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IN THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF
MARIE R. FONTENOY,
DECEASED
ORPHANS' COURT DIVISION
No. 21-006-1045
EST ATE SETTLEMENT AGREEMENT
filed on behalf of
BARBARA A. POOLE, EXECUTRIX
Counsel of Record for this Party:
S. Berne Smith, Esquire
PA LD. #07254
107 N. 24th Street
Camp Hill, PA 17011-3602
(717) 737-6789
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EST ATE SETTLEMENT AGREEMENT
This is an AGREEMENT by and between BARBARA A. POOLE, individually and
as Executrix of the Estate of MARIE R. FONTENOY, Deceased, and the beneficiaries, hereinafter
set forth, who covenant and agree as follows:
WITNESSETH
WHEREAS, Marie R. Fontenoy, died November 11,2006, having left her Last Will
and Testament dated November 13, 1978, which was duly admitted to probate by the Register of
Wills of Cumberland County at the above number and term November 28, 2006; and
WHEREAS, Barbara A. Poole has been duly appointed as Executrix of the Estate of
Marie R. Fontenoy, Deceased; and
WHEREAS, the parties in interest under the Last Will and Testament of Marie R.
Fontenoy, Deceased, are:
Name
Address
Barbara A. Poole 17 South 26th Street
Camp Hill, P A 17011
Donna L. Franz 1045 Newton Avenue
Erie, PA 16511
Suzanne M. Modlo 3102 Liberty Street
Erie, P A 16508
WHEREAS, Marie R. Fontenoy, Deceased, was not survived by a spouse; and
WHEREAS, there were no specific bequests; and
WHEREAS, each of the residuary beneficiary parties to this Agreement has been
provided with an informal account which lists the estate's probate and non-probate assets, receipts
and disbursements, (Schedule 1) and a copy of the proposed final distribution schedule (Schedule
2); and
WHEREAS, it is the desire of the parties to this Agreement that final distribution of
the estate be accomplished without a formal accounting to the Orphans' Court Division ofthe Court
of Common Pleas of Cumberland County, it being the desire of the parties to avoid the expense,
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delay and publicity of a formal accounting; and
WHEREAS, the parties to this Agreement each acknowledge to have received their
advance distribution of the residue of the estate, and upon execution of this agreement by all parties,
will receive the proposed final distribution set forth in Schedule 2;
NOW, THEREFORE, in consideration of the mutual promises, covenants and
agreements recited herein the parties agree as follows:
1. Each of the parties to this Agreement does hereby release and forever
discharge Barbara A. Poole, Executrix, from any and all liability which may from time to time arise
in connection with her service as Executrix of the Estate of Marie R. Fontenoy, Deceased. The
parties do further agree to indemnify and hold harmless Barbara A. Poole, Executrix, from any and
all liability which may arise against the estate from creditors or other claimants.
2. Each party to this Agreement acknowledges that this Agreement shall be
indexed and recorded in the estate proceedings and that the terms hereof shall be binding upon their
respective heirs, successors, administrators, and assigns.
3. This Agreement shall be governed by the laws of the Commonwealth of
Pennsylvania.
Dated as of December 20, 2007.
WITNESS:
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Barbara A. Poole, Executrix & Beneficiary
WITNESS:
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I' Su e M. Modlo, Beneficiary
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SCHEDULE 1 TO EST ATE SETTLEMENT AGREEMENT
FINANCIAL DATA
Attached hereto are several items of financial information which show the assets, receipts,
and expenses of the Estate of Marie R. Fontenoy. This information includes interim distributions.
Proposed final distributions and prior interim distributions are shown on Schedule 2.
Page 1 shows both the probate and non probate assets and the beneficiaries of the non probate
assets.
Pages 2 and 3 show the deductions taken on the Pennsylvania Inheritance Tax return,
Schedules H and 1.
Pages 4 and 5 reflect the history of the Estate's savings account and checking account in the
Pennsylvania State Bank.
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ASSET BENEFICIARY ACTUAL TAX PROBATE
NAMED GROSS VALUE VALUE VALUE
Checking Account
PA State Bank
Barbara $7,615.43 $3,807.72 $0.00
Savings Account
PA State Bank
Barbara $15,461.53 $7,730.77 $0.00
Refund from Country Meadows
$2,764.27 $2,764.27 $2,764.27
Refund from Medicare Part B
$2,790.52 $2,790.52 $2,790.52
Savings Bond
$463.28 $463.28 $463.28
Edward Jones Mutual Fund
$6,904.37 $6,904.37 $6,904.37
CD-PNC
$1,982.71 $1,988.27 $1,988.27
CD - PNC
$2,813.84 $2,818.25
PNC Mutual Fund
$12,443.62 $12,443.62 $12,443.62
All State Annuity
3 Sisters $54,119.06 $54,119.06 $0.00
Prudential Insurance
3 Sisters $4,364.91 $0.00 $0.00
Prudential Insurance
Estate $2,413.41 $0.00 $0.00
IRA - PNC Bank
Donna $14,637.29 $14,639.15 $0.00
IRA - PNC Bank
Donna $6,910.37 $6,931.42 $0.00
2006 Income Tax Return
$3.00 $3.00
Kevin Beardsley-Funeral
Prepaid $8,440.00 $8,440.00 $8,440.00
TOTALS
$144,127.61 $125,840.70 $35,797.33
RE.V.l~l' EX +....4J).99)
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SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEAL TH OF PENNSYLVANIA
INHERIT ANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Marie R. Fontenoy
FILE NUMBER
21-06-1045
ITEM
NUMBER
A
1
2
3
4
5
B
2
3.
