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HomeMy WebLinkAbout07-15-11DECEDENT'S ESTATE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION wooDs ESTATE OF CHARLES ROBERT/ OVERTON No. 2010-00268 DECEASED PETITION FOR ADJUDICATION / STATEMENT OF PROPOSED DISTRIBUTION PURSUANT TO Pa. O.C. Rule 6.9 ~... ~ ..__ r..._. ~ ...___ ~~ - ~ rW <` ~ _ ~ _ ~ ~ := ,~-, ,--.~ ~ .. r... _..~., , r- _ ~ i~ .. i ~ _:i: _ ~1'~ .. /~ ~ ~, c~=°° -~, Tliis forr~a may be used ira all cases involving the Audit of the Account of a Decedent's Estate. If space is insuff cierzt, 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 BRCS OF THIS FORM. Name of Counsel: JOSEPH K. GOLDBERG, ESQ. Supreme Court I.D. No.: 46782 Name of Law Firm: Address: 2080 LINGLESTOWN ROAD, SUITE 106 Telephone: t~ 17) 703-3600 Fax:_{717) 635-2062 Form OC-Ol ,~w. io.t3.o6 Page 1 c-f 10 Estate of CHARLES ROBERT/ OVERTON 1. Name(s) and address(es) of Petitioner(s): Narrre: PETER VAN DUZER TRAIN Address: 3802 DORSET DRIVE MECHANICSBURG, PA 17050 Deceased Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution and state reason: Is this the first accounting by this fiduciary? .....................~ Yes [] No If not, identify prior accountings, the accounting periods covered, and the date oi~ adjudication of the prior accounting. 2. Decedent died on DECEMBER 24, 2009 !/ Letters Testamentary or ~ Letters of Administration were granted to Petitioner(s) on MARCH 18.2010 Date of Will (if applicable): FEBRUARY 25, 1986 Date(s) of Codicil(s) (if applicable): Date of probate (if different from date Letters granted): Was a bond required? QYesQ 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: SENTINEL 4/12, 19, 26, 2010 CUMBERLAND LEGAL JOURNAL 4/16, 23, 30, 2010 Form OG01 rev. 10.13.06 Page 2 of 10 Estate of CHARLES ROBERT/ OVERTON Deceased 3. Was decedent survived by a spouse? ............................. QYes (~ No If yes, name of the surviving spouse: 4. Has the surviving spouse filed to take an elective share? ............. Q Yes; [] No (See Sectio~a 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): Will did not provide contingent beneficiaries after spouse, who would be childre;r~, Helena Train and Charles Webster Overton. 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 Form oC-01 rev. 10.13.06 Page ?~ of 10 Estate of CHARLES ROBERT/ OVERTON L>ec;eased 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 c(ai:mants 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 <~lso 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 notiice or lrnowledge, 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): Nmne mrd Address o/'Eadr Party in Lrterest -_ HELENA TRAIN DAUGHTER 50% 3 802 DORSET DRIVE MECHANICSBURG, PA 17050 CHARLES W. OVERTON SON 50% PO BOX 234 SALISBURY, PA 15558 Foy-„roe-oi rev. 10. /3.06 Page 4 of 10 Estate of CHARLES ROBERT/ OVERTON I)ec;eased CHARLES W. OVERTON DATE OF BIRTH: FEBRUARY 19, 1945 L1NDA OVERTON APPOINTED GUARDIAN BY COURT ORDER DATED JANUARY 20, 2006 (COURT OF COMMON PLEAS OF SOMERSET COUNTY, NO 8 2005) C. State why a Petition for Guardian/Trustee Ad Lite~n has or has not been f led for this Audit (see Pa. O.C. Rule 12.4). 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. For~u OC-0I rev. 10.13.06 Page 5 of 10 B. Identify each party who is not sui juris (e.g., minors or incapacitated persc-ns~). 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 :ne:Kt of ltin of such party, giving the name, address and relationship of each. Estate of CHARLES ROBERT/ OVERTON T)ec;eased 10. Other than the claim for the family exemption, list the names of all known claima~nt~s and the amount of their claims and state whether each claim is admitted. Naute acrd Address of Eacl- Clairrtmrt Amou»t of Claint Clabrr Will Clainr Admitted? Be Paid Lr Frr11? N/A I[]Yes []Yes ONo ~ No Yes ^ Yes ~No ^ No ]Yes ^ Yes [JNo ^ No Yes [] Y'es ONo [] N-o 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? ................................ [Yes [/]No Was family exemption allowed? ................................ ]Yes []No Family exemption claimant's name and relationship: Nnme: Relattonslrip: Form OC-01 rein. 10.13.06 Page 6 of 10 Estate of CHARLES ROBERT/ OVERTON I)ec;eased 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 h~terest 3/19 & 9/23/2010 21,967.00 ESTATE ASSETS - 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 t1.1e Petitioner(s) as to each question: 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 lalowledge that a share has been assigned, renounced, disc;la:imed or attached, provide a copy of the assignment, renunciation, disclaimer or attachment, together with any relevant supporting documentation. Fo,•n, oc-o~ rev. /0.13.06 Page 7 of 10 Estate of CHARLES ROBERT! OVERTON 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. SEE ATTACHED 17. A. List or attach a separate list of additional receipts and disbursements since the: closing date of the Account. The Final Report of the Guardian which was filed with the Court is attached ,end request is hereby made to confirm said account as a result of the distribution ~of assets to the Estate and distribution pursuant to said Estate accounting. 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. P"'pOSe~ Held until Decree is issued confirming Accounting and Schedule of Proposed Distribution. 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 C~No As to real estate only? ........................................ Yes ~/No Forn+ OC-Ol rev. 10.13.06 Page $ Of lU Estate of CHARLES ROBERT/ OVERTON Decreased 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(sJ HELENA TRAIN CHARLES W. OVERTON B. Principal: Proposed Dish•ibutee(sJ HELENA TRAIN CHARLES W. OVERTON ~4nrourrt/Proportion 50% 50% Amount/Propa7ion 50% 50% Submitted By: (All petitioners »tust` sign. Add additional lines if necessary): ~-- ~_~_ Name of Petitioner: PETER AN DUZER TRAIN Name of Petitioner: For•», oc-ol rev. 10.13.06 Page ~~ of 10 Estate of CHARLES ROBERT/ OVERTON Verification of Petitioner (Verification must be by at least one petitioner.) Deceased The undersigned hereby verifies * [that ~,e~slre ~~ is rare ~-tC.~C~-~pf_ of the above-named mm~e ofcorporaiion_ ~S~~-E' 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 inforrr~ation of others, the Petitioner, after diligent inquiry, believes them to be true; and that any falsf; statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 (relating to unsworn falsification to authorities). ~o___ Signature of Petitioner ~~ * Corporate petitioi:ers n:rest complete bracketed infor~aatio~r. Certification of Counsel The undersigned counsel hereby certifies that the foregoing Petition for Adjudicati.on~/ Statement of Proposed Distribution is a true and accurate reproduction of the form Petition authorized by the Supreme Court, and that no changes to the form have been made beyond tl~ responses herein. _ 6 Si~fature o Fo,-,,, oc-or ,•ev. 10.13.06 Page 10 of 10 IN RE: ESTATE OF : IN THE COURT OF COMMON PLEAS CHARLES ROBERT WOODS :CUMBERLAND COUNTY, PENNSYI! V'ANIA OVERTON, :ORPHANS' COURT DIVISION Deceased : No. 2010-00268 RULE 6.3 CERTIFICATION I, Joseph K. Goldberg, Esquire, do hereby certify that the requirements of Rule 6.3 regarding notice have been met in the above captioned matte . Dated: ~~a L / /~~ JQ~1=~Ib~C`OLDBERQ', ,E'SQ. PROPOSED. SCHEDULE OF DISTRIBUTION Cash Available for Distribution: PNC Money Market Account: $382,472.09 PNC Checking Account: 4,575.08 Inheritance Tax Refund: 369.42 Add Back of Early Distribution to Helena Train 17,630.90 $405,047.49 Distribution to Helena Train (50%) Cash: $202,523.74 Less Early Distribution: -17,630.90 184,892.84 LESS %2 RESERVE (1/2 of $15,000): 7,500.00 177,392.84 Plus In Kind Distributions: Interest in California Land In Kind '/2 Interest in Canada Interest In Kind Distribution to Charles W. Overton (50%) Cash: 202,523.75 LESS %2 RESERVE (1/2 of $15,000): 7,500.00 195,023.75 Pius In Kind Distributions: '/2 Interest in California Land In Kind '/2 Interest in Canada Interest In Kind PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND 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 La~v 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 Cumberla~ld Law Journal on the following dates, VIZ: April 16, Apri123, and Apri130, 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. Overton, Charles Robert Woods, deed. Late of Cumberland County. Executor: Peter Van Duzer Train, 3802 Dorset Drive, Mechanics- burg, PA 17050. Attorney: Joseph K. Goldberg, Esquire, 2080 Linglestown Road, Suite 106, Harrisburg, PA 17110. r -- Lis arie Coyne, Ed' or SWORN TO AND SUBSCRIBED before m.e this 0 da of Aril 2010 ~G'~~ Notary NOTARIAL SEAL DEBORAH A COt.LINS Notary Public CARLISLE BOROUGH, CUMBERLAND COUNTti' My Commission Expires Apr 28, 2014 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tames Kleinklaus, Director of Sales and Marketin;?, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a ne~~spaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13~, 1881, since which date THE SENTINEL has been regl.