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HomeMy WebLinkAbout10-20-10DECEDENT'S ESTATE No. 21-09-0589 n o ~ ~ ~ ~, - _; , ~, n~ n o ~ 7 c-7 ~-~, ;, r- -~ ~ ~ ~~ PETITION FOR ADJUDICATION I `~t7p c STATEMENT OF PROPOSED DISTRIBUTION / ~? ~'`' ~ PURSUANT TO Pa. O.C. RULE 6.9 ~ ~ - ,T .. ~ C1C e !. #~ (,~{~R~Pt!!,l'I'~'.. ,d ~'.~ ~. ESTATE OF Jannette A. Utech ,DECEASED aka Jannette A. Dingle aka Jannette Allison Dingle Utech This form maybe used in all cases involving the Audit of the Account of a Decedent's Estate. If space is insufficient, riders maybe attached. Attach the spouse's election, if any; the papers required under items 8-19 inclusive; and any instrument pertinent to the adjudication. INCLUDE Name of Counsel: Supreme Court I.D. No.: Name of Law Firm: Address: Telephone: Fax: E-mail: COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION AT THE BACK OF THIS FORM. Stonesifer and Kelley, P.C. 209 Broadway Hanover, PA 17331 717-632-0163 717-632-8883 r-orm OC-01 ~sv. +arazoos copyriy,c (e> zoos ram sonwrs a,y me ~aew,er Gra,v. one. Page 1 of 10 t~1 u PETITION FOI~t ADJUDICATION Estate of Jannette A. Utech ,Deceased 1. Name(s) and address(es) of Petitioner(s): Neee Rachel Hollenbaugh Ethan A. Dingle ^~~ 30 Lebo Road 340 Yingling Road Carlisle, PA 17015 Littlestown, PA 17340 Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution and Account 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 06115/2009 ® Letters Testamentary or ^ Letters of Administration were granted to Petitioner(s) on 06/2412009 Date of Will (if applicable) 08/13/2008 Date(s) of Codicil(s) (if applicable): Date of probate (if different from date Letters granted): 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: 07/12/2009 07/17/2009 07/19/2009 0712412009 07/2612009 07/31/2008 Form OC-01 Rev yay~-2ooe coPy~gn~ ~c~ 2oos r~ some «,iy Tne Lackner Grouv, i~~ Page 2 of 10 ,• , PET~~'~t)N FCIR A~?JtJDICA~`1C7Y~ Estate of Jannetts A. Utech ,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 ($@@ Section 2201 gt ~. 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 (~f none, so state): 6. Did the decedent marry after execution of Will or Codicil(s)? .............................................. ^ Yes ® No Were any children born to decedent after execution of WIII Of COdICII(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 w.m OC-01 Rsv. +a+szoos coPy+gnc (c) zoos form adtware oMy The Lackner crow. one. Page 3 of 10 ~El"~T~t)iV ~C)F~ e~~Jl1Di~.A°flQ1~ Estate of Jannette A. Utech 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) hasJhave notice or knowledge, having or claiming any interest in the estate as beneficiaries under the Wil- 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): Ethan A. Dingle 340 Yingling Road Littlestown, PA 17340 Rachel Hollenbaugh 30 Lebo Road Carlisle, PA 17015 Son Daughter 112 of residue 1/2 of residue wim OC-01 ~. ra~32008 copyripM (o) zoos roan eanwwe omy me ~atlmx ~, k~c. Page 4 of 10 PET~T~tJ~! FC1R /~®JU~J9CA~"iC3t~ Estate of Jannette A. Utech ,Deceased 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. None C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for this Audit (,ggg PA. O.C. Rule 12.4). not applicable 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. not appNcable wmr OC-01 Rev. +o•+s2008 co~,;aM (o) zoos farm toNwara Dory The Leaknar crow. hie Page 5 of 10 PETI1"3C?t~l FC7R A(~JU~31C~1TIQfV Estate of Jannette A. Utech ,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. NlmB Md Aald~esa dEacA Cb7maM Amount d gelm A0? Be~i None ^ Yss ^No ^ Yes ^No Above Attachment Total If the estate is insolvent, attach a schedule setting forth the order of preference under 20 Pa.C.S. § 3392 and the proposed payments. 11. Was family exemption claimed? ......................................................................................... Was famity exemption allowed? ......................................................................................... Family exemption claimant's name and relationship: Name: Relationship: ^ Yes ® No ^ Yea ® No r-orm OC-07 Rev. ~o-iazooe copyright (ci zoos Corm sortware any rns Lackner Group, uic Page 6 Of 10 ~F~IT'i®N C~~ ApJI~DICATiQR~ Estate of Jannette A. Utech ,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 09/10/2009 16,000.00 OZI03/2010 1,406.41 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 decedents estate will be discharged for the decedents 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: None B. Has notice of the question requiring adjudication been given 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. Favor OC-0i l~v. ~a~~-xoe coayrgm tee zoos tam aaewars aNy me uamsr cram, x+o. Page 7 of 7 0 RETITI®N F{~R ADJtJDICATIC3N Estate of Jannette A. Utech ,Deceased 16. Had the decedent been adjudicated an incapacitated person? ........................................... ^ Yes ® No If yes, attach a copy of the Order if available; othervvise state 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. Date ~,;pyp„ MauM None 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. a~wunr: 2,500.00 p"'P°" final income tax preparation fees 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? ................................................................................................. ^ Yes ® 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? ......................................................................................................... ^ Yes ® No r-arm OC-01 rtw. ~o-Kazoos CopyripM (e) zoos form eomars ony The Lacknsr Droop, ine. Page 8 of 10 Estate of Jannette A. Utech ,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. lncome: aowssd (}sfrroWee(sl Am°uM Proportion Ethan A. Dingle 50% Rachel Hoilenbaugh 50% B. Principal: Propaged OW°DUfs°/°! Am°un! Prop°r°On Ethan A. Dingle 50°~ Rachel Hallenbaugh 50% Submitted By: (AI! petitioners must sign. Add additions! lines if necessary): of Petitioner. Rachel of Petitioner. ~lEhan A. Dingle Name of Petitioner. wrm OC-01 Rev. ~ar~-zoos copyrgm t°~ zoos rom„onwu° ony n,. ~arxner crop, +nc Page 9 of 10 f~L. { ~ ~ 1.~j l,,j ~".bt-,4 !ll»/..S +,.I i.J~~. ~1. ~ i~..!('~,i Estate of Jannette A. Utech ,Deceased Verification of Petitioner (Verification must be by at least one petitioner.} The undersigned hereby verifies • [that ndsne is ~,, of the above-named n~r~eor~mwar~wr and) that the facts set forth in the foregoing Petition for Adjudication / Statement of Proposed Distrfbution 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 unswom falsification to authorities). ..he1 e~tl ~, a Si ature of Petitioner Rachel ollenbaugh ' nature of Petitioner Ethan A. Dingle Signature of Petitioner * Corporate peUtloners must complete bracketed Infomratlon. Certification of Counsel The undersigned counsel hereby certifies that the foregoing Petition for AdjudicatloN Statement of Proposed Distrfbution is a true and accurate reproduction a form Petition authorized by the Supreme Court, and that no changes to~he form h e been made beyond the responses herein. ~~ Signat r of Counsel for Petitioner Scott .Kelley, Esquire corm OC-OT Rev. rarJ-2006 Copyripm (e) zoos rwm sdM~are or,iy'rt,s Leclmx Group, Ine. Page 10 or 10 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Erica Peterson, Classified 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): Tiny 12, 2009, Tuly 19, 2009, and Tuly 26, 2009 COPY OF NOTICE OF PUBLICATION 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 chazacter of publ{cation are true. Sworn to and subscribed before me this a~~ ~~ ~~~~ ~~~~ Notary Public My commission expires: MMONWEALTM OF PENNSY4V. NOTARIAL SEAL BAMBI ANN HECKENDORN-, Notary PubM~ Camp Hill Boro., Cumberland M Commissbn Expires Jams 27, 10 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, viz: July 17, July 24, and July 31, 2009 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. r- Lisa Marie Coy ,Editor SWORN TO AND SUBSCRIBED before me this 31 day of July. 2009 B'bah,.iadath A. a/h/a.lwatb A. ~a a/h/a .Taa~atb A~i- see >~a Utaeh, decd. Late of Penn Township. Personal Representatives: Rachel Hollenbaugh, 30 Lebo Road, Car- lisle, PA 17015 and Ethan A. Dingle, 340 Yingling Road, Littles- town, PA 17340. Attorneys: Scott L. Kelley, Ea- Quire, 9caoeaifer and 1Gelky, P.C., 409 Broadway, Hanover, PA 17331. Notary NOTARIAL SEAL DEBORAH A COLLINS Notary Public CARLISLE BORO, CUMBERLAND COUNTY My Commission Expires Apr 28, 2010 STONESIFER AND KELLEY Scott L. Kelley A Professional Corporation Joseph E. Erb, Jr. ATTORNEYS AT LAW Jennifer McKenrick Stetter 209 Broadway, Hanover, Pennsylvania 17331 Telephone (717) 632-0163 Facsimile (717) 632-8893 Email: sklawyer®stonesiferandkelley.com Website: www.stonesifetandkelleycom (Rev. 10/04) In the Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division In re: ESTATE OF JANNETTE A. UTECH AKA JANNETTE A. DINGLE AKA JANNETTE ALLISON DINGLE UTECH, late of Penn Township No. 21-09-0589 Cumberland County, Pennsylvania Notice of Filing of Account and Call for Audit Harry C. Stonesifer 1922 - 1994 (This notice must be given to every unpaid claimant and to every other person known to have or claim an interest in the estate as creditor, beneficiary, heir, or next of kin.J To: Rachel Hollenbaugh 30 Lebo Road Carlisle, Pennsylvania 17015 ~~~op~~ Please take notice that the First and Final Account of Rachel Hollenbaugh and Ethan A. Dingle, Co-Executors, will be filed with the Clerk of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, on or before October 22, 2010, and will be scheduled to be called for audit before the Court at 9:30 A.M. on Tuesday, November 23, 2010, in the Cumberland County Court House, 1 Courthouse Square, Carlisle, Pennsylvania 