HomeMy WebLinkAbout02-25-09
e
LAW OFFICES
SNELBAKER 8C
BRENNEMAN, P.C.
IN RE: EST'AT'E OF ELIZABETH E. MACHUSAK
NO. 21-08-00372 ~-~
~-,
-:~ ~ _ -
RECEIPT AND RELEASE ~~ ~~ ~ >'
_ r? ~.~~
- _~_,
Ui ,
~~.
~,. ~ -•>
WHEREAS, ELIZABETH E. MACHI;~SAK, late of Mechanicsburg ~e~iitgty o~_
- _
Cumberland and Commonwealth of Pennsylvania, died on March 22, 2008=;=having firc~mad~=hs.i?
~.:
Last Will and Testament in writing dated October 22, 1998, which since her decease was duly
robated before the Register of Wills of Cumberland County and Letters "Testamentar}~ were
issued to S[:~SAN I. MEADOWS, the Executrix named in the Last Will and 'testament of said
ecedent.
NOW KNOW ALL MEN BY THESE PRESEN"TS, that we, SUSAN I. MEADOWS,
ATRICK S. MACHUSAK and JEFFREY L. MACHUSAK, being the surviving distributees
lamed in the Vb'ill of said decedent and the persons entitled to share in the residuary distribution
f the Estate of said decedent, do hereby declare and say that we have examined the attached
account and Schedule of Proposed Distribution and find the same to he true and correct, and in
trict accordance with the terms and provisions of said Will, and we do hereby acknowledge that
e this day have, had and received of and from St1SAN I. MEADOWS, F.;xecutrix of the Iatate
of FLIZABETH E. MACHUSAK, the cash and,'or personalty, if any. set opposite our names in
the above stated Schedule of Proposed Distribution, in fiill satisfaction. payment and discharge of
X11 such sum or sums of money, legacies and be~{uests, share or shares, purparts and dividends
which were due. owing and payable and belonging to us by any means whatsoever, for or on
account: of our full share, part or dividend of the Estate of ELII_.ABF,T'H E. MACHUSAK,
deceased, and all interests accrued thereon.
J
NOW, THEREFORE, we do by these presents, remise, release, quit-claim and forever
ge SUSAN L MEADOWS, her heirs, executors and administrators, of and from our said
or dividend of the Estate aforesaid, and of and from all actions, suits, payments, accounts,
onings, claims and demands whatsoever, for or by reason thereof, or of any act, matter, cause
thing whatsoever, from the beginning of the world to the day and date of these presents.
AND, desiring to avoid the delay and expense of the settlement of said Estate by filing a
Account of said administration in the Office of the Register of Wills of Cumberland
ounty and by having any balance in the hands of the Executrix, as shown by said Account.
~tributed by the Court of Common Pleas of Cumberland County -Orphans' Court Division, we
hereby agree that the foregoing schedule concerning the matter of settlement may be recorded
th the same effect upon us as if the same had been reported upon by said Court, in a Decree of
stribution made on such report by the said Court of Common Pleas -Orphans' Court Division.
AND in consideration of the aforesaid settlement being made without the aid of such
ourt of Common Pleas -Orphans' Court Division, that we do hereby agree that if any debts or
ands other than those included in the First and Final Account of SUSAN I. MEADOWS,
xecutrix, as hereinbefore set forth, shall be hereafter recovered against the Estate of said
and be legally payable out of the same, that we will return to the said Executrix such
ounts thereof as may be necessary to pay such debts or demands.
-2-
LAW OFFICES
SNELBAKER 8C
BRENNEMAN, P.C.
IN WITNESS WHEREOF, we have hereunto set our hands and seals the respective dates
set forth below.
ESSED BY:
Susan I. Meadows
Date: ,r,~ ~~~/G f
MMONWEALTH OF PENNSYLVANIA)
LINTY OF CUMBERLAND
SS.
On this the off, U t` day of /`e~w' r=7 , ?009, before me, a Notary Public in and
said Commonwealth and County, the undersigned officer, personally appeared SUSAN I.
EADOWS, known to me (or satisfactorily proven) to be the person whose name is subscribed
the within instrument and acknowledged that she executed the same for the purposes therein
ntained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
My Commission Expires:
LAW OFFICES
SNELBAKER SC
BRENNEMAN, P.C.
COMMO,r Nr WEALTH OF PENNSYLVANIA
Notarial Seal
Susan L. MatraTJ, Notary Publ~
Mechanicsburg l3oro, Cumberland Courriy
My Comm(sSion E~ires Nov. 24, 2011
Member, Pennsylvania Association of Notaries
-3-
~J.
. ~ (SEAL)
Patrick S. Machusak
Date-/~-- ~
STATE OF' MICHIGAN ~
SS.
COLiN~TY OF __~~~~, ~ _
~~ I
Qt? this the day of . ?009, before me_ ~ Notary Public in and
for said Commonwealth and County. the undersigned officer, personally appeared PATRICIL S.
