HomeMy WebLinkAbout10-28-13 _ _�_ � _ _
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� ]r505610105
REV-1500 IX(oz-ss)(Fl)�
OFFICML UsE ONLY
PA Department of�Revenue P?�m`�e County Code Yeer File Number
Bureau of Indivldual Taxes �""R �-� -- ---
PO BoX z8o6oa INHERRANCE TAX RETURN ;
Harrlsbu�.PA 19s18-o6oi RESIDENT DECEDENT ; � . � � O�1� '��
� ENTER DECEDENT INPORMATION BELOW
SoGal Security Number Date of Death MMDDYYYY Date of Birth MMODYYYY
�{$'�� o ?,2'i._2a ! 3 � O Z Zo !°i �-1 d
DecedenPS Last Name Sutflx DecedenPS First Name MI
... _ .... .. ...__. ....._. ......... ..__ _ ......._ .........._ ._ .._. ......._ .....
N u I�s L� ' Ju PZ'Tf� iS
_ __ _
(Ii Applicabls)EnMr 3urviving Spouse's Informatlon Bslow
Spouse's Last Name . . .. ., .. .. Sulflx, ,., Spouse's First Name ., _ . MI
,,,,. ,,'., I ,,, ��,.
Spouse's Social Securlty Number � �� �� � � �
- THIS RETURN MUST 8E FILED IN DUPUCATE WITH THE
__ ___ REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1.Original Retum O 2.Supplertrenial Retum O 3. Remainder ReWm(Date of Death
Prior to 12-1382)
p 4. Llmiled Estate O 4a. Future Interesl�Compromise(date of O 5. Federel Estate Tax Retum Required
death after 12-12-82)
` 6. Decedent Died Testate O 7.DecedeM Maintelned a Uving Tivat � 8. Totel Number of Safe Deposil Boxes
(Atlach Copy of WIII) (Atlech Copy N Truat.)
O 9. liHgation Proceeds Received O 10.Spousal Poverty Credfl(Date of DeaM O N. Elecdon W Tax under Sec.9173(A)
Between 72-37-91 end 1-1•95) (Atlech Sd�edule O)
COWtEBPOMDENT- TH�S BECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAI TAX INfORMATION SHOUlO BE WRECTED T0:
Name Daytime Telephone Number
.. _.. _._.... . .._.. ._.. _... ... ..... ,........ ...__ _._ .___..
D P��St� _ S (-FuLsE _ __ ' _�'s59 .4�9 �IB-29 _
R R OF USE'�! .
� ° o r^ n
q#7 � c-� � O
First Lirre of Addreu rn g n -� � �
� ?�Z> lN/�}�a f�"��'�' P�_ i n 2 m � � o
� N �
• � o 0
Second.Line of Address � c� � � -� �
. .,.. . .. .. . . .._. _._. _._. . . .... S'� o -v�;. � �
. . � C' 1—+ ^_ f7
: • � DATE Nli� �� rn
City or Post Otflce .... . .. . ... . .. State ZIP Code ... .. � N o
L�xsNG-►'Z.�' l�l r-Y �(oSa3 '� ; "' -�
ComspondeM�s�-��.�: D A vr s�w }F+✓LS� Y�F N�o.c��►1 �
Undor panaltln of parjury,l dedare tlwl l have axamined�tMs reNm,InduEN�g 6xomparrylnp eeheUulea entl etatemenb,end to the b�t d my knavbtlge end belief,
It is true.cortectosM comp�ete.Dsderedw�M DroWrer WFrer then tlre pereonel isp�eeeMatlw la baeed on ell Mformetlon N which p�epeiar has any knowkdpe.
SIGNATUR F PERS�N SIBLE FOR FILINC�RETURN - DATE
„-,� (C�19(�t3
ADDRE�—
t2o lAl.�.4,asi.. Ar. l�c�n+,h++�� IG� �EoSa3
SIGNATURE OF PREPARER OTHER THAN REPRESENTATI DATE .
ADDRESS
PLEA8F UaE ORIOINAL RORM ONLY
$Ide 1
� 15056101U5 1505610105 J \
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�
J 15056102D5 ,
' REV-1500 EX(FI)
�� �r �j �` ���� s. DecedenPS SoGal SeaHty Number
71G. �J �-/.� ! ��� ..�...
Decedent'a Name:
RECAPtTULATION �
t. Real Estate(S�ule A). ... ........ ...... ... ... ...... .... .... ..... .. 1.
s. seaa�e�a e�a8 csG,eawa a> .. .. ..... .... ... ... ... ... .... ... ... . . . z. _�3$S'•�{Q.
3. Closely Held Corporation,PaMeraMp w Sde-Proprietorship(Schedule C) ..... 3. ��.
4. Mortgapes and Notes ReceNeble(Schedule D) ...... ....... .............. 4. ' '�
5. Caeh,Bank Deposits and Miscelleneous Perso�al Property(Schedule E)....... 5. � 4���� Z�' ���..
6. �Jdntly Owned Property.(SChedUle F) O Seper�s BNNnp Requesled . ...... 6. '��.
��. . ._. . . ... ... __ ....,._,.�, , ........,.
7. Inter-Vivos Tranafere 8 MhcelleneouE Non-PtolreM��P[qlsrty . ... ,.
(Schedule G) O Seperate BHitng�Requeated...... .. 7. �
....... ........ .. . .......... ..__......
8. Tohl Gro�s ANNS(toUl Unes 1 through 7).... ... .......... ............ 8. . ..... S'3Z��. �Og.�.
9. Funerel Expenaes and AdminiaVative Cosfs(Schedule H)..... ... .... ...... . 9. �LjZ.��.... .
10. Debts oi Decedent,MortgAge LIaWNtles and Liens(SChedule q..... .... ..... 10. ?)`7� ��� �
11. Total Daduetlom(tatal Lines 9 and 10).... . ... ....... .. .... .......... .. 1L .�.,_,__.._�_.._................._.w......���.Lz!7�.....;
12. NetrValus of ffNaO�(Line 8 minus Line 11) . .. ... .... ... ... .. ... ... .... . 12. ,._...., ., .(���03..ZZ- ' .
13. Chariteble and Govemmenta�BequeaWSec 9113 Trusts tor which ������ ������ '�
an ela�tfon to�c has rrU been�mede(Schedule J) . ... ....... ...... ....... 13. �. �..
