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HomeMy WebLinkAbout03-0741PETITION FOR PROBATE and GRANT OF LETTERS ADMIN[[$TRATZON Estate of Donald F. Hull No. 21-03-741 also known as To: Register of Wills for the , Deceased. County of Cumberland in the Social Security No. 164-36-5168 Commonwealth of Pennsylvania C.T.A. The petition of the undersigned respectfully represents that: Your petitioner(x), who is/ma:fl 8 years of age or older an the execut named in the last wilt of the above decedent, dated July 22, ,19. 77 and codicil(s) dated none Dorothy H. Hull, executrix named in will, is deceased - death eortif~e~ro attached Irvin Si Hulli alternate executor, has renounced - renunciation attached Also attached are renunciations of the four children of Donald F. Hull. Jr., deceased and renunc :~s~ali~.~e~vaOn~ ci~e~qn~,re~.g.l.~[~.~ci~I/bn,T~[[B~executor' etc.) 04 / 13 / 95 Decendent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 215 South Queen Street, Borough of Shippensburg. Cumberland County. PA (list street, number and muncipality) Decendent, then 95 years of age, died December 28 ,XlX) 2002 at Orrstown Personal Care Home, Orrstown, PA 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: 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: 215 South Queen Street, Borough of Shippensburg. Cumberland County. PA $ 335,000.00 $ 100,000.00 WHEREFORE, presented herewith and the grant of letters theron. ~ O petitioner(s) respectfully request(s) the probate of the last will and codicil(s) of administration c.t a. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) Orrstown Bank Shippensburg, PA tative(s) of the above decedent petitioner(s)will well/a~nd truly admin~i(er th~c~estate according Sworn to or affirmed and subscribed before me this 3~ _ day of [ / OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) SS The petitioner(s) above-named swear(s) or affirm(s) that thc statements in thc foregoing petition are truc and correct to the best of thc knowledge and belief of petitioner(s) and that as personal rcprcscn- to law. STATUS REPORT UNDER RULE 6.12 Will No.: 4~3 "' 60 "~/~ 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: 1. State whether ad~strati0n of the estate is complete: Yes 7] No ~ 2. If the answer is No, state when the persona~Fprese_nt, Ftive~e,as~nab_l~f believes thatthe administration willbe complete: ///pj[fC/21 O~0 ~ 3. If the answer to No. 1 is Yes, state the following: bo Did the personal representative file a final account with the Court? Yes No [--] The separate Orphans' Com't 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 ['-]' c. Copies of receipts, releases, joinders and approval of formal or kd with the Clerl~o_£ the Orphm~s' Court informal accounts may be fil~y~_rt' / ~. and may be attached to t~., r / 7o25 7 i: J A~;t~lress ~epho~e No. Capacity: ~Personal Representative ~ Counsel for personal representative REGISTER OF WILLS~ CUI~BERLAND COUNTY STATUS REPORT UNDER RULE 6.1 ?, Name of Decedent: Donald F. Hull Date of Death: December 28, 2002 Will No.: 21-03-741 Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the followflag with respect to completion of the adm_irfistration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes [[1 No [] 2, If the answer is No, state when the personal representative reasonably believes that the administration will be complete: June 30, 2005 3. If the answer to No. 1 is Yes, state the following: 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 [--]. Date: and may be attached~ ~.~November 17, 2004 Jerry A. Weigle, Name Copies of receipts, releases, joinders and approval of formal or informal accounts may be 51ed with theClerk of the Orph~as' ~:ourt Esquire WEIGLE & ASSOCIATES, P.C. 126 East King Street Shippensburg, PA 17237 Address 717-532-7388 Telephone No. C~acity: [--] Personal Representative ['~ Counsel for personal representative NO. 21-03-741 Estate Of Donald F. Hull , Deceased DECREE OF PROBATE AND GRANT OF LETTERS ~Z~ZNXST~TZO~ C.T.A. AND NOW December 5th ~l~r 2_2_0_.0~, 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 July 22, 1977 . described therein be admitted to probate and filed of record as the last will of Donald F. Hull ; and Letters of Administration C.T.A. Orrstown Bank are hereby granted to FEES Probate, Letters, Etc .......... $ 340.00 Short Certificates(1~) .......... $ 30.00 Renunciation .6 ............... $ 30.00 Already Charged $ :0- TOTAL $ 400.00 Filed... December. 5.th, 20D.3 ............ put 'Letters in Prothonotary file on 12/5/03. Register of .~. Donna M. Otto,lst Deputy Jerry A. Weigle, Esquire ~/01624 ATTORNEY (Sup. Ct. I.D. No.) WEIGLE & ASSOCIATES, P,C. 126 East King Street ADDRESS Shippensburg, PA 17257 (717) 532-7388 PHONE RENUNCIATION In Re Estate of 21-2003-741 Donald F. Hull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned Irvin S. Hull, son and named Executor of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrstown Bank, 77 East King Street, Shippensburg, PA 17257 WITNESS my hand this day of Lg~,XI~ 2003 (Signature) Irvin S. Hull (Address) (Signature) (Address) (Signature) (Address) RECEIVED AUG 1 6 2003 RENUNCIATION 21-2003-741 In Re Estate of Donald F. Bull deceased. To the Register of Wills of C,--herland County, Pennsylvania. The undersigned daughter of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrsto~m Bank, 77 ~ast King Street, Shippensbur~, Pennsylvania 17257 WITNESS my hand this .. day of 2003. ............. ' (Signature) Lois B. Thorne 100 Bluff View Drive #41lA Belleair Bluffs, FL 33770 (Address) (Signature) (Address) (Signature) (Address) RENUNCIATION RECEtV£OALj 2 21}03 21-2003-741 In Re Estate of Donald F. Hull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned grandson of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrsto~n Bank, 77 East King Street, Shippensburg, Pennsylvania 17257 WITNESS my hand this /9- day of /~~'/~ ,1~ 2003 (Signature) Donald F. Hull, III 17 Deerfield Drive Tunkhannock~ PA 18657 (Address) (Address) RECEIVED AUG L RENUNCIATION 21-2003-741 In Re Estate of Donald F. Bull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned granddaughter of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrstown Bank~ 77 East King Street, ShinDensburg, Penn.qylvania 17257 . WITNESS my hand this /~/~ day of ~ , 1~ 2003 ~(Signaturc) Mary Elizabeth Davis 610 Meyers Drive Catonsville, MD 21228 (Address) (Signature) (Address) (Signature) (Address) RENUNCIATION 21-2003-741 In Re Estate of Donald F. Hull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned grandson of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrsto,m Bank, 77 East King Street, Shipoensburg, Penn-~ylvanla 17257 WITNESS my hand this ~ ~ /~ ~d$'~ 2003 day of LJC~ ,1~ RE,EWE (Signature) Jolm S. Hull 8 Rmnford Road #301 Catonsville, MD 21228 (Address) (Signature) (Address) (Signature) (Address) RENUNCIATION 21-2003-741 In Re Estate of Donald F. Hull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned grandson of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrsto~n Bank, 77 East King S~reet~ WITNESS my Shippensburg, Pennmylvania 17257 handthis /~ayof ~~'~. es A. Hull ~12 Second Avenue ~lethorpe, ~ 21227 (Address) (Signature) (Address) (Signature) (Address) 105.905 REV.(O1/O3) This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. 2971951 No. Charles Hardester State Registrar SEP 2 9 2003 Date COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH * ;. DOROTHV H. HULL. . ~ Femo~¢. '~. 201 -- 78 -- 709~ j4. August 2, 1989 " ~'~ 5 ,i. m~ed ,. ~o~d F~. ,i Iavin S. Ho~ . ,. ~ E. S~u44~ , · ~ Po~ F.,H~,. ~.~~~' ~ ~15 S0~ ~ueen S~ee~, S~ppemb~$, PA 17257 ~ ~-~-. · - - - ~'J~',~ 8/5/~9 ~Pl~a~ H~ c~et~ [,,,. '~. Pen~qlva~ ~)~l ~ I . · . . ................. ..... . ~. ~ ~. - ~ ~M~'~'~ ..... ~ ...... ~'~ .......... . ........ : ......... ~)'~- ~5 ~" b,~. ~M~ ~ ~1~?~ .~- ~ ...... j ....... : .......... ~ ...... ~ .......................................................... ~',-~o~=--~ ' . . '.12~/~,r_ ~ o~,,~,~ ~,.~, ~ . 21-2003-741 LAST WILL AND TESTAMENT I, DONALD F. HULL, of 215 South Queen Street, Shippensburg, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST. I order and direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever situate, to my beloved wife, DOROTHY H. HULL, absolutely. THIRD. In the event that my said wife, DOROTHY H. HULL, predeceases me or is not living on the 60th day following my death, I then give, devise and bequeath my entire estate as follows: (A) I give, devise and bequeath the home residence known as 215 South Queen Street and located in the Borough of Shippensburg, Cumberland County, Pennsylvania, to my son, IRVIN S. HULL, absolutely. (B) I give, devise and bequeath all of the rest and residue of my estate of every nature and kind whatsoever and wheresoever situate to my children, IRVIN S. HULL, LOIS H. THORNE, and DONALD F. HULL, JR., in equal shares, on a per stirpes distribution basis. FOURTH. I direct that all federal, state, and any other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such tax, shall be considered a part of the expense of the administration of my estate and shall be paid out of the residuary estate created in Paragraph 3(B) of this my Last Will and Testament without apportionment or right of reimbursement. - 1- WILLIAM R. MARK ATTORNEY AT LAW 5HI~P~NSBURG, PA, FIFTH. I nominate, constitute and appoint my wife, DOROTHY H. HULL, to be the Executrix of this my Last Will and Testament; if she be unable to fulfil the duties of Executrix, I then nominate, constitute and appoint IRVIN S. HULL, to be the Executor of this my Last Will and Testament. SIXTH. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand ~and s~al to this my Last Will and Testament, this ~-~ ~"~/k~-"day of~ , 1977. This instrument was by the testator, Donald F. Hull, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in his presence and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto sub..s.~i.~bed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA: : : : SS COUNTY OF CUMBERLAND : : I, Donald F. Hull, the testator whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by Donald , F. Hull ~the testator, the ~o~_ day of~_z~ 1977. d/// / ',/~ ry ublic ~x My Comm. expires:~ J ~/ /9 /.: z -2- COMMONWEALTH OF PENNSYLVANIA: : ::SS COUNTY OF C/U~B~ RD~D : : /'~ / ~ ! ~il the witnesses w~ose names are signed to ~he foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testator sign and execute the instr,,m~nt as his LAST WILL; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge the testator was at that time eighteen (18) or more years of age and of sound mind and under no const?