HomeMy WebLinkAbout02-01-08
DECEDENT'S ESTATE
.'
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
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ESTATE OF
JOANN E. TRITT
, DECEASED
No. 21-07-0181
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: Richard L. Webber, Jr., Esq.
Supreme Court J.D. No.: 49634
Name of Law Firm: WEIGLE & ASSOCIATES, P.C.
Address: 126 East King Street, Shippensburg, PA 17257
Telephone: (717) 532-7388
Fax: (717) 532-5289
Form OC-Ol rev. IO.J3JJ6
Page 1 of 10
.\i\
Estate of
JOANN E. TRITT
, Deceased
1. Name(s) and addressees) ofPetitioner(s):
Name:
Terry E. Walker
Darlene M. Sample
Address:
70 I Mt. Rock Road
I Faculty Road
Carlisle, PA 17015
Duncannon, PA 17020
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? . . . . . . . . . . . . . . . . . . . . . 0 Yes D No
If not, identify prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on 2/16/2007
IZ] Letters Testamentary or DLetters of Administration were granted to Petitioner(s) on
2/26/2007
Date of Will (if applicable): 12/6/2002
Date(s) of Codicil(s) (if applicable):
Date of probate (if different from date Letters granted):
Was a bond required? DYes IZl No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? ......... IZ] Yes D No
Dates of advertising of the grant of Letters: The Sentine1- March 13,20 & 27, 2007
Cumberland Law Journa1- March 9, 16 & 23, 2007
Form OC-OJ rev. JO.13.06
Page 2 of 10
Estate of
JOANN E. TRITT
, Deceased
3. Was decedent survived by a spouse? . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DYes ({] No
If yes, name of the surviving spouse:
4. Has the surviving spouse filed to take an elective share? ............ . DYes ({] 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 ofthe decedent's surviving children or
surviving issue of deceased children at none, so state):
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. S 1412, was a request for a statement of claim sent to
the Department of Public Welfare? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fZ]Yes D No
Form OC-O I rev. 10.13. 06
Page 3 of 10
Estate of
JOANN E. TRITT
, 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 ofthe 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 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 sui juris (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. 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
Codici1(s) or as intestate heirs ifthere 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 Farly in Interest
Relationshiv and Comments, if anv
Interest
(See Exhibit A)
Form DC-OI rev. 10.13.06
Page 4 of 10
Estate of
JOANN E. TRITT
, Deceased
Name and Address of Each Party in Interest
Relationship and Comments, if any
Interest
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.
Joshua Clouser, DOB 2/11/1992
No guardian has been appointed.
Parents - David Clouser and Sharon Clouser
170 Simmons Road
Mechanicsburg, PA 17055
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for
this Audit (~ee Pa. 0. 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.
/'"orm OC-OJ rev. JO.13.06
Page 5 of 10
Estate of
JOANN E. TRITT
, 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
Fu/f?
DYes D Yes
DNo D No
DYes D Yes
DNo D No
DYes DYes
DNo D No
DYes D Yes
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.
11.
Was family exemption claimed?
DYes
DNo
Was family exemption allowed?
DYes
DNo
Family exemption claimant's name and relationship:
Name:
Relationship:
Form OC-OJ rev. 10.13.06
Page 6 of 10
Estate of
JOANN E. TRITT
, 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
May 15,2007
5,200.00
September 20, 2007
101.39
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 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:
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. DYes D No
15. IfPetitioner(s) haslhave 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. 10.13.015
Page 7 of 10
Estate of
JOANN E. TRITT
, Deceased
16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . . DYes IZ] 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.
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:
Weigle & Associates, P.c.- for filings for First and Final Accounting -
$200; preparation of income tax return-$2l0; remaining fees $782.50
Terry E. Walker and Darlene M. Sample - Exec. Commissions-$585 1.80
If a reserve is requested for counsel fees, has notice ofthe
amount of fees to be paid from the reserve been given to the
parties in interest? ........................................ IZ]Yes 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?
IZ]Yes DNo
As to real estate only? ........................................ DYes IZ] No
Form OC-Ol rev. 10.13.06
Page 8 of 10
Estate of
JOANN E. TRITT
, 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
(See attached Exhibit A)
B. Principal:
Proposed Distributee(s)
Amount/Proportion
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
\dif1A11/l!-: 1Yl 4t]~
Name ofPebtlOner: Darlene M. Sample
Form OC-Ol rev, 10.13.06
Page 9 of 10
Estate of
JOANN E. TRITT
, 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
(See attached Exhibit A)
B. Principal:
Proposed Distributee(s)
Amount/Proportion
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
,// ,.,." (!~
N~er: Terry E. Walker
Form OC-I)] rev. 10.13. 06
Page 9 of 10
Estate of
JOANN E. TRITT
, Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he/she she
of the above-named name of corporation Estate
is title a Co-Executor
and J 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 Po.. C.S. S 4904 (relating to unsworn
falsification to authorities).
A/ aJwJ11LL r;t ~~
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.
