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08-16-10 (3)
r Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: JANE E. SNYDER Date of Death: June 1, 2009 File Number: 2109-00546 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 :.................... ®~es ®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? ....... ®~es ®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? ............................... ®~es ®No d. Copies of receipts, releases, joinders and approvals of formal or informal accoun~s maybe filed with the Clerk of the Orphans' Court and may be attached to this report. ', ~~ August 12, 2010 Signatu of ers Filing thrs Form ', z c• -' © .c[ Q Capacity: ®Personal Representative ®Counsel ~ ~ c~ ~- " ~ ~~ Jean D. Seibert, Esquire ~ e._ `` " t ~.. ra,_ _ fl.- ~ O C_.3 Name of Person Filing this Form ~~' "`-' ~~{ ~ 109 Locust Street ~r ~~ _i ~ ~ ~ --~ Address ~ ~ ~ ~'~ ~ v ~~`' Harrisbur PA 17101 gf ~' urs [ ~ .Q ~ ~_ p o t~ 717-236-9301 t"~ Telephone Form RW-10 rev. 10.13.06 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION N0.2109-00546 FIRST AND FINAL ACCOUNT Sally S. Walters, Executrix For ESTATE OF JANE E. SNYDER, Deceased Date of Death: ~une 1, 2009 Date of Appointment of Executrix: Jt1ne 12, 2009 Dates of Advertisement of Letters: Cumberland Law Journal June 26, July 3, and July 10, 2009 The Sentinel Jun 24, July 1, and my 8, 2009 Account Stated To: Mays, 31, 2010 Purpose of Account: Sally S. Walters, Executrix, offers this account to acquaint interested parties with the transactions that have occurred during her administration. The account also indicates the proposed distribution of the estate. '~ It is important that the account be carefully examined. Requests for additional inforrr~ation or questions or objections can be discussed with: Sally S. Walters 7276 Union Deposit Road Hurnmelstown, PA 17036 OR Jean D. Seibert, Esquire WION, ZULLI & SEIBERT 109 Locust Street Harrisburg, PA 17101 (717) 236-9341 SUMMARY OF ACCOUNT Principal Inventory Amount Receipts subsequent to Inventory Net Gain or Loss on Sale Less Disbursements: Debt of Decedent Funeral Expenses Administration Expenses Federal and State Taxes Fees and Commissions Total Disbursements Principal Balance before Distribution Distribution in Kind Advance Distribution Principal Balance on Hand Income Receipts Less Disbursements Combined Balance Fiduciary Current Acquisitilon Page Value Value 3 $193,05 .93 4 2,90 .00 5 7,98 .29 6 $6,896.25 ', 6 350.00 6 814.78 7 37,272.57 7 17,965.00 ~ I $63,298.0 $140,638.2 8 725 0 9 . 105,000. 0 $34,913. 2 10 $774.51 11 .S~Z $774.0 $35,687.7 2 RECEIPTS OF PRINCIPAL Assets Listed in Inventory Fiduciary (Value as of date of death) Acquisition Value Wells Fargo Advisors Account consisted of below: ', 2,249.2370 Shares of Calvert Income Fund @ $14.14 per share $~ 1,804.21 181.7850 Shares of Capital Income Builder @ $42.95 per share ;7,807.66 1 2,761.1560 Shares of Evergreen Asset Alloc @ $9.82 per share 2 ~~7,114.55 2,039.3520 Shares of First Eagle Overseas @ $17.18 per share 3,036.06 280.8200 Shares of First Eagle Global @ $34.96 per share !9,817.47 3,585.0840 Shares of Loomis Sayls @ $10.40 per share 317,284.87 1,409.4290 Shares of Pimco RL Return @ $10.21 per share 1#,390.27 Wells Fargo Money Market Account 1 ,875.26 M&T Bank Checking Account No. 80460208 1 ,604.08 Accrued Interest 0.51 M&T Bank Savings Account No. 15004205996729 x,011.06 Accrued Interest ' 0.01 2 Rings -Appraised Value !, 725.00 I Social Security Deposit II ,234.40 Refund from Capital Blue Cross ' 149.52 Refund from Erie Insurance ~ 55.00 Refund from Bethany Village x,147.00 Total Inventory $193',056.93 3 RECEIPTS SUBSEQUENT TO PRINCIPAL 2009 Federal Income Tax Refund 2009 State Income Tax Refund $2,700.00 200.00 $2,900.00 4 ' NET GAIN OR LOSS ON SALE OR OTHER DISPOSITION Gain 1. Calvert Income Fund 08-18-09 Net proceeds 06-01-09 Fiduciary