~larly 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): April 12, 19, and 26, 2010 COPY OF NOTICE OF PUBLICATION NOl`ICE ESTATE OF CHARLES R08ERT WOODS OVERTON, late of Cumberland County, PennsylV~nia (died December 24, 2009). Peter Van Duzer Train, .executor, 3802°Dorset Drive, Mechanicsburg, PA 17050. Joseph K. Goldberg, Esquire, 2080 Linglestown Road, Suite 106, Harrisburg, PA .17110, Attorney. f 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 character of nublical-inn Sworn to and subscribed before me this ~~U ,,~.~~ Notary Public My commission expires: NOTARIAL. BfAL BAMBI ANN I#CKENDORN Nats~ Puplic CAflIlSLE BOROUGH, CUMBERLAND CNTY My Commission Expires .-an 21, 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 April 23, 2010 JOSEPH K GOLDBERG ESQUIRE 2080 LINGLESTOWN RD HARRISBURG PA 17110 Re: Charles Woods Overton SSN: ###-##-4016 Dear Attorney Goldberg: Pursuant to your letter dated April 09, 2010, 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 Depart:ztent'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, ~'""~ ~~ ~. ~-~~ Vince A. Porter Recovery Section P~ianager (717)772-6604 IN RE: CHARLES W. OVERTON IN THE COURT OF COMMON PLEAS OF AN ALLEGED INCAPACITATED :CUMBERLAND COUNTY, PENNSYLVANIA PERSON 21-06-257 ORDER OF COURT AND NOW, this ~ day of April, 2006, following a hE:aring, and finding that Charles W. Overton, born January 9, 1915, is totally and permanently incapacitated, and is in need of a guardian of his person and his estate, IT IS ORDERED that his daughter, Helena Train, is appointed plenary guardian of the person and estate of Charles W. Overton, to serve without filing a bond j By the CcSurt, ., Edgar B. Bayley, J. ~~, A TRUE COPY FROM Jason P. Kutulakis, Esquire In Testimony whereof, I For Petitioner set my hand and th of said Court apt Carl Jane Adams, Esquire This~day of !~ For Charles W. Overton ,.a--- t. .r ~~ ~0@r!C A$ tti® Orp :sal Curn~,erla _; RECORD i~ereunto e seal isle, PA ~ ~% bans CvUi4 nd Count ~~~~, ~~ ~, _~ ~ ~~ v ~ NOTICE OF INHERITANCE TAX p~nnsyLvania~'- ~~s:T BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE 1` INHERITANCE TAx DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX - - -' PO BOX 280601 REV-a547 EX AFP C12-10) HARRISBURG PA 17128-0601 DATE 04-18-2011 ESTATE OF OVERTON CHARLES R DATE OF DEATH 12-24-2009 FILE NUMBER 21 10-0268 COUNTY CUMBERLAND JOSEPH K GOLDBERG ESQ ACN 101 2080 LINGLESTOWN RD APPEAL DATE: 06-17-2011 H B G P A 1710 3 (See reverse side under Ob jec~tions Amount 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: OR - DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: OVERTON CHARLES RFILE N0.:21 10-0268 ACN: 101 ]DATE: 04-18-2011 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate [Schedule A) C1) .0 0 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) C2) ,Q Q credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) of this form with your C4) .00 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 466,289.00 6. Jointly Owned Property (Schedule F) (6) .0 0 7. Transfers (Schedule G) (7} 56, 381.00 8. Total Assets cs) _ 522,670.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9}__ 19.5 9 0 0 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 4 9 5.0 0 11. Total Deductions C11} _ 20, 087.00 12. Net Value of Tax Return (12} _ 502, 583.00 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0 14. Net Value of Estate Subject to Tax (14) ,~ 502,583.00 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 C15) .00 X 00 -_ .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 50? . ~~3. 