, J I
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Signature of Counsel for Petitioner
Form DC-OJ rev. 10.13.06
Page 10 of 10
Estate of
JOANN E. TRITT
, Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he/she she
is title a Co-Executor
of the above-named name of corporation Estate
and] that the facts set
fOlih 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).
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~etitioner
* 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.
) -,/
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Signature of Counsel for Petitioner
Form OC-Ol rev. 10.13.06
PagelOoflO
Exhibit "A"
Name and Address afEach Party in Interest Relationship Interest Principal &
and Comments Interest
Helen V. Black Sister 1/8 of 90% ($6722.66 Principal
26 Fairfield Street of Residue $ 256.26 Interest)
Newville, PAl 7241 $ 6978.92
Donna J. Boldosser Niece 1/56 of 90% ($ 960.38 Principal
28 Fairfield Street of Residue $ 36.61 Interest)
Newville, PA 17241 $ 996.99
Marissa J .Boldosser Child of $ 500.00 (All principal)
28 Fairfield Street Niece
Newville, PA 17241
Alexa M. Clouser Grand Niece $ 500.00 (All principal)
170 Simmons Road
Mercersburg, PAl 7055
Jessica A. Clouser Niece 1/560f90% ($ 960.38 Principal
170 Simmons Road of Residue $ 36.61 Interest)
Mechanicsburg, P A 17055 $ 996.99
Joshua D. Clouser Nephew 1/56 of 90% ($ 960.38 Principal
170 Simmons Road of Residue $ 36.61 Interest)
Mechanicsburg, P A 17055 $ 996.99
Sharon L. Clouser Sister 1/80f90% ($6722.66 Principal
170 Simmons Road of Residue $ 256.26 Interest)
Mechanicsburg, P A 17055 $ 6978.92
Mt. Rock United Methodist Church Charity 10% of ($5975.67 Principal
c/o Merle Piper Residue $ 227.81 Interest)
598 Mt. Rock Road $6203.48
Newville, PAl 7241
Carol J. Pope Niece 1/56 of 90% ($ 960.38 Principal
P.O. Box 529 of Residue $ 36.61 Interest)
Redwater, TX 75573 $ 996.99
Darlene M. Sample Sister 1/80f90% ($6722.66 Principal
1 Faculty Road of Residue $ 256.21 Interest)
Dincannon, P A 17020 $ 6978.87
Julie L. Schell Niece 1/560f90% ($ 960.38 Principal
1404 Chatham Road of Residue $ 36.61 Interest)
Camp Hill, P A 17011 $ 996.99
Lauren E. Schell Grand Niece $ 500.00 (All principal)
1404 Chatham Road
Camp Hill, P A 17011
Brian Shearer Child of $ 500.00 (All principal)
701 Mt. Rock Road Niece
Carlisle, P A 17015
Matthew Shearer Child of $ 500.00 (All principal)
331A Herman Avenue Niece
Lemoyne, P A 17043
Leroy B. Tritt Brother 1/8 of 90% ($6722.66 Principal
206 Farm Road -in-Law of Residue $ 256.26 Interest)
Newville, P A 17241 $ 6978.92
Paul E. Tritt Brother 1/8 of 90% ($6722.66 Principal
P.O. Box 98 - in- Law of Residue $ 256.26 Interest)
Plainfield, P A 17081 $ 6978.92
Ray E. Vamer Brother 1/80f90% ($6722.66 Principal
4626 Enola Road of Residue $ 256.26 Interest)
Newville, PAl 7241 $ 6978.92
Kelly Walker Stepchild $ 500.00 (All principal)
759 Haight Street of Niece
San Francisco, CA 94117
Lindsey Walker Stepchild $ 500.00 (All principal)
1338 South 9th Street of Niece
Philadelphia, P A 19147
Terry E. Walker Niece 1/560f90% ($ 960.38 Principal
701 Mt. Rock Road of Residue $ 36.61 Interest)
Carlisle, P A 17015 $ 996.99
Amanda Webber Child of $ 500.00 (All principal)
319 Bulls Head Road Nephew
Newville, P A 17241
Edward R. Webber Nephew 1/560f90% ($ 960.38 Principal
319 Bulls Head Road of Residue $ 36.61 Interest)
Newville, P A 17241 $ 996.99
Phyllis B. Webber Sister 1/8 of 90% ($6722.66 Principal
541 Centerville Road of Residue $ 256.26 Interest)
Newville, PA 17241 $ 6978.92
Stephanie Webber Child of $ 500.00 (All principal)
319 Bulls Head Road Nephew
Newville, PAl 7241
TOTAL $ 66,534.80 ($64,256.89 Principal
$ 2,277.91 Interest)
/ / cy ~ /3.
In the Court of Common Pleas of County, Pennsylvania
Orphans' Court Division
File No. 21-07-0181
Estate of Joann E. Tritt, Deceased
Late of West Pennsboro Twp.
