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11-17-08
~~ ,- r ~pq~ i•~3~ i 7 PP1 i2~ 39 CI F~;rC '~( IN THE COURT OF COMMON PLEAS OF ~~;~ {,~;;~+,';='~;!i'.;{;T CUMBERLAND COUNTY, PENNSYLVANIA C~ ~f ° ,' ^ ;-.' `',% . PR, ORPHANS'COURT DIVISION FILE N0.2008-00661 FIRST AND FINAL ACCOUNT OF RAYMOND C. REAM, EXECUTOR FOR ESTATE OF CLARA BELLE REAM, DECEASED Date of Death: JUNE 12, 200$ Date of Executor's Appointment: JUNE 19 2008 Date of First Complete Advertisement: JULY 4, 2008 Accounting for the Period: JUNE 19, 2008 -NOVEMBER 15, 200$ Purpose of Account: RAYMOND C. REAM, 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 or questions or objections can be discussed with: Thomas E. Flower, Esquire Saidis, Flower & Lindsay 2109 Market Street Camp Hill, PA 17001-0737 717-737-3405 Supreme Court I.D. No. 83993 Proposed Distribution to Beneficiaries: PRINCIPAL: Receipts Less Disbursements: Debts of Decedent Administrative Expenses Fees and Commissions Balance Available for Distribution Distribution to Beneficiaries (None) SUMMARY 2 [NONE] 12,055.65 (7,857.75) (492.96) (3, 704.94) 00.00 PRINCIPAL RECEIPTS 06/19/2008 FUNDS ON DEPOSIT AT M&T BANK 11,608.73 REFUND, UNUSED FUNERAL PREPAYMENT 446.92 TOTAL PRINCIPAL RECEIPTS: 1.2,055.65 DISBURSEMENT OF PRINCIPAL DEBTS: MESSIAH VILLAGE, pre-eligibility nursing home bill 4,573.00 DEPT. OF WELFARE, MA ESTATE RECOVERY, PART OF $14,313.82 CLAIM (3,284.75) TOTAL DEBTS OF DECEDENT: (7,857.75) 4,197.90 ADMINISTRATION EXPENSES: PROBATE FEE 98.00 EXECUTOR'S NOTICES 243.96 ACCOUNT FILING & ADV'T FEES 130.00 REGISTER'S AUTOMATION & JCP FEES 15.00 FILING FEE, PETITION FOR ADJUDICATION 15.00 TOTAL ADMIN. EXPENSES: (492.96) 3,704.94 FEES AND COMMISSIONS: RAYMOND C. REAM, EXEC'S COMMISSION 1,000.00 SAIDIS, FLOWER & LINDSAY, ATTY. FEES, FEES PAID TO DATE OF ACCCOUNT: 2,204.94 RESERVE FOR ADDITIONAL FEES ~ 500.00 TOTAL FEES AND COMMISSIONS: (3,704.94) 00.00 ' ANY UNUSED PORTION OF RESERVE TO BE PAID TO DEPT. OF WELFARE ESTATE RECOVERY PROGRAM. FEES ARE TO BE BILLED AT THE RATE OF $225/HOUR. 3 COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) RAYMOND C. REAM, Executor under the Last Will and Testament of CLARA BELLE REAM, deceased, hereby declares under oath that he has 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, which are shown as paid in the foregoing account, have been paid in full; that, to his knowledge, there are no claims now outstanding against the estate, except as disclosed in the foregoing account; and that all taxrvs presently due from the estate have been paid. C~~- Raymond C. Ream, Executor Sworn to and subscribed before me this ~~ day of ~o,,;~, , 2008. ~~' ~ COMMONWEALTH OF f?ENNSYLVANIA YC;c~a-~ NotarialNepi Public ~. ,-~1 _ Yvonne Sersch, okarY Notary Public camp Hiu Boro, cumb~eriand County My Commission ExpireJs Feb.1,2012 Member, Pennsylvania AsyociaUon of Notaries 4 ~a DECEDENT'S ESTATE ~~ =~ `" ~a -J.J7 -~ ~...