HomeMy WebLinkAbout01-23-131505610140
1500 EX (°'-'°'
-' REV
- OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
PO Box 2aosol INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 1 2 1 1 1 3
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
3 5 6 4 6 5 2 5 7 0 8 1 1 2 0 1 2 0 7 0 9 1 9 6 2
Decedent's Last Name Suffix Decedent's Firs t Name MI
H I L L I S O N S T A C I E L
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
H I L L I S O N J O E L R
Spouse's Social Security Number
3 6 1 5 4 3 0 4 9 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return
4. Limited Estate
^X 6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
IENCE AND CONFIDENTIAL TAX INFORMATION SHOULD 8E DIRECTED TO:
Daytime Telephone Number
J R 7 1 7 2 4 3 3 3 4 1
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL
Name
G E O R G E B F A L L E R,
First line of address
M A R T S O N
Second line of address
1 0 E A S T
City or Post Office
C A R L I S L E
REGISTER OF WILLS USE ONLY
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State ZIP Code ~'
2. Supplemental Retum
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust ~
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
Correspondent's a-mail address:
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P A 1 7 0 1 3 ~;
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GFALLERta'~,MARTSONLAW.COM ;._~ ~`~
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
OF
RETURN
1114 ,FLEETWOOD,D.RIlO'E A CARLISLE PA 17013
SIGNAT OF PREPA RtOTH EP~t SENTATIVE ~ ~A~ '
ADDRESS
10 EAST HIGH STREET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610140 1505610140 J
J
150561Q24Q
REV-1500 EX Decedent's Social Security Number
oeoedenYs Name: STACIE L HILLISON ~ 3 5 6 4 6 5 2 5 7
RECAPITULATION
1. Real Estate (Schedule A) ......................................... .. 1.
2. Stocks and Bonds (Schedule B) .................................... .. 2. 3 Q 3 • 2 9
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3.
4. Mortgages and Notes Receivable (Schedule D) ........................ .. 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5.
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ..... .. 6. 2 7 1 4 Q 8
7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property
(Schedule G) ~ Separate Billing Requested ..... .. 7.
8. Total Gross Assets (total Lines 1 through 7) ......................... .. 8. 3 0 1 7 , 3 7
9. Funeral Expenses and Administrative Costs (Schedule H) .... .... ........ .. 9. 6 9 D 3 . 7 2
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ... ........ .. 10.
11. Total Deductions (total Lines 9 and 10) ................. .... ........ .. 11. 6 9 Q 3 • 7 2
12. Net Value of Estate (Line 8 minus Line 11) .............. .... ........ .. 12. - 3 8 8 6 . 3 5
13. Charitable and Governmental Bequests/Sec 9113 Trusts for whi ch
an election to tax has not been made (Schedule J) ........ .... ........ .. 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ........ .... ........ .. 14. - 3 8 8 6 . 3 5
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2)X.0 _ Q Q Q 15. Q, Q Q
16. Amount of Line 14 taxable
at lineal rate X .045 Q Q Q 16. Q• Q Q
17. Amount of Line 14 taxable
at sibling rate X .12 Q Q Q 17. Q. D D
18. Amount of Line 14 taxable
at collateral rate X .15 Q Q Q 18. Q• Q Q
19. TAX DUE ......................................... .... ....... ..19. Q . Q Q
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
150561Q24^ 150561Q240
REV-1500 EX Page 3 File Number
Decedent's Complete Address: 21 1z 1113
DECEDENT'S NAME
STACIE L. HILLISON
STREET ADDRESS
1114 FLEETWOOD DRIVE
CITY STATE ZIP
CARLISLE PA 17013
Tax Payments and Credits:
t Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments -
B. Discount
(1) 0.00
Total Credits (A + B) (2) 0.00
3. Interest
(3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred : ...................................................................... ^
b. retain the right to designate who shall use the property transferred or its income : ............................... ^ ^X
c. retain a reversionary interest; or ................................................................................................ ^ ^X
d. receive the promise for life of either payments, benefits or care? ....................................................... ^ Q
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ^ Q
3. Did decedent own an 'intrust for" orpayable-upon-death bank account or security at his or her death? ......... ^ Q
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
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse i;
