HomeMy WebLinkAbout06-19-09Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Name of Decedent• Robert W. Henry
Date of Death• 11/22/08 File Number 2008-01207
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete :.................... ®Yes ~ No
2. If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
3. If the answer to No. 1 is YES, state the following:
a. Did the personal representative file a final account with the Court? ....... Yes ®No
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account
informally to the parties in interest? ............................... ®Yes Q No
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Clerk of the Orphans' Court and maybe attached to this report. '
/~ June 19, 2009
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irc 'Perron FUiigthia Form
Capacity: QPersonalRepresentative ®Counsel
Kathleen K. Shaulis
Nome ofPertrw, Filing thin Form
P. O. Box 1229
AOQIeSt
Carlisle, PA 17013
717-243-6655
Telep/gne
Farm RW-/0 m.la./3.06
IN RE :ESTATE OF ROBERT W. HENRY, DECEASED
Dale of Death: November 22, 2008 Wtfi No. 1207 of 2008
RECEIPT AND RELEASE
The arcumstances leading up to the execwffon of this instrument are as
follows:
1. Robert W. Henry died on November 22, 2008. Testamentary Cellars were
granted to Frank J. Henry, brother of the Decedent and Executor ~ his Last
Will end Testament dated Jury 21, 21)04.
2. Pursuant to hta Last WiN arx! Testament, specific bequests were left to ttre
foQowing organizations:
a. St. Matthew's United Church of Christ, Carlisle, PA - =5000.00.
b. Grad Church United Methodist, Herristwtg, PA - 65000.00.
3. Pursuant to his Cast WGI and Testament, the foNowing people were named
as n3slduary benefidsries, each of whom is entitled /o receive an squat 113
share of the decedent's estate as indicated:
Frank J. Henry Jesn R. Adams
1101mperial Court Church of God Home
Carlisle, PA 17013 825 N. Hanover Stroet
Carlisle, PA 17013
4. Pursuant fo his Last W"dl and Testament, each of the folbwing people arc
entitled to 118 share of the decedent's estate as issue of Sarah Garrett,
deceased, who was named as a residuary beneficiary entitled to a 113
share of the decedent's estate:
Mra. June R. Ymgst Mr. Jan R. C~aarrett
120 N. 45'" 3traet 119 Frank Street
Harrisburg, PA 17111-2630 Warren, PA 16386-1503
5. An iniomral Accounting of the Administration of the Estate has been
prepared by the Executor, and fs attached trereto as SChedule'A."
6. In consideration of the foregoing and intending to be legally bound hereby,
Frank J. Henry, Jean R. Adams, Juna R. Yingst and Jan R. Garrett:
A. Do hereby waive an audit of an account of the administration of the
Estate of Robert W. Henry, deceased, by the Orphans' Court Division
of the Court of Common Pleas of Cumberland County, Pennsylvania;
B. Do hereby declare that they examined the attached informal account of
the Estate of Robert W. Henry, deceased, that they find it to be true
and correct in all particulars; that they accept and approve it with the
same force and effect as if it had been prepared and duly filed with,
audited, adjudicated and confirmed absolutely by the Orphans' Court
Division of the Court of Common Pleas of Cumberland County,
Pennsylvania;
C. Do hereby acknowledge that Frank J. Henry, Executor, has distributed
the assets of the Estate of Robert W. Henry, deceased;
D. Do hereby absolutely and irrevocably remise, release, quitGaim and
forever discharge Frank J. Henry, Executor, his heirs, executors,
administrators and assigns, of and from any and all action, reckonings,
liabilities, claims and demands relating in anyway to his administration
of the Estate of Robert W. Henry, deceased;
E. Do hereby indemnify and hold harmless Frank J. Henry, Executor, his
heirs, executors, administrators and assigns, from and against any and
all claims, losses, liabilities and damage which they may suffer or to
which they may be subjected by reason of his administration of the
Estate of Robert W. Henry, and the distribution of the estate without an
account or the approval of the Orphans' Court Division of the Court of
Common Pleas of Cumberland County, Pennsylvania, including but not
limited to, any liability for any federal estate tax, Pennsylvania
inheritance tax or any other death taxes, together with interest and
costs incidental thereto, relating in any way. to the estate; and
F. Do hereby declare it to be there intention that this instrument shall be
legally binding upon them and upon their heirs, executors,
~~
~.
Juna R. Yingst - Date
Jan R. Garrett Date
administrators and assigns.