acquisition value Additiona14.835 Shares 2. Capital Income Builder 08-18-09 Net proceeds 06-01-09 Fiduciary acquisition value 3. Evergreen Asset Alloc 08-18-09 Net proceeds 06-01-09 Fiduciary acquisition value 4. First Eagle Overseas 08-18-09 Net proceeds 06-01-09 Fiduciary acquisition value 5. First Eagle Global 08-18-09 Net proceeds 06-01-09 Fiduciary acquisition value 6. Loomis Sayls 08-18-09 Net proceeds 06-01-09 Fiduciary acquisition value Additiona128.809 Shares 7. Pimco RL Return 08-18-09 Net proceeds 06-01-09 Fiduciary acquisition value Additional 10.167 Shares $33,598.61 31,804.21 1.74 $1,796.14 8,088.07 7,807.66 280.41 28,379.68 27,114.55 1,265.13 36,.458.61 35,036.06 1,422.55 10,079.25 9,817.47 261.78 39,897.01 37,284.87 8.08 2,620.22 14,829.78 14,390.27 334.06 .76 Total Gain $7,980.29 5 Loss DISBURSEMENTS OF PRINCIPAL Debts of Decedent Outstanding check from date of death balance ($94.00, 94.00, 117.40, 395.00, 47.00 and 47.00) 06-22-09 Bethany Village Rent 06-22-09 Phone Bill 07-14-09 Comcast Cable 06-30-09 West Shore EMS 08-26-09 PA Department of Revenue - Estimated 3rd Qtr Income Tax Funeral Expenses 06-27-09 Orchard Hill Cemetery 06-29-09 Memorial Service Administration Expenses 08-03-09 Register of Wills -Probate Fee 08-03-09 Cumberland Law Journal- Advertising 08-03-09 The Sentinel- Advertising 07-14-09 The Jewelers Bench- Ring Appraisal 12-28-09 Register of Wills -Filing fee (WZS) 01-22-10 Postage to mail rings 794..40 4,953.00 146.53 5.88 896.44 100.00 $100.00 250.00 $352.00 75.00 208.78 114.00 30.00 35.00 $ II,896.25 350.00 ~~ $~ 14.78 6 Federal and State Tax d8-31-09 Register of Wills, Agent-PA Inheritance Tax $37,156.00 11-20-09 Register of Wills, Agent-PA Inheritance Tax 116.57 $37,72.57 Fees and Commissions 12-02-09 Wion, Zulli & Seibert 1/2 Attorney's fee $3,500.00 Reserve to pay remaining ~/2 Attorney's fee 3,500.00 11-0 l -09 Partial Executrix's fee 6,000.00 OS-15-10 Remaining Executrix Fee 4,965.00 $17,65.00 Total Disbursements of Principal $63,798.60 Principal Balance on Hand $140,$38.62 7 DISTRIBUTION IN KIND Ladies Ring $425.00 Ladies Ring 300.00 $725.00 8 O l -12-10 Bazbaza Chervanik 01-12-10 Sally S. Walters OS-13-10 Sally S. Walters ADVANCED DISTRIBUTIONS 9 $25,000.00 75,000.00 5,000.00 $105,000., 0 rT~ RECEIPTS OF INCOME • interest on M&T Bank Checking Account No. 80460208 1.33 06-02-09 Pimco RL Return Dividend 11.61 06-04-09 Loomis Sayls Dividend 137.31 06-22-09 Capital Income Builder Dividend 67.73 06-30-09 Wells Fargo Bank Interest .OS 07-02-09 Pimco RL Return Dividend 50.26 07-07-09 Loomis Sayls Dividend 150.57 I' 07-31-09 Wells Fargo Bank Interest .19 '~ I 08-03-09 Calvert Income Fund Dividend 70.49 ~! I 08-04-09 Pimco RL Return Dividend II 55.19 08-06-09 Loomis Sayls Dividend . 161.97 08-21-09 Pimco RL Return I 54.61 08-31-09 Wells Fargo Bank Interest 1.13 09-30-09 Wells Fargo Bank Interest 2.46 ', 10-30-09 Wells Fargo Bank Interest 2.55 ~~ 11-30-09 Wells Fargo Bank Interest 2.46 12-30-09 Wells Fargo Bank Interest 2.53 I!, 01-29-10 Wells Fargo Bank Interest 86 02-26-20 Wells Fargo Bank Interest .31 03-31-10 Wells Fargo Bank Interest .34 04-30-10 Wells Fargo Bank Interest .33 OS-28-10 Wells Fargo Bank Interest .29 Total Receipts of Income 774.57 10 DISBURSEMENTS OF INCOME 06-01-09 Credit for interest accrued as of date of death on M&T Bank Checking Account No. 80460208 06-01-09 Credit for interest accrued as of date of death on M&T Bank Savings Account No. 15004205996729 $q.51 '.O1 $ .52 11 Sally S. Walters Barbara Chervanik PROPOSED DISTRIBUTIONS Current Value $25,515.75 10.171.92 $35,687.67 Fiduciary Acquisition Value $25,515.75 10,171.92 ', $35,687.67 12 r_ ' Sally S. Walters, Executrix of the ESTATE OF JANE E. SNYDER, deceased, hereby declares under oath (penalties of perjury) that she has fully and faithfully discharged the duties of her 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 