3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure 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 after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 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 percent [72 P.S. §9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, 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 for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-7503 EX + (6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
STACIE L. HILLISON 21 12 1 ll3
All property Jolntlyowned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 6.633 shares of AFLAC Inc. (See attached valuation.) 303.29
TOTAL (Also enter on line 2, Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX+ (01-10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
STACIE L. HILLISON _ 21 12 1113
SCHEDULE F
JOINTLY-OWNED PROPERTY
If an asset was made jointly owned within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A. CLAIRF, HILLISON 1114 FLEETWOOD DRIVE DAUGHTER
CARLISLE. PA 17013
B. DENA HILLISON
1114 FLEETWOOD DRIVE
CARLISLE, PA 17013
DAUGHTER
C. NATHAN HILLISON
JOINTLY•OWNED PROPERTY:
1114 FLEETWOOD DRIVE
CARLISLE, PA 17013
SON
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET %, OF
DECEDENTS
INTEREST DATE OF DEATH
VALUE OF
DECEDENTS INTERESI
1. A. 01/2008 Members 1st Federal Credit Union, Savings Account 1,682.05 50. 841.03
No. 321658-00
2. R. 01/2008 Members 1st Federal Credit Union, Savings Account 1,354.48 33.33 451.45
No. 321655-00
3. B. 08/2011 Members 1st Federal Credit Union, Checking Account 806.62 33.33 268.85
No. 321655-11
4. C. 07/2006 Members 1st Federal Credit Union, Savings Account 2,245.07 50. 1,122.54
No. 289472-00
5. C. 07/2006 Members 1st Federal Credit Union, Checking Account 60.42 50. 30.21
No. 289472-11
TOTAL (Also enter on Line 6, Recapitulation) I $ 2 714 08
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
STACIE L. HILLISON 21 12 1113
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hoffman Roth Funeral Home 3,496.40
2. Pianist and vocalist 200.00
3. Marcellos -family meal after funeral service 51 l .00
4. Airfare to Illinois for funeral service 454.40
5. Hertz -rental car in Illinois 119.43
6. Marriott Hotel 181.44
B.
1
2.
3.
4.
5.
6.
7.
8.
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State _
Year(s) Commission Paid:
Attorney Fees: Manson Law Offices
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City State
Relationship of Claimant to Decedent
ZIP
1,845.00
ZIP
Probate Fees: Register of Wills, Cumberland County
Accountant Fees:
Tax Return Preparer Fees:
Stock Valuation Report
Register of Wills, Cumberland County, inheritance tax filing fee
79.50
1.55
15.00
TOTAL (Also enter on Line 9, Recapitulation) ~ $
If more space is needed, use additional sheets of paper of the same size.
REV-1513 EX+ (01-10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF: FILE NUMBER:
STAC'IFI, HiTTTRCIN ~~ ,~ ,,,,
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).j
1. * Joel R. Hillison Spousal 0.00
1114 Fleetwood Drive Sch. B
Carlisle, PA 17013
2. * Dena Hillison Lineal 0.00
l 114 Fleetwood Drive Sch. F, Items 2 and 3
Carlisle, PA 17013
3. * Claire Hillison Lineal 0.00
1114 Fleetwood Drive Sch. F, Item 1
Carlisle, PA 17013
4. * Nathan Hillison Lineal 0.00
1114 Fleetwood Drive Sch. F, Items 4 and 5
Carlisle, PA 17013
* All Sch. B and F assets were used to pay estate expenses.
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
n moro space is neeaea, use aaa¢lonal sneers or paper of the same size.
LAST WILL AND TESTAMENT
OF
STACIE L. HILLISON
Dated: March 8, 2011
Prepared by:
Earl G. Mitchell, Esq
22 Ashburn Street Carlisle, PA 17103
Carlisle, PA. 17103
717-245-4940
LAST WILL AND TESTAMENT
OF
STACIE L. HILLISON
I, Stacie L. Hillison, a resident of the State of Illinois, make, publish and declare
this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore
made by me. I live with my husband who is in the military service of the United States,
currently stationed at Carlisle Barracks.
FIRST: I direct that the expenses of my last illness and funeral, the expenses of
the administration of my estate, and all estate, inheritance and similar taxes payable with respect
to property included in my estate, whether or not passing under this will, and any interest or
penalties thereon, shall be paid out of my residuary estate, without apportionment and with no
right of reimbursement from any recipient of any such property (including reimbursement under
Section 2207B of the Internal Revenue Code).
SECOND: It is my desire that, upon my death, my body be cremated and I be
buried with my husband. I have not contracted for or paid for any funeral arrangements.
