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DECEDENT'S ESTATE
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COURT OF COMMON PLEAS OF
Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
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ESTATE OF Joanne Taylor
, DECEASED
No. 21-06-0365
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 adjudication.
INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: Bradley L. Griffie, Esquire
Supreme Court I.D. No.: 34349
Name of Law Firm: Griffie & Associates
Address: 200 North Hanover Street
Telephone: 717-243-5551
Fax: 717-243-5063
Form OC-OJ rev. JO.13.06
Page 1 of 10
Estate of Joanne Taylor
, Deceased
l. Name(s) and addressees) ofPetitioner(s):
Name:
Lois G. Taylor
Address:
370 Greenspring Road
Newville, PA 17241
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
Is this the first accounting by this fiduciary? . . . . . . . . . . . . . . . . . . . . . IZI 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 March 19,2006
o Letters Testamentary or IZILetters of Administration were granted to Petitioner(s) on
Aoril 26. 2006
Date of Will (if applicable):
Date(s) of Codicil(s) (if applicable):
Date of probate (if different from date Letters granted):
Was a bond required? DYes IZINo If yes, state amount:
Are proofs of advertising of the grant of Letters attached? ......... IZIYes DNo
Dates of advertising of the grant of Letters: Newspaper: April 26, May 3, and
May 10,2006; Law Journal: May 5, May 12, and May 19,2006
Form OC-OJ rev. 10.13.06
Page 2 of 10
Estate of Joanne Taylor
, Deceased
3. Was decedent survived by a spouse? . . . . .. . . .. . . . . . . . . . . . . . . . . . .. DYes [l]No
If yes, name of the surviving spouse:
4. Has the surviving spouse filed to take an elective share? . ).'iJ 1.?-\. . . . . . .. DYes 0 No
(See Section 2201 et seq. 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):
None
6. Did decedent marry after execution of Will or Codicil(s)? . . . . . . . . . .. D Yes [l] No
Were any children born to decedent after execution of
Will or Codicil(s)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Yes [l] 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. S 1412, was a request for a statement of claim sent to
the Department of Public Welfare? ............ ~/lL............. DYes D No
Form OC-OJ rev. JO.13.06
Page 3 of 10
Estate of Joanne Taylor
, Deceased
8. Written notice of the Audit as required by Pa. a.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 ofthe 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. 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. a.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) 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 Partv in Interest
Relationshiv and Comments. if anv
Interest
None
Form DC-Ol rev. /0./3.06
Page 4 of]O
Estate of Joanne Taylor
, Deceased
Name and Address of Each Party in Interest
Relationship and Comments, if any
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.
None
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
FormOC-01 rev. 10.13.06
Page 5 of 10
Estate of Joanne Taylor
, 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 Jn
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.
11.
Was family exemption claimed?
DYes
IZlNo
DNo
Was family exemption allowed?
DYes
Family exemption claimant's name and relationship:
Name:
Relationship:
Form DC-OJ rev. 10.13.06
Page 6 of 10
Estate of Joanne Taylor
, 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
January 19,2007
$1.000.00
.00
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 of the
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 of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. D Yes D No
N/I'l.
15. If Petitioner(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.
;~/A
Form OC-OI rev. 10.13.06
Page 7 of 10
Estate of Joanne Taylor
, Deceased
16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . . 0 Yes [] 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? ............. 0 Yes 0 No
N/A
18. If a reserve is requested, state amount and purpose. None Reques ted
Amount:
Purpose:
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?
DYes IZJNo
As to real estate only? ........................................ DYes IlINo
Form DC-OJ rev. 10.13.06
Page 8 of 10
Estate of Joanne Taylor
, 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
Lois G. Taylor
100%
B. Principal:
Proposed Distributee(s}
Amount/Proportion
Lois G. Taylor
100%
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
Name of Petitioner:
Form DC-O/ rev. /0./3.06
Page 9 of 10
Estate of Joanne Taylor
, 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 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. S 4904 (relating to unsworn
falsification to authorities).
* 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.
Form OC-OJ rell.IO.13.06
Page 10 of 10
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p\tOOF OF l'UBLICt\'flON
State of l'enn>yl",nia. count'! of Cut1lbet1and
Ma"a er, of The Set\\:itlel, of \:be COUt\t)'
ses and says IDa! 'fllE SE~t., a
,.. I CoU!\ty and. State
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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)
April 26, and May 03, 10,2006
COpy OF NOTICE OF PUBLICATION
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:' -.,..- Lols'G.'Taylor, Executrtl(.....- '.-
.' C/o Bradley L. Griffie, Es ulre.
. '. (717) 243.-5551 : I .
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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
~
Sworn to and subscribed before me this
10th. day of May 2006.