~ai~t or undue influence. Sworn ~r affirme~ to and subscribed before i'05~ ~, ~.C~CA a~ , witnesses, this 22~l_ day of/~ , 1977. ~otary Public My Corms. expires:<-~ ~ Z//,,97~ WILLIAM R. MARK AttORneY AT LAW S~EnO~URG, PA. - 3- IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF DONALD F. HULL, DECEASED OFFICE OF THE REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA q'41 CITATION TO: Irvin S. Hull YOU ARE HEREBY cited to appear before me, Donna M. Otto, 1st Deputy Register of Wills of Cumberland County, Pennsylvania, at my office in the Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania, on (~ ~ ~ ~(~)Ct4-~n_) ~t)~cSat oD '.OD a..~.p~nd, qualify as Executor of the estate of D~naktJd F. Hull, deceased, and failing which, to show cause why Letters of Administration C.T.A. should not be granted to Orrstown Bank to administer the estate of Donald F. Hull. WITNESS my hand and official seal of office at Carlisle, Pennsylvania, this day of ~a_~_L~t ) ,2003. DONNA M. OTTO 1 ST DEPUTY REGISTER OF WILLS WEIGLE & ASSOCIATES, P.C.-- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF DONALD F. HULL, DECEASED OFFICE OF THE REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA DECREE DIRECTING CITATION AND NOW, this c~0"E~ day of~~._x_~ , 2003, upon consideration of the within petition of Orrstown Bff~k, a Citation is awarded pursuant to 20 Pa C.S.A. §3155 directed to Irvin S. Hull to show cause why he should not appear before the Register of Wills of Cumberland County, Pennsylvania, and qualify as Executor of the Will of Donald F. Hull, deceased, and failing which, to show cause why Letters of Administration C.T.A. should not be granted to Orrstown Bank to administer the estate of Donald F. Hull. Counsel for Petitioner shall serve this Citation upon Irvin S. Hull by publication pursuant to Pa. O.C. Rule 5.1. DONNA M. OTTO 1 sT DEPUTY REGISTER OF WILLS WEIGLE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF DONALD F. HULL, DECEASED OFFICE OF THE REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA PETITION FOR CITATION TO COMPEL APPLICATION FOR I.ETTERS PURSUANT TO 20 PA. C.S.A. §3155 TO THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA: o o Donald F. Hull (hereinafter referred to as Decedent) died testate, a resident of the Borough of Shippensburg, Cumberland County, Pennsylvania, on December 28, 2002. A death certificate evidencing the date of death is attached hereto, made a part hereof, and marked Petitioner's Exhibit "1 ." The Last Will and Testament of the Decedent, dated July 22, 1977, with no known codicils, a copy of which is attached and the original of which has been presented for probate in the Office of the Register of Wills of Cumberland County, names the Decedent's wife, Dorothy H. Hull, the Executrix. A copy of Decedent's Last Will and Testament is attached hereto, made a part hereof, and marked Petitioner's Exhibit "2." Dorothy H. Hull died August 2, 1989. An original Commonwealth of Pennsylvania death certificate evidencing the date of passing of the said Dorothy H. Hull shall be filed with the Register of Wills of Cumberland County subsequent hereto. The Last Will and Testament names Irvin S. Hull as the succeeding Executor. The current residence and whereabouts of the said Irvin S. Hull are unknown. Irvin 'S. Hull's last known residence and mailing address is 215 South Queen Street, Shippensburg, Cumberland County, Pennsylvania 17257. Mr. Irvin S. Hull originally contacted the law offices of Weigle & Associates, P.C., to settle the Decedent's estate in early January 2003. WEIGLE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17Z57-1397 The last contact said law office had with Irvin S. Hull was on January 13, 2003, during a visit to the Allfirst Bank, East King Street Office, Shippensburg, Pennsylvania, to locate the original Will. Attempts by family, the Shippensburg Police Department, and Weigle & Associates, P.C., to locate Irvin S. Hull have been unsuccessful. A letter, dated April 3, 2003, sent by Attorney Jerry A. Weigle to Irvin S. Hull's last known mailing address of 215 South Queen Street, Shippensburg, Pennsylvania 17257, explaining Mr. Hull's responsibilities under the Will has gone unanswered. 10. Decedent's estate consists of certain real and personal property. 11. Irvin S. Hull, the succeeding Executor nominated in the Decedent's Will, has failed to qualify as Executor. 12. Pursuant to 20 Pa C.S.A. §3158, when there is a Will but no executor qualifies, Letters of Administration C.T.A. may be granted to the person or persons entitled thereto. 13. Pursuant to 20 Pa. C.S.A. §3155(b)(1) and (6), your Petitioner has been nominated by the residuary beneficiaries under the Will to administer the estate of the Decedent. 14. The residuary beneficiaries named in the Decedent's Will are Irvin S. Hull, Lois H. Thorne, and Donald F. Hull, Jr. 15. Donald F. Hull, Jr., died April 13, 1955, survived by the following heirs: Donald F. Hull, III, M.D.; James A. Hull; Mary Elizabeth Davis; and Joan S. Hull. 16. The original renunciations and nominations of said residuary beneficiaries, except Irvin S. Hull, have been filed with the Register of Wills of Cumberland County. Copies of said documents are attached hereto, made a part hereof and marked Petitioner's Exhibits "3" through "7." 17. Your Petitioner, Orrstown Bank, is a duly authorized corporate fiduciary organized under the laws of the Commonwealth of Pennsylvania with principal business location at 77 East King Street, Shippensburg, Cumberland County, Pennsylvania 17257. WEIGLE & ASSOCIATES, I~C. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 WHEREFORE, your Petitioner respectfully requests that a citation issue directed to Irvin S. Hull to show cause why he should not appear before the Register of Wills of Cumberland County, Pennsylvania, and qualify as Executor of the Will of Donald F. Hull, deceased, and failing which, to show cause why Letters of Administration C.T.A. should not be granted to Orrstown Bank to administer the estate of the Decedent. ORRSTOWN BANK By: Phillip EI. Fague (r] Executive Vice-Pres'Ant and Chief Sales and Service Officer Respectfully submitted, AWEIGLE & ASSOCIATRS, P.I By J4J/rY A' W~gle' Esqt~ire Counsel for ?etitioner Attorney ID #01624 126 East King Street Shippensburg, PA 17257 717-532-7388 WEIGLE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 105.805 REV 9/86 This is to certify that the information here given is correctly copied from an original certificate of death ddly filed with me as Local Registrar. The origin, al certificate will be forwarded to the State vital Records Office for permanent filing. ° WARNING: It is illegal to duplicate this copy by photostat o~ photograph. P 8921586 No. Date Fee for this certificate, $2.00 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH Donald F. Hull, Sr. ~.Male ~. 1~4 , 36 ~5168 *-12/28/2002 I [ I .10/1'7/1 , - Care Home ~,.x~ ~,~ ~. ~ite Franklin ~. Southampton ~p. [~ Orrsto~ Personal . [,. 215 S. Queen street Shtppensbur~ PA 17257 Jacob .Frank Hull ,~. Catherine Cover ~Irvin S. Hull . ~ 2~5 Si ~een'Street, Shippensburg, PA 17257 ~ ~~--~ [ 01/02/2003 ,,, Smithsburg c~ema'tory' ,~,.-smithsbur$, MD 4r ~., 011776-L ~-~, ~ o~ · ' ~-"~ ~ ~) ~T ' ~E ~ T~ ~ A C~EQUENCE ~: / / ,. 6155 ~ ~, ~, PA 172~ EXHIBIT "1" LAST WILL AND TESTAMENT I, DONALD F. HULL, of 215 South Queen Street, Shippensburg, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST... I order and direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever situate, to my beloved wife, DOROTHY H. HULL, absolutely. THIRD. In the event that my said wife, DOROTHY H. HULL, predeceases me or is not living on the 60th day following my death, I then give, devise and bequeath my entire estate as follows: (A) I give, devise and bequeath the home residence known as 215 South Queen Street and located in the Borough of Shippensburg, Cumberland County, Pennsylvania, to my son, IRVIN 'S. HULL, absolutely. (B) I give, devise and bequeath all of the rest and residue of my estate of every nature and kind whatsoever and wheresoever situate to my children, IRVIN S. HULL, LOIS H. THORNE, and DONALD F. HULL, JR., in equal shares, on a per stirpes distribution basis. FOURTH. I direct that all federal, state, and any other death taxes payable because of my death, with resPect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such tax, shall be considered a part of the expense of the administration of my estate and shall be paid out of the residuary estate created in Paragraph 3(B) of this my Last Will and Testament without apportionment or right of reimbursement. - 1 - EXHIBIT "2" WILLIAM R, MARK ATTORNEy AT LAW 8HImPENSbuR~. PA, FIFTH. I nominate, constitute and appoint 'my wife,' DOROTHY H. HULL, to be the Executrix of this my Last Will and Testament; if she be unable to fulfill the duties of Executrix, I then nominate, constitute and appoint IRVIM' S. HULL, to be the Executor ~of this my Last Will and Testament. SIXTH. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, this ~.. "~-.. z~ '"day of , 1977. This instrument was by the testator, Donald F. Hull, on the date hereof, signed, published and dectared by him to be his Last Will and Testament, in our presence, who at his request and in his presence and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. // COMMONWEALTH OF PENNSYLVANIA: : : : SS COUNTY OF CUMBERLAND : : I, Donald F. 'Hull, the testator whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed.it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by Donald F. Hull~the testator, the ~z)a~ day o~ 1977. tary Public My Co~. expires~ P~ - 2 - WILLIAM R. MARk ATTO~RNEY AT LAW ~HlPPENg~URG. PA, COMMONWEALTH OF PENNSYLVANIA: : ::SS COUNTY OF CUMBE.RDAND · · / k the witnesses whose names are 'signed to ~e foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testator sign and execute, the instrument as his LAST WILL; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge the testator was at that time eighteen (18) or more years of age and of sound mind and under no constr.~i-nt or undue influence. /~ Sworn ~ affirm~ to and subscribed before .. C'~t~ ,~., 2~~] , witnesses, this ~/2~L~ day of~ , 1977. ~ tary Public -Comm. expiresz o° - 3- RECEIVED AU6 1 RENUNCIATION In Re Estate of Donald F. 1]'~11 deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned daughter of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. : be issued to Orrstown Bank, 77 East King Street, Shippensburg, Pennsylvania 17257 WITNESS my / ~ day of ~'f'-f( ~,-~q-.