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In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-09-0847
Estate of Mary K. Bowermaster, Deceased
Late of Borough of Camp Hill n ~
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First and Final Account ~ f- --~ ,-?
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Donna M. Ewing ~i N ~,
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Date of Death:
Date of Appointment:
Date of First Complete Advertisement:
Accountins~ for the period:
08/19/2009
09/09/2009
09125/2009
08119!2009 to
Purpose of Account: Donna M. Ewing, offers this Account to acquaint interested parties
transactions that have occurred during the Administration.
It is important that the Account be carefully examined. Requests for additional
or objections can be discussed with:
John E. Slike Esq.
Saidis, Flower & Lindsay
2109 Market Street
Camp Hill, PA 17011
717-737-3405
Supreme Court I.D. No. 06262
the
or questions
t
SUMMARY OF ACCOUNT
Estate of Mary K. Bowermaster, Deceased
For the period of August 19, 2009 to June 30, 2010
Pages Current Value
Proposed Distributions
to Beneficiaries" 13
Amount Held in Escrow 14
PRINCIPAL
Receipts: This Account 3
Net Gain (or Loss) on Sales
or other Dispositions
Less Disbursements:
Debts of Decedent 4
Funeral Expenses 4-°
Administration Expenses 5
Federal, State & Local Taxes 5-E
Commissions
Fees 6
Family Exemption
Balance Before Distributions
Transfer to (from) Principal
Distributions to Beneficiaries 7
Principal Balance on Hand 8
INCOME
Receipts: This Account 9
Net Gain (or Loss) on Sales
or Other Dispositions
Less Disbursements: 10
Balance Before Distributions
Transfer to (from) Income
Distributions to Beneficiaries
Income Balance on Hand 11
For Information:
Investments Made
Changes in Holdings
COMBINED BALANCE ON HAND 12
Signature Page 15
Verification 16
Fiduciary
Acquisition
Value
12,439.15
2,000.00
14,439.15
42,654.09
537.48
8,783.21
659.00
1,300.00
4,981.50
16,261.19
26,392.90
12,000.00
14,392.90
141.55
(95.30)
46.25
46.25
14,439.15
SCHEDULE A
RECEIPTS OF PRINCIPAL
Assets Listed in Inventory
(Valued as of Date of Death)
X8511
Capital 81ue Cross -Refund of partial premium
HCR Manor Care -Refund of prepaid care
New York Life Insurance Company - Policy 29590927
New York Life Insurance Company -Policy 29590927
Refund of premium
New York Life Insurance Company (2nd) -Policy
#30381910
New York Life Insurance Company (2nd) -Policy
#30381910
Refund of premium
PA Department of Revenue -Refund of overpayment
of Inheritance Taxes
Tax refund from the Commonwealth of Pennsylvania
Total Cash
Total Receipts
Fiduciary
Acquisition
Value
a2,s5a.o9
42,654.09
Total Receipts of Princip~l a2,s5a.o9
1
15.04'.26
14.70
117.45
-3-
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Cameo Hill Fire Contp~py No. 1
08/19/2009 7!27/2009 Transport from residence to Holy Spirit
Hospital
Heartland Pharmacy of Pennsylvania. LLC
10/13!2009 Customer ID 237680
Holy Snin^t Hos~j~j
08/19/2009
25.00
300.02
50.00
West Shore EMS-BL S
08/1912009 Cali Number 192320W; Patient Number 83210 81 .23
08/19/2009 Call Number 1917051N; Patient Number 83210 61 .23
I
I 162.46
Total Debts of Decedent
Funeral Exne, Haas I
it
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537.48
Donna Ewing
09/25/2009
Reimbursement for the funeral luncheon ~~
23
.54
i 230.54
Fast Harrisburg m e a & Cremation Services
09/25/2009 Reimbursement to Donna Ewing 175 .00
-4-
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
175.00
Neill Funeral Home. Inc.
08/19/2009 Agreement No. 7412-200503 8,2
10/16/2009 Agreement No. 7412-200503 reimbursement for 13
payment to The Patriot News for the obituary notice.
