HomeMy WebLinkAbout02-01-08
$IS,qq L.~~
FIRST AND FINAL ACCOUNT OF
THERESA CONKLIN, EXECUTOR
FOR
ESTATE OF HELEN PECKHOLDT, DECEASED
DATE OF DEATH:
09/01/2006
DA TE OF EXECUTOR'S APPOINTMENT:
09/20/2006
DATE FO FIRST ADVERTIEMENT:
10/06/2006
ACCOUNTING PERIOD:
09/20/2006
Through 01/31/2008
Purpose of Account: Theresa Conklin, Executor, offers this account to acquaint
interested parties with the transactions that have occurred during her
administration. There is no proposed distribution.
It is important that the account be carefully examined. Requests for additional
information or questions or objections can be discussed with:
Lisa M. Greason, Esquire
P.O. Box 385
Carlisle PA 170;13
717-241-3030 9
"
'~_~J
-.-,
; ,'1
'>-J
SUMMARY
Principal Receipts
Principal Disbursements
_Administrative costs only
Debts of Decedent
Distribution to Beneficiaries
I ncome Receipts
Balance available for distribution
$
15,492.59
$
$
$
$
$
(15,620.23)
(127.64)
Proposed distribution
$
PRINCIPAL DISBURSEMENTS
Debts of Decedent
1 Citi Card, Ending Acct # 6153
2 Chase Mastercard, Ending Acct # 9010
3 Capital One, Ending Acct # 3850
4 Adams Electric Cooperative
5 MCI
6 HCR Manor Care, final medical payment
7 Dept of Public Welfare - final care
$ 4,206.75
$ 65020
$ 1,610.07
$ 96.08
$ 19.59
$ 1,06936
$ 3,841.08
$ 11,493.13
Total Debts of Decedent
Administrative Expenses
1
2
3
4
5
6
7
8
9
10
11
12
Hoffman Roth Funeral Home $
Carlisle Memorial - head stone $
S1. Patrick Catholic Church, priest $
Flowers, food, cards, postage $
Theresa Conklin, Executor fees $
Lisa Greason, Esquire - legal fees $
Cumberland County Register of Wills - Probate Fees $
Cumberland County Register of Wills - Tax Return & Inventory $
Cumberland County Register of Wills - Final Acct $
The Sentinel - Advertisement of Estate $
Cumberland County Law Journal $
Fees for mobile home prep for sale $
Total Administrative Expenses
$ 15,620.23
Total Expenses & Debts
$ 29,113.36
7,207.10
1,846.00
75.00
300.00
2,500.00
2,500.00
110.00
30.00
150.00
181.86
75.00
645.27
INCOME RECEIPTS
None
PRIOR DISTRIBUTIONS TO BENEFICIARIES
None
PROPOSED SCHEDULE OF DISTRIBUTION
After payment of the Administrative costs of the estate, there is a negative
balance and no funds remain for the payment of debts of the decedent or
distribution to beneficiaries. It is respectfully requested that this Honorable Court
confirm that no assets remain for distribution and that the remaining funds in the
Estate Account may be used to pay the Administrative costs of the estate.
THERESA CONKLIN, Executor of the Estate of HELEN PECKHOLDT,
deceased, hereby declares under oath that she has fully and faithfully discharged
the duties of her office that the foregoing First and Final Account is true and
correct and fully discloses all significant transactions occurring during the
accounting period.
J'-' (7
. ". o"J.- . .:;J !
'/iu: /l.J./J.-c<__ -- /:71 /tj r ,1 1
THERESA CONKLIN, Executor
Subscribed and sworn to~y
NAME, b fore me this ! ~.
Day of ~_ '/ /lLidh<-2008.
- i
./
-.
---.-----------.
)(~/'y/-y'}/----
Notary Public 0
My Commission Expires
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tanunv 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, COlmty 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)
September 27, October 04,11,2006
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
3:~~~
EXECUTRIX'~ NOTICE
Letters Testamentary on the Estate ot HELEN
PECKHOLDT.late of Lower Frankford Township
Cumborland County, Pennsylvania, deceased, have
been granted to the undersigned.
