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ESTATE OF HAROLD K
FERGUSON 7Q-~r}
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File No. 21-09-0115 ~ .
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FAMILY SETTLEMENT AGREEMENT
THIS AGREEMENT made this ~~X! day of 2010
BETWEEN: CHERYL L. ZYGMUNT, being the legatee under the Last Will
and Testament of Harold K. Ferguson, late of the Township of Southampton,
Cumberland County, Pennsylvania,
AND
CHERYL L. ZYGMUNT, Executrix of the Estate under the Last Will and
Testament of Harold K. Ferguson, deceased,
WHEREAS, Harold K. Ferguson died Januazy 26, 2009, testate, and under his
Will left his estate to the party herein; and
WHEREAS, Letters Testamentary were granted to Cheryl L. Zygmunt on
February 4, 2009, by the Register of Wills of Cumberland County, Pennsylvania; and
WHEREAS, all assets of the late Harold K. Ferguson have been liquidated or
distributed and all his debts paid in full, and further the period of four months having
been terminated since the first advertisement of the issuance of Letters to the said
Executrix, the said party hereto desires to waive the duty of the Executrix to file a First
and Final Account with Proposed Schedule of Distribution for purposes of confirmation
by the Court of Common Pleas of Cumberland County, Orphan's Court Division, AND
FURTHER desires that a Family Settlement Agreement be executed, which Family
Settlement Agreement will be duly recorded among the deed records in and for
Cumberland County.
WEIGLE & ASSOCIATES, P. C. -ATTORNEYS AT LAW - 726 EAST KING STREET - SHIPPENSBURG. PA 17257-1397
NOW, THEREFORE, WITNESSETH, that the party hereto, in consideration of
the premises above stated, and of the Accounting and Proposed Schedule of Distribution
attached hereto and made a part hereof, and the receipt of her distributive share as therein
shown, does bind herself to the said Distribution and Accounting as set forth and further
mutually releases Cheryl L. Zygmunt, Executrix, from all claims and demands
whatsoever arising out of settlement of the Estate of Harold K. Ferguson.
The party hereto does further agree that should any liability come due to the estate
of the said decedent after the signing of this agreement, she does hereby covenant and
agree with the aforesaid personal representative that she will contribute pro rata her share
of the estate to satisfy any and all claims, demands, suits, or causes of action which may
be successfully prosecuted against the said estate or the aforesaid personal representative
after the signing, sealing and delivery of this family settlement agreement and final
release.
IN WITNESS WHEREOF, the party has hereunto set her hand and seal the day
and year first above written.
Wf1Nl;SS:
~ ~y ~ ~~~~~ EAL)
Cheryl . Zygm it ~-
WEIGLE & ASSOCIATES. P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS
On this, the --~~ ~"5~ day of 2010
before me, the undersigned officer, personally appeared CHERYL L. ZYGMUNT,
known to me (or satisfactorily proven) to be the person whose name is subscribed to the
within instrument, and acknowledged that she executed the same for the purposes therein
contained.
IN WITNESS WHEREOF, I here»ntn ~Pr ,,,., ha>,~ any „ff,.;,i ~o.,,
WEIGLE & ASSOCIATES. P.C. -ATTORNEYS AT LAW - 726 EAST KING STREET - SHIPPENSBURG, PA 1725 7-7 3 97
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In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-09-0115
Estate of Harold K. Ferguson, Deceased
Account
Cheryl L. Zygmunt, Executrix
Date of Death: 01/26/2009
Date of Incapacity, if any: None
Date of Executrix's Appointment: 02/04/2009
Date of First Complete Advertisement: 02/10/2009
Accounting for the period: 01/26/2009 to 02/26/2010
Purpose of Account: Cheryl L. Zygmunt, Executrix, offers this Account to acquaint interested parties
with the transactions that have occurred during the Administration.
