HomeMy WebLinkAbout01-23-09FIRST AND FINAL ACCOUNTING and SCHEDULE OF PROPOSED DISTRIBUTION
BY DORA GALE PUGH, EXECUTRIX
for
Estate of MARGARET L. WILHELM, Deceased
No. 21-06-0412 (Cumberland County)
Date of Death:
Date of Executor Appointment:
Date of First Complete Advertisement of Letter:
Accounting for the Period:
January 10, 2006
June 2, 2006
July 7, 2006
January 10, 2006 to January 12, 2009
Lisa Marie Coyne, Attorney
COYNE & COYNE, PC.
3901 Market Street
Camp Hill, PA 17011-4227
717-737-0464
Attorneys For Estate
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Assets Listed in Inventory
Valued as of Date of Death
RECEIPTS OF PRINCIPAL
Acquisition
-~-- _
iraluet
M&T Bank Checking Acct.
Refund of Monies Distributed to Heir in Error
Refund from Manor Care
Interest as of Dec. 31, 2008
$8,667.99
$214.31
- --- ~- -
- -_
TOTAL RECEIPTS OF PRINCIPAL ~ - ~ $23,390.25
DISBURSEMENTS OF PRINCIPAL
__ _ -
- - -~ - -
Debts and Expenses:
-- -
Amount _
- _- _ _ --
Ambulance Service EPT f $100.00.
- __ --
Capital Blue Cross $409.20
--_ - _ _ __
-- - - ~_
Postage $50.00 _ _ I
Inheritance Tax Return Filing Fee _ $15.00
Bradford Dorrance,-Esq. $75.00
Executor's Commission I I
__ $1,500.00 _ - -
Patriot News -- Legal Advertisement $97.63
- _ _ - - - _.
Cumberland Law Journal -- Legal Advertisement $75.00.: _
-- - - - - - -
_ __
Latz Funeral Home, Salem, Virginia _ $1,852_.16
M ers-Hamer Funeral Home ~
-Y _- _ __II $834.00
- __
Filin Fee -Final Accountin
-- _ - - --
g _ g i $50.001. -
Reserves
Lodging, Reception, & Flowers _ $300.00 $5,407.99'
Attorney Fees:
- ~ _
_ _ - ~-
Coyne & Coyne, P.C. (Partial Payment) _ r $1,542.05 $1,542.05
-- - _ -
Total Disbursements: $6,950.041
PRINCIPAL BALANCE ON HAND ~
- -
- - -_
_ -
_ _ - .~-
Total Receipts and Principal - -- --
_~ $23,390.25
-- ~_ _
Total Distributions of Principal ~- - -
- - -$6.950.04 '---~- -
-- - - _~ -
-
TOTAL NET ESTATE ! 440.21 t
- - - -
- - --
-! -
Proposed Final Distributions: ~-- - --
- _ --
- -- _ -~-
- - - __ _ _
_-- __ - _ _
Coyne & Coyne, P.C. (Balance of Atty. Fee) $1,200 00 ~ -
- - -___
- - - --
~- - - i_
- - -
DPW Class 3 Claim $25,195.58. + -- -- -~ ----
$15,240.21
- -- __ _ -
- ~ - _ _
--
DPW Class 6 Claim (unsecured) $6,965.5_4 ~ --
- _ $0 00
---- ___
Discover Card-- Claim (unsecured) $3,959.32 -
- _ - $0.00 i - _ --.
- - ~--
-----
-- -
MBNA-- Claim (unsecured) $6,425.18 ---
- _ -- _ _ _ $0.00
-_
~- --
HFC Credit-- Claim (unsecured) $11 956.96
$0.00
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~ -
-
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Gale Pugh-- Residual Heir - -
$0.00 -- ~ - --
- -- _
---- -
Callie Loretta Holdaway--Residual Heir _~ - $0.00 - - -~
_ _ _ - -
__ ---_-
Total Distribution ~----
- _ - ! $16,440.21+
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Dora Gale Pugh, Executrix of the Estate of Mar aret L. Wtlhem deceas L
ed, hereby declares an oath
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t at she has fully and faithfully discharged the duties of her office; that the foregoing First and Final
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ccount and Proposed Schedule of Distribution is true and correct and fully discloses all the significant
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transactions occurring during the accountin eriod and that the Grant of Letters and the first complete
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a ver isement t ereof occurred more than four (4) months before the filing of the Account; and
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t at a 1 known claims against the Estate have been paid in full that to her knowledge, there are no
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claims now outstanding against the Estate; and that all taxes presently due have been paid.