00 X 045 _ 22, 616.00 17. Amount of Line 14 at Sibling rate (17) 0 0 X 12 _ ,p n 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 _ .0 0 19. Principal Tax Due C19) 22, 616.00 TAX CREDITS: - PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 03-19-2010 CD012501 1,018.42 19,350.00 09-23-2010 CD013398 .00 2,617.00 I Tf1TAI TAV ,9~V~/,--IT ~ _ i~-~r+~ ~r+n rr„ri~n~ __ ZZ,9I35.42 BALANCE OF TAX DUE __ 369.42CR INTEREST AND PEN. .00 TOTAL DUE 369.42CR * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CC:R), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. IN RE: IN THE COURT OF COMMON PLEAS OF SOMERSET COUNTY, PENNSYLVANIA ) Charles W. Overton, ) an alleged incapacitated person, ) NO. ~ INCAPACITATED PERSON 2005 DECREE AND NOW, this 2O~da of ~J 200 y , it is hereby ORDEFcED Al'~TD DECREED, ullovving a full and complete 7~-Tearing, at which fiearirxg clear and convincing evidence was presented by Petitioner in support of its allegations and prayer for relief, as follows: 1. The Court finds that Charles W. Overton, residing at 85 Gay Street, Salisbury, Pennsylvania, 15558, lacks legal capacity, is in need of a Permanent Plenary Guardian of his Person and Estate, and that failure to make appointment of a Permanent Plenary Guardian of his Person and Estate will result in irreparable harm to the said Charles W. Overton. Said finding is based upon testimony proving to the Court's satisfaction that the said Charles W. Overton suffers from Fronao-Temoral Dementia superimposed on the sequelae of Traumatic Brain Injury, which condition is progressive and irreversible with no known cure. Mr. Overton lacks capacity for decision making with regards to all issues including medical and financial. Mr. Overton also suffers from Traumatic Brain Injury with Frontal Lobe sequelae, and Status Post Left Lower Arm and Left Below Knee Amputation. These conditions do impair his ability to make and communicate decisions affecting his Person and Estate, and that total personal disability results therefrom. 2. The Court further finds that the said incapacitated person, in the absence of his wife and caretaker, would not have sufficient support available from family, friends and others to adequately assist him in making personal decisions, nor does sufficient. advance directive exist for such purposes. The said Charles W. Overton is therefore herE~b;y adjudicated to be a totally incapacitated person, pursuant to 20Pa.C.S.A. Section 5'11, et seq., and appointment of a Permanent Plenary Guardian of Person and Estate in acco~rd~ance with 2vra.C.S.A., Section 551 i, et seq., is necessary. Linda S. Overton of 85 Gay Street;, Salisbury, Pennsylvania, is hereby appointed to serve as Permanent Plenary Guardian of t11.e Person ~J and Estate of the said Charles W. Overton, with Bond to be set in the amount off' ~~ ~ , 0 ~~ . Petitioner shall advise the said Charles W. Overton of his right to appeal and to Petition to modify or terminate the Guardianship, and an Affidavit of such Notice shall be ~~romptly filed with this Court. BY THE COURT: ~. certified under my fhand end seal this ~ ,,,...,_,_„_day of ~ Register and Clsrk Orphan's Coin-t ~;._ ". ~ ~---~ C; '~ - --- - ~~ ` - r =~ A-.NNUAL REPORT ®F r ,~ - - `r" : - GUARDIAN OF THE ESTATE _ _..... - ,, ~ ---_ , :._ -- t ,~ ~ iv.~ ~ _4- COURT OF COMMON PLEAS OF ::-;~ v CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate of CHARLES W. OVERTON No. 21-06-257 an Incapacitated Person I. INTRODUCTION HELENA TRAIN ,was appointed 0 Plenary ^ Limited Guardian of the Estate by Decree of EDGAR B. BAYLEY J y_~ , dated APRIL 17, 2006 A. This is the Annual Report for the period from -- tO (the "Report Period"); or ^/ B. This is the Final Report for the period from ~~ 17 2006 to DECEMBER 24 ~ 2009 (the "Report Period"), and is filled for the following reason: 1. The death of the Incapacitated Person. Date of death: 12/24/2009 Name of Personal Representative: PETER VAN DUZER TRAIN 2. The Guardianship was terminated by the Court by Decree of J., dated Fornc G-0l rev. 10.13.06 Page 1 of 5 Estate of CHARLES W. OVERTON II. SI:mVIMARY A. State the value of the estate reported on the Inventory B. State the value(s) of principal assets at the beginning of the Report Period. (Same as Inventory if fast Report, otherwise, ending balance from last Report.) C. What is the total amount of income earned during the Report Period? D. What is the total amount of income and principal spent for all purposes during the Report Period? E. What are the balances remaining at the end of the Report Period? 1. Principal $ 45,462.59 2. Income $ 412,341.75 3. Total of Principal and Income III. ADDITIONAL INFORMATION (If more space is needed, please attach additional pages.) A. Principal 1. How is the principal balance listed above currently invested? (Please specify, e.g., real estate, certificates of deposit, restricted bank accounts, etc.): Banlc Accounts, Money Market, Brokerage An Incapacitated Person m $ 4`i,462.59 $ 957',461.37 $_ 545,119.62 $ 457,804.34 2. Have there been any expenditures from the principal during the Report Period? ............................ -/ Yes E] No If yes: a. Have alI expenditures from the principal been for the sole benefit of the Incapacitated Person? ........ ~ Yes C~ No Form G-OZ rev. 10.13.06 Page; 2 of 5 Attachment to Annual Report of Guardian of the Estate Page II -Summary: A. State the value of the estate reported on the Inventory: No Inventory was previously filed, B. State the value of principal assets at the beginning of The Report Period. (Same as Inventory if first Report, Otherwise, ending balance from last Report. i. In addition to the cash assets outlined on the Guardian Report beginning balance of $45,462.59 the decedent had an interest in a parcel of land in California, and a home in Arkansas for which. there were no appraisals. The decedent also had an interest in a gas lease in Canada with an unknown value. C. What is the total amount of income earning during the Report Period? 957,461.37 (This amount includes the sale of the Arkansas property of $305,919..29 and inheritances of $367,153.31. D. What is the total amount of income and principal spent for all purposes during the Report Period: $ 545,1 19.62. E. What are the balances remaining at the end of the Report Period? 1. Principal ~ : $45,462.59 2, income: 412,341.75 457,804.34 See B(i.) above for additional unvalued assets. Estate of CHARLES W. OVERTON An Incapacitated Person b. List purpose and amount of expenditures: 2006 -Gifts ~ 400.00 2007- Gifts & Education Gifts $ _ 63,676.46 2008 -Gifts & Education Gigs ~ 97,796.11 2009 Gifts & Education Gifts ~ 67„668.79 c. Was Court approval received prior to expending the principal? ................ ....... [] Yes 0 No 3. Were additional principal assets received during the Report Period which were not included in the Inventory or a prior Report filed for the Estate? .... ....... [~ Yes /[] No If yes: a. Was Court approval requested prior to receiving the additional principal? ......... ....... D Yes ^ No b. State the sources and amounts of the additional principal received: $ _ $ _ ~ $ _ B. Income 1. State sources and amounts of income received during the Report Period (e.g., Social Security, pension, rents, etc.): SEE ATTACHED YEARLY ITEMIZATIONS ~ ` $ _ - ~ $ _ Total income received during Report Period: $ Forst G-02 rev. 10.13.06 Page ?~ Of S Estate of CHARLES W. OVERTON 2. How is income currently invested? (Please specify, e.g., restricted bank accounts, client care account, etc.): Bank Accounts, Money Market & Brokerage C. Expenses for Care and Maintenance Specify what expenditures were made from the principal and income for the care and maintenance of the Incapacitated Person (e.g., clothing, nursing home, medicine, support, etc.): See Attached D. Other Expenditures Specify what other expenditures were made during the Report Period. (Do not include any items stated in response to question C above.) See Attached E. Guardian's Commissions List amounts of compensation paid as Guardian's commission and state how amount was determined: Amount Method of Determinatioiz An Incapacitate-d :Person Court Approval O~Stai~zed Q Yes (~ :N~o Q Yes ~ No For~rr G-02 rev. lOJ3.OG Page ~~ of S Estate of CHARLES W. OVERTON An Incapacitated Person F. Counsel Fee List amounts paid as counsel fee, and indicate whether Court approval was obtained. Court Amount Approval Obtazned See Attached [~ Yes /[~ No Yes /[] No I verify that the foregoing information is correct to the best of my knowledge, infornation and belief; and that this Verification is subject to the penalties of 18 Pa.C.S. ~~ 4904 relative to unsworn falsification to authorities. .. Date Signatru•e of Guardian of the Estate HELENA TRAIN Name ojGumdia-: of the Eslate (type or print) 3802 DORSET DRIVE Address MECHANICSBURG, PA 17050 City, State, Zip 717-732-0935 Telephone Forst C-02 r•ev. 10.13.06 Pages S Of S Guardian~Report for Charles Overton For Year 2006 By Helena Overton Train ~ Beginning Balance 4/16/2006 Bank of America $28472.84 Certificate of deposit $10644.51 Certificate of deposit $ 6365.24 $45462.59 INCOME Civil Service Retirement(CSRS} Military retirement(DFAS) Interest $ 40652.20 $ 18786.10 $ 59438.30 $ ~ 20.02 $ 59458.32 EXPENSES 1. Loyalton (residence) 2. Home in Little Rock: Utiltiies: Maintenance $34095.50 2597.22 1362.73 Ending Balance BOA $111.81..42 PNC $4635.