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BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA
IN RE: ESTATE OF DOROTHY J. RICHWINE, DECEASED
FILE NUMBER 2009-00616
FIRST AND FINAL ACCOUNT OF
Francis K. Richwine, Executor
For
ESTATE OF DOROTHY J. RICHWINE, DECEASED
Date of Death: 4/18/2009
Date of Incapacity, if any: None
Date of Executor's Appointment: 7/1/2009
Date of First Complete Advertisement: 7/10/2009
Accounting for the period: 4/18/2009 to 11,~~2009
Purpose of Account: The Executor offers this Account to acquaint interested persons with the
transactions that have occurred during the Administration.
It is important that the Account be carefully examined. Requests for additional information
questions or objections can be discussed with: ,
ran is .Richwine, xecutor
1212 Stratford Drive
Carlisle, PA 17013
Tel: (717) 245-2810
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SUMMARY OF ACCOUNT
PRINCIPAL PAGES
Receipts 3 $44,380.37
Net Gain on Sales or Disposition N/A ___
$44,380.37
Less Disbursements:
Debts of Decedent 4 $4,548.70
Funeral Expenses 4 8,990.51
Administration Expenses 4-5 715.46
Family Exemption N/A
Federal, State & Local Taxes N/A
-14,254.67
Balance before Distributions 30,125.70
Distributions to Beneficiaries 6 -30,125.70
Principal Balance on Hand 6 0.00
For Information:
Investments Made N/A
Changes in Holdings N/A
INCOME
Receipts 7 $ 124.40
Less Disbursements 8 0.00
Balance before Distributions 124.40
Distributions to Beneficiaries 9 - 124.40
Income Balance on Hand N/A 0.00
COMBINED BALANCE ON HAND 0.00
Verification 10
2
PRINCIPAL RECEIPTS
Assets Listed in Inventory
(Valued as of Date of Death)
Common Stocks
662 shares PNC Financial Services, Group, Inc.
Personal Effects
Jewelry:
Ring, Lady's 14KT w/.65CT F/VS Diamond
Pearls, 18" single strand graduated Mikimoto cultured
Earrings, sterling ea. w/7mm cultured pearl
Pearls, 16" single strand black baroque w/sterling clasp
Watch, Lady's 18KT Rolex #2609
Cash Advanced by Surviving Spouse
TOTAL PRINCIPAL RECEIPTS
$24,475.70
4,100.00
500.00
150.00
400.00
500.00
$14,254.67
$44,380.37
3
DISBURSEMENTS OF PRINCIPAL
DEBTS OF DECEDENT
6/23/09 Thornwald Home $ 4,548.70 4,548.70
Nursing Home Care
FUNERAL EXPENSES
4/22/09 Boiling Springs Tavern 341.81
Funeral luncheon after burial
5/6/09 Ewing Brothers Funeral Home, Inc. 8,548.70
Funeral expenses
7/27/09 Cumberland County Honor Guard 100.00 8,990.51
Military Honors at burial
ADMINISTRATION EXPENSES
4/26/09 Pennsylvania Bar Institute 224.00
Fundamentals of Estate Administration
How to Prepare the PA Inheritance Tax
7/1/09 Stamps for notice mailings 26.40
7/1/09 Register of Wills, Cumberland County 160.00
Probate Fees
7/7/09 Register of Wills, Cumberland County 5.00
Filing, Disclaimer
7/17/09 The Sentinel 145.06
Executor's Notice
7/24/09 Cumberland Law Journal 75.00
Executor's Notice
11/12/09 Register of Wills, Cumberland County 15.00
Filing, Inventory
11/_/09 Register of Wills, Cumberland County 50.00
Filing, First & Final Accounting
4
11/12/09 Register of Wills, Cumberland County 15.00 715.46
Filing, Inheritance Tax Return
TOTAL DISBURSEMENTS OF PRINCIPAL $14,254.67
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
TO: Francis K. Richwine, in satisfaction of gift
under Item I of Will
1~/ '09 Jewelry -Ring, Lady's 14kt W/.65 CT F/VS Diamond 4,100.00
t~~ / ~1~9 Jewelry -Earrings, sterling ea. w/7mm cultured pearl 150.00
_~' / `I~` ' 9 Jewelry -Pearls, 16" single strand black baroque w/ 400.00
sterling clasp
t U~~09 Jewelry -Watch, Lady's 18KT Rolex #2609 500.00
~ / 1~9 Jewelry -Pearls, 18" single strand graduated Mikimoto 500.00
cultured
TOTAL:
TO: Francis K. Richwine and George Michael Richwine,
Trustees, in satisfaction of gift under Item III 2 of Will
~~ l ~~09 662 shares PNC Financial Services Group, Inc.
TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
TOTAL PRINCIPAL BALANCE ON HAND
5,650.00
24,475.70
$30,125.70
$ 0.00
6
RECEIPTS OF INCOME
PNC FINANCIAL SERVICES GROUP INC.
Dividends 662 Shs.
4/24/09 62.20
7/24/09 62.20
TOTAL RECEIPTS OF INCOME $124.40
DISTRIBUTIONS OF INCOME TO BENEFICIARIES
TO: Francis K. Richwine and George Michael Richwine,
Trustees, in satisfaction of gift under Item III 2 of Will
I~/~9 Cash
TOTAL DISTRIBUTIONS OF INCOME TO BENEFICIARIES $124.40
~.
Francis K. Richwine, Executor of the
Estate of Dorothy J. Richwine, Deceased
VERIFICATION
FRANCIS K. RICHWINE, Executor of the Will of Dorothy J. Richwine, 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 know claims against the Estate have
been paid in full; that, to his 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.
.,-
F CIS K. RICHWINE
Dated: l t ~ ~ ~
10
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: ESTATE OF DOROTHY J. RICHWINE, NO. 2009-00616
DECEASED
AUDIT NOTICE
TO ALL PARTIES IN INTEREST
Be advised that the First and Final Account of Francis K. Richwine, Executor of the
Estate of Dorothy J. Richwine, a/k/a Dorothy Johnson Richwine, Deceased, has been filed with
the Clerk of the Orphans' Court of Cumberland County and will be called for audit by the Court
on l _, 20(3, at ~(~ m. prevailing time in Courtroom No.
-~ ~ 1 ,Carlisle, Pennsylvania.
At the audit, the Executor will present a Petition for Adjudication/Statement of Proposed
Dsstnbution asking that the court approve the accounting of the Executor and award the balance
for distribution in accordance with the Last Will & Testament of Dorothy Johnson Richwine.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVA
ORPHANS' COURT DIVISION NIA
IN RE: ESTATE OF DOROTHY J. RICI~hJ~~INE,
DECEASED NO. 2009-00616
IST OF THE NAMES AND ADDRESSES 4F THE PARTIES RECEIVING AUDIT N
Francis K. Richwine, Legatee, Gift under Item I of Will
1213 Stratford Drive
Carlisle, PA 17013
Francis K. Richwine & George Michael Richwine, Trustees, Gift. under Item III.2. of Will
1213 Stratford Drive
Carlisle, PA 17013
DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF Dorothy J. Richwine DECEASE D n `~'
No. 2009-00616 1 ~ ~ ~
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PETITION FOR ADJUDICATION / ~ ~ ~ ~;~== rte;
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: N/A
Supreme Court I.D. No.:
Name of Law Firm:
Address:
Telephone:
Fax:
Form OC-O7 rev. 10.13.06
Page 1 of 10
Estate of Dorothy J. Richwine
1. Name(s) and address(es) of Petitioner(s):
lvame: Francis K. Richwine
Address: 1213 Stratford Drive
Carlisle, PA 17013
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
N/A
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 April 18, 2009
m Letters Testamentary or Q Letters of Administration were granted to Petitioner(s) on
July 1, 2009
Date of Will (if applicable): June 13, 2000
Date(s) of Codicil(s) (if applicable): N/A
Date of probate (f different from date Letters granted): N/A
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: Cumberland Law Journal: July 10, 17,
and 24, 2009; The Sentinel: July 3, 10, and 17, 2009
Form oc-o~ rev. X0.13.06 Page 2 of 10
Estate of Dorothy J. Richwine
Deceased
3. Was decedent survived by a spouse? ............................. Yes No
If yes, name of the surviving spouse: Francis K. Richwine
4. Has the surviving spouse filed to take an elective share? ............. Yes No
(See Section 2201 et sic . 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):
N/A
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)? ........................................... ® es ®No
