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HomeMy WebLinkAbout07-24-08 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA. ORPHANS' COURT DIVISION FILE NO: 21-07-0623 FIRST AND FINAL ACCOUNT OF Jeffrey A. Meals For ESTATE OF MARY JANE MEALS LAW OFFICES SNELBAKER EiC BRENNEMAN, P..C. Social Security #: Tax ID #: Date of Death: Date of incapacity, if any: Date of Executor Appointment: Date of First Complete Advertisement: Accounting for the period: 162-22-0606 20-7465668 June 17,2007 None July 2, 2007 July 11,2007 June 17, 2007 to June 30,2008 Purpose of Account: Jeffrey A. Meals, 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: Richard C. Sneibaker Snelbaker & Brenneman, P.C. 44 West Main Street Mechanicsburg, PA 17055 Phone #: 717-697-8528 Supreme Court {.D. No: 06355 ~_ _n . , _t J ~ ~;_ ~":`~ -~_ri " _t~ i-~ --~ Page 1 r..a ~~ c:~-. ca - C„_ - i...'_ r-~ n~ .~- - --~ : - cci ,_, , ~ - SUMMARY OF ACCOUNT PRINCIPAL Receipts Net Loss 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 PAGE 3 $178,972.32 3 -2,685.61 $ 176,286.71 3 $ 486.19 3 8,233.18 3 & 4 13,337.12 4 0.00 4 6,851.75 4 3,460.90 32,369.14 $ 143,917.57 4 10,000.00 $ 133,917.57 5 5 INCOME Receipts 5 $ 151.98 Less Disbursements 5 $0.00 Balance before Distributions $ 151.98 Distributions to Beneficiaries 5 $0.00 Income 8afance on Hand $ 151.98 COMBINED BALANCE ON HAND $ 134,069.55 LAW OFFICES SNELBAKER FCC BRENNEMAN, P..C. Listing of Persons interested in the 6 distribution of the Estate Statement of Proposed Distribution 7 Verification 8 Page 2 PRINCIPAL RECEIPTS Assets Listed on Inventory per copy of attached: $177,429.54 (Valued as of Date of Death) ADJUSTMENTS TO INVENTORY 0.00 SUBSEQUENT RECEIPTS 10/31/2007 Settlement adjustments made for County & School Taxes and sewer 1206.78 11/2/2007 Jeffrey A. Meals, reimbursement for his portion of cleaning expense 200.00 1/9/2008 Westfield Insurance, refund on homeowner's insurance 136.00 TOTAL PRINCIPAL RECEIPTS $178,972.32 PRINCIPAL GAINS OR LOSSES ON SALES OR OTHER DISPOSITIONS GAIN LOSS 9/19/2007 Sovereign Bank, loss on sale of 628 shares of common $ 2,685.61 stock TOTAL GAINS AND LOSSES $ 2,685.61 LAW OFFICES SNELBAKER E!C BRENNEMAN, P.C. NET LOSS TRANSFERRED TO SUMMARY $ (2,685.61) DISBURSEMENTS OF PRINCIPAL DEBTS OF DECEDENT 7/15/2007 Brighton Place Condo Association, association dues $ 79.80 7/15/2007 Upper Allen Township, sewer 100.00 7/15/2007 York Waste Disposal, trash service 43.50 7/15!2007 PPL Electric, electric service 58.49 7/15/2007 United Water Pennsylvania, water service 23.96 7/15!2007 Verizon, phone service 30.44 8/18/2007 Holy Spirit Hospital, medical services 150.00 $ 486.19 FUNERAL EXPENSES 7/25/2007 Malpezzi Funeral Home, Inc., funeral services $ 8,053.18 11/5/2007 Gingrich Memorials, inscription on marker 180.00 $ 8,233.18 ADMINISTRATION EXPENSES 7/24/2007 Brighton Place, Condo Association dues $ 228.00 from 7/24/07 to 9/24/07 8/4/2007 PPL Electric, electric service from 8/4/07 to 11/5/07 94.32 7/24/2007 United Water Pennsylvania, water service from 49.19 7/24107 to 1114/07 9!14/2007 A Clean Sweep, cleaning services 455.80 10/1/2007 Westfield Insurance, homeowners insurance 149.00 10/10/2007 Upper Allen Township, sewer 100.00 10/31/2007 Settlement charges associated with the sale of property 10,704.91 a. Transfer Tax 1,280.00 b. 2007-OS School Taxes 1,594.91 c. Tax Certification 50.00 d. Upper Allen Township, sewer 100.00 e. Realtor's Commission 7,680.00 2/7/2008 Register of Wills, filing fee for Inheritance Tax return 15.00 Page 3 ADMINISTRATION EXPENSES -CONTINUED ***** The following are to be paid subsequent to confirmation of accounting *`*** Snelbaker & Brenneman, P.C., costs advanced 540.90 a. Register of Wills, short certificates 12.00 b. Register of Wills, probate fee 306.00 c. Patriot-News, advertising Executors' Notice 147.90 d. Cumberland Law Journal, advertising 75.00 Executors' Notice ***** Reserve