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10-07-14 (2)
REV-1500 Ex102-11i(iI) 1505611185 PA Department of Revenua 9FF9W USE ONLY 8umau of IndWuai Taxes County Code Year Fite Number PO BOX 28Qa01 INHERITANCE TAX RETURN 21 14 0344 Harr:burp.PA 17128.tts0I RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW 03D52014 08291450 Decedent's Last Now Suffix Decedent's First Name Mt HILLIER DAVID A (if Applicable)Enter Surviving Spouse's Information Below Spouse's last Name Suffix Spouses;First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WffH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW 1. Original Return 2.Supplemental Return ❑ 3. Remainder Return(Date of Death Prior to 12-1382) l.._! 4 Limited Estate Q 4a. Future Interest Compromise(date of 5. Federal Estate Tax Return Required death after 12-12.82) I^.t S. Decedent Died Testate E-1 7. Decedent Maintained a Living Trust Qr. 8. Total Number of Safe Deposit Boxes (Attach Copy of WHO (Attach Copy of Trust.) 9.Litigation Proceeds Received D 10.Spousal Poverty Credit(Date of Deaths 11.Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1.95) (Attach Schedule O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD HE VWCTEO TO: Name Daytime Telephone Number MICHAEL J• CONNOR, ESQ• 717-262-2185 FIECISM OF WILLS USE ONLY ry First Una of Address c�a rrt 247 LINCOLN WAY EAST rn Second tine of Address � co i T1 Cy.. LF f /� r•J k✓ City or Post Office State ZIP Code t l CHAMBERSBURG PA 17201 -: M rs cn a - v) CorrespondenVe e-mail address: M J C@ W C S L A W O F F I C E-C O M Under penalties of perjury.I declare that I have examined thisratum.including accompanying eetredntes and statements.and to the test of my knowte fte and baser it is true.correct and complete Declaration of preparer other than the parsons:representative Is basad on ON information of which prspamr has any knowledge S1GNAER C/O WALK , ONNOR X SPANG, LLC 247 LWE, CHAMBERSBURG, --PA 17201 SIGNATURE OF PREPO REP TATIVE DATE ADDRESS 247 LINCOLN WAY EAST CHAMBERSBURG, PA 171201 PLME USE ORIGINAL FORM ONLY Side 1 1505611185 OM41347'Ar Z5Q56bZZ$5 V '� 1505611285 REV-1500 EX(FI) RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0 . 00 2. Stocks and Bonds(Schedule B). . . . . . . . . . . . . . . . . . . . . . . . . 2 361l45 - 00 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C), , , , , 3. 0 - 00 4. Mortgages and Notes Receivable(Schedule D) , , , , , , , , , , , , , , , , , 4. 0 - 00 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E) , , , , , 5. 601973 -00 6. Jointly Owned Property(Schedule F) F-1 Separate Billing Requested , , , , 6. 501306 - 00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) F-1 Separate Billing Requested . . . . 7. 221713 - 00 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . 8. 170-1137 - 00 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. 241433 - 0 0 10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule 1) , , , , , , , , . 10. 71299 -0 0 11. Total Deductions(total Lines 9 and 10), , , , , , , , , , , , , , , , , , , , , 11. 311732 .00 12. Net Value of Estate(Line 8 minus Line 11) , , , , , , , , , , , , , , , , , , , 12, 138-,405 . 00 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J), , , , , , , , , , , , , , , 13. 0 . 00 14. Net Value Subject to Tax(Line 12 minus Line 13) . , , , , . . . 14. 138-.405 . 00 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.o D 0 .00 15. 0 . 0 0 16. Amount of Line 14 taxable at lineal rate X.0-9-5 0 .00 16. 0 . 0 0 17. Amount of Line 14 taxable at sibling rate X.12 1021260 -OD 17. 12,271 - 00 18. Amount of Line 14 taxable at collateral rate X.15 361l45- 00 18. 51422 -.00 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 171693 - 00 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505611285 1505611285 J OM4648 3.000 REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: 21 14 0344 DECEDENTS NAME HILLIER DAVID A STREET ADDRESS 7 MICHAEL COURT CUMBERLAND CITY STATE ZIP SHIPPENSBURG PA 17257 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 17,693 - 00 2. Credits/Payments A. Prior Payments 0 . 00 B. Discount 0 . 00 Total Credits(A+B) (2) 0 .00 3. Interest (3) 0 .00 4. If Line 2 is greater than Line 1+Line 3,enter the difference.This is the OVERPAYMENT. 0 . 00 Fill in box on Page 2,Line 20 to request a refund. (4) 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 17,693 -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 . . . . . . . . . . . . . . . . . . . . . . . . El 51 b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . ❑❑ c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O EZ d. receive the promise for life of either payments,benefits or care? . . . . . . . . . . . . . . . . . 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? 