Y
If yes, give names and dates of birth:
Name:
Date of Birth:
7. If required by the Medical Assistance Estate Recovery Act, N/A
62 P.S. § 1412, was a request for a statement of claim sent to
the Department of Public Welfare? ........................... .. Yes No
Form oc-o~ ,-ev.10.~3.06 Page 3 of 10
Estate of Dorothy J. Richwine
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):
Name and Address of'Each
Francis K. Richwine
1213 Stratford Drive
Carlisle, PA 17013
in Interest ~ Relationship and Comments, if'an ~ Interest
Surviving spouse &
legatee
Gift under Item I of
Will
Francis K. Richwine & George Surviving Spouse, Son Gift under Item III.2
Michael Richwine, Trustees & Legatees of Will
1213 Stratford Drive
Carlisle, PA 17013
Form oc-Ol rev. 10.13.06 Page 4 of 10
Estate of Dorothy J. Richwine
N/A
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 parry,
state date of death, date and place of grant of Letters and type of Letters granted.
N/A
Form OC-UI rev. IOJ3.06 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 Dorothy J. Richwine
10
11.
Deceased
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.
N/A
Name and Address of Each Claimant Amount of Claim Claim Will Claim
Admitted? Be Paid In
Full?
DYes ~ Yes
No ~ No
Yes ~ Yes
No Q No
Yes ~ 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.
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. 10.13.06 Page 6 of 10
Estate of Dorothy J. Richwine
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:
Inheritance Tax Return filed 11/12/2009. No tax due. The Estate tax does
no t~~pp 1 y . Payment Interest
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:
N/A
B. Has notice of the question requiring adjudication been given N/A
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. N/A
Form OC-01 rev. 10.13.06 Page 7 of 10
Estate of Dorothy J. Richwine
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.
N/A
B. Has notice of the additional receipts and disbursements been N/A
given to the parties identified in Paragraph 9 above? ............. ~ Yes No
18. If a reserve is requested, state amount and purpose. N/A
Amount:
Purpose:
If a reserve is requested for counsel fees, has notice of the N/A
amount of fees to be paid from the reserve been given to the
parties in interest? ........................................ ® es ® o
Y N
If so, attach a copy of the notice.
19. Is the Court being asked to direct
the filing of a Schedule of Distribution? .......................... Yes ~ I~To
As to real estate only? ........................................ ®Yes ® o
N
Form OC-O7 rev. 10.13.06 Page 8 of 10
Estate of Dorothy J. Richwine
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)
Francis K. Richwine & George Michael Richwine,
Trustees
B. Principal:
Proposed Distributee(s)
Francis K. Richwine
Francis K. Richwine & George Michael Richwine,
Trustees
Amount/Proportion
$124.40
Amount/Proportion
$5,650.00
All the Rest & Residue
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
~C `
Name of Petitioner: Francis K. Richwine
Name of Petitioner:
Form OG01 rev. 10.13.06 Page (~ Of 10
Estate of Dorothy J. Richwine Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he~she
of the above-named name of'corporation
1S title
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 of Petitioner
Francis K. Richwine
* Corporate petitioners must complete bracketed information.
Certification of Counsel - -rr/A
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.
Signature of Counsel for Petitioner
Form OC-Ol rev. 10.13.06 Page 10 of 10