FIRST AND FINAL ACCOUNT AND SCHEDULE OF PROPOSED DISTRIBUTION
Terry E. Walker and Darlene M. Sample,
Sodal Security #:
Tax 10 #:
Date of Death:
Da1te of Incapacity, if any:
Date of Executor's Appointment:
186-34-4658
20-7283036
02/16/2007
None
02/26/2007
Da1te of Advertisements:
The Sentinel-March 13,20, and 27, 2007
Cumberland Law Journal- March 9, 16, and 23, 2007
02/16/2007 to 01/07/2008
Accounting fOlr the Period:
Purpose of Account: Terry E. Walker and Darlene M. Sample, , offer this Account to acquaint
intE!rested parties with the transactions that have occurred during the Administration.
It is important that the Account be carefully examined. Requests for additional information or questions
or objections can be discussed with:
Richard L. Webber, Jr. Esquire
Weigle & Associates, P.C.
126 East King Street
Shippensburg, PA 17257
U-."1
717-532-7388
Supreme Court 1.0. No. 49634
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SUMMARY OF ACCOUNT
EstatE! of Joann E. Tritt, Deceased
For the period of February 16, 2007 throuQh January 7,2008
Proposed Distributions
to BI~meficiaries
Paqe
12
PRINCIPAL
Receipts: This Account
Net Gain (or Loss) on Sales
or Other Dispositions
1 - 2
Less Di:sbursements:
Debts of Decedent
Funeral Expenses
Administration Expenses
Federal, State & Local Taxes
Commissions
Fees
Family Exemption
3-6
6
6-7
8
8
8-9
Balancl~ Before Distributions
Transfe!r to (from) Principal
Distributions to Beneficiaries
Principal Balance on Hand
For Infclrmation:
InvE'stments Made
Changes in Holdings
INCOME
Receipts
This Account
10 -11
Net Gain (or Loss) on Sales
or Other Dispositions
Less Disbursements
BalanCE! Before Distributions
Transfer to (from) Income
Distributions to Beneficiaries
12
Income Balance on Hand
For Infolrmation:
Investments Made
Changes in Holdings
COMBINED BALANCE ON HAND
Verification
Current
Value
22,605.72
8,825.87
7,506.38
5,301.39
5,851.80
5,265.00
0.00
Fiduciary
Acquisition
Value
66,534.80
119,613.05
0.00
119,613.05
55,356.16
64,256.89
0.00
0.00
64,256.89
2,277.91
0.00
2,277 .91
0.00
2,277.91
0.00
0.00
2,277 .91
66,534.80
SCHEDULE A
RECEIPTS OF PRINCIPAL
Fiduciary
Acquisition
Value
Cash
02/16/2007 2001 Chevrolet Motor Vehicle VIN 7.600.00
2G1WH55K919141031
02/16/2007 Cash on hand 49.50
02/16/2007 F&M Trust #000-0900251 - CD 195.10
02/16/2007 Accrued interest on above item through date of 1.24
death
02/16/2007 F&M Trust #015-2984362 50.000.00
02/16/2007 Accrued income on above item through date of 10.96
death
02/16/2007 F&M Trust #025-2977475 - CD 10.585.16
02/16/2007 Accrued interest on above item through date of 57.93
death
02/16/2007 F&M Trust #05-08666 - Savings 190.00
02/16/2007 Accrued interest on above item through date of 0.14
death
02/16/2007 F&M Trust #07-01505 - Savings 420.61
02/161.2007 F&M Trust Checking Account - Personal 363.03
Account
02/16/:2007 F&M Trust Money Market 71-12300 4.783.84
02/16/:2007 Accrued interest on above item through date of 3.29
death
02/16/:2007 Gross proceeds from public sale of personal 18.177.56
property
02/16/:2007 Members 1st Federal Credit Union 43476-00 - 0.03
Accrued interest on item below through date of
death
02/16/:2007 Members 1st Federal Credit Union #43476-11 34.26
02/16/:2007 Members 1st Federal Credit Union Savings 62.96
Account #43476-00
Total Cash 92.535.61
Total Inventory 92.535.61
1
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
SubseQuent Principal Receipts
03/27/2007 Comcast 12.78
05/07/2007 Dishwasher - Proceeds 325.00
05/161'2007 Erie Insurance - Refund of portion of auto 42.00
insurance premium
OS/221'2007 Erie Insurance Group - Premium refund due to 49.00
cancellation of renter's home protection
OS/2212007 F&M Trust - Credit on bank statement for return 36.25
of checkbook cover for estate checks
02/22J2007 F&M Trust Christmas Club - From personal 10.00
checking
02/22J2007 F&M Trust Christmas Club - From personal 10.00
checking
05/02/2007 F&M Trust Co. (Minnesota Life) - Retirement 7,168.38
proceeds
03/27/2007 Highmark - Refund of portion of medical 409.85
insurance premium
02/27/2007 Interest - Money Market 0.55
05/02/2007 Jessica London - Credit Card Refund 6.51
05/07/2007 Monumental Life Insurance 17.000.00
03/27/2007 Mt. Rock United Methodist Church - Refund of 625.00
security deposit for lease
10/15/2007 Southern Living - Refund of portion of 2.50
magazine subscription
02/21/2007 U.S. Treasury - Social Security 1.344.00
08/01/2007 Waste Management - Refund of portion of trash 35.62
bill
Total Subsequent Principal Receipts
Total Adjustments and Subsequent Receipts
Total Receipts of Principal
2
Fiduciary
Acquisition
Value
27,077.44
27,077 .44
119,613.05
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent
Arizona Mail Order Company. Inc.