C~Jt~iiut.n. ;q WQf.ML
No'tary Pu~c
My commission expires:q II/or
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
ChrisIina L Wdfe, NoIary Public
Carlisle 80m, Cumberland County
My CommIsslon ExpIres Sept. 1, 2008
Member, Pennsylvania Association Of Notaries
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PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16,1929), P. L.1784
COMMONWEALTH OF PENNSYL VANIA
ss.
COUNTYOFCUMrnERLAND
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:
May 5, May 12, & May 19,2006
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.
Taylor. JoAnne, dec'd.
Late of Carlisle Borough.
Executrix: Lois G. Taylor, c/o
Bradley L. Griffie, Esquire, Griffie
& Associates, 200 North Hanover
Street, Carlisle, PA 17103. (717)
243-5551, (800) 347-5552.
Attorneys: Bradley L. Griffie, Es-
quire, Griffie & Associates, 200
North Hanover Street, Carlisle,
PA 17103, (717) 243-5551, (800)
347-5552.
SWORN TO AND SUBSCRIBED before me this
19 day of Ma 006
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
HENRY F. COYNE, NOTARY PUBLIC
HAMPDEN TWP., CUMBERLAND COUNTY
MY COMMISSION EXPIRES JUNE 11,2008
In re:
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPAHNS COURT DIVISION
: No. 2006-00365
: PA No. 21-06-0365
Estate of Joanne Taylor,
late of Borough of Carlisle
Cumberland County, Pa., deceased
FIRST AND FINAL
ACCOUNT OF
Lois G. Taylor, Administratrix
Estate of Joanne Taylor
late of Borough of Carlisle, Cumberland County
Pennsylvania, deceased
CERTIFICATE OF CLERK
The above Account was filed on October ,2007, last advertised May 29,2006,
according to law, and is presented herewith to the Court of Common Pleas, Orphans' Court Division
for confirmation.
Date
Clerk
ORDER OF COURT
, 2007, no exceptions or objections having been filed to the
account or to the proposed schedule of distribution, the within account and schedule of distribution
are confirmed and distribution is directed in accordance with the schedule of distribution.
BY THE COURT,
1.
1
1 qO,OdJJ, qy
In re:
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPAHNS COURT DIVISION
: No. 2006-00365
: PA No. 21-06-0365
Estate of Joanne Taylor,
late of Borough of Carlisle
Cumberland County, Pa., deceased
DATE OF DEATH:
LETTERS GRANTED:
FIRST COMPLETE ADVERTISEMENT
OF GRANT OF LETTERS
DISTRIBUTION OF ESTATE IS INCLUDED IN ACCOUNTING
DISTRIBUTION AMOUNT IS $15,841.58
GROSS VALUE OF ESTATE IS $90,020.96
ACCOUNTING FOR THE PERIOD April 26, 2006 through October ~~ 2007
March 19, 2006
April 26, 2006
May 10, 2006
Purpose ofthe Account: Lois G. Taylor, Administratrix, offers this accounting to acquaint interested
parties with the transactions that have occurred during her administration.
The Account also indicates the proposed distribution of the Estate.
It is important that the Account be carefully examined. Requests for additional information,
questions or objections can be discussed with:
Bradley L. Griffie, Esquire
Attorney for Petitioner
200 North Hanover Street
Carlisle, P A 17013
(717)243-5551
(800)347-5552 q
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PRINCIPAL ASSETS RECEIVED
REALTY:
1. 131 Elm Street
Carlisle, P A
Subtotal
CASH AND BANK DEPOSITS:
1. Members 1st Federal Credit Union
MM Account No. 52325-5
Subtotal
PERSONAL PROPERTY AND VEHICLES:
1. Household Furnishings
2. 1995 Toyota Tercel Sedan 2D
Subtotal
JOINT ASSETS
1. Members 1st Federal Credit Union
(112 value of account held jointly
with personal representatives)
Subtotal
INTERVIVOS TRANSFERS
1. Members 1st Federal Credit Union
Subtotal
ADDITIONAL RECEIPTS
1. Comeast Refund
2. State Farm Insurance Refund
3. 2005 Federal Income Tax Refund
4. 2005 Pennsylvania Income Tax Refund
5. Jefferson Pilot Financial Disability check
3
$ 75,000.00
$
$75,000.00
.06
$1,005.00
$ 980.00
$
.06
$ 47.61
$ 1,985.00
$ 6,826.28
$ 47.61
$ 78.63
$ 30.97
$ 579.00
$ 120.00
$ 542.13
$6,826.28