F. Do hereby deGare it to be there intention that this instrument shall be
legally binding upon them and upon their heirs, executors,
administrators and assigns.
Witness:
Frank J. enry Date
Jean R. Adams Date
J R. Garrett
Date
~,6 _o y
F. Do hereby declare it to be there intention that this irrslnnnent shall be
legally bintling upon them and upon their heirs, executors,
admintatn~ors and asalgrrs.
Witness:
~~ ~ ~.> .
.y7~4
n R. Adams J p~
na R. mgat %~ p j
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Jan R. t3amett p~
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ESTATE OF ROBERT W. HENRY, DECEASED
MAY 13, 2009
ASSETS
Cash, Bank Deposits, Personal
Property 251,292.43
2002 Chevrolet Malibu Sedan 4,150.00
Refund from Thomwald Home 2,060.18
Refund from United Heathcare 490.00
Interest and- miscellaneous income 8,805.33
Totaf Assets $266,797.94
DISBURSEMENTS
Funeral expenses 9,890.22
Executor's Fee 0.00
Attorney's Fees 2513.00
Probate Fees, Petition, Short cert. 384.00
Legai Advertising 225.64
Inheritance Tax Filing Fee 15.00
PA. Inhenritance Tax 28196.83
Pa. State Income Tax 2008 payment 651.00
St. Matthev~s United Church of Christ specific devise 5000.00
Grace Church United Methodist -specific devise 5000.00
TOTAL DISBURSEMENTS $51,875.69
NET ASSETS/ EXPECTED DISTRIBUTION
RESIDUARY ESTATE $214,922.25
EXPECTED DISTRIBUTION PER 1/3 RESIDUARY BENEFICIARY
$71,640.75
EXPECTED DISTRIBUTION PER 1/6 RESIDUARY BENEFICIARY
$35,820.37
Ttis Lww OFFICES OR
Kw~ K. SHwvus, Ft3Q. P.o. t3rnc 1229
CARLlSLi, PA t 70 t 3
PHONE (7 i ~ 24'3865$ FA7r t71'~ 24.8618
EMAIL:.~r~s037ca~.~s~@srr~~rar~.ai~.COr+~
1 adrnoa~dedgeahat_arLttle_,dtde rtdipified below, J_ neoeiyed dt behedf of SL
Ntatlhew's United Church of Christ a k~egk7~'108 dated febnlary 26, 2tm9written
-for the sum of five thousand dotlara (15000.00), from Frank J. Henry, Executor of
the EstaM of Robert W. Henry. I further acknowledge that 1 acoaptad this check
which is full payment of the bequest to St. Mattl~s United Church. of Christ
under the Last Will and Teatsment of R~ert W. Henry dated July 21, 2004 as an
agent of St Nlattllew's United Churrh M Christ.
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Signature
1~f1"c'71 ~~EO
Name (Please PdM)
L Dn~~ ~'~orr ~S:!/Pn~
Title ( Print)
_ a3 - a,~ R` ySira --------
Chutch's Federal. Tax Number (EIN)
S`t. a Unclad Church of Christ
3240 ti' ring_Resd
Carfrele, PA 17013
THB LAW OP'F+'tCBS OF'
KATHLtSEN K. SHAUftJ=, EtQ. P.O. BOX t ~.Z9
~'~~ ~=, PA t 701 S
PHONt (7 f 79 Z~4366lf5 FAx (7 f 79 ?1i~B618
EMAIL: JRSO37CARLrSLE~SPRiNTMAILCOM
--------- - -- .. 1_aca~edndge_that oalbe..daLnindkaibaA below,.l.rrtoety_pdpn beheJf Grans .
Church UniOsd Methodist a check #109 dated February 28, 2009 written for the
sum of five thousand dotlars (:5000.00), from Frank J. Henry, Ex~r of the
Estate of Robert W. Henry. I further acknowledge that I axepted this check
which is full payment of the bequest to Greoe Church United Methodist under the
Last WiN and Testament of Robert W. Henry dated July 21, 2004 as an agent of
Gn~ce Church United Methodist.
signature ~
/ an,~~in /. F~~ n e r
Name (Please Print)
~/"urlee . ,Bm~"loan >
q fN/en~aric.l /a<c
Title (Please Pript) ~ ,'
23 - I3ss.z ~i
Church's Federal Tax Number (EIN)
Grace Church Unified Methodic
25 Sauar 28" Street
Harrisburg, PA 17103