HomeMy WebLinkAbout01-16-07 (2)
LAW OFFICES
SNELBAKER &
BRENNEMAN, P,C.
RECEIPT AND RELEASE
WHEREAS, Catharine E. Bousum, late of South Middleton
Township, County of Cumberland and Commonwealth of Penn~ylvania,
\- -\
died on March 14, 2006, having first made her Last(l1illand
Testament in writing probated before the Register of Will~ of
said Cumberland County on April 4, 2006, and Letters TesLamentaty
,\ '" '
. c<)
were issued on the same date to Richard M. Bousum and Mari~ E
, . . ( " .
Bousum-Forbes, the Executor's named in the Last Will and
Testament of said Decedent; and
WHEREAS, said Executor's has entered upon and completed
their administration of said Decedent's Estate as set forth in
their First and Final Account attached hereto, and intends to
distribute the net balance of the assets of said Estate to the
persons named in the Statement of Proposed Distribution also
attached hereto, both of said documents being incorporated herein
by reference thereto; and
NOW KNOW ALL MEN BY THESE PRESENTS, that we, Richard M.
Bousum and Marie E. Bousum-Forbes, being the principal legatees
and distributees named in the Will of said Decedent and the
persons entitled to share in the residuary distribution of the
Estate of said Decedent, do hereby declare and say that we, and
each of us, have examined the attached Account and Statement of
Proposed Distribution, and find the same to be true and correct,
1
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
and in strict accordance with the terms and provisions of said
Will, and we do hereby acknowledge that we, and each of us, this
day have, had and received of and from Richard M. Bousum and
Marie E. Bousum-Forbes, Executor's of the Estate of Catharine E.
Bousum, the cash, personalty and/or real estate set opposite our
names in the above Statement of Proposed Distribution, in full
satisfaction, payment and discharge of all such sum or sums of
money, legacies and bequests, share or shares, purports and
dividends which were due, owing and payable and belonging to us,
and each of us, by any means whatsoever, for or on account of our
full share, part or dividend of the Estate of Catharine E.
Bousum, Deceased.
NOW, THEREFORE, we, and each of us, the said Richard M.
Bousum and Marie E. Bousum-Forbes, do by these presents, remise,
release, quit-claim and forever discharge the said Richard M.
Bousum and Marie E. Bousum-Forbes, their heirs, executors and
administrators, of and from our said shares or dividends of the
Estate aforesaid, and of and from all actions, suits, payments,
accounts, reckonings, claims and demands whatsoever, for or by
reason thereof, or of any act, matter, cause or thing whatsoever,
from the beginning of the world to the day and date of these
presents.
AND, desiring to avoid the delay and expense of the
settlement of said Estate by filing the foregoing Account of said
administration in the Office of the Register of wills of said
2
Cumberland County and by having the balance in the hands of the
Executor's, as shown by said Account, distributed by the Court of
Common Pleas of Cumberland County - Orphans' Court Division, we,
and each of us, do hereby agree that the foregoing Account and
Statement concerning the matter of settlement may be recorded
with the same effect upon us, and each of us, as if the same had
been reported upon by said Court, In a decree of distribution
made on such proposed Statement of Distribution by the said Court
of .:::::O~~"IlO;-~ P.J.ea~ - 8rphar1's' C'~Ul..t Di"\~isioIl.
AND in consideration of the aforesaid settlement being made
without the aid of such Court of Common Pleas - Orphans' Court
Division, that we, and each of us, the said Richard M. Bousum and
Marie E. Bousum-Forbes, do hereby agree that if any debts or
demands other than those included in the above referenced First
and Final Account, as hereinbefore set forth, shall be hereafter
recovered against the Estate of said Decedent and be legally
payable out of the same, that we, and each of us, will return to
the said Executor's such amounts thereof as may be necessary to
pay such debts or demands.
IN WITNESS WHEREOF, we have hereunto set our hands and seals
this
day of
2006.
'/
WITNESSED BY:
~h'\v~
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
c..c\.. ~c"\-~_\.(, \d::::>l--"
5).oriL-rqllIa~
'-n,~~2~1'1\ ~}J~
Marie E. Bousum-Forbes
3 CJ'//~//)D07
(SEAL)
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
STATE OF MARYLAND
SS.