for filing fees, accountant fees and other 1,000.00 costs associated with the administration of $ 13,337.12 Decedent's estate FAMILY EXEMPTION NONE FEDERAL. STATE & LOCAL TAXES $0.00 2/7/2008 Register of Wills, Agent, PA Inheritance Tax 6,851.75 $ 6,851.75 FEES AND COMMISSIONS 8/23/2007 Haar's Auction, commission on sale of household goods 960.90 **** The following is to be paid subsequent to confirmation of accounting "`** Snelbaker & Brenneman, P.C., attorney fees 2,500.00 3,460.90 TOTAL DISBURSEMENTS OF PRINCIPAL $ 32,369.14 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES TO: Suzanne Schwartz 3/19/2008- Advance Distribution $ 5,000.00 5/16/2008 -Advance Distribution 5,000.00 $ 10,000.00 TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES $ 10,000.00 PRINCIPAL BALANCE ON HAND FIDUCIARY VALUE AT ACQUISITION 6/30/2008 VALUE Cash $ 138,110.45 $ 177,429.54 '*` Less expenses to be paid subsequent -4,040.90 to confirmation of First and Final Account as listed on page four of Accounting LAW OFFICES SNELBAKER ~C BRENNEMAN, P.C. Page 4 TOTAL PRINCIPAL BALANCE ON HAND INFORMATION SCHEDULES PRINCIPAL INVESTMENTS MADE NONE TOTAL PRINCIPAL INVESTMENTS MADE $ 134,069.55 $ 177,429.54 0.00 ~ - CHANGES IN PRINCIPAL HOLDINGS NONE RECEIPTS OF INCOME 7/9/2007 Sovereign Bank, savings account #1684005943, interest $ 1.20 8/23/2007 Sovereign Bank, dividend 50.24 1/9/2008 Central PA Methodist Church, interest on Certificates of Deposit 100.54 TOTAL RECEIPTS OF INCOME $ 151.98 DISBURSEMENTS OF INCOME NONE $0.00 TOTAL DISBURSEMENTS OF INCOME $0.00 DISBURSEMENTS OF INCOME TO BENEFICIARIES NONE $0.00 TOTAL DISBURSEMENTS OF INCOME TO BENEFICIARIES $0.00 LAW OFFICES SNELBAKER E!C BRENNEMAN. P.C. Page 5 UNPAID CREDITORS: NONE "* PERSONS INTERESTED IN DISTRIBUTION OF ESTATE: 1. Jeffrey A. Meals 1045 English Drive Lebanon, PA 17042 2. Robert A. Meals 642 Randall Circle Hummelstown, PA 17036 3. Suzanne J. Schwartz 748 Mt. Gretna Road Elizabethtown, PA 17022 4. Jessica Potteiger 490 Indian Rock Circle Elizabethtown, PA 17022 5. Lisa James (formerly Lisa Schwartz) 11254 Evans Trail, Apt. 203 Beltsville, MD 20705 6. Troy L. Reynolds, HJ1355 SCI Waymart P.O. Box 256, Rte #6 Waymart, PA 18472-0256 LAW OFFICES SNELBAKER FTC BRENNEMAN, P.C. Page 6 PROPOSED DISTRIBUTION TO BENEFICIARIES Jeffrey A. Meals, Executor and Accountant herein, proposes to distribute the balance of the Estate of Mary Jane Meals, Deceased, to wit: $ 134,069.55 in accordance with the last Will and Testament of said Decedent as follows: 1. Jeffrey A. Meals $ 43,220.87 113 of residue as per Item Third of Will Cash 43,220.87 2. Robert A. Meals $ 43,220.86 1/3 of residue as per Item Third of Will Cash 43,220.86 3. Suzanne J. Schwartz $ 33,220.86 1/3 of residue as per Item Third of Will Cash 33,220.86 3/19/08 Advance Distribution 5,000.00 5/16108 Advance Distribution 5,000.00 4. Jessica Potteiger $ 4,802.32 Bequest per Item Second of Will 4,802.32 5. Lisa James (formerly Lisa Schwartz) $ 4,802.32 Bequest per Item Second of Will 4,802.32 6. Troy L. Reynolds $ 4,802.32 Bequest per Item Second of Will 4,802.32 TOTAL DISTRIBUTION: ~ ~i~4,una.oa LAW OFFICES SNELBAKER gC BRENNEMAN, P.C. Page 7 VERIFICATION JEFFREY A. MEALS, Executor under the Last Will and Testament of MARY JANE MEALS, 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 i 8 pa. C;.B.A. Seciia+~ =+SJ4 relating to unsworn falsification to authorities. ~ ~~~ ~ jj, Jeffrey A. eals, ecutor Dated: 7// (y Subscribed and sworn to b JEFFREY A. MEALS before me this day of , 2008 Notary Pu lic COMMONWEALThi OF PENNSYLVANIA Not<sria~ Seal Sandra K Slua~n~e~~, l~t<~ry Public Mechanicsbu-~ S:r~~ -~;~~r~,btaiand Camiy My Commisslc~r; ~w>sadre~ Pl~av. 22, 2011 Member, Pennsylvania Association of Notaries LAW OFFICES SNELBAKER E!C BRENNEMAN, F.C. Page 8 DECEDENT'S ESTATE COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF Mary Jane Meals ,DECEASED No. 21-07-0623 PETITION FOR ADJUDICATION / STATEMENT OF PROPOSED DISTRIBUTION PURSUANT TO Pa. O.C. Rule 6.9 <.