6. Social Security Administration correction check
7. Jefferson Pilot Financial Disability check
8. Sprint Refund
9. Blue Cross reimbursement
10. Blue Cross reimbursement
Subtotal
Total Principal of Estate before Adjustments
$ 856.00
$ 527.94
$ 34.45
$2,803.00
$ 589.89
$ 6,162.01
GAINS AND WSSES ON SALES AND OTHER DISPOSITIONS:
None
Total Principal of Estate with all adjustments
DISBURSEMENTS OF PRINCIPAL
DEBTS OF DECEDENT:
1. Lancaster Radiology Associates
2. MRI Group LLP
3. Borough of Carlisle (water & sewer)
4. GMAC Mortgage
5. PPL Electric Utilities
6. UGI
7. Sprint
8. Kough's Oil
9. Borough of Carlisle (2006 Personal taxes)
10. Hillmount Animal Hospital
11. Home Equity Loan
Members 1st Federal Credit Union
12. Home Mortgage
GMAC Mortgage Corporation (payoff 12/1/06)
13. Bank fees to Members 1st Federal Credit Union
14. Kohl's charge card
15. Express Scripts
4
$90,020.96
$ 2,803.00
$ 589.89
$ 16.18
$ 520.63
$ 62.70
$ 8.54
$ 84.93
$ 141.48
$ 4.90
$ 142.25
$ 2,658.31
$ 55,489.09
$ 30.00
$ 40.68
$ 75.00
$90,020.96
(Credit Card Companies)
Subtotal $62,667.58
FUNERAL EXPENSES:
1. Egger Funeral Home, Inc. $ 2,057.00
2. Donation to Pastor $ 50.00
Subtotal $ 2,107.00
ADMINISTRATION EXPENSES & COSTS:
1. Attorney's fees to Griffie and Associates $ 3,000.00
2. Probate fees $ 271.00
3. Advertising-Cumberland Law Journal $ 137.03
4. The Sentinel $ 75.00
5. GMAC Mortgage Corporation $ 520.63
6. PPL Electric Utilities $ 39.92
7. UGI $ 8.54
8. UGI $ 8.54
9. PPL Electric Utilities $ 31.22
10. UGI $ 8.54
11. GMAC Mortgage Corporation $ 520.63
12. UGI $ 11.95
13. Borough of Carlisle (water & sewer) $ 16.18
14. Kough's Oil $ 152.10
15. UGI $ 6.26
16, GMAC Mortgage Corporation $ 520.63
17. PPL Electric Utilities $ 69.00
18. PPL Electric Utilities $ 24.69
19. PPL Electric Utilities $ 64.01
20. Borough of Carlisle (water & sewer) $ 16.18
21. UGI $ 8.54
22. UGI $ 8.54
23. PPL Electric Utilities $ 22.33
24. GMAC Mortgage Corporation $ 520.63
5
25. Borough of Carlisle (water & sewer)
26. Borough of Carlisle (water & sewer)
27. Ibis Appraisal Services
28. GMAC Mortgage Corporation
29. Borough of Carlisle
30. Pet Care -Hillmount Animal Hospital
31. GMAC Mortgage Corporation
32. State Farm Auto Insurance
33. State Farm Auto Insurance
34. GMAC Mortgage Corporation
35. GMAC Mortgage Corporation
$
$
$
$
$
$
$
$
$
$
$
16.18
32.36
240.00
520.63
16.18
142.50
520.63
40.37
40.37
520.63
520.63
Subtotal
$ 8,672.57
TAXES:
Pennsylvania Inheritance Tax
Subtotal
Total Disbursements of Principal
PRIOR DISTRIBUTION OF SPECIAL BEOUESTS
None
$ 723.32
NET ASSETS/PROCEEDS AVAILABLE FOR DISTRIBUTION
TOTAL
$ 723.32
$ 74,170.47
$ 15,841.58
PROPOSED DISTRIBUTIONS TO TESTAMENTARY BENEFICIARIES
AFTER ACCOUNT CONFIRMATION
Lois G. Taylor,
Mother
Total Share of Distribution
TOTAL PROPOSED DISTRmUTION OF
PRINCIPAL AND INCOME
6
$ 15,841.58
100%
$ 15,841.58
Lois G. Taylor, Administratrix of the Estate of Joanne Taylor, deceased, hereby declares
under oath that she has fully and faithfully discharged the duties of her office; that the foregoing
First and Final Account and Schedule of Distribution is true and correct and fully discloses all
significant transactions occurring during the accounting period, that all known claims against the
Estate have been paid in full, that to her knowledge, there are no claims now outstanding against the
Estate; and that all taxes presently due from the Estate h, been .d.
Sworn and subscribed before me,
This rf:day of ~ 2007
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7
I hereby certify that written notice of the fIling of this Account, and of the date, time and place
when the same will be presented to the Court for confirmation and of the last day to file written
objections to said Account, has been given to every unpaid claimant or creditor and to every
other person known to the accountant to have or claim an interest in the estate as, beneficiary,
heir, or next of kin.
~EsqUire
8