..---.._. ..._.._ ._._ �/.... .... .. ..
14. N�t YNw::$ubMa to Ts(Lirre 12 minus Line 13) ............ ... ... ...... t4. `i 3�(�3.9'Z-
LUC CALCUlAT10N•��p!I�TRUCTiON$ROR�APPC�LE RA7E8 �
15. Amount of Line 14 taxaWe
et the sppusai tax�rete,or
vansfers unde�Sec.9116 ..._.. ..._.. . _.... __.., ..... ..... . ,. . ....... _ .
(ax12)X A- � 15. ���,' � .
, . .__ .... .. . . ..... ._ ,..�,......,.__ . ,.. ! . ..._. . . .��.,,.._...,,.,... . . ..,_.....
18. Amount of Line 14 t�aWe , ��������
acnoeairaee x.oYT ' ,s. ...._..__...._.. ....... ...��.�f_2.3�....
17. Amount of Line 14 taxeble ........... .. ... ...._......._. . ... .. ._........_ ... . .i ..
at aibtlng rate X.12 . 17. ' �.
....�..__�. . _..._�..... ,..... �._. ..__-°_�. ,-___... . . ........... ..._w.._.... ....._._._,.. :
18. Artrount Of�Llne 14 texable ��. '� '�..
at collateral rete X.15 '��.. 18. �'�.. '�.
19. TAX DUE ........ ........ ................. ......................... 18. �,.!�2�� ��.��.��.
20. FILL IN TWH OVAL IF YOU ARE RE6LI@Si1NG A REF{IND Cf AN OVERPAYM@NT O
31�2
� 1505610205 15Q561�2�5 J
� _
REV•1500 EX(Fq Pape 3 Fil�Numbar Z�_ h�p2��
�J
Decedent's Complete Address:
o Nr r�
U 5. V�-5E
STREETADORE3S
o E.Tr� e
�,,, �osa
cin srnre na
N��an:c � j /�SO
Tax Payments and Credits:
t. Tax Due(Page 2,Line 19) (1) Ia�(Z,�$�
2. Credits/Payments
A.Pnor Payments
B.Discount
Total Credits(A*B) (2)
3. Interest
(3)
4. If Line 2 is greater than Line 1 +Line 3,eMer the difierence. This is the OVERPAYMENT.
Fill In ovel on P�g�2,Lim 20 to roqwat a refund. (4)
5. If Line 1 +Line 3 is greater lhen Line 2,enter the dfflerence.Thfs is the TAX DUE. (5) rQ�(Z,3g'
Make check payable to: REGISTER OF WILLS, AGENT,
('(;�(i�iF�+��!`=�i�
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent meke a trensfer and: Yes Na
a. retain the use or income of the properly transferred.......................................................................................... ❑ �
b. retain the right to designate who shatl use tl�e property transferred a ita income ............................................ ❑ �
c. retain a reversionary imerest .............................................................................................................................. ❑
d. receive lhe promise fa Iffe of either payments,benefits or wre?...................................................................... ❑
2. If death occurted at�r Dec.12,1982,did decedent transfer property wiltdn one year oi death
wittaut receiving edequate consideretbn?.............................................................................................................. ❑ �
3. Did decedent own an'in Wst fot or payaWe-upon-deatl�bank account or securily at his or her death4.............. ❑
4. Did decedent own an individual relirement account,annuity ar other nan-probate properry,which
conteins e beneficiary designatbn7 ........................................................................................................................ ❑ �
IF THE ANSWER TO ANY Of THE ABOVE QUESTI�OpgNS IS YES,YOU MUST�q COMPLETE SCf#DULE G AND PILE R AS PART OF THE RETURN.
�IP;4Mii�i��I��� .... �. u.���� .. . .� �� . I� tA� .. df .
For dates of death on or after July 1,1994,and befae Jan. 1,1995,the tax tate imposed on the net value of transfers to or for the use oi the survivfng spouse
is 3 percent[72 P.S.§9116(a1(1.1)(i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers W or for the use of the surviving spouse is 0 percent
[72 P.S.§9118(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and lhe statutory requiremenis for disdosure of assets and
filing a tax retum are sfill applicable even if the surviving spouse is the only benefiaary.
For dates ot death on w after July 1,2000:
• The tax rate imposed on the net value oi transfers fiwn a deceased cMild 21 years of age or younger at death to w fa the use of a natural pareM, an
adoptive parent or e steppareM of the child is 0 percent[72 P.S.§9116(a)(12)].
. The tax rate imposed on the net value of transfers to or for the use of ihe decedenPs lineal beneBciaries is 4.5 percent,except as noted fn[72 P.S.§9116(a)(1)].
• The tax rate imposed on the net value of Vansfers to w for the use of lhe decedenPs siMings is 12 perc.ent[/2 P.S. §9116(a)(1.3)].A sibling is defined,
under SecGon 9102,as an individual who has at least one parent in common with lhe decedent,whether by blood or adoptan.
REV-s5o3IX+(8-fa)
mpennsytvania SCMEO�ILE d
OEPRNTMENTOFREVENUE
INHERRANCETA%RENRN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FiLE NUMBER
,vc1?}'l•i.S. �(u� Zt-l3 -c)2.'Xo
All P►W+eRY 1uiMly ownad wIM riyM of wrvlvonhip must be di�cllaed on Sdrodule F.
IfEM VALUE AT DATE
NUMBER DESCRIP'fION OF DEATH
1.
SU C)�5 . �Ct"6�S ��S �5�°J�c+ocumLn�V+�-�) �$5� �{C'�
TOTAL(Alw enter on Line 2, RecapitulaUon) ; rj'3$S•�/d
[f more space is needed,�nsert addklonal sheets of tfie same size
REV-15o8 EX+(08-i2) �
� pennsylvania S�lpYt� E
�EPMTMENTOFREVENUE CASH� BANK DEPOSITS & MISC.