~ ^, t` ... __ O f.^) C-'+7 ..-. ...t7 ~ __... __ _... _ ~.. ,..~ ~ . f s _-_ .. ~._, = ~.. _.. _:~; _ - : _-~ ; _ m ~ ; - ~ - 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. INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM. Name of Counsel: Richard C. Snelbaker Supreme Court I.D. No.: 6355 Name of Law Firm: Snelbaker & Brenneman P.C. Address: 44 West Main Street, Mechanicsburg, PA 17055 Telephone: 717-697-8528 Fax: 717-697-7681 FormOC-n! rev. /0.!3.06 Page 1 of 10 Estate of Mary Jane Meals 1. Name(s) and address(es) of Petitioner(s): Name. Jeffrey A. Meals, Executor Address: 1045 English Drive Lebanon, PA 17042 Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution and state reason: N/A Deceased Is this the first accounting by this fiduciary? ..................... ~ Yes ~ No If not, identify prior accountings, the accounting periods covered, and the date of adjudication of the prior accounting. 2. Decedent died on June 17, 2007 Letters Testamentary or Letters of Administration were granted to Petitioner(s) on Julv 2. 2007 Date of Will (if applicable): February 6, 2002 Date(s) of Codicil(s) (f applicable): N/A Date of probate (if different from date Letters granted): Was a bond required? JYes No If yes, state amount: Are proofs of advertising of the grant of Letters attached? ......... Yes ~ No Dates of advertising of the grant of Letters: Cumberland Law Journal -July 13, 20, and 27, 2007 and Patriot News -July 11, 18, 25, 2007 Form oc-or rev. to.13.06 Page 2 of 10 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA 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: July 13, July 20, and July 27, 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. ~ r Lis Marie Coyne, Edit r Meals, Mary Jane, deed. Late of Upper Allen Township. Executor: Jeffrey A. Meals, 241 SWORN TO AND SUBSCRIBED before me this Troon Way, Lebanon, PA 17402. 27 day of July, 2007 Attorneys: Snelbaker & Bren- neman, P. C., 44 West Main Street, .,~ P.O. Box 318, Mechanicsburg, PA 17055-0318. ,~ ,; ? Notary NOtARIAI SEAL DEBORAH A COLUNS Notary Pubik CARLISLE BORO, CUMBERLAND COUNTY My Commla3km Expkes Apr ZB, 2010 THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Joseph A. Dennison, being duly sworn according to law, deposes and says: That he is the Assistant Controller of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot- News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared in the 11th, 18th and 25th day(s) of July 2007. That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. _. i`~ ~ ~~ ~ mm ro_y PUBLICATION ........................~,~.. .-~3f: ... ~'....~.~.~,,.~''.~............................. COPY Sworn to and subsc~Ge e.fcsr"efine this 25th da 4f~r~~~~~~7r~~~t_VANi ~f,~ COMPJI~I'iNt~ notarial Seal T erry t . ussell, Notary Public City Cif Harrisburg, t?auphin Cotmty My Coma ~. si;,n c Tres June r , ?Q~ Q Member, P nnsyiv ni ssociation of Notaries EXECUT08'S NOTICE Letters Testamentary on the Estate of Marv Jane Meals, Deceased-late of Up- per Allen Township,: Cumberland Coun- ty, Pennsylvania, have been granted to the undersigned. All persons knowing. themselves to be .Indebted to said Estate wi16 make pay- menT immediately, and..thosehaving claims will .present them for settlement to: Jeffrey A. Meals 291 Troon War Lebanon, PA 17042 Execufor SNELBAKER S BRENNEMAN, P.C. 44 West Matn Street P.o. sox 31a Meehanicsburo, PA 17055-0318 Attorneys C SNELBAKER, BRENNEMAN & SPARE, P.C. 44 WEST MAIN STREET P.O. BOX 318 MECHANICSBURG, PA. 17055-0318 Estate of Mary Jane Meals Deceased 3. Was decedent survived by a spouse? ............................. Yes ~ No If yes, name of the surviving spouse: 4. Has the surviving spouse filed to take an elective share? ............. Yes ~ No (See Section 2201 et sue. 