4. Did decedent own an individual retirement account,annuity,or other non-probate property,which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E El 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 is 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(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)]. A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. OM4671 2.000 REV-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER David A. Hillier 21 14 0344 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 68.183 Shares First Investors - Non-retirement Account 1,318 2 279.544 Shares Janus Account #42/307147740 - non-retirement account with no designated beneficiaries 11,710 3 1,801.824 Shares Janus Account #62/307147740 - non-retirement account with no designated beneficiaries 23,117 TOTAL (Also enter on Line 2,Recapitulation) $ 36,145 2w4896 2.000 If more space is needed, insert additional sheets of the same size ADMI N I S T R A T I V E DATA MANAGEMENT CORP. f r-a—n s_fe_rA_ge_n t Operations First Investors May 16,2014 Walker,Connor&Spang, LLC Attn:Julie M.Metz 247 Lincoln Way East Chambersburg,PA 17201 Re: Master Account Number 0000297629-001 ("Non-Retirement") Total Return Fund,Account Number OPV XX85o9-8 David A. Hillier Master Account Number 0000297629-002 Individual Retirement Account("IRA") Special Situations Fund,Account Number 32V xx4778-7 David A.Hillier Dear Ms.Metz, On May 12,2014,we received your request for the date of death values of the above referenced accounts. We also received a certified copy of the Death Certificate for David A.Hillier,a certified copy of the Short Certificate designating Anthony R.DiSturco as the administrator of the Estate of David A.Hillier,and an Affidavit. The information you requested is provided in the tables below. For your reference,there are no beneficiaries designated on the referenced accounts. Therefore,the assets of the referenced accounts vest to the Estate of David A. Hillier. The market values of the above accounts as of March 5, 2014 were as follows: David A. Hillier/Non-Retirement Account Share Price/ Market Number Balance Share Value oPV xx85o9-8 68.183 $19-33 $1,317.98 David A.Hillier IRA Account Share Price/ Market Number Balance Share Value 32V xx4778-7 701-420 $26.49 S18,580.62 Please note,there are no outstanding loans and from January 1,2013 to the present,there have been no transactions on the accounts. Dividends and capital gains are currently being reinvested into the accounts. As recipient of the referenced IRA,there are several options available to the Estate. We suggest the appointed estate representative consult with a qualified tax ad-visor regarding the options and the associated tax reporting requirements prior to submitting a transaction request. If the procedures provided below do not reflect Anthony R. DiSturco's intentions as the administrator of the Estate of David A.Hillier,he may contact our Shareholder Services Department at the number provided below. An associate will be happy to provide him with the procedures and necessary documentation for the transaction requested. ... I - -- ____ -.. ..._.—_ - 3 ,__nj---4 01h et...., rdi Ki f nPa,5_=,;n JANUS \ ;1 PO Box 55932 TEL 800 525 3713 Boston,MA 02205-5932 WEB janus.com May 7, 2014 WALKER CONNOR & SPANG LLC ATTN JULIE M METZ 247 LINCOLN WAY E CHAMBERSBURG PA 17201-2235 REFERENCE: 02195242 Dear Ms. Metz: This letter is in response to a request for Janus account information.The account information provided below is unaudited. Date Fund/Account Number Transaction Share Price Shares Dollar Amount 3/5/14 42/307147740 Balance $41.89 279.544 $11,710.10 3/5/14 62/307147740 Balance $12.83 1,801.824 $23,117.40 3/5/14 40/307147652 Balance $45.08 323.483 $14,582.61 3/5/14 42/307147652 Balance $41.89 194.091 $8,130.47 David A. Hillier owned two accounts with Janus. Please note Janus does not have loan accounts or accounts that have accrued interest. Account 307147740 is an individual non-retirement account with no beneficiaries listed. In order to re-register this account, please have the estate representative complete and sign the enclosed Inheriting a Non-Retirement Account—Entity Beneficiary Kit. Account 307147652 is an Inherited IRA from Andrew J. Hillier.The beneficiary on this account is Patricia A. Disturco. In order to re-register, please have Ms. Disturco complete and sign the enclosed Inheriting an IRA—Individual Beneficiary Kit. If you have any questions, or if Janus may be of additional assistance, please contact us at 800- 525-3713 or visit us online at janus.com. Representatives are available Monday through Friday from 9:00 a.m.to 6:00 p.m. Eastern Time. Sincerely, 4,'s 4L Amanda Acosta Investor Services Enclosure(s): Inheriting a Non-Retirement Account - Entity Beneficiary Kit - R Inheriting an IRA - Individual Beneficiary Kit - R REV.1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY NT ESTATE OF: FILE NUMBER: David A. Hillier 21 14 0344 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 2007 Dodge