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IN THE ORPHANS' COURT DIVISION
OF THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
EST A TE OF CARL E. SMITH, DECEASED
No. 2005-00997
APPROVAL OF ACCOUNT, WAIVER, RECEIPT,
RELEASE, AND AGREEMENT OF INDEMNITY
The circumstances leading up to the execution of this instrument are as follows:
1. Carl E. Smith died on October 28, 2005, leaving a Will dated July 16, 1997,
naming Jean A. Rake and Dale E. Smith as Co-Executors.
2. Letters Testamentary were granted to Jean A. Rake and Dale E. Smith by the
Register of Wills of Cumberland County on November 14, 2005.
3. It is the desire of the Carl E. Smith heirs that the Estate be distributed without the
formality of a court proceeding in order to save the expense, publicity, and delay incident to
such court proceeding, and the Co-Executors are willing to make such distribution upon the
execution of this instrument.
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4. An account of the administration of the Estate of Carl E. Smith has been ptepa~~
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by the Co-Executors. A copy is attached hereto as Exhibit A.
5. In consideration of the foregoing, each of the undersigned hereby:
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A. Represents and warrants that he/she has read and understands this
instrument and that the facts set forth above are true and correct to the best of his/her
knowledge, information and belief;
B. Declares that he/she has examined the attached account of the administration
of the Estate and the attached schedule of distribution; that he/she finds them to be true and
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correct in all particulars; that he/she accepts and approves them as if they had been duly filed,
audited, adjudicated and confirmed absolutely by the Orphans' Court Division of the Court of
Common Pleas of Cumberland County, and as if the amounts shown as distributable had been
duly awarded to him/her;
C. Waives the filing and auditing of the account of the administration of the
Estate in the Orphans' Court Division of the Court of Common Pleas of Cumberland County,
and agrees that the Orphans' Court Division of the Court of Common Pleas of Cumberland
County may by its decree confirm the account and approve the schedule of distribution;
D. Requests the Co-Executors to make distribution of the principal and income
in accordance with the schedule of distribution, and effective upon delivery to him/her of the
amounts shown as respectively distributable, acknowledges receipt of such property;
E. Agrees to refund to the Co-Executors any amount which may at any time be
determined to have been an erroneous distribution to him/her, regardless of the cause of such
erroneous distribution, even if attributable to negligence, and agrees that any period for the
limitation of actions for the collection of any erroneous distribution shall commence only at
such time as the Executor shall have obtained actual knowledge of such erroneous distribution
and that in no event shall the period for collection of any erroneous distribution be less than
two years after the actual discovery thereof;
F. Absolutely and irrevocably remises, releases, quitclaims and forever
discharges Jean A. Rake and Dale E. Smith, individually and in his/her capacity as Co-
Executor, from any and all actions, suits, payments, accounts, reckonings, liabilities, claims
and demands relating in any way to the administration of the Carl E. Smith Estate;
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G. Agrees to indemnify and hold harmless, to the extent of the funds received
by him/her hereunder, Jean A. Rake and Dale E. Smith, individually and in his/her capacity as
Co-Executor, from and against any and all claims, loss, liability or damage (including legal
fees and costs in connection therewith) which he/she may suffer or to which he/she may be
subjected by reason of his/her administration of the Estate, the settlement of his/her Co-
Executor's account and the distribution of the assets of the Estate without having the formal
approval of the Orphans' Court Division of the Court of Common Pleas of Cumberland
County, including, but not limited to, any liability for any federal estate tax, Pennsylvania
inheritance tax or any other death taxes, together with interest and costs incidental thereto,
relating in any way to the Estate; and
R. Declares it to be his/her intention that this instrument, consisting of three
pages, shall be governed by the law of Pennsylvania and shall be legally binding as an
agreement under seal upon him/her and upon his/her heirs, executors, administrators and
assigns.
Executed on:
0;,/0-07
DATE
JEAN~ a~
(Seal)
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DATE
DA!(rq
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(Seal)
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BEFORE THE REGISTER OF WILLS,
CUMBERLAND COUNTY, PENNSYL VANIA
No. 2005-00997
FIRST AND FINAL ACCOUNT OF
JEAN A. HAKE and DALE E. SMITH, Co-Executors
For
ESTATE OF CARL E. SMITH, Deceased
Date of Death:
October 28, 2005
Date of Co-Executors' Appointment:
November 14, 2005
Accounting for the Period:
November 14, 2005 to July 31,2007
PURPOSE OF ACCOUNT: Jean A. Hake and Dale E. Smith, Co-Executors, offers
this Account to acquaint interested parties with the transactions that have occurred during their
administration.
The Account also indicates the proposed distribution of the Estate.