COUNTY OF \'()()i\"\-Cj Of\\~ "\\.) )
On this the \~ day of~em\::;ey- 2006, before me, a
Notary Public in and for said State and County, the undersigned
officer, personally appeared Richard M. Bousum, known to me (or
satisfactorily proven) to be the person whose name is subscribed
to the within instrument and acknowledged that he executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
~u~
Notary Public
CAITLIN TOBIN
NOTARY PUBLIC STAT
MY COMMISSION OIPIR~SO~::~~~
4
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
COMMONWEALTH OF PENNYSLVANIA
SS.
COUNTY OF CUMBERLAND
On this the
2006, before me, a
day of
Notary Public in and for said State and County, the undersigned
officer, personally appeared Marie E. Bousum-Forbes, known to me
(or satisfactorily proven) to be the person whose name is
subscribed to the within instrument and acknowledged that she
executed the same for the purposes therein contained.
IN WITNESS WHEREOF,
I hereunto set my hand and official
seal.
~~~~
Notary Public
COMMON~{:;':::~:..... ~'~:.!.::..EJ~!:~S YLV ANIA
NotD;~d,! See)
Sandra K. Sho:.''D''3. Notary Public
Mechanicsburg Ben.\ Cumberland County
My Commission E:';"Jirc:' i'~o'.l. 22, 2007
Member, Per>ns\,I.:~;~;: '-"~;~;':;':,:.f1 Of Notaries
5
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
ESTATE NO. 21-06-0291
FIRST AND FINAL ACCOUNT AND STATEMENT OF PROPOSED
DISTRIBUTION OF AND BY RICHARD M. BOUSUM AND MARIE E.
BOUSUM-FORBES, CO-EXECUTOR'S OF THE ESTATE AND UNDER
THE LAST WILL AND TESTAMENT OF CATHARINE E. BOUSUM
DECEASED, LATE OF SOUTH MIDDLETON TOWNSHIP
CUMBERLAND COUNTY, PENNSYLVANIA
Richard M. Bousum and Marie E. Bousum-Forbes, Co-Executor's as aforesaid
and the Accountants herein, avers as follows:
DATE OF DECEDENT'S DEATH:
DATE LETTERS TESTAMENTARY ISSUED:
March 14, 2006
April 4, 2006
DATES EXECUTOR NOTICE ADVERTISED:
Cumberland Law Journal
Patriot-News
April 21 ,28, May 5,2006
April 19, 26, May 3,2006
FIRST AND FINAL ACCOUNT
PERSONALTY - PRINCIPAL ACCOUNT
DEBITS
The Accountants charge themselves with the receipt of the following items of
Decedent's Personalty valued as of the date of Decedent's death:
1. Commonwealth of Pennsylvania, rent rebate
2. Highmark Blue RX, refund on prescription insurance program
3. Highmark Medigap Insurance Program, refund unused premium
4. PNC Bank, N.A., checking account #50-7007-7102
5. U.S. Treasury, refund on 2005 Individual Income Tax Return
6. PNC Bank, N.A., IRA deposit
TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, DEBITS:
PERSONALTY - PRINCIPAL ACCOUNT
CREDITS
The Accountants claim credit for the payment of the following items from
Decedent's Personalty Account:
1. Gingrich Memorials, inscription on marker
2. Snelbaker & Brenneman, P.C., reimburse for costs advanced:
a. Register of Wills, probate fees
b. Cumberland Law Journal, advertising Executor's notice
c. Patriot-News, advertising Executor's notice
3. Trindle Springs Lutheran Church, funeral luncheon and donation
4. Myers Funeral Home, Inc., funeral services
5. PNC Bank, services charges
6. Register of Wills, filing fee for Inheritance Tax Return
7. Register of Wills, Agent, Inheritance Tax
8. Register of Wills, filing fee for Inventory and Receipt and Release
TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS:
Page 1
$ 424.00
94.92
351.25
3,440.00
74.00
230.99
$ 4,615.16
$ 125.00
306.73
76.00
75.00
155.73
500.00
487.60
60.00
15.00
2,236.70
20.00
$ 3,751.03
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
PERSONALTY - INCOME ACCOUNT
DEBITS
The Accountants charge themselves with the receipt of the following
income from the investment of Personalty Principal:
1. PNC Bank, checking account #5070077102, interest
TOTAL, PERSONALTY, INCOME ACCOUNT, DEBITS:
$
$
3.43
3.43
PERSONALTY - INCOME ACCOUNT
CREDITS
The Accountants claim credit for the payment of the following items
from the Personalty Income Account:
1. H&R Block, preparation of Individual Income Tax Returns for 2005