Caliber VIN#1B3HB48B57D216540 5,616 Kelley Blue Book Valued at 2 Fidelity Investments 401 (k) Account - payable to Estate 36,384 3 First Investors IRA Account - payable to Estate 18,581 4 Nationwide Mutual Insurance Company Refund 324 5 State Farm Refund - Car Insurance 68 TOTAL(Also enter on line 5,Recapitulation) $ 60,973 2W46AD 2.000 If more space is needed,use additional sheets of paper of the same size. l='►Al ON Kelley Blue Book The Trussed Resource` r 1 • ...need I say more? • GEICO t I Adw_rtisement why ads Sell To Private Party 2007 Dodge Caliber Pricing Report Good Fair Conditcn d�rf Ga c Style:Sport wagon 4D Ccnditaon $ 1>r Ccn;fncn $5,D61 ;5,768 Mileage:63,838 ;elaegt 6,070 i Vehicle Highlights Fuel Economy: Max Seating:5 I N/A Private Party Values valid for your area through 10/2/2014 t Doors:4 Engine:4-Cyl,1.8 Liter Drivetrain:FWD Transmission:Automatic,CVT k j EPA Class:Compact Cars Body Style:Sport Wagon f Country of Origin:United States Country of Assembly:United States Your Configured Options i Our pre-selected options,based on typical equipment for this car. Options that you added while configuring this car. i Engine Steering Wheels and Tires 4-Cyl, 1.8 Liter Power Steering Alloy Wheels Transmission Entertainment and Instrumentation Automatic,CVT AM/FM Stereo Drivetrain CD(Single Disc) FWDSafety and Security Dual Air Bags i i Glossary of Terms i Tip: Kelley Blue Book®Trade-in Value-This is the amount you can expect to receive when you trade Bn your car to a dealer.This value is determined based on the style,condition,mileage and options It's crucial to know your car's indicated. true condition when you sell it, Trade-In Range-The Trade-In Range is Kelley Blue Book's estimate of what you can reasonably expect so that you can price it to receive this week based on the style,condition,mileage and options of your vehicle when you trade it appropriately.Consider having in to a dealer.However,every dealer is different and values are not guaranteed. your mechanic give you an objective report. Kelley Blue Book®Private Party Value-This is the starting point for negotiation of a used-car sale between a private buyer and seller.This is an"as is"value that does not include any warranties.The final j price depends on the car's actual condition and local market factors. Private Party Range-The Private Party Range is Kelley Blue Book's estimate of what you can reasonably expect to receive this week for a vehicle with stated mileage in the selected condition and i configured with your selected options,excluding taxes,title and fees when selling to a private party. Alin- --t:a.---------JO_ 1(1/1 /1%A1A C3 DISTURCO ,PATRICIA,A 54 CARRIAGE CIR WILLIAMSVILLE NY 14221 008277 ._ ,4f« f ...r- "��- '�.t•} Xi.=<-�i._._`1M`....... �.c. _. .r, �Y. ,,,.+' _ ,.. t._♦ _..... , w..... .r. ,i �. � l . Y`fi i t:j. �.i l- ,i ,+.. i % ! ?. f ; Y . a. •`~'r.I = .—` V i, t.�- i .R�. .'':wl �.� 'T*�� .-..�•.,4:_.....w...SL-.rr ri_ ._. ..+.7+C.� {. ',�Wi... - .'+..',sr�- •_ «'+.lL['#- w. .�/ 'k" 1Ai./•I 3 -a 'rzr'tr'te.Lri'.v n'f.gov •~'r'• w t!' i = ;•,, NEW YORK STATE - t" Title and Identification No. Year Make Model Code Body/Hull Document No. 1B3HB48B57D216540r 2007 DODGE CAL 4DSD 164247D ../ Color Wt./Sts./Lgth, Fuel Cyl./Prop. New or Used Type of Title Date Issued r errBK 3066 GAS 4 USED I VEHICLE 6/04/14 r Y ik 'ref 9:A;• Name and Address of Owner(s) ODOMETER READING: 63838 DISTURCO, PATRICIA,A 54 CARRIAGE CIR f WILLIAMSVILLE NY 14221 ' . z. i n`rs dGcurnsrti is your proof o, o.vr7:.mss„,,),•n,,til"i vcf•Fc'- , ft,iai GF home. K p y'; o o,• �- ---*�*5r^''�-.---rtei 1 u�t � ,,>i. -�'�'��--�-.-'��"-''-_'_• It irl 8 S81@ place, not `NI:f1 yOUr license or rr:gS:rfll!(]n or Il'i (tilt” Y2`liC,'i:z 0: t;00t. TO diSpi75� of your Vehicle, boat or manufactured home, corrrplete tre tra^sfcr suction on tilt back and give this title to the npv. o:vner ;� .per - — - - _... _._..---_ ._._— _ •i' `'r �':>;��.�".�; ,�ice- .. �-...• t tFrfiofder - L�rt� tni,?�; .,,,r�,,�: Lam ;. ,fi ��:M--r�.r- �e • • zi/ r • • ' i i �.� a :, •>•' li --s�-�r�r'"''_""^. w t.1anho'der ._._..._-+_. ___ __ Liafi`il�•�cr ...____ __..,_.._ 7� ,f� li, 4A �[ y_7tL--�-c'---r r� �+Y .s �'-fr�-r-Z-� v ,. �r .y. :.. -r�.,�;��r-. �•v.�-,,� :�yrs,;r 3. ,� ��,.f rfifr�/� ��'P�hiflfE12�.� � �S�M J"'K' _ r��`��._��...+-+—. .r!.'1"�-. .w�i���'M•,f� 4����„s'G. Nt1,+i'f'`.'' ' ''�=SS'h i'SiiSl:..�'S_.,�.1'�LSl�:�."2`+Y+ 1�1.Ld�M.�.,,,,a`#.� S:..i�!���i a�.Eif�.3.�`+�rl.Z"�Ln: '»�.:♦ L -..4,.'... _�.7»[:L�..:w r'1..'f���._..,�'�._L �l�+sS_'..1.'_-�-C...t��Sl ty. t:.r. E3 _ VERIFY T4E AUTHENTICITY OF THIS IULTI-TOt1E$'cC11RITY DOCU:IEd(T._ EICHECK SA_K3rlOUNU AA£A CHA;X0=3 COLC3 G33.CUALLY FROM TOP TO BOT O.IJ DIOCESE OF HARRISBURG 401K Y ("1 Fidelity 62-38i3l l Fidelity Management Trust Company $!.!!!!