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DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
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ESTATE OF PAULYNE.LOMMAN
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No. 21-06-437
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PETITION FOR ADJUDICATION /
STATEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa. O.C. Rule 6.9
This form may be used in all cases involving the Audit of the Account of a Decedent's Estate. If
space is insufficient, riders may be attached Attach the spouse's election, if any; the papers
required under items 8-19 inclusive; and any instrument pertinent to the a4judication.
INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: Wayne F. Shade, Esquire
Supreme Court J.D. No.: 15712
Name of Law Firm:
Address: 53 West Pomfret Street, Carlisle, PA 17013
Telephone: 717-243-0220
Fax: 717-249-0017
FarmOC-01 rev. 10./3.06
Page 1 of 10
Estate of PAUL YN E. LOMMAN
, Deceased
1. Name(s) and address(es) ofPetitioner(s):
Name:
Lorraine A. Lomman
Address:
6423 Bickle Road
Chambersburg, PA 17201
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
None
Is this the first accounting by this fiduciary? . . . . . . . . . . . . . . . . . . . . . lZt Yes 0 No
If not, identify prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on May 9, 2006
lZt Letters Testamentary or o Letters of Administration were granted to Petitioner(s) on
Date of Will (if applicable): November 24, 1998
Date(s) ofCodicil(s) (if applicable): None
Date of probate (if difftrent from date Letters granted):
Was a bond required? oY es III No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? ......... III Yes 0 No
Dates of advertising of the grant of Letters: June 2, June 9 and June 16,2006; May 2,
June 2 and June 9, 2006
Form DC-01 rev. 10.13.06
Page 2 of 10
Estate of PAUL YN E. LOMMAN
, Deceased
3. Was decedent survived by a spouse? . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DYes IZJ No
If yes, name of the surviving spouse:
4. Has the surviving spouse filed to take an elective share? ............. DYes D No
(See Section 2201 et MW,.. of the Probate, Estates and Fiduciaries Code)
If yes, date of election:
5. In the case of an intestacy, state the names of the decedent's surviving children or
surviving issue of deceased children (ifnone, so state):
6. Did decedent marry after execution of Will or Codicil(s)? ........... DYes IZJ No
Were any children born to decedent after execution of
Will or Codicil(s)? .... .. ...................... ............. .. DYes IZJ No
If yes, give names and dates of birth:
Name:
Date of Birth:
7. Ifrequired by the Medical Assistance Estate Recovery Act,
62 P.S. ~ 1412, was a request for a statement of claim sent to
the Department of Public Welfare? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. !ZIYes 0 No
Form OC-OJ rev. 10.13.06
Page 3 of! 0
Estate of PAULYN E. LOMMAN
, Deceased
8. Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6.7 and 6.8 has been or will be
given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants
listed in item 10 below. In addition, notice of any questions requiring Adjudication as
discussed in item 14 below has been or will be given to all persons affected thereby.
A. If Notice has been given, attach a copy of the Notice as well as a list of the names
and addresses of the parties receiving such Notice.
B. If Notice is yet to be given, a copy ofthe Notice as well as a list of the names and
addresses ofthe parties receiving such Notice shall be submitted at the Audit
together with a statement executed by a Petitioner or counsel certifying that such
notice has been given.
C. If any person entitled to Notice is not suijuris (e.g., minors or incapacitated
persons), Notice of the Audit has been or will be given to the appropriate
representative on such party's behalf as required by Pa. O.C. Rule 5.2.
D. If any charitable interest is involved, Notice of the Audit has been or will also be
given to the Attorney General as required under Pa. a.c. Rule 5.5. In addition, the
Attorney General's clearance certificate (or proof of service of Notice and a copy
of such Notice) must be submitted herewith or at the Audit.
9. List all parties (charitable and non-charitable) of whom Petitioner(s) haslhave notice or
knowledge, having or claiming any interest in the estate as beneficiaries under the Will or
Codicil(s) or as intestate heirs if there is a complete or partial intestacy:
A. State each party's relationship to the decedent and the nature of each party's
interest( s):
Name and Address of Each Port)! in Interest
Relationship and Comments, if any Interest
Lorraine A. Lomman
6423 Bikle Road
Chambersburg, P A 17201
Daughter 1/3
Bernard A. Lomman
2124 Lake Ariana Blvd.
Auburndale, FL 33823
Son 1/3
Form DC-OJ rev. JO.13.06
Page 4 oft 0
Estate of PAUL YN E. LOMMAN
, Deceased
Name and Address of Each Partv in Interest
Relalionshin and Comments, if any Interest
Diane S. Dorsheimer
15 Amherst Road
Camp Hill, PA 17011
Daughter 1/3
B. Identify each party who is not sui juris (e.g., minors or incapacitated persons).
For each such party, give date of birth, the name of each Guardian and how each
Guardian was appointed. If no Guardian has been appointed, identify the next of
kin of such party, giving the name, address and relationship of each.