THIRD: I give all tangible personal property owned by me at the time of my
death, including without limitation personal effects, clothing, jewelry, furniture, furnishings,
household goods, automobiles and other vehicles, and all rights that I have under any related
insurance policies, to my husband Joel R. Hillison, if he survives me, or if he does not survive
me, to those of my children (Nathan James Hillison, Dena Marie Hillison and Claire Rose
Hillison and any other children which I hereafter may have) who survive me, in substantially
equal shares, to be divided among them as they shall agree, or if they cannot agree, or if any of
them shall be under the age of twenty-one (21) years, as my Executor shall determine. If any of
said children shall be under the age of twenty-one (21) years at my death, my Executor may sell
any property bequeathed to said child under this Article THIRD, as my Executor may deem
appropriate, or my Executor may hold such property or any proceeds thereof, without bond,
surety or other security, until said child attains said age or such earlier time as my Executor may
deem proper to deliver any such property or proceeds to said child, or to said child's guardian or
any person with whom said child resides for the use of said child, or, if there is a trust for the
benefit of said child, to my Trustee to be administered as a part of said trust. All costs incurred
by my Executor in connection with obtaining possession, appraising, safeguarding, delivering or
selling such property shall be paid as expenses of administering my estate.
FOURTH: I give all the rest, residue and remainder of my property and estate,
both real and personal, of whatever kind and wherever located, that I own or to which I shall be
in any manner entitled at the time of my death (collectively referred to as my "residuary estate")~
as follows:
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(a) If my husband Joel R. Hillison survives me, to my husband outright.
(b) If my husband does not survive me, then to those of my children who survive
me per stirpes, or if neither my husband nor any of my children shall survive me,
then to my grandchildren and more remote issue who survive me per stirpes;
PROVIDED, HOWEVER, that if any child of mine shall be under the age of
twenty-five (25) years at my death, my residuary estate shall not vest in said
beneficiaries but instead shall be given to my Trustee and held by my Trustee, IN
TRUST, as a single trust for the benefit of my children, as hereinafter provided.
My Trustee may pay all or any part of the net income and principal of this trust to,
or for the benefit of, any one or more of my children, for their health, education,
maintenance and support, as determined in the absolute discretion of my Trustee,
without any requirement of equality. Whenever all of my children shall attain
the age of twenty-five (25) years, or shall have died prior to said age, all
remaining income and principal (without adjustment for amounts previously paid)
shall be paid and distributed to my then living children, per stirpes, or if no child
of mine is then living, to my then living issue, per stirpes.
(c) If my husband does not survive me and there shall be no issue of mine then
living, I give my residuary estate to those who would take from me as if I were
then to die without a will, unmarried and the absolute owner of my residuary
estate, and a resident of the State of Illinois.
FIFTH: The following provisions concern retirement benefits that become
distributable to my Executor or Trustee (whether directly or through my estate) by reason of my
death. As used herein, "retirement benefits" means amounts held in or payable pursuant to a
plan (of whatever type) qualified under Section 401 of the Internal Revenue Code, or an
individual retirement arrangement under Section 408 or 408A of the Code, or a tax sheltered
annuity under Section 403 of the Code, or any other benefit plan subject to the minimum
distribution rules of Section 401(a)(9) of the Code or the corresponding provisions of any
subsequent federal tax law.
(a) My Executor or Trustee may exercise any right to determine the manner and
timing of payment of retirement benefits that is available to the recipient of the
benefits.
(b) Any required minimum distributions from my pension plan or retirement
account shall be treated as income for trust accounting purposes.
(c) My Executor or Trustee shall be authorized to identify and designate the
person who, pursuant to the regulations under Section 401(a)(9), is the
"designated beneficiary" whose life expectancy may be used to determine
required minimum distributions to any trust. The Executor or Trustee may
endeavor to minimize income taxes on retirement benefits for the maximum
duration permitted by law. A trust with a designated beneficiary shall be
2 ,V~(~~
"conduit trust" pursuant to which all retirement benefits (whether minimum
required distributions or otherwise) promptly shall be paid to or for the benefit of
the trust beneficiaries as permitted by PLR 200227059 or applicable law.
However, the Executor or Trustee shall have aone-time option to switch the trust
to an "accumulation trust" after my death but before September 30 of the year
following the year of my death as permitted by PLR 200537044 or applicable law.
And after the death of the conduit beneficiary the Trustee may accumulate the
retirement benefits.
(d) No retirement benefits shall be used to pay taxes, debts and expenses of my
estate if doing so would be deemed to materially reduce the payout period of any
pension plan or retirement account.
(e) If my husband shall survive me and retirement benefits are distributable to
my Executor or Trustee either directly or through my estate (other than by reason
of disclaimers by my husband), my Executor or Trustee (other than my husband)
shall be authorized, but not directed, to distribute the right to all or part of such
benefits outright to my husband, or to disclaim all or part of such benefits, and
any benefits so disclaimed shall be payable to my husband outright, and my
husband may exercise any right to determine the manner and timing of payment
of such distributed or disclaimed benefits that is available to the recipient of the
benefits. In exercising this discretionary power, my Executor or Trustee may,
but need not, consider solely the needs and desires of my husband and not those
of any other beneficiary. It is my hope that my Executor or Trustee will consider
distributing or disclaiming if my husband wishes to "roll over" the benefits to an
individual retirement arrangement and such distribution or disclaimer will help
effectuate the rollover, but this precatory expression shall not limit the discretion
of my Executor or Trustee and it is not meant to direct a distribution or disclaimer
even if my husband wishes to "roll over" the benefits.