~' 2003 hand this ,~ · ( ,. ............. ' " / (Signature) Lois H. Thorne 100 Bluff View Drive #41lA Belleair Bluffs, FL 33770 (Address) (Signature) (Address) (Signature) (Address) EXHIBIT "3" RENUNCIATION RECEIVED AUG 2 . _,gg~ In Re Estate of Donald F. Hull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned granddaughter of the above decedent', hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrstown Bank~ 77 East King Street, Shippensburg, Penn.qylvania 17257 . WITNESS my hand this day of ., I~K 2003 ~(Signature) Mary Elizabeth Davis 610 Meyers Drive Catonsville, MD 21228 (Address) (Signature) (Address) (Signature) (Address) ~]tlBIT "4" RENUNCIATION In Re Estate of Donald F. Hull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned grandson of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrstown Bank~ WITNESS my 77 East King S~reet, Shippensburg, PennsylVan4a 17257 ay of . (Address) (Signature) (Address) (Signature) (Address) EXHIBIT "5" RENUNCIATION RECEIVEDAU6 2 In Re Estate of Donald F. Hull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned grandson of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrstown Bank, 77 East King Street, Shippensburg, Pennsylvania 17257 WITNESS my hand this /?' dayof /~~ ,~ 2003 (Signalure) Donald F. Hull, iii 17 Deerfield Drive Tunkhannock, PA 18657 (Address) . (Address) EX~IIBIT "6" RENUNCIATION In Re Estate of Donald F. Hull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned grandson of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to WITNESS Orrstown Bank~ 77 East King Street, Ship~ensburg. Pennsylvania 17257 my handthis I day of A-~ , REcENEB (Signature) John S. Hull 8 Rumford Road ~301 Catonsville, l~ 21228 (Address) (Signature) (Address) (Signat ute) (Address) EXHIBIT "7" IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF DONALD F. HULL, DECEASED OF[ICE OF THE REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA CITA_TION TO: Irvin S. Hull YOU ARE HEREBY cited to appear before me, Donna M. Otto, 1st Deputy Register of Wills of Cumberland County, Pennsylvania, at my office in the Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania, on ~o~-L~43_j d/e4~~t'~o?: oo a.m.~nd qualify as Executor of the estate of Donald'°F. ~ull, deceased, and fa~llng wh~chZ show cause why Letters of Administration C.T.A. should not be granted to Orrstown Bank to administer the estate of Donald F. Hull. WITNESS my hand and official seal of office at Carlisle, Pennsylvania, this ~ day of~.o.~) , 2003. · OTTO '---( ! d I ST DEPUTY REGISTER. OF WILL~ v WEIGLE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KINO STREET -- SHIPPENSBURG, PA 17257-1397 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF DONALD F. HULL, DECEASED OFFICE OF THE REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA DECREE DIRECTING CITATION AND NOW, this c~./93d day of ~zz_~) , 2003, upon consideration of the within petition of Orrstown Batik, a Citation is awarded pursuant to 20 Pa C.S.A. §3155 directed to Irvin S. Hull to show cause why he should not appear before the Register of Wills of Cumberland County, Pennsylvania, and qualify as Executor of the Will of Donald F. Hull, deceased, and failing which, to show cause why Letters of Administration C.T.A. should not be granted to Orrstown Bank to administer the estate of Donald F. Hull. Counsel for Petitioner shall serve this Citation upon Irvin S. Hull by publication pursuant to Pa. O.C. Rule 5.1. DONNA M. OTTO v 1 ST DEPUTY REGISTER OF WILLS WEIGLE & ASSOCIATES, P.C. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF DONALD F. HULL, DECEASED OFFICE OF THE REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA # PETITION FOR CITATION TO COMPEL APPLICATION FOR LETTERS PURSUANT TO 20 PA. C.S.A. §3155 TO THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA: o Donald F. Hull (hereinafter referred to as Decedent) died testate, a resident of the Borough of Shippensburg, Cumberland County, Pennsylvania, on December 28, 2002. A death certificate evidencing the date of death is attached hereto, made a part hereof, and marked Petitioner's Exhibit "1 ." o The Last Will and Testament of the Decedent, dated July 22, 1977, with no known codicils, a copy of which is attached and the original of which has been presented for probate in the Office of the Register of Wills of Cumberland County, names the Decedent's wife, Dorothy H. Hull, the Executrix. A copy of Decedent's Last Will and Testament is attached hereto, made a part hereof, and marked Petitioner's Exhibit "2." Dorothy H. Hull died August 2, 1989. An original Commonwealth of Pennsylvania death certificate evidencing the date of passing of the said Dorothy H. Hull shall be filed with the Register of Wills of Cumberland County subsequent hereto. The Last Will and Testament names Irvin S. Hull as the succeeding Executor. The current residence and whereabouts of the said Irvin S. Hull are unknown. Irvin S. Hull's last known residence and mailing address is 215 South Queen Street, Shippensburg, Cumberland County, Pennsylvania 17257. Mr. Irvin S. Hull originally contacted the law offices of Weigle & Associates, P.C., to settle the Decedent's estate in early January 2003. WEIGLE & ASSOCIATES, P.C. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 o o 10. 11. 12. 13. 14. 15. 16. 17. The last contact said law office had with Irvin S. Hull was on January 13, 2003, during a visit to the Allfirst Bank, East King Street Office, Shippensburg, Pennsylvania, to locate the original Will. Attempts by family, the Shippensburg Police Department, and Weigle & Associates, P.C., to locate Irvin S. Hull have been unsuccessful. A letter, dated April 3, 2003, sent by Attorney Jerry A. Weigle to Irvin S. Hull's last known mailing address of 215 South Queen Street, Shippensburg, Pennsylvania 17257, explaining Mr. Hull's responsibilities under the Will has gone unanswered. Decedent's estate consists of certain real and personal property. Irvin S. Hull, the succeeding Executor nominated in the Decedent's Will, has failed to qualify as Executor. Pursuant to 20 Pa C.S.A. §3158, when there is a Will but no executor qualifies, Letters of Administration C.T.A. may be granted to the person or persons entitled thereto. Pursuant to 20 Pa. C.S.A. §3155(b)(1) and (6), your Petitioner has been nominated by the residuary beneficiaries under the Will to administer the estate of the Decedent. The residuary beneficiaries named in the Decedent's Will are Irvin S. Hull, Lois H. Thorne, and Donald F. Hull, Jr. Donald F. Hull, Jr., died April 13, 1955, survived by the following heirs: Donald F. Hull, III, M.D.; James A. Hull; Mary Elizabeth Davis; and Joan S. Hull. The original renunciations and nominations of said residuary beneficiaries, except Irvin S. Hull, have been filed with the Register of Wills of Cumberland County. Copies of said documents are attached hereto, made a part hereof and marked Petitioner's Exhibits "3" through "7." Your Petitioner, Orrstown Bank, is a duly authorized corporate fiduciary organized under the laws of the Commonwealth of Pennsylvania with principal business location at 77 East King Street, Shippensburg, Cumberland County, Pennsylvania 17257. WEIGLE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17'257-1397 WHEREFORE, your Petitioner respectfully requests that a citation issue directed to Irvin S. Hull to show cause why he should not appear before the Register of Wills of Cumberland County, Pennsylvania, and qualify as Executor of the Will of Donald F. Hull, deceased, and failing which, to show cause why Letters of Administration C.T.A. should not be granted to Orrstown Bank to administer the estate of the Decedent. ORRSTOWN BANK By: Executive Vice-President and Chief Sales and Service Officer Respectfully submitted, WEIGLE & ASSOCIAT p. ~r. Jej/ry A. WLli~le, Esquil Counsel for Petitioner Attorney ID #01624 126 East King Street Shippensburg, PA 17257 717-532-7388 WEIGLE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as bcal Registrar. The origina] 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 8 9 215 8 6 " No. ~ ' Date ~, we? COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH '. 164- 36 --5168 412/28 2002 ~ ............ I-~-=,.~. I,~, '' ~ =.~n k,~oucnamp~on '~p. I~0rrsto~ Personal Care Home I~~,~ I ,,,Rural Carrier I,,~ Post Office ,~ ~ *~ ~'~ 12 ~* 2 I .... '~' I · J ~ ~.~,, Pennsylvania ~ ,~.~ ~.~,, 215 S. Queen Street ,t Shippensbur~ PA 17257 ~'~) ~.~ C~erland ~ ~ ~:~z Shippensbur9 ,i. Jacob Frank Hull ~'z's~m~ l~ Catherine Cover ~Irvin S. Hull ~ 215 S. ~een Street, Shippens~rg, PA 17257 ~ ~ ~~ ~ ~ ~*h~n~on County, ~0 ~ ~1~ 01/02/2003 ~. ~, 01177~-~ ~.~~~ ~.~., ~3~, ~'~ P~ 17257 ,, /.'~, I.. /a-~-~ ~ , ................................ EIq{IBIT "1" WILLIAM R. MARK ATTORNEY At LAW SHI~PENSbURG, PA, LAST WILL AND TESTAMENT I, DONALD F. HULL, of 215 South Queen Street, Shippensburg, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST.~. I order and direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever situate, to my beloved wife, DOROTHY Ho HULL, absolutely. THIRD. In the event that my said wife, DOROTHY H. HULL, predeceases me or is not living on the 60th day following my death, I then give, devise and bequeath my entire estate as follows: (A) I give, devise and bequeath the home residence known as 215 South Queen Street and located in the Borough of Shippensburg, Cumberland County, Pennsylvania, to my son, IRVIN 'S. HULL, absolutely. (B) I give, devise and bequeath all of the rest and residue of my estate of every nature and kind whatsoever and wheresoever situate to my children, IRVIN S. HULL, LOIS H. THORNE, and DONALD F. HULL, JR., in equal shares, on a per stirpes distribution basis. FOURTH. I direct that all federal, state, and any other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such tax, shall be considered a part of the expense of the administration of my estate and shall be paid out of the residuary estate created in Paragraph 3(B) of this my Last Will and Testament without apportionment or right of reimbursement. - 1 - ~"O~IBIT "2" WILLIAm F~. MARK ATTORNey AT LAW FIFTH. I nominate, constitute and appoint my wife, DOROTHY H. HULL, to be the Executrix of this my Last Will and Testament; if she be unable to fulfill the duties of Executrix, I then nominate, constitute and appoint IRVIN S. HULL, to be the Executor of this my Last Will and Testament. SIXTH. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament' this ~"~'~/~'day°f ~~: , 1977. This instrument was by the testator, Donald F. Hull, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in his presence and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA: : : : SS COUNTY OF CUMBERLAND : : I, Donald F. Hull, the testator whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by Donald F. Hull. the testator, the ~ day of~L~ 1977. tary Public ~ My Comm. expires:~ ~ ~/ /9 - 2 - WILLIAM F~. MARK ATTORNEY AT LAW SHI~ENSBURG, PA, COMMONWEALTH OF PENNSYLVANIA: : ::SS COUNTY OF CI~IB/E-RLAND : : ; ~ II " "-' t! the witnesses w~ose names are signed to ~e foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his LAST WILL; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge the testator was at that time eighteen (18) or more years of age and of sound mind and under no constr/aiq!t or undue influence. cA. Sworn q~ affirme~d to and subscribed before mhhy ~. ~. /~Z~p& and ~_'o~di. ~, /6~gm ~A ~ , witnesses . t Public my com. expires~~ - 3- RECEiVEI3 AUG 1 6 2003 RENUNCIATION In Re Estate of Donald F. Hull deceased. To the Register of Wills of Cumbertand County, Pennsylvania. The undersigned daughter o£ the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrstown Bank, 77 East King Street, Shippensburg, Pennsylvania 17257 WITNESS my Helen < ..?~ of ~/'.&t ~l./~ 2003. hand this ...... day t~Y ' ........... " 4 / (Signature) Lois H. Thorne 100 Bluff View Drive #41lA Belleair Bluffs, FL 33770 (Address) (Signature) (Address) (Signature) (Address) EXHIBIT "3" RECEIVED AUG = u 2C33 RENUNCIATION In Re Estate of Donald F. Bull deceased, To the Register of Wills of Cumberland County, Pennsylvania. The undersigned granddaughter of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to 0rrsto~m Bank~ WITNESS my 77 East King Street, Shippensburg. Pennsylvania 17257 . h~n~,~i~ /~' ~y o~ ~,~ ~oo~ ~ (Signature) Mary Elizabeth Davis 610 Meyers Drive Catonsville, 1~ 21228 (Address) (Signature) (Address) (Signature) (Address) ~JtIBIT "4" RENUNCIATION In Re Estate of Donald F. Hull deceased. To the Register of Wills of Cumberland CoUnty, Pennsylvania. The undersigned grandson of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to WITNESS Orrstown Bank, 77 East King Sereet, Shtppensburg. Pennsylvania 17257 hand this (Address) (Signature) (Address) (Signature) (Address) E~JtIBIT "5" RENUNCIATION RECEIVEDAU/3 2 211ll3 In Re Estate of Donald F. Bull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned grandson of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrstown Bank, 77 East King Street, Shippensburg, Pennsylvania 17257 WITNESS my hand this !~' day of ,~~/~ ,I~. 2003 (Signature) Donald F. ltull, III 17 Deerfield Drive Tunkhannocks PA 18657 (Address) , (Address) EI}IlBII "6" RENUNCIATION In Re Estate of Donald F. Bull deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned grandson of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters of Administration C.T.A. be issued to Orrstown Bank, WITNESS my 77 East King Street, Shippensburg, Penn.qylvania 17257 . hand this <-~ '~Xday of J!~O~ ~dS'3~ ]eJ~ 2003 (Signature) John S. Hull 8 Rumford Road //301 Catonsville, MD 21228 (Address) (Signature) (Address) (Signature) (Address) EXHIBIT "7" Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE. December 12, 2003 SNignam~t:U%eigl e~, ~s qu~J r e Address: Telephone: Capacity: Weigle & Associates, P.C. 126 East King Street Shippensburg, PA 17257 (717) 532-7388 X Personal Representative Counsel for Personal Representative WEIGLE & ASSOCIATES, RC, -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 ESTATE OF DONALD F. HULL, late of the Borough of Shippensburg, Cumberland County, Pennsylvania, deceased : 1N THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY : PENNSYLVANIA : ORPHANS' COURT DIVISION : ESTATE NUMBER 21-03-741 CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Donald F. Hull Date of Death: December28, 2002 Will No. 21-03-741 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on December 12, 2003: Irvin S. Hull Theo's Inn 32 Walnut Bottom Road Shippensburg, PA 17257 Lois A. Thorne 100 Bluff View Drive, #411A Belleair Bluffs, FL 33770 Donald F. Hull, III 17 Deerfield Drive Tunkhannock, PA 18657 James A. Hull 5712 Second Avenue Halethorpe, MD 21227 John S. Hull 8 Rumford Road #301 Catonsville, MD 21228 Mary Elizabeth Davis 610 Meyers Drive Catonsville, MD 21228 WEI(SLE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURI3, PA 17257-1397 WEIGLE & ASSOCIATES, P.C. * ATTORNEYS AT LAW 126 EAST KING STREET, SH1PPENSBURG, PA 17257-1397 · TELEPHONE: (717) 532-7388 FAX: (717) 532-6552 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF DONALD F. HULL, DECEASED OFFICE OF THE REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA NO. 21-03-00741 AMENDED CITATION TO: Irvin S. Hull YOU ARE HEREBY cited to appear before me, Donna M. Otto, 1st Deputy Register of Wills of Cumberland County, Pennsylvania, at my office in the Cumberland County COurthouse, One Courthouse Square, Carlisle, Pennsylvania, on Wednesday, December 3, 2003, at 2:00 PM (rescheduled from October 28, 2003) and qualify as Executor of the estate of Donald F. Hull, deceased, and failing which, to show cause why Letters of Administration C.T.A. should not be granted to Orrstown Bank to administer the estate of Donald F. Hull. WITNESSi.~y hand and official seal of office at Carlisle, Pennsylvania, this day of ffffiJ~J/z_) ,2003. DONNA M. OTTO ST 1 DEPUTY REGISTER OF WILLS WEIGLE & ASSOCIATES. P.C.-- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG. PA 17257-1397 CERTIFICATION OF NOTICE UNDER RULE NameofDecedent: l/~tF(~ 9. ~gtz,~/6e'5 Date of Death: l~/[/'V~ tq/?l/)e U Will o.. /of_ [ Admin. No. To the Register: 5.6 (a) I certify that notice of beneficial Rules was served on or mailed to /¢3~~ ,g: the following beneficiaries of the above-captioned estate Name ~nterest required by Rule 5.6 (a) of the Orphans' Court on Address Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except ,-4~ffsonal Repres~-ntative Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/10/2004 WEIGLE JERRY A 126 E KING STREET SHIPPENSBURG, PA 17257 RE: Estate of HULL DONALD F File Number: 2003-00741 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: 12/28/2004 Your prompt attention to this matter will be appreciated. Thank You. CC: File Personal Representative(s) Judge Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 004793 ORRSTOWN BANK 77 EAST KING STREET SHIPPENSBURG, PA 17257 ........ fold ESTATE INFORMATION: SSN: 164-36-5168 FILE NUMBER: 2103-0741 DECEDENT NAME: HULL DONALD F DATE OF PAYMENT: 01/03/2005 POSTMARK DATE: 01/03/2005 COUNTY: CUMBERLAND DATE OF DEATH: 12/28/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $50,032.45 REMARKS' TOTAL AMOUNT PAID: $50,032.45 SEAL CHECK# 018822 INITIALS: MW RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS INVENTORY Ester, oT ~,~D_0NAT.D F.. gTTT.T. No. 2!-0~-07/~ 1 also known as Date of Death 12/28/02 , Deceased Social Security No,. 164-36-5168 , Pemonal Representative(s) of tho above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal ,'m,~ets wherever situate and all of the real estate in the Commonwealth of Pennsytvania of said Decedent. that tho valuation placed opposite each item of ~aid inventory represents its fair value as of the date of the Decedant'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 ~his inventory. I/We verify th[at tho s!,atements made in this inventory are true and correct, I/We undel'stand that false statemenls herein made are subject to the penaliies of 18 Pa. C,S. Sec/ion 4904 relating to unsworn falsification to authorities. Personal Representative: Name or Attorney: JERRY A. WEIGL~ ESQUI..R_E , 0RRSTOWN BANK I.D. No,: . _ P_,O. BOX 250, .SHIPPENSBURG; Address: 126 EAST KING STREET Dated 12/14/04 PA 17257 ~_SHIPPENSBURG~ PA 17257 Telephone: 717-532-7388 Description AMERICAN GENERAL LIFE INSURANCE ANNUITY; CONTRACT # A10095389F (Payable to children equally) [Attach Addi£ional Sheets if nec. es~.~a,¥) (SEE ATTACHED) V~lue 120,548.95 Total 1,219,499.37 NOTE: The Memorandum of m~l estate outside [he Commonweallh of Pe.nsylvania may, at the election of the personal representative, Include) the value of eRct~ Ilem, but such figures should not be extended into the total of the inventory. RW, 4 INVENTORY (continued) JPROPERTY-215 SOUTH QUEEN STP, EET, SHIPPENSBURG, PA 17257 CUMBERLAND COUNTY MAP REFERENCE #34-2413; VALUE AS APPRAISED 1600 SHS CAP, LISLE COMPANIES COMMON STOCK; CUSIP lz12339100 260 SHS VIACOM INC. COMMON STOCK; CUSIP 925524308 ].~2,0] St-IS OEESTOVI/N FINANCIAL SF_RVICES, INC. COMMON STOCK; CUSIP 687380105 SEEtF_..S E BOND; DENOMINATION $1000; ISSUED 3/1972; ICATUPjTY 3/2002 ACCRUED INTEREST ON ITEM ~ TO DOD SEPJES E BOND; DENOMINATION $1000; ISSUED 11t19§9; MATUPjTY 11/1999 ACCRUED INTEE~ST ON ITEM #6 TO DOD SERIES E BOND; DENOMINATION $1000; ISSUED 9/1961; MATURITY 9/2001 ACCRUED IN'i'EP, EST ON ITEM ~ TO DOD SERIES E BOND; DENOMINATION $1000; ISSUED 6/1971; MATURITY 6/2001 ACCRUED IN'i'EREST ON iTEM ~H0 TO DOD SERES E BOND; DENOMINATION $1000; ISSUED 6/1970; MATURITY 6f2DD0 ACCRUED INTEREST ON 'Fi-EM #12 TO DOD 2 SERIES E BONDS; DENOMINATION $500; ISSUED 10/1969; MATURITY 10/1999 ACCRUED INTEREST ON ITEM ~4 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 5/1967; MATURI'TY 5/1997 ACCRUED INTEREST ON ITEM ~H6 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 2/196.7; MATURI'[Y 2/1997 ACCRUED INTEREST ON ITEM ~H 8 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 1/1967; MATURITY 1/1997 ACCRUED INTEREST ON ITEM #20 TO DOD 2 SAVINGS BONDS; DENOMINATION $500; ISSUED t11965; MATURITY 1/2005 ACCRUED INTEt:~EST ON ITEM ~ TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 8/19~; MATURrTY 812004 ACCRUED INTEEEST ON ITEM #24 TO DOD 80,000.00 67,154.00 10,557.30 -527633.00 750.00 ' 4,297.60 750.00 4,650.,80 750.00 7,496.80 750.00 4,328.O0 750.00 4,770.00 750.00 4,650.80 375.00 2;-166.20 375.00 2,142.20 375.00 2,142.20 750.00 7,816.00 375.00 3,945.40 I~VENTORY (continued) SERIES E BOND; DFNOMINATJON $5[I1~; ISSUED 6t~J96zJ; MATURITY 612004 ACCRUED INTEREST ON ITEM ~26 TO DDD SERIES E BOND; DENOMINATION $500; ISSUED 5119~; MATURrrY 5/2004 ACCRUED INTEREST ON rrEM ~28 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 411964; MATURITY 4/2004 ACCRUED iNTEREST ON ITEM #30 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 31196~; MATURITY 3/2004 ACCRUED iNTEREST ON ITEM #32 TO DOD ..