ; !~ V r° t` tIVIYa o ~ r ~ ..... Natae9al Sea! Tina M. Rober'L~nn, Notary Public East Pennsboro TwE~., Gumbe!iand County My Commission Expiros Nov. 15, 2607 Member, Pennsvlv~r,i~ ?~c:~nCiatlnn Cif NntNriet • • IN WITNESS WHEREOF, I hereunto set my hand seal this l~ ~~ day of ~ d~~b~ Y , 2005. ---. , x ,,~, ~ ~ ~„~. C.'~~.~.f~ a, y12.e,~Ct,~, C/Jery/ R` r~t~%~` 2 ,/ ~~ Witness [SIGNATURES CONTINUE ON NEXT PAGE] • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF' CUMBERLAND ) SSN: On this, the / p~'k- day of ,/Yo V2wl,~. ~- , 2005, before me, a :[Votary Public, personally appeared-C-~crq~l-~ee~~, known to me (or satisfactorily Ghcry/ a, rntrtc/~~- proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that she executed the same for the purposes therein contained. IN WI'T'NESS WHEREOF, I hereunto set my hand and official seal. i- DlAt~$btbl r I/fv Ti• uwa {~sc •+r'Fi c.a., ~vw~,r ~x r . !~o G • • ~CJ~ IN WITNESS WHEREOF, I hereunto set my hand seal this ~ ~ day of ~~ ('~~~~ ~,/~ , 2005. [SIGNATURES CONTINUE ON NEXT PAGE] LJ • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF~ CUMBERLAND SSN: ,,~~jj~ 71Ls On this, the ~ ~ day of ~~~ 2005, before me, a Notary Public, personally appeared Lori Hoover, known to me (or satisfactonl ~proven to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand andi6ffi~ial seal. NotarSl Public connMONwEAIra~ of aENNSnvan~ NOTARIAL SEAL LINDA E. HERMAN, Notary public Lemoyne Borough, Cumberland Co. My Commission Expires Aug. 26, 2008 u • ~~ IN WITNESS WHEREO//F, I hereunto set my hand seal this ~ ~ day of ~~ L~ ~r-~ h~,~~ , 2005. /ic.wr,-~-, ~- Travis Holle ~- .Witness ~ '' [SIGNATURES CONTINUE ON NEXT PAGE] ., • . AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SSN: COUNTY OF CUMBERLAND ) Cye~ On thus, the ~ 9 day of ,~ /G (/ t ~y~ ~-~ ~ , 2005, before me, a Notary Public, personally appeared Travis Holler, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ,~y otary Public u•.Y~~v~vrvvvtH~~i rs Ur r=clvt~,.~ , Notarial Seal Tlna M. Robertson, ~+Rtarv s'~ablic East Pennsboro Twp., >L rrmtx:rl~:nd County My Commissiarr c~x;air~;r iv~~•. '15, 2007 P~?ember, Penr;syiaar;Ea C,ry~oc~t~un C7P h)otari*-- • • IN WITNESS WHEREOF, I hereunto set my hand seal this / ~ `tom da Y of 1~ G ~.1 ~YY, ~-e <" , 2005. ,.Ut ,c~_~L._--~._ Lisa Hoover ~~ ,/~ -=,'s" fitness [SIGNATURES CONTINUE ON NEXT PAGE] ..~ • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) • SSN: On this, the 1 `7 ~' day of C~ C% V ~ v~r~ b-~ r , 2005, before me, a Notary Public, personally appeared Lisa Hoover, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that she executed the same for the purposes therein contained. IN WI'T`NESS WHEREOF, I hereunto set my hand and official seal. ~. otary Public ..~r.uv~~rvVVt=ACTH OF PENiVv ~ ~Yr,,,,, Notarial Seal Tina M. Robertson. No~ry public East Pennsboro Twp., Cumberland County My CcHnmission Expires Nov. 15, 2007 Member, Pennsylvania Association ~'! ^:~ sr~rie • • IN WITNESS WHEREOF, I hereunto set my hand seal this / ~ y'~ da Y of '~~ G ~~ ~' rn ~ ~' r , 2005. Evonne Hoover ~. Witness [SIGNATURES CONTINUE ON NEXT PAGE] • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF' ~I~1~~ h,~ lOe r l Ci Y1 C ) SSN: `~ On this, the f ~ day of 1~ ~ U e rv, ~~_ ~-' , 2005, before me, a Notary Public, personally appeared Evonne Hoover, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that she executed the same for the purposes therein contained. IN WI'T'NESS WHEREOF, I hereunto set my hand and official seal. `// otary Public .