HomeMy WebLinkAbout10-18-07
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA.
ORPHANS' COURT DIVISION
FILE NO: 21-06-0563
FIRST AND FINAL ACCOUNT OF
Robert F. Bender
For
ESTATE OF VIRGINIA E. BENDER
Social Security #:
Tax ID #:
Date of Death:
Date of Incapacity, if any:
Date of Executor Appointment:
Date of First Complete Advertisement:
Accounting for the period:
188-12-4343
N/A
June 11, 2006
None
June 23, 2006
July 19, 2006
June 11, 2006 to
September 6, 2007
Purpose of Account: Robert F. Bender, Executor, offers this Account to acquaint interested
parties with the transactions that have occurred during his Administration.
It is important that the Account be carefully examined. Requests for additional
information, questions or objections can be discussed with:
Richard C. Snelbaker
Snelbaker & Brenneman, P.C.
44 West Main Street
Mechanicsburg, PA 17055
Phone #: 717-697-8528
Supreme Court I.D. No: 06355 ')
,
-'m._..l
C~.,~
. ~ - 1
c..;
i I
I.:::>
C:..J
i')
LAW OFFICES
SNELBAKER Be
BRENNEMAN. P.C.
Page 1
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
SUMMARY OF ACCOUNT
PRINCIPAL
Receipts
PAGE
3
$3,676.24
$3,676.24
Less Disbursements/Claims to be paid upon confirmation of account
Class I Claims:
Class II Claims
Class III Claims
Class IV Claims
Class V Claims
Class VI Claims
Balance before Distributions
Distributions to Beneficiaries
Principal Balance on Hand
For Information:
Investments Made
Changes in Holdings
INCOME
Receipts
Less Disbursements
Balance before Distributions
Distributions to Beneficiaries
Income Balance on Hand
COMBINED BALANCE ON HAND
Listing of Unpaid Creditors
Listing of Persons Interested in Distribution
Estate
Affadivit Page
Page 2
3
3
3
3
3
4
$1,130.11
$2,546.13
$0.00
$0.00
$0.00
$0.00
$3,676.24
$0.00
$0.00
$0.00
4
4
5
5
5 $0.00
5 $0.00
$0.00
5 $0.00
$0.00
$0.00
6
6
7
PRINCIPAL RECEIPTS
Assets Listed on Inventory per copy of attached:
(Valued as of Date of Death)
ADJUSTMENTS TO INVENTORY
SUBSEQUENT RECEIPTS
TOTAL PRINCIPAL RECEIPTS
DISBURSEMENTS OF PRINCIPAL
CLASS I CLAIMS - COSTS OF ADMINISTRATION
The following items are to be paid upon confirmation of accounting:
**
Snelbaker & Brenneman, P.C., costs advanced
a. Register of Wills, probate fee
b. Register of Wills, filing fee Inheritance
Tax Return
c. Patriot-News, advertising Executors' Notice
d. Cumberland Law Journal, advertising Notice
Snelbaker & Brenneman, P.C., attorney fees
Robert F. Bender, Executors' Commission
Reserve for filing fees for Final Accounting, Inventory and
certified mail costs
TOTAL CLASS I CLAIMS TO BE PAID:
**
**
**
CLASS II CLAIMS - FAMILY EXEMPTION
NONE
$3,676.24
$0.00
$0.00
$3,676.24
$ 291.69
72.00
15.00
129.69
75.00
500.00
183.00
155.42
$ 1,130.11
$0.00
CLASS III CLAIMS - COST OF FUNERAL AND BURIAL. AND THE COSTS OF MEDICINES
FURNISHED WITHIN SIX MONTHS OF DEATH
Partial payment to Commonwealth of Pennsylvania for reimbursement $ 2,546.13
for medical expenses incurred during last six months
of decedent's life
TOTAL CLASS III CLAIMS TO BE PAID: $ 2,546.13
**
CLASS IV CLAIMS - COSTS OF GRAVEMARKER
UNPAID CREDITOR - Gingrich Memorials, inscription on gravemarker $0.00
in the amount of $125.00 plus $15.81 in interest
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
CLASS V CLAIMS - RENTS FOR OCCUPANCY OF THE DECEDENT'S RESIDENCE
NONE
$0.00
Page 3
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
CLASS VI CLAIMS - ALL OTHER CLAIMS
UNPAID CREDITOR - Commonwealth of Pennsylvania for
reimbursement of Class VI Claim in the amount of $306,025.19
$0.00
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
NONE
$0.00
PRINCIPAL BALANCE ON HAND
FIDUCIARY
VALUE AT ACQUISITION
9/6/2007 VALUE
Cash
$ 3,676.24 $ 3,676.24
** Less expenses to be paid subsequent to confirmation of
First and Final Account as listed on page 3 of accounting
TOTAL PRINCIPAL BALANCE ON HAND
$ 3,676.24 $ 3,676.24
Page 4
INFORMATION SCHEDULES
PRINCIPAL INVESTMENTS MADE
NONE $0.00
CHANGES IN PRINCIPAL HOLDINGS
NONE $0.00
RECEIPTS OF INCOME
NONE $0.00
DISBURSEMENTS OF INCOME
NONE
$0.00
DISBURSEMENTS OF INCOME TO BENEFICIARIES
NONE
$0.00
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.c.