~ERIES E BOND; DENOMINA~ON $500; ISSUED 2/196~; MATURFrY 2J2004 ACCRUED INTEREST ON ITEM #34 TO DOD SEPJES E BOND; DENOMINATION $500; ISSUED 111904; MATURITY 1/2004 ACCRUED INTEREST ON ITEM #3§ TO DOD 2 SERIES E BONDS; DENOMINATION $500; ISSUED 12/1963; MATURITY 12/2003 ACCRUED INTEREST ON ITEM #3B TO DOD 2 SERIES E BONDS; DENOMINATION $500; ISSUED 1111963; MATURITY 11/2003 ACCRUED INTEREST ON ITEM #40 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 6/19B3; MATURITY 6/2003 ACCRUED INTEREST ON ITEM ~42 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 3/1g§3; MATURITY 3/2003 ACCRUED INTEREST ON ITEM ~44 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 2/1972; MATURITY 2/2002 ACCRUED INTEREST ON ITEM NB TO DOD SERIES E BOND; DENOMINATION $100; ISSUED 911968; MATURITY 911998 ACCRUED INTEREST ON ITEM ~48 TO DOD 375.00 3,903.60 375.00 3,875.40 375.00 3,875.40 375.00 3,960.80 375.00 3,940.20 375.00 3,899.20 750.00 7,798.40 750.00 7,745.60 375.00 3,895.40 ' 375.O0 3,948.40 375.00 2,148.40 75.00 461.56 INVENTORY (continued) ORRSTOWN BANK, CHECKING ACCOUNT # 802204 ACCRUED INTEREST ON ITEM fl 1 ORRSTOWN BANK, CERTIFICATE OF DEPOSIT # 30053084 ACCRUED INTEREST ON ri'EM # 3 ORRSTOWN BANK, CERTIFICATE OF DEPOSIT #5D30058§13 ACCRUED INTEREST ON ITEM fl5 ORRSTOWN BANK, CERTIFICATE OF DEPOSIT #30048768 ACCRUED INTEREST ON ITEM ~ ORRSTOWN BANK, CERTIFICATE OF DEPOSIT #50301)60125 ACCRUED INTEREST ON rrEM ~ ORRSTOWN BANK, CERTIFICATE OF DEPOSIT #5030060126 ACCRUED INTEREST ON ITEM #11 M&T BANK, CHECKING ACCOUNT# 97316105 ACCRUED INTEREST O.N ITEM ~3 M&T BANK, SAVINGS ACCOUNT # 015004206012764; FORMERLY ~:J4165041 ACCRUED INTEREST ON ITEM ~5 M&T BANK, CERTIFICATE OF DEPOSIT fl031003914475776; FORMERLY ~7008100672334 ACCRUED INTEREST ON ITEM ~7 M&T BANK, CERTIFICATE OF DEPOSIT ~31003914515712 ' ' ACCRUED INTEREST ON ITEM ~9 REFUND CHECKS FROM HIGHMARK BLUE SHIELD DATED PRIOR TO DOD PUBLIC SALE PROCEEDS OF PERSONAL PROPERTY 68,843.41 30.37 30,000.00 56.22 32,216.94 38.40 50,000.00 29.59 25,000.00 25.68 25,000.00 25.68 9,700.94. 1.71 5,773.46 1.54 12,0D0.00 18.32 30,000.00 76.68 18.82 15,190.00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FiLE NUMBER 21 _ 03 cou'~ co---A 0741 NUMBER I-- Z UJ U.I LU I- z z 0 LU O. X DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER HULL, DONALD F. 164-36-5168 -~A'r[-o~'-bEATH (MM--'D~YEA-E) ......... ] D-~,~I~ O~ BIRT~'(M-I~I'-~"~E~)- .................. 4_ ~H,-~ ~-I~iJ-EN--M~ B--E~=ILE~ i" DUPL-IC~T~' ~ITH THE 12/28/2002 J 10/17/1907 REGISTER OF WI LLS [~-~ 1. Original Retum ri]4. Umitad Estate [-~6. Decedent Died Testate (Attach cof, y [~g. Litigation Proceeds Received D2. Supplemental Return [~4a. Future Interest Compromise {date of death afte~ 12-12-82J j---~ 7. Decedent Maintained a Living Trust (.~h ~ya~Tmst) E~] 10. Spousal Poverty Credit {date ofde,~ ~an 12-31-91 end 1-1-95) ~---J 3. Remainder Retain (~a~ ~ e.dh p~or to 12-13-62) r-'] 5. Federal Estate Tax Retum Required 1 8. Total Number of Safe Deposit Boxes E~]I 1. Election to tax under Sec. 9113(A) (AUach Sch THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED 3'0: NAME BARBARA E. BROBST FIRM NAME (ff,,~r~cab~) ORRSTOWN BANK - ~'EI.E-~R bl~l~ ~ b M-~E~ ........... (717) 530-2605 COMPLETE MAILING ADDRESS ORRSTOWN BANK P.O. BOX 250 SHIPPENSBURG, PA 17257 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds {Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole/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) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) (8) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 99,905.82 10. Ddgts o_f Decedent, Mo_~9age Uab ities, & Lens (Schedule I) (10) 7,761.36 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Une 8 minus Line 11) (12) 13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Une 12 minus Une 13) 80,000.00 714,902.66 304,O47.76 120,548.95 107,667.18 1,111,832.19 0.00 1,111,832.19 (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPUCABLE RATES 15. Amount of Une 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 Une 14 taxable at sibling rate 18. Amount of Une 14 taxable at collateral rate 19. Tax Due 1,1_1_1,832.19 x .o 4_5__ x .12 x .15 (15) (16) (17) (18) (19) 50,032.45 · ,>> BE 'SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDEAND RECHECK MATH < < . , ,~ .:. ...... r. ,.'.' Decedent's Complete Address: ISTK~_ ~ ADDRESS 215 SQ.U_TH QUEEN STREE_T .... Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Interest/Penalty if applicable D. Interesl E. Penally (1) Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + E ) If Une 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Une 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B, Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 50,032.45 0.00 50,032.45 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 property 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 property within one year of death without rece v ng adequate cons deration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or secudty 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. Under penalties d perjury, I declare thai I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it ts tree, correct and complete. Declerali~n of preparer other than t~e personal representative is based on all information of which preparer has any know~lne SIGJ~URE OE PERSON RE~t156~ISIBI~_~OR FILING RETURN __ " DATE / ..... / { , o ...... ' P.O. BOX 250, SHIPPENSBURG, PA 17257 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS For dates of death on or alter July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9118 (a) (1.1) (~]. For dates of (leath on or after January 1, 1995, the {ax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 RS. {9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disdosurs of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or alter July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural--parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)]. Re 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(a)(1)]. The tax rate imposed on the net value of transfers to or tot the use of t~e decedenrs siblings is 1z% i/z P.S. §~,ii6(a)(-i.3)]. A ~ibiin9 ,~ ~iui~,~, uii~=i ,~c[~oi~ ~rJ0~, a~ a'' individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (6-9~ COMMONWF. ALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT 'ESTATE OF SCHEDULE A REAL ESTATE FILE NUMBER HULL, DONALD F. 21-03-0741 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 al which properly would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivomhlp must be disclosed on Schedule F. ITEM VALUE AT DATE NU~IBER DESCRIPTION OF DEATH 1. PROPERTY-215 SOUTH QUEEN STREET, SHIPPENSBURG, PA 17257 CUMBERLAND COUNTY MAP REFERENCE #34-2413; VALUE AS APPRAISED TOTAL (Also enter on line t, R~'~'-~pitulation) (ff more spac~ ;s"n;'eded, insert additional sheets of the same size) 80,000.00 $ 80,000.00 REV-1503 EX+ (6-9e~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ~'STATE OF HULL, DONAt. D F. SCHEDULE B STOCKS & BONDS FILE NUMBER 21-03-0741 All property jointly-owned with right of survivorship must be disclosed on Schedule F. I?EM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 2 3 4 5 6 7 8 9 10 11 12 13 14 15. 16 17 18 19 20 21 22 23 24 25 1600 SHS CARLISLE COMPANIES COMMON STOCK; CUSIP 142339100 260 SHS VIACOM INC. COMMON STOCK; CUSIP 925524308 ]420] SHS ORRSTOWN FINANCIAL SERVICES, INC. COMMON STOCK; CUSIP 687380105 SERIES E BOND; DENOMINATION $1000; ISSUED 311972; MATURITY 312002 ACCRUED INTEREST ON ITEM #4 TO DOD SERIES E BOND; DENOMINATION $1000; ISSUED 11/t969; MATURITY 11/1999 ACCRUED INTEREST ON ITEM #6 TO DOD SERIES E BOND; DENOMINATION $1000; ISSUED 911961; MATURITY 9/2001 ACCRUED INTEREST ON ITEM #8 TO DOD SERIES E BOND; DENOMINATION $1000; ISSUED 6/1971; MATURITY 6/2001 ACCRUED INTEREST ON ITEM #10 TO DOD SERIES E BOND; DENOMINATION $1000; ISSUED 611970; MATURITY 6/2000 ACCRUED INTEREST ON ITEM #12 TO DOD 2 SERIES E BONDS; DENOMINATION $500; ISSUED 10/1969; MATURITY 10/1999 ACCRUED INTEREST ON ITEM #14 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 511967; MATURITY 511997 ACCRUED INTEREST ON ITEM #16 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 2/1967; MATURITY 2/1997 ACCRUED INTEREST ON ITEM #18 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED t11967; MATURITY 111997 ACCRUED INTEREST ON ITEM #20 TO DOD 2 SAVINGS BONDS; DENOMINATION :$500; ISSUED 1/1965; MATURITY 1/2005 ACCRUED INTEREST ON ITEM #22 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 8/1964; MATURITY 8/2004 ACCRUED INTEREST ON ITEM #24 TO DOD TOTAL iAts0 enter on line 2,~R,ecapitu!,a, tion) 67,154.00 t0,557.30 527633.00 750.00 ' 4,297.60 750.00 4,650.80 750.00 7,496.80 750.00 4,328.00 750.00 4,770.00 750.00 4,650.80 375.00 2,t66.20 375.00 2,142.20 375.00 2,142.20 750.00 7,816.O0 375.00 3,945.40 $(conti~ue~) (if more space is needed, insert additional sheets of the same s'=e) SCHEDULE B STOCKS & BONDS REV-1503 EX+ (6-98) COMMONV'rc. ALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER HULL, DONALD F. (CONTINUED SCHEDULE B-PAGE 2) 21-03-0741 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 SERIES E BOND; DENOMINATION $500; ISSUED 6/1964; MATURITY 6/2004 ACCRUED INTEREST ON ITEM ~26 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 5/1964; MATURITY 512004 ACCRUED INTEREST ON ITEM C28 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 4/1904; MATURITY 4/2004 ACCRUED INTEREST ON ITEM #30 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 311964; MATURITY 3/2004 ACCRUED INTEREST ON ITEM #32 TO DOD ~ERIES E BOND; DENOMINAT!ON $500; ISSUED 2/1964; MATURITY 2/2004 ACCRUED INTEREST ON ITEM #34 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 111964; MATURITY 1/2004 ACCRUED INTEREST ON ITEM #36 TO DOD 2 SERIES E BONDS; DENOMINATION $500; ISSUED 12/1963; MATURITY 12/2003 ACCRUED INTEREST ON ITEM ~38 TO DOD 2 SERIES E BONDS; DENOMINATION $500; ISSUED 11/1963; MATURITY 1112003 ACCRUED INTEREST ON ITEM #40 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 611963; MATURITY 6/2003 ACCRUED INTEREST ON ITEM ~2 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 3/1963; MATURITY 312003 ACCRUED INTEREST ON ITEM #44 TO DOD SERIES E BOND; DENOMINATION $500; ISSUED 2/1972; MATURITY 2/2002 ACCRUED INTEREST ON ITEM #46 TO DOD SERIES E BOND; DENOMINATION $100; ISSUED 9/1968; MATURITY 911998 ACCRUED INTEREST ON ITEM ¢A8 TO DOD (If mom space is needed, insert additional