~i7 CD $ 10838,.12 CD $ 6509.93 $33,165.04 Yard Man 1000.00 3. Pets ~ 286.62 4. Legal 6741.88 5. Insurance 3362.97 6. Taxes 10175.11 7. Medical 1978.99 8. Travel( little Rock, California} 4644.40 9. Credit card 4371.50 10. Misc. 738.95 11. Gifts 400.00 $71755.87 Guardian Report for Charles Overton for Year 2007 By Helena Overton Train Beginning Balance Ending BalancE~ Bank Of America $ 11,181.42 BOA 'x3,508.34 Certificate of Deposit 10,838.12 PNC 31.0,982.63 Certificate of Deposit 6,509.93 MML 4:1,117.59 PNC Checking 4,635.57 3 5 5, 6 0 8. 5 6 INCOME Sale of Little Rock, AR house Civil Service Retirement(CSRS) Military Retirement(DFAS) Interest Inheritance 1. Loyalton( Residence) 2. Home in Little Rock Utilities Maintenance Yard Man $305,919.29 49,318.45 22,877.00 20.02 100,000.00 $478,134.80 EXPENSES $49,872.85 $ 1,377.45 4,351.15 3,000.00 3. Legal 4. Insurance 5. Taxes 6. Medical 7. Travel (Little Rock) 8. Credit Card 9. Misc. 10. Education Gifts 11. Gifts $2,090.80 2,634.58 15,543.94 1,365.40 6,793.57 3,225.00 1,760.04 8,863.41 54,813.05 $ 155,691.24 SEP-21-2010 15:50 ODAR~HARRISBURG~PA 717 236 3150 P.002 Guardian Deport frir Charles Overran Far Year 2008 gy Helena Overton Train ' ~ ~ Beginning Balance Ending Balance BanEc Qf America $35p$.34 BOA $10727.53 PNC 310,982.63 pNG 66908.89 MNtL _41,117.59 MMl 324,954.92 _...~~_ $355,68.56 ~ $402,591.34 • i INCOME Civil Service Retirement{CSRS) Military retirement{bFAa} Inheritance Interest $ 51713.85 $ 24415.70 $176254.01 $ 490.64 t• $252,$74.20 EXPENSES 1. Loyalton (residence part year) $ 387fi8.20 2. Country Meadows( residence ~arC year] 21250.42 3. Hame in Little Rack: Utilities:. ~ 639.3$ 4. trrsurar~~e ~-60.Op 5. Taxes 15101.Q0 SEP-21-2010 15:51 ODAR~HARRISBURGaPA 717 236 3150 P.003 6. Medical ~ 1$46.32 7. Travel 6235.75 S. credit card 12,692.61 i 9. mavic~g exAenses 7110.14 10 clothing 806.56 ~ 1S misc. 34$4.97 1Z gifts X1,085. ].1. 13 education gifts 7,6,71,1.00 , $05,891..42 Guardian Report for Charles Overton for Year 2009 By Helena Overton Train Beginning Balance Bank Of America PNC MML $ 10,727.53 66,908.89 324,954.92 $ 402,591.34 INCOME Civil Service Retirement(CSRS) 50,096.63 Military Retirement(DFAS) 25,564.00 Interest 434.12 Inheritance ~ 90,899.30 $166,994A5 EXPENSES 1. Country Meadows( Residence) 2. Insurance 3. Taxes 4. Medical 5. Gifts 6. Misc. $43,949.59 160.00 11,269.69 446.63 55,668.79 286.39 1 ~ ~.. ~ :l11,/251.U9 Ending Balance BOA $20;Z7!5.51 PNC 78,029.78 MML 359,.499.01 $ 457,804.30 I I Distribution of Gifts 2006 Brian Train $200.00 Kevin Train 200.00 2007* Chuck Overton $12,000.00 Linda Overton $12,000.00 Brian Train $12,000.00 Helena Train 9,281.53 Peter Train 9,281.52 Nurses 550.00 54,813.05 2008** 2009 Chuck Overton $12,000.00 14,000.00 Linda Overton 12,000.00 14,000.00 Brian Train 12,400.00 14,100.00 Kevin Train 12,400.00 21,068.79 Helena Train 15842.56 2,000.00 Peter Train 15842.55 2,000.00 Nurses 600.00 500.00 81,085.11 55,668.79**'k ~ Education gift to Kevin Train of $8,863.41 not included in this list. ** Education gift to Kevin Train of $16,711.00 not included *** Does not include Christmas gifts of $12,000.00, written but not cashe d as of his death ANNUAL REPORT OF GUARDIAN OF THE PERSON COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate of CHARLES W. OVERTON No. 21-06-257 L INTRODUCTION HELENA TRAIN an Incapacitated Person __ was appointed /^ Plenary ^Limited Guardian of the Person by Decree of EDGAR B. BAYLEY J dated April 17, 2006 _-' ' ^ A. This is the Annual Report for the period from to ' -` (th:; "Report Period"); or Q B. This is the Final Report for the period from ~'~ 17 2006 ~_ to DECEMBER 24 2009 (the "Report Period"), and is filed for the following reason: 1. The death of the Incapacitated Person. Date of death: 1.2/2412009 2. The Guardianship was terminated by the Court by Decree of J., dated For a Final Report, o»:it Sectio~is II through IY. Form G-03 rev. 10.13.06 Page; 1 of 4 Estate of CHARLES W. OVERTON II. PERSONAL DATA Age of the Incapacitated Person: III. LIVING ARRANGEMENTS A. Current address of the Incapacitated Person: an Incapacitated Person Date of Birth: B. ~ The Incapacitated Person's residence is: [] own home /apartment Q nursing home boarding home /personal care home [] Guardian's home /apartment hospital or medical facility []relative's home (name, relationship