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- Dora Hugh, ecutrix
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Sworn and subscribed before --
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me this Z 2 day of _ Y -_ - _- ~- -
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o ary Public _ - -! ---
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COMMONWEALTF! OF PEwrr~~warv~n
NOTARIAL SEAL
Lisa Marie Coyne, Notary Public
Hampden Tpuvnshrp, Cumberland County
My Commiasion,ExpirosDuno 10, ~OL2
DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF MARGARET L. WILHELM
DECEASED
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No. 21-06-0412
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: Lisa Marie Coyne, Esq.
Supreme Court I.D. No.: 53788
Name of Law Firm: Coyne 8 Coyne, P.C.
Address: 3901 Market Street, Camp Hill, PA 17011-4227 _
Telephone: 717-73 7-0464
Fax: 717-737-5161
Form oc-or rev. ~0.~3.06 Page 1 of 10
Estate of MARGARET L. WILHELM
1. Name(s) and address(es) of Petitioner(s):
Name: Dora Gale Pugh
Address: 300 Ridge Road, Lot 54
Etters, PA 17319
Deceased
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? ..................... ~ Yes ~ No
If not, identify prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on January 10, 2006
Letters Testamentary or 0 Letters of Administration were granted to Petitioner(s) on
June 2. 2006
Date of Will (f applicable): August 21, 1985
Date(s) of Codicil(s) (if applicable):
Date of probate (f d~erent from date Letters granted):
Was a bond required? Yes ~ 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: patriot News: June 21, 28 and July 5,
2006; Cumberland Law Journal: June 23, 30 and July 7, 2006
Form OC-01 rev. 10.13.06 Page 2 of 10
Estate of MARGARET L. WILHELM _ ,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 Q 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 Na
Form oc-o~ Yw. io.t3.o6 Page 3 of 10
Estate of MARGARET L. WILHELM
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 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):
Address of Each Party in Interest
Dora Gale Pugh Daughter 50% Residual
300 Ridge Road, Lot 54
Etters, PA 17319
Callie Loretta Holdaway Daughter 50% Residual
2913 West 2300 North
Clinton, Utah
Form OC-01 rev. 10.13.06 Page 4 of l0
Estate of MARGARET L. WILHELM
NONE.
Deceased
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 OG01 rev. 10.13.06 Page 5 of 10
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.
Estate of MARGARET L. WILHELM ,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
Admitted? Will Claim
Be Paid In
Full?
DPW Class 3 Claim $25,965.54 Yes Yes
No ~ No
DPW Class 6 Claim $6,965.54 Wes
No Yes
No
Discover Card $3,959.32 Yes
No ~ Yes
No
HFC Credit $11,956.96 Wes
~No Yes
~ No
MBNA Credit Card $ 6,425.18
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
Y P ~ ................................
Was famil exem tion allowed. Yes l~+ No
Family exemption claimant's name and relationship:
Nnme: Relationship:
Form OGO/ rev. l0. l3.Oti Page 6 of 10
Estate of MARGARET L. WILHELM
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
June 23, 2006 Tnsnlvent F.ctate
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? ................... 0 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:
Acceptance of Schedule of Distribution and Payment of Unsecured Creditors as reflected
in attached accounting.
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-ol rev. /0.13.06 Page 7 of 10
Estate of MARGARET L. WILHELM ,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
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? ........................................ ~ Y es ~ 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 OGOi rev. 10.13.06 Page 8 of 10
Estate of MARGARET L. WILHELM ,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 Attached Schedule of Distribution
B. Principal:
Proposed Distributee(s)
See Attached Schedule of Distribution
Amount/Proportion
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
Name of Pet oner: Dora Gale Pugh
Name of Petitioner:
Form oc-ol rev. 10.13.06 Page 9 of 10
Estate of MARGARET L. WILHELM ,Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he/she S H ~ is title ~k~' ~.i! Tie - X
of the above-named name of corporation ES Ti7-Tc= 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).