TOTAL, PERSONALTY, INCOME ACCOUNT, CREDITS:
$
$
171.00
171 .00
REAL ESTATE - PRINCIPAL ACCOUNT
DEBITS
The Accountants charge themselves with the receipt of Decedent's
Real Estate as follows:
TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, DEBITS:
$ NONE
$ NONE
REAL ESTATE - PRINCIPAL ACCOUNT
CREDITS
The Accountants claim credit for the payment of the following
items from Real Estate Principal Account:
TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, CREDITS:
$ NONE
$ NONE
REAL ESTATE -INCOME ACCOUNT
DEBITS
The Accountants charge themselves with the receipt of the
income from the investment of Real Estate Principal Account:
TOTAL, REAL ESTATE, INCOME ACCOUNT, DEBITS:
$ NONE
$ NONE
REAL ESTATE - INCOME ACCOUNT
CREDITS
The Accountants claim credit for the payment of the following items
from the Real Estate Income Account:
TOTAL, REAL ESTATE, INCOME ACCOUNT, CREDITS:
$ NONE
$ NONE
Page 2
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
RECAPITULATION
PERSONALTY:
PRINCIPAL ACCOUNT:
Debits
Credits
Balance
INCOME ACCOUNT:
Debits
Credits
Balance
TOTAL PERSONALTY
REAL ESTATE:
PRINCIPAL ACCOUNT:
Debits
Credits
Balance
INCOME ACCOUNT:
Debits
Credits
Balance
TOTAL REAL ESTATE:
TOTAL FOR DISTRIBUTION:
Page 3
$ 4,615.16
$ 3,751.03
$ 864.13
$ 3.43
$ 171.00
$ (167.57)
$ 696.56
$ NONE
$ NONE
$ NONE
$ NONE
$ NONE
$ NONE
$ NONE
$ 696.56
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.c.
STATEMENT OF PROPOSED DISTRIBUTION
Richard M. Bousum and Marie E. Bousum-Forbes, Co-Executor's and Accountants herein,
proposes to distribute the balance of the Estate of Catharine E. Bousum, Deceased, to wit
$ 696.56 in accordance with the Last Will and Testament of said Decedent
as follows:
1. Richard M. Bousum
50% of residue as per Item Second of Will
2. Marie E. Bousum-Forbes
50% of residue as per Item Second of Will
TOTAL FOR DISTRIBUTION:
Page 4
$
348.28
$
348.28
$
696.56
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
STATE OF MARYLAND
COUNTY OF /JIOnfJU/J1P';jI-'
Richard M. Bousum, being duly sworn according to law deposes and says:
SS:
that he is the Co-Executor of the Estate and under the Last Will and Testament of
Catharine E. Bousum, Deceased, and the Accountant herein; that there are no
unpaid creditors or claimants of said Estate; that there are no persons
interested in the distribution of said Estate other than as stated in the foregoing
Statement of Proposed Distribution; and that the facts set forth in the foreqoing
First and Final Account and Statement of Proposed Distnbution are true and
correct to the best of his knowledge, information and belief.
Richard M. Bousum
Co-Executor and Accountant
Sworn to and subscribed before me
this \~ day of~em~r- 2006
CCttM ~
Notary Public
CAITLIN TOBIN
NOTARY PUBLIC STATE OF MARYLAND
MY COMMISSION EXP!RES MAY 13, 2008
Page 5
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUMBERLAND
Marie E. Bousum-Forbes, being duly sworn according to law deposes and says:
that she is the Co-Executor of the Estate and under the Last Will and Testament of
Catharine E. Bousum, Deceased, and the Accountant herein; that there are no
unpaid creditors or claimants of said Estate; that there are no persons
interested in the distribution of said Estate other than as stated in the foregoing
Statement of Proposed Distribution; and that the facts set forth in the foreqoing
First and Final Account and Statement of Proposed Distribution are true and
correct to the best of her knowledge, information and belief.
'--n~~fl~~~tm~~
Marie E. Bousum-Foroes
Co-Executor and Accountant
Sworn to and subscribed before me
this jJ-
~
day of J At"\v..(,,~;- . 2QQ6 ~~ "
'~qrJA1b ~4~
Notary Public
COMMONi/VEi\LTH OF FENf'JSYLVANIA
~,p"-",,~--~~,,"~'_.
No;arial Seal
Sandra K. ShOV'lelS. Notary Public
Mechanicsburg Bora, Cumberland County
My Commission Ex.:ire,; r~Qv. 22, 2007
.:)f NDtaries
Member, Penm:.I.':V0'"i;;
Page 6