17013. Enclosed please find copies of the First and Final Account and Petition for Adjudication as filed with the Court. Any person who objects to transactions shown in the account must either file written objections with the Clerk on any date prior to the session of the Court when the account is listed for audit or appear in person or by counsel to present objections at the audit session of the Court or the Court may otherwise assume that no objections exist or that any objections have been waived. STONESIFER AND KELLEY ATTORNEYS AT LAW There are no questions of interpretation or distribution that will be presented to the Court for determination except as stated below. None There are no unresolved claims except as stated below. None Date: 10/21 /2010 =,~~Op~ Signature of Attorney for Accountant(s) Typed Name: Scott L. Kelley, Esquire Supreme Court I.D. No.: 29966 Office Address: 209 Broadway Hanover, Pennsylvania 17331 717-632-0163 STONESIFER AND KELLEY Scott L. Kelley A Professional Corporation Joseph E. Erb, Jr. ATTORNEYS AT LAW Jennifer McKenrick Stetter 209 Broadway, Hanover, Pennsylvania 17331 Telephone (717) 632-0163 Facsimlle (717) 632-8893 Email: sklawyer®stonesiferandkelley.com (Rev. 10/04) Website: www stonesiferandkelleycom In the Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division In re: ESTATE OF JANNETTE A. UTECH AKA JANNETTE A. DINGLE AKA JANNETTE ALLISON DINGLE UTECH, late of Penn Township No. 21-09-0589 Cumberland County, Pennsylvania Notice of Filing of Account and Call for Audit Harry C. Stonesifer 1922 - 1994 (this notice must be given to every unpaid claimant and to every other person known to have or claim an interest in the estate es creditor, beneficiary, heir, or next of kin.J To: Ethan A. Dingle ~~`_~ ~O ~ ~"( 340 Yingling Road u Littlestown, Pennsylvania 17340 Please take notice that the First and Final Account of Rachel Hollenbaugh and Ethan A. Dingle, Co-Executors, will be filed with the Clerk of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, on or before October 22, 2010, and will be scheduled to be called for audit before the Court at 9:30 A.M. on Tuesday, November 23, 2010, in the Cumberland County Court House, 1 Courthouse Square, Carlisle, Pennsylvania 17013. Enclosed please find copies of the First and Final Account and Petition for Adjudication as filed with the Court. Any person who objects to transactions shown in the account must either file written objections with the Clerk on any date prior to the session of the Court when the account is listed for audit or appear in person or by counsel to present objections at the audit session of the Court or the Court may otherwise assume that no objections exist or that any objections have been waived. STONESIFER AND KELLEY ATTORNEYS AT LAW There are no questions of interpretation or distribution that will be presented to the Court for determination except as stated below. None There are no unresolved claims except as stated below. None Date: 10/21 /2010 s_~~~0~~ Signature of Attorney for Accountant(s) Typed Name: Scott L. Kelley, Esquire Supreme Court I.D. No.: 29966 Office Address: 209 Broadway Hanover, Pennsylvania 17331 717-632-0163 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS DMSION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG. PA 17105-8486 July 28, 2009 STONESIFER AND KELLEY PC SCOTT L KELLEY ESQUIRE 209 BROADWAY HANOVER PA 17331 Re: JANNETTE A UTECH SSN: 181-32-4618 Dear Attorney Kelley: Pursuant to your letter dated June 02, 2009, the Department of Public Welfare (DPW), Estate Recovery Program, has reviewed the information you provided regarding the above-referenced individual. It has been determined that this individual did not receive any type of assistance during the questioned period. Therefore, according to the information you provided, the Department's Estate Recovery Program will not seek any recovery from this estate. If your client applied for Medical Assistance and had an application and/or hearing pending at the time of death, please advise us and provide any additional information that may affect a recovery by our Department. If you have any questions, please feel free to contact me. Sincerely, ~~ Carole A. Procope Recovery Section Manager (717)772-6604 COMMONWEALTH OF PENNSYLVANIA OEPl1RTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG. PA 17128-0801 RECEIVED FROM: HOLLENBAUGH RACHEL 30 LEBO ROAD CARLISLE, PA 17015 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX~11-96) N0. CD 011725 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssN: ~a~-32-as~a FILE NUMBER: 2109-0589 DECEDENT NAME: UTECH JANNETTE A DATE OF PAYMENT: 09/10/2009 POSTMARK DATE: 09/10/2009 COUNTY: CUMBERLAND DATE OF DEATH: 06/ 1 5/2009 REMARKS: CHECK#123 SEAL 101 ~ S 16, 000.00 TOTAL AMOUNT PAID: INITIALS: DM RECEIVED BY: S 16,000.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER COMMONWEALTH OF PENNSYLVANIA REV-7 762 EXIT t-961 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2BO60t HARRISBURG, PA 7 71 2 6-060 7 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX HOLLENBAUGH RACHEL 30 LEBO ROAD CARLISLE, PA 17015 OFFICIAL RECEIPT N0. CD 012327 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- lold ESTATE INFORMATION: SSN: t8t-32-4618 FILE NUMBER: 2109-0589 DECEDENT NAME: UTECH JANNETTE A DATE OF PAYMENT: 02/04/2010 POSTMARK DATE: 02/03/2010 CouNTY: CUMBERLAND DATE OF DEATH: 06/15/2009 REMARKS: SEAL CHECK#146 101 ~ 51,406.41 TOTAL AMOUNT PAID: INITIALS: DM RECEIVED BY: 51,406.41 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER NOTICE OF INHERITANCE TAX pennsylvania~ BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP clz-B9) PO BOX 280601 HARRISBURG PA 17128-0601 SCOTT L KELLEY ESQ 209 BROADWAY HANOVER PA 17331 DATE 05-31-2010 ESTATE OF UTECH JANNETTE A DATE OF DEATH 06-15-2009 FILE NUMBER 21 D9-0589 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 07-30-2010 (See reverse side under Objections ) Awount Re~ittad MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR --------------------- YOUR ----- RECORDS F` --------------- ----------------- ------------------------------ REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPR AISEM ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX ESTATE OF: UTECH JANNETTE AFILE N0.:21 09-0589 ACM: 101 DATE: 05-31-2010 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 165,000.00 NOTE: To ensure proper 2 Stocks and Bonds CSchedul• B) (2) 60.00 credit to your account, . 00 submit the upper portion 3. Closely Held Stock/Partnership Interest CSchedul• C) (3] . of this form with your 4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 289,751.13 6. Jointly Owned Property (Schedule F) (6) 17,985.68 7. Transfers (Schedule G) (7) 7,279.56 8 Total Assets (8) 480.076.37 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adw. Costs/Misc. Expenses (Schedule H) (g) 25.130.33 lo. Debts/MOrtgag• Liabilities/Liens (schedule I) (10) 49.423.47 11. 12. Total Deductions Nat Value of Tax Return (11) (12) 74,553.80 405,522.57 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13> .OD 14. Nat Value of Estate Subiect to Taz C14) 405,522.57 NOTE: If an assess ant was issued previously, linos 14. 15 and/or 16, 17. 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT DF TAX: 15. Amount of Line 14 at Spousal rate (15) .00 X 00 .00 16. Awount of Lin• 14 taxable at Lineal/Class A rata C16) 4n~.G99.~+7 X 045 18,248.52 17. Awount of Lina 14 at Sibling rate (17) .OD X 12 = .00 18. Awount of Lina 14 taxable at Collateral/Class B rate (18) .DO 7( 15 .00 19. Principal Tax Due (19)= 18,248.52 TAY CQFnIi TS e PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 09-10-2009 (0011725 842.11 16,000.00 02-03-2010 (0012327 .00 1,406.41 TOTAL TAX PAYMENT 18,248.52 BALANCE OF TAX DUE ,pD INTEREST AND PEN. .DO TOTAL DUE .00 ^ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Scq(uare Carlisle, PA 17Q13 -~_~, UTECH JANNETTE A Estate File No.: 2009-00589 Paid By Remarks: RACHEL HOLLENBAUGH DM ------------------------ Fee Tax Description NVENTORY INH TAX RETU Check# 147 Cash Total Received......... __~1 Receipt Date: 2/04/2010 Receipt Time: 12:58:31 Receipt No.: 1059916 Receipt Distribution ------------------------ Payment Amount Payee Name 15.00 CUMBERLAND COUNTY GENERAL FUN 15.00 CUMBERLAND COUNTY GENERAL FUN ---------------- 15.00 15.00 30.00 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS File Number 21-09-0589 Rachel Hollenbaugh and Ethan A. Dingle Personal Representative(s) of the Estate of Jannette A. Utech deceased, depose(s) and say(s) that the items appearing In the following inventory inGude all of the personal assets wherever skuate and all of the real estate in the Commonweakh of Pennsylvania of saW Decedent, that the valuation placed opposite each item of said inventory represents ks fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the Commornnfeakh of Pennsylvania except that which appears in a memorandum at the end of this inventory. I verify that the statements made in this Inven- toryare true and correct. I understand that false state- - - - ---- - - ---- - - -- - ----- -- - - ----- ments herein are made subject to the penakies of ~ Rachel Hollenbaugh f`/~- 18 Pa.C.S. § 4904 relating to unswom falsification to _ _ __ __--____-___-_1-~ ~.!_~____ __ authorities. than A. Dingle a/~f(ao~d Attorney - (Name) Scott L. Kelley, Esquire (Supreme Court LD. No.) 29966 (Finn) Stonesifer and Kelley, P.C. _ __ ...-.. _ .......... .. . . __ __ _ _ __ ress) 209 Broadway, Hanover, PA 17331 (Tefephonel 717-632-0163 _-_ --- - -_ DATE OF DEATH LAST RESIDENCE 1650 Pine Road DECEDENTS SOC. SEC. NO. 06115/2009 Carlisle, PA 17015 181-32-4618 FIGURES MUST BE TOTALED Personal Prooertv Cash ............................................................................................... Personal Property ......................................................................... Stocks/Listed ................................................................................. Stocks/Closely Held ...................................................................... Bonds ............................................................................................. Partnerships and Sole Proprietorships ..................................... Mortgages and Notes Receivable ............................................... All Other Property ......................................................................... Total Personal Property. Total Real Property Total Personal and Real Property .............. 223,578.13 86,173.00 80.00 289,811.13 165,000.00 454,811.13 NOTE: The Memorandum Of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative lndude the value of each Item, but such figures should not De extended into tits total of the Inventory. (See 20 Pa. C.S. § 3301(b)) Fam RW-09 Rsv. ta-rb2006 INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA couNTY OF Cumberland } SS File Numt~er 21-09-0589 DATE OF DEATH U15T RESIDENCE 1650 Pine Road DECEDENTS SOC. SEC. NO. 06115/2009 Carlisle, PA 17015 181-32-4618 Cash Cash -found at time of death 252.25 M 8 T Bank -interest bearing checking account -account no. 409812. 41,999.10 Principal balance as of date of death of 541,997.28 plus 51.82 accrued Interest M & T Bank -Certificate of Deposit -account no. 31003916443995. Principal 2.147.91 balance as of date of death of 52,100.29 plus 547.62 accrued interest Morgan Stanley Smith Barney -Investment Account -Account No. 54J-04318. Consisting of money market account, stock and mutual funds. Principal balance as of date of death Pennsylvania State Employees Federal Credit Union -Account No. 01813224618 consisting of money market funds/shares Real Estate -real estate tax proration at settlement Total Cash Personal Property Motor Vehicle - 2000 Chrysler Sedan - as sold Motor Vehicle - 2001 Ford Truck- as sold Personal Property items -sold at public auction on 10/9/2009 Personal Property items -two paintings/prints sold 11/2/2009 -net amount Personal Property items -sold at public auction on 10/22/2009 140,666.98 37,785.28 726.60 223.578.13 2.560.00 4.000.00 4.961.50 5.320.00 37.773.50 (Attach additional sheets ff necessary) Total Personal Property and Real Estate 454.811.13 ' INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA } SS couNTYOF Cumberland File Number 21-09-0589 DATE OF DEATH UST RESIDENCE 1650 Pine Road DECEDENTS SOC. SEC. N0. 06/15/2008 Carlisle, PA 17015 181-32~i618 Personal Property items -sold at public auction on 10131/2009 9.177.00 Personal Property Items -sold at public auction on 12/3/2009 2.381.00 Total Personal Property 66,173.00 Stock /Listed 6.0000 shares Cumberland Valley Cooperative Association -preferred stock - 6 shares ~ 510.00 per share Total Stock /Listed Real Estate Real Estate -situate, lying and being in Penn Township, Cumberland County, Pennsylvania, having an address of 1650 Pine Road, Carlisle, Pennsylvania. UPI#31-32-2313-014. As sold on 1115!2010 Total Real Estate 60.00 60.00 165.000.00 165,000.00 -2- ~, In the Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division File No. 21-09-0589 Estate of Jannette A. Utech, Deceased * Late of Township of Penn *aka Jannette A. Dingle aka Jannette Allison Dingle Utech First and Final Account Rachel Hollenbaugh and Ethan A. Dingle, Co-Executors Date of Death: 06115/2009 Date of Incapacity, if any: None Date of Co-Executors' Appointment: 06/2412009 Date of First Complete Advertisement: 07/12/2009 Accounting for the period: 06/1512009 to 10/1212010 Purpose of Account: Rachel Hollenbaugh and Ethan A. Dingle, Co-Executors, offer this Account to acquaint interested parties with the transactions that have occun~ed during the Administration. It is important that the Account be carefully examined. Requests for additional information or questions or objections can be discussed with: Scott L. Kelley, Esquire Stonesifer and Kelley, P.C. 209 Broadway Hanover, PA 17331 717-632-0163 Supreme Court I.D. No. 29966 o ~ ~O o ~~ n ~m :'' cry ~ _ N TCj O ~ ~? ~~ a __' -~ , ~: ~_, -. c.-; c ~~~ '.c~ _r-, .a ~, ~_: ~_ -T' 11 -_ . Yom) .T7 ~'j ~~ ~"Y SUMMARY OF ACCOUNT Estate of Jannette A. Utech, Deceased t e nsriod of hone 1ST?009 through O -ter 12- 2010 Proposed Distributions to Beneficiaries 22 PRINCIPAL Receipts: This Account 3 - 4 Net Gain (or Loss) on Sales 5 - 6 or Other Dispositions Less Disbursements: Debts of Decedent 7 -11 Funeral Expenses 11 Administration Expenses 12 Federal, State & Local Taxes 12 -13 Commissions 13 Fees 13 Family Exemption Balance Before Distributions Transfer to (from) Principal Distributions to Beneficiaries 14 Principal Balance on Hand 15 For Information: Investments Made Changes in Holdings Id~QmE 16 Receipts This Account 17 -18 Net Gain (or Loss) on Sales or Other Dispositions Less Disbursements Balance Before Distributions Transfer to (from) Income Distributions to Beneficiaries 19 Income Balance on Hand 20 For Information: Investments Made Changes in Holdings COMBINED BALANCE ON HAND 21 Signature 23 Verification 24 Fiduciary Current Acquisition Value Value 2,319.72 455,141.13 49,730.25 6,467.36 1,290.29 17,406.41 0.00 17,528.61 0.00 14,580.30 469,721.43 92,422.92 377,296.51 0.00 375,184.11 2,114.40 4,205.33 0.00 4,205.33 0.00 4,205.33 0.00 4,000.00 205.33 2,319.73 SCHEDULE A RECEIPTS OF PRINCIPAL Assets Listed in Inventory (Valued as of Date of Death) sa81] Cash -found at time of death 252.25 M 8 T Bank -Interest bearing checking account - 41,999.10 account no. 409812. Principal balance as of date of death of 541,997.28 plus 61.82 accrued interest M 8 T Bank -Certificate of Deposit -account no. 2,147.91 31003916443995. Principal balance as of date of death of 52,100.29 plus 547.62 accrued interest Morgan Stanley Smith Barney -Investment Account - 140,666.88 Account No. 54.1-04318. Consisting of money market account, stock and mutual funds. Principal balance as of date of death Pennsylvanls State Employees Federal Credit Union - 37,765.29 Account No. 01813224618 consisting of money market funds/shares Real Estate -real estate tax proration at settlement 726.60 Total Cash Personal Proms r~tv Books - as sold 200.00 Motor Vehicle - 2000 Chrysler Sedan - as sold 2,500.00 Motor Vehicle - 2001 Ford Truck- as sold 4,000.00 Personal Property items -two paintings/prints sold 5,320.00 11/2/2009 -net amount Personal Property items -sold at public auction on 4,961.50 10/9/2009 Personal Property items -sold at public auction on 37,773.50 10/22/2009 Pereonal Property items -sold at public auction on 9,177.00 10/31/2009 Personal Property items -sold at public auction on 2,381.00 12/3/2009 Posters - as sold 190.00 Total Personal Property S+oGkc /Listed 6.0000 shares Cumberland Valley Cooperative Association - 60.00 preferred stock - 6 shares ~ 510.00 per share Total Stocks /Listed Fiduciary Acquisition Value 223,578.13 66,503.00 60.00 -3- SCHEDULE A RECEIPTS OF PRINCIPAL Continued Fiduciary Acquisition Value Real F~tate -situate, lying and being in Penn 165,000.00 Township, Cumberland County, Pennsylvania, having an address of 1650 Pine Road, Carlisle, Pennsylvania. UPI#31-32-2313-014. As sold on 1/15/2010 Total Real Estate 155,000.00 Total Receipts of PMncipal 455,141.13 -4- SCHEDULE B GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS -PRINCIPAL Salu L~ 07/01/2009 M 8 T Bank -interest bearing checking account - account no. 409812. Principal balance as of date of death of;41,997.28 plus;1.82 accrued interest Net Proceeds 41,837.49 Fiduciary Acquisition Value aN,999.10 08/21/2009 M & T Bank -Certificate of i>eposit -account no. 31003916443995. Principal balance as of date of death of 52,100.29 plus ;47.62 accrued interest Net Proceeds 2,157.98 Fiduciary Acquisition Value -2,147.91 01/15/2010 Real Estate -situate, lying and being in Penn Township, Cumberland County, Pennsylvania, having an address of 1650 Pine Rosd, Carlisle, Pennsylvania. UPI#31-32-2313-014. AS sold on 1/15/2010 Gross Proceeds 165.000.00 Fiduciary Acquisition Value -185,000.00 02/05/2010 Morgan Stanley Smith Barney -Investment Account - Account No. 54J-04318. Consisting of money market account, stock and mutual funds. Principal balance as of date of death Net Proceeds 155,208.70 Fiduciary Acquisition Value -140.666.98 02/09/2010 Pennsylvania State Employees Federal Credit Union - Account No. 01813224618 consisting of money market funds/shares Net Proceeds 37,975.41 Fiduciary Acquisition Value -37,785.29 TOTAL GAINS AND LOSSES/PRINCIPAL LESS LOSS NET GAIN OR LOSS -161.61 10.07 0.00 14,541.72 190.12 14,741.91 -161.61 14.580.30 -5- SCHEDULE C DISBURSEMENTS OF PRINCIPAL Alarm Service and Maintenance Go. 07/15/2009 electronic security alarm system 2,995.00 2,995.00 Chris Alleman 06/22/2009 lawn mowing 40.00 06/28/2009 lawn mowing 40.00 07/13/2009 lawn mowing 40.00 07/22/2009 trimmed hedge 60.00 08/03/2009 lawn mowing 40.00 08/10/2008 lawn mowing 40.00 08/21/2009 lawn mowing and spraying 60.00 08/31/2009 lawn mowing 40.00 09/11/2009 lawn mowing 40.00 09/22/2009 lawn mowing and hedge trimming 80.00 10/07/2009 lawn mowing 40.00 10/19/2009 lawn mowing 40.00 10/2812009 lawn mowing 80.00 640.00 wide Insura Countr nce Comnanv y 10/28/2009 increase liability 24.00 24.00 Gt!mberland Countv Recorder of Deeds 04/16/2010 record deed for land 63.00 63.00 QE2 01/04/2010 Sewage repair permit 105.00 -7- SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued 105.00 Ebv Granite Works 08/03/2009 grave marker 828.00 828.00 1C1~8[~ 06H0/2009 final telephone bill 15.96 15.96 Hoovers Plumbing a 10/06/2009 nd Heating repair faucets and Isaks at home property 249.23 249.23 Jan Custer, Pastor 07/29/2008 graveside services 100.00 100.00 Jeffrey Cohick 04/08/2010 2009 income tax preparation fee 239.00 239.00 ~~ 07/07/2009 water softener salt 22.25 22.25 Kouah's Oil Comoa 11/07/2009 nv heating oil 105.75 105.75 Kouyh's OII Service 07/13/2009 heating oil 126.60 -8- SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued 126.60 Mabla G Sitt Tax Collector 07M312008 2009 school taxes on both properties 1,608.75 1,809.75 ^•-"hew S Hurlgy A 10/09/2009 ction Go. Inc. fee for sale of personalty items on 10/9/2009 1,240.38 10/22/2008 fee for sale of personalty items on 10/22/2009 13,809.82 10/31/2009 fee for sale of personalty items on 10131/2008 3,754.80 12/03/2009 fee for sale of personalty items on 1213/2009 885.25 18,480.05 Mike Swartz 11/02/2009 landfill 50.00 50.00 nAlnree Santis Saw 12/12/2008 er 8 Portable Toilets clean septic tank 289.00 12/16/2008 dig open drain line with excavator 418.00 12/31/2009 snake drain lines and pump lines, clean tank and 1,036.00 replace line 1,723.00 P.P. & L 07/07/2009 electric bill 40.30 07/31/2008 electric bill 31.88 08/31/2008 electric bill 9.31 09/29/2009 electric bill 9.31 10/30/2009 electric bill 9.31 11/30/2009 electric bill 8.31 01/04/2010 electric bill 8.31 118.73 -9- SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued P.P. 8~ L. 04/20/2010 Pastor Jan Custer 06115/2009 final electric bill funeral service a.7s 150.00 4.78 150.00 Penn Township Fire Comnanv 11/01/2009 fire police Penn Township Fire Company Auxiliary 07/73/2009 funeral luncheon 10/31/2009 estate expense 150.00 150.00 81.75 150.00 231.75 Rachel Hollenbauah 10H 8/2009 Real Estate 01115/2010 01/15!2010 01/75/2070 01/15/2010 reimbursements for u-haul to move items to auction and classified ad to sell truck realtor commissions paid at settlement closing costs paid for Buyer at settlement as seller assistance realty transfer tax paid at settlement county/townshlp taxes paid at settlement from 1/1/10 to 1115110 182.99 9,900.00 6,000.00 1,650.00 11.26 182.99 17,561.26 Reservation 07/06/2010 for final income tax preparation fees -10- 2,500.00 SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued 2,500.00 Roygre Flowers 07/0712009 flowers for funeral Stste Emolovees Retirement System 07N6/2009 overpayment reimbursement Total Debts of Decedent Evergreen Cemetery 07!2912009 burial expenses Pwina Brothers Funeral Home 07N3/2009 funeral expenses ~g~ng Hill Cemetery 07128/2009 burls/ expenses Total Funeral Exoenses 157.11 157.11 287.04 287.04 49.730.25 550.00 550.00 5.667.36 5.667.36 250.00 250.00 6.467.36 -71- SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued Clerk of Orphans' Court 07/06/2010 filing fee for accounting 400.00 400.00 Register of Wilis Office 01/25/2010 filing fee for inheritance tax return and inventory 30.00 02/23/2010 additional probate fees 50.00 80.00 3tonesifer and Kellev. P 07/13/2009 .C. costs advanced for probate fees, one advertising, 410.00 certified mail, and short certificates 02/03/2010 costs advanced 95.93 505.83 The Sentinel 08/05/2008 estate advertising notice 304.36 304.36 Total Miscellaneous Administrative Expenses 1,290.29 R~yistar of Wflls. Anent 09/10/2009 Federal. State. and Local Taxes payment on account of inheritance tax 16.000.00 02/03/2010 inheritance tax 1,406.41 17,406.41 Total Taxes 17.406.41 -12- , SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued Ethan A. Dlnale 01125/2010 Co-Executor -fee waived (58,764.31) 0.00 Rachel Hollenbauah 01/25/2010 Co-Executrix -fee waived (58,764.31) Total Commissions Fees 0.00 0.00 0.00 0.00 Qtonesifer and Kelley. P.C. 01/25/2010 attorney fees 17,528.81 Total Fees TOTAL DISBURSEMENTS OF PRINCIPAL 17,528.81 17,528.61 92,422.82 -13- SCHEDULE D DISTRIBUTIONS OF PRINCIPAL Ethan A. Dlnale 02/03/2010 Ethan A. Dingle -partial distribution 85,000.00 03/12/2010 Ethan A. Dingle -partial distribution 96,592.05 08/17/2010 Ethan A. Dingle -partial distribution 6,000.00 187,592.05 Rachel Hollenbaugh 02!03/2010 Rachel Hollenbaugh -partial distribution 85,000.00 03/12/2010 Rachel Hollenbaugh -partial distribution 96,592.06 08/17/2010 Rachel Hollenbaugh -partial distribution 6,000.00 187,592.05 TOTAL DISTRIBUTIONS TO BENEFICIARIES 375,184.11 -14- PRINCIPAL BALANCE ON HAND # Units Description Cash ACNB Estate checking account Total Cash Current Value Fiduciary 10/1212010 Acqulsltlon or as Noted Value 2,114.40 2,114.40 2,114.40 2,114.40 2,114.40__ 2,114.40 -15- SCHEDULE G RECEIPTS OF INCOME ~ountrvwav Insuran 04/06/2010 ce premium refund 04/08/2010 premium refund DentaWision 07/07/2009 refund Erie Insurance Grou o 08/15/2009 premium insurance reduction Federal Income Tax 05/23/2010 refund for 2009 Medication 07/24/2009 rebate ~!i 08/15/2009 08/07/2009 State Income Tax 05/03/2010 refund for 2009 96.00 462.00 558.00 792.86 792.86 97.00 97.00 1,376.00 1,376.00 20.00 20.00 150.00 95.47 245.47 508.00 508.00 -16- SCHEDULE G RECEIPTS OF INCOME Continued 09/23!2009 10/05/2009 refund (Van) refund 21s.oo 392.00 608.00 TOTAL RECEIPTS OF INCOME 4,205.33 4.205.33 -17- INCOME BALANCE ON HAND Current Value Fiduciary 10I12I2010 Acquisition # Units Description or as Noted Value Cash ACNE Estate checking account 4,205.33 4,205.33 Total Cash 4,205.33 4,205.33 4,205.33 4,205.33 -18- SCHEDULE J DISTRIBUTIONS -INCOME Fthsn _ Dinale 08/17/2010 Ethan A. Dingle -partial distribution 2.000.00 08/17/2010 Rachel Hollenbaugh -partial distribution 2,000.00 2.000.00 2,000.00 TOTAL DISTRIBUTIONS TO BENEFICIARIES 4,000.00 -19- INCOME BALANCE ON HAND # Units Description lras6 ACNE Estate checking account Total Cash Current Value Fiduciary 10/1212010 Acquisition or as Noted Value 205.33 205.33 205.33 205.33 205.33 205.33 -20- COMBINED BALANCE ON HAND # Units Description l~as6 ACNB Estate checking account Current Value 10/12/2010 or as Noted 2,319.73 Fiduciary Acquisition Value 2.319.73 Total Cash 2.319.73 2.319.73 2.319.73 2,319.73 -21 - PROPOSED DISTRIBUTIONS TO BENEFICIARIES Current Value Fiduciary 10/1212010 Acquisition or as noted Value TO: Ethan A. Dingle Ethan A. Dingle -final distribution 1,139.86 TO: Rachel Hollenbauah Rachel Hollenbaugh -final distribution 1,139.86 Total 2,318.72 -22- AFFIDAVIT I, Scott L. Kelley, Esquire, .attorney for the ESTATE OF Jannette A. Utech, aka Jannette A. Dingle aka Jannette Allison Dingle Utech, late of Penn Township, Cumberland County, Pennsylvania, have notified all interested parties by First Class Mail that the First and Final Account of Rachel Hollenbaugh and Ethan A. Dingle, Co-Executors was filed in the Cumberland County Court House on or before the 22nd day of October, 2010. The adjudication hearing is scheduled for November 23,.20.10. The legatees are as follows: 1. Rachel Hollenbaugh 30 Lebo Road Carlisle, Pennsylvania 17015 2. Ethan A. Dingle 340 Yingling Road Littlestown, Pennsylvania 17340 Swom and Subscribed to before me this day of (.~~ - 2010. ,~ Notary Public `- Attorney~f~r the Estate of Jannett A. Utech, aka Jannette A. Dingle, aka Jannette Allison Dingle Utech ~.F... _......_. ;...... p,!~;r,RIkL SEAL S1ACiE A COPPERSMITH Notsry Public I Nara^VER BOROUGH, YORK COUNTY ~ ^.Av Commission Expires Oct 10, 2012 STONESIFER AND KELLEY A Rnfeuiana! Carparuion ATTORNEYS AT LAW 209 Broadway Hanovcr. Pennsylvania 17331 717-G32-OlG3 In the Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division File No. 21-09-0589 Estate of Jannette A. Utech, Deceased Signatures R chel Hollenbaugh, Co-Ex for AND Et an A. Dingle, Co-Ex utor -23- In the Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division File No. 21-09-0589 Estate of Jannette A. Utech, Deceased Verification Rachel Hollenbaugh and Ethan A. Dingle, Co-Executors under the Last Will and Testament of Jannette A. Utech, Deceased, hereby declare under oath that they have fulty and faithfully discharged the duties of their 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 foregoing Account. This statement is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unswom faisiflcation to authorities. Dated: 10 ~ 1 ~ ` ~ 0 -24- ~kj, Scott L. Kelley Joseph E. Erb, Jr. Jennifer McKenrick Stetter STONESIFER .AND KELLEY A Professional Corporation ATTORNEYS AT LAW 209 Broadway, Hanover, Pennsylvania 17331 Telephone (717) 632-0163 Facsimile (717) 632-8893 Email: sklawyer®stonesiferandkelley.com Website: wwwstonesiferandlcelley.com October 18, 2010 Register of Wills and Clerk of Orphans' Court Cumberland County Court House 1 Courthouse Square Carlisle, Pennsylvania 17013-3387 Harry C. Stonesifer 1922 - 1994 ~ _6 ~ ~ n ° - ~ ', ~ r_ ~ , ~~ri~ ~ ~ ,, ~ -,- o - G J _ ` c 7 7 ~ `. a a ~ v--i -. - ~`=- N ~ ~~ c..> ~ ~, Re: Estate of Jannette A. Utech aka Jannette A. Dingle aka Jannette Allison Dingle Utech No. 21-09-0589 Dear Sir or Madam: Enclosed please find an original and two copies of the First and Final Account and Petition for Adjudication to be filed in the above estate. Please file the same before Friday, October 22, for the November 23`~ hearing date. Enclosed is a check in the amount of $330.00 to cover the filing and advertising fees for the same. The gross assets of the estate are: Principal Assets $ 455,141.13 Net Gain 14,580.30 Income Received 4,205.33 $ 473,926.76 Distribution made to date: 379,184.11 Balance to be distributed: 2,319.73 Please return one time-stamped copy of the Account and Petition to our office in the envelope provided. If you have any questions, please call our office before returning the documents to us. Your cooperation will be appreciated. Very truly yours, STONESIFER AND KELLEY, P.C. SLK/sc Enclosures Scott L. Kelley, Esquire