All persons knowing themselves to be indebted to said
Estate will make payment immediately and those
having claims will present them for settiement to:
Theresa Conklin,Executrix
clo Greason law Office
P.O. Box 385
Carlisle, PA 170t3
Lisa M. Greason, Esquire
Attorney for the Estate of Helen Peckholdt
P.O. Box 385
.carlisle, PA 17013
-
Sworn to and subscribed before me this
11th. day of October 2006.
(]AAiidJilat ~
Notary P 'c
My commission expires: qf /tt;;
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Chnstina L. Wolfe, Notary Public
Carlisle Bora, Cumberland County
My Commission Expires Sepl1, 2008
Member. Pennsv1vanie Association Of Notaries
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
COUNTY OF CUMBERLAND
ss.
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:
October 6, October 13, and October 20, 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.
Peckholdt. Helen, dec'd.
Late of Lower Frankford Town-
ship.
Executrix: Theresa Conklin c/o
Greason Law Office, P.O. Box
385, Carlisle, PA 17013.
Attorney: Lisa M. Greason, Es-
quire, P.O. Box 385, Carlisle, PA
17013.
~ ~ rf\!
) ~ ItA . l/J
~l;Jr:ri~ Co~~ Editi
1.-/ I
SWORN TO A~'D SUBSCRIBED before me this
20 day of October. 2006
~:.)~. xkr,
Notary
7
yreason Eaw Office
'Post OjJice 'Box 385 Cadis{e, 'Pennsy{vania 17013
'Phone: (717) 241-3030 :fax: (717) 241-3040 L:Jvl(jreason@ao[com
February 1, 2008
Capital One
2323 Lake Club Drive, Suite 300
Columbus OH 43232
RE: Estate of Helen Peckholdt
21-06-0826
To Whom It May Concern:
Please take Notice that a Petition for Proposed Distribution for the above
referenced Estate has been submitted to the Orphan's Court of Cumberland County,
Pennsylvania, for distribution. The audit/confirmation will be as follows:
Date:
March 4, 2008
Last Date to
File Objections:
March 4, 2008 by 9:00 a.m. ET
Place:
Cumberland county Orphan's Court
One Courthouse Square
Carlisle PA 17013
If you have any objections to the attached accounting, you should file an
objection with the Register of Wills Office at the address listed above.
Sincerely,
LISA M. GREASON, ESQUIRE
DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
ORPHANS' COURT DIVISION
,....,.,.'
J
, -I
Cc J
~.,
ESTATE OF HELEN PECKHOLDT
, DECEASED
No. 2 I -06-0826
eJ1
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 acijudication.
INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: LISA M. GREASON, ESQ.
Supreme Court I.D. No.: 78269
Name of Law Firm: GREASON LAW OFFICE
Address: P.O. BOX 385, CARLISLE PA 17013
Telephone: 717-241-3030
Fax: 717-241-3040
Form OC-OJ rev. JOcH06
Page 1 of 10
Estate of HELEN PECKHOLDT
, Deceased
1. Name(s) and addressees) ofPetitioner(s):
Name:
THERESA CONKLIN
Address:
306 RA YMON AVE
BOILING SPRINGS PA17007
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? . . . . . . . . . . . . . . . . . . . .. IZ) 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 09/01/2006
IZ) Letters Testamentary or o Letters of Administration were granted to Petitioner(s) on
9/20/2006
Date of Will (ifapplicable): 10/18/2001
Date(s) ofCodicil(s) (if applicable): NONE
Date of probate (ifdifferentfrom date Letters granted):
Was a bond required? DYes IZ) 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: 10/06/2006, 10/13/2006, 10/20/2006,
09/27/2006, 10/04/2006, 10/11/2006
Form DC-OI rev. 10.13.06
Page 2 of 10
Estate of HELEN PECKHOLDT
, Deceased
3. Was decedent survived by a spouse? ..................... ..... ... DYes IZlNo
If yes, name of the surviving spouse:
4. Has the surviving spouse filed to take an elective share? ............. DYes IZl No
(See Section 2201 et gJJ.. 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. Ifrequired 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IZlYes D No
Form DC-OJ rev. JO.13.06
Page 3 of 10
Estate of HELEN PECKHOLDT
, 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. 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. 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 Partv in Interest
Relationship and Comments, if any Interest
THERESA CONKLIN
306 RA YMON AVE
BOILING SPRINGS P A 17007
SISTER 100%
Form DC-OJ rev. 10.13.06
Page 4 of 10
Estate of HELEN PECKHOLDT
, Deceased
Name and Address of Each Partv 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.