INHFRITANCETA%RETURN pER50NAL PROPERTY
RESiDENT DECEDENT
ESTATE OF: RLE IYUMBER:
-1vdi� S. N�Ise Zl- i3-a2..�b
Include the proceeds of Ikiqatlon and the date the proceeds were rccelved by the estate.
All Property�oiMly owned wkh ripht o}aurvivoisMip mwt be dbdwad on Schadub F.
ITEM VALUE AT DAlE
NUMBER DESCRIP'fION OF DEATH
1. p��s�.ow✓+ P�a�k Gl,eck�accou-.d'
1 I lo E, s>.,,�,�. sd-• � li l000��to 38,?19.�1
�I�n,�b��, p�. «oss ��d. bY�51,�-«31&!t3
z. r��T Ri�tk C,►,tec�•� accoc,.-,�
SZ l9 51w,psan FerrY �.� � I?914310 1 �{$S I•�Z
MeC.1�la n i GS�ov/'Si 1'�.. 17050 �GV d.�i y es1•�G an (Oh�13
3, PNG P�.�n K G(�c� occcow�4'
zMSZ ��s6�� P�� �p-z�55 —ol !3
LeX��� � kY �{oSo 3 A-a«.�.�d-ne-l�`Nad�,c�w� 3?103..k�/
deccdr.�� b�es6nhc
ov. 318�13
�-{, ffA�P�Gbwx- 6A�k Gr,ec���r�-
�L 1-�«o I�.l t�d� ��f�(08�34�R ia94 L4� c����Q l
zsoo u���t��(k= � '�..�o�v��a� �
�15�n,�L �«
TOTAL(Also enter on une 5, Recapituiatlon) # �{�,$2�•�
� [f more space Is needed, use ad0ltlonal sheets of paper of the same slze.
REV-1511 EX+(08-13)
�pennsylvania SCHEDULE H
DEPAR'fMENTOFREVENUE FUNERAL EXPENSES AND
[NHER[UINCETAXRENRN ADMINISTkATIVE COSTS
0.ESIDENT DECEDENT
ESTATE OF FILE NUM6ER
-.l✓�:� 5� 1�.�1� zl- 13-OZ.Zto
DeudeM's dabb must be reported on Schadula I.
REM
NUMBER DESCRIP'RON AMOUNT
A. FUNERAL EXPENSES:
1. YA �+ �( �
1.\4'��L�� 1'L✓1Cfstl RblNle� e �jG/V'(�S' ���.`.y.,py1. � ...
Y (
C2w�a�riu^�� -}tA✓�S()ot-d[.� �K{�na�+G'.-1 lAyt�..�nE/'j Gt'Cwia�+.`�✓1 S�t� Tt2..10
5�•"� VQ I'1 j +'����4N I�� �C�`�.�tr �O(��4�J
cer�„Gc.d dea�Yh ro1��S� �,s�a�.,r v�o G'c� s�
G(G+'�j�f t�n� o�C{�"' J'�(°'^ier3
Ft�'.i�'Un.vcu�'�eE'-�bcl.�ixo,mH.�:�C�t✓t�c.r : �vv�elt� fCCC(��Yvr '�ZC7�00
e. ADMINISTRATTVE COSTS:
1. Personal RepresenWtive Commissions:
Name(s)of Personal Representative(s)
Sheet Address
City Stete_ZIP
Year(s)Commission Paid:
2. Attomeyfees: K`��M, �r'SG_ uyf�aT.I»(7tA.� �+CJ r+.
n� �Gt:��o�ih�e s p. �°JQ� �Z���c���v�
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: ��„�ovrSQ,�,�lJ�g�—' �Or�ro(�.�°g,�`�.Pa.�+�, ll�Q�
�-O
5. Accountant fees:
6. Tax Return Preparer Fees:
7.
TOTAt(Alw eMer on Line 9, Recapitulation) ; �pZ,�Z,�p
If more space is needed,use addidonal sheeGS of paper af the same size.
REV-1512 EX+ (12-12)
� pennsylvania SCHEDULE I
DEPARTMENfOFREVENUE DEBTS OF DECEDENT,
INHENTANCE TN(RENRN MORTGAGE LII4BILITIES & LIENS .
RESIDENT DECEDENT
ESTATE OF FILE NUMBlR
Jud�.S, I�ls� Zi-� 3-oz��
Raport dabts Inaurnd by the dacedeM prior to dath that remalnad unpaid at the data of de�th,Including unraimburnd madical�xpmaas.
ITEM VALUE AT DATE
NUMBER DESCRIPT[ON OF DEATH
�. �Sp��a� (��„� �nSylv�K;4
— ya�t�e e�� 3�J??�cx�
TOTAL(Aiso enter on Line 10, Recapitulation) ; ��„aj "��
If more space is needed,Insert addttional sheets of the same size. �
_ _..__ . . _.. .._. .--.-..- � .,» �_..-._. _ . __. _. . . ..
� REV-15�13 EX+ (OSQO)
� pennsylvania SCHEDULE 7
�EPAFTMENTOFHEVENUE � pENEFICIARIES
INNERRANCE TAX REfURN �
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
J�d;�►.Ls, t�,lse zr- t3— oz� e
RELAT[ONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERN Do Not List Trustea(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec. 9116(a)(1.2).]
�. k�,� �ol�wso�►
I081 (�J, oX Svr�1 Place Dau�k� �n�-'I'kt�
�v��ewo��GO 8otlo
2.. pav�� ��s2
(2� U/a�a5� �('. s0� �le�,v�
L+�x�„5h,�, �Y 4oso3
3, G-�� l�[se
�{?d7 GGwnson Q�ac� So✓� dne-'�'L+��
Nt��fhe�s, N�- z-�" loS
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN A80VE ON lINES IS THROUGH 18 OF REV-I500 COVER SHEET,AS APPROPR]ATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECfION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUT[ONS:
1.
TOTAL OP PART II — ENTER TOTAL NON-TAXABLE DISTRI6UTIONS ON LINE 13 OF REV-1500 COVER SHEET. Q
� If more space is needed,use additlonal sheets of paper of the same size.
Documentation for Schedule B:
• Judith Hulse's handwritten notes on U.S. savings bonds (includes quantity (50),
maturity value ($100), dates of acquisition, and serial numbers).
