HomeMy WebLinkAbout12-11-09DECEDENT'S ESTATE
Cumberland
COURT OF COMMON PLEAS OF
COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF Helen M. Brymesser ,DECEASED r~~-3 ~ ,.
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No. 21-08-0189 ~
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PETITION FOR ADJUDICATION / _:J
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STATEMENT OF PROPOSED DISTRIBUTION
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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.
INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: Michael A. Scherer, Esquire
Supreme Court I.D. No.: 61974
Name of Law Firm: O'Brien, Baric & Scherer
,Address: 19 West South Street
'Telephone: (717) 249-6873
1 ax:~7171249-5755
Form OGOI rev. 10.13.06
Page 1 of ] 0
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Estate of Helen M. Brymesser ,Deceased
1. Name(s) and address(es) of Petitioner(s):
Name: John Albright
Address: 26 Greystone Road
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:
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 February 19, 2008
® Letters Testamentary or Letters of Administration were granted to Petitioner(s) on
Februarv 21.2008
Date of Will (if applicable): November 20, 2001
Date(s) of Codicil(s) (if applicable): None
Date of probate (if d~erent from date Letters granted): None
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: The Sentinel: March 5, 12 & 19, 2008
Cumberland Law Journal: March 7, 14 & 21, 2008
Form OC-01 rev. !0.!3.06 Page 2 Ot 1 0
Estate of Helen M. Brymesser
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 (fnone, 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
Forrn oc-or Yev. X0.13.06 Page 3 of 10
Estate of Helen M. Brymesser
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.
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 Party in Interest I Relationship and Comments, i an I Interest
American Heart $2,500.00
Association
Multiple Sclerosis $2,500.00
Society
American Cancer $2,500.00
Society
Zion United Church of $15,000.00
Christ, Newville, PA
Form oc-oI rev. In.I3.o6 Page 4 of 10
Estate of Helen M. Brymesser
Deceased
Name and Address of Each Party in Interest f Relationship and Comments, if arty I hrterest
John Albright $50,000.00
Karen Weekley $10,000.00
Margaret Butts $5,000.00
First IInited Church of
Christ, Carlisle, PA Residuary
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. O.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.
For,n oc-0/ rer. 10.13.06 Page 5 of 10
Estate of Helen M. Brymesser
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 Wrl! Claim
Admitted? Be Paid In
Full?
Yes QYes
No ~No
Yes ~ Yes
No Q No
Yes ~ Yes
~No ONo
Yes ~ Yes
~No ONo
If the estate is insolvent, attach a schedule setting forth the order of preference under
20 Pa.C.S. § 3392 and the proposed payments.
1 I. Was family exemption claimed? ................................ Yes ~No
Was family exemption allowed? ................................ Yes ~No
Family exemption claimant's name and relationship:
Name:
Relationship:
Form OG01 rev. 10.13.06 Page 6 Of~ 0
Estate of Helen M. Brymesser
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
May 16, 2008 11,250.00
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:
tJoNt;,
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. ®Yes 0 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.
ro,-m oc-ni rev. rn.~3.o6 Page 7 of 10
Estate of Helen M. Brymesser
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.
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? ........................................ DYes ~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? ........................................ DYes ®No
For„ oc-o~ rev. ~o. X3.06 Page 8 of l 0
Estate of Helen M. Brymesser
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)
B. Principal:
Proposed Distributee(s)
AmoundProportion
Amount/Proportion
,~o N. Gif~' S~. C ul~~S~L ~~' 1703
Submitted By:
(fill petitioners must sign.
Add additional lines if necessary):
N e of Petitioner: Albright
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Name of Petitioner:
Form oc-ol rev. tn. i3 n6 Page 9 of 10
Estate of Helen M. Brymesser
Verification of Petitioner
(Verification must be by at least one petitioner.)
Deceased
The undersigned hereby verifies * [that he/she he is arte Executor
of the above-named name ofeoYpora~zon Estate of Helen M. Brymesser 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).
x Corporate petitioners must complete bracketed injormalioh.
Signat e o etitioner
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.
c
Signatur of ounsel for Petitioner
roan oc-or rev. ro.13.n6 Page 10 of 10
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tro_y Whitesel, Classified Advertising Manager, of The Sentinel, of the
County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL,
a newspaper of general circulation in the Borough of Carlisle, County and State
aforesaid, was established December 13,1881, since which date THE SENTINEL has
been regularly issued in said County, and that the printed notice or publication
attached hereto is exactly the same as was printed and published in the regular editions
and issues of THE SENTINEL on the following day(s):
March 5,12,19, 2008
COPY OF NOTICE OF PUBLICATION
NOTICE OF GRANT OF LETTERS
', Notice is hereby given that the undersigned has been
granted letters testamentary by the Register of
Wills of Cumberland County, Commonwealth. of
Pennsylvania, as Executor of the Estate of
HELEN M. BRYMESSER a/k/a HELEN M.
SHULENBERGER BRYMESSER, late of the
above-named county.
Request is heretiy made that all persons having claims
against the Estate of the decedent make such claims
known to the personal representative or to such
person's attorney without delay. Request is
I also hereby made that all persons indebted to the
decedent makepayment to the personal
representative without delay.
Dated: February 27, 2008
John Albright, Executor
26 Greystone Road
Carlisle, PA 17013
I Michael A. Scherer, Esquire
O'Brien, Baric & Scherer
i 19 West South Street
Carlisle, Pennsylvania 17013
~~ (717) 249-6873
Affiant further deposes that he/she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement
as to time, place and character of
publication are true.
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Sworn to and subscribed before me this
19th day of March, 2008.
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Notary Pu is
My commission expires: ~~~<~~
COMMONWEALTH O~ PENNSYLVANIA
Notarial Seal
Christina 1. Wolfe, Notary Public
Carlisle Boro, Cumbertarl~ County
My Commission Expires Sept. 1,2008
Member, Pennsylvania Association Of Notaries
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a, legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
v1z:
March 7 March 14, and March 21, 2008
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested 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.
L a Marie Coyne,~ditor
SWORN TO AND SUBSCRIBED before me this
21 day of March, 2008
Brymesser, Helen M. a/k/a Helen
M. Shulenberger Brymesser,
deed.
Late of Cumberland County.
Executor: John Albright, 26 Grey-
stone Road, Carlisle, PA 17013.
Attorneys: Michael A. Scherer,
Esquire, O'Brien, Baric & Scherer,
19 West South Street, Carlisle, PA
17013, (717) 249-6873.
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Notary ~
NOTAR~IgL SE,gL
DEdORaH A COLLlNS
Notary public
CARU5! E 80R0, CUi~9BERLAND COUNTY
My Commission Expires Apr 28, 2010