03/29/2007
Charle~; R. Inners, M.D.
03/16/2007
Chase iCardmember Services
03/02/21007
04/08/21007
DarlenE! Sample
02/23/2007
02/23/2007
02/23/2007
02/23/2007
Reimbursement for decedent's groceries
Reimbursement for decedent's groceries
Reimbursement for decedent's groceries
Reimbursement for decedent's groceries
Deborah W. Piper, Tax Collector
03/29/2007
Personal taxes
Embarq
03/16/2007
Telephone bill
3
11.96
41.40
2.000.00
1,673.91
79.00
80.00
37.00
52.00
4.90
38.97
11.96
41.40
3,673.91
248.00
4.90
38.97
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
Erie Insurance Group
0310212007 Renters Insurance 71.00
71.00
Health South
0311412007 Hospital TV 12.00
12.00
Johns Hopkins University
0311312007 Medical Bill 795.75
0312712007 2.557.28
3.353.03
Kough's Oil Service
0212812007 403.65
0510412007 218.75
622.40
Lancaster HMA Physician Management Center
0910712007 4.00
4.00
MembE!r's 1 st FCU Loan #43476-09
0310112007 9.618.45
9,618.45
Mobile X-Ray ImaQinQ, Inc.
0312912007 198.00
198.00
4
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
Monumental Life
02/21/2007 Automatic payment subsequent to death 55.36
55.36
Mt. Rock United Methodist Church
02/28/2007 March Rent 625.00
03/30/2007 April Rent 625.00
05/07/2007 Portion of May rent and lawn care 180.00
1.430.00
PP&L
02/16/2007 Automatic payment subsequent to death 49.01
49.01
PPL
03/12/2007 Electric for February 48.15
04/09/2007 Electric bill . March 24.25
05/18/2007 Final Electric Bill 24.40
96.80
PRISM
03/14/2()07 21.00
21.00
U.S. Tre!asury
04/12/2007 2006 personal income tax 1.084.00
1.084.00
Walmar!
03/05/2007 770.24
5
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
Waste ManaQement (March. April, Mav)
03/01/21007
WFNNB Brvlane Home
02/28/21tl07
02/28/2007
03/16/2007
Credit card payment
Credit card payment (Lane Bryant)
Credit card payment
Total Debts of Decedent
Funeral Expenses
Ebv Granite Works
04/02/2007
Engraving on tombstone
EwinQ Brothers
02/26/2007
Total Funeral Expenses
Administration Expenses
Cumberland County ReQister of Wills
02/26/2007 Probate Fee
09/20/2007 Filing fee for Inheritance Tax Return
6
88.90
361.48
700.00
50.91
106.00
8.719.87
252.00
15.00
770.24
88.90
1.112.39
22,605.72
106.00
8.719.87
8,825.87
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
01/07/2008 Reserve for filing fee for First and Final 200.00
Accounting and Schedule of Proposed
Distribution
467.00
Cumberland Law Journal
02/26/2007 Legal Advertisement 75.00
75.00
F&M Trust
02/22/2007 Automatic draft fee for Christmas Club - 10.00
personal account
02/22/2007 Automatic draft fee for Christmas Club- 10.00
personal account
03/15/2007 Fee for estate checks 61.75
04/17/2007 Checkbook Fee - Estate Checks 25.50
07/03/2i007 Fee for estate checks 25.50
132.75
Gary Mentzer, Auctioneer
02/16/2007 Commission on sale of personal property 5,453.26
02/16/2007 Commission on sale of car 456.00
02/16/2007 Labor costs for moving personal property 510.00
6,419.26
The Sentinel
04/09/2007 Legal Advertisement 202.37
202.37
Wei~le & Associates, P.C.
01/07/2008 Reserve for preparation of 2007 income tax 210.00
returns
7
Reqist(~r of Wills, Aqent
05/15/2007
09/20/2007
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
Total Miscellaneous Administrative Expenses
Federal, State & Local Taxes
Inheritance Tax at discount
Balance of Inheritance Tax
Total Taxes
Commissions
01/07/2008
Darlene Sample and Terry E. Walker, Co-Executors
Reserve for Executors' Commission
Klinqer & Associates, P.C.
04/09/2007
Weiqle & Associates, P.C.