~ i,7 ~... COURT OF COMMON PLEAS OF - ,, ~+~~ } -- , ~ ''y CUMBERLAND COUNTY, PENNSYLVANIA -=+ D ~ ~ - '' ~' _-; ORPHANS' COURT DIVISION c.a ESTATE OF CLARA BELLE REAM ,DECEASED No. 2008-00661 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. INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM. Name of Counsel: THOMAS E. FLOWER Supreme Court I.D. No.: 83993 Name of Law Firm: SAIDIS, FLOWER & LINDSAY Address: 2109 MARKET STREET Telephone: 717-737-3405 Fax: 717-737-3407 Form OC-O! rev. 10.13.06 Page 1 of 10 Estate of CLARA BELLE REAM 1. Name(s) and address(es) of Petitioner(s): Name: RAYMOND C. REAM EXECUTOR Address: 1716 LOCUST STREET NEW CUMBERLAND, PA 17070 Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution and state reason: 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 12, 2008 ®/ Letters Testamentary or 0 Letters of Administration were granted to Petitioner(s) on JUNE 19, 2008 Date of Will (if applicable): JULY 19, 2002 Date(s) of Codicil(s) (if applicable): N/A Date of probate (if different from date Letters granted): N/A Was a bond required? Dyes No If yes, state amount: Are proofs of advertising of the grant of Letters attached? ........ . Yes Q No Dates of advertising of the grant of Letters: FIRST COMPLETE: JULY 4, 2008 Form OC-01 rev. /U./3.06 Page 2 of 10 Estate of CLARA BELLE REAM 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): 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-01 rev. 10. /3.06 Page 3 of 10 Estate of CLARA BELLE REAM 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. 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 Interest ~ Relattonshin and /nterest BETHESDA MISSION 611 REILLY ST HARRISBURG, PA 17102 CALVARY UNITED METHODIST CHURCH 700 MARKET ST, LEMOYNE Form OC-Ol rev. 10.13.06 1/3 RESIDUE _ NONE: INSOLVENT ESTATE 1/3 RESIDUE _ NONE: INSOLVENT ESTA. Page 4 of 10 Estate of CLARA BELLE REAM Name and Address o Each Par in Interest I Relationship and RAYMOND C. REAM BROTHER 1716 LOCUST ST NEW CUMBERLAND, PA Deceased Interest 1/3 RESIDUE _ NONE: INSOLVENT ESTATE 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. C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for this Audit (see Pa. D. C. Rule 12.4). 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. Form OC-0! rev. !0.13.06 Page 5 of 10 Estate of CLARA BELLE REAM 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 Wil[ Claim Admitted? Be Paid In Full? DEPARTMENT OF WELFARE 14,313.82 ~/ Yes ~ Yes ESTATE RECOVERY PROGRAM ~No ©/ No Yes Q Yes No No ^Yes Q 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: Form OC-01 rev. 10. /3.06 Page 6 of 10 Estate of CLARA BELLE REAM 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 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? ,,,,,, , , , , , , , , , , , , , ~ 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: NONE 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-0/ rev. 10. /3.06 Page 7 of 10 Estate of CLARA BELLE REAM 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. 