Page 5
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
1.
2.
1.
*
UNPAID CREDITORS:
Commonwealth of Pennsylvania
Department of Public Welfare
Bureau of Financial Operations
Division of Third Party Liability
Estate Recovery Program
Attention: Marie Trayer
P.O. Box 8486, Harrisburg, PA 17105-8486
Class III Claim for remainder of unpaid medical expenses
within the last six months of Decedent's life
Class VI Claim for balance of medical expenses
Gingrich Memorials
5243 Simpson Ferry Road, Mechanicsburg, PA 17050
Class IV Claim for inscription on gravemarker
(Principal $125.00 plus interest $15.81)
** PERSONS INTERESTED IN DISTRIBUTION OF ESTATE:
Robert F. Bender
32 Fieldcrest Drive
Mechanicsburg, PA 17050
Page 6
$ 29,455.85
$ 306,025.19
$
140.81
$0.00
COMMONWEALTH OF PENNSYLVANIA
55.
COUNTY
OF CUMBERLAND
Robert F. Bender, being duly sworn according to law deposes and
says: that he is the Executor of the Estate and under the Last Will and
Testament of Virginia E. Bender, Deceased; that he is the Accountant herein;
that the foregoing is a true and complete accounting of his administration of
said Estate; that the attached list or schedule [*] contains the names, addresses
and amounts due unpaid creditors who have given proper notice of their claims;
that the attached list or schedule [**] contains the names and addresses of all persons
interested in the distribution of said Estate; and that the facts set forth herein are
true and correct to the best of his knowledge, information and belief.
1?~ J~ 13~cL~
Robert F. Bender, Executor
Sworn to and subscribed before
me this 13 day of <;"epteJMb.e "- 2007
~CiJ&tauk~
COMMONW LTH OF PENNSYLVANIA
Notarial Seal
Sandra K Showers, NolaIy Public
MechanIcsburg Boro. Cumbertand County
My CommIssIon Expires Nov. 22. 2007
Member, Pennsylvania Association Of Noterlel
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
Page 7
o
DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF VIRGINIA E. BENDER
, DECEASED
No. 21-06-0563
PETITION FOR ADJUDICATION /
STATEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa. O.C. Rule 6.9
Thisform 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 adjudication. -.'
.>
_.1
INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM.
CJ
\..C)
D
N
Name of Counsel: Richard C. Snelbaker
Supreme Court I.D. No.: 6355
Name of Law Firm: Snelbaker & Brenneman P.c.
Address: 44 West Main Street, Mechanicsburg, P A 17055
Telephone: (717) 697-8528
Fax: (717) 697-7681
Form OC-Ol rev. 10.13.06
Page 1 of 10
Estate of VIRGINIA E. BENDER
, Deceased
1. Name(s) and addressees) ofPetitioner(s):
Name:
Robert F. Bender
Address:
32 Fieldcrest Drive
Mechanicsburg, PA 17050
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? . . . . . . . . . . . . . . . . . . . .. ILl 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 June 11,2006
ILl Letters Testamentary or o Letters of Administration were granted to Petitioner(s) on
June 23. 2006
Date of Will (ifapplicable): June 27,1980
Date(s) ofCodicil(s) (if applicable): N/A
Date of probate (if different from date Letters granted): same
Was a bond required? []Yes ILl No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? ......... IZ] Yes 0 No
Dates of advertising of the grant of Letters: Patriot News, July 5,12,19,2006
Cumberland Law Joumal- July 7, 14,21,2006
Form OC-OJ rev. 10.13.06
Page 2 of 10
THE PATRIOT NEWS
THE SUNDAY PATRIOT NEWS
Proof of Publication
Under Act No. 587, Approved May 16, 1929
Commonwealth of Pennsylvania, County of Dauphin} ss
Joseph A. Dennison, being duly sworn according to law, deposes and says:
That he is the Assistant Controller of The Patriot News Co., a corporation organized and existing under the
laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market
Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-
News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market
Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were
established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever
Slice;
That the printed notice or pub1ic"ation which is securely attached hereto is exactly as printed and published
in their regular daily and/or Sunday/ Metro editions which appeared in the 5th, 12th and 19th day(s) of July 2006.
That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all
of the allegations of this statement as to the time, place and character of publication are true; and
That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this
statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed
and adopted severally by the stockholders and board of directors of the said Company and subsequently duly
recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M",
Volume 14, Page 317.
PUBLICATION
COpy
knowlnlJ themselves to be In -
Estate will make payment
1m clnitthosllhavlnlJ claims will
present them tor settlement to:
. RobertF. Bender
32FleldueSt Drive
MechanlesburlJ. PA'l7OSlt
. Exeelltor
& BRE~NEMAN, P.c.