C. State why a Petition for Guardianffrustee Ad Litem has or has not been filed for
this Audit ($ee Pa. o.c. Rule 12.4).
D. If distribution is to be made to the personal representative of a deceased party,
state date of death, date and place of grant of Letters and type of Letters granted.
Form OC-Ol rev. 10.13.06
Page 5 of! 0
Estate of PAUL YN E. LOMMAN
. Deceased
10. Other than the claim for the family exemption, list the names of all known claimants and
the amount of their claims and state whether each claim is admitted.
Name and Address of Each Claimant Amount of Claim Claim Will Claim
Admitted? Be Paid In
Full?
None DYes DYes
DNo DNo
DYes DYes
DNo DNo
DYes DYes
DNo DNo
DYes DYes
DNo DNo
If the estate is insolvent, attach a schedule setting forth the order of preference under
20 Pa.C.S. ~ 3392 and the proposed payments.
Was family exemption allowed?
III Yes DNo
III Yes DNo
II.
Was family exemption claimed?
Family exemption claimant's name and relationship:
Name: Lorraine A. Lomman
Relationship: Daughter
Form OC-Ol rev. /0.13.06
Page 6 of 10
Estate of PAUL YN E. LOMMAN
, Deceased
12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate
Tax paid, the date(s) ofpayment(s), and the interest(s) upon which paid, are as follows:
Date
Payment Interest
June 28, 2006
20,000.00 Residue
November 22, 2006
397.19 Residue
13. On the date of death, was the decedent a fiduciary
(personal representative, trustee, guardian, agent under power
of attorney) or surety on the bond ofa fiduciary? ........ . . . . . . . . . . . DYes III No
If yes, provide the name of the estate, indicate whether an account has been filed and
confirmed absolutely and all awards performed, or, in the alternative, how the
decedent's estate will be discharged for the decedent's fiduciary administration ofthe
estate.
14. A. Describe in detail any questions requiring adjudication and state the position of the
Petitioner(s) as to each question:
None
B. Has notice ofthe question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. 0 Yes 0 No
15. IfPetitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed
or attached, provide a copy of the assignment, renunciation, disclaimer or attachment,
together with any relevant supporting documentation.
Form OC-OJ rev. 10.13.06
Page 7 of 10
Estate of PAUL YN E. LOMMAN
, Deceased
16. Had the decedent been adjudicated an incapacitated person? ....... . . . DYes lZI No
If yes, attach a copy ofthe Order if available; otherwise state the Court, term, number,
date, and name of Hearing Judge.
17. A. List or attach a separate list of additional receipts and disbursements since the closing
date of the Account.
None
B. Has notice of the additional receipts and disbursements been
given to the parties identified in Paragraph 9 above? ............. DYes D No
18. If a reserve is requested, state amount and purpose.
Amount:
Purpose: Accounting services
Filing fees
$2,000.00
500.00
If a reserve is requested for counsel fees, has notice of the
amount of fees to be paid from the reserve been given to the
parties in interest? ........................................ DYes DNo
If so, attach a copy of the notice.
19.
Is the Court being asked to direct
the filing of a Schedule of Distribution?
lZIYes DNo
As to real estate only? ........................................ DYes lZI No
Form DC-OJ rev. /0./3.06
Page 8 of! 0
Estate of PAUL YN E. LOMMAN
, Deceased
Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled
and suggest(s) that the distributive shares of income and principal (residuary shares being stated
in proportions, not amounts) are as follows:
A. Income:
Proposed Distributee(s)
Amount/Proportion
Lorraine A. Lomman
1/3
Bernard A. Lomman
1/3
Diane S. Dorsheimer
1/3
B. Principal:
Proposed Distributee(s)
Amount/Proportion
Lorraine A. Lomman
1/3
Bernard A. Lomman
1/3
Diane S. Dorsheimer
1/3
Submitted By:
(All petitioners must sign.
Add additional lines ifnecessary):
cR~a~
Name of Petitioner: Lorraine A. Lomman
Name of Petitioner:
Form DC-OJ rev. JO.13.06
Page 9 of 10
Estate of PAUL YN E. LOMMAN
, Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he/she
is title
of the above-named name of corporation
and) that the facts set
forth in the foregoing Petition for Adjudication / Statement of Proposed Distribution which are
within the personal knowledge ofthe Petitioner are true, and as to facts based on the information
of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false
statements herein are made subject to the penalties of 18 Pa. C.S. ~ 4904 (relating to unsworn
falsification to authorities).
d?~ Cl~cR~
Signature of Petitioner
* Corporate petitioners must complete bracketed information.
Certification of Counsel
The undersigned counsel hereby certifies that the foregoing Petition for Adjudication!
Statement of Proposed Distribution is a true and accurate reproduction of the form Petition
authorized by the Supreme Court, and that no changes to the form have been made beyond the
responses herein.