• Online statement from PNC Bank with amounts received for some of the bonds.
• Online statement from PNC Bank with amounts received for the rest of the
bonds.
• Letter received from PNC Bank regarding an adjustment for the amounts
received for the bonds.
� . . ' ,:'1i\.;;.
' 18
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Image - Deposit Ticket Detail List �
I Account: XXXXXX0113 The Deposit Ticket Detail List summary pro�rided here consists of the i I
` Date: 03/182013 �ndividual Rems listed below. '
i
C Totai ltems: 25 (
I
� Amount: $2,936.60 i j
Reference No.: 552088495 ' i
__ __ ___ _ __ ___ i
i
` ; Image Liat
; ' Refsrence T Date � Amount ,+�, Imaya AvaitabRlky ,
i Number
' i 552088520 03118/2013 $84.04 Available-View Now i ',
` 552088519 03/18/2013 $151.04 Available-�ewNow � ;
� � 552088518 03/18/2013 $84.04 Available-View Now ' '
� ( 552088517 03/18/2013 $84.04 AvaAable-View Now � !
`s 552088516 03HBC2013 $148.08 Available-ViewNow
I 552088515 03/182013 $145.20 Available-View Now i
j : 552088514 03/182013 3145.20 Available-�ew Now '
; 552088513 03/18/2013 5148.08 Available-Vew Now �
i ( 552088512 03/18I2013 3138.56 Available-View Now
j ! 552088511 03/182013 $142.36 Available-View Now � �
i ! 552088510 03l18/2013 $142.38 Available-Vew Now ' �
; �
i j 552088509 03/18/2013 5109.72 Available-View Now � I
552088508 03l18/2013 $110.44 Available-View Now
! ! 552088507 03/18R013 $139.56 Availahle-View Now i �
',`, � 552088506 03/78/2013 5107.56 Available-View Now
� ! 552088505 03/1 S/2013 $108.28 Available-View Now
: ; 552088504 03/18/2013 $109.00 Availabie-View Now ' !
'': � 552088503 03/18/2013 3105.44 Available-View Now i I
4 552088502 03/182013 $106.16 Available-View Now j
� , , .
i 552088501 03/18/2013 $104•04 Available-View Now i j
;
� 552088500 03/18/2013 $106.84 Available-�ew Now � i
i 552088499 03/18/2013 $103.38 Available-View Now !
� '?a 552088498 03/18l2013 $104.76 Available-View Now �', �
; I 552088497 03/18/2013 $104.40 Available-View Now (
I 552088496 03/78/2013 $103.04 Available-View Now � II�
� 'i Pdrd Pape � Back ( i
�
i i
�
� m Copyright 2013.The PNC Financial Services Gmup,Inc.AA Rights Reserved. �
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� Image - Deposit Ticket Detail List �
' � Account: XXXXXX0113 The Depqsit Tidcet Detail List summary provided here consists of the � i
' ! Date: 03/15/2013 individual items listed below. i ,
� ,
{ Totel IEems: 25 '
i
Amount: $2,381.80 I ;
j Reference No.: 552061401 � I
' � .
� Image List _ _ _ __ __ ; :
�
� Referenee ,� Date ; Amount T �9e AvaNablfiky
� Number '
I I
i � 552061426 03/15/2013 $102.68 Available-View Now ! �
! I 552061425 03/152013 $101.88 Available-Vew Now � �
552061424 03/75/2013 5102.00 Available-View Now �
( .' 552061423 03/152013 5102.36 Available-View Now ,
; j 552061422 03/15/2013 $100.40 AvailaWe-View Now � ;
552061421 03/15/2013 $100.40 Available-View Now ( i
552061420 03H5/2013 $100.40 Available-vewNow ( �
; 552061419 03/15/2013 $100.40 Available-Vew Now ;
( � 552061418 03/15/2013 3100.40 Available-View Now ( I
� 552061417 03/15/2013 $100.00 Available-View Now I i
''; � 552061416 03115/2013 E100.00 Available-Yew Now ; !
; ' S52061415 03/15/2013 $87.58 Available-View Now i
i ' '! i
; 552061414 03/15/2013 $85.98 Avaiiable-Vew Now j i
I � 552061413 03/15/2013 $85.98 AvailaWe-View Now �
: j 552061412 03/15/2013 $85.96 Available-View Now � i
' � 552061411 03/15/2013 $85.64 Available-View Now �
i i 552081410 03/15R013 $84.04 Available-�ew Now
's„ 552061409 03/15/2013 $84.04 Available-�ew Now ,
' S52061408 03/15/2013 $100.00 Available-vew Now '
� 552061407 03/152013 3100.00 Available-View Now ', j
� � 552061406 03/15/2013 $100.00 Available-View Now �
i
552061405 03H5/2013 $100.00 Available-ViewNow
; ,
552081404 03/15/2013 $100.00 Available-vew Now '
i j 552061403 03/152013 $85.98 Available-View Now
� ` 552061402 03/15/2013 $85.96 Available-View Now �
�
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' i PdM Pape � Back
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� O Copyright 2013.The PNC Financial Services Group, Inc.AX Rights Reserved. ��
�
��PNCBANC
Mazch 22,2013 �
EST OF JUDITH S HULSE DECD
DAVID S HULSE EXTR
120 WABASH DR
LEXINGTON, KY 40503-1944
Reference: (?003391614
Dear Customer:
Account Adyustment Notice
Your account has been credited to correct a pricing error on a US Savings Bond, as shown
below. We apologize for any inconvenience this may have caused. Tf you have any questions
please call us toil free at 1-800-762-3121.
Checking Account Redemptlon Total Redemptlon Date Adjuatmeot Amount
7C3�7O{XX0113 52,936.60 03/18/2013 $67.00
Bond Serisl Number Error Price Actual Price
C276866428EE $84.04 $15t.04
Please keep this notice until you receive your next bank statement to verify this change. Thank
you for banking with us.
Sincerely,
Kathleen M. Thompson
Officer Bank Operations
Adjustment Department
Memba PDIC
Documentation for Schedule E:
• M&T Bank checking account statement that includes date of death.