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: 5 ~~' 00 Pu,p°se~ FOR DISBURSEMENT IN THE EVENT OF ADDITIONAL ATTORNEY FEES. UNEXPENDED PORTION TO BE PAID TO DEPARTMENT OF WELFARE ESTATE RECOVERY PROGRAM. 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. ~* C;v1 ~~g_ yt ~.~wC.~. 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-0J rev. 10.13.06 Page 8 of 10 Estate of CLARA BELLE REAM 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) NONE B. Principal: Proposed Distributee(s) NONE Amount/Proportion Amount/Proportion Submitted By: (All petitioners must sign. Add additional lines if necessary): Nam Petitioner: RAYMOND C. REAM C ~ ~~~y. Name Petitioner: EXECUTOR Form OG01 rev. 10./3.06 Page 9 of 10 Estate of CLARA BELLE REAM Verification of Petitioner (Verification must be by at least one petitioner.) The undersigned hereby verifies * [that heishe is Deceased 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. § 4904 (relating to unsworn falsification to authorities). a re 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. 7 ignature of Counsel for Petitioner Form OC-DI rev. 10.13.06 Page 10 of 10 ~._..T LAST wZLL AIVI7 TLST~:I~rIJT >~ O F' CLARA .EELLE RE~:N1 _~rnp 11 _ ~ , C~nI. ~F-- -- ~~r.lci Court ~_y , r~ 4~ r-~ r ~a \ ~V S.~iIDIS IPI; FL01~'EI~ ~~ t,tl,l«•I Suet; ,~,~1, urn, r>~, ~~C~17]1.°, }t~~-~ro7"'_1a, ~J~_1"lg C,~ SGU11Q ciI]C~ C~_~_F;~>G~'11:1~0 111_-I:LC1, 11'I~tIIIJ~-'r dl"1Q U17~(.T'~:;.c:IlCii1J, CiG 17~ ~°r;~>;~~ I71a)".~, IJi,~IJ~-151 ;a1"iG CLE-C] G`E' ' .~.ti° c'c ! ~ -r. ~cll1~ C7 c ~ _G~- 111jt LdSL 64111 c?1"1C~ TE,~Lctm01~_t 11~'"E~1~ r ~~~,-t~~ i ~-'~ ~ __ I~ 's- ih'_. ~! S dI1Cf ~'0t=i1C?1S 17E2CtGIG?"~ TllciC{E >>jr T71H. - L:_~ i _ FIRST ' ~ T/; ~ - ~~, ~-i ~.:, ~ G'_-F'CL ~17E 1~d'~rmEl~t OI m}r ~USt Q~f~tS dI7Q E}=1=i~'?"~~;SS G~ Tp~r ~ o.SL _ ~ ! 17~5'S dll0' iUT1EI"c_1 f 1"Om Til~r OSr d ~0 dS SOO'_7 G~ L~1 m}r Q~c ~h I a.S COI7VCI7_ ~P_t ' Zr Tila.~r ;=iG ClOrl° . I I X1101 ~' Jac 170 ~r~r ~ -- ~-nlez__~ lot c.lyd 1 _' dam= ~ ~ O?` Til}' i 77 ~ 0?"il"1011 ~ OVJI-1C~ ~~r 1TIc G ~ ~ !7~= ~ =T11~ - rp?r ~- ~ - ~cd~I=', i 511:!702"1Z~ lll~r ~iOYSOI7d1 ~F'p_'~SOZ1~S:~~ZTF `J r~4,-,, ii :S~ SU~^~7 COmO ~.'~"'~' !O~ v,'_~17 d C017~'~ctCL IO_" ~~0'"'pO~Udl Cd_"~ US1=1~ I ~, ~he1`~G?~ ~U_1QS I'_"Om m~T CS~cdirE ~I-1 SUC~s dI11;JUI1~ dS !1~ S 1 1~~"1. COi~S-~C'" .'~CF'SSc=V 4170 O'_CS~1=~r1E, dl7d ? .Ui__'1C_"_~E ;l1\~' 7~~-SO:i 1 d --Oi~~"E'SCI7LdL_i}tE ~O CaUSS t1L1E LO 01 OVdI1E_°Sr11~J v~ SUCl-' IOt SG ~U1`CI1dSE~ LC )~~ ZjOS`2Cl lI7 SUC17 1~01SOIi dS mj% ~i%;-1`SOI7c. _l ~C1~_-~set~-~,-t,-,r~ St7~. ~-1 dc-s~gn5~e. a ~.~e,., _ autl7c~_~e my _~~1sor1G=' _~epr~ sc t..~.~__~~~~ ~ ~. _ `,J~71C. ;~rlus ~1~om. m_y ~s~d~~, in Such gym:;;,,-„ _ ~ ,,,-..- _ _ ._~.__ _ , 1_ s.~~ ~~_~_~tE e~i~.ll ~onS_aer n~ ~SS~.,~j ~nc~ o~~~ _~ _ - - - -'a"- - ~_ the - _ _ -R, .rF(nihs ~~'t YU' ct2]C~ 1.1 ~,`-.~ ~ f~1:-~ UJ! Gf. c U71 „~.~_ C lriGJ ~-~"~- ~: Lil-~C17 c., ~~C , Clrci~VC S E C OI~TD V1S(-; ca11Cl 1_ieQU~utl7 c~-1- t11~ 1"~,::~ C1(' l ' ~"~,"'1~.La~. al;ld _ ah~ , - CJ ~"~'171air1CtF1" ~j F nTy ~_ci~-dte aS 1_C~~.