It is important that the Account be carefully examined. Requests for additional information or questions
or objections can be discussed with:
Jerry A. Weigle Esquire
Weigle 8~ Associates, P.C.
126 East King Street
Shippensburg, PA 17257
717/532-7388
Supreme Court I.D. No. 01624
SUMMARY OF ACCOUNT
Estate of Harold K. Ferguson, Deceased
For the period of January 26.2009 through February 26 2010
Proposed Distributions
to Beneficiaries
PRINCIPAL
Receipts: This Account
Net Gain (or Loss) on Sates
or Other Dispositions
Less Disbursements:
Debts of Decedent
Funeral Expenses
Administration Expenses
Federal, State & Local Taxes
Commissions
Fees
Family Exemption
Balance Before Distributions
Transfer to (from) Principal
Distributions to Beneficiaries
Principal Balance on Hand
For Information:
Investments Made
Changes in Holdings
INCOME
Receipts This Account
Net Gain (or Loss) on Sales
or Other Dispositions
Less Disbursements
Balance Before Distributions
Transfer to (from) Income
Distributions to Beneficiaries
Income Balance on Hand
For Information:
Investments Made
Changes in Holdings
COMBINED BALANCE ON HAND
Signature
Verification
Fiduciary
Current Acquisition
PAGES Value Value
11 4,495.22 4,495.22
3 - 4
64,289.96
0.00
64,289.96
5 5,694.50
5 1,595.37
5 - 6 1,345.87
8 2,200.00
0.00
5 3,959.00
0.00 14,794.74
49,495.22
0.00
8 45,000.00
9 4,495.22
10
12
13
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
4,495.22
-2-
SCHEDULE A
RECEIPTS OF PRINCIPAL
Assets Listed in Inventory
(Valued as of Date of Death)
Cash
Check on hand at date of death - Embarq refund
Total Cash
Personal Property
1987 Buick -proceeds of sale 02-24-2009
Total Personal Property
Real Estate
30 Strafford Street, Shippensburg, PA 17257 -
proceeds of sale 03-27-2009
Total Real Estate
Total Receipts
Subsequent Principal Receipts
0.99
1,200.00
60,000.00
01/27/2010 Central Penn Gas -refund 77,80
07/21/2009 Commonwealth of Pennsylvania - 2008 property 250.00
tax rebate
12/31/2009 Commonwealth of Pennsylvania - PA 10.16
inheritance tax refund
03/27/2009 County tax proration at real estate settlement 136.16
03/05/2009 Highmark Blue Shield -benefit check 884.73
03/27/2009 School tax proration at real estate settlement 180.66
02/24/2009 State Farm Insurance -refund at cancellation of 250.00
auto insurance
03/31/2009 Stats Farm Insurance -refund at cancellation of 11.44
homeowner's insurance
04/24/2009 U. S. Treasury - 2008 federal income tax refund 1,229.88
and stimulus recovery rebate
02/26/2010 U. S. Treasury - 2009 federal income tax refund 58.04
(to be received)
Total Subsequent Principal Receipts
Fiduciary
Acquisition
Value
0.99
1,200.00
60,000.00
61,200.99
3.088.97
-3-
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent
02/17/2009 Penelec 32.52
02/24/2009 Central Penn Gas 246.67
03/03/2009 CFJMA 30.00
03/10/2009 West Shore EMS 884.73
03/17/2009 Penelec 25.91
03/24/2009 Central Penn Gas 157.77
03/27/2009 Real Estate Settlement Expenses -including 945.70
realty transfer tax (5600.00); deed preparation
(x85.00); 2009 county taxes (:177.50); final
sewer bill (x26.74); and final water bill (557.06)
04/07/2009 Central Penn Gas 38.28
04/09/2009 Penelec 11.92
05/13/2009 Shippensburg Health Care Center -final billing 3,321.00
Total Debts of Decedent
Funeral Expenses
04/02/2009 Family Traditions -luncheon 355.37
04/02/2009 Geisel Funeral Home 210.00