MACHt'SAh. known to n1e (or satisfactorily proven) to be the person whose name is subscribed
~to the within instrument and acknowledged that he execL>ted the same Ior the purposes therein
contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
,~
i
Notar~° Veit ~ ~~ ~ ~c~ o~ ~ivv~iy~.~ _ ___
_ _ '
~ , ~ ~:°al R'an7C~
~~a~~r3 x ~ ~ Notar~~ Public
'~~ ~'~ }° " ' . ~ Commission Expires:
I
LAW OFFICES
SNELBAKER SC _~_
BRENNEMAN, P.C.
TNESSED BY:
- _ __~ ______ ESEAL)
effre Mac usal:
Dat . 1~~ ~.
TATE OF NEW JERSEY j
OtJIT"TY OF -- _------- ~
On this the ~ ~} rh day of ~-~~ _ 2009, before me. a Notary Public in anti
for said Commonwealth and County, the undersigned officer, personally appeared JEFFKEY L.
MACHUSAh, known to me (or satisfactorily proven) to be the person whose name is subscribed
to the ~~ithin instrument and acknowledged that he executed the same for the purposes therein
contained.
IN VvITNESS WHEREOF. 1 hereunto set m~° hand and official seal.
- -- - ----- ~1~~(.l.(a)
Notar~~ Public
M~.~ Commission F;xpires: ~lAl~ 17, a ~ 1 ~
+.~.r.-
N014~ ~1K1MC~ i
~ a tlrw ~r
LAW OFFICES II
SNELBAKER & _~_
BRENNEMAN. P.C.
~1WAH~ A7MNOM
~A p01oM
MM! 10 Mlip
ttot ,fit ~~~+~~
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA.
ORPHANS' COURT DIVISION
FILE NO: 21-08-0372
FIRST AND FINAL ACCOUNT OF
Susan I. Meadows
For
ESTATE OF ELIZABETH E. MACHUSAK
Social Security #: 210-16-4327
Tax ID #: 26-6301797
Date of Death: March 22, 2008
Date of Incapacity, if any: None
Date of Executrix Appointment: April 2, 2008
Date of First Complete Advertisement: April 16, 2008
Accounting for the period: March 22, 2008
October 9, 2008
Purpose of Account: Susan I Meadows, Executrix, offers this Account to acquaint interested
parties with the transactions that have occurred during her 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
LAW OFFICES
SNELBAKER SC
BRENNEMAN, P.C.
Page 1
LAW OFFICES
SNELBAKER SC
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
Listing of Unpaid Creditors and Beneficiaries
Statement of Proposed Distribution
Verification
PAGE
3 $ 17,875.90
3 0.00
$ 17,875.90
3 $ 1,425.79
3 6, 864.00
3 & 4 1,481.31
4 0.00
4 1, 886.96
4 2,500.00 14,158.06
$ 3,717.84
4 0.00
$ 3,717.84
4
4
5 $ 7.58
5 0.00
$ 7.58
5 0.00
$ 7.58
$ 3,725.42
6
7
8
Page 2
PRINCIPAL RECEIPTS
Assets Listed on Inventory per copy of attached:
(Valued as of Date of Death)
ADJUSTMENTS TO INVENTORY
SUBSEQUENT RECEIPTS
4/2/2008 The Hartford Group, pension payment
4/22/2008 Prudential Life Insurance Company, life insurance proceeds
TOTAL PRINCIPAL RECEIPTS
$7,456.04
0.00
55.94
10, 363.92
$17,875.90
PRINCIPAL GAINS OR LOSSES ON SALES OR OTHER DISPOSITIONS
NONE
DISBURSEMENTS OF PRINCIPAL
LAW OFFICES
SNELBAKER SC
BRENNEMAN. F.C.
DEBTS OF DECEDENT
3/26/2008 Verizon, phone service
3/26/2008 West Shore EMS, ambulance service
4/8/2008 Meadowwood Apartments, rent
4/16/2008 PPL Electric, electric service
4/23/2008 West Shore EMS, ambulance service
4/24/2008 Verizon, phone service
4/28/2008 AT&T, phone service
5/13/2008 Church of God Home, Inc., payment on account
5/15/2008 PPL Electric, electric service
5/20/2008 PPL Electric, electric service
6/25/2008 West Shore EMS, ambulance service
6/26/2008 Well Span Medical, payment on account
6/26/2008 Physician's Rehab, payment on account
6/27/2008 Quantum Imaging, payment on account
6/30/2008 Holy Spirit Hospital, payment on account
7/1/2008 Neurology Center, payment on account
7/2/2008 Camp Hill Emergency Physicians, payment on account
8/8/2008 Quantum Imaging, payment on account
FUNERAL EXPENSES
6/26/2008 Brady Funeral Home, funeral services
ADMINISTRATION EXPENSES
$0.00
23.53
108.49
285.00
75.09
194.65
23.66
54.81
227.00
27.74
2.34
79.85
19.54
108.70
28.59
102.41
37.64
16.72
10.03 $ 1,425.79
$ 6,864.00 $ 6,864.00
4/10/2008 PNC Bank, check printing fee $ 31.78