~ :~tiJS One-ti~~ird to my brotl~~ea~, Raymond C. r~-an~~, ii lie suy-ti•_lT~~s n1e by :l~i~r'~y (-;Oj days. B. Onc--third to the Bethesda. 1~issiorJ ~{ G1i Frei ly Wit?-eet, Harrisburg, Pennsyll~ania. C. One-third to Calvary United methodist Church of 700 ~~;a_,-}-et Street, ~emolrne, venl~sylvania. THI P..D d-~-ect that any and all inhe~-_tance, estate, and trans~er ta~:Gs --m~~osed upon my estate ,pass-na ~ul~de~~ this VJi11- or othe~~v,~ise s?~a11 ,be paid. out o_ tiie p,-~r lciral o= m~% res dua=~~' esta.te . FOURTH In adds-tion to the r~ovaers conre,~-ea by 1avJ, 1 authorize an~~ persOI7a1 ~"?1.%1"~S~ntatllrE dCtlnO, u17~e~" t~"11S 1nStr~lm°nt, 1n !"~I.S a_J=t8G1llLe a-sC~ ~i-101i Z_ m,~: _ ._ta~1~ 1n ~or~m .~e~^E~ i~h~ _ -~ ~-r lr°O, J'~ '-J ;c ~ t~l~l" ~. -- 1'c ~C ^ :J' - IJ' i ' So. ~ E cin_)~ =~C~c:1 J1 i-t'= _ s:Jl"lc. ~ r_ _ ?iJCl~ ~ _ _ _ ,. J_ b. ~ i-1l~ --' rt~ r1:C~"C"~5~. al;l' OI7"~~.Jil~ ~.C c;t,A;JsC' -'~~~ ~.~, c~~0~'~~C, :JJ_7 G_~ ~i_ O'..:1=- -;?VeS~rl l'~i7t°, _ ~ - -. ..- - - tip;: w RPleP#PNM~+!u''°r°"m"'~"r-,rn.,a... ....n,...,.., r.~-,-....._._ -...... .. ~ rf'G -J Ci.:L 1. ].. u.7~.. t., _I r.i1: v, 1 r-- ,-'~t_-', 1I~~1~j_~c~ Ic rC_~. ,~ Cu11~,~:_~ __C~al_ 0J1, ~ Y_~'~"pct]"1C~L-, :.'"eC.~_'"~JCIl"i ~ ,ci~~ _I-~~:"1 ". _ "~_~_'.~ ~,~' _ _ u_'"EE U I- ra.I1~~ C.G1"]~r,TatiC~I~i 11J W11~ C1"1 rfl~~ r.8i~.c,T ( r~]" 0.1"1->r ~:!"~Ct~?L lllc~~1~ 11G~ 0' 6LC~")~S, 1~C~11C1S G]" Gt~7el` SF-CU1"1L?eS; ~. TG SC_-_~-~ , t.!"al"1S~er, 0017"hC--1~, 171Ci?~tC~c~OC-#, i ~ C1~F~ _I ~ c;~ O_" ~ 1_C11cdllc~" e al`]>> 1i1~O~E="~. ~~, h~c:l G?" i~~-l"~SGI"la ~_ , V,~1"i1Cli cat c~hV~ time rn~.y form part of my estate, :ior the p'~~,~n~iel~t of de!~ts G?~ tG]'eS, Ol` .~Cir ctl"1~~ pU'"1-IOSF' GI ct~rTt~il_~SL1_Gt:LO1"~ rill d-stribution, for such prices alid upon such terms us m}~ personal re~~-esenta.tive, ili liis sole discrejtion, n~laj~ deem .~ e VT1Se, arld t0 e?1F'CUte a17d dF-l iVer dee'd5 Gf, COnVe1~a11Ce O~" ~ ~ - ---~ _, trams~er the~`eoi; ~~ ~. `_r'o ma~_G settlements and comnrom_ses on such terms q ', C' ~' aS my ~e_~S017a1_`epreSe'n~at~Ve =ri _ri~S Sole ~~SC?"et1On I71~=~~ de°m U%-Se VJ1t_r1oUt t11e 1"iECeSS-t~T Gi 01Jta_n.~no any COUI"'L V ~~ ~ ap~:~roval the~`eG ~ ; F. TO n1a}~e d1Stl"_bUt1017 17~rCUi7Q*~2" E=~i7~"_`.~n Cash Ol" )~~ind, as my persolial represent atizre in h_s discretion may deem v,~i se . FIFTH ? do ~~~ereby nominate, constitu te and apl_>~:~-ntj my broti~ier, I:-;r~7iorlc;' ~~. Fean~ to act as J',_e^u~~c~~ o~ ~?. - - IP,~~' -s "~~_s~ i~,_~._!.? any m.e~,d_nl=tat= T'_~~l'1Qe.^., 170VJe''Je'1", ~ilc.` __~ ~"le -~' .j1i1V~_ 1 ~ ~.'"1~ u~ l:iici,__.e _~ ~-~'t GS ~']~~~l.t.`G~-, ~~ C.i?"~~~~ ~~1~ 'J~~l~.~; ~ ~._ ~ ~i_'"~~~~1~0~ „G ;_~~ '-~~''__~_`rll~~ )~ ".'10Tllci6 _ "'1JW~~" _-_ ___. _ ._-~.. _ +. .,...~~..w.~..~.,M.,.,~~.~-..~.~.~,...~.....,.....,,._...~_.~,.~.m...~.,_..~.....~....__~...._~._ C.J.]"~eCt t:~1rJt_ ]-1J >>C- i". c;C~17.c,.~. ~ -,-~~,~~ ~~'1!1. alp-. .!.