SNELBAKER, BRENNEMAN & SPARE
44 WEST MAIN STREET
MECHANICSBURG, PA. 17055
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEAL TH OF PENNSYL VANIA
SS.
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly swom, according to law, deposes and says that the Cumberland Law
Jouma1, 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
Joumal on the following dates,
VIZ:
July 7, July 14, and July 21,2006
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.
Bender, Virginia E., dec'd.
Late of Middlesex Township.
Executor: Robert F. Bender, 32
Fieldcrest Drive, Mechanicsburg,
PA 17050.
Attomeys: Snelbaker & Brenne-
man, P.C., 44 West Main Street,
P.O. Box 318, Mechanicsburg,
PA 17055-0318.
SWO 0 AND SUBSCRIB before me this
21 day of July, 2006
r;
G ~'
.<1-.eL~AVd. .7 'l"~'
- Notary .
NOTARIAl. SEAL
DEBORAH A COlLINS
Notary PublIc
CARlISLE BORO. CUMBERlAND COUNlY
My Commlsalon ExpIres AfX 21. 20\0
Estate of VIRGINIA E. BENDER
, Deceased
3. Was decedent survived by a spouse? . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DYes IZl 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~. 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 (if none, so state):
N/A
6. Did decedent marry after execution of Will or Codicil(s)? . . . . . . . . . .. DYes IZl No
Were any children born to decedent after execution of
Will or Codicil(s)? ........................................... DYes IZl No
If yes, give names and dates of birth:
Name:
Date of Birth:
7. If required 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . " DYes IZI No
Form OC-OJ rev. 10.13.06
Page 3 of 10
Estate of VIRGINIA E. BENDER
, 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 of the Notice as well as a list of the names and
addresses of the 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. Ifany person entitled to Notice is not suijuris (e.g., minors or incapacitated
persons), Notice ofthe 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. O.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) has/have 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 Party in Interest
Relationship and Comments, if anv
Interest
See page six of the Accounting
Form DC-OI rev. 10.13.06
Page 4 ofl 0
Estate of VIRGINIA E. BENDER
, Deceased
Name and Address of Each Partv in Interest
Relationship and Comments, if any
I
Interest
B. Identify each party who is not suijuris (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.
N/A
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for
this Audit ($ee Pa. o.c. Rule 12.4).
N/A
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.
N/A
Form DC-OJ rev. 10.13.06
Page 5 of 10
Estate of VIRGINIA E. BENDER
, 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 a/Claim Claim Will ClOlm
Admitted? Be Paid In
Full?
See page six of Accounting for listing IZ]Yes DYes
of Unpaid Creditors DNo IZ]No
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. S 3392 and the proposed payments.
Was family exemption allowed?
.,. ... .. .. . .. .. ....... ........ . .
DYes
DYes
IZ]No
IZ]No
11.
Was family exemption claimed?
Family exemption claimant's name and relationship:
Name:
Relationship..
Form OC-Ol rev. 10.13.06
Page 6 of 10
Estate of VIRGINIA E. BENDER
, 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
No tax due estate is
insolvent
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 of a fiduciary? . . . . . . . . . . . . . . . . . . . DYes 0 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 of the
estate.
14. A. Describe in detail any questions requiring adjudication and state the position of the
Petitioner(s) as to each question:
N/A
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. DYes t:l 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-OI rev. 10.13.06
Page 7 of 10
Estate of VIRGINIA E. BENDER
, Deceased
16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . . DYes IZl No
If yes, attach a copy of the 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.
155.42
Amount:
Purpose:
Filing fee for Inventory, First and Final Account and certified mail costs.
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 D No
If so, attach a copy of the notice.
19.
Is the Court being asked to direct
the filing of a Schedule of Distribution?
DYes IZlNo
As to real estate only? ........................................ DYes IZl No
Form DC-OJ rev. 10.13.06
Page 8 of 10
Estate of VIRGINIA E. BENDER
, Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he/she he
is title Executor
of the above-named name of corporation Estate of Virginia E. Bender and] that the facts set
forth in the foregoing Petition for Adjudication! Statement of Proposed Distribution which are
within the personal knowledge of the 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. 9 4904 (relating to unsworn
falsification to authorities).
7? o..L7f .?-! ~~
Signature of Petitioner 0 ert . en er, Executor
* 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. ~~
Signature of Counsel for Petitioner
Richard C. Snelbaker, Esquire
Form OC-OJ rev. 10.13.06
Page 10 of 10
Estate of VIRGINIA E. BENDER
, 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
B. Principal:
Proposed Distributee(s)
Amount/Proportion
See page 2 & 3 for listing of claim amounts to be
paid upon confirmation of accounting.
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
;J?&,j~JI 'i (~ ;:3 0 _."L /
__ r
Name of Petitioner: Robert F. Bender, Executor
Name of Petitioner:
Form OC-OJ rev. 10.13.06
Page 9 of 10