03/07/2007
04/05/2007
05/16/2007
Total Commissions
Fees
2006 Income Tax Preparation
8
5,200.00
101.39
5.851.80
210.00
1,080.00
733.75
405.00
210.00
7.506.38
5,301.39
5.301.39
5.851.80
5.851.80
210.00
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
07/13/2007
11/01/2007
01/07/2008
Reserve
Total Fees
TOTAL DISBURSEMENTS OF PRINCIPAL
9
636.25
1.417.50
782.50
5.055.00
5.265.00
55.356.16
SCHEDULE G
RECEIPTS OF INCOME
Interest/Bank
F&M Trust Company
02/16/2007
Interest on various accounts from 2/16/2007 to
date of liquidation 2/27/2007
F&M Trust Company CheckinQ Account (Decedent's personal account)
02/16/2007
Interest from 2/16/2007 to 3/8/2007
F&M Trust Company Estate CheckinQ Account #10-89927
02/28/2007
03/30/2007
04/30/2007
05/31/2007
06/29/21007
07/25/21007
08/31/21007
09/28/21007
10/31/21007
11/30/2007
12/31/2007
F&M Trust Company Time Deposit #015-2984362
03/02/2007
04/02/2007
05/01/2007
06/01/2007
07/01/2007
08/01/2007
08/30/2007
10/01/2007
10
15.90
15.90
0.20
0.20
0.31
1.52
1.67
5.87
6.99
7.25
7.16
6.98
7.25
6.68
6.95
58.63
187.67
208.08
201.37
208.08
201.37
208.08
194.66
201.71
SCHEDULE G
RECEIPTS OF INCOME
Continued
10/31/2007
11/30/2007
12/31/2007
Members 1st Federal Credit Union
02/16/2007
Interest from date of death to date of liquidation
3/2/2007
TOTAL BANK INTEREST
TOTAL RECEIPTS OF INCOME
11
195.21
201.71
195.21
2.203.15
0.03
0.03
2.277.91
2.277 .91
PROPOSED DISTRIBUTIONS TO BENEFICIARIES
TO:
Alexa M. Clouser - Pursuant to Paragraph SECOND (I)
Amanda Webber - Pursuant to Paragraph SECOND (G)
Brian Shearer - Pursuant to Paragraph SECOND (B)
Carol J. Pope - Pursuant to Paragraph THIRD (I)
Darlene M. Sample - Pursuant to Paragraph THIRD (F)
Donna J. Boldosser - Pursuant to Paragraph THIRD (I)
Edward R. Webber - Pursuant to Paragraph THIRD (I)
Helen V. Black - Pursuant to Paragraph THIRD (B)
Jessica A. Clouser - Pursuant to Paragraph THIRD (I)
Joshua D. Clouser - Pursuant to Paragraph THIRD (I)
Julie L. Schell - Pursuant to Paragraph THIRD (I)
Kelly Walker - Pursuant to Paragraph SECOND (C)
Lauren E. Schell - Pursuant to Paragraph SECOND (H)
Leroy B. Tritt - Pursuant to Paragraph THIRD (D)
Lindsey Walker - Pursuant to Paragraph SECOND (D)
Marissa J. Boldosser - Pursuant to Paragraph SECOND (E)
Matthew Shearer - Pursuant to Paragraph SECOND (A)
Mt. Rock United Methodist Church - Pursuant to Paragraph
THIRD (A)
Paul E. Tritt - Pursuant to Paragraph THIRD (H)
Phyllis B. Webber - Pursuant to Paragraph THIRD (E)
Ray E. Varner - Pursuant to Paragraph THIRD (C)
Sharon L. Clouser - Pursuant to Paragraph THIRD (G)
Stephanie Webber - Pursuant to Paragraph SECOND (F)
Terry E. Walker - Pursuant to Paragraph THIRD (I)
Total
12
Current Value
01/07/2008
or as noted
Fiduciary
Acquisition
Value
500.00
500.00
500.00
996.99
6.978.87
996.99
996.99
6.978.92
996.99
996.99
996.99
500.00
500.00
6.978.92
500.00
500.00
500.00
6.203.48
6.978.92
6,978.92
6,978.92
6,978.92
500.00
996.99
66.534.80
66.534.80
In the Court of Common Pleas of County, Pennsylvania
Orphans' Court Division
File No. 21-07-0181
Estate of Joann E. Tritt, Deceased
Verification
Terry E. Walker and Darlene M. Sample, Co-Executors, under the Last Will and Testament of Joann
E. Tritt, Deceased, hereby declare under oath that they have fully and faithfully discharged the
duties of their office; that the foregoing Account 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 their knowledge, there are no claims now outstanding against
the Estate; that all taxes presently due from the Estate have been paid; and that the grant of Letter
Testamentary and the first complete advertisement thereof occurred more than four months before
the foregoing Account.
This statment is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn
falsification to authorities.
JCVlJJM 711. ~~
Darlene M. Sample
Date!d:
I -7 C f'
In the Court of Common Pleas of County, Pennsylvania
Orphans' Court Division
File No. 21-07-0181
Estate of Joann E. Tritt, Deceased
Verification
Terry E. Walker and Darlene M. Sample, Co-Executors, under the Last Will and Testament of Joann
E. Tritt, Deceased, hereby declare under oath that they have fully and faithfully discharged the
dutil:!S of their office; that the foregoing Account 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 their knowledge, there are no claims now outstanding against
the Estate; that all taxes presently due from the Estate have been paid; and that the grant of Letter
Testamentary and the first complete advertisement thereof occurred more than four months before
the foregoing Account.