~'v'C-, C ~.lal" ~ 1 - i-- I' d.. ~~r~ , L]°USLF.~_ G]" Utl"1C-:1~ f 1CZUC'1ra1~)/ af:>~:~C~_I1tC:d Lll"iQ~ 1' L1"! ~_ ~' ~.11~;L a"U771C~1"1L Slla_~..~~ ~je ~~eCILllred tC~ g1~VC-~ L:~Iid iG7~ ~I1C ~ c;_~r1ilL; - ~-~E_? 1C~117~~11C~ G~ ~17e1i" dUt1e° 117 ci17}~ ]Ur1S'd1Ct1o1-!. IN Th~ITNESS WHEREOF, I, C'1arQ Bel~l.e kc-ar7;, set m'V l~iand acid seal to trlis my Last Vdi]_1 consisting ~f f~t~$^ (~-) t}Tpev,~?-itten pages, the of whici7 bear my signature in the margin ?~o?- phis ~~-~~ ~`~day of ~ ~C,~ i`y-~ 2002 . ri liaiTc 17e~"eunto end Testament, i1£:t three jam) identification, ~~f ;> C' ~ c._ (~ ~ C ~ ~ e t: E am Signed, sealed, published and declared b}% t1P above-named LZd.1"a ~e~ _E beam, `~'eStcit_-i}_, aS arl~ iOI~ ~1~I ~ aSt ~~~.1 l c~i70~ Testament in the presence of us, v,~ho have here our names at her request as witnesses the?-etc, in Cyr Sc,.-G TE=S~cit?-17: ~I7d Ci~ ~dC~7 Ot~7S'I~. - ~ ~~- I! _ L ~ ~~ ! ~ ~ ~ Z Jai' to sul~sc~-ibed. the presence -I i ~~~--- .,,-..r... ,--....,.,.~.,,..,._.~~..._._... ~..~~ , ,,~,m~„~..R..,~m~,,..,,.~,.~..,~~..~....,,.~.__._._. __ ... . COI~II~7OISWEAi,TH 07~ PF'17IJ ~'YLV;ri1TSA ..... .., m .,..........~.....~ CUUl~TT1' OF CUMBEFtL~1~TD ~ ,- 1~Jc , ~l~~r~ Lca 1 r- I?ean"i, '~ ~ -; -' ~~ ' 1~ ,;;~~ _ anti ~;~/i~/ / ~ ~~~~ ~,`~ tll~-° ;'~~stutr ~_~: ali C1 V,~1 tI1 C_,~13 ~=.F ~ ~1} CL:_~V [-,I ~~/ VJI"~C~se .I1ct111E ~' arG- S1g71LG tG 1.11 F- {C>1-egc,] Iii ~O]`otLaC'}7~Q ~i_r~strun~ic-lit , bF _~.ng f ir~st duly sworn, dc, fir__~:~r~by ,~ c1 ~:]~~ to the undo]"signed aut~iGllty that t11e TE'Stc~t~"1.~_ 8=_C~liC ~ aliCi F]CF-CL11=F•CI the instrun~ient as lit-r Last V~~i 11 alid Testan"~er!t and '.hGt slie s~ qii~ d VJ1.111T1q.~ y a]iC~ t}"Ictt e1~eCl_1teCf as }ir:]: f]: ~~F- ci]iCd li:il :117ta1y act for t}Le purposes tlie]~c-i n ex~~]~essed, arid. t11- t each of the V,~itrles's'es, in ~~}ie preselice alid liFarilig of t}ie T~ ~~t~.t,^; ;_ signed the Vdill as witnesses and t}lat to the best of t ie:ir }~liovaledge t}1F TeStatl"1J. bJaS at the t~Tlle Eig}iteell ~lc) Ol" nlG'_"E ~~eol"S Or age, of sound mind aria under no constrailit o~- and e influelice. ,~ ~/` ,~~ / r~` , C1 ar,~ ;• Bell e Re m` rte- ~,,,~ , , '" ' ' ~ t (Y v~~ i~~ r~ e s s .~ `,, ~_. ~,.~, j~~~,? L Ike S S /. i~ Subsc:,-ibed, sworn to and ac}~nowledaed be-ors me by Clara ~e1le Ream, t}7c TF'SL2tI"y7>, ~nC1 SUbSC1"~bP~ tO `nC1~ SWO?"1'1 O?" afi~rmed tO bE~O?"e RlE bar tale VJ1tneSSeS, i.Zi=S ~`,' C~c~r Of ~JU~~~ 2002. ~ % ~/, % / i ~~.t G?-y Publ i c Notarial Seal Sallie Allshouse, Notary ublic Carlisle Boro, Cumberland County I+hy Commission ~>;pires Mar. 2~, 2004 NOTICE OF CHARITABLE GIFT (In Accordance with Pa. O.C. Rule 5.5) COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLV ORPHANS' COURT DIVISION ESTATE OF CLARA BELLE REAM No. 2008-00661 QS R ~ DECEASED Chief, Charitable Trusts and Organizations Section Office of the Attorney General Date: ~f / /, Dear Sir or Madam: Notice 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 Oi ~~~ ' ~ 3 , 20 