~~~~ ~ ~ _
Signature etitioner
* 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.
~_~
Signa re of Counsel for Petiti er
FormOC-0/ rev. 10./3.06 Page 10 of 10
FIRST AND FINAL ACCOUNTING and SCHEDULE OF PROPOSED DISTRIBUTION
BY DORA GALE PUGH, EXECUTRIX
for
Estate of MARGARET L. WILHELM, Deceased
No. 21-06-0412 (Cumberland County)
Date of Death:
Date of Executor Appointment:
Date of First Complete Advertisement of Letter:
Accounting for the Period:
January 10, 2006
June 2, 2006
July 7, 2006
January 10, 2006 to January 12, 2009
Lisa Marie Coyne, Attorney
COYNE & COYNE, PC.
3901 Market Street
Camp Hill, PA 17011-4227
717-737-0464
Attorneys For Estate
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RECEIPTS OF PRINCIPAL
Fiduciary
Assets Listed in Inventory Acquisition ~I ~I
Valued as of Date of Death Value I
Cash
i
M&T Bank Checking Acct. $14,437.61 $14,437.61 ~
I
Receipts Subsequent to Death:
Refund of Monies Distributed to Heir in Error I $8,667.99
Refund from Manor Care ~; $214.31
Interest as of Dec. 31, 2008 !, $70.34 I $8,952.64;
TOTAL RECEIPTS OF PRINCIPAL $23,390.25
DISBURSEMENTS OF PRINCIPAL
Debts and Expenses:
Amount;
Ambulance Service EPT $100.00 ~
Capital Blue Cross $409.20 ~
Postage $50.00 I I,
Inheritance Tax Return Filing Fee $15.00 j
Bradford Dorrance, Esq. $75.001
Executor's Commission $1,500.00'
Patriot News -- Legal Advertisement $97.63
Cumberland Law Journal -- Legal Advertisement $75.00
Latz Funeral Home, Salem, Virginia $1,852.16';
Myers-Hamer Funeral Home $834.00',
Filing Fee--Final Accounting $50.00
Reserves $50.00
Lodging, Reception, & Flowers $300.00 $5,407.99
Attorney Fees:
Coyne & Coyne, P.C. (Partial Payment) $1,542.05 $1,542.05
Total Disbursements: $6,950.04
PRINCIPAL BALANCE ON HAND
Total Receipts and Principal $23,390.25' ~
Total Distributions of Principal $6.950.04
TOTAL NET ESTATE $16,440.21
Proposed Final Distributions: ~ ~_
TO:
i
---
Coyne & Coyne, P.C. (Balance of Atry. Fee) ~ $1,200.00 .
- I
DPW Class 3 Claim $25,195 58 $15,240.21
I
DPW Class 6 Claim (unsecured) $6,965.54
Discover Card-- Claim (unsecured) $3,959.32 $0.00
$0.00 ,
~,
MBNA-- Claim (unsecured) $6,425.18
HFC Credit-- Claim (unsecured) $11,956.96 $0.00
$O.OO
~I
--
Gale Pugh-- Residual Heir
Callie Loretta Holdaway--Residual Heir $0.00
$0.00
1
Total Distribution $16,440.21
i
Dora Gale Pugh, Executrix of the Estate of Margaret L. Wilhem, deceased, hereby declares an oath
that she has fully and faithfully discharged the duties of her office; that the foregoing First and Final
Account and Proposed Schedule of Distribution is true and correct and fully discloses all the significant
transactions occurring during the accounting period and that the Grant of Letters and the first complete
advertisement thereof occurred more than four (4) months before the filing of the Account; and
that all lrnown claims against the Estate have been paid in full; that to her lrnowledge, there are no
claims now outstanding against the Estate; and that all taxes presently due have been paid.
-,-
Dora G Pugh, ecutrix
Sworn and subscribed before
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me this Z Z day of
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COMMONWEALTHENHSYLVANIA
NOTARIAL SEAL
Lisa Marie Coyne, Notary :Public
Hampden Tg4vnship, Cumberland County
tuty Cona_mission Exp+res June 70, 3072