(f) My Executor and Trustee shall comply with all requirements set forth in the
Internal Revenue Code and regulations thereunder now or hereafter in effect
applicable to the designation of a trust as the beneficiary of retirement benefits.
SIXTH: The determination of my Trustee as to the amount or advisability of
any discretionary payment shall be final and conclusive on all persons, whether or not then in
being, having or claiming any interest in such trust.
No disposition, charge or encumbrance on any income or principal of any trust
hereunder or my estate by any beneficiary thereof shall be valid or binding upon my Executor or
Trustee. No beneficiary shall have the right to assign, sell, pledge, encumber, anticipate,
dispose of, or otherwise transfer in any manner (voluntary or involuntary) any such income or
principal until the same shall be paid to such beneficiary by my Executor or Trustee. No such
income or principal shall be subject in any manner to any claim of any voluntary or involuntary
creditor of any beneficiary or liable to attachment, garnishment, execution or other legal or ,~ ,
equitable process prior to its actual receipt by the beneficiary. The right of any beneficiary to
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any income or principal hereunder shall be subject to all charges or deductions which my
Executor or Trustee may make under law or any provision of this will. Upon making any
payment of income or principal from any trust hereunder or my estate, my Executor and Trustee
shall be released fully from all further liability therefor.
SEVENTH: If any principal or income of my estate or any trust hereunder vests
in absolute ownership (free of trust hereunder) in a minor or incompetent, my Executor or
Trustee, at any time and without court authorization, may: distribute the whole or any part of
such property to the beneficiary; or use the whole or any part for the health, education,
maintenance and support of the beneficiary; or distribute the whole or any part to a guardian,
committee or other legal representative of the beneficiary, or to a custodian for the beneficiary
(including a custodian appointed by my Executor or Trustee without court order) under any gifts
to minors or transfers to minors act, or to the person or persons with whom the beneficiary
resides. Evidence of any such distribution or the receipt therefor executed by the person to
whom the distribution is made shall be a full discharge of my Executor and Trustee from any
liability with respect thereto, even though my Executor or Trustee may be such person.
If such beneficiazy is a minor, my Executor or Trustee may defer the distribution
of the whole or any part of such property until the beneficiary attains the age of twenty-one (21)
years, and may hold the same as a separate fund for the beneficiary with all of the powers
described in Article EIGHTH hereof. If the beneficiary dies before attaining said age, any
balance shall be paid and distributed to the estate of the beneficiary.
The word "minor" wherever used in this Article SEVENTH shall mean any
person who shall be under the age of twenty-one (21) years.
EIGHTH: My Executor and Trustee shall have all of the powers conferred by
law upon fiduciaries in every jurisdiction in which my Executor and Trustee may act. In
addition, the following powers are conferred upon both my Executor and Trustee, exercisable in
the absolute discretion of my Executor and Trustee, as the case may be:
(a) To retain and hold any property for any period, whether or not the property is
of the character permissible for investment by fiduciaries under any applicable
law, and without regard to the effect the retention may have upon diversification
of investments.
(b) To sell, exchange, grant options on, transfer or otherwise dispose of any
property, real or personal, at public or private sale, for cash or on credit, secured
or unsecured, at such time or times, in such manner and upon such terms and
conditions as my Executor or Trustee shall deem advisable.
(c) To invest and reinvest in common or preferred stocks, bonds, securities,
mortgages or similar instruments, investment trusts, common trust funds, mutual
funds, regulated investment companies, evidences of rights or interests, and other
property, real or personal, domestic or foreign, whether or not the investments are
4 ~w~h
permissible for fiduciaries under any applicable law and without regard to
diversification.
(d) To render liquid my estate or any trust in whole or in part, at any time and
from time to time, and to hold cash or readily marketable securities of little or no
yield for such periods as my Executor or Trustee shall deem advisable.
(e) To manage, maintain, repair, alter, improve, insure, partition, subdivide,
lease for any term (whether or not beyond any period fixed by statute for leases
made by fiduciaries or beyond the term of any trust created hereunder), mortgage,
encumber, grant security interests in, or otherwise purchase, dispose of, or deal
with any real or personal property, as my Executor or Trustee shall deem
advisable.