C~ ` _, in CUMBERLAND CY., (Stale name of Coui ~' s' Court on :LISLE, PA and town/city.) The time and place of the Audit is Court Room at o'clock. If not provided herein, the time and location will be provided upon reques 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 reyuired, attach additional sheets. Form OC-Oh rev. lOJ3.06 Page 1 of 4 Estate of CLARA BELLE REAM 2. Charitable gifts are made as follows: (a) Give full names and addresses of charities, and names and addres ®Settlor ~ Deceased of counsel, if any. NONE: INSOLVENT ESTATE; NAMED CHARITIES WERE: BETHESDA MISSION, 611 REILLY ST, HARRISBURG 1710 CALVARY U. METHODIST CHURCH, 700 MARKET ST, LE DYNE 17043 (b) If pecuniary legacies, state exact amounts and indicate whether 1 been paid in full; if not give reasons therefor. (c) If the charitable interest is a future interest and the estimated preser involved exceeds $25,000, a brief description thereof including the its vesting in enjoyment and possession, the names and ages ofpers interests preceding such charitable interest, and the approximate m2 property involved. (d) If residuary gift, state nature and value of share. 1/3 EACH, NO VALUE. ies will be or have value of the property ~nditions precedent to Zs known to have :et value of the FormOC-U6 ~ei~. lU.]3.06 Page 2 of 4 Estate of CLARA BELLE REAM Settlor ~ Deceased Provide a brief statement of all pertinent questions to be submitted to the Court for Adjudication, including unresolved claims and any material question of interpretation or distribution which may affect the value of the charitable interest. NONE 4. The names and addresses of the fiduciaries are (state whether RAYMOND C. REAM, EXECUTOR 1716 LOCUST ST, NEW CUMBERLAND, PA 17070 5. The names and addresses of counsel for the fiduciaries: THOMAS E. FLOWER SAIDIS, FLOWER & LINDSAY 2109 MARKET ST CAMP HILL, PA 17011 The names and addresses of counsel for any charity who has received it: Fam OC-06 re~~. !0.!3.06 and/or Trustees): or has appeared for Page 3 of 4 Estate of CLARA BELLE REAM 7. (a) A copy of the instrument creating the gift is attached hereto. (b) If the gift is other than a pecuniary legacy which will be paid in hereto: (1) A copy of the Account, if one has been filed (2) A copy of any other relevant documents Very truly yours Signature THOMAS E. FLOW R, 83993 Attorney's Name and Supreme Co rt l.D. Na. 2109 MARKET ST Atlornc~~'s Address CAMP HILL, PA 170 1 717-737-3405 Attorney's Telephone Settlor [~ Deceased 11, there is attached Form OC-06 rev. l0.13.06 Page 4 of 4 Ali li 1 I (` I J SAIDIS FLOWER & LIlVDSAI' THOWIAS E. FLOWER, ESQUIRE 21 D 9 IKARI<ET ST CA1NP HILL PA 1"7011 ~` f ~`=- r ,~ w CUI~AMUNWE.AI_Tf-I Or PLIJNSYLVANIA DC-PARTMEN7 O~ PUBLIC WELT=ARE BUREAU OF 1=INANCIAL OPC-KA"PION;; DIVISIOIJ Of Tt-IIRD PARTY LIABILrFY ESTATE RECOVERY I'RUGRAM F U BOY, ti48G HARRISBURG, P/. 