sheets of the same size) 375.00 3,903.60 375.00 3,875.40 375.00 3,875.40 375.00 3,960.80 375.00 3,940.20 375.00 3,899.20 750.00 7,798.40 750.00 7,745.60 375.00 3,895.40 375.00 3,948.40 375.00 2,148.40 75.00 461.56 7i4.902.6~' REV-1508 EX+ (6-98) ~ COMMONV~c. ALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER HULL, DONALD F. 21-03-0741 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with fight of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 .19 20 21 22 ORRSTOWN BANK, CHECKING ACCOUNT # 802204 ACCRUED INTEREST ON ITEM # 1 ORRSTOWN BANK, CERTIFICATE OF DEPOSIT # 30053084 ACCRUED INTEREST ON ITEM # 3 ORRSTOWN BANK, CERTIFICATE OF DEPOSIT #5030058613 ACCRUED INTEREST ON ITEM ~ ORRSTOWN BANK, CERTIFICATE OF DEPOSIT #30048768 ACCRUED INTEREST ON ITEM #7 ORRSTOWN BANK, CERTIFICATE OF DEPOSIT #5030060125 ACCRUED INTEREST ON ITEM ~ ORRSTOWN BANK, CERTIFICATE OF DEPOSIT #5030060126 ACCRUED INTEREST ON ITEM #11 M&T BANK, CHECKING ACCOUNT# 97316105 ACCRUED INTEREST ON ITEM ~3 M&T BANK, SAVINGS ACCOUNT # 015004206012764; FORMERLY ~::J4165041 ACCRUED INTEREST ON ITEM #15 M&T BANK, CERTIFICATE OF DEPOSIT ~31003914475776; FORMERLY ~7008100672334 ACCRUED INTEREST ON ITEM #17 M&T BANK, CERTIFICATE OF DEPOSIT ~31003914515712 ACCRUED INTEREST ON ITEM ~9 REFUND CHECKS FROM HIGHMARK BLUE SHIELD DATED PRIOR TO DOD PUBLIC SALE PROCEEDS OF PERSONAL PROPERTY 68,843.41 30.37 30,000.00 56.22 32,216.94 38.40 50,000.00 29.59 25,000.00 25.68 25,000.00 25.68 9,700.94 1.71 5,773.46 1.54 12,000.00 18.32 30,000.00 76.68 18.82 15,190.00 TOTAL (Also enter on line 5, Recapitulation) $ 304,047.76 (If more space is needed, insert additional sheets of the same size) REV-1510EX+ (6-98) , .. COMMON~r_ALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER HULL, DONALD F. 21-03-0741 This schedule must be completed and filed if the answer to any of que~ons 1 through 4 on the reverse side of the REV-1501) COVER SHEET is ~es. DESCRIPTION OF PROPERTY ITEM iNCLUDETHENAMEOfTHETRANSFEREi:,THEiRRELATiONSH1PTODECEBENTAND DATE OF DEATH %OFDECD'Si EXCLUSION TAXABLE NUMBEF THE DATE OF TRANS~ Ali'ACHACOPYOFTHEDEEDFORREALESTATE VALUE OF ASSET INTEREST (SF~PUCa)L~) VALUE 1. AMERICAN GENERAL UFE INSURANCE ANNUITY; 120,548.95 100 120,548.95 CONTRACT # A10095389F (PAYABLE TO CHILDREN IN EQUAL SHARES) TOTAL rNsoenteron ne,7Recapitulation) $ 120,548.95 (If more space is needed, insert additional sheets of the same size) EV~1511 EX+ (12-99)~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ~:STATE OF SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER HULL, DONALD F. 21-03-0741 Debts of decedent must be reported on Schedule L ITEId NUMBER DESCRIPTION AMOUNT 5. 6. 7. 8 FUNERAL EXPENSES: FOGELSANGER-BRICKER FUNERAL HOME, FUNERAL EXPENSES VITAL RECORDS, ADDITIONAL DEATH CERTIFICATES ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) ORRSTOWN BANK Social Security Number(s)/EIN Number of Personal Representative(s) StreatAddress 77 EAST KING STREET C~y SHIPPENSBURG .State PA Zip 17257 Year(s) Commission Paid: 2005 AttomeyFeas REIMBURSE FOR ADVANCE COSTS $3911.18; ATTORNEY FEE FOR ESTATE $45,000 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address C~ Relationship of Claimant to Decedent ProbateFees $400; SHORT CERTIFICATES: $54 Accoun~nt's Fees Tsx Return Preparer's Fees TERRY SHETTER, AUCTIONEER FEE FOR PUBLIC AUCTION RESEARCH FEES State . Zip TOTAL (Aisc enter on line 9, Recapitulation) (If mom space is needed, insert additional sheets of the same size) 4,730.00 333.00 37,487.00 48,911.18 454.00 7,987.14 3.50 99,905.82 REV-1512 EX,r (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HULL, DONALD F. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE UABILITIES, & LIENS FILE NUMBER 21-03-0741 Re )ort debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unrelmbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 2 3 4 5 6 7 8 9 10 11 PENN-MAR OIL COMPANY, BALANCE DUE PRIOR TO DEATH UNITED STATES TREASURY, 2002 FORM 1040 TAX DUE, PLUS INTEREST & PENALTY UNITED STATES TREASURY, 2001 FORM 1040 TAX DUE, PLUS INTEREST & PENALTY PA DEPARTMENT OF REVENUE, 2002 FORM PA40 TAX DUE PA DEPARTMENT OF REVENUE, 2001 FORM PA40 TAX DUE CPO2, BALANCE DUE FOR MEDICAL SERVICES YOGINDA S. BALHARA, MD, MEDICAL SERVICES RENDERED PRIOR TO DATE OF DEATH CUMBERLAND COUNTY TAX CLAIM BUREAU, REAL ESTATE TAXES DUE AT DATE OF DEATH BOROUGH OF SHIPPENSBURG, WATER/SEWER DUE AT DATE OF DEATH PENELEC, BALANCE DUE AT DATE OF DEATH COMCAST CABLE, BALANCE DUE AT DATE OF DEATH TOTAL (Nso enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 97.21 1,463.40 1,156.63 614.00 226.00 89.18 100.00 2,621.24 1,126.21 160.74 106.75 7,761.36 REV-1513 EX* (9-00i COMMONWEALTH OF PENNSYLVANIA ESTATE OF NUMBER 2 3 5 INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE BENEFICIARIES HULL, DONALD F. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY J RELATIONSHIP TO DECEDENT Do Not List Trustee(s) FILE NUMBER 21-03-07~-1 AMOUNT OR SHARE OF ESTATE TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) LOIS A. THORNE 100 BLUFF VIEW DRIVE, #41lA BELLEAIR BLUFFS, FL 33770 IRVIN S. HULL c/o ORRSTOWN BANK?TRUST DEPARTMENT P.O. BOX 250 SHIPPENSBURG, PA 17257 DONALD F. HULL, III, MD 17 DEERFIELD DRIVE TUNKHANNOCK, PA 18657 JAMES A. HULL 5712 SECOND AVENUE HALETHORPE, MD 21227 DAUGHTER SON GRANDSON GRANDSON 1/3 share of estate residue ($370,610.73) 1/3 share oX estate residue (370,610.73) 1/12 share of estate residue ($92,652.68) 1/12 share of estate residue ($92,652.68) MARY ELIZABETH DAVIS GRANDDAUGHTER 1/12 share 610 MEYERS DRIVE of estate residue CATONSVILLE, MD 21228 ($92,652.68) ENTERD~RAM~UN~SF~RD~S~R~BUT~NSSH~NAB~E~N~NES15THR~UGH18~ASAPPR~PR~E~NRE~15~C~ER~HEET 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 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) REV-1513 EX+ (9-00) SCHEDULE l COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER HULL, DONALD F. (CONTINUED) NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] JOHN S. HULL 8 RUMFORD ROAD, #301 CATONSVILLE, MI) 21228 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) GRANDSON FILE NUMBER 21-03-074t AMOUNT OR SHARE OF ESTATE 1/12 share ~'~ of estate residue ($92,652.69) 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 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) COMMONWEALTH OF PENNSYLVANIA c DEPARTMENT OF REVENUE A"f"lAr CL: [py,pr{n 1)'-Uu!HOJrICE OF DETERMINATION AND BUREAU OF INDIVIDUAL TAXES";'C~' ,~ -" ,!" ASSESSMENT OF PENNSYLVANIA INHERITANCE TAX DIVISION , ' "'ESTATE TAX BASED ON FEDERAL PO BDX Z8D6D1 ESTA HA.RISBUR. PA 17IZ8-D601 TE TAX RETURN 7."",,,Qr::-5 f\'n11:54 J.l;J,J ~.l..--, '* REV-483 EX AFP (06-05) 08-08-2005 HULL 12-28-2002 21 03-0741 CUMBERLAND 201 APPEAL DATE: 10-07-2005 (See rwerse side under Objections) AmDunt Remitted I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: DONALD F ('r,' I'. BARBARA E BROB~T' ORRSTOWN BANK PO BOX 250 SHIPPENSBURG DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN PA 17257 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account I submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR FILES +- ------------------------------------------------------------------------------------------ REV-483 EX AFP (03-05) .. NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. ESTATE OF HULL DONALD F FILE NO.21 03-0741 ACN 201 DATE 08-08-2005 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified 31. 929.30 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 50.032.45 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 50.032.45 5. Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 "IF PAID AFTER THIS DATE. SEE REVERSE SIDE IIF TOTAL DUE IS LESS THAN $1, ND PAYMENT IS REQUIRED FDR CALCULATION DF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIr' ICR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FO~ FOR INSTRUCTIONS.) ,-",1-- G:L"C::> 08-08-2005 HULL 12-28-2002 21 03-0741 CUMBERLAND 101 APPEAL DATE: 10-07-2005 ( See reverse side under Objections) AIIDUITt Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS _ REy:is47-Ex-AFP-io3:osi-NOYICE-OF-INHERIYANCE-YAX-APPRAISEHENY:-ALLowANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DONALD F FILE NO. 21 03-0741 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE YAK DIVISION PO BDX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA PX{)PD:D C;:F!rf~T=:~~H::XT:~E::E . ~'~,,~-'c~I'Q.IS~HI!\lT, ALLOWANCE OR DISALLOWAHCE ", - .OF DEDUCTIOHS AHD ASSESSHENT OF TAX .,. I" C4 ZnO" "'(' -5 p., \. J uU:) ,',:";1.) II DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN BARBARA E BROBST ORRSTOWN BANK PO BOX 250 SHIPPENSBURG PA 17257 ESTATE OF HULL *' REV-1S47 EX AFP (16-05) DONALD F TAX RETURH liAS: (X) ACCEPTEO AS FILED ( ) CHANGED DATE 08-08-2005 If an asses~ent was issued previouslY. lines 14. 15 and/or 16. 17. 18 and reflect figures that include the total ~ ~ returns assessed to date. ASSESSMENT OF TAX: 15. Anount of Line 14 at Spousal rat. (IS) 16. Amount of Line 14 taxable at Lineal/Class A rat. (16) 17. A.ount of Line 1~ .t Sibling r.t. (17) 18. ~unt of Line 14 taxable at Collateral/Class Brat. (18) 19. Principal Tax Du. C n. RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Re.1 Estat. (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) ~. Mortgages/Notes Receivable (Schedule DJ 5. Cash/Bank Deposits/Hisc. rersorwl Property (Schedule El 6. Jointly Owned Property (Schedule FJ 7. Trensfers (Schedule G) 8. Total Assets (ll (2) (3) I~) (5) (6) (7) 80.000.00 714.902.66 .00 .00 304.047.76 .00 120.548.95 IB) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral ExPanses/Ad.. Costs/Misc. Expenses (Schedule Hl 10. Debts/Hortg8g8 LiobilitiBs/Li8ns ISchodulB I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitabl./Govern..ntel Bequests; Non-elected 9113 Trusts 14. Net Value of Estate Subject to Tax 99,905.82 (91 (10) 7.761.36 Ill) (12) (13) 1l~1 (Schedule ,J) NOTE: .00 X 1.111,832.19 X .00 X .00 X HUllBER CD004793 INTEREST/PEN PAID 1-) .00 A"DUNT PAID 50.032.45 DATE 01-03-2005 BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-04-2005 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ~ . IF PAID AFTER DATE INDICATED, SEE REVERSE ~ FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To insure proper credit to your account" ~it the upper portion of this for. with your tax "~nt. 1,219.499.37 107.667 18 1,111.832.19 .00 1,111,832.19 19 will 00 = 045 = 12 = 15 = .00 50,032.45 .00 .00 50,032.45 (19)= 50,032.45 .00 2,679.19 2,679.19 ( IF TOTAL DUE IS LESS THAN $1. NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU I1AY BE DUE A REFUND. SEE REVERSE SIDE DF THIS FOIlll FOR INSTRI"'TT""" 1 ZOQS hUG 19 P/i 12: 32 NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED DN FEDERAL CLDSING LETTER DATE ESTATE DF DATE OF DEATH FILE NUMBER CDUNTY ACN *' CDMMONWEALTH DF PENNSYLVANIA DEPARTMENT DF REVENUE BUREAU OF INDIVIDUAL~~QED OFFlrc n;: INHERITANCE TAX DIVISION 'C.