(f) To abandon any property which my Executor or Trustee shall deem worthless
or not of sufficient value to warrant keeping or protecting; to abstain from the
payment of taxes, assessments, repairs, maintenance or other upkeep therefor; to
permit any property to be lost by tax sale or other proceedings or to convey any
such property for no or a nominal consideration.
(g) To form one or more corporations or limited liability companies, alone or
with any person, in any jurisdiction, and to transfer assets of my estate or any trust
to any new or existing corporation or limited liability company in exchange for
stock or membership interests; to form one or more partnerships with any person
in any jurisdiction, to have my estate, any trust or a nominee be a general or
limited partner, and to transfer assets of my estate or any trust to any new or
existing partnership as a capital contribution; to enter into one or more joint
ventures or associations with any person in any jurisdiction, and to commit assets
of my estate or any trust to the purposes of those ventures or associations; and to
retain as an investment for any period any securities, partnership interests or other
assets resulting from any such actions.
(h) To enter into, modify or terminate agreements with any person regarding
voting rights, management, operation, retention or disposition of interests in
corporations, partnerships, joint ventures, associations or other businesses of my
estate or any trust, regardless of whether any agreement is in effect when that
business interest is received by my Executor or Trustee; to retain and continue to
operate, or permit the operation of, any business, on the terms which governed
when received by my Executor or Trustee or on different terms; to invest
additional sums in any business, even to the extent that my estate or any trust may
be invested entirely in any business, without liability for any loss resulting from
lack of diversification; to act as or select other persons (including any beneficiary)
to act as directors, officers, managers or employees of any business, with
reasonable compensation without regard to their being a fiduciary or beneficiary
and, in the case of my Executor or Trustee, without regard to the commissions
allowed by law; to discontinue any business or sell or otherwise dispose of any . ,
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interest therein on such terms and conditions as my Executor or Trustee shall
deem advisable; and to make such other arrangements with respect to any
business as my Executor or Trustee shall deem advisable. I exonerate my
Executor and Trustee from any loss resulting from the retention or operation of
any business or any depreciation in the value thereof, unless such loss shall result
from the gross negligence or willful misconduct of my Executor or Trustee.
(i) To vote, in person or by general or limited proxy, any shares of stock or other
securities or property; to exercise or dispose of any options, subscription or
conversion rights, or other privileges or rights of any other nature; to become a
party to, or deposit securities or other property under, or accept securities or other
property issued under any voting trust or similar agreement; to assent to or
participate in any reorganization, readjustment, recapitalization, consolidation,
merger, dissolution, liquidation, sale or purchase of assets, lease, mortgage or
similar instrument, election, contract, agreement, or other action or proceeding by
any corporation; to deposit securities or other property under, or become a party
to, any agreement or plan for any such action or proceeding or for the protection
of holders of securities; to subscribe to new securities or exchange property in
connection with the foregoing; to delegate discretionary powers to any
reorganization, creditors, stockholders or similar committee or protective group;
and to pay any assessments or expenses in connection with the foregoing.
(j) To pay, collect, adjust, compromise, settle or refer to arbitration any claim in
favor of or against my estate or any trust, and to institute, prosecute or defend
such legal proceedings as my Executor or Trustee shall deem advisable.
(k) To foreclose mortgages or similar instruments and bid for property under
foreclosure or take title by conveyance in lieu of foreclosure; to continue
investments after maturity; to modify, renew or extend any note, bond, mortgage
or similar instrument, security agreement or similar instrument upon such terms
and conditions as my Executor or Trustee shall deem advisable; to release
obligors or guarantors or refrain from instituting suits or actions for deficiencies;
and to expend any sums or use any property as my Executor or Trustee shall deem
advisable for the protection of any property or interest therein.
(1) To borrow money or assets for any purpose, without personal liability
therefor, from any person including my Executor or Trustee, and to secure
repayment by mortgage or pledge of any property.
(m) To lend assets to any person, including a beneficiary, the estate of a
deceased beneficiary, or an estate or other trust in which a beneficiary has an
interest, upon any terms and conditions, with or without security, for any purpose
which may or will benefit my estate, any trust or any beneficiary.
(n) To exercise, at such times and in such manner as my Executor or Trustee
shall deem advisable, any right of election or other rights which from time to time
~~
6 ~~~> ~
may be available under the Internal Revenue Code or any other tax law, and to
make such other decisions as my Executor or Trustee may deem appropriate with
respect to expenses or deductions for estate or income tax purposes, the valuation
of assets, the filing of any joint or other income, gift or other tax returns and the
apportionment of any joint tax liability, and the payment of any tax or collection
of any refund, regardless of the effect of any such action on the interest of any
beneficiary of my estate and without the necessity of making adjustments or
reimbursements between principal and income or among the beneficiaries of my
estate.