This statment is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn
falsification to authorities.
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Terry E. Walker
Dated:
( 171 Ol~
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LAST WILL AND TESTAMENT
I, JOANN E. TRITT, presently residing at 145 Steelstown Road, Newville, Cumberland
County, Pennsylvania 17241, being of sound mind, memory and disposition, do hereby make, publish
and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any
time heretofore made.
FIRST. I order and direct the payment of all my legally enforceable debts and funeral
expenses as soon as may be convenient after my decease.
SECOND. I give and bequeath the sum of Five Hundred Dollars ($500.00) to the following
children of my nieces and nephews (including those of my deceased husband, George E. Tritt):
A. MATTHEW SHEARER;
B. BRIAN SHEARER;
C. KELLY WALKER;
D. LINDSEY WALKER;
E. MARISSA J. BOLDOSSER;
F. STEPHANIE WEBBER;
G. AMANDA WEBBER;
H. LAUREN E. SCHELL; and
I. Any other children of my nieces and nephews or those of my deceased husband.
THIRQ. I give, devise and bequeath all of the rest, residue, and remainder of my estate
real, personal and mixed, whatsoever and wheresoever situate, as follows:
A. Ten percent (10%) to MT. ROCK UNITED METHODIST CHURCH;
B. One-eighth (1/8) of the remainder to my sister, HELEN V. BLACK, and if sh
predeceases me, one-half (1/2) of her share to her husband, LUTHER"
BLACK, and the remaining one-half (1/2) to be distributed pursuant t
subparagraph "I" below;
EXHIBIT
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C. One-eighth (1/8) of the remainder to my brother, RAY E. VARNER, and if he
predeceases me, one-half (1/2) of his share to his wife, JOANN E. VARNER,
and the remaining one-half (1/2) to be distributed pursuant to subparagraph
"I" below;
D. One-eighth (1/8) of the reIhainder to my brother-in-law, LEROY B. TRITT. If
he predeceases me, his share shall be distributed pursuant to subparagraph
"I" below;
E. One-eighth (1/8) of the remainder to my sister, PHYLLIS B. WEBBER, and if
she predeceases me, one-half (1/2) of her share to her husband, ROBERT P.
WEBBER, and the remaining one-half (1/2) to be distributed pursuant to
subparagraph "I" below;
F. One-eighth (1/8) of the remainder to my sister, DARLENE M. SAMPLE, and if
she predeceases me, one-half (1/2) of her share to her husband, STEVEN C.
SAMPLE, and the remaining one-half (1/2) to be distributed pursuant to
subparagraph "I" below;
G. One-eighth (1/8) of the remainder to my sister, SHARON L. CLOUSER, and if
she predeceases me, one-half (1/2) of her share to her husband, DA VID B.
CLOUSER, and the remaining one-half (1/2) to be distributed pursuant to
subparagraph "I" below;
H. One-eighth (1/8) of the remainder to my brother-in-law, PAUL E. TRITT, and if
he predeceases me, one-half (1/2) of his share to his wife, LINDA N. TRITT,
and the remaining one-half (1/2) to be distributed pursuant to subparagraph
"I" below; and
I. One-eighth (1/8) of the remainder to be divided equally among JULIE L.
SCHELL, EDWARD R. WEBBER, TERRY E. WALKER, DONNA J.
BOLDOSSER, CAROL J. POPE, JESSICA A. CLOUSER, and JOSHUA D.
CLOUSER. If any of these persons fail to survive me, one-half (1/2) of that
deceased person's share shall be distributed to his or her spouse, and the other
one-half (1/2) of that share shall be divided equally among the remaining named
beneficiaries in this subparagraph.
FOURTH. Any share or shares of my estate which passes to JOSHUA D. CLOUSER shall
be placed IN TRUST with DAVID B. CLOUSER (SR.), SHARON CLOUSER, and JESSICA A.
CLOUSER, as Co-TRUSTEES, to serve without posting bond, on the following terms and conditions:
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WEIGLE & ASSOCIATES, Pc. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 172.57-1397
A. The net income of the Trust shall be paid to or applied for his maintenance,
education or support at such times and in such proportions as my Trustees shall in
their absolute sole discretion determine. In the event that the income would be
insufficient to provide him with adequate maintenance, education and support, the
Trustees shall invade the principal for this purpose and such invasions shall be
according to his needs.
B. Upon his death, any principal and/or accrued income remaining in the Trust shall
be used to pay his funeral and burial expenses as well as any of his outstanding
medical and care expenses. The remainder shall be distributed outright to his
natural parents.
FIFTH. I nominate, constitute and appoint TERRY E. WALKER and DARLENE M.