N~~
Signature of Counsel for Petitioner
Form QC-Ol rev. 10./3.06
Page 10 of 10
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tammy Shoemaker, Classified Advertising Manager, of The Sentinel, of the County
and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a
newspaper of general circulation in the Borough of Carlisle, County and State
aforesaid, was established December 13th, 1881, since which date THE SENTINEL has
been regularly issued in said County, and that the printed notice or publication
attached hereto is exactly the same as was printed and published in the regular editions
and issues of THE SENTINEL on the following day(s)
May 26, June 02, 09, 2006
COPY OF NOTICE OF PUBLICATION
\.. .
EXECUfAIX'S ~.:: I
\'. . . ....... I
LeUe. ",Testamen tary..OI'ith...jl.eBta....Of..P,...~.'"YNE. ...Ii
LOIIMAN, late Of the Township of !.,OW" Allen,
C. umbertjand., County, penniylvanla.~.' _ i have .
been granted to Lorraine .,.lommen. _ . .' , :
AI P8rB9flB knoWtnQlhefn. to b8lnifebted to 8aId" I
Estate ahal mWJ)ayniel'lt 'tInm~,and those '. ,.
. haYlngclaJmB will Present Ih,m fonettl4tment to: -. ..
Lorril~. A. LQm, ma. ".'
. _.' . '. .'~~3 BIid8 ROad
C~rg, PA 172Q1
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Affiant further deposes that he / she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement
as to time, place and character of
.3::~~~
Wayne F. Shaelt. Esquire
, 53 West Pomfret Street
i Call1sle; PA 17013
I Attorney
Sworn to and subscribed before me thist14th. day of June 2006.
rf;tml/a if, f.d~':f-
No ary Public
My commission expires:
...,...., ..
IQIiIaACMIIl
Nakwy NIle
CMI..IOIOUGH. QIIlIn....
Mfc:am..illllon.... Jun't ..
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
VIZ:
June 2, June 9, and June 16,2006
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
LoIllllUUl, PaalyD E., dee'd.
Late of the Township of Lower
Allen.
Executrix: Lorraine A. Lomman,
6423 Blkle Road, Chambersburg,
PA 1720l.
Attorney: Wayne F. Shade, Esquire,
53 West Pomfret street, Carlisle,
PA 17013.
::.>
SWORN TO AND SUBSCRIBED before me this
16 day of June. 2006
w/~~~tt.~
. Notary
NOTARIAl SEAl.
DEBORAH A COlUNS
Notary Public
CARUSLE 8ORO. CUMBERLAND COUNIY
My CommluIon ExplreI ApI 2', 2010
WAYNE F. SHADE
Attorney at Law
53 West Pomfret Street
Carlisle, Pennsylvania
17013
IN RE: ESTATE OF
PAUL YN E. LOMMAN,
Deceased, Late of the
Township of Lower Allen,
Cumberland County, Pennsylvania
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
: NO. 21-06-437
NOTICE OF FILING ACCOUNT AND
STATEMENT OF PROPOSED DISTRIBUTION
NOTICE is hereby given that the First and Final Account of Lorraine A. Lomman,
Executrix of the Estate ofPaulyn E. Lomman, Deceased, and a Statement of Proposed
Distribution of the balance of the assets of said Estate will be filed in the Office of the
Register of Wills of Cumberland County, Pennsylvania, on or before May 18,2007, and
that the same will be called for confirmation on June 19,2007, at 9:30 A.M. in the
designated courtroom on the fourth floor of the Cumberland County Courthouse, Carlisle,
Pennsylvania, at which time and place you may appear, either in person or by counsel.
Copies of said First and Final Account and Statement of Proposed Distribution are
enclosed herewith, and the originals as filed may be inspected in the Office of the
Register of Wills of Cumberland County, Pennsylvania, at anytime prior to their
presentation for confirmation.
Unless objections to said First and Final Account or Statement of Proposed
Distribution, or both, are filed in writing not later than 9:00 A.M. (prevailing time) of the
date fixed for confirmation thereof unless otherwise permitted by the Court prior to
confirmation, said First and Final Account will be confirmed; and distribution will be
ordered according to the enclosed Statement of Proposed Distribution.
If you have no objections to the enclosed, you do not need to appear in court at the
time of confirmation.
Date: May 14, 2007
~ /;fZtL
Wayne F. Shade
Attorney for Accountant
WAYNEF. SHADE
Attorney at Law
53 West Pomfret Street
Carlisle. Pennsylvania
17013
NOTICE TO:
Lorraine A. Lomrnan
6423 Bikle Road
Chambersburg, P A 17201
Bernard A. Lomrnan
2124 Lake Ariana Boulevard
Auburndale, FL 33823
Diane S. Dorsheimer
15 Amherst Road
Camp Hill, PA 17011