4/10/2008 PNC Bank, service charge 15.00
4/29/2008 Bricker's Auction, appraisal fee 60.00
8/11/2008 Snelbaker & Brenneman, P.C., reimbursement for 190.21
following costs advanced:
a. Register of Wills, probate fee 110.00
b. Cumberland Law Journal, Executrix Notice 75.00
c. Certified mail postage 5.21
11/2112008 Verizon, credit balance refund, not received in cash 9.73
Page 3
DISBURSEMENTS OF PRINCIPAL -CONTINUED
"""` Snelbaker & Brenneman, P.C., costs advanced to
174.58
the Sentinel, Executrix Notice
"""' Reserve for filing fees, accountant fees and other 1,000.00 $ 1,481.31
I I
$0.00
$1, 886.96
FEES AND COMMISSIONS
8/11/2008 Snelbaker & Brenneman, P.C., partial payment on $1,277.50
account of attorney fees
""*" Snelbaker & Brenneman, P.C., balance due on 1,222.50
attorney fees $2,500.00
TOTAL DISBURSEMENTS OF PRINCIPAL $ 14,158.06
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
misce aneous costs associated with the estate
FAMILY EXEMPTION
NONE $0.00
FEDERAL, STATE & LOCAL TAXES
7/14/2008 Register of Wills, filing fee for Inventory and Inheritance $30.00
Tax Return
7/14/2008 Register of Wills, Agent, Inheritance Tax 1,856.96
NONE $0.00
TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES $0.00
PRINCIPAL BALANCE ON HAND
FIDUCIARY
VALUE AT ACQUISITION
10/09/2008 VALUE
NONE
CHANGES IN PRINCIPAL HOLDINGS
Cash
Household goods
** Less items listed above on accounting
TOTAL PRINCIPAL BALANCE ON HAND
INFORMATION SCHEDULES
PRINCIPAL INVESTMENTS MADE
$5,707.50 $6,981.04
415.00 475.00
-2, 397.08
$ 3,725.42 $ 7,456.04
$0.00
LAW OFFICES
SNELBAKER SC
BRENNEMAN, P.C.
NONE
$0.00
Page 4
RECEIPTS OF INCOME
11/21/2008 PNC Bank, estate account #5140172114, interest
TOTAL RECEIPTS OF INCOME
DISBURSEMENTS OF INCOME
NONE
TOTAL DISBURSEMENTS OF INCOME
DISBURSEMENTS OF INCOME TO BENEFICIARIES
LAW OFFICES
SNELBAKER EC
BRENNEMAN, P.C.
NONE
TOTAL DISBURSEMENTS OF INCOME TO BENEFICIARIES
$7.58
$7.58
$0.00
$0.00
$0.00
$0.00
Page 5
UNPAID CREDITORS: NONE
'* PERSONS INTERESTED IN DISTRIBUTION OF ESTATE:
1 ~ Susan I. Meadows
3807 Chippenham Road
Mechanicsburg, PA 17050
2. Patrick S. Machusak
937 Hickory Ridge Circle
Milford, MI 48380
3. Jeffrey L. Machusak
257-2D Gemini Drive
Hillsborough, NJ 08876
LAW OFFICES
SNELBAKER EC
BRENNEMAN, F.C.
Page 6
PROPOSED DISTRIBUTION TO BENEFICIARIES
Susan I. Meadows, Executrix and Accountant herein, proposes to
distribute the balance of the Estate of Elizabeth E. Machusak, Deceased, to wit:
$3,725.42 in accordance with the Last Will and Testament of said Decedent
as follows:
1. Susan I. Meadows
1/3 of residues as per Item Third of Will
White Bedroom Set per Item 2 of Will $80.00
Household goods retained In-Kind $50.00
Cash $1,165.14
LAW OFFICES
SNELBAKER SC
BRENNEMAN. P.C.
2. Patrick S. Machusak
1/3 of residues as per Item Third of Will
Household goods retained In-Kind
Cash
3. Jeffrey L. Machusak
1/3 of residues as per Item Third of Will
Household goods retained In-Kind
Cash
TOTAL DISTRIBUTION:
$20.00
$1,195.14
1,295.14
1,215.14
1,215.14
$265.00
$950.14
3, 725.42
Page 7
VERIFICATION
SUSAN I. MEADOWS, Executrix under the Last Will and Testament of
ELIZABETH E. MACHUSAK, Deceased hereby declares under oath that she is fully and faithfully
discharged the duties of her 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 her 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.S.A. Section 4904
relating to unsworn falsification to authorities.
~~'~
Susan I. Meadows, Executrix
Dated: ~,Pl~f'~-~c.l Y rj~, L"'Gf~9
Subscribed and sworn to
by SUSAN I. MEADOWS before me this
`~~~` day of '.~'~rrxai' , 2009
Notary Pubic
COMMONWEALTi-t Ur t~E~'v;vSYLVANIA
Notarial Sea!
Susan L. Matrazi, Notary Public
Mechanicsburg Boro; Curriberiand County
My Commission ExFires Nov. 24, 2011
Member, Penns~yivan~'~: ,3<,~ ~:;~!~'~ "" n~ Notaries
LAW OFFICES
SNELBAKER EC
BRENNEMAN. P.C.
Page 8