N/A
C. State why a Petition for GuardianITrustee 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 HELEN PECKHOLDT
, 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.
MCHC - Carlisle
c/o Schutjer & Bogar
205 N. Front St, Ste 401
Harrisburg P A 17101
~ a- -:/1, /-&7" t: -1~ . !'u-u/J;~.vt;J
If the estate it insolvent, attach a schedule settmg forth the order of preference under
20 Pa.C.S. ~ 3392 and the proposed payments.
Name and Address of Each Claimant
Amount of Claim
Claim
Admitted?
Capital One
2323 Lake Club Drive, Ste 300
Columbus OH 43232
IZJYes
DNo
1526.11
Citi Card
c/o DCM Services, LLC
4150 Olson Memorial Hwy, Ste 200
Minneapolis MN 55422-0826
IZJYes
DNo
4206.25
Chase Bank USA
c/o Phillips & Cohen Assoc
258 Chapman Rd, Suite 205
Newark DE 19702
IZJYes
DNo
650.20
1069.36
IZJYes
DNo
11.
Was family exemption claimed?
Was family exemption allowed?
Family exemption claimant's name and relationship:
Name:
Relationship:
Form DC-01 rev. 10.13.06
Will Claim
Be Paid In
Full?
DYes
IZJNo
DYes
IZJNo
DYes
IZJNo
DYes
IZJNo
DYes
IZJNo
DYes IZJNo
Page 6 of 10
. ,
~ (() t ('} l if (td (( ('&U~LZVLlZ)
"opt^) . 1
!~H 11 .r,~harA ()~~t1hm7flflY
2/J !fl. U IctJ. . L tU::"'if !tL.,<, Ui/}l/'l
--p () 136 X 8 cirgtv, 0 ~
;Jut vr})t.lfl (J A- n I {>5- ~ '( '60:
6,},n ei
----
~ S~Lt I, Ut
Lld.rrlJ1 {J -l]'J
t ltuFh pd - /]0
Estate of HELEN PECKHOLDT
, 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
none
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? . . . . . . . . . . . . . . . . . . . D Yes lZJ 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 ofthe
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 lZJ 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 DC-OJ rev. 10.13.06
Page 7 of 10
Estate of HELEN PECKHOLDT
, Deceased
16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . . DYes IZI 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.
N/A
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:
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 IZINo
If so, attach a copy ofthe notice.
19.
Is the Court being asked to direct
the filing of a Schedule of Distribution?
DYes IZINo
As to real estate only? ........................................ DYes IZI No
Form OC-OJ rev. JO.13.06
Page 8 of 10
Estate of HELEN PECKHOLDT
, 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
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
/h /7. ..
-UU-wV, (,-("'rell fU11.. /
Name of Petitioner: THERESA CONKLIN
c--r1J t if ')?t. (~, Ii t /117
Name of Petitioner:
Form OC-OJ rev. JO.13.06
Page 9 of 10
Estate of HELEN PECKHOLDT
, Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he/she 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).
19nature 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.
! pignature of Counsel for Petitioner
~~.----
Form OC-OI rev. 10.13.06
Page 100fl0