(o) To employ and pay the compensation of accountants, attorneys, experts,
investment counselors, custodians, agents and other persons or firms providing
services or advice, irrespective of whether my Executor or Trustee may be
associated therewith; to delegate discretionary powers to such persons or firms;
and to rely upon information or advice furnished thereby or to ignore the same, as
my Executor or Trustee shall deem advisable.
(p) To pay any and all costs, charges, fees, taxes, interest, penalties or other
expenses of the administration of my estate, in installments with interest if
desired, and except as expressly provided in Article FIRST hereof or elsewhere
herein, to charge the same against the income or principal, or partly against each,
of my estate or any trust.
(q) To hold property in their names as Executor or Trustee, or in their names
without designation of any fiduciary capacity, or in the name of a nominee or
nominees, or unregistered, or in bearer form; to deposit property with a custodian
or depository; and to remove property from the State of Illinois and keep property
in other jurisdictions, without bond, surety or other security.
(r) To pay any legacy or distribute, divide or partition property in cash or in
kind, or partly in kind, and to allocate different kinds of property, disproportionate
amounts of property and undivided interests in property among any trusts, parts,
funds or shares; to determine the fair valuation of property, with or without regard
to tax basis; to determine what property is covered by general descriptions in this
will; to distribute directly from my estate to beneficiaries of any trust hereunder
whether or not such trust has been funded; to hold the principal of separate trusts
(including trusts established under the last will and testament of my husband) in a
consolidated fund and to invest the same as a single fund; to split trusts for
purposes of allocating generation-skipping transfer tax exemptions (within the
meaning of Section 2642(a) of the Code); and to merge any trusts (including
trusts established under the last will and testament of my husband) which have
substantially identical terms and beneficiaries, and to hold them as a single trust.
Notwithstanding anything to the contrary contained in this will, if the value of any
trust under this will is less than Ten Thousand Dollars ($10,000.00), as of the date
on which it is to be fully funded or at any time thereafter, my Executor or Trustee
may terminate the trust and distribute the trust assets to the income beneficiaries
~,
7 V\~'~~
thereof or to the guardian, committee, custodian or other legal representative of
the income beneficiaries.
(s) To act or refrain from acting in all respects as if financially uninvolved,
regardless of any connection with or investment in any business or any conflict of
interest between any fiduciary hereunder and my estate or any trust. No
Executor or Trustee shall be disqualified or barred from exercising any power or
discretion conferred by law or under this will because such fiduciary may be a
shareholder, officer, director, member, partner or person in any way interested in
a corporation, partnership or other person or entity affected by the exercise of
such power or discretion. My Executor or Trustee may contract, in any manner
that my Executor or Trustee shall deem advisable, with any such corporation,
partnership, person or entity.
(t) To change the situs and/or governing law of any trust hereunder to any state
my Executor or Trustee from time to time may deem desirable, and to take such
further actions, including without limitation the amendment to the terms of the
trust and the moving of trust assets, as may be necessary or advisable to effectuate
such change.
(u) To do all acts and execute and deliver all instruments as my Executor or
Trustee may deem necessary or advisable to carry out any of the foregoing
powers.
No fiduciary shall be liable for acts or omissions in administering my estate or
any trust created under this will, except for that fiduciary's own actual fraud, gross negligence or
willful misconduct. Each fiduciary shall be deemed to have acted within the scope of such
fiduciary's authority, to have exercised reasonable care, diligence and prudence, and to have
acted impartially as to all affected persons unless the contrary is proved by affirmative evidence.
If any fiduciary becomes liable as fiduciary to any other person who is not a beneficiary in
connection with any matter not within the fiduciary's control and not due to the fiduciary's actual
fraud, gross negligence or willful misconduct, such fiduciary shall be fully indemnified and held
harmless by my estate or by the trust created hereunder giving rise to such liability, as the case
may be, from and against any liability, claim, loss, damage or expense, including reasonable
attorneys' fees, that such fiduciary may sustain.
No person who deals with any fiduciary hereunder shall be bound to see to the
application of any asset delivered to such fiduciary, or to inquire into the authority for, or
propriety of any action taken or not taken by such fiduciary.
NINTH: In addition to the other powers granted hereunder, my Executor and
Trustee shall be entitled to determine the following:
(a) My Executor or Trustee may determine, when there is reasonable doubt or
uncertainty as to the applicable law or the relevant facts, which receipts of money
or other assets should be credited to income or principal, and which ,
~,,~
8 ~,/~~
disbursements,
Article FIRST
principal.
commissions, assessments, fees, taxes (except as provided in
hereof), and other expenses should be charged to income or
(b} Any distributions or dividends payable in the stock of a corporation, and
rights to subscribe to securities or rights other than cash declared or issued by a
corporation, shall be dealt with as principal.