~..wi~Yi1J14L`4~[:1°~C. ~ ; , Vr NtIV~u~ Y Lviti, ,,. Notarial Seal Tina M. Robertson, Notary public East Pennsboro Twp., Cumberland County MY Commission Expires Nov. 15, 2007 ~+!omber, Pn.,-.,,..,.~,,:~nla ASSOt.IAtinn C1INot,~eiAr • . u IN WITNESS'. WHEREOF, I hereunto set my hand seal this / ~ ~~ da Y of ~~i ~f ~r~lJ-e / , 2005. J over ~- Witness [SIGNATURES CONTINUE ON NEXT PAGE] • • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SSN: COUNTY OF CUMBERLAND ) On thus, the ~~~ day of ~D r/ ~ ~-7~1 b ~? +'- 2005, before me, a Notary Public, personally appeared Jeffrey Hoover, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. -~ /~~/ ~ otary Public .~vc.-,..~r,~.,~ -~~v~~~.~~ Notarial Seal Tina M. Robertson, Nota East Pern~sboro 7 n' Public wP~, Cumberland County MY Commission Expires Nov. 1 S, 2007 Member, Pennsylvania Assoclatdon C.~l Notari» ~. • • IN WITNESS WHEREOF, I hereunto set my hand seal thisC~~a~'L. L ~ ~~~~~ day of ` L~~,~ , 2005. ~ ~~~~ Hoover C._. - ~(.`~~ ~ it ess [SIGNATURES CONTINUE ON NEXT PAGE) i • • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SSN: COUNTY OF CUMBERLAND ) On this, the ~C~~" day of ~~,%~y2~~~' , 2005, before me, a ]Votary Public, personally appeared Josiah Hoover, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. J ~l- Notary Public ~~ {$+j M ~ .. ... .. 4...E_. ...._,.... ~ ~i ~~ r~ '" ~~ Public ~' ~c~uniy a JY a t:: 4~'fr.~i ' ~ • IN WITNESS WHEREOF, I hereunto set my hand seal this `~~ day of `~in,;~-~?~~-c--~"~ , 2005. ~L ~ ~ ~.4 ~j ~ ~ t<~ Kara Myers ~} ~ i Witness NOTARIAL SEAL SALLY B. McCOY, Notary Public East Pennsboro Twp., Cumberland County My Commission Expires May 20, 2007 [SIGNATURES CONTINUE ON NEXT PAGE] • AFFIDAVIT • COMMONWEALTH OF PENNSYLVANIA COUNTY OF' CUMBERLAND On this, the ~~ SSN: ~..__~_ day of ~`c'~c~~a'-C°~'--t--` _ , 2005, before me, a Notary Public, personally appeared Kara Myers, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary P NOTARIAL SEAL SALLY B. McCOY, Notary Public East Pennsboro Twp., Cumberland County My Commission Expires May 20, 2007 • • IN WITNESS WHEREOF, I hereunto set my hand seal this ~;~~ day of ~~i~s'--C~-~-t--~ , 2005. -$r~er~ Myers" / C~ ian ~~~ ~ ~~ ~ C~ ~ ~, _ ~' W ess t NOTARIAL SEAL SALLY B. McCOY, Notary Public East Pennsboro Twp., Cumberland County My Commission Expires May 20, 2007 [SIGNATURES CONTINUE ON NEXT PAGE] ,. • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) On thus, the ~~ • SSN: day ofJ~ ~~~'--c-~ , 2005, before me, a Notary Public, personally appeared Dillon Myers, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. 7 ,% ~~` ~jL ~~ Notary P b 'c NOTARIAL SEAL SALLY B. McCOY, Notary Public East Pennsboro Twp., Cumberland County My Commission Expires May 20, 2007 • IN WITNESS WHEREOF, I hereunto set my hand seal this c of ~ ~%~---c_--- , 2005. ;~ f~'~ day __._ r ti :> ~- > >_ - _~ Michelle Myers . ~~~~e Witness ~ NOTARIAL SEAL SALLY B. McCOY, Notary Public East Pennsboro Twp., Cumberland County My Commission Expires May 20, 2007 [SIGNATURES CONTINUE ON NEXT PAGE] • • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SSN: COUNTY OF CUMBERLAND ) On this, the <~l-~ day of ~~D~~'-,fie-c---' , 2005, before me, a Notary Public, personally appeared Michelle Myers, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~~ Notary Pu i ~, NOTARIAL SEAL SALLY B. McCOY, Notary Public East Pennsboro Twp., Cumberland County My Commission Expires May 20, 2007 . • ~fL.., IN WITNESS WHEREOF, I hereunto set my hand seal this ~ ~ day of G' U-~~rJ.