Loading...
HomeMy WebLinkAbout06-23-11DECEDENT'S ESTATE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF ADELE E. SCHMIDT ,DECEASED No. 2010-1017 f^~ .'~ ~-- -.... 7: V7 PETITION FOR ADJUDICATION / ~T~ ?~ ~~.- r +? {~ STATEMENT OF PROPOSED DISTRIBUTION ~~~`-~~ ~~} r-- ~'~- `= ~- PURSUANT TO Pa. O.C. Rule 6.9 ~ ~ c;; ~ c-~ .:. ';,' 'U ~. . This form may be used in all cases involving the Audit of the Account of a Deceden 's F~state. ~f. ~~~ space is insufficient, riders may be attached. Attach the spouse's election, if any; ,the papers required under items 8-19 inclusive; and any instrument pertinent to the adjudication. INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM. Name of Counsel: Luther E. Milspaw, Jr. Supreme Court I.D. No.: 19226 Name of Law Firm: Law Office of Luther E. Milspaw, Jr. Address: 130 State Street, Harrisburg, PA 17101 Telephone: (717) 236-3141 Fax:~717) 236-0791 Fornt OC-01 rev. 10.13.06 Pilge 1 Of 10 Estate of ADELE E. SCHMIDT 1. Name(s) and address(es) of Petitioner(s): N~t,nc : Kerri L. McCarthy ,4ddress. 27 Bragg Drive Deceased East Berlin, PA 17316 Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution 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 October 4, 2010 /^ Letters Testamentary or ^ Letters of Administration were granted to Petitioner(s) on October 7. 2010 Date of Will (if applicable): January 13, 2010 Date(s) of Codicil(s) (if applicable): N/A Date of probate (if different from date Letters granted): October 7, 2010 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: patriot News: 11/17/, 11/24/, 12/1/2010 Cumberland Law Journal: 11/19, 11/26, 12/3/2010 Form OGOI rer. !0. l3.Oh Page 2 Of 10 Estate of ADELE E. SCHMIDT Deceased 3. Was decedent survived by a spouse? ............................. ^ ~'es ^/ No 1 f yes, name of the surviving spouse: _ 4. Has the surviving spouse filed to take an elective share? ............. ^ ~'es ^ No (See Section 2201 et sue. 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 (if none, so state): N!A 6. Did decedent marry after execution of Will or Codicil(s)? ........... ^ Yes ^/ No Were any children born to decedent after execution of Will or Codicil(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 ro,~„: oc-o~ ,~~,~. ~o ~3.0~ F'age 3 of 10 Estate of ADELE E. SCHMIDT 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) has/have notice or knowledge, having or claiming any interest in the estate as beneficiaries under the Will 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): Name and Address of Each Party in Interest ~ Relationship and Comments, if anv ~ Interest Hillsdale College Charity 1/5 33 East College Street Hillsdale, MI 49242-9989 Young America's Foundation Charity 1/5 110 Elder Street Herndon, VA 20170 For„r oc-o~ ,~~,~. ~0.~3.06 Page 4 of 10 Estate of ADELE E. SCHMIDT Name and Address of Each Party in l~uerest ~ Relationship and Comments, if any The Leadership Institute Charity 1/5 Steven P.J. Wood Building 1 101 North Highland Street Arlington, VA 22201 See attached Rider #1 Deceased /merest 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. N/A C. State why a Petition for Guardian/Trustee Ad Liters has or has not been riled for this Audit (see Pa. O. C. Rule 12.4. N/A 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. N/A Form oc-or rer. io.~3.ors Page 5 of 10 Estate of ADELE E. SCHMIDT 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. Name and Address of Each Claimcnn Amonnt of Claim Claiirt W'il! Claim Admitted? Be Paid It: Full.`' ^Yes ^Yes None ^No ^ No ^Yes ^Yes ^No ^ No ^Yes ^Yes ^No ^ No ^Yes ^Yes ^No ^No If the estate is insolvent, attach a schedule setting forth the order of preference under 20 Pa.C.S. § 3392 and the proposed payments. 1 1. Was family exemption claimed? ................................ ^Yes ^/ No Was family exemption allowed? ................................ ^Yes ^No Family exemption claimant's name and relationship: Name : Relationship: Fo,-m oC-o~ ,~e,~. io.i3.oh Page 6 of 10 Estate of ADELE E. SCHMIDT 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 Pavntertt /ftterest See attached 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 decedent's estate will be discharged for the decedent's 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 l 5. 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. Fora: OG01 rer. 1 U.13.06 Page '] Of' I Estate of ADELE E. SCHMIDT Deceased 16. Had the decedent been adjudicated an incapacitated person? .......... ^Yes ^ No If yes, attach a copy of the Order if available; otherwise state the 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. None B. Has notice of the additional receipts and disbursements been given to the parties identified in Paragraph 9 above? ............. ^ Yf:s ~ No 18. If a reserve is requested, state amount and purpose. .Annn~nt: Prn ~x~se: None 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 Foy-„~ oc-o~ ,~E,~. ~o i3.oh Page 8 of 10 Estate of ADELE E. SCHMIDT 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. Income: Proposed Drstributee(s) See attached B. Principal: Proposed Uistributee(s} See attached .-~ mount Proportion ~ rnountPrc,ponc~,n Submitted By: (All petitioners must sign. Add additional lir~es if rlecessarv): i i c ~ ., ` ~ ~ l G ` ~~` ~C.~~ Name of Petiti ner: Kerri L. Mc y ~ Name of Petitioner: Form (~C-UI rev. I J). L'. U6 Page 9 of 10 Estate of ADELE E. SCHMIDT Verification of Petitioner (Verification must be by at least one petitioner.) The undersigned hereby verifies * [that he :s.~e of the above-named name c f corporation and] that the facts set forth in the foregoing Petition for Adjudication /Statement of Proposed Distribution 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 unsworn falsification to authorities). ~ U /_ Si nature of P itioner ~~ * Corporate petitioners must complete bracketed in. formation. Certification of Counsel The undersigned counsel hereby certifies that the foregoing Petition for Adjudication/ Statement of Proposed Distribution is a true and accurate reproduction of the form Petition authorized by the Supreme Court, and that no changes o the form have been made beyond the responses herein. ~ ~ , ,~ i ~ ,/~ Signature of~Counsel for Petiti Deceased is trrte Form l~C-Ul rev. J U.1, . U6 Page 10 of 10 9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice or knowledge, having or claiming any interest in the estate as beneficiaries under the Will 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): Masonic Charities Charity 1 /5 One Masonic Drive Elizabethtown, PA 17022 American Friends of Migdal Ohr Charity 1/5 1560 Broadway, Suite 510 New York, NY 10036 RIDER #1 Wherefore, your Petitioner ask that distribution be awarded to the parties entitled and suggests that the distributive shares of income and principal (residuary shares being stated in proportions, not amounts) are as follows: A. Income: Proposed Distributee(s) Amount/Proportion Hillsdale College 33 East College Street 1/5 Hillsdale, MI 49242-9989 Young America's Foundation 110 Elder Street 1 /5 Herndon, VA 20170 The Leadership Institute Steven P.J. Wood Building 1 /5 1101 North Highland Street Arlington, VA 22201 Masonic Charities 1/5 One Masonic Drive Elizabethtown, PA 17022 American Friends of Migdal Ohr 1 /5 1560 Broadway, Suite 510 New York, NY 10036 B. Principal: Proposed Distributee(s) Amount/Proportion Hillsdale College 33 East College Street 1/5 Hillsdale, MI 49242-9989 Young America's Foundation 1 10 Elder Street 1 /5 Herndon, VA 20170 The Leadership Institute Steven P.J. Wood Building 1/5 1101 North Highland Street Arlington, VA 22201 RIDER #2 Masonic Charities One Masonic Drive Elizabethtown, PA 17022 1/5 American Friends of Migdal Ohr 1/5 1560 Broadway, Suite 510 New York, NY 10036 The Patriot-News Co. 2020 Technology Pkwy - Suite 300 Mechanicsburg, PA 17050 Inquiries - 717-255-8213 