• Orrstown Bank checking account statement that includes date of death.
• PNC Bank checking account statement that includes date of death.
• Chase/AARP credit card statement that includes date of death.
� � .
%Aeeoc3NZ Iao, acCOU[Tr TYp6��:��. sTR31�iBdV'f P�I€TOD 9at3a ���.
17914361 M&T CLASSIC CHECKING W/INTSRBST F6B.20-MAR.19,2013 1 OF 1
00 0 06117M NM 017
—— 51348
— NDITH S HUL3E
_ C/O DAVID HULSE
120 WABASH DR
LEXINGTON KY 40503
SNTGR86T EARNSD FOR STATEM&NT PSRIOD 0.03 MECHANICSBURG
INTERS6T PAID YEAR TO DATB 0.12
ACGO T Y
s
>: . ., :. ; , <;:
.NO. . . . NO. � � AMbt7NT � NO.
4 851.82 0 0.00 0 0.00 1 � 1 6.00 0.03 4 695.85
ACCQUNT A IVIxY
� i:: :i- :. ,:: " : � �� .'.:::.. &!�:.: '�LY :`
+... :,
02-20-13 H6GINNZNG BALANC& $4,851.82
03-OS-13 UnitedHealtheare PRBMIUM 156.00 4,695.82
03-19-13 INT6REST PAYM&NT 0.03 9,695.85
ENDINO B1ILANCB 9 695.85
ANNUAL PBRCENTAGH YIBLD EARNED = 0.00 �
LfiT MORS OF YOUR P6RSONALITY SHOW BY 6N}IANCING YOUR M&T CNECK CARD WITH THE
PICTURfi OR DBSIGN OP YOUR CHOICB. VIBIT MTB.COM/CUBTOMCARD TO VISW OUR GALL&RY,
6XPLOR$ OUR IN'T$RACTIVE D�AONSTRATION TOOL, AND 6&T STARTBD.
U36 OF TH8 CUSTOM CARD D83I6N 38RVIC6 IS SUBJSCf TO PROGRAM T6RAf6 & CONDITIONS,
IMA6E GLIIDSLINBS AND A $7.95: IMA46 SBT-UP F6H FOR fiACH NBWLY APPROV6D CUSTOM
CARD D89If3t7. FOR CARD3 HAVItiG T1� SAM6 NfR�ffiBR, ONS PS& NILL HB CHARGED P8R .
APPROVSD CU9TOM DBSF�N, R80ARDL883 OP THE NIRABBR OF CARDS I89UBD. REPLACHMENT
CARDS WILL NOT INCUR THIS P6S IF TH8 CUSTOM DS91ON R6MAIN9 UNCHANO&O.
�111���� I
ORRSTOWNBANK
.a �TAa;a�,n��'���
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g awtS �p���.g,PA 1'1257
. T�-pdtwnSsrvbapequeated Date 3J20J13 Paqe 1� --
Frimaxy Accaunt 111040690
. , $nclosures
� d�dh�IIJ1�IIIli���I�o��1�1�'���I'111�J1�d�nfl��l11�111���
�� 003559 O.S504 3+�1 0.405 TR00616 -
� Judith 9 Hulse
Country Meadows
�� 120 Wabash Dr
� Z,exington KY 44503-1S4A
CHECICIX � ACCO U .N2S
AGCOVnt Title JUdith 8 Huls�
� Countzy Meadowa
Money Maker Checking Account Check 3afekeepinq
Account Numb�er 111000640 9tatement Dates � 2/21/13 thiu 3/20/13
Previoua Balance 38,719.0]. Days In The 3tatement Period 29
DepasitslCradits .OQ Averaqe Ledger � . 20,?42.32
� - 1 Checks(Debits �38,?14.01 Average�Collected 20,792.32
SerVice Fae , .DO Intexeat Eerned 2.39
Intarest Paid - 2.39 Annual Percentage Yield Eerned 0.15'b
Current Balance � .00 2013 Zntere�t Paid 1E.55
Depoc3tr� aad AdHitioni
� D�to L1��extptl.oa � Amount
�^ � 3/06 Intere5t Depoeit 2.38
rn
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o Fkt� pqsaript3on Aawuat
",-i 3J66 Clase Acaount 38,721.A0-
:+
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� Dai2y Baiaaas Satoriastion ,
,., Date Halance Date Balance
°o.°� 2/21 38,719.01 3/49 .fl0
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� SAL�.C�st R�tA 81YOOtlt.t'y .
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URRSTOWNBANK ,
ATraditian bfExedEence
Date 3)20113 , Page 2 '
Prlmazy Acaaunt 111000640
Encloauree
� � Judith S Hulse ' -
Country Mendows
� � 120 7Pabaeh Ar
beXington KY A4503
Money Maker Checkinq Account 111000640 (Cantinuad}
THAfTK YOU FpR SANKING SPITH ORR8TC1AiN B1WK
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PNC Bank
Primary account number: 30-2355-Ot 13
Page 1 of 2
For the period 02I1212013 to 03/11/2013 Number of endosures: o
JUDITH S HULSE 8 For 24-hour banldnp,antl transaction or
120 WABASH DR iMerest rate infwmaUon,sign-on to
LEXINGTON KY 40503-1944 '.�'. PNC Benk Online Benldrg et pnc.com
� For customer service cell 1-888-PNGBANK
Mondey-Friday:7 AM-10 PM ET
Seturdey&Sunday:8 AM-5 PM ET
Para servida en esperal, 1-866-HOLA-PNC
MoN�t Please coMact us at t-888•PNC-BANK
P� Write to: Cuslomer SeMCe
PO Box 609
. Pittsburgh,PA 15230-9738
g Visit us at pnc.com
� TDDterminal:l-800-531-1648
For hearirq impeired df�ts only
Free Cheddng A�ccotint Summary Judith S Hulse
PyccaaK r�xnber. 30.2355-0113
Ore�dreR Ro6ec7ion has rrot been estaWlehed for this account.
Please contact us if you woukl Iike to set up this aervice.
Ovwdialt Coveraps -Your account is curcentty OpMd,O�R•
You or your Joint owner may revdce your opt-In or optout choice et any time. .