~'`- , 2005. ~~ Lois Hoover Witness [SIGNATURES CONTINUE ON NEXT PAGE] . • • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF' CUMBERLAND ) SSN: ~~ On this, the ~/ ~ day of ,~G G/l~~ 4~' , 2005, before me, a Notary Public, personally appeared Lois Hoover, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~~~ otary Public ~~wall~i~fv~`vEALTH tJi~ PENiv;~ ~ ~,,. ~~ _.. Notarial Seal Tina M. Robertson, Notary Public East Pennsboro Twp., Cumberland County My Commission Expires Nov. 15, 2007 ",~9~sntsr P_anna~riv~^~^ ~4ssnri~fion of Ngf~ri~^~ r ~ r * ~ • IN WITNESS WHEREOF, I hereunto set my hand seal this -~ ~~ s~~ day _ ,~_ ' , 2005. of c' ~. .~ - 1'~ ~A,, ~ , . --~ :, . Witness NOTARIAL SEAL BEATRICE I. lEi'TER, N~- Pt~liC , Centr+B TowmsMp, Pwry Ca.~n ~- cow Eaq~.luy 2~,~T ~, ~ j v:~--' Dennis Parrish [SIGNATURES CONTINUE ON NEXT PAGE] ~• • +~ • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) • SSN: On this, the ~ ~~ / ~ , day of ~~- ~ ~ ~,~, ,~~, -r a - , 2005, before me, a ]Votary Public, personally appeared Dennis Parrish, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. -/~ pt ~_~ Notary Public NOTARIAL. SEAL BEATRICE I. LE!'fEFt, Ncrt~ry RualC Cenb~ Tcwnahi~, Peaty C~,,,~+,y Any Comr~ti~sk;a Expiate ,l~.;y ~', 7 ,~;~~ ' ~ ~ IN WITNESS WHEREOF, I hereunto set my hand seal this ~ ~ day of ~~ ~~,, -~.~ , 2005. [SIGNATURES CONTINUE ON NEXT PAGE] • • • AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND r On this, the '~~ day of ~~~~~ ~~ ]~,~ , 2005, before me, a Notary Public, personally appeared Nancy Buczeskie, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that she executed the same for the purposes therein contained. 1N WITNESS WHEREOF, I hereunto set my hand and official seal. COMhiUP~IWEALTFi OF PENNSYLVANIA NOTARIAL SEAL LINDA McCLELLAN, Notary Public Boro ofi Carlisle, Cumberland County My Gornmisslon Expires Oct. 26, 2009 Notary Public ~ • .. • • IN WITNESS WHEREOF, I hereunto set my hand seal this L' ~` day of ~-_..,+ , c f% rti~~L~ ~ ~'" , 2005. Jo ph Hoover fitness r~ [SIGNATURES CONTINUE ON NEXT PAGE] AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) • SSN: On this, the ~ day of ~~~ _ ~ c ~ rte-, l ~ ~ r' , 2005, before me, a ]Votary Public, personally appeared Joseph Hoover, known to me (or satisfactorily proven) to be the beneficiary mentioned in the above Acknowledgment and release whose name is subscribed thereto and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~, ~ 1. I G, ~,~/ -,~,-. otary Public ~['YLN1~~It VY f'CIVYsv~ Notarial Seal Tna ~. Robertson, Notary Public East Pennsboro Twp., Cumberland County My Commission 1=xpires Nov. 15, 2007 svlember, Pennsylvania Asv.