LUTHER E. MILSPAW, JR. ATTORNEY AT LAW 130 STATE STREET P.O. BOX 946 HARRISBURG PA 17108 c~he~latriot News Now you know THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Holly Blain, being duly sworn according to law, deposes and says: That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared on the date(s) indicated below. That neither she nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severalJ~c y the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording ~o~f ~r5eds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY This ad # 0002109391 ran on the dates shown below: November 17;, ~~p10 -- -- November 24, 2010 ~sTaT~ NOTICE December 01, 2010 In the Matter of the Estate of ADELE "' EVA SCHMIDT, a/k/a Eva Schmidt, late of East Pennsboro Township, Cunr ~ Berland County, PennsyiVanlo, Deceased. _ . ~ . . Letters Testamentary on the above ; Estate hgving been wanted td~lte un- derslgned, all per3otlt Inckbted to the ~ , Estate are requested to make garment, Sworn to an ri and those havinti clalma to present the ~C bed before me hiS~02 S~ of_ December, 2010 A. D. same, wlihout delay, to: ~ -, ~-~ ' Kerci L. MtCar#hy ~ __ _.. , ~ , - 27~ra0pDrlve ; -~, . East Berttn, PA 17316 ~ -~,~- ' ~. - \\ ,~ ~ C -c....----- Executrlx, - ~ _ , _ or to: " ,,- Notary Public Luther E. MHspaw, Jr., Esquire ,`..,_ ,_ __,,.`- Attorney-at-Low 130 State Street P.O, Box 946 Harrlsbwp, PA 17101 COMMaNWEALTH ~F ~'ENNSYLVANIA i Notarta! Seal i Sherrie L Klsner, Notary public ! Lower Paxton Twp,, Dauphin County My Commission Expires Nov. 26, 2011 MPR3tfQr °pn^^11v~nDa ~,s>ocia;Don of Notaries PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOUR~lAL (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 L,aw Journal on the following dates, viz: November_19, November 26, and December 3, 2010 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. t ~~'"~ L a Marie Coyne, E ~ or SWORN TO AND SUBSCRIBED before me this 3 of December, 2010 ~, r Notary Schmidt, Adele Eva a/k/a Eva Schmidt, deed. Late of East Pennsboro Town- ship. Executrix: Kerri L. McCarthy, 27 Bragg Drive, East Berlin, PA 17316. ,,,,,~ ..~.. ~ _. Attorney: Luther E. Milspaw, Jr., N+J i~'~Fii}`,1_ SrAL Esquire, Attorney-at-Law, 130 DEBORAH A COLLINS State Street, P.O. Box 946, Har- Notary Public risburg, PA 17101. CARLISLE BOROUGH, CUMBERLAND COUNTY My Commission Expires Apr 2i3, 2014 _. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF PROGRAM INTEGRITY DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG. PA 17105-8486 January 12, 2011 LUTHER E MILSPAW JR ESQUIRE 130 STATE ST P 0 BOX 94 6 HARRISBURG PA 17108-0946 Re: Adele Schmidt SSN: ###-##-6911 Dear Attorney Milspaw: Pursuant to your letter dated November 02, 2010, the Department of_ Public Welfare (DPW), Estate Recovery Program, has reviewed the informa~iorl 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':> Estate Recovery Program. will not seek any recovery from this estate. I:E your client applied for Medical Assistance and had an application and/or hE~arinq 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, ~~~ ~ ~~ Vince A. Porter Recovery Seczioii Manager (717)772-6604 ;~'~ ~ ' ~ ~) ~ ~ C11 / ~ ~ NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX PO BOX 280601 HARRISBURG PA 17128-0601 LUTHER E MILSPAW JR 130 STATE ST PO BOX 945 , HBG PA 17101 Pennsylvania ~ DEPARTMENT OF REVENUE REV-1547 EX AFP (12-10) DATE 05-09-2011 ESTATE OF SCHMIDT ADELE E DATE OF DEATH 10-04-2010 FILE NUMBER 21 10-1017 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 07-08-2011 (See reverse side under Objections Aaount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE _ --~ -R_ETA_IN LOWER POR_TION_ FOR YOUR RECORDS E-- _ REV-1547 EX AFP C12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: SCHMIDT ADELE EFILE N0.:21 10-1017 ACN: 101 ____'_______ OR DATE: 05-09-2011 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) C1) 169, 185.78 