-('.!'....,.:-r-.~......., _I V'- ...- PO BOX 280601 \-. ~;"- ; _ --< ! . HARRISBURG PA 17128.0601 ! !._'."",~~~ ,-'" 1lEY-7MEXAFP(U-nSl C~[',~;< OF;c' BARBARA ~i~ROBST DRRSTDWN BANK PD BDX 250 SHIPPENSBURG PA 17257 08-15-2005 HULL 12-28-2002 21 03-0741 CUMBERLAND 202 APPEAL DATE: 10-14-2005 (See reverse side under Objections) A.aunt Re.itted I MAKE CHECK PAYABLE AND REMIT PAYMENT TD: DDNALD F REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTIDN FOR YDUR FILES +- RE-V=73jf-Ei-JlFP--(oi:ii25-----~-;-NO-ficE--OF--nETE-RMiNJliiO-N-AN-n-As-SESS-MENT----------------------------- DF PENNSYLVANIA ESTATE TAX BASED DN FEDERAL CLDSING LETTER .. ESTATE DF HULL DONALD F FILE NO.21 03-0741 ACN 202 DATE 08-15-2005 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified 31,929.30 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 50,032.45 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 50.032.45 5. Pennsylvania Estate Tax Due .00 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return .00 7. Additional Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 *IF PAID AFTER THIS DATE. SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN *1. NO PAYMENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ. YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~~"l-- Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/15/2005 WEIGLE JERRY A 126 E KING STREET SHIPPENSBURG, PA 17257 RE: Estate of HULL DONALD F File Number: 2003-00741 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. 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: 12/28/2005 Your prompt attention to this matter will be appreciated. Thank You. Z:~~ "-.' GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ORRSTOWN BANK 77 EAST KING STREET SHIPPENSBURG, PA 17257 _u_____ fold ESTATE INFORMATION: SSN: 1 64-36-51 68 FILE NUMBER: 2103-0741 DECEDENT NAME: HULL DONALD F DA TE OF PAYMENT: 11/17/2005 POSTMARK DATE: 11/16/2005 COUNTY: CUMBERLAND DATE OF DEATH: 12/28/2002 NO. CD 006007 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,679.19 I I I I I I I I TOTAL AMOUNT PAID: $2,679.19 REMARKS: ORRSTOWN BANK CHECK# 022913 SEAL INITIALS: RSK RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS ~ ..r rn rn ..r ..r o \ {' .. - c..D rn o LJl ... rn ... rn o .. ~ rn ... lJ" ru ru o ~ Estate of: HULL SSN: Date of Death: File Number: Date of Assessment: ACN: -----.----------...-------------------------------..---------------------------....---- ------ ._-----...-_. ------., ---- PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO THE REGISTER OF WILLS LISTED BELOW DONALD F 164-36-5168 12-28-2002 21 03-0741 08-08-2005 101 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 6- ~ rJ tl. <a, "'.6- "s- GJIIN('\ -----~..----~----. ,..-' to \S) t"- ~ i~::) ~::\ C'lc-'\ r; . cO O'-~ 0> 0 U0 EIt Z 9: N tD 2- '3. 0 0'0:: ...-- U,.. 0>0 ~~ ~1- ~ CI ::;: C:) ~ ss~,~ l.S~i\;i a3.l..~OS3~d -:. - - .- -=- * * * * * - - - -:. ~ - -:. :::;. - -:. ~ - -; - -=- ~ ~ - - -:. ~ - - -:. - ,.... .' ...0\ () r'" ....\ \....\ ........ -'-- ili (:i j_. {t .') BUREAU OF INDIVIDUAL f.,fes INHERITANCE TAX DIVISION . . PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT . REV-1607 EX AFP (03-05) r-'., '"'-, ..," \/ ,- I I DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-12-2005 HULL 12-28-2002 21 03-0741 CUMBERLAND 101 DONALD F ,''') J r" ~ j f....../ ,:".1 ~-'1~ .5b BARBARA E'"BR.01lST oRRSToWN BANK PO BOX 250 SHIPPENSBURG Amount Re.i Hed PA 17257 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this for. with your tax pay.ent. CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS ... --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF HULL DONALD F FILE NO.21 03-0741 ACN 101 DATE 12-12-2005 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED eSTATE. SHOWN BELOW IS A SUHHARY 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: 08-08-2005 PRINCIPAL TAX DUE: 50,032.45 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-03-2005 CD004793 .00 50,032.45 11-16-2005 CD006007 2,679.19- 2,679.19 TOTAL TAX CREDIT 50,032.45 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 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"" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~ Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: Donald F. Hull Date of Death: December 28, 2002 Estate No.: 21-03-741 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 Iil 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: December 31, 2005 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 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 f01111al or info 1al accounts may be filed with the Cl k of the Orphans' Court and y be attached to this report. Date: November 17, 2005 Jerry A. Weigle, Esquire Name WEIGLE & ASSOCIATES, P.C. 126 East King Street Address Shippensburg, PA 717-532-7388 17257 Tele.phone No. Capaeity: 0 Personal Representative .og Counsel for personal representative Ill. DATE OF DEATH: DATE OF ADMINISTRATOR'S APPOINTMENT: DATES OF ADVERTISEMENT OF LETTERS: CUMBERLAND LAW JOURNAL THE NEWS CHRONICLE ACCOUNTING FOR PERIOD: ADMINISTRATOR'S ACCOUNT FIRST AND FINAL ACCOUNT OF ORRSTOWN BANK, ADMINISTRATOR C.T.A. FOR ESTATE OF DONALD F. HULL, DECEASED December 28, 2002 December 5, 2003 December 26, 2003, and January 2, 9, 2004 December19,26,2003,and January 2, 2004 December 5, 2003 to February 1, 2006 Purpose of Account: Orrstown Bank, Administrator C.T.A., offers this account to acquaint interested parties with the transactions that have occurred during the estate administration. The account also indicates the proposed distribution of the estate. It is important that the account be carefully examined. Requests for additional informatior or questions or objections can be discussed with: JERRY A. WEIGLE, ESQUIRE WEIGLE & ASSOCIATES, P.C. 126 EAST KING STREET SHIPPENSBURG, PA 17257 717-532-7388 j. \ - ':~ ~ -"'\ ~ \ :' ~) , i 1 L,) , "1 ,r- - AFFIDA VIT ORRSTOWN BANK, Administrator C.TA of the Estate of Donald F. Hull, deceased, hereby delares under oath (penalties of perjury) that they have fully and faithfully discharged the duties of their office; that the foregoing First and Final 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, to their knowledge, there are no claims now outstanding against the estate; and that alllaxes presenlly due from Ihe estate have b~ ~ /BARBARA E. BROBST, . SENIOR VICE PRESIDENT AND SENIOR TRUST OFFICER Subscribed and sworn to before me this dll tI day of "fdJ ,~ I' ff(f /{l &-4 ~ \ P(,Q~:\-' l\ I S!1;:if)8P<.hur~; ~~I. \ I :.., .,"'..,.0'" .1; " '<,-~L}j \' i"ll! ~~t,: q i\h0ri;",,~ 't" lr't'/ r,.,,\ -',\ -"1'-1'1, . SUMMARY OF ACCOUNT FIDUCIARY ACQUISTION VALUE PAGE PRINCIPAL Receipts Net Gain/Loss on Sales or Other Dispositions 1 $1,697,797.18 1-2 $45,970.66 3 -$330,839.91 4 -$100,000.00 4 4 $1,312,927.93 Less Disbursements Less Advance Distributions to Beneficiaries Changes In Investment Holdings Principal Balance on Hand INCOME Receipts Less Disbursements 5 5 $135,343.98 -$38,338.82 Income Balance on Hand 5 $97,005.16 Combined Balance on Hand $1.409.933.09 12/10/2003 1/29/2004 2/3/2004 3/12/2004 3/15/2004 3/16/2004 7/12/2004 7/26/2004 8/9/2004 8/11/2004 9/20/2004 9/24/2004 1 0/12/2004 12/9/2004 3/17/2005 3/18/2005 2/19/2004 5/10/2004 8/16/2004 8/18/2004 RECEIPTS OF PRINCIPAL Transfer from Orrstown Bank checking account # 802204 Check from Orrstown Financial Services, dividend PA Blue Shield refund M&T Bank, proceeds from closing checking account M& T Bank, proceeds CD maturities Highmark Blue Shield, replacement of stale dated checks Refund, Timmons Oil Dividend check from Viacom Refund, Department of Vital Records Proceeds received from sale of personal property at public sale Transfer from Orrstown Bank checking account # 802204 Check received from New York Life Insurance Company for death benefits Proceeds from Orrstown Bank checking acct # 802204 Check received from M& T Bank Proceeds from Series E Bond redemptions Proceeds from Series E Bond redemptions Proceeds from Series E Bond redemptions SECURITY RECEIPTS: 29,822 shs. Orrstown Financial Services, Inc. Real Estate-215 South Queen St., @ appraised value 15,600 par U.S. Savings Bonds Series E 30,000 shs. Orrstown Bank CD 3.6% 11/9/04 32216.94 shs. Orrstown Bank CD 1.74% 1/3/05 50,000 shs. Orrstown Bank CD 2.7% 9/21/08 25,000 shs. Orrstown Bank CD 2.5% 7/14/05 25,000 shs Orrstown Bank CD 2.5% 7/14/05 1600 shs. Carlisle Companies 260 shs. Viacom Inc. Class B 197 shs. Prudential Financial TOTAL PRINCIPAL RECEIPTS GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS ~N 8/18/2004 30000 shs Orrstown Bank CD 3.6% due 11/9/04 Proceeds 30,000.00 Cost Basis 30,000.00 $0.00 8/23/2004 Sale of real estate-215 South Queen St., Shippensburg, PA Proceeds 90,000.00 Cost Basise 80,000.00 $10,00000 8/23/2004 50000 shs Orrstown Bank CD 27% due 9/21/08 Proceeds 50,000.00 Cost Basis 50,000.00 $0.00 9/17/2004 33431.28 shs Orrstown Bank CD 1.74% due 1/3/05 Proceeds 33,431.28 Cost Basis 33,431.28 $000 9/17/2004 25005.13 shs Orrstown Bank CD 2.5% due 7/14/05 Proceeds 25,005.13 Cost Basis 25,00513 $000 1 . FIDUCIARY ACQUISITION VALUE $70,00000 $3,13131 $73.98 $9,79505 $43,25746 $18.82 $51584 $15.60 $27.00 $15,190.00 $5,00000 $14,769.21 $1,68733 $6,021.94 $5,25000 $45,676.76 $5,40080 $1,134,12594 $80,00000 $11,700.00 $30,00000 $32,216.94 $50,00000 $25,00000 $25,00000 $67,15400 $10,55730 $6,21190 $1.697797.18 LOSS $0.00 $0.00 $0.00 $0.00 - GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS ~IN LOSS 9/17/2004 25005.13 shs Orrstown Bank CD 2.5% due 7/14/05 Proceeds 25,00513 Cost Basis 25,00513 $0.00 $0.00 10/26/2004 260 shs Viacom Inc. Proceeds 8,84579 Cost Basis 10,557.30 -$1,711.51 11/8/2004 600 shs Viacom, Inc. Proceeds 35,489 16 Cost Basis 25,182.75 $10,306.41 11/9/2004 1000 shs Carlisle Companies Proceeds 59,998.59 Cost Basis 41 ,971.25 $18,02734 7/29/2005 .10 shs. Orrstown Financial Services, Inc. Proceeds 4.15 Cost Basis 1.96 $2.19 1 0/4/2005 600 shs. Orrstown Financial Services, Inc. Proceeds 22,679.05 Cost Basis 21 ,600.00 $1,07905 1 0/6/2005 200 shs. Orrstown Financial Services, Inc. Proceeds 7,45968 Cost Basis 7.200.00 $259.68 10/13/2005 200 shs. Orrstown Financial Services, Inc. Proceeds 7,459.68 Cost Basis 7,200.00 $259.68 10/26/2005 500 shs. Orrstown Financial Services, Inc. Proceeds 17,999.24 Cost Basis 18,000.00 -$0.76 10/27/2005 500 shs. Orrstown Financial Services, Inc Proceeds 17,999.24 Cost Basis 18,000.00 -$0.76 11/1/2005 500 shs. Orrstown Financial Services, Inc. Proceeds 17,999.24 Cost Basis 18,000.00 -$0.76 11/4/2005 500 shs. Orrstown Financial Services, Inc. Proceeds 17,999.24 Cost Basis 18,000.00 -$0.76 12/7/2005 500 shs. Orrstown Financial Services, Inc. Proceeds 17,624.26 Cost Basis 18,000.00 -$375.74 12/14/2005 500 shs. Orrstown Financial Services, Inc. Proceeds 17,624.26 Cost Basis 18,000.00 -$375.74 12/28/2005 197 shs. Prudential Financial Proceeds 14,714.24 Cost Basis 6,211.90 $8,50234 $48 436 69 -$2.466.03 NET GAINS/LOSSES $45 970.66 2 . DISBURSEMENTS OF PRINCIPAL 12/04/03 Jerry W. Weigle, reimbursement for probate costs Cumberland County Tax Claim Bureau, past due real estate taxes 12/10/03 Weigle & Associates, legal services rendered 12/11/03 Borough of Shippensburg, water/sewer debt due 12/17/03 Lisa L. Helm, 2003 real estate taxes due Penelec, past due balance 01/15/04 Penelec, balance due Ron Singer Plumbing & Heating, servicing boiler & furnace 02/06/04 Kellen Bullock, snow removal @ property 02/11/04 Magisterial Dist.Justice, citation for snow/ice removal 02/13/04 Penelec, balance due Comcast Cable, past due balance Fogelsonger-Bricker Funeral Home, funeral expenses 02/18/04 Weigle & Associates, reimbursement for publication costs 02/19/04 Penelec, balance due 02/20/04 CP02, debt of the decedent Yogindra Balhara, MD., debt of the decedent 02/27/04 Credit Plus Collection Services, Penn Mar Oil Co., debt due Weigle & Associates, reimbursement for publication costs 03/04/04 Borough of Shippensburg, water/sewer debt due 03/05/04 Timmons Oil, balance due 03/16/04 Penelec, balance due 04/14/04 Penelec, balance due 05/14/04 Register of Wills, Cumberland County, 12 Short Certificates 05/19/04 Penelec, balance due 06/01/04 Vital Records, 8 certified Death Certificates for Dorothy Hull 06/03/04 Internal Revenue Service, 2002 Form 1040 tax due Internal Revenue Service, 2001 Form 1040 tax due PA Department of Revenue, 2001 Form PA-40 tax due PA Department of Revenue, 2002 Form PA-40 tax due 06/09/04 Kellen Bullock, lawn care @ property 06/16/04 Vital Records, 4 certified Death Certificates for Donald Hull, Jr. 06/17/04 Penelec, balance due 07/02/04 Kellen Bullock, lawn care @ property 07/15/04 Penelec, balance due 07/29/04 Internal Revenue Service, interest/penalty for 2001 Form 1040 08/03/04 Lisa L. Helm, 2004-2005 real estate taxes 08/06/04 Kellen Bullock, lawn care @ property 08/09/04 Terry L. Shetter, auctioneer services 08/12/04 Internal Revenue Service, interest/penalty for 2002 Form 1040 08/17/04 Penelec, balance due 08/23/04 1 % real estate transfer tax on property sale 08/25/04 Register of Wills, Cumberland County, 6 Short Certificates 08/26/04 Vital Records, additional Death Certificates 09/08/04 Charlene Feuchtenberger, research fees 09/14/05 Penelec, balance due 11/02/04 Vital Records, additional Death Certificates 12/08/04 Weigle & Associates, partial legal fee 12/13/04 Alex Sheshunoff & Co., appraisal of Orrstown Bank stock 12/14/04 Internal Revenue Services, Form 706 tax due Register of Wills, Agent, PA Inheritance tax due Register of Wills, Cumberland County, filing Inheritance Tax Return 12/16/04 Register of Wills, Cumberland County, filing Inventory Register of Wills, Cumberland County, additional probate fee 04/14/05 Weigle & Associates, partial legal fee 04/15/05 Internal Revenue Service, 2004 form 1041 tax due PA Department of Revenue, 2004 Form PA41 tax due 06/13/05 PA Department of Revenue, 2005 Form PA-41 ES Internal Revenue Service, 2005 form 1041 ES 06/29/05 Internal Revenue Service, Form 706 balance due 11/14/05 Register of Wills, Cumberland County, late fee for Inheritance tax DISBURSEMENTS OF SECURITIES: 12/09/04 Series E Savings Bond redemptions 04/29/052,100 shs. Orrstown Financial Services, Inc. to Irvin Hull 2447.28 shs. Federated Money Market Fund to Irvin Hull (settlement for sale of real estate bequeathed to Irvin Hull) RESERVED: Orrstown Bank, Administrator fee Jerry W. Weigle, balance of attorney fee Orrstown Bank, 6% income fee TOTAL DISBURSEMENTS OF PRINCIPAL $ 400.00 $ 2,621.24 $ 3,'130.76 $ 532.40 $ 1,t50300 $ 160.74 $ 25.71 $ 674.00 $ 43.98 $ 148.00 $ 160.74 $ 106.75 $ 4,73000 $ 101.00 $ 25.94 $ 89.18 $ 100.00 $ 97.21 $ 79.42 $ 59381 $ 814.37 $ 18.72 $ 17.14 $ 36.00 $ 17.69 $ 72.00 $ 1,074.00 $ 5300 $ 226.00 $ 6'14.00 $ 90.00 $ :l6.00 $ '19.59 $ i'5.00 $ 18.24 $ 1,103.63 $ 467.93 $ 50.00 $ 7,987.14 $ 389.48 $ 20.85 $ 900.00 $ 18.00 $ 207.00 $ 3.50 $ 23.00 $ 18.00 $ 10,000.00 $ 3,00000 $ 33,23765 $ 50,032.45 $ 15.00 $ 15.00 $ 525.00 $ 10,00000 $ 9,321.00 $ 1,093.00 $ 522.00 $ 7,601.00 $ 1,894.20 $ 2,679.19 $ 11,700.00 $ 86,235.98 $ 2,447.28 $ 37.48700 $ 25,000.00 $ 7,740.00 $ 330.839~ 3 10/17/05-12/22/05 Lois A. Thorne, advance distributions ORRSTOWN FINANCIAL SERVICES. INC. 08/24/04 Deposit 29,822 shs. 10/22104 Adjust cost basis for date of death value 12/01/04 Adjust cost basis for appraised value per appraisal of Alex Sheshunoff & Co. 04/29/05 Delivered 2,100 shs. To Irvin Hull 06/30/05 5% stock dividend of record 6/3/05; received 1071.55 shs. 09/19/05 Adjust cost basis on split shares per appraisal of Alex Sheshunoff & Co. PRINCIPAL BALANCE ON HAND Cash (Money Market fund) 26,108 shs. Orrstown Financial Services, Inc. ADVANCE DISTRIBUTIONS $100,000.l!Q CHANGES IN INVESTMENT HOLDINGS 4 FIDUCIARY ACQUISITION VALUE $1,112,861.00 -$438,510.00 -$146,718.00 -$86,235.98 $0.00 $606,492.94 $1,047.88996 FIDUCIARY ACQUISTION VALUE 2/1/06 $479,266.93 $903,888.00 $1 383154.93 MARKET VALUE 2/1/2006 $479,266.93 $903,888.00 ~~ INTEREST 08/18/04 08/23/04 09/17/04 02/03/04 12/09/04 DIVIDENDS 1/5/04-1/4/06 3/16/04-12/22/05 2/3/04-9/13/04 2/3/04-10/12/04 5/14/04-12/29/05 2/10/2004 4/15/2005 9/14/2005 RECEIPTS OF INCOME Orrstown Bank CD 3.6% 11/9/04 Orrstown Bank CD 2.7% 9/21/08 Orrstown Bank CD 2.5% 7/14/05 Orrstown Bank CD 2.5% 7/14/05 Orrstown Bank CD 1.74% 1/3/05 Interest checks received from Allfirst Series E Bond redemptions-accrued interest Federated Money Market Fund Orrstown Financial Services, Inc. Carlisle Companies Viacom Inc. Prudential Financial TOTAL RECEIPTS OF INCOME DISBURSEMENTS OF INCOME Return of stale dated checks from Blue Cross/Shield Internal Revenue Service, 2004 Form 1041 tax due PA Department of Revenue, 2004 Form PA-41 tax due PA Department of Revenue, 2005 Form PA41-Es Internal Revenue Service, 2005 Form 1041ES Internal Revenue Service, 2005 Form 1041 ES PA Department of Revenue, 2005 Form PA41-Es TOTAL DISBURSEMENTS OF INCOME INCOME BALANCE ON HAND Cash (Money Market fund) 5 $26.56 $103.28 $5.13 $5.13 $1,21434 $1,840.22 $56,94860 $60,143.26 $19,94826 $51,14345 $3,792.00 $46.80 $270.21 $75,20072 $135.343.98 $18.82 $21,080.00 $994.00 $522.00 $7,60100 $7,601.00 $522 00 $38.338.82 FIDUCIARY ACQUISITION VALUE 2/1/2006 $97 .005.16 MARKET VALUE 2/1/2006 $97 .005.16 PROPOSED DISTRIBUTIONS TO BENEFICIARIES IRVIN S. HULL 1503 EDENVILLE ROAD, APT. B CHAMBERSBURG, PA 17201 ADVANCE DISTRIBUTION 4/29/05 FOR REAL ESTATE BEQUEATHED PER PARAGRAPH THIRD (A) OF LAST WILL AND TESTAMENT OF DONALD F. HULL: 2100 SHARES OF ORRSTOWN FINANCIAL SERVICES, INC. 2447.28 SHARES OF FEDERATED MONEY MARKET FUND $86,235.98 $2,447.28 1/3 ESTATE RESIDUE PER LAST WILL AND TESTAMENT OF DONALD F. HULL 13,793 SHARES ORRSTOWN FINANCIAL SERVICES, INC. @ APPRAISED VALUE ($36/SHARE) CASH $88,68326 $496,54800 $6,75788 $591,989.14 LOIS A. THORNE 100 BLUFF VIEW DRIVE #411A BELLEAIR BLUFFS, FL 33770 1/3 ESTATE RESIDUE PER LAST WILL AND TESTAMENT OF DONALD F. HULL: 8060 SHARES ORRSTOWN FINANCIAL SERVICES, INC. @ APPRAISED VALUE ($36/SHARE) ADVANCE CASH DISTRIBUTIONS PAID 10/17/05 & 12/22/05 $290,160.00 -$10000000 BALANCE OF 1/3 ESTATE RESIDUE IN CASH $113,14589 JOHN S. HULL 8 RUMFORD ROAD, #301 CATONSVILLE, MD 21228 1/12 ESTATE RESIDUE PER LAST WILL AND TESTAMENT OF DONALD F. HULL: $125,830.33 JAMES A. HULL 5712 SECOND AVENUE HALETHORPE, MD 21227 1/12 ESTATE RESIDUE PER LAST WILL AND TESTAMENT OF DONALD F. HULL: 830 SHARES ORRSTOWN FINANCIAL SERVICES, INC. @ APPRAISED VALUE ($36/SHARE) BALANCE OF 1/12TH ESTATE RESIDUE IN CASH $125,83033 $29 880.00 $95,950.33 DONALD F. HULL, III, MD 17 DEERFIELD DRIVE TUNKHANNOCK, PA 18657 1/12 ESTATE RESIDUE PER LAST WILL AND TESTAMENT OF DONALD F. HULL: 425 SHARES ORRSTOWN FINANCIAL SERVICES, INC. @ APPRAISED VALUE ($36/SHARE) BALANCE OF 1/12 ESTATE RESIDUE IN CASH $125,830.33 $15300.00 $110,53033 MARY ELIZABETH DAVIS 610 MEYERS DRIVE CATONSVILLE, MD 21228 1/12 ESTATE RESIDUE PER LAST WILL AND TESTAMENT OF DONALD F. HULL: 2,000 SHARES ORRSTOWN FINANCIAL SERVICS, INC. @ APPRAISED VALUE ($36/SHARE) BALANCE OF 1/12 ESTATE RESIDUE IN CASH $125,830.33 $72,000.00 $5,38333 TOTAL PROPOSED DISTRIBUTIONS $1.409 933.09 <tl 0 ~E-< E-< .....:l~ ~<tl p..,:::>.....:l~ O.....:lE-< zu:::>oo o ::t:H ::>::00 z ::>:: Z . 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" 1.1-: ~~i~f!~.I~ \~. - \ ri J"" 4. . <} ~~;~~,iii' U~ , J - III 0' <l> 10 c: I '?' 00)_-(1)0:3' '" ---.. __ en -E lii >- &. ~ 0....; \, 'J gof;~~'~~~ ~ :\" _,,, ~ €~;Jo~~i ~ . ~ O~i1i~1Q)9r;; ~ I'V 8,g~"13 ~ca; ~ ~ g i I ~ $l J ~ ~ ~ N' ~ V) jli5!lltal~i "'-\ ~~ ! i sj!I~1 2' c. r ~ j 111'il~ ',~ f"l3i~tl.fl~~ J~ ~i~~c o~~~ ./ lPi OCD -CD~a ~1ii~CD€. 1Z~liiu _CiS:;:;;; ~ iil.c::ll< '(' . 1111 ;;,~ A!:~ \~! c 15 'C'/, a - /, ;&.. if '=' a. v' .0...; -;: Q. J: ~=c: "0-0 ~- ... . "0 ::>> CCDQ . .J.~-;: /) v, >-~ ~ '\ -..."0 '/ . CDO /,\ , ~ g'O ,,%, , o. J . . r ~5. '" STATUS REPORT UNDER RULE 6.12 Name of Decedent: DONALD F. HULL Date of Death: 12/28/02 Will No. 21-03-0741 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: 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: ..? 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? Yes X No d. Copies of receipts, releases approvals of formal or informal accounts may Cerk of the Orphans' Court and m be attach oate:tfj; :?/60 joinders and filed with the to this report. CHARLENE L. FEUCHTENBERGER Name (P lease type or print)' ORRSTOWN BANK, P.O. BOX 250 Address SHIPPENSBURG, PA 17257 ." 1(''\ 00'1./1,,} . "10 --</jl ( 717) 530-2614 Tel. No. Capacity: X Personal Representative SO: I ~.'-J ':: I '. i _( MAt!: ~nlf! ~J) Counsel for personal representative \ f'i'17 )UL, ~ -- - -' - --- ~ : {() n -;..-~ ,.,- --,