^~ - ~ ,. ~..; • • STATEMENT OF ACCOUNT BRIAN L. HOOVER AND CHARLES E. HOOVER, JR. EXECUTOR OF THE ESTATE OF EVA I. HOOVER Real Estate 63 State Street, West Fairview,Pennsylvania Personal Property Waypoint Bank State Farm Homeovmers Refund Bankers Life Insurance Company -Health Coverage Refund Miscellaneous Coins Total Income Disbursements Richardson Funeral Home Peters & Wasilefski -~ Attorneys Fees Probate Fees Tax Return - H&R Block Total Cost for Sale of 463 State St., West Fairview PPL Electric UGI Gas Pennsylvania Water Company West Shore Oil Capital One Waypoint Bank -Mortgage East Pennsboro Township Holy Spirit Hospital K-Mart (returned pemsion payment) CIGNA (returned pension payment) State Farm Woof Appraisal Inheritance Tax Payment Total Disbursements Balance for Distribution $35,000.00 $125.33 $180.00 $320.00 $90.75 $35,716.08 $5,214.00 $1,739.37 $115.00 $63.00 $16,071.94 $113.78 $199.79 $106.39 $495.48 $2,122.13 $1,407.09 $158.40 $9.54 $72.37 $33.64 $324.00 $275.00 $446.54 $28,967.46 $6,748.62 Proposed Distribution to Beneficiaries n ~r Brian L. Hoover (12.81 %) Cheryl Hoover (12.81%) Jeffrey Hoover (4.27%) Evonne Hoover (4.27%) Charles E. Hoover (4.27%) Lois Hoover (4.27°~°) Nancy Buczeskie (4.27%) Michelle Myers (4.27%) Dennis Parish (4.27%) Lisa Hoover (4.27°~°) Josiah Hoover (4.2'.7%) Lori Sloan (4,27%) Travis Holler (4.27'%) Joseph Hoover (4.27%) Kara Myers (4.27%~) Dillon Myers (4.27%) Lorenzo Figueroa (14.60%) • $864.50 $864.50 $288.17 $288.17 $288.17 $288.17 $288.17 $288.17 $288,17 $288.17 $288,17 $288.17 $288.17 $288.17 $288.17 $288,17 $985.30 Total Distribution $6,748.68 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 9/08/2009 PETERS WILLIAM J ESQ 2931 NORTH FRONT ST H HARRISBURG, PA 17110 ~ ~ ~ ~ ? C. ~ cn c~ tr 3~ ,_~ c'y RE E t ~ : s ate of HOOVER EVA I ~ ' File Number: 2002-00913 ~ -~• Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/30/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 9/08/2009 N HOOVER BRIAN L m ~~ 823 FLINTLOCK RIDGE ROAD y MECHANICSBURG, PA 17055 ~ ~ ~ ~3 ~~ Z F, ~-~ .. CJf i:.a ~~, RE: Estate of HOOVER EVA I File Number: 2002-00913 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal. Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/30/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Since ely, /~~lk Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 9/08/2009 HOOVER CHARLES E JR rv ~ rn rn ~~ t~ 404 S ENOLA DRIVE ENOLA, PA 17025 ~ ~ ~ ~ v: ~, - ~ = s- r~. ~~ N c,~ ~~ ,-- RE: Estate of HOOVER EVA I File Number: 2002-00913 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due. on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/30/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, i~i~~"r`""~~1~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT ~,IiISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Eva I. Hoover Date of Death: 9/30/2002 File Number: 2002 ooa~ Pursuant to Pa. O.C. Rule 6.12, 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 final 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? ...................................... Q Yes ^ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be file~7}d'~with the Clerk of the Orphans' Court and~may`be attached to this report. Dale: _ _ / - / y - 6y 1 / SignaJUre of Person Filing this Capacity: ^ Personal Representative X^ Counsel * A Family Settlement and William) Peterc Fsauire Final Release in the Estate Nome of Person Filing this Form of Eva I Hoover was filed with 2931 North Front Street the Office of the Reigster of Andres: e re. Will~on January 6, 2009. Harrisburg PA 17110 i •.; ' ~ c _ _ ~ . f-; ~ tio~ 717-238-755 Pxt ~n~ C`~ j GUS Telephone Ca t~ tl7 Yom- ~4~D i.7 ~ Fo~n {2~p re~'l/3.06 [.': C: ~ ~~ N