171US-ff48G October 23, 2008 Re: CLARA REAM CIS #: 640214184 SSN: 164-38-5584 Date of Death: 06/12/20( Dear Attorney Flower: Please be advised that the Department of Public Welfare ma claim in the amount of $14,313.82 against the above-mentioned e claim is for restitution of medical assistance granted on behal decedent for which the Probate Estate is now responsible to re ii Department according to Act 49, 62 P.S. 1412, effective August amended by Act 20-95, effective June 30, 1595. Enclosed is the itemized statement of claim. • .r 8 ~ntains a >tate. This of the >,burse the 5, 1994, as Department ' s A portion of this medical expense, namely $14,313.82, was i curred during the last six months of the decedent's life; therefore, it is a Class 3 claim pursuant to Section 3392 of the Decedents, Estates, and Fi uciaries Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $ 00, is to be entered as a priority Class 6 claim against the estate. Please ac}:nowledge receipt of this letter and advise whethe the Commonwealth's claim is admitted and when payment may be e~:pecte If t:he estate accounting is complete, please provide a copy. If the estate contains real estate, please provide copies of the deed, the latest tax as essment, and a current appraisal, if available. Si~n.c~erel}~, ,~ / 3Caren H. Peterson Claims Investigation Agent 717-772-6615 717-772-6553 FA?: Enclosure PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.17 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journa , of the County and State aforesaid, being duly sworn, according to law, deposes and says that t e Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the Count and State aforesaid, was established January 2, 1952, and designated by the local courts as the o facial legal periodical for the publication of all legal notices, and has, since January 2, 1 52, been regularly issued weekly in the said County, and that the printed notice or publication ttached 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: Affiant further deposes that he is authorized to verify this statement y the Cumberland Law Journal, a legal periodical of general circulation, and that he is not inter sted 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. I L' a arie Co e, Edito SWO TO AND SUBSCRIBE before me this 18 day of _ July 2008 Ream, Clara Belle, deed. Late of Upper Allen Township. ' Executor: Raymond C. Ream c/o Thomas E. Flower, Esquire Sai- Notary , dis, Flower 8s Lindsay 2109 Ma , r- ket Street, Camp Hill, PA 17011 . Attorneys: Thomas E. Flower, Esquire, Saidis Flower & Li , ndsay, 2109 Market Street, Camp Hill , PA 17011, (717) 737-3405. NOTARiA1 SEAL DEBORAH A COLLINS Notary Pubiic CARLIS E RORO, CUMBERLAND COUNTY My C mrnission Expires Apr 28, 20 ] 0 The Patriot-News Co. 812 Market St. Harrisburg, PA 17101 Inquiries - 717-255-8292 SAIDIS, FLOWER & LINDSAY ATTN: JO ANN SEKER 2109 MARKET STREET CAMP HILL PA 17011 ~latriot News Now you know 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 a Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 A Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-Nei newspapers of general