«!!36 383 971 Check Number Account Number Date of Check -------- ——`- -• -� 00261122595 57506 August 13,2014 Void After 180 Days Thirty-Six Thousand Three Hundred Eighty-Three Dollars And 97 Cents Pay to the order or: Deutsche Bank Trust Company Delawi THE ESTATE O DAVID A.HILLIER C/O ANTHONY R.DISTURCO 54 CARRIAGE CIRCLE kv��� WILLIAMSVILLE NY 14221 Authorized Signature II'026L12259511• 1:03 1 L00380 i: ODS903LI III O NOLLVNOAN361 ONOIV HV31 ONV Q-10d N3dO Ol O 1S211d 53043 3015 3AOIN3N SEE REVERSE SIDE FOR OPENIMG INSTRUCTIONS 01003218 � 40 57506 70MCCO2C991918 PRESORTED &'If' `el,fy Y.0081472420C1C03218 FIRST-CLASS MAIL US POSTAGE ,� PAID P.O.BOX 673006 rte% FIDELITY Dallas,TX 75267-3006 Irr;ESTMErrrs S A Y { RPO THE ESTATE O DAVID A. HILLIER C/O ANTHONY R. DISTURCO 54 CARRIAGE CIRCLE WILLIAMSVILLE, NY 14221 .ADI�11 N I S T R A T I V E DATA MANAGEMENT CORP. Transfer Agent operations First Investors May 16, 2014 Walker,Connor&Spang, LLC Attn: Julie M.Metz 247 Lincoln Way East Chambersburg,PA 17201 Re: Master Account Number 0000297629-001 ("Non-Retirement") Total Return Fund,Account Number oPV)a85o9-8 David A. Hillier Master Account Number 0000297629-002 Individual Retirement Account("IRA") Special Situations Fund,Account Number 32V Kx4778-7 David A.Hillier Dear Ms.Metz, On May 12,2014,Nve received your request for the date of death values of the above referenced accounts. We also received a certified copy of the Death Certificate for David A.Hillier,a certified copy of the Short Certificate designating Anthony R.DiSturco as the administrator of the Estate of David A.Hillier,and an Affidavit. The information you requested is provided in the tables below. For your reference,there are no beneficiaries designated on the referenced accounts. Therefore,the assets of the referenced accounts vest to the Estate of David A. Hillier. The market-values of the above accounts as of March 5,2014 were as follows: David A.Hillier/Nan-Retirement Account Share Price/ Market Number Balance Share Value oPV xx8,5o9-8 68.183 $19-33 $1,317.98 David A.Hillier IRA Account Share Price/ Market Number Balance Share Value 32 xx4778-7 701-420 $26.49 $18,580.62 Please note,there are no outstanding loans and from January 1,2013 to the present,there have been no transactions on the accounts. DiNidends and capital gains are currently being reinvested into the accounts. As recipient of the referenced IRA,there are several options available to the Estate. We suggest the appointed estate representative consult N%rith a qualified tax advisor regarding the options and the associated tax reporting requirements prior to submitting a transaction request. If the procedures provided below do not reflect Anthony R.DiSturco's intentions as the administrator of the Estate of David A.Hillier,he may contact our Shareholder Services Department at the number provided below. An associate will be happy to provide him with the procedures and necessary documentation for the transaction requested. REV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTM ENT OF REVENUE INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: David A. Hillier 21 14 0344 If an asset became jointly owned within one year of the decedent's date of death,it must be reported on Schedule a SURVIVING J01NT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A DiSturco, Patricia A 54 Carriage Circle, Williamsville NY 14221 Sister JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERLY %OF DATE OF DEATH �� FOR JOINT MADE INCLUDE NANE OF FINANCIAL INSTITUTICN AND BANK ACCOUNT NUMER CR SIMILAR DATE OF DEATH DECEDENPS VALUE OF NUMBER TENANT JOINT IDENTIFYING NUNEER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUEOFASSET INTEREST DECEDENTS INTEREST 1 A 2/15/2003 Citizens Bank of Pennsylvania Checking Account #6204309963 2,311 50.000' 1,156 2 A 11/26/2010 Citizens Bank of Pennsylvania Account #6231346807 - jointly owned with decedent's sister, Patricia A. DiSturco 551 50.000. 276 3 A 9/30/2010 Mobile Home owned jointly with decedent's sister, Patricia A. DiSturco (this property was conveyed from decedent's father's estate jointly to decedent and his sister in September 2010) 95,000 50.000 47,500 4 A 10/31/2010 Personal property and household furnishings jointly owned with decedent's sister, Patricia A. DiSturco 2,748 50.000 1,374 TOTAL (Also enter on Line 6,Recapitulation) $ 50,306 9w46AE 2.000 If more space is needed,use additional sheets of paper of the same size. BUREAU OF INDIVIDUAL TAXES Pennsylvania Inheritance Tax pennsy[vania pO BOX 280601 DEPARTMENT DF REVENUE 14ARRISBURG PA 17128-0601 Information Notice REV-1543 EX DOCEXEC(35M And Taxpayer Response FILE NO.2114-0344 ACN 14133296 DATE 06-16-2014 Type ofAccount Estate ofDAVID AHILLIER Savings Checking Date nfDeath O3-O5'2014 Trust PATRICIA A OISTURCO County CUMBERLAND | |Corb#oato 247 LINCOLN WAY E cHAmnsRSBUmG PA 17201'2235 CITIZENS BANK OF PENNSYLVANIA provided the department with the information below indicating that at the death