Total Funeral Facoenses ~,
i
Administration ExDen~ses_
Cumberland County Law Join .,~ii
12111/2009
8,377.67
8,783.21
75.00
Register of Wills
08/19/2009 Petition for Letters Testamentary 5210.00; Will 515.00; 2
Short Certificates 516.00; JCP Fee 510.00; Automation
Fee 55.00
12/11/2009 File the Inheritance Tax Retum and Inventory
06/3012010 Filing of the Account and Adjudication 1
416.00
Tfie Patriot News Comoariv
10/13/2009 Advertisement of Estate Notice 16
Total Miscellaneous Administrative Exuenses
Federal State. and Local Taxes
168.00
659.00
-5-
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
Re~jster of ~Ils. Agent
10!28/2009 Prepayment of Inheritance Taxes
Total Taxes
Fees
Saidis. Flower ~ Lindsay
12/11/2009 Legal Fees
05/25!2010 Legal Fees
Total Fees
TOTAL DISBURSEMENTS OF PRINCIPAL
1.300.00
1,300.00
4,981.50
4,981.50
16,261.19
-6-
SCHEDULE D
DISTRIBUTIONS OF PRINCIPAL
11/24/2009 Donna Ewing -For the payment of Barbara Ann
Bowermaster's expenses as set forth in the Last W
and Testament of Mary K. Bowennaster.
OS/Z7/2010 Donna M. Ewing, Trustee of the Mary K. Bowennas
Trust -Transfer of funds to fund the Trust
12,000.00
TOTAL DISTRIBUTIONS TO
12,000.00
-7-
PRINCIPAL BALANCE ON HAND
# Units Description
i:ash
Mid Penn Bank Estate Account
Total Cash
Current Valule
06/30/2010 '~
or as Noted!
'~
Fiduciary
Acquisition
14.392.90
14,392.90
14,392.90
-8-
SCHEDULE G
RECEIPTS OF INCOME
M 8~ T Bank Acct #16785169
09121!2009 Interest 0.06
~~ 0.06
I
M & T Bank CD Acct #31003913918652 ~I
09!21 /2009 3 .86
03/19/2010 Interest 2 •58
58.44
M A T Bank CD Acct #31003914375687
09/02/2009 •~
54.43
M 8 T Bank CD Acct #31003914375695
09/02/2009 .95
9.95
M 8~ T Investment Grouo I,
09/17/2009 Interest 1 .67
~ 18.67
TOTAL BANK INTEREST I 141.55
I
TOTAL RECEIPTS OF INCOME 141.55
-9-
SCHEDULEI
DISBURSEMENTS -INCOME
New York Life Insurance Premium
09/02/2009 Auto from checking acct 16785169
TOTAL DISBURSEMENTS OF INCOME
95.30
95.30
-10-
INCOME BALANCE ON HAND
# Units Description
.Cash
Mid Penn Bank Estate Account
Total Cash
Current Value Fiduciary
06/30/2010 ' Acquisition
or as Noted I~ Value
46. 'S 46.25
46. 5 46.25
46.?~5 46.25
-11-
COMBINED BALANCE ON HAND
Current VahUe Fiduciary
06/30/2014 Acquisition
# Units Description or as Nots Value
Gash II
Mid Penn Bank Estate Account 14,438.5 14,439.15
Total Cash 14,439.15 14,439.15
14,d38.~5 _ 14,439.15
-12-
TO:
PROPOSED DISTRIBUTIONS TO BENEFICIARIES
Current Val~~e
06/30I201~
or as not d
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i
Donna M. Ewing, Trustee of the Mary K. Bowermaster Irrevocable II
Trust
Total
F.
Fiduciary
Acquisition
Value
12,439.15
12,439.15
12,439.15
-13-
The Estate of Mary K. Bowermaster
Amount Held in Escrow
Amount
Saidis, Flower & Lindsay tolta Account Escrow Amount 2,000.00
14
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-09-0847
Estate of Mary K. Bowermaster, Deceased _
Signature
onna M. Ewing
-15-
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-09-0847
Estate of Mary K. Bowermaster, Deceased
Verification
Donna M. Ewing under the Last Will and Testament of Mary K. Bowermaster, Deceased, ereby
declares under oath that he/she has fully and faithfully discharged the duties of hislher o ce; that
the foregoing Account is true and correct and fully discloses all significant transactions ccurring
during the accounting period; that all known claims against the Estate have been paid in ull; that,
to hislhsr knowledge, there are no claims now outstanding against the Estate; that all is es
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 foragdir~g
Accourrt.
This statement is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsvvorn
falsification to authorities.
nna M. Ewing
Dated: ~ ~~ ~''/ C~
-16-