04/02/2009 Parklawns -grave opening 645.00
04/02/2009 Parklawns -marker plate 285.00
04/02/2009 Rev. Robert L. Mentzer -memorial service 100.00
Total Funeral Expenses
Administration Exaenses
02/04/2009 Register of Wills, Cumberland County -Letters 177.00
Testamentary and Short Certificates
02/05/2009 Cumberland Law Journal -advertising Letters 75.00
Testamentary
5,694.50
1,595.37
-5-
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
03/11/2009 Terry L. Sheffer -disposal of scrap material from 385.00
home
03/12/2009 News Chronicle -advertising Letters 104.75
Testamentary
04/02/2009 Cheryl L. Zygmunt -reimbursement for supplies 18.23
for cleaning out residence prior to sale
04/02/2009 Cheryl L. Zygmunt -reimbursement for payment 185.75
of car insurance (5113.77); car registration
(x63.50); and key for vehicle (58.48)
04/09/2009 Cheryl L. Zygmunt -reimbursement for 275.14
expenses of selling automobile, including
inspection and repairs, wheel covers and floor
mats, advertising, and tag return fee
06/09/2009 Linda K. Klein -notary fee 20.00
06/09/2009 Register of Wills, Cumberland County -filing PA 15.00
Inheritance Tax Return
06/09/2009 Register of Wills, Cumberland County - filing 75.00
Family Settlement Agreement
06/09/2009 Weigle & Associates, P.C. -reimbursement for 15.00
postage, xerox copies, and long distance
telephone calls
Total Miscellaneous Administrative Expenses
Federal. State, and Local Taxes
04/14/2009 Register of Wills, Cumberland County - PA 2.200.00
Inheritance Tax at discount
Total Taxes
1,345.87
2,200.00
Fees
06/09/2009
Weigle & Associates, P.C.
3.959.00
Total Fees
3.959.00
-6-
PRINCIPAL BALANCE ON HAND
# Units Description
Cash
Estate Checking Account
Total Cash
Assets
U. S. Treasury - 2009 federal income tax refund (to be
received)
Total Assets
Current Value Fiduciary
02/26/2010 Acquisition
or as Noted Value
4,437.18 4,437.18
4,437.18 4.437.18
58.04 58.04
58.04 58.04
4,495.22 4,495.22
-9-
COMBINED BALANCE ON HAND
Current Value Fiduciary
# Units Description 02/26/2010 Acquisition
or as Noted Value
Cash
Estate Checking Account 4,437.18 4,437.18
Total Cash 4,437.18 4,437.18
Assets
U. S. Treasury - 2009 federal income tax refund (to be 58.04 58.04
received)
Total Assets 58.04 58.04
4.495.22 4,495.22
PROPOSED DISTRIBUTIONS TO BENEFICIARIES
Current Value
02/26/2010
or as noted
TO: Cheryl L. 2vamunt
Cash -final distribution
U. S. Treasury - 2009 federal Income tax refund (to be
received)
Fiduciary
Acquisition
Value
4.437.18 4,437.18
58.04 58.04
4,495.22 4.495.22
Total 4,495.22 4.495.22
- 11 -
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-09-0115
Estate of Harold K. Ferguson, Deceased
Signature
~n I L. Zygfi4Gnt, Exe~`utri~(
-12-
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-09-0115
Estate of Harold K. Ferguson, Deceased
Verification
Cheryl L. Zygmunt, Executrix under the Last Will and Testament of Harold K. Ferguson, Deceased,
hereby declares under oath that he/she has fully and faithfully discharged the duties of his/her
office; that the foregoing 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; that, to his/her knowledge, there are no claims now 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 Account.
This statement is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn
falsification to authorities.
Chifryl LL~/~munt, t:x~cutrix
Dated: ~ ,~~, /d oZG /D
-13-