HomeMy WebLinkAbout04-02-08
LAW OFFICES
SNELBAKER Be
BRENNEMAN, P.C.
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA.
ORPHANS' COURT DIVISION
FILE NO: 21-07-0803
FIRST AND FINAL ACCOUNT OF
Francis J. Michelini, Executor
For
ESTATE OF ANNE MARIE MICHELINI
Social Security #:
Tax ID #:
Date of Death:
Date of Incapacity, if any:
Date of Executrix Appointment:
Date of First Complete Advertisement:
Accounting for the period:
164-26-3734
August 19, 2007
None
August 29, 2007
September 7, 2007
August 19, 2007
to March 31, 2008
Purpose of Account: Francis J. Michelini, Executor offers this Account to acquaint interested
parties with the transactions that have occurred during his Administration.
It is important that the Account be carefully examined. Requests for additional
information, questions or objections can be discussed with:
Keith O. Brenneman
Snelbaker & Brenneman, P.C.
44 West Main Street
Mechanicsburg, PA 17055
Phone #: 717-697-8528
Supreme Court I.D. No: 47077
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LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
SUMMARY OF ACCOUNT
PRINCIPAL
Receipts
Net Gain on Sales or Disposition
Less Disbursements:
Debts of Decedent
Funeral Expenses
Administration Expenses
Family Exemption
Federal, State & Local Taxes
Fees and Commissions
Balance before Distributions
Distributions to Beneficiaries
Principal Balance on Hand
For Information:
Investments Made
Changes in Holdings
INCOME
Receipts
Less Disbursements
Balance before Distributions
Distributions to Beneficiaries
Income Balance on Hand
COMBINED BALANCE ON HAND
Statement of Proposed Distribution
Verification
PAGE
Page 2
3
3
3
3
3
3
4
4
$0.00
17,676.00
1,609.58
0.00
0.00
2,500.00
4
4
$ 317,844.23
0.00
$ 317,844.23
21,785.58
$ 296,058.65
0.00
$ 296,058.65
5 $0.00
5 $0.00
$0.00
5 $0.00
$0.00
$ 296,058.65
6
7
LAW OFFICES
SNELBAKEH Be
BRENNEMAN. P.C.
PRINCIPAL RECEIPTS
Assets Listed on Inventory per copy of attached:
(Valued as of Date of Death)
ADJUSTMENTS TO INVENTORY
Increased value of common stock upon audit
of Federal Estate Tax Return
SUBSEQUENT RECEIPTS
TOTAL PRINCIPAL RECEIPTS
$317,844.23
$0.00
$0.00
$0.00
$317,844.23
PRINCIPAL GAINS OR LOSSES ON SALES OR OTHER DISPOSITIONS
NONE
GAl N LOSS
$0.00
$0.00
TOTAL GAINS AND LOSSES
LESS LOSS
NET GAIN/LOSS TRANSFERRED TO SUMMARY
DISBURSEMENTS OF PRINCIPAL
DEBTS OF DECEDENT
NONE
FUNERAL EXPENSES
Gate of Heaven Cemetery, lot and markers
Malpezzi Funeral Home, funeral services
$0.00
$0.00
$0.00
$0.00
$0.00
$ 3,772.00
13,904.00 $ 17,676.00
ADMINISTRATION EXPENSES
Register of Wills, Probate fees $
Cumberland Law Journal, advertising Executors' Notice
Snelbaker & Brenneman, P.C., reimbursement for
costs advanced for following:
a. The Sentinel 174.58
advertising Executors' Notice
b. Register of Wills 30.00
filing fee for Inheritance Tax Return and
Inventory
Reserve for filing fees, accountant fees and other
miscellaneous costs associated with the administration
of decedent's estate
330.00
75.00
204.58
1,000.00
$
1,609.58
FAMILY EXEMPTION
NONE
Page 3
$0.00
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
FEDERAL, STATE & LOCAL TAXES
NONE
FEES AND COMMISSIONS
Snelbaker & Brenneman, P.C., attorney services
TOTAL DISBURSEMENTS OF PRINCIPAL
$2,500.00
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
NONE
TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
PRINCIPAL BALANCE ON HAND
Cash
TOTAL PRINCIPAL BALANCE ON HAND
INFORMATION SCHEDULES
PRINCIPAL INVESTMENTS MADE
NONE
TOTAL PRINCIPAL INVESTMENTS MADE
CHANGES IN PRINCIPAL HOLDINGS
NONE
Page 4
VALUE AT
$0.00
$2,500.00
$21,785.58
$0.00
$0.00
FIDUCIARY
ACQUISITION
VALUE
$ 317,844.23 $ 296,058.65
$ 317,844.23 $ 296,058.65
$0.00
$0.00
Account
Value
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
RECEIPTS OF INCOME
NONE
TOTAL RECEIPTS OF INCOME
DISBURSEMENTS OF INCOME
NONE
TOTAL DISBURSEMENTS OF INCOME
DISBURSEMENTS OF INCOME TO BENEFICIARIES
NONE
TOTAL DISBURSEMENTS OF INCOME TO BENEFICIARIES
*
UNPAID CREDITORS:
NONE
** PERSONS INTERESTED IN DISTRIBUTION OF ESTATE:
1. Francis J. Michelini
533 Appalachian Avenue
Mechanicsburg, PA 17055
Page 5
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
PROPOSED DISTRIBUTION TO BENEFICIARIES
Francis J. Michelini, Executor and Accountant herein, proposes to
distribute the balance of the Estate of Anne Marie Michelini, Deceased, to wit:
$296,058.65 in accordance with the Last Will and Testament of said Decedent
as follows:
1.