of the above-named decedent you were a joint owner or beneficiary of the account identified. Remit Payment and Forms to: Account No.6204309963 Date Established 02-15-2003 REGISTER OF WILLS Account Balance $2,311.49 1 COURTHOUSE SQUARE Percent Taxable X 50 CARLISLE PA 17013 Amount Subject to Tax $1,155.75 Tax Rate XD12O ' NOTE*: |ftaxntoa�made wbhindhmemo�hanfthe PotenUalTax Due --^ decedent's dateofdeath,deduct a5percent discount onthe tax With 5Y6Discount(Tax xO.95) duo. Any inheritance tax due will become delinquent nine months after the date ofdeath. PARTI Step 1 : Please check the appropriate boxes below. AF-l��oX�� isx8u»e^ I ammthe spouse of the deceased ��rUar� the parent of a decedent m/hoVVam —J 21 years old oryounger at date of death. Proceed toStep 2onreverse. Donot check any other boxes and disregard the amount shown above osPotential Tax Due. 8 [—�Theinfonn��ionia The above informudnnisuormo . nododu��ionoare being taken, and payment vvi|| besent L_� correct. with my response. Proceed to Step 2 on reverse. Donot check any other boxes. C �—1The�xra�ioinconen' F�� — 4.5�, |omolineal boneUci�y(paront.child,gumdohikj. �c.)cf the deceased. L—� —1� (Select correct tax rate ot right,and complete Part 12% |amasibling cf the deceased. 3onroveroe.) ^—� [—1 15% All other relationships (including none). ' u [—]Changes The i�ormudonabove iaincor� 'o and�rde�aand dedu��ionawempa�. L� listed. CmmpleteRyrt 2 and part 3asappropriate onthe back o/this form. E Asset wiUbenapo�ednn Thaabove'idenh8Ureported N�! inheritance tax form Return filed bythe estate representative. REV'1500. | Proceed toStep 2onreverse. Donot check any other boxes. BUREAU OF INDIVIDUAL TAXES Penns Ivania Inheritance Tax HA Pennsylvania BOX 280601 y HARRISBURG PA 17128-0601 Information Notice DEPARTMENT OF REVENUE - REV-1543 E%DecEXEC (OB-12) And Taxpayer Response FILE NO.2114-0344 ACN 14133297 DATE 06-16-2014 Type of Account Estate of DAVID A HILLIER Savings X Checking Date of Death 03-05-2014 Trust PATRICIA A DISTURCO County CUMBERLAND Certificate 247 LINCOLN WAY E CHAMBERSBURG PA 17201-2235 CITIZENS BANK OF PENNSYLVANIA provided the department with the information below indicating that at the death of the above-named decedent you were a joint owner or beneficiary of the account identified. Account No.6231346807 Remit Payment and Forms to: Date Established 11-26-2010 REGISTER OF WILLS Account Balance $551.25 1 COURTHOUSE SQUARE Percent Taxable X 50 CARLISLE PA 17013 Amount Subject to Tax $275.63 Tax Rate X 0.120 Potential Tax Due $33.08 NOTE`: If tax payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax With 5%Discount(Tax x 0.95) $ (see NOTE`) due. Any inheritance tax due will become delinquent nine months after the date of death. PART Step 1 : Please check the appropriate boxes below. 1 A F-]No tax is due. 1 am the spouse of the deceased or I am the parent of a decedent who was 21 years old or younger at date of death. Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount shown above as Potential Tax Due. B LI The information is The above information is correct, no deductions are being taken, and payment will be sent correct. with my response. Proceed to Step 2 on reverse. Do not check any other boxes. C El The tax rate is incorrect. ❑ 4.5% 1 am a lineal beneficiary(parent,child,grandchild, etc.)of the deceased. (Select correct tax rate at right,and complete Part F-] 12% 1 am a sibling of the deceased. 3 on reverse.) 15% All other relationships(including none). D Changes or deductions The information.above is incorrect and/or debts and deductions were paid. listed. Complete Part 2 and part 3 as appropriate on the back of this form. E (�Asset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax inheritance tax form Return filed by the estate representative. REV-1500. Proceed to Step 2 on reverse. Do not check any other boxes. John E Kohler, Jr.,Auctiorreer/Appraiser September 30, 2014 Walker, Connor and Spang, LLC Attn: Attorney David Spang 247 Lincoln Way East Chambersburg,PA 17201 RE: David A. Hillier Real Estate Dear Attorney Spang: I have completed a cursory review and evaluation of the real estate from the David A. Hillier Estate located at 7 Michael Court, Shippensburg, PA 17257. This mobile home is two bedrooms, two baths, laundry, open concept living room, kitchen, dining and sun room. Home includes an attached one car garage and extended porch. It should be noted that this home is on a leased lot with a current monthly maintenance fee of $299.00. Property is in excellent state of repair—move-in ready. Without detailed appraisal work, the fair market value would be in.the $95,000.00 range. Sincerely, John F. Kohler, Jr. Auctioneer/Appraiser 643 Kriner Rnarl ♦ rhamkerclitira PPnnCVlVania 17101 ♦ Phnr.o (7171 7 2_/.517 F ., (7171 Ila nl o0 10/01/2011 18:25 FAX �l002 ERTIFICATE OF TITL EE,FOR A VEHICLE ..