4
7.
8
9
10
11
Debts of decedent must be reported on Schedule I.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES
Kevin A. Beardsley Funeral Home - See Attachment H
$844000
Transporting body to cemetery - See Attachment M
Funeral flowers "
Funeral dinner """
Engraving headstone - See Attachment N
$552 00
$11660
$464 16
$105 00
ADMINISTRATIVE COSTS
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
$0.00
State
Zip
City
Year(s) Commission Paid
Attorney Fees - S. Berne Smith, Esq. Camp Hill, PA 17011
Family Exemption: (If decedent's address is not the same as claimant's. attach explanation)
Claimant
$4,00000
$0.00
Street Address
City
Relationship of Claimant to Decedent
State
Zip
Probate Fees -
See Attachment 0
$152.00
5
Accountant's Fees
$0.00
6
Tax Return Preparer's Fees
$0.00
Estate Notice - The Sentinel
Estate Notice - the Cumberland Legal Journal
Additional expenses of executrix in conjunction with the funeral
Postage
Filing fees
$129 77
$75 00
$62169
$652
$35.00
TOTAL (Also enter on line 9, Recapitulation)
(If more space IS needed, Insert additional sheets of the same size)
$14,697.74
REV 1~12 EX "~2-03i
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SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Marie R. Fontenoy
FILE NUMBER
21-06-1045
Record debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses
ITEM
NUMBER
DESCRIPTION
Final payment of nursing home expenses to Country Meadows, Mechanicsburg, PA - Ck 172
State Farm Medical Insurance payment- Ck 173
AMOUNT
$3,83177
$2,67100
1
2
3
4
5
6
7
8
TOTAL (Also enter on line 10, Recapitulation)
(If more space is needed, Insert additional sheets of the same size)
$6,502 77
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PA State Estate Savings Account
Date Withdrawal Explanation Deposit Interest Balance
11/29/2006 $13,608.24 $13,608.24
Nov. 30 CD&Savings Bond $5,276.99 $18,885.23
Dec. 4 S1. Farm - Medicare $2,790.52 $21,675.75
Dec. 13 Prudential & CM $5,185.19 $26,860.94
Dec. 15 Edward Jones $6,938.09 $33,799.03
Dec. 15 PNC Investments $12,572.01 $46,371.04
Dec. 22 Edward Jones $10.05 $46,381.09
Dec. 31 Interest $143.94 $46,525.03
2/5/2007 $3,500.00 Inheritance Tax $43,025.03
Mar. 31 Interest $537.38 $43,562.41
Apr. 4 $30,000.00 Inheritance $13,562.41
1-May Income Tax $3.00 $13,565.41
30-Jun Interest $178.15 $13,743.56
30-Jul $300.00 Inheritance Tax $13,443.56
9/30/2007 Interest $167.55 $13,611.11
10/31/2007 Interest $54.92 $13,666.03
10/31/2007 $13,666.03 $0.00
CHECKING ACCOUNT
Check # Deposit Withdrawal Balance
11/29/2006 Opened account $929.88
12/6/2006 I nterest transferred $0.14 $930.02
12/5/2006 Deposit from savings $3,500.00 $4,430.02
12/5/2006 Register of Wills Agent 1001 $4,000.00 $430.02
4/4/2007 Deposit from savings $30,000.00 $30,430.02
4/4/2007 Donna Franz 1002 $10,000.00 $20,430.02
4/4/2007 Suzanne Madia 1003 $10,000.00 $10,430.02
4/4/2007 Barbara Poole 1004 $10,000.00 $430.02
7/30/2007 Deposit from savings $300 $730.02
7/31/2007 Register of Wills Agent 1005 $505.34 $224.68
10/31/2007 Deposit from savings $13,666.03 $13,890.71
10/31/2007 Berne Smith 1006 $2,000.00 $11,890.71
12/14/2007 PA Dept of Rev. 1007 $33.22 $11,857.49
12/14/2007 Berne Smith final fees & expenses 1008 $2,246.29 $9,611.20
12/20/2007 Donna final distribution 1009 $3,203.73 $6,407.47
12/20/2007 Suzanne final distribution 1010 $3,203.73 $3,203.74
12/20/2007 Barbara final distribution 1011 $3,203.74 0
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SCHEDULE 2 - PROPOSED FINAL DISTRIBUTION SCHEDULE
AND INTERIM DISTRIBUTIONS
OF PROBATE ASSETS ONLY
Interim Distributions
Item Date of Beneficiary Amount
Distribution
1 April 4, 2007 Donna $10,000.00
2 April 4, 2007 Susie 10,000.00
3. April 4, 2007 Barbara 10,000.00
Proposed Final Distributions
4 As of 12/20/2007 Donna $3,203.73
5 As of 12/20/2007 Susie 3,203.73
6 As of 12/20/2007 Barbara 3,203.74