(c) The proceeds from the sale, redemption or other disposition, whether at a
profit or loss, and regardless of the tax treatment thereof, of any property con-
stituting principal, including mortgages or similar instruments and real estate
acquired through foreclosure or otherwise, shall normally be dealt with as
principal, but my Executor or Trustee may allocate a portion of any such proceeds
to income if the property disposed of produced no income or substantially less
than the current rate of return on trust investments, or if my Executor or Trustee
shall deem such action advisable for any other reason.
(d) The preceding provisions of this Article NINTH shall not be deemed to
authorize any act by my Executor or Trustee which may be a violation of any law
prohibiting the accumulation of income.
TENTH: I direct that for purposes of this will a beneficiary shall be deemed to
predecease me (or any other person upon whose death the interest of such beneficiary depends)
unless such beneficiary survives me (or such other person) by more than thirty days.
ELEVENTH: I appoint my husband Joel R. Hillison to be my Executor.
I appoint Monica R. Bucek to be my Trustee. If Monica R. Bucek shall fail to
qualify 1'or any reason as my Trustee, or having qualified shall die, resign or cease to act for any
reason as my Trustee, I appoint Marsha K. Stout as my Trustee.
I direct that no Executor or Trustee shall be required to file or furnish any bond,
surety or other security in any jurisdiction.
Any Executor or Trustee, subject to the judicial or non judicial settlement of the
accounts of such Executor or Trustee, may resign at any time by an instrument in writing, signed
and acknowledged in duplicate, one counterpart of which shall be delivered to the court in which
this will is admitted to probate and the other counterpart of which shall be delivered to the
successor Executor or the successor Trustee, as the case may be.
The term "Executor" wherever used herein shall mean the executors, executor,
executrix or administrator in office from time to time. The term "Trustee" wherever used herein
shall mean the trustees or trustee in office from time to time. Each Executor and Trustee shall
have the same rights, powers, duties, authority and privileges, whether or not discretionary, as if
originally appointed hereunder.
ti~~ ~
9
The terms "child" and "children" wherever used in this will include not only the
child and children (whether heretofore or hereafter born) of the person designated, but also the
legally adopted child and children of such person. The term "issue" includes not only the
children and other issue (whether heretofore or hereafter born) of the person designated, but also
the legally adopted children and issue of such person.
Any provision herein which refers to a statute, rule, regulation or other specific
legal reference which is no longer in effect at the time said provision is to be applied shall be
deemed to refer to the successor, replacement or amendment to such statute, rule, regulation or
other reference, if any, and shall be interpreted in such a manner so as to carry out the original
intent of said provision.
Wherever used in this will and the context so requires, the masculine includes the
feminine and the singular includes the plural, and vice versa.
TWELFTH: If my husband shall not survive me or is adjudged to be
incapacitated, I appoint Marsha K. Stout to be the Guardian of the person and property of any
children of mine who have not attained the age of majority. No Guardian shall be required to
file or furnish any bond, surety or other security in any jurisdiction. Upon the request of the
ward the Guardian shall file an inventory or account with the court. If my Trustee or any trust
hereunder is the beneficiary of any life insurance policy, my Trustee shall be entitled to the
insurance proceeds rather than the Guardian.
THIRTEENTH: My husband has served in the Armed Forces of the United
States. I therefore request that my Executor make appropriate inquiries to ascertain whether
there are any benefits to which I, my dependents or my heirs may be entitled by virtue of any
military affiliation. I specifically request that my Executor consult with a retired affairs officer
at the nearest military installation, the Department of Veterans Affairs, and the Social Security
Administration.
IN WITNESS WHEREOF, I, Stacie L. Hillison, sign my name and publish and
declare this instrument as my last will and testament this 8th day of March, 2011.
" ,
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Stacie L. Hillison
The foregoing instrument was signed, published and declared by Stacie L.
Hillison, the above-named Testatrix, to be her last will and testament in our presence, all being
present at the same time, and we, at her request and in her presence and in the presence of each
other, have subscribed our names as witnesses on the date above written. ~
Ul}~~.
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10
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having an address at
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AFFIDAVIT OF WITNESSES
WITH THE UNITED STATES ARMED FORCES
AT CARLISLE BARRACKS
Each of the undersigned being individually and severally duly sworn, did depose
and say that: The foregoing last will and testament was subscribed in our presence and sight by
Stacie L. Hillison, the Testatrix named therein. The undersigned witnessed the execution of said
will of Stacie L. Hillison on the 8th day of March, 2011. At the time the instrument was so sub-
scribed, the Testatrix declared said instrument to be her last will and testament. The
undersigned thereupon signed their names as witnesses at the end of said will at the request of
the Testatrix, in the presence of the Testatrix and each other. At the time of so executing said
will, in our respective opinions, the Testatrix was at least eighteen years of age or emancipated,
and was of sound mind, memory and understanding, under no constraint, duress, fraud or undue
influence, and in no respect incompetent to make a valid will. In our respective opinions, the
Testatrix was able to read, write and converse in the English language, and was not suffering
from any defect of sight, hearing or speech, or from any other physical or mental impairment
which would affect her capacity to make a valid will. Each of us was acquainted with the
Testatrix, and we make this affidavit at her request. Said will was shown to us at the time this
affidavit was made, and we examined it as to the signature of the Testatrix and our signatures.
Said will was executed as a single, original instrument, and not in counterparts.
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print: 'J"~1e.reSc~y tC~>°
Witness
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print: (~~
Witness
Subscribed and sworn to before me by the above-named witnesses, this 8th day of
March, 2011.
Notary P is
y commission expires on
COM ONbVEALTH OF PENNSYLVANIA
Notarial Seal
Kami May Hertzler, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires April t 5, 20t 3
fdernber, Pennevlt+anie U@~INti~tt df Noferies
Estate Valuation - 14919.2
Date of Death: 08/11/2012 Estate of: Stacie L. Hillison
Valuation Date : OB/7.1/2012 Account: AFL Stock Plan .
Processing Dat e: 10/24/2012 Report Type: Date of Death
Number of Securities: 1
File ID: 19919.2.hillison
Shares Security Mean and/or •Div and Int Security
or Par Description High/Ask Low/Bid Adjustments Accruals Value
1~ 6. 633 AFLAC INC (001055102)
COM
New York Stock Exchange
08/10/2012 45.95000 45.30D00 H/L
08/13/2012 46.09010 45.56D00 H/L
45.725025 303.29
Prices for 08/13/2012 adjusted up for dividend(s) : 0.33
Total Value:
$303.29
Total Accrual: $0.00
Total: $303.29
Page 1
This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions,
please contact EVP systems at. (818) 313-6300 or www.evpsys.com. (Revision 7.3.0)
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5t
MEMBERS 1St
FEDERAL CREDIT UNION
REGULAR_SAVINGS ACCOUNT:
Account Number/Suffix 289472-00
Name of Primary Owner Nathan Hillison
Date Account Established 07/21/2006
Principal Balance at Date of Death $2,244.92
Accrued Interest to Date of Death
T r~
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L
otal Principal and Accrued Interest 1• r ,
$2,245.07
JC~
Name of Joint Owner Stacle Hillison
Joint Added 07/21/2006
CHECKING ACCOUNT:
Account Number/Suffix 289472-11
Name of Primary Owner Nathan Hillison
Date Account Established 07/21/2006
Principal Balance at Date of Death $60.42 `~
~ -~~ I~1
Accrued Interest to Date of Oeath $0.00 lam, V-1 ~
Total Principal and Accrued Interest I
$60.42
Name of Joint Owner Staeie Hillison
Joint Added 07/21/2006
MEMBERS 1ST FEDERAL CREDIT UNION
TessaTessa L~~i
Lending Insurance SuppoUUrt Specialist
November 1, 2012
Estate of: STACIE L HILLISON
Date of Death: 08/11/2012
Social Security Number: 356-46-5257
5000 Louise llrive [?O. Box ~40 Mechanicsbur`g,~Pennsylvania 17055 (800} 283-2328 wwwmembers Istoxg
~JV 1. F ~
st
MEMBERS 1't
FEDERAL CREDIT 11NI0N
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix
Name of Primary Owner
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Joint Added
321655-00
Dena Hillison
01/16/2008
$1, 354.37
$0.11
$1, 354.48
Staele Hillison
01/16/2008
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5~~~ -~
CHECKING ACCOUNT:
Account Number/Suffix
Name of Primary Owner
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Joint Added
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix
Name of Primary Owner
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Joint Added
321655-11
Dena Hillison
05/07/2011
$806.62
$0.00
$806.62
Staele Hillison
08/22/2011
321658-00
Claire Hillison
01/16/2008
$1,681.94
$0.11
$1,682.05
Stacie Hillison
01/16/2008
Joel Hillison
08/22/2011
T •-1{ ;v~
Joel Hillison
08/22/2011
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MEMBERS 1sT FEDERAL CREDIT UNION
Tes~l uge~s h~/~
Lending Insurance Support Specialist
November 1, 2012
Estate of: STACIE L HILLISON
Date of Death: 08/11/2012
Social Security Number: 355-46-5257
5000 Louise Drive 1?O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org
5~~. ~ a ~ a