•....... .... �II3617.I;NE :` VEN7CLE WtiNTIFMAITON NIJNBER .. .. YEAR ., MAKE OF.VEttict.E' T �NUMBER ++�i 0MY yymt OUF :BEAT OLAP PRIOR TITLE @TATE' DATE TE OFt DA TTTT.EA �• OA SSUE •�-••UN(riLtEN W£IGFIT�•,r. `OVWR V ••^' .QG1Vit" V� i1f.E 9RAND1• Itf 4 WOMt'T"ArATVE ' 0•ACTUAL UOA14C I!.t8-wit CXCSRos Titt iffCiWtI AL n ; �• LMTS � 2.NOT'niE A0T71AL NILRAOi '•�.'. '?■. 1.NOT,TtiE AGrIJpI M4aAbr•CDflfAETZ:R. '+, TAAAEAY.'Q V[Altlt(( v. '•,4,�+ , 004FTER DISCLOSURE ERAL LAW `-E7(EiAPT PROM O00METSi OISCiAW" REoI9TERlb OwMER(8) _s. ..• yy TITLE s"A" ANTHONY R & PATRI ` , �P°r O-COLLECTIJU vdNcta ��' ••A ,.r.;k• .. F.OUT OP COUIIRY 21 �/" Y .M{r.^ n N-^OGMTR RICMIL'{TWAL ViMl4l! 54 CARRIAGE CIR L � UptA P-iEWAS A VoLlog WHIMS WILLIAMSVILLE NY 14E21 R.RgcowT,ticTn, .. B.STRtsT ROD • T-RECOVERED""YERIOLe V.VEMCLE CONTAWS hilum YIN . W.rum WNWLE FIRST LIEN FAVCA OF: 990M,UEN 14YOR•OF! x-ISWAa ATARI U• a■ww a■rAower R Mead Lpm gamNaft"0•f■Mt 4 1•mtWw mint kt*W hit Too to,m•bww at Motrn Y■nkt t Ai FIR77 LIEN RELEASED ftn And tu.DATC x�k 8Y SECOND LIEN AMEArEO A7O40RjM R2PRESENTATIVE DATE MAILING ADORM By • AUTk6fp2E0 REPpEgENTATIVE ANTHONY R Z PATRICIA A DTSTURCO 54 CARRIAGE CIR WILLIAMSVILL.E NY 14221 pennsylvania DEPARTMENT OF TRANSPORTATION I tamM a<d0%"0 a I-.u■.0*dMch1*aata■Of"Part>tyk■Neo•DArx" BARRY J . S CHOCH i P- E. * d Twoporhtlon*Mott mat mo porw(e)of company named h■rom I•ow 18*m owner APPLICATION1' TITLE AND LIEN INFORMATION- MD swom #it 9g;jUMMa•r DeW UMyDitr epore••N ItRed ane yell wsertttt MS• to be listed as'Joint T.RB O wWittt Ripht of aumvorehlp'(On dNdt.of oro * .A owe w;*w P44 to sunAYkip:owner)CHECK-"6R9 O,*borw"-lhi!-W@ wm be,Ne W b'Tenaf in Comma*'fon death of oar owwr,YTtMla.ot. d•oaaaW owner s to hivTwr tW or eatate). .. ., it No LIEN.CiMCKO IS THIS AN ELTT(IF YES,FYI REOURYD) YEB d No© irT LRINNOLMA FWANCIAL WSTRUTION Nt mms: ., . .igTS,�,NM0Ut4RtiAME Ln ZIP co . .87T1Epc"T IR NO IINO UEN,CHE.CIS M TM8 AN t1Ta{tF YI&fW REOUIfiFA!Y89❑NQC3 Try UTiNflpn■i+rMY.AVf1 ttow. WKI avw.»Annr m1woe,r�at nft twYeaw.� b!,.vrtltJ.la�,b.i WOUENNOLMFINANCIAL MT!TU.r.......ER: . r 2ND Lt�FH�1,OBR NAA1E �< "k•'4, (,}q 8.lnnna■c Oe MnICANT OA moTho we waft (a(v4lTttna 4t CONPFu4urtrttr�c l;<FVitiDfe2Ee SIONLA CfFY BTATE LP 09 • • ■ • • John E Kohler,Jr.,Auctioneei/Appwlscr September 30, 2014 Walker, Connor& Spang LLC Attn: Attorney David Spang 247 Lincoln Way East Chambersburg,PA 17201. RE: David A. Hillier Estate Dear Attorney Spang: Attached is the appraisal of the items specified from the Estate of David A. Hillier. This appraisal was completed at 7 Michael Court, Shippensburg,PA 17257 on September 23, 2014. After review of conditions, my opinion of the fair market value is as follows: Two Thousand Seven Hundred Forty-Eight Dollars ($2,748.00) Fair market value is the value that property is anticipated to bring in an open market,I.E. auction. In preparation of this appraisal, I have not examined the title to, encumbrance on, or ownership of the property. Sincerely, John F.:Kohler,Jr. Auctioneer/Appraiser JFK/hrf Attachments 643 Kriner Road ♦ Chambersburg. Pennsvlvania 17201 ♦ Phone (717) 263-(,512 ♦ Fax (717) 261-Ill RR REV-1570EX+(08-09) SCHEDULE G pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC.NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER David A. Hillier 21 14 0344 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM MUCIETFEWMEOFTHE TRANSFEREE,THEIR RELATIONSHIP TODECEDENT AND DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE NUMBEF THE DATE OFTRANSFER.ATTACHAC.OPYOFTHE DEED FOR REAL ESTATE, VALUE OF ASSET INTEREST IFAPPUCABLE VALUE 1. Janus Account #40/307147652 - an inherited IRA account from decedent's pre-deceased father; named beneficiary is decedent's sister, Patricia A. DiSturco 14,583 100.0000 0 14,583 2 Janus Account #42/307147652 - inherited IRA from decedent's pre-deceased father; named beneficiary is decedent's sister, Patricia A. DiSturco 8,130 100.0000 0 8,130 TOTAL(Also enter on line 7,Recapitulation)$ 22,713 If more space is needed,use additional sheets of paper of the same size. SW46AF 2.000 J A N U S PO Box 55932 TEL 800 525 3713 Boston,MA 02205.5932 wEe janus.com May 7, 2014 WALKER CONNOR & SPANG LLC ATTN JULIE M METZ 247 LINCOLN WAY E CHAMBERSBURG PA 17201-2235 REFERENCE: 02195242 Dear Ms. Metz: This letter is in response to a request for Janus account information.The account information provided below is unaudited. Date Fund/Account Number Transaction Share Price Shares Dollar Amount 3/5/14 42/307147740 Balance $41.89 279.544 $11,710.10 3/5/14 62/307147740 Balance $12.83 1,801.824 $23,117.40 3/5/14 40/307147652 Balance $45.08 323.483 $14,582.61 / 3/5/14 42/307147652 Balance $41.89 194.091 $8,130.47 David A. Hillier owned two accounts with Janus. Please note Janus does not have loan accounts or accounts that have accrued interest. Account 307147740 is an individual non-retirement account with no beneficiaries listed. In order to re-register this account, please have the estate representative complete and sign the enclosed Inheriting a Non-Retirement Account—Entity Beneficiary Kit. Account 307147652 is an Inherited IRA from Andrew J. Hillier.The beneficiary on this account is Patricia A. Disturco. In order to re-register, please have Ms. Disturco complete and sign the enclosed Inheriting an IRA—Individual Beneficiary Kit. If you have any questions, or if Janus may be of additional assistance, please contact us at 800- 525-3713 or visit us online at janus.com. Representatives are available Monday through Friday from 9:00 a.m.to 6:00 p.m. Eastern Time. Sincerely, 4- Amanda Acosta Investor Services Enclosure(s): Inheriting a Non-Retirement Account - Entity Beneficiary Kit - R Inheriting an IRA - Individual Beneficiary Kit - R REV.1511EX-(0&13) SCHEDULE H pennsylvania DEPARTMENTOF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER David A. Hillier 21 14 0344 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERALEXPENSES: 1. Cemetery Fee 80 Total from continuation schedules . . . . . . . . . 11,488 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Anthony R. DiSturco Street Address 54 Carriacre Circle City Williamsville State NY ZIP 14221 Year(s)Commission Paid:None paid 2. Attorney Fees: 9,354 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) Claimant NONE Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 334 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 Best Western Hotel hotel accommodations for named executor in will who signed renunciation paperwork 214 Total from continuation schedules . . . . . . . . . 2,963 TOTAL(Also enter on Line 9, Recapitulation) $ 24,433 3W46Ac 2.000 If more space is needed, use additional sheets of paper of the same size. Estate of: David A. Hillier 21 14 0344 Schedule H Part 1 (Page 2) Item No. Description Amount 2 Charles F. Snyder Funeral Home & Crematory, Inc. funeral service 7,704 3 Engraving Fee for Burial Stone 335 4 Funeral reception 452 5 Grave Opening 950 6 Hotel Expenses for eve of funeral music director/celebrant /homelist 427 7 Patricia A. DiSturco reimbursement for travel expenses to travel to family burial plot in NJ for burial service 449 8 Patricia A. DiSturco reimbursement for hotel room in NJ and meals for , burial of decedent in family burial plot 447 9 Patricia A. DiSturco reimbursement for travel expenses to make funeral arrangements 724 11.488 Estate of: David A. Hillier 21 14 0344 Schedule H Part 7 (Page 2) 2 Cumberland Law Journal legal advertising 75 3 Gateway Gallery Auction LLC real estate and personal property appraisal fee 223 4 Moving expenses to remove decedent's personal property from rectory 1,718 5 Register of Wills, Cumberland County bond fee 15 6 Showalter & Miller, CPAs preparation of fiduciary income tax returns 300 7 Sollenberger's Messenger Services notary fee for renunciation 10 8 Sollenberger's Messenger Services transfer vehicle title fee 58 9 The News-Chronicle Co legal advertising 105 10 US Postal Service 19 11 Wenger & Myers bond fee for administrator 440 2.963 REV-1512 EX+(12-12) SCHEDULE pennsylvania DEPARTMENTOF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER David A. Hillier 21 14 0344 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Citibank credit card debt (reduction of $200 from original debt was accepted as full payment) 2,124 2 IRS 2013 federal income tax owed 928 3 Liberty Tax Service 2013 tax return preparation fee 194 4 Liberty Tax Service preparation of 2014 final life tax returns 194 5 PA Department of Revenue 2013 state income tax owed 7 6 Target Credit Card credit card debt 3,852 TOTAL(Also enter on Line 10, Recapitulation) $ 7,299 2W46AH 2.000 If more space is needed, insert additional sheets of the same size. NOTICE OF CLAIA1 (Filed Pursuant to 20 Pa.C.S. § 3)53)2) COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF DAVID A HILLIER , DECEASED No. 21-2014-0344 To the Clerk of the Orphans' Court Division: Enter the claim of AscensionPoint Recovery Services.LLC on behalf of Citibank.N.A. -CITI 1,4ASTERC.kRD XXXXXXXXXXXX1380 (Claimant) in the amount of S 52.324.14 against the above entitled Estate. The Decedent,who resided at 305 N PRINCE ST.SHIPPENSBURG.PA (Street Address) . 