It is important that the Account be carefully examined. Requests for additional
information or questions or objections can be discussed with:
Debra K. Wallet, Esquire
24 N. 32nd Street
Camp Hill, PA 17011
I.D. #23989
(717) 737-1300
EXHIBIT A
SUMMARY OF ACCOUNT
Page
Current
Value
Fiduciary
Acquisition
Value
Proposed Distribution
to Beneficiaries 10
$133,341.51
PRINCIPAL
Receipts 2- 3
$1,813,671.63
Net Gain on Sales or Other 4-5
Dispositions
60,439.32
Less Disbursements
Debts of Decedent 6 $11,745.73
Funeral Expenses 6 8,823.84
Administration Expenses 6 4,816.70
Federal and State Taxes 6 986,301.87
Fees and Commissions 7 51,975.00 1,063,663.14
Principal Balance on Hand $810,447.81
INCOME
Receipts 7 $50,180.07
Income Balance on Hand 50,180.07
Balance Before Distributions $860,627.88
Distributions to Beneficiaries 8-9 727,286.37
Combined Balance on Hand $133,341.51
RECEIPTS OF PRINCIPAL
Assets Listed in Inventory:
(Value as of Date of Death)
Cash and Bank Deposits:
Citizens Bank
Checking Acct. #610-0686647
Savings Acct. #614-0162297
Bank of Landisburg
Checking Acct. # 2644177
CD #700012821 plus accrued int.
CD #700012494 plus accrued int.
CD #700012471 plus accrued into
Tan~ible Personal Property:
2005 Mercury Sable sedan
1999 Ford Econoline Cargo Van
Hull Trailer
Miscellaneous household items
Stocks:
$22,133.00
7,943.00
24,368.00
20,527.00
12,333.00
11 ,991.00
$99,295.00
$12,225.00
3,200.00
100.00
4,100.00
$19,625.00
Smith Barney Citigroup
Acct. #724-03837-16 $3.00
Acct. #724-08770-14 14,100.00
1,700 shares Exxon Mobil Corp. 95,727.00
4,900 shares Exxon Mobil Corp. 275,919.00
338.5 shares Franklin PA Tax Exempt 3,507.00
100 shares Johnson & Johnson 6,295.00
10,000 shares Bond-Montgomery Cty. 10,138.00
P A Higher Ed. 5 % matures 6/1/28
Montgomery Cty. PA Higher Ed. 204.00
Accrued Interest
200 shares MGE Energy, Inc. 6,700.00
2
450 shares Erie Indemnity Co.
600 shares UGI Corporation
400 shares CVS Corporation
8,338 shares Exxon Mobil Corp.
1,058 shares PPL Corporation
24 shares Medco Health Sol., Inc.
200 shares Merck & Co.
109,293.9 shares Morgan Stanley
Liquid Assets Fund
Oppenheimer & Co. A09-0019777-128
6,132 shares Exxon Mobil Corp. 345,293.00
23,078 shares Liquid Money Fund 23,078.00
2,359.219 shares Vankampen US 32,132.00
Mortgage Class A
6,242.433 shares John Hancock
Tax Free Bond Fund
495 shares ACM Income Fund, Inc. 4,089.00
23,704.00
13,878.00
9,946.00
464,427.00
32,131.00
1,333.00
5,477.00
109,294.00
63,610.00
Realty:
6200 Wertzville Road
Enola, PA 17025
Refunds:
Advance Publications refund
Patriot News refund
$38.00
26.00
TOTAL ASSETS LISTED IN INVENTORY:
Receipts Subsequent to Inventory
(Valued When Received)
03/01106 Prorated taxes from settlement $451.20
04/01106 Erie Insurance refund 219.00
2007 Stock class action settlement 32.43
TOTAL RECEIPTS OF PRINCIPAL:
3
$1,540,985.00
$153,000.00
$64.00
$702.63
$1,812,969.00
$1,813,671.63
01103/06
01109/06
GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS
Liquidation of 5,267 shares of Exxon Mobil stock
Net Proceeds
Fiduciary Acquisition
$302,160.34
293,372.14
$8,788.20
Liquidation of CVS Corporation stock
Net Proceeds
Fiduciary Acquisition
$10,722.66
9,946.00
776.66
Liquidation of Erie Indemnity Co. stock
Net Proceeds
Fiduciary Acquisition
$24,082.25
23,704.00
378.25
Liquidation of 10,903 shares of Exxon Mobil stock
Net Proceeds
Fiduciary Acquisition
$646,425.98
612,074.86
34,351.12
Liquidation of 4,900 shares of Exxon Mobil stock
Net Proceeds
Fiduciary Acquisition
$290,533.13
275,919.00
14,614.13
Liquidation of Johnson & Johnson stock
Net Proceeds
Fiduciary Acquisition
$6,281.80
6,295.00
(13.20)
Liquidation of MGE Energy, Inc. stock
Net Proceeds
Fiduciary Acquisition
$6,902.78
6,700.00
202.78
Liquidation of Merck & Co. stock
Net Proceeds
Fiduciary Acquisition
$6,690.79
5,477.00
1,214.79
4
01/10/06
03/11106
NET GAIN:
Liquidation of UGI Corporation stock
Net Proceeds
Fiduciary Acquisition
$13,140.59
13,878.00
Liquidation of John Hancock Tax Free Bond Fund
Net Proceeds
Fiduciary Acquisition
$64,382.15
63,610.00
Liquidation of Franklin P A Tax Exempt stock
Net Proceeds
Fiduciary Acquisition
$3,520.44
3,507.00
Liquidation of Medco Health Sol., Inc. stock
Net Proceeds
Fiduciary Acquisition
$1,307.51
1,333.00
(737.41)
772.15
13 .44
(25.49)
Liquidation of Montgomery Cty. P A Higher Ed. bond
Net Proceeds
Fiduciary Acquisition
$10,170.90
10,342.00
Sale of 2005 Mercury Sable sedan
Net Proceeds
Fiduciary Acquisition
$12,500.00
12,225.00
5
(171.10)
275.00
$60,439.32
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent:
Connor Rich Assoc.