Francis J. Michelini
100% of residue per Item Third of Will
Cash
Land improved with a residence located
at 533 Appalachian Avenue, Mechanicsburg, PA
TOTAL DISTRIBUTION:
Page 6
$131,788.65
$164,270.00
$296,058.65
$ 296,058.65
VERIFICATION
FRANCIS J. MICHELINI, Executor under the Last Will and Testament of
ANNE MARIE MICHELINI, Deceased hereby declares under oath that he is fully and faithfully
discharged the duties of his office; that the foregoing First and Final 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; to his knowledge, there are no claims
outstanding against the Estate; that all taxes presently due from the Estate have been paid; and
that the grant of Letters Testamentary and the first complete advertisement thereof occurred
more than four months before the filing of the foregoing First and Final Account.
This statement is made subject to penalties of 18 pa. C.SA Section 4904
relating to unsworn falsification to authorities.
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Fr ncis J. Michelini, Executor
Dated:
3- 3J-o~
Subscribed and sworn to
by FRANCIS J. MICHELINI before me this
J{ s-r day of II1ALcit, 2008
1~.~~
Notary Public
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Susan L. Matrazi, Notary Public
Mechanicsburg Bore, Cumberland County
My Commission Expires Nov. 24, 2011
Member, Pennsylvania Association of Notaries
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
Page 7
DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF ANNE MARIE MICHELINI
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No. 21-07-0803
PETITION FOR ADJUDICATION I
STATEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa. O.c. Rule 6.9
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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: Keith O. Brenneman
Supreme Court I.D. No.: 47077
Name of Law Firm: Snelbaker & Brenneman P.c.
Address: 44 West Main Street, Mechanicsburg, PA 17055
Telephone: 717-697-8528
Fax: 717-697-7681
Farm OC -0 J rev. 10 13. 06
Page 1 of 10
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Estate of ANNE MARIE MICHELINI
, Deceased
1. Name(s) and addressees) ofPetitioner(s):
Name:
Francis J. Michelini
Address:
533 Appalachian Avenue
Mechanicsburg, P A 17055
IdentifY any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
N/A
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 August 19, 2007
IZ] Letters Testamentary or DLetters of Administration were granted to Petitioner(s) on
AU2:ust 29. 2007
Date of Will (if applicable): March ] 0, 2006
Date(s) ofCodicil(s) (if applicable); N/A
Date of probate (if different from date Letters granted): August 29, 2007
Was a bond required? DYes IZ] 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: Cumberland Law Journal September 7,14
21,2007 and The Sentinel September 13,20,27,2007
Form OC-o./ rev. /0. /3. 0.6
Page 2 of 10
,.
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEAL TH OF PENNSYL VANIA
ss.
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor ofthe Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to lmv, 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 ofthe said Cumberland Law
J oumal on the following dates,
V1Z:
September 7. September 14 and September 21 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.
SWO TO AND SUBSCRIBED before me this
-1.Ldayof September, 2007
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Notary
Michelini, Anne Marie, dec'd.
Late of the Township of Upper Al-
Ien.
Executor: Francis J. Michelini,
533 Appalachian Avenue, Me-
chanicsburg, PA 17055.
Attorneys: Keith O. Brenneman,
Esquire, SneIbaker & Brenneman,
P.C., 44 W. Main Street, P.O. Box
318, Mechanicsburg, PA 17055.
NOTARIAL SEAL
DEBORAH A COLLINS
Notary Public
CARLISLE BORO. CUMBERlAND COUNTY
My Commission Expires Apr 28, 2010
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tammy Shoemaker, Classified Advertising Manager, of The Sentiflel, of the
County and State aforesaid, b~ing quly sworn, :deposes and says th~t TfIE .SENTINEL,
a newspaper of general circulation in the Borough cif Carlisle, 'County and State
aforesaid, was estaplished December 13th,. 1881, since which date :rHE SENTINEL
has been regularly issued in said County; and th?t the print~d notice ot'publication
attached hereto is exactly the same as was printed and published in the regular
editions and issues of THE SENTINE~ on the following day(s).
September 13, 20, 27; 2007 . '.'