To leern more sbout PNC Overtlreft Sdutlons viait us online et pnc.comloveNtaheolutbrre.
CeN 1•877-588-3805,vicit any bw�h,w Sipn on W PNC Online Bankirq�end sAleCt Ma'Overdraft
SoNtlons"tink under tlre Account Services section W manage Cot�your Overdra(t Coverapa eM Overdreft
Piotection aettlips.
Balanoe 3ummary
Beginning Deposits and Checks and other Endinp
beler�ce otMr additions deducUons belance
1,488.81 41,228.12 269.55 42,447.38
Averape monthy Charges
belance enAfees
8,810.89 .00
Tranaectbn 3ummary
Checks C�eck Card POS Check CerNBankcard
peidMMhdrawals signed Vansecroons POS PIN transactions
1 0 0
TWeI ATM PNC Benk ATM Othar Benk ATM
transactions trensactlons transactlons
0 0 0
�V�j/�8��
p�p�e�py�p�q�ry�p�g There were 4 Deposits and Other
oa�e arwum oescr�pnon Additions totaling$41,228.12.
02l13 1,087.00 Direct Deposit-Xxsoc Sec
SSA TREAS 310 XXXXX8555D
02l15 100.00 Deposit Reference No. 137833253
02/21 1,319.72 Deposit Reference No. 137159621
03f0$ 38 721 40 Deposit Reference No TOA0001150700100
Checks end SubstlW6a Checdcs
Check Date Referexe
number Amount paid numEer
1004 232.09 02113 072579914 �
There is 1 check Ifsted totaling
$232.09.
� �� vnca.nu�a ��.�.vu��� vw�cn�c�n • .
Fathspsdad 0?/11l2013 W 03h1/2013
g For24-h0urinMrtna4on,elpnanbPNCBenkOnlineBenkinp JUDITHSHULSE
�^P"���'^ Primary aaount number: 30-2355-0113
Aaount Number: 30-23550113 -continued Pape 2 of 2
Online and Electrtlnl�Bs��dd'uctlons rhere was 1 Omine or Electronic
oe�e nmo�nc oescnpno� Banking Deduction toteling$37.46.
02/26 37.46 P�ayS ent,E-Check Payment Verizon Wireless
0
�aiy eaienoe oemn
Date Belence Date Belanca Dare Belance Date Belance
02/12 1,488.81 02It5 2,443.72 02/26 3,725.98 03/OS 42,44�.38
02113 2,343.72 02/21 3,763.44
If only all your resolutions were this easy.
A Savings account from PNC Bank makes it easy to grow your savings. You can set up Auto Savings to make
automatic transfers and watch your savings grow, every month,while you tackle your other resolutions. Visit
your local PNC branch, call 1-$88-PNC-BANK or.go W pnc.crom/autosavings for morg information.
Why sort through multiple pieces of mail to find your bank account statement each month?
Sign up for Online Statements and enjoy the beneflts of a paper statement and much more. For more information
and to enroll, sign on to Online Banking, click on the Customer Service tab and under Pe�sonaf Mfofmap6n
select Online Statements Email.
. ' You have a credlt balence of-$487.01.
�, You do not have to make e payment et thia dma. �HASE �
A000unt number: 4408 0890 9�29 9188
. ,w MNCSyourohsolcpryablsto:
w onn.oaw sarv�a...
Plaase wdM ama��encbeea.
New addtesa ot ameA7 PrMt on beok.
4406D3909129919600�000OOOOD�OODDOOOOOOOODDD0006
J aTH Hu�.sE 'I"I'III"'�IIf�I'I�III'II�'II'IIII"II'�'�'�I�11"'IIII�I�I��'I
720 WABASH DR
LFXINGTON KY 40603-1944 � . . . CARDMEMBER 3ERVICE -
. . PO BOX 16169
WILMINQTON DE 19888-6169
���u���uu������ao����u i�����ni�n���u�a�����iu�u���
I �: 5000 L60 28�: 28 L909 L 299 i96 2�r
�I Cnd�e c�rds � ::- .
�"""CHASE O ^�"'w�ro1f•OOOUni omm.: cunaa�r e.Mcs �adNwnr caw.a
y,�,��� t•lOP2l�-12t1 NlormalbnonGck�
ACCOUNTSUMMARY PAYMENTII�ORMA ON
Acnount Nionbsr: Woe Gdio Y1sa Yi9s ���� -$487.01
Prevbue Balance •$488.01 PBy���B°� �4/0��9
Peyment.Credile . $p.� Minimum Peyment Due �p.pp
Puroheaee +$7•00 uM P�ym�nt Wunhq: If we do ral reoelva your mhimum
Ce�Advanoee ap.pp peYment by Na dab Neled above,You may have to pay a late tee of
Belence Tranefora uP lo 596.00 end your APR'e wlll be e�jeot b Irw�eaee lo a �
. �•� mextmum Penahy APR o�29.99%.
Feee Cherged $0,00
IniereetCha,ged §0.00 -
� Naw 8slence -$487.01 , �
OpenhyCbairgDate 02/07/19-0�19 �
Totat Credit Line � $17J00 -
Avalleble Credit 577,100
Ceeh Aoaesa Una $9,420 � '
AveNebleforCaeh $9,620 �
. . . . .. . . .,_. ... . . __—.. ��..,...r..y. ,��
ki "�':.:- . lfa'..
_
rou a uNrn�ESSaQ�s
You have e oreNt baknoe,so ra peyment le�aqWrad. You may mrke dierges apalnet Me orodt or requeet e refixid by confaolkg
Cerdmember 3ervWe et H�e addreae ebove. If afler 8 mailhe the oredlt bektwe le s1.00 or rtara,we wtll redx�d(he oredl�witMn 90
aayo.
ACCOUNT ACTIVITY
� Date ot � . . . � . . �� . � -
. TreM�tbn. .,.. . AAeroMnt Neme or Treneectbn DerotlpUon .� �:�.. S Artaunt
02/20 U3P8CHANOEOFBdtOD969BOP2989160TN � - -� � �� � . �.pp
�
�. � � Totel feee ohsrged�n 2019 $0.00
� • TWaI intarest che in 2019 f0.00 �
. . Yeaato-date totale retlect aA ahergee min�arry roturMe
applled to your ecoount.
