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HomeMy WebLinkAbout08-28-08Final Settlement Statement File No. 21-OS-0356 THIS is a statement made this 27th day of August, 2008, by Kevin W. Dermody, 928 Susquehanna Street, Harrisburg, PA 17012, sole beneficiary and Executor of the Estate of Dorothy A. Dermody, Decedent, and whose name is set forth as signatory at the end of this Statement. WITNESSETH: A. Dorothy A. Dermody, 928 Susquehanna Street, Harrisburg, Dauphin County, Pennsylvania, died on March 16, 2005. B. On April 19, 2005, Letters of Administration were granted to Kevin M Dermody, aka Kevin W. Dermody, at File No. 21-OS-00356 in the Register of Wills Office for Cumberland County, Pennsylvania. C. Executor has administered the estate until the present time and has paid all debts of the estate, including inheritance tax owed. D. Decedent died intestate. E. The assets of the estate are set forth in Exhibit A attached hereto and made a part hereof. F. Executor has paid the debts of the estate as set forth in Exhibit B attached hereto and made a part hereof. G. There remains to be distributed to the beneficiary the assets set forth in the Schedule of Distribution in Exhibit C attached hereto and made a part hereof. H. The party desires to forego a formal account and schedule of distribution and desires to conclude the estate by virtue of filing of this Statement. ~. NOW, THEREFORE, the said party intending to be legally bound sets forth the fol~gwing: ~_, 1. Executor of the estate of deceased will not file a formal accounting or sch~du~~ ~pf ,; distribution. ~ - ~`' - _:_,_ , -„ ~... 2. Inheritance Tax was paid. ~ ~ -, ~{ .. .. a 3. The party will distribute the assets in accordance with Exhibit C. `~ 4. The beneficiary designates this Statement as a "satisfaction of award" and hereby authorizes and directs the Clerk of Orphans' Court to mark satisfied of record any award which may subsequently be made by the Court with respect to the distribution made to the distributee in this Statement. 5. The said beneficiary acknowledges that this Final Settlement Statement shall be filed with the Clerk of Orphans' Court in final settlement of the estate of decedent Dorothy A. Dermody. IN WITNESS WHEREOF, the Executor/Beneficiary, intending to be legally bound hereby, sets his hand and seal the day and year first above written. WI SS: ,~ ' ~ LS Kevin Dermody, Exec o & Beneficiary 928 Susquehanna Street Harrisburg, PA 17101 EXHIBIT A -ASSETS ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Burlington Northern Santa Fee Corp $10,023.00 189 Shares 2. Catellus Dev Corp (REIT) 1,521.00 41 Shares 3. Public Service Enterprise Group Inc. 6,943.00 129 Shares 4. Vanguard Wellington Fund 21,749.00 718.749 Shares 5. Heartland Partners, LP 33.00 8 units 6. Liberty US Government Money Market Fund 1,735.00 7. PNC Bank -Savings A/C #5030031871 2,449.00 8. PNC Bank -Checking A/C #5070062015 5,412.00 9. PNC Bank -Checking A/C #5070096848 2,617.00 10. Tri-Continental - 568.457 Shares 5,066.00 11. TIAA-CREF Annuity #IP05982-8 10,000.00 TOTAL ASSETS $ 67,548.00 EXHIBIT B -DEBTS AND DEDUCTIONS ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES 1. Ewing Brothers Funeral Home B. ADMINISTRATIVE COSTS 1. Personal Representative Commissions -Kevin M. Dermody 2. Attorney Fees -John H.Broujos 3. Family Exemption 4. Accountant's Fees -Boyer & Ritter 5. Reserve 6. Wienken & Associates Inheritance Tax TOTAL DEBTS AND DEDUCTIONS **~** EXHIBIT C -DISTRIBUTION Assets Debts and Deductions AMOUNT $ 1, 923.00 -0- 3,300.00 3,500.00 1,500.00 1,000.00 2,400.00 875.18 $14,498.18 $ 67,548.00 $ 14,498.18 Balance for Distribution $ 53,349.82