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.COpy OF NOTICE OF PUBLICAT~ON
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Affiant further deposes that he/ shei~ not
intereste.d in the subject matter of the
. aforesaid notice or-advertisement, 'and. that
all allegations In the foregoing statement'
as to time, place and cHaracter o~ .
~nare~~, .
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EXECUTORS' NOTICE
letters Testamentary on the Estat(;l of ANNE MARIE
;. MICHELINI, late oflhe Township 01 Upper Allen,
Cumberland County, Pennsylvania, have been
grantea to the undersigned.
All personsknowinglhemselves to be indebted to said
Estate will make payment immediately, and those
having claims will present them lor settlement to:
Francis J. Michelini, Executor
533 Appalachian Avenue
Mechanicsburg, PA 17055
Keith O. Brenneman, Esquire
Snelb81ker & Brenneman, P.C.
44 West Main Street
P.O, Box 318
Mechanicsburg, PA 17055
Atlorne'ys for Executor
. .."
Sworn to and subscribed before me this
27th. day of September, 2007.
C '-Ir.J/.%bjdl_' 12 U~
Notary Pub
My commission expires: q /t / tit
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Chnslina l. WcMe. Notary Public
Carlisle BorO, Cl.Imberl3nd County
My Q::lmlllission Expires Sepl1. 2008 .
Member, Pennsvlvanl8 Association Of Notanes
Estate of ANNE MARIE MICHELINI
, Deceased
3. Was decedent survived by a spouse? . . . . . . . . . . . . . . . . . . . . . . . . . . . " [{]Ves 0 No
If yes, name of the surviving spouse: Francis J. Michelini
4. Has the surviving spouse filed to take an elective share? ............ . DYes 0 No
(See Section 2201 et gQ. 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)? . . . . . . . . . .. D Ves [(] No
Were any children born to decedent after execution of
Will or Codicil(s)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D Ves [{] 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. 9 1412, was a request for a statement of claim sent to
the Department of Public Welfare? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DVes D No
Form OC-O/ rev. /0./3.06
Page 3 of 10
Estate of ANNE MARIE MICHELINI
, 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 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 ofthe 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 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 Party in Interest
Relationshio and Comments, if anv
Interest
See page five of accounting
Form ac.o I rev. J().13. 06
Page 4 of 10
Estate of ANNE MARIE MICHELINI
, Deceased
Name and Address of Each Party in 1l1lerest
Relationshiv and Comments, if any
1l1leresl
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. Ifno Guardian has been appointed, identify the next of
kin of such party, giving the name, address and relationship of each.
N/A
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for
this Audit (see 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 ac.!)] rev. J(). f3.!)6
Page 5 of 10
Estate of ANNE MARIE MICHELINI
, 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 WillCh/lnl
Admilled? Be Paid /n
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. S 3392 and the proposed payments.
11.
Was family exemption claimed?
. .. ... . . .. .. ... .. .. .. ... .. . .....
DYes
lZINo
DNo
Was family exemption allowed?
. .. . . . . . . . . .. .. .. .. . .. .. .. . .. . . .
lZIYes
Family exemption claimant's name and relationship:
Name:
Relationship.
Form OC-OI rev. 10.13.06
Page 6 of 10
Estate of ANNE MARIE MICHELINI
, Deceased
12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate
Tax paid, the date(s) of payment(s), and the interest(s) upon which paid, are as follows:
Date
Payment
Interest
Non- Taxable
0.00
spouse is beneficiary
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:
N/A
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. 0 Yes 0 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-Of rev. fO.1306
Page 7 of 10
Estate of ANNE MARIE MICHELINI
, Deceased
16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . .0 Yes IZl No
If yes, attach a copy of the Order if available; otherwise state the Court, term, number,
date, and name of Hearing Judge.
17. A. List or attach a separate list of additional receipts and disbursements since the closing
date of the Account.
None
B. Has notice of the additional receipts and disbursements been
given to the parties identified in Paragraph 9 above? ............. DYes D No
18. If a reserve is requested, state amount and purpose.
1,000.00
Amount:
Purpose:
Final costs and fees associated with the administration ofthe Decedent's
estate.
Ifa 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 0 No
If so, attach a copy of the notice.
19.
Is the Court being asked to direct
the filing of a Schedule of Distribution?
DYes
IZlNo
As to real estate only? ........................................ DYes IZl No
Form OC-OI rev. 10.13.06
Page 8 of 10
Estate of ANNE MARIE MICHELINI
, 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 page six of accounting
B. Principal:
Proposed Distributee(s}
Amount/Proportion
See page six of accounting
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
<-
Name of Petitioner:
Form OC-OI rev. I () 13. ()6
Page 9 of 10
Estate of ANNE MARIE MICHELINI
, Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * (that he/she he
is title Executor
of the above-named name of corporation Estate of Anne Marie Michelini 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. 94904 (relating to unsworn
falsification to authorities).
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* 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.
,I'll/'--
Signature of Counsel for Petitioner
Form DC-OJ rev.IO.J306
Page 1 0 of 1 0