INTEREBT CHARQES � .... , .............. ......... .. . . .........
. . _ . .._.. ..
Your Amwl Pere�nhp�AaM(APR)la the emuel intereet mte on your axount.
s�....,� w.i...,..
Documentation for Schedule H:
• Receipt from Malpezzi Funeral Home.
• Receipt from First Church of God Community Center.
• Cancelled check from James D. Bogar.
• Receipt from Cumberland County Register of Wills.
� _._� . _._ __:_ ._ -�. . , -- _
1V.fa�zzi F��eral Home
, � �
8 Maxk�Piara Way . ''' ' ; � _ _ ` ` {717)69?-4fi9b
M PA 17055 www.Mal iFuneraiHome.com
Jenemy . , : , u�P�,Fb
Merch 20,2013
David Fiulse
120 Wahesfi Drive
Lexington,KY 40503
This is fhe final�temetrt for tha fuaarai�vieea of Iudidr S.Hnlse
We siacerely appraciabe tha confidenco you have placed in us and wili continue to aserist you in every way,
PROF1C8,9IONAL 9kRYSCEJ:
3arvic�s,Faciti8�snd{;ratiation 54,155.00
FQNERAL HbAtE 8CRY7CS CNARGI�,R ' S4.1S5.08
s�r.�cr�n�aac�aan��:
T'ranspoetm(xanacion cos#ainer S17s.00
Crematian Scattering Um 5195.00
Guudian Anget Rogistar Paakage $95.00
'�Cf)ST OF O[7R A�V�CR$r EQUEF'#$NT.ANB I1iERt:EiANDI�E
THAT YOU AAYE S�LEGTSD 54,600.QQ
CA9H AUYANCE3:
.4t the tinee firnerat anmrgenre�were�rade,we advaurced ceMaPngaymd#s to others ar an acaomodation.
Tl,e jouawing te on occou,ut.�s of'rha+e chargas.
CatiBed Ikath Cartiflcetes 590.00
Newapaget Nar�s-Patriat Si44.84
1Vewapsper Notices-Patrtot Srnvica Annaunc�nent $15.37
Ciergy/futtwa Offering 5100.00
Ftawus $154.00
TOTAL C".A9A ADYA1NC68 At11A�+CtA�L CAARC,RS S56d.26
CQNTBACC PR[CE S5,164.2G
xOTAL AMOUNI'DLiE BY A�7 8,20X 3 55,164.26
If you have any que�ions or oancerna�t�s bill,please cell our o t�ice at(717)697-46A6.
f
First Church of God J�p O O O I
� �ir Community Ceater �
,G 201 Sast Green Street
Mechaaicsburg,PA 17055
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RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH Receipt Date: 3/07/2013
Cumberland County - Regieter Of Wills Receipt Time: i5 :b6 :48
One Courthouse Square Receipt No. : 1073336
Carlisle, PA 17Q13
HULSE JUDITH STEWART
Estate File No. : 2013-00276
Paid By Remarks : DJVID HULSE
--- --------------------- Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 90 . 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 . 00 CUP'IBERLAND COUNTY GENERAL FUN
JCS FEE 23 . 50 BUREAU OF RECEiPTS & CNTR M.D
SHORT CERTIFICATE 35 . 00 CUMBFsRLAND COUNTY GENERAL FUN
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN
INVENTORY 15 . 00 CUNIBSRLAND COUNTY GENSRAL FUN
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Cash 5198 . 50
Total Received. . . . . . . . . $198 . 50
!
Documentation for Schedule I:
• Receipt from Hospice of Central Pennsylvania.
Hoepice of Cantral Peansylvania lIIY�Ce
1320 Lingleetown Road �
Hazz'iebuxg, PA 17110 InvoiceNumber:
4669
Va��� �i�-�32-i000 InvoiceDate:
FflX: 7T7-234-0384 �. .;.�`; '�. . .���� 2/28/13
, .
,ss;
Page:
u - urauti.a 1
Resident: � �
Judith Hulse .t��".".:,P .
C/0 David Hulse �Cf
120 Wabash Dr .
Lexington, KY 40503 �
ResidentID: xuiees
Paytncnt Terms Due Date
Net 15 Days 3/15/13
. 1�xtiPtion Amount
esidential Care - February 13-22, 2013 3,'750.00
�
Plesse nete o�r ne�v o� � - 13� L�ow� Road, Harriabur
PA 17110
Total Invoice Amoun ' s,�s o.o 0
ChxklCnedit l�iemo No p$yment/Credit Appliec
TOTAL 3,�so.00
T1�Snk yau far c;�ier�sing Hr�spice of Central Pennsylvd�ia
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PEIIENSYLVANIA
No. 2013- 00276 PA No. 2 f- 13- 0276
Estate Of: JUD/TH STEWART HULSE
lt7nt AtaOa,ten�
Late Of: HAMPAEN TOWNSHIP
CUMBfRLAND COUNTY
Deceased
Social Security No:
WHERFAS, on the 8th day of March 2013 an instrument dated
Ju1y Ist 1999 was admitted to probate as the last will of
JUDITH y���EWART HULSE
(FNSC MIddL,Lutj..
late of HAMPDEN TOWNSH/P, CUMSfRLAND County,
who died on the 22nd day of February 2013 and
WHBREAS, a true copy of the will as probated is annexed hereto.
T13ErREFORE, S, GL�NOA FARNER rSTR.4SBAUGH , Regiater of Wills in and
for Cf11rf8ERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Lettera TESFAMEJVTARYto:
DAYIl3 S HULSE
who has duly qualified as EXECUTOR(RlX1
and hae agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTYCOURTHOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto aet my hand and affixed the seal
of my office on the 8ih day of March 2013.