17257-132 l.died on 03,105/2014. Written notice of said claim was given to (Date of Death) ANTHONY R DISTURCO (Personal Representative or his/her counsel) at 54 CARRIAGE CIR.NVILLIANISNTILLE NY 14221. (Address) on 96/2014. (9 (Date) LfTl-eL4 :j APRS Representative (Claimant) 200 Coon Rapids Blvd. Suite 200 (Street Address) Coon Rapids, MN 55433-5876 (City,State,Zip) Robin LeDonne—IL Bar#6294763 (Claimant's Counsel) 200 Coon Rapids Blvd. Suite 200 (Address) Coon Raoids, MN 55433-5876 888-420-2510 (Telephone) NOTICE OF CLAIM (Filed Pursuant to 20 Pa.C.S. § 3532) COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF DAVID ANDREW HILLIER , DECEASED No. 2014-00344 To the Clerk of the Orphans' Court Division: Enter the claim of TD BANK USA,N.A. /TARGET CRFDIT CARD (Claimant) in the amount of$ 3,852.25 , against the above entitled Estate. The Decedent, who resided at (Street Address) died on 3/5/2014 Written notice of (Date of Death) said claim was given to MICHAEL J CONNOR (Personal Representative or his/her counsel) at 247 LINCOLN WAY E CHAMBERSBURG PA 17201-2235 (Address)--- on —on AUG 2 6 2014 (Date) TD BANK USA,N.A./TARGET CREDIT CARD N/A N/A C/O DCM SERVICES 7601 PENN AVE S SUITE (Claimant's Counsel) (Supreme Court/.D.No) A600 (Street Address) N/A MINNEAPOLIS,MN 55423-5004 (Address) (City,State,Zip) N/A N/A (Telephone) REV-1513 EX+(01-10) SCHEDULE J pennsylvania DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: David A. Hillier 21 14 0344 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec. 9116(a)(1.2).] 1, Frank E. Huguelet Friend stereo equipment 600 Clough Pike which has no monet, Cincinnati, OH 45245-1604 value 2 Maria C. DiSturco Niece 1/3 of stocks shoo 54 Carriage Circle on Schedule B Williamsville, NY 14221 3 Melanie DiSturco Niece 1/3 of stocks shoe 61 D Unit 1 Georgian Lane on Schedule B Williamsville, NY 14221 ENTER DOLLARAMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. Saint Meinrad College and School of Theology books and persona. 200 Hill Drive writings which ha, Saint Meinrad, IN 47577 no monetary value TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0 9W46AI 2.000 If more space is needed, use additional sheets of paper of the same size. Estate of: David A. Hillier 21 14 0344 Schedule J Part 1 (Page 2) Item No. Description Relation Amount 4 Michelle P. DiSturco Miller Niece 1/3 of stocks shoe 1161 Kettle Pond Lane on Schedule B Great Falls, VA 22066 5 Patricia A. DiSturco Sister all of JTWROS 54 Carriage Circle • assets plus reside Williamsville, NY 14221 A 911—W:11. JULIUS BLUMBERG.INC.,LAW BLANK PVBLISHERS 00 EXCHANGE PLACE AT BROAOWAT.NEW YORK �t �tll anb Te5tanwit .AY David Andre\,v Hillier of the Borough of Freehold County of Monmouth State of New Jersey being of sound and disposing mind and memory, and considering the uncertainty of this life, do make, publish and declare this to be my last ME and e5tanient as follows, hereby revoking all other and former Wills by me at any time made. First, after my lawful debts are paid, 1 give V ! Any and all stocks, bonds, negotiables, and all cash left in my checking ano'or savings accounts, I leave to the children of my sister, Patricia Ann Hillier DiSturco, Maria Christina and Michelle Patricia, and any subsequent children she may bear. Whatever vehicles, cars, trucks, I own at the time of may demise to my parents.. Andrew and Margaret Hillier or in the event of their precedence of me in death to my sister, Patricia Ann Hillier DiSturco. My stereo equipment, all components and speakers, I leave to my good friend, Frank E. Huguelet. For one of the bonds of our friendship was n:_:sic.. All furniture I own, my televisions, radio, and my refrigerator, I leave to my sister, Patricia Ann Hillier DiSturco, If she precedes me in death, I leave all to her children, Michele and Maria, and any other children she may subsequently bear. My record collection and any art and photographs I possess and own, I leave to my sister, Patricia Ann Hillier DiSturco or in the event of her death, her children, Michelle and Maria, and any other children she may subsequently bear. I leave my books and personal letters to my alma mater, Saint Meinrad College and school of Theology. (".3 i C')- C=C r= C3 n o -ti l � mzn � v� r'3 � r�^ e-• m n Z�f ' "';;i �� o C-) 1 oc � -f o � co r ..o A CJ cn 4 t 1 Cil -71 if I I G, Likewise,I make, constitute and appoint Frank E. Huguetet 5196 /alley Ridge Road Cincinnati, Chio 45339 1 to be executor of this,my last Will and Testament, i I � X11ihte55ifjereof,I have hereunto subscribed my name and affixed my seal, the i Twentieth day of October in the year one thousand { nine hundred and Eighty One. i I WE, whose names are hereto subscribed, do certify that the testat ,subscribed his name to this instrument in our presence, and in the presence of 7 each of us,and at the same time he declared in our presence and hearing that the same was ' his last Will and Testament,and requested us, and each of us, to sign our names thereto as witnesses to the execution thereof,and which we hereby do in the presence of the testat and of each other, this Tvventieth day of October 19 81 ,the day of the date of the said y t i Will,and write opposite our names our respective places of residence. ` / v '�..�....c ✓ at/L-�... i ...-....•---••----..:................-•................7 � ................. residing at ...............-•---......-----------------------....................................... { �.: _ �.,z.,==': ice/•�-z r-;<�• ,r �'--, �.__._._ �:_..._� '- l t