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)? ........... Yes No Were any children born to decedent after execution of Will or Codicil(s)? ........................................... ~ Yes ~ 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. § 1412, was a request for a statement of claim sent to the Department of Public Welfare? .............................. ~ Yes No Form oc-ol rev. 10.13.06 Page 3 of 10 Estate of Mary Jane Meals Deceased 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 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): Form OG01 rev. 10.13.06 Page 4 of 10 Estate of Mary Jane Meals Deceased 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 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 oc-ol rev. 10.13.06 Page 5 of 10 Estate of Mary Jane Meals 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 /n Full? None Yes Yes No No Yes Q Yes No No Yes ~ Yes ~No ~ No Yes ~ Yes No No If the estate is insolvent, attach a schedule setting forth the order of preference under 20 Pa.C.S. § 3392 and the proposed payments. 11. Was family exemption claimed? ................................ Yes ~No Was family exemption allowed? ................................ Yes ~No Family exemption claimant's name and relationship: Name: Relationship: Farm OC-01 rev. 10. /3.06 Page 6 Of 10 Estate of Mary Jane Meals 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 2~20~200 g 6,851.75 0.00 13. On the date of death, was the decedent a fiduciary (personal representative, trustee, guardian, agent under power of attorney) or surety on the bond of a fiduciary? ................... Yes 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? .................. ~ Yes ~ No 15. If Petitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed or attached, provide a copy of the assignment, renunciation, disclaimer or attachment, together with any relevant supporting documentation. Form OC-01 rev. 10.13.06 Page 7 of 10 Estate of Mary Jane Meals Deceased 16. Had the decedent been adjudicated an incapacitated person? .......... ~ Yes No If yes, attach a copy of the Order if available; otherwise state the Court, term, number, date, and name of Hearing Judge. 17. A. List or attach a separate list of additional receipts and disbursements since the closing date of the Account. N/A B. Has notice of the additional receipts and disbursements been given to the parties identified in Paragraph 9 above? ............. Yes No 18. If a reserve is requested, state amount and purpose. Amount: 1' ~ ~ ~' Purpose: For filing fees, accountant fees, and other miscellaneous costs associated with the administration of the decedent's estate. 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? ........................................ Yes ~ No If so, attach a copy of the notice. 19. Is the Court being asked to direct the filing of a Schedule of Distribution? .......................... Yes ~ No As to real estate only? ........................................ Yes ~ No Form oc-o~ rev. ~0.~3.06 Page 8 of 10 Estate of Mary Jane Meals 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(sJ Amount/Proportion See page seven of accounting B. Principal: Proposed Distributee(sJ Amount/Proportion See page seven of accounting Submitted By: (All petitioners must sign. Add additional lines if necessary): f Petiti ner: Je frey A. Meals, Executor Name of Petitioner: Formoc-oi rev. io.i3.o6 Page 9 of 10 Estate of Mary Jane Meals Deceased Verification of Petitioner (Verification must be by at least one petitioner.) The undersigned hereby verifies * (that he/she he is tare Executor of the above-named name of corporation Estate of Mary Jane Meals 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. § 4904 (relating to unsworn falsification to authorities). 1 ~ ~ ~ ~k~~'4_ L~f t r f Pet' io r e~~rey A. ~eals, Executor * 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. Signature oT-Counsel for Petitioner Formoc-oi rev. ~o.i3.o6 Page 10 of 10