� ,� .� Yl (�' �µ� �tYr2 f.�l%1
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**NOTF,** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
LAST WILL AND TESTAMENT
� _=� :<,
� w � rn
OF � �° 3 crni c'
m .,y a, a
JODITH B. BULeE � n r"' � ri �
zm � �
x �: � y p �a
I, JUDITH S. FiULSE, of Mechaniasburg, ��'lang � '-;
County, Pennsylvania, make, publish and declare �h� as �di�'¢� �.
my Last t4111 and Testament, hereby revoking all 8ther w�.s�$� i
Codicile heretofore made by rae. ,.
�,$$�: I devise and b+aqueath all the rest, residue an�
remainder of my estate of whataver nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance poliaies thereon, in equal shares, to
my children, DAVID S. HULSE, GEORGE F. HULSE, III and RATHY L.
JOHNSON.
BECODiD: Should my son, DAVID S. HIIISE, predecease me,
I direct that hie share under this, my Last Will and Testamant,
paes, in equal shares, to his dauqhter, ELAINE M. HULSE and any
other children that he might have.
THIRD: Should my son, GEORGE F. HULSE, III, .predecease
me, I direct that his share under this, my Last Will and Testa-
� ment, pass, in equal Bhares, to his daughter, BRITTANY D. AULSE,
�, his dauqhter, JILLIAN L. HULSE, and his step-daughter, TIFFANY R.
ARNER, and any other children that he might have.
i �: Should my daughter, XATHY L. JOHNSON, prede-
`..;t„� cease me, I direct that her share under this, my Last Will and
� Testament, pass, in eq[ial shares, to my surviving children, DAVID
-� S. HUISE and GEORGE F. HUISE, II2.
j; $�$: In addition to all powars granted to them by
�;
� law and by other provisions of this Will, I giva the fiduciaries
"° "�J acting hereunder the Pollowing powers, applicable to all proper-
i `�
�y, exerciaable without court approval and effactive until actual
distribution oE all property:
(A) To sell at public or private sale, or to lease,
for any period of time, any real or personal property and to give
optiona. Por �a1es, +�trd��3�r�. ar lea#�a�, #or suc� prices and ugon
suoh te7�ts {inaluding credit, with or without securityj or
caY�litianrs a� axe deemed propar, This inelude� tk►e power to give
leqally euff�t�3;aa►t instrumar�te f�ar transfer of the prop+�rty arsd
to receive ttie p�roceeds ot any disposition aP it.
(B} Ta pa�rtition, s�bdivifle, or imprave real e�tate
and-to a�ter 1�sto ag�ta ccmt3err3fng tha partition, oubdivi-
sia�x: ia�sx+aa�nt; sot�ircg c>r manaqement of rsa3 estate and ta
impose ar extinguish reStrictians on real eatate.
(C) To c�mpromie�e any c2sim or controveray end tc
abandan an�r proparty which is af ii�tle or na valne.
(D) To inv�st in ail �oras of property, including
stteeks, coaa►cn trust funda and mcrtqage invest�ent funds, witho�t
re�strict,ton to inver�tmant� authoriaed Por Pennaylvania Pfduci-
aries, a� are deemed proper, wit:hout regard �o any prinaig}.e of
div�rsii"ication, risk or prod�etivity,
jEj To exerciee any op�ion, rfght ar prfvflega granted
in ir�uranee polic3ea or in oth�er investments.
(F) To exercise any election or privilega given by th�e
F�ra2 and other tatx lawas, inoluding, but not nace�aarily being
limi;ted t�o, personal incm�e, gift and estate or inheritanae tex
iaw�.
� (G) To males di�tributiona to my herafn naraed banefici-
`�.� ari�s in cash or in kind ar partly in each.
{H) Ta barrow money frcm themaelvas ar other� in o�cder
� to paY delata, taxas, or eatate or trust adminietration exp�sseaas,
ta p�tsat ar imprave �tny presperty held under my wfll, and for
µ�, investment
Purposes. ,
�.,� (I) To selact a �le of gaymsnt under any gualified
�'; re�i�eMaaa�t plan (per�e�#on p1an, proPit sharing plan, empioyse
v stock c�ership plan, or �►y othsr type of qualified p2an} to the
f ""� ex�t�at the pian ar t�1ta law permit� them to do so, and to exarcise
, ,� ��ny other rights which th�y may have unflar the plan, fn whabever
manner they can�idar advie�b2e.
BIXTH: I direct that all inheritance, estate, trane-
2
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.,..: ,:: .,., „
,. .
., , . , . . .
fer, suacessian and death taxes, af any kind whatscever, whioh
may tse payable by rea�on af my doath, whether ar nat with raspeot
to property passcing under this W111, ahall be paid out of the
principal of my residuary astate.
�: All in��resta hereunder, whether principal or
inaame, whioh are undistributed and in the gossession of the
Piduaiaries acti�xg hereundar, even though ve�ted or distribut-
able, ahall not be subject tc attaohment, exeautian or sequestra-
tion for any debt, contract, obligatior� or Iiabflitp of any
beneficiary, and furthermore, shall not be subject to pledge,
assi.qnm�nt+ conveyance or antici�sation. '
�,Z,g�g: I nominate and appoint my son, DAVID 8. HUL3E,
Executor af this, my Last Will arrd Tegtament. Zn the everst of
the death, resignation or inability to serve �or any reae�on.
whatsaever af the snid DAVIA 9. �iU2SE, I nomi.nate and appoint my
son, 6EORGE F. HLiL3E, III and my daughter, KATHY L. JOHt�iSON, Co-
Executors af thi�, my Lsst Will and Testament. I direct that my
Executar ar Executrix, as the case may be, and their suecessoro,
shall not be required to paet security or a bond �or the
performanae of their duties 3n any jurisdiation,
SN WITNESS WHEREOF, I hava hareunto set my hand and
seal ta this, my Last Wili and Testament, thi� l .s-Ft day of
'1,,�..�.Qc� . 1999.
� � 1_ ,�./..�
� . - . � ° �.�.r.et.:-.Z :^�� �' �-�.. �3EAIe�
JUqr. H S. HULSE
t
Signed, sealed, publi�hed and declared by the above-
named Testatrlx as and Por her Last Wi,ll and Testament in our
p=e�eiiCer who, at her raquest, in her presence and in the
pree�ence af eaah other, have hereunto eubacribed aur names as
attesting witn�ases.
" .
�il.t�k ' .r.
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