circulation, printed and published at 812 to 818 Market Street, in the C The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and Septe all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as pi daily and/or Sunday/ Metro editions which appeared on the date(s) indicated below. That neitl interested in the subject matter of said printed notice or advertising, and that all of the allegatic place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and eml behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously p. stockholders and board of directors of the said Company and subsequently duly recorded in th in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY This ad # 0001869260 ran on the dal ESTATE NOTICE etters Testamentary on the Estate of C ra Belle Ream, late of Upper Allen T ship, Cumberland County, Penn - s vanla, deceased, have been granted t undersigned. Indebted to sold EWlstcte wllrl make pay- ment Immediately and those having claims will present them for settlement ta: Raymond C. Ream, Executor c/o Thomas E. Flower, Esquire SAIDIS, FLOWER ~ LINDSAY 2109 Marker Street Come HIII, PA 77011 017) 737.1405 Thomas E. Flower, Esquire SAIDIS, FLOWER 8~ LINDSAY 2109NWrketSfreet Camp HIII, PA 17011 rn to and ,scribed before m~ this ~~ ' ` ` , ~~` , ~- Notary Public 1 existing under the laws of the irket Street, in the City of and The Sunday Patriot-News ~, County and State aforesaid; that Aber 18th, 1949, respectively, and ited and published in their regular ~r he nor said Company is s of this statement as to the time, ~vered to verify this statement on sed and adopted severally by the office for the Recording of Deeds shown below: July 02, 2008 July 09, 2008 July 16, 2008 July, 2008 A.D. ~~ $~ Ile L Kisser, Not~y public Fianbbul0; p C'~Y E>q>+rr~ Nor. ~. 2011 of JOHN E. SLIKE ROBERT C. SAIDIS JAMES D. FLOWER, JR CAROL J. LINDSAY JOHN B. LAMPI DANIEL L. SULLIVAN GEORGE F. DOUGLAS, III DEAN E. REYNOSA THOMAS E. FLOWER MARYLOU MATAS LAW OFFICES SAIDIS, FLOWER & LINDSAY A PROFESSIONAL CORPORATION 2109 MARKET STREET CAMP HILL, PENNSYLVANIA 17011 TELEPHONE: (717) 737-3405 -FACSIMILE: (717) 737-3407, EMAIL: attorneyl~sfl-law.com wwwsfl-law.com November 13, 2008 Cumberland County Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013-3387 Re: The Estate of Clara Belle Ream Dear Ms. Strasbaugh: Enclosed are two (2) copies of the Account and a copy of the Pei be filed in your office. A check in the amount of $130.00 is included to advertising fees. Also enclosed are extra copies of the documents which should be returned to me in the envelope provided. If you have any questions or comments, please call. Sincerely, SAIDIS, FLOWER ~~, ~;~,~ / ~ 's1 Jo Ann Seker Paralegal ~s Enclosures CARLISLE OFFICE: 26 WEST HIGH STREET CARLISLE, PA 17013 TELEPHONE: (717)243-6222 FACSIMILE: (717)243-6486 REPLY TO CAMP HILL ~ o `~ ~ _. ~° _ -,~ - - - - ~ , . -z, -~ ~ ~, c~ ~ ~; f ~ - +' _ c.n .,,,i ' -~ _ <_: :, - _- = ~ ; ~ ~ n w of Adjudication to r the filing and and LINDSAY