SAMPLE, to be the Co-Executors of this my Last Will and Testament; if either of my Co-Executors are
unable to serve, I then nominate, constitute and appoint EDWARD R. WEBBER as substitute Co-
Executor of this my Last Will and Testament. I grant to my Executor and successors the power to
compromise claims without court approval and without the consent of any beneficiary.
SIXTH. I hereby direct that all federal, state and other death taxes payable because of my
death, with respect to the property forming my gross estate for tax purposes, whether or not passing
under this Will, including any interest or penalty imposed in connection with such taxes, shall be
considered a part of the expense of administration of my estate and that such be paid out of the rest and
residue of my estate.
SEVENTH. I direct that my personal representative(s) shall not be required to give bond for
the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, Joann E. Tritt, have hereunto set my hand and seal to this my
Last Will and T~~tament, written on three< (3) pages, the first two (2) pages signed for identification
only, this 6;~ day of:ikJ:~.i;?;1h:..t-t<- ,2002.
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WEIGLE & ASSOCIATES. Pc. - ATTORNEYS AT LAW .- 126 EAST KING STREET - SHIPPENSBURG, PA 17257.1397
This instrument was by the Testatrix, on the date hereof, signed, published and declared by her to be
her Last Will and Testament, in our presence, who at her request and in the presence of each other,
we believing her to be of sound and disposing mind and memory, have hereunto subscribed our names
as witnesses.
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COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
][, Joann E. Tritt, the person whose name is signed to the foregoing instrument, having been
duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my
Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes
therein expressed.
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Sworn or affirmed to and acknowledged
before me by Joann E. Tritt, the Testatrix,
this f.c "h day of 'Jl.9..CQ m hilL. , 2002.
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Notarial Seal
PatrIcia L Tome, No~ PubIlc
~Boro. Curnbef'l8RdCountY
MY Commts$lon Expires June 7, 2004
WEIGl.E & ASSOCIATES, PC- ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
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foregoing instrument, being duly qua" tied according to law, do depose and say that we were present and
saw Joann E. Tritt, the Testatrix, sign and execute the instrument as her Last Will; that she signed
willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testatrix, signed the will as witnesses; and that to the best of
our knowledge the Testatrix was at the time eighteen (18) or more years of age and of sound mind and
under no constraint or undue influence.
Sworn or affirmed to and subscribed before me
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witnesses, this G day of .c:v.cun RJA. , 2002.
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Patricia L. Tome, Notary Public
Shlppensburg Boro, Cumbet18ffi:1 County
My Commission Expires June 7. 2004
WEIGLE & ASSOCIATES, Pc. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPEN5BURG, PA17257.1397
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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)
March 13, 20, 27, 2007
COPY OF NOTICE OF PUBLICATION
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
:1~~~~
Estate of JOANN E. TRITT ~lleceased. Letters
Testamentary in the ~ of Joann E. Trill. late of
West pennsboroTo Cum.berland~County,
Pennsylvania, have b anted to the un~erslgned.
,-', i,_; >~_> h;:J;':': __,':; - ,~;: I,>"'>'"
; All persons knowing thems Ives to be .indebted to said.
estate are requested to m ke payment, and those
having Claims shall presp tthem, without delay, for .~
settlement to: ",. . .: . ~ "c.
',:'> :':',,' "--,, - ,-- - - :~:
D'arlene M.Sample
. . 1 Faculty R2Eid
DunCannon"PA 17Q20
". .~<,.C()-Exec~or
Terry E. WalJ(er
. . 701 Ml. Rock RQl:jd
. Carlisle, PA 17015
Co-ExecutOr
, Jr., Es u'ire <0 .
IATES, P.C. .
1 t.
Shippensburg;A :17257
Attorney for Co-Executors
Sworn to and subscribed before me this
27th. day of March 2007.
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Notary Public
My commission expires: q II/Of
COMMONWEALTH OF PENNSYLVANIA
Notalial Seal
Christina L. Wdfe, Notary Public
Carlisle Bore, Cumber1and County
My Commission Expires Sept 1, 2008
Member, Pennsylvania Association Of Notaries
EXHIBIT
i :)
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
55.
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:
March 9, March 16 and March 23,2007
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.
,.-
"
---
Tritt, Joann E., dec'd.
Late of West Pennsboro Town-
ship.
Co-Executors: Darlene M. Sam-
ple. 1 Faculty Road, Duncannon,
PA 17020 and Teny E. Walker,
701 Mt. Rock Road, Carlisle. PA
17015.
Attorneys: Richard L. Webber,
Jr., Esquire, Weigle & Associates.
P.C.. 126 East King Street. Ship-
pensburg, PA 17257.