Associated Cardiologists
Holy Spirit Hospital
Heritage Diagnostic
Quantum Imaging
Central Penn Hem. & Medical
Comcast Cable
Verizon
IDT America
2005 Federal Income Tax return
2005 P A Income Tax return
Funeral Expenses:
Richardson Funeral Home
Jean Hake (funeral meal & expenses)
Memorial stone inscription
Administration Expenses:
Probate Fees
Montour Oil
PP&L
Gary Smith (moving expenses)
Lori Moore (moving expenses)
Dale Smith (expenses)
Erie Insurance
Hampden Township (sewer)
William Wilter (oil)
UPS mailing charges
Copies, postage, etc.
Reserves for administrative expenses
Reserve for Filing of Account
$8.54
1.77
197.15
88.39
436.42
42.97
45.19
18.80
1.50
10,892.00
13.00
$7,609.00
1,104.84
110.00
$1,200.00
219.66
88.75
962.55
998.00
58.10
373.00
124.00
150.00
42.64
75.00
500.00
25.00
6
$11,745.73
$8,823.84
$4,816.70
Federal and State Taxes:
US Estate Tax
P A Inheritance Tax
2006 Federal Fiduciary Taxes
2006 P A Fiduciary Taxes
Reserves for 2007 Fiduciary Taxes
Fees and Commissions:
Jean A. Hake & Dale E. Smith
Debra K. Wallet, Esq.
Harvey Danowitz, CPA
Consultant fees
Prudential Thompson Wood
(real estate appraisal)
Devany & Co. (tax preparation)
$816,609.00
144,375.87
20,775.00
3,042.00
1,500.00
$15,000.00
15,000.00
20,000.00
1,400.00
150.00
425.00
$986,301.87
$51,975.00
RECEIPTS OF INCOME
Dividends
2006 ACM dividends
2006 Smith Barney dividends
Interest
2005 Citizens Bank interest
2005 Bank of Landisburg interest
2006 Smith Barney interest
2007 Smith Barney interest
(through 7/31/07)
$2065.37
14,240.06
$3.26
99.20
25,971.18
7,801.00
TOTAL RECEIPTS OF INCOME:
7
$16,305.43
$33,874.64
$50,180.07
DISTRIBUTION TO BENEFICIARIES
TO: Jean A. Hake
6035 Wertzville Road
Enola, P A 17025-1158
12/22/05
02/28/06
03/16/06
03/09/07
07/05/07
Cash Distribution
Cash Distribution
Cash Distribution
Cash Distribution
Cash Distribution
Household items
$3,300.00
153,000.00
3,125.00
1,371.59
20,000.00
1,025.00
Dale E. Smith
6033 Wertzville Road
Enola, PA 17025-1158
12/22/05
02/28/06
03/16/06
03/09/07
07/05/07
Van and Trailer
6200 Wertzville Road
Enola, P A 17025
Cash Distribution
Cash Distribution
Cash Distribution
Household items
3,300.00
153,000.00
3,125.00
1,371.60
20,000.00
1,025.00
Gary L. Smith
3300 SE 56th Avenue
Oeala, FL 34471
12/22/05
02/28/06
03/16/06
03/09/07
07/05/07
Cash Distribution
Cash Distribution
Cash Distribution
Cash Distribution
Cash Distribution
Household items
$3,300.00
153,000.00
3,125.00
1,371.59
20,000.00
1,025.00
8
Lori J. Moore
7825 Toleand A venue
Los Angeles, CA 90045
12/22/05
02/28/06
03/16/06
03/09/07
07/05/07
Cash Distribution
Cash Distribution
Cash Distribution
Cash Distribution
Cash Distribution
Household items
TOTAL DISTRIBUTION TO BENEFICIARIES:
9
$3,300.00
153,000.00
3,125.00
1,371.59
20,000.00
1,025.00
$727,286.37
PROPOSED DISTRIBUTION TO BENEFICIARIES
TO: Jean A. Rake $33,335.37
6035 Wertzville Road
Enola, PA 17025-1158
Dale E. Smith $33,335.38
6033 Wertzville Road
Enola, P A 17025-1158
Gary L. Smith $33,335.38
3300 SE 56th A venue
Oeala, FL 34471
Lori J. Moore $33,335.38
7825 Toleand A venue
Los Angeles, CA 90045
TOTAL PROPOSED DISTRIBUTION TO BENEFICIARIES:
$133,341.51
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