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) C2) 270, 946 .21 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion of this form with your 4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 326,50:5.69 6. Jointly Owned Property (Schedule F) C6) .0 0 7. Transfers (Schedule G) (7) .0 0 8. Total Assets c8) _ 766 , 637.68 APPROV ED DEDUCTIONS AND EXEMPTIONS.: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 9 3,3 0 7.0 9 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 1,2 7 6.0 0 11. Total Deductions cll) 94,583.09 12. Net Value of Tax Return C12) 672, 054 .59 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) _ 6 7 2.0 5 4.5 9 14. Net Value of Estate Subject to Tax (14) _ .0 0 NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate t15) .0 0 X 0 0 = .0 0 16. Amount of Line 14 taxable at Lineal/Class A rate C16) _0 0 x 0 4 5 = .0 0 17. Amount of Line 14 at Sibling rate C17) _[10 X 12 = .0 0 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = .0 0 19. Principal Tax Due [19)= .0 0 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCDUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 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. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION In the Matter of the Estate of ADELE E. SCHMIDT, late of Estate File No. 2010-1017 East Pennsboro Township, PA No. 21-10-1017 Cumberland County, Pennsylvania, deceased Date of Death: October 4, 2010 Letters Testamentary Granted: October 7, 2010 Grant of Letters Published: Cumberland Law Journal: November 19, November 26, and December 3, 2010 The Patriot-News: November 17, November 24, December 1, 2010 FIRST AND FINAL ACCOUNT OF KERRI L. McCARTHY, Executrix FOR THE ESTATE OF ADELE E. SCHMIDT, DECEASED ~~ U~ t..LJ T . i1: - ~ ' C.~.: Purpose of Account: The 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, questions, or objections can be discussed with: +~~ Q M .~.. _~ ~ c~~" ..~ ~~~ ~~~ U~t ~...~ p _._, ~.~_ ~ ~° LUTHER E. MILSPAW, Jr. Attorney ID No. 19226 130 State Street P.O. Box 946 Harrisburg, PA 17108-0946 (717) 236-3141 SUMMARY AND INDEX Principal Balance Remaining $ 728,824.14 INCOME ACCOUNT Pages PRINCIPAL ACCOUNT 3 Receipts $ 169,595.90 3 Principal Conversions to Cash 636,933.98 Adjusted Balance $ 806,529.88 4-5 Less Disbursements - 77,705.74 Balance Before Distributions $ 728,824.14 5 Less Distributions To/For Beneficiaries - 0.00 5 Receipts $ 302.77 6 Less Disbursements - 0.00 Adjusted Balance 302.77 6 Less Distributions To/For Beneficiaries - 0.00 Income Balance Remaining $ 302.77 COMBINED BALANCE REMAINING FOR DISTRIBUTION $ 729,126.91 2 PRINCIPAL ACCOUNT RECEIPTS 2010 Oct 4 Citizens Bank, regular checking account Citizens Bank, Representative Payee Account Citizens Bank, Money Market account Nov 2 Highmark, drug plan refund Nov 3 Citizens Bank, Credit Memo Nov 9 Masonic Village Elizabethtown, refund Nov 10 Erie Insurance, homeowners' refund Nov 11 Time Warner, pension 2011 Mar 15 American Water, refund May 25 Internal Revenue Service, 2010 refund TOTAL PRINCIPAL ACCOUNT RECEIPTS PRINCIPAL CONVERSIONS INTO CASH 2010 Oct 4 Members 1St, 6 month certificate of deposit Nov 1 Community Land Transfer, LLC, sale of real estate Nov 4 Members' 1St, 18 month certificate of deposit Members' 1st, 19 month certificate of deposit Members' 1st, 15 month certificate of deposit Members' 1St, savings account closed 2011 Jan 12 Wells Fargo Rowe's Auction, sale of personalty Jan 25 Invesco Van Kempen Growth & Income Fund Mar 7 Wells Fargo Mar 16 Wells Fargo Mar 28 Wells Fargo May 25 Wells Fargo May 25 Community Land Transfer, remaining escrowed funds from sale of real estate held until determination of inheritance tax TOTAL PRINCIPAL CONVERSIONS INTO CASH 8 5,688.30 1.0,949.27 147,854.17 46.17 318.18 84.86 167.00 1,324.65 11.30 3,152.00 $169,595.90 58,352.92 1.12,342.84 52,285.19 15 ,404.19 39,783.77 6,568.27 69,706.25 438.75 68,198.07 85,000.00 91,042.00 9.14 2.59 37,800.00 $636,933.98 3 PRINCIPAL ACCOUNT DISBURSEMENTS 2010 Oct 9 Woodlawn Memorial Gardens, granite base for headstone 1,276.00 Woodlawn Memorial Gardens, granite base for spouse's parent's graves 1,276.00 W. Orville Kimmel Funeral Home, remaining balance due 771,12 Oct 7 East Pennsboro Township, quarterly sewer/sanitation 15.00 Oct 8 Rupperts Lawn Care & Landscape, lawn maintenance 165.36 Oct 12 Cumberland County Register of Wills, probate fees 683.50 Oct 28 Rt. 15 Self Storage, final storage unit rental fee 53.00 Pennsylvania American Water, water bill 40.11 PPL, electric bill 110.62 Verizon, final bill 8.94 Masonic Village Elizabethtown, room/board, expenses 1,091.40 Nov 1 American Home Shield Corporation, home warranty 453.00 Nov 3 Rupperts Lawn Care & Landscape, lawn maintenance 144.16 Nov 9 PPL, final electric bill 22.56 Pennsylvania American Water, final water bill 11.71 Nov 10 Luther E. Milspaw, Jr., distribution of attorneys' fees 13,169.75 Kerri L. McCarthy, distribution of Executrix commission 13,169.75 Cumberland Law Journal, publication of Estate Notice 75.00 The Patriot-News, publication of Estate Notice 318.12 Nov 30 Citizens Bank, monthly maintenance fee 16,00 Dec 2 Masonic Village Elizabethtown, final phone/tv expense 8.68 Dec 29 Wolfgang Ott, German Registrar, for death certificate of Hans Bohm 26.45 Dec 31 Citizens Bank, monthly maintenance fee 16.00 2011 Jan 28 Citizens Bank, check returned fee 20.00 Jan 31 Citizens Bank, monthly maintenance fee 16.00 Time Warner, pension returned 1,324.65 Feb 2 Luther E. Milspaw, Jr., distribution of attorneys' fees 10,000.00 Kerri L. McCarthy, distribution of Executrix commission 10,000.00 Feb 28 Citizens Bank, monthly maintenance fee 16.00 Mar 3 Cumberland County Register of Wills, filing inheritance tax return 15.00 Apr 8 Fiduciary Tax Consultants, preparation of 2010 estate tax return 500.00 Apr 11 Pa Department of Revenue, 2010 income tax 43.00 Jun 14 Cumberland County Register of Wills, filing First and Final Account and Advertising 480.00 4 Aug Luther E. Milspaw, Jr., final payment of attorneys' fees and miscellaneous expenses, including postage, deed preparation, etc. 7,081.73 Kerri L. McCarthy, distribution of Executrix commission 15,162.13 Cumberland County Register of Wills, filing Receipt and Releases 25.00 TOTAL PRINCIPAL ACCOUNT DISBURSEMENTS $77,705.74 PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES NONE PRINCIPAL INVESTMENTS NONE CAPITAL CHANGES NONE INCOME ACCOUNT RECEIPTS 2010 Oct 29 Citizens Bank, Interest S 17.73 Nov 4 Members ls`, Dividend .16 Nov 30 Citizens Bank, Interest 44.71 Dec 31 Citizens Bank, Interest 38.24 2011 Jan 31 Citizens Bank, Interest 40.17 Feb 28 Citizens Bank, Interest 31.78 Mar 31 Citizens Bank, Interest 33.78 Apr 29 Citizens Bank, Interest 47.15 May 31 Citizens Bank, Interest 49.05 TOTAL INCOME ACCOUNT RECEIPTS $ 302.77 5 INCOME ACCOUNT DISBURSEMENTS NONE INCOME DISTRIBUTIONS TO BENEFICIARIES NONE INCOME INVESTMENT NONE CAPITAL CHANGES NONE STATEMENT OF PROPOSED DISTRIBUTION The Accountant proposes to make distribution of the combined balance for distribution pursuant to the Last Will and Testament of ADELE E. SCHMIDT, as follows TO: HILLSDALE COLLEGE (1 /5) $ 145,825.39 TO: YOUNG AMERICA' S FOUNDATION (1 /5) $ 145,825.38 TO: THE LEADERSHIP INSTITUTE (1 /5) $ 145,825.38 TO: MASONIC CHARITIES (1 /5) $ 145,825.38 TO: AMERICAN FRIENDS OF MIGDAL OHR (1 /5) $ 145,825.38 ESTATE OF ADELE E. SCHMIDT, deceased t ~ ~ ~, r Y~ Kerri L. cC hy, Executri 7 VERIFICATION KERRI L. McCARTHY, Executrix of the Estate of Adele E. Schmidt, deceased, hereby declares under oath 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 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 (4) months before the filing of the foregoing First and Final Account. This statement is made subject to penalties of 18 Pa. C.S.A. ~ 4904 relating to unsworn falsification to authorities. ~ ~~ ~ ~ /n 1 ~ / Kerri L. Mc arthy