SWORN TO AND SUBSCRIBED before me this
23 day of March, 2007
~-d~~~~
EXHIBIT
u
i 's
IN RE: ESTATE OF JOANN E. TRITT
WE:ST PENNSBORO TOWNSHIP
CUMBERLAND COUNTY
PENNSYLVANIA, DECEASED
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL V ANlA
ORPHANS' COURT DIVISION
ESTATE NUMBER 2007-00181
PA. NO. 21-07-0181
NOTICE
This is to advise you that Darlene M. Sample and Terry E. Walker, Co-Executors under
the Will of Joann E. Tritt, deceased, have filed the First and Final Account of the administration
of the said decedent's estate and Schedule of Proposed Distribution in the Office of the Register
of Wills of Cumberland County, Pennsylvania. The said Account and Proposed Schedule of
Distribution will be presented to the Court of Cornmon Pleas of Cumberland County,
Pennsylvania, Orphan's Court Division, of Carlisle, Pennsylvania, in the assigned Courtroom of
the Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania, on
Tuesday, March 4, 2008 at 9:30 A.M. for confirmation.
Copies of the said Account and Proposed Schedule of Distribution are enclosed herewith.
This Notice is sent to you as an interested party, in accordance with the Rules of Court.
Any exceptions or objections to the said Account or Proposed Schedule of Distribution may be
fil,ed prior to, or at that time and date, by any Party of Interest.
You are not required to appear at the audit. However, if you do not appear in person or
by counsel, the Court will assume that you agree with the accounting and the distribution
proposed by the accountants.
Very truly yours,
J(~\V(V J
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WEIGLE & ASSOCIATES, P.C.
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By: Richard L. Webber, Jr., Esquire
Attorney for Executor
126 East King Street
Shippensburg, P A 17257
(717) 532-7388
EXHIBIT
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NOTICE OF CHARITABLE GIFT
(In Accordance with Pa. O.C. Rule 5.5)
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
ORPHANS' COURT DIVISION
ESTATE OF
JOANN E. TRITT
,0 SETTLOR Ii] DECEASED
No. 21-07-0181
Chief, Charitable Trusts and Organizations Section
Office of the Attorney General
Date: January 22 , 2008
Dear Sir or Madam:
l\1otice is given of a charitable gift as follows:
1. The nature of the present proceeding is:
(a) An Account which has been or will be listed for Audit in the Orphans' Court on
Tuesday, March 4 20 08 Cumberland County Courthouse, Carlisle, P A
, , In
(State name of Courthouse and town/city.)
The time and place of the Audit is Court Room at 9:30 ,~l1o'clock. Ifnot
provided herein, the time and location will be provided upon request when that information
becomes available.
(b) If the proceedings are other than an Account, state the nature of the proceedings and the
place, date and time fixed for hearing:
* If more space is required, attach additional sheets.
EXHIBIT
Form OC-06 rev. /0./3.06
J
19
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Page 1 of 4
Estate of
JOANN E. TRITT
DSett10r IZI Deceased
2. Charitable gifts are made as follows:
(a) Give full names and addresses of charities, and names and addresses of counsel, if any.
Mt. Rock United Methodist Church
c/o Merle Piper
598 Mount Rock Road
Newville, P A 17241
(b) If pecuniary legacies, state exact amounts and indicate whether legacies will be or have
been paid in full; if not give reasons therefor.
N/A
(c) If the charitable interest is a future interest and the estimated present value of the property
involved exceeds $25,000, a brief description thereof including the conditions precedent to
its vesting in enjoyment and possession, the names and ages of persons known to have
interests preceding such charitable interest, and the approximate market value of the
property involved.
N/A
(d) If residuary gift, state nature and value of share.
As per paragraph THIRD (A) of the Will, Mt. Rock United Methodist Church is entitled
to ten percent (10%) of the residue of the estate, said share calculated to be $6,203.48
Form OC-06 rev. lO.13.0r,
Page 2 of 4
Estate of
JOANN E. TRITT
o Settlor IZ]Deceased
3. Provide a brief statement of all pertinent questions to be submitted to the Court for
Adjudication, including unresolved claims and any material questions of interpretation or
distribution which may affect the value of the charitable interest.
The undersigned is not aware of any such issues.
4. The names and addresses of the fiduciaries are (state whether Executors and/or Trustees):
Darlene M. Sample, Co-Executor
I Facualty Drive, Duncannon, PA
Terry E. Walker, Co-Executor
701 Mt. Rock Road, Carlisle, PA 17015
5. The names and addresses of counsel for the fiduciaries:
Richard L. Webber, Jr., Esquire
Weigle & Associates, P.C.
126 East King Street
Shippensburg, P A 17257
6. The names and addresses of counsel for any charity who has received notice or has appeared for
it:
None.
Form OC-0.6 rev. 10.13.0.6
Page 3 of 4
Estate of
JOANN E. TRITT
o Settlor IZI Deceased
7. (a) A copy of the instrument creating the gift is attached hereto.
(b) Ifthe gift is other than a pecuniary legacy which will be paid in full, there is attached
hereto:
(1) A copy of the Account, if one has been filed
(2) A copy of any other relevant documents
Very truly yours,
l~) /L. '--~_
3
Signature
Richard L. Webber, Jr., Esquire #49634
Attorneys Name and Supreme Court JD. No.
126 East King Street
Attorney's Address
Shippensburg, P A 17257
Attorney's Telephone
(717) 532-7388
Form OC-06 rev. 1 O.l3. 06
Page 4 of4