known', claims against the estate have been paid in full; that, to her knowledge, there are no claims now outstanding against the estate; and that all taxes presently due from the estate have been paid. s Sally S. W rs, Executrix Subscribed and sworn to before me this .Z~'h day of ~~-~r,~.2~„ .2010. NoTarv Public My Commission Expires: CaWMCbfM1~A~~t dF P~MSY(.VANtA NOTARIAL. ~-~ Pubs D ~~ osfvt~~~ & Dau~phf~ ~~ty G~trdsslon Expires Qc~~ 25, 2013 ~Y 13 r IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY COMMONWEALTH OF PENNSYLVANIA ORPHANS' COURT DIVISION IN THE ESTATE OF JANE E. SNYDER : N0.2109-0546 Deceased RECEIPT AND RELEASE AGREEMENT WHEREAS, Jane E. Snyder died testate on June 1, 2009; and WHEREAS, Sally S. Walters was appointed as Executrix of the Estate of Jane 1~,. Snyder and Letters Testamentary were granted to Sally S. Walters on June 12, 2009 by the Register lof Wills of Cumberland County, Pennsylvania; and WHEREAS, Sally S. Walters had the opportunity to examine the accounting of~the Executrix and hereby waives any right to demand the filing of a formal court accounting by Sally S. Walters and approves the acts and transactions of the Executrix in the administration of the Estate; and WHEREAS, it is the desire of the parties hereto that distribution of the balance f principal and income be made without the formality of the filing of an accounting in the above-referenced Court, or any other court having jurisdiction; and ', WHEREAS, Sally S. Walters is willing to make such distribution upon receipt. df the Release and indemnification provided for in this Agreement. NOW THEREFORE, KNOW ALL MEN BY THESE PRESENTS that the undersigned does hereby request Sally S. Walters to make final distribution of the balance of the E~t~te without the filing of an accounting for audit and approval by the court having jurisdiction. The ~.indersigned, inconsideration of the payment and delivery to her/him of the following: To SALLY S. WALTERS, the following amount: Cash in the total amount of $25,515.75. the receipt of which is hereby acknowledged, for herself/himself, her/his heirs, personal~i representatives, successors and assigns does remise, release, quit-claim and forever disc~arge Sally S. Walters, individually, and as Executrix aforesaid; her successors and assigns, of and from all actions, suits, payments, accounts, claims and demands whatsoever or by reason thereof, and from any suit, payment, claim or liability arising from the administration of the Estate, and hereby agrees that any court having jurisdiction may by its decree discharge Sally S. Walters as Executrix. The undersigned further agrees to indemnify and hold harmless Sally S. Waltersy as Executrix, from and against any and all claims, loss, liability or damage which she may',suffer or to which he/she maybe subjected by reason of the settlement of the account and the distribution of assets of the said Estate without approval of the court having jurisdiction. In consideration of the distribution to the undersigned of the property described above, the undersigned agrees Ito pay Sally S. Walters, as Executrix, any amount up to the value of the property which the undersigned received from the Executrix as his/her bequest that maybe necessary in the future to discharge any liabilities of the Estate. The undersigned further declares that it is his/her intention to be legally bound l~'y the execution of this Agreement and to bind his/her heirs, personal representatives, successors and assigns. IN WITNESS WHEREOF, the undersigned has hereunto set his/her hand and seal this o~,~'~ day of Lam. , 2010. WITNESS: Sally S. Waite Commonwealth of Pennsylvania SS County of Dauphin On this o~i1 ~ day of ~- , 2010, before me, a Notary P lic, personally appeared SALLY S. W TERS, known to me (or satisfactorily proven) toe the person whose name is subscribed to the within Receipt and Release Agreement and acknowledged that he/she executed the same for the purposes therein contained. ', IN WITNESS WHEREOF, I hereunto set my hand and seal. cY-rz'~~ Notary blic ', My Commission Expires: NOTARiA SL SL E lL KAY !. D4YULE f, ~lat~ry Oily of Harrisburg, ~~uohi. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY COMMONWEALTH OF PENNSYLVANIA ORPHANS' COURT DIVISION IN THE ESTATE OF JANE E. SNYDER Deceased N0.2109-0546 RECEIPT AND RELEASE AGREEMENT ', WHEREAS, Jane E. Snyder died testate on June 1, 2009; and I', WHEREAS, Sally S. Walters was appointed as Executrix of the Estate of Jane .Snyder and Letters Testamentary were granted to Sally S. Walters on June 12, 2009 by the Registe~of Wills of Cumberland County, Pennsylvania; and WHEREAS, Barbara Chervanik had the opportunity to examine the account' g of the Executrix and hereby waives any right to demand the filing of a formal court accountin by Sally S. Walters and approves the acts and transactions of the Executrix in the administration o the Estate; and ~~ WHEREAS, it is the desire of the parties hereto that distribution of the balance ~f principal and income be made without the formality of the filing of an accounting in the above-referenced Court, or any other court having jurisdiction; and WHEREAS, Sally S. Walters is willing to make such distribution upon receipt ~f the Release and indemnification provided for in this Agreement. NOW THEREFORE, KNOW ALL MEN BY THESE PRESENTS that the and signed does hereby request Sally S. Walters to make final distribution of the balance of the Est to without the filing of an accounting for audit and approval by the court having jurisdiction. The dersigne~ inconsideration of the payment and delivery to her/him of the following: To BARBARA CHERVANIK, the following amount: Cash in the total amount of $10,171.92. the receipt of which is hereby acknowledged, for herself/himself, her/his heirs, personal representatives, successors and assigns does remise, release, quit-claim and forever discharge Sally S. Walters, individually, and as Executrix aforesaid; her successors and assigns, of and fxokn all actions, suits, payments, accounts, claims and demands whatsoever or by reason thereof, and froim any suit, payment, claim or liability arising from the administration of the Estate, and hereby agrees that any court having jurisdiction may by its decree discharge Sally S. Walters as Executrix. f~ The undersigned further agrees to indemnify and hold harmless Sally S. Walters, as Executrix, from and against any and all claims, loss, liability or damage which she may jsuffer or to which he/she maybe subjected by reason of the settlement of the account and the dstrit~ution of assets of the said Estate without approval of the court having jurisdiction. In considers#on of the distribution to the undersigned of the property described above, the undersigned agrees ~o pay Sally S. Walters, as Executrix, any amount up to the value of the property which the undersized received from the Executrix ashis/her bequest that may be necessary in the future to discharge ar}y liabilities of the Estate. The undersigned further declares that it is his/her intention to be legally bound b the execution of this Agreement and to bind his/her heirs, personal representatives, successors and assigns. WITNES WHEREOF, the undersigned has hereunto set his/her hand and seal this ~~day o 2010. WITNESS: '' ' ` Barbara Chervanik JESSICA IA. ANUSW~'~N cow NOTM~v~u-~~ Nrr ca~wx~iss ~ ~~+~s~~ J f"' Commonwealth of Virginia SS County of . On this day of , 2010, before me, a Notary Public, personally appeazed BARBARA CHERVANIK, known to me (or satisfactorily proven to be the person whose name is subscribed to the within Receipt and Release Agreement and ackpnowledged that he/she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and seal. Notary Public My Commission Expires: