HomeMy WebLinkAbout03-25-11 (2)IN THE COURT OF COMMON PLEAS OF CUMBE=RLAND COUNTY. PA.
ORPHANS' COURT DIVISION
FILE NO: 21-09-0774
FIRST AND FINAL ACCOUNT OF
Grace E. Schneider and Kenneth E. Smith, Executors
For
ESTATE OF HOWARD E. SMITH
Social Security #: 183-12-3001
Tax I D # 35-6818949
Date of Death: August 7, 2009
Date of incapacity, if any: None
Date of Executor Appointment: August 19, 2009
Date of First Complete Advertisement: September 4, 2009
Accounting for the period: August 7, 2009
March 24, 2011
I
Purpose of Account: Grace E. Schneider and Kenneth E. Smith. Executors, offer this Account to
I acquainl interested parties with the transactions that have occurred during their Adminis,tr~ation.
It is important that the Account be carefully examined. Request, for additional
informafion, questions or objections can be discussed with:
Richard C. Snelb<~ker
Snelbaker & Brenneman, P.C.
44 West Main Street
~ Mechanicsburg, F'A 17055
~~ Phone #: 717-69'7-8528
~~~~
Supreme Court I.D. No: 06355
SUMMARY OF ACCOUNT
PRINCIPAL PAGE
Receipts 3 ~ _ $16,376.10
$16,376.10
Less Disbursements/Claims paid or to be paid upon confirmation of account:
~~ Class (1) Claims: 3 $4,086.88
'; Class (2) Claims 3 $0.00
Class (3) Claims 3 & 4 $12,175.28
Class (4) Claims 4 $135.00
Class (5) Claims 4 $0.00
~ Class (6) Claims 4
~ Class (7) Claims 4 $0.00 _ :16,397.16
~~
Balance before Distributions -:21.06
~~ Distributions to Beneficiaries 4 ~ ____ $0.00
Principal Balance on Hand
i -:21.06
~~ For Information:
Investments Made 4
%'~ Changes in Holdings 4
~! INCOME
~
II Receipts 5 :621,06
Less Disbursements 5 _ ____ $0.00
Balance before Distributions $21.06
Distributions to Beneficiaries 5 ~___ $0.00
I!, Income Balance on Hand 821.06
?' COMBINED BALANCE ON HAND - -----
$0.00
- --~~
Listing of Unpaid Creditors 6
Listing of Persons Interested in Distribution 6
~ ! Estate
i.
Affidav~~t Page
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7
LAW OFFICES
SNELSAKER SC
BRENNEMAN, F.C. {
Page 2
- -~
PRINCIPAL RECEIPTS
Assets t_isted on Inventory per copy attached:
(Valued as of Date of Death)
ADJUSTMENTS TO INVENTORY
8/30/2010 Expected refund on 2008 Individual Income Tax return will not be
received per notice from IRS on 8/30/10, due to calculation error
on return
SUBSEc~UENT RECEIPTS
9/2/2009 MetLife, pension payment received for September 2.009
9/21/2009 Manor Care, correction on personal account held at home
12/8/2010 Tri-County Rural Electric, capital credit refund
TOTAL PRINCIPAL RECEIPTS
DISBURSEMENTS OF PRINCIPAL
1 CLASS 1) CLAIMS -COSTS OF ADMINISTRATION
i 9/30/2009 Citizens Bank, check printing charge
', 3/9/2010 MetLife, return September pension payment made in error
4/8/2010 Greenawalt & Company, P.C., preparation of 2008 and 2009
individual income tax returns
4/8/2010 Register of Wi{Is, filing fee for Inheritance Tax Return
I The following items are to be paid upon confirmation of the accounting:
**** Snelbaker & Brenneman, P.C., costs advanced
!! a. Register of Wills, probate fee 87.00
b. Register of Wills, additional probate fee 15.00
'' c. Patriot-News, advertising Executors' Notice 185.75
d. Cumberland Law Journal, advertising 75.00
Executors' Notice
,~
~I **** Snelbaker & Brenneman, P.C., attorney fees
~ ~! **** Grace E. Schneider, Executor commission
*** Kenneth E. Smith, Executor commission
l *~** Reserve for filing fees for Final Accounting, Inventory and
certified mail costs
~~ TOTAL CLASS (1) CLAIMS TO BE PAID:
$15, 864.52
-300.00
552.00
250.09
9.49
$16,376.10
$ 13.73
552.00
450.00
15.00
362.75
1,750.00
389.00
389.00
'165.40
CLASS_~2) CLAIMS -FAMILY EXEMPTION ..~___
NONE :0.00
CLASS (3) CLAIMS -COST OF FUNERAL AND BURIAL, AND THE COSTS OF MEDIC~INE.S
FURNISHED WITHIN SIX MONTHS OF DEATH
8l13!2C)09 Manor Care, payment deducted from personal account held at nursing $ 14.00
home for barber services
8/13/2009 Manor Care, payment deducted from personal account held at nursing 503.10
home for August nursing home services
8/27/2_C!09 Manor Care, payment deducted from personal account held at nursing 1,800.49
home for nursing home services
1 /1 /2G 10 Manor Care, payment deducted from personal account held at nursing 802.34
home for nursing home services
LAW OFFICES
SNELBAKER SC
BRENNEMAN, F.C.
Page 3
, ~
DISBURSEMENTS OF PRINCIPAL -CONTINUED
~I The following items are to be paid upon confirmation of the accounting:
` ***'" Commonwealth of Pennsylvania, Department of Pulblic'Welfare 8,889.47
partial payment of Class 3 claim for medical services provided
within the last six months of Decedent's life.
X*** HCR Manorcare partial payment of Class 3 claim for nursing home 165.88
services provided to the Decedent within the last sik: months of life _ _ __
TOTAL CLASS (3) CLAIMS TO BE PAID: $ 12,175.28
{
CLASS ;4) CLAIMS -COSTS OF GRAVE MARKER
{ 12/23/2009 Gingrich Memorials, grave marker inscription _$ ~ 135.00
TOTAL CLASS (4) CLAIMS TO BE PAID: $ 135.00
-_ --
~
' ;
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CLASS 5~
CLAIMS -RENTS FOR OCCUPANCY OF THE DECEDENT'S RESIDENCE_
__
I
,; NONE
._.__ $0.00
~.
CLASS ~~ CLAIMS -CLAIMS BY THE COMMONWEALTH AND TH_E
_
ti ___
I POLITICAL SUBDIVISIONS OF THE COMMONWEALTH __
NONE
..__ $0.00
~
CLASS ~7) CLAIMS -ALL OTHER CLAIMS
.~_ __
NONE $0.00
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DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
NONE $0.00
PRINCIPAL BALANCE ON HAND
', Cash
''.
FIDUCIARY
VALUE AT ACC;IUISITION
03/24/2011 VAILUE
**** Less expenses to be paid subsequent to
confirmation of First and Final Account as
as listed on page 3 & 4 of accounting
TOTAL PRINCIPAL BALANCE ON HAND
INFORMATION SCHEDULES
PRINCIPAL INVESTMENTS MADE
NONE
CHANGES IN PRINCIPAL HOLDINGS
LAW OFFICES 1'
SNELBAKER SC i
BRENNEMAN, P.C. f
NONE
$ 12,111.50 ;~ 28,316.06
$ (12,111.50)
$0.00 $ 28,316.06
;0.00
9>0.00
Page 4
LAW OFFICES
SNELBAKER SC
BRENNEMAN, P.C.
RECEIPTS OF INCOME
9/312009 Citizens Bank, checking account #6213378034, interest
9/3/2009 Citizens Bank, checking account #6213378069, interest:
1/1/2010 Manor Care, personal account held at nursing home, interest
3/23/2011 Citizens Bank, estate checking account, interest from 9/30/09
to March 23, 2011
DISBURSEMENTS OF INCOME
NONE
DISBURSEMENTS OF INCOME TO BENEFICIARIES
NONE
$ 2.79
0.07
0.25
.~ ~ n r
$0.00
$0.00
Page 5
UNPAID CREDITORS:
Commonwealth of Pennsylvania $ 11,946.72
LAW OFFICES
SNELBAKER ~C
BRENNEMAN, F.C.
L' .
''1
2
Department of Public Welfare
Bureau of Financial Operations
Division of Third Party Liability
Estate Recovery Program
Attention: Angela D. Carter
P.O. Box 8486
Harrisburg, PA 17105-8486
Unpaid balance of Class 3 Claim in the amount of $20,836.19 for
medical services provided to the Decedent within the last six months of life
HCR Manorcare ;~
1700 Market Street
Camp Hill, PA 17011-4817
Unpaid balance of Class 3 Claim in the amount of $388.81 for
medical services provided to the Decedent within the last six months of life
Notice for HCR Manorcare was also given to:
a. Transworld Systems
Collection Agency for HCR Manorcare
P.O. Box 12103
Trenton, NJ 08650
Account #45060-0000290855 /Client Ref #2411-583
~`* PERSONS INTERESTED IN DISTRIBUTION OF ESTATE:
Grace E. Schneider
64 Ashburg Drive
Mechanicsburg, PA 17050
Kenneth E. Smith
1624 Williams Grove Road
Dillsburg, PA 17019
222.93
$0.00
$0.00
Page 6
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
~ grace E. Schneider and Kenneth E. Smith, being duly sworn according to law
deposes and says: that they are the Executors of the Estate of Howard E. Smith,
Deceased; that they are the Accountants herein; that the foregoing is a true and complete
i, accounting of their administration of said Estate; that the attached list or
or schedule [*] contains the names, addresses and amounts due unpaid creditors
who have given proper notice of their claims; that the attached list or schedule [**]
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', contains the names and addresses of all persons interested in the distribution of
'. said Estate; and that the facts set forth herein are true and correct to the best
i
j of their knowledge, information and belief.
l
Grace E. Schneider, Executor
-r'~_ _
Kenneth E. Smith, Executor
Sworn to and subscribed before
me this . ~~~~ - ~.~day of j,. ~ ~~_ r: ~>,~ ~, 2011
~I - - --- ` ~ -~.. ~.
COMatUNVVEALTH OF P~NNSYLVMtlA
Notarial Seel
Saruira K Showers, Notary I't~alic
fUled~tanbebtxg Born, ~~
~' Cc~rnmt F~ir'es Nov. 22, 2011
~A?°Iv*6~~r ~':^~rts~~~K;1.,~V~,t.i~~ .1~4`~~?fillNfYR CJ~ IVOt~f~@i
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LAW OFFICES
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SNELBAKER SC
BRENNEMAN, P.G. ~
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