and address) other: C. The Incapacitated Person has been in the present residence since . If the Incapacitated Person has moved within the past year, state prior residence and reason(s) for move: Fornt G-Q3 rev. 10.13.06 Page 2 of 4 Estate of CHARLES W. OVERTON an Incapacitated Person D. Name and address of the Incapacitated Person's primary caregiver: IV. MEDICAL INFORMATION A. The major medical or mental problems of the Incapacitated Person are as fallo~ws: B. Specify what, if any, social, medical, psychological and support services the Incapacitated Person is receiving: V. GUARDIAN'S OPINION A. It is the opinion of the Guardian of the Person that the guardianship should: © continue 0 be modified /~ be terminated ForuJ G-03 rev. 10.13.06 Page 3 of 4 Estate of CHARLES W. OVERTON The reasons for the foregoing opinion are: DEATH OF THE INCAPACITATED PERSON an Incapacitated Person B. During the past year, the Guardian of the Person has visited the Incapacitated Person times with the average visit lasting hours, minutes. The report of a social service organization employed by the Guardian to oversee and coordinate the care of the Incapacitated Person for tlae period coti°ered by this Repos-t niay ~5e attached to supplement this Report. I verify that the foregoing information is correct to the best of my knowledge, information and belief; and that this Verification is subject to the penalties of 18 Pa. C.S..A. § 4904 relative to unsworn falsification to authorities. ,~ Date Signature oJGuardian ojthe Person i HELENA TRAIN Nance of Guardian of the Person (type or print) 3802 DORSET DRIVE Address MECHANICSBURG, PA 17050 _ City, State, Zip 717-732-0935 Telep/rorre Fornr G-03 rev. 10.13.06 Page 4 of 4 ~IVIiL- Na l OS A ~R 1 a. ~~~ CHARLES ROBERT WOODS OVERTON of the city of Little Rock County of Pulaski and State of Arkansas ,being of full a.6e and sound mind anal memory, dv m,ake, publish and declare this to Le arty ~~1~t ~~~"tl~: and. ~it'3~atltl,~nfi; hereby revvkin~ a~td annulling any artd all I~%'ill or Wills by rrte heretofore made, Jfiunt 1 . I direct that all my just debts and funeral ezpenses be paid out of my estate as.soon as practicable after n2•y decease. J~I11 ~ . I g Lve , devise , and bequea'tt~i to my w 1fe Pa•tr Lc la Farrand Overton all my real and personal property. All the rest and residue of my estate ~ real, personal and mixed, I give ~ devise and bequeath to my wife Patricia Farrand Overton. ~S~ ~ _/9~ i~ ~Itun~ I nominate anal appoint Patrle is ~'arrand Overton Execut r lx of this, my Last j~''ill anal Testament In the event Patricia Farrand Overton is unable to serve as executrix for whatever reason I then nominate and appoint Peter Van Iluzer Train to serve as executor in her stead. ,~tt~ti3ntgi~~3hrrtU I have e eunto set my luinrl to tlrr.c, r~7J last 1'ral ci,i . Testament at cl l.i.ti ~ ~ ~ dn.y n f ~~ i,n the yea of our I. d, Ifi ~~' Th G" G~~~ _ e fore~oan~ instrument was signed by the said ~~ in our presence and by him ptcblislted a~Ld declared as and for his '~li~,.~~ ]~~~ ~tt~, ~;~~~~llt!'tit, and at his request a».d r:n, h is presence, and in the presence of each other, rue laereu~ato su.b,,~cribe nrr.r ~uimes as attesting wises at ~~~~(,Q~7~=,(~.c-~.~ ~; day of eft .~~ ,u,~, -e- , (~tJ1 thi.e ~7 Lj,( i-. ~( .-4.D.79~~ i ~~ '-, -~~ ~ ___ residin at C~ -~ ~~~,..~_ ~ - -~~~-~~ resid i.n~s a t - - _ ~~~ j~ (Two Wi~ncuee Required in Ohio) /// ~~~~~~,, .~~/~__` ~ , i ~- .._., ,~ .. i-, , ~, li ~ I~ ~i ;,, II II 7 II i II: -0. 1$ ~ • ~ • ~~ Tf d 'I I I ~ ~ . I , ~ ~ ;; __ .~. . ;~ ' r id ~ i c., ~ , ~ Ij~ I ~ . I ~~ 'IIi f't I1 ~ ,~ ,;~ .wt wfww... .-W.M~.,_.....,........~. - - ~-- - ---~ ~-- - - - - _. ~~ ~~~~ ~ z ~ ~ I c>. ~~ ~ ~d ~ I ~ ~~ ~ N a ~ ~~'~ ~ ~ ~ I f ~;~ I ~ L o ; ~ ; w ~~ ~ ~ o O ~!i ~ ~ ' i ~' ~ ~. ~ ~ ~ ~ ~ ~ ~ ~ \ ^. j i ~~~ ~ ~ ~ .~ The Law Office of JOSEPH K. GOLDBERG 2080 Linglestown Road Suite 106 717-703-3600 Harrisburg, PA 17110 717-635-2062 (fax) jgoldlberg@ssbc-law.com TO: Interested Parties of the Estate of Charles Robert Woods Overton FROM: Joseph K. Goldberg, Esq. RE: Petition for Audit, Court Accounting and Schedule of Proposed Distribution DATE: July 13, 2011 This is to advise you that Peter Van Duzer Train, Executor of the Estate of Charles Robert Woods Overton, deceased, has filed the Petition for Audit, First and Fin<~I Account and Proposed Schedule of Distribution with attached First Annual Report and Accounting of the Guardian of the Estate, by Helena Train, Guardian with the Clerk for Audit. Copies of these documents are enclosed for your review. These documents are being supplied to the VA Regional Office and Insurance Center pursuant to the Pa. Orphans Court Rule 6.8. The account will be presented for audit and confirmation at the Office of the Register of Wills, Cumberland County Courthouse, Carlisle, Pennsylvania on August 23, 2011 at 9:00 a.m. Any objections to the Account and Proposed Schedule of Distribution shall be filed no later than 9:00 a.m. on August 23, 2011. Thank you for your attention. ~_.~ ~'~ ~ /'.~..~ ../fit k..,'. COURT OF COMMON PLEAS OF CUMBERLAND, PA ORPHANS' COURT DIVISION File No. ZO10-00268 FIRST AND FINAL ACCOUNTING OF PETER VAN DUZER TRAIN, Ac~mriir~-C'' ~I't' C~c ~~C - For Estate of CHARLES ROBERT WOODS OVERTON Date of Death: December 24, 2009 Date of Incapacity: April 17, 2006 Date of Appointment: March 18, 2010 Date of First Complete Advertisement: Apri130, 2010 Accounting for the Period: December 24, 2009 to June 13, 2011 Purpose of Account: The above fiduciary offers this account to acquaint interested parties with the transactions that have occurred during his/her administration. It is important that the account be carefully examined. Requests for additional ir.~formation, or questions, or objections, can be discussed with: JOSEPH K. GOLDBERG, ESQ. 2080 LINGLESTOWN ROAD, SUITE 106 HARRISBURG, PA 17110 (717}703-3600 Sid ~~,.~ t~ - -_ ~_., ,--, - _. ~~__r r- - ,. rri _ ... ._ Y .' r l._ ~ "' ~ ~~. ~ Estate of CHARLES ROBERT WOODS OVERTON Summary of Account Principal Receipts Net Gain on Sales or Other Dispositions Less Disbursements: Debts of Decedent Administrative Expenses Federal, State, & Local Taxes Fees & Commissions Balance Before Distributions Less Distributions to Beneficiaries Total Principal Balance On Hand For Information: Investments Made Unpaid Expenses Unrealized Gains and Losses Income Receipts Net Gain on Sales or Other Dispositions Less Disbursements: Administrative Expenses Page 2 6 10 15 18 19 22 23 24 29 31 $ 523,033.79 _ 9,398.30 $ 532,432.09 $ 8,146.25 11,142.93 22,269.80 4,471.09 46,030.07 $ 486,402.02 $ 109,477.26 ~_, 109,477.26 $ 376,924.76 $ 10,078.04 414.27 $ 10,492.31 $ 0.48 0.48 Balance Before Distributions Less Distributions to Beneficiaries Total Income Balance on Hand For Information: Investments Made Unpaid Expenses Unrealized Gains and Losses Verification Combined Balance on Hand 32 33 34 38 39 $ 10,491.83 $ 0.00 $ ~ 0.00 $ 10,491.83 $ 387,416.59 Estate of CHARLES ROBERT WOODS OVERTON Receipts of Principal Page 1 Cash and Cash Equivalents Bank of America Checking Account #004164967687 Money Market MML Investor Services Account #APJ-906328 PNC Checking Account #5004981523 PNC Savings Account #5005428594 Total Cash and Cash Equivalents No. of Shares Stocks 200 Equity Residential Depositary MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 732 General Motors Corp MML Investor Services Acct. #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 9I2 Prudential PLC Perpetual Sub MML Investor Services Account #APJ-906328 TRANSFER to Estate Account #JAV-413313 on 2/1/11 Total Stocks No. of Shares Mutual Funds 892.922 American Capital Income Builder MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Inventory Value 12/24/2009 $ 20,275.51 195,157.73 12,500.33 65,528.69 $ 4,546.00 3,894.24 22,170.72 293,462.26 30,610.96 $ 42,797.75 (2) Receipts of Principal (Continued) No. of Inventory Value Shares Mutual Funds 12/24/2009 487.69 American Capital World Grth MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 1,696.658 American High Income Trust MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 3,654.081 American Income Fund of America MML Investor Service Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Total Mutual Funds Tangible Personal Property Personal Property (Decedent was a resident of a nursing home at death and had minimal personal property at death which did not warrant the cost of an appraisal) Total Tangible Personal Property $ 16, 649.74 17,950.64 56,747.88 134,146.01 $ 100.00 100.00 Miscellaneous Penn West Petroleum Gas Lease Canada (Value has been provided by Penn West Exploration, Suite 200, 207-9th Avenue SW, Calgary, Alberta T2P 1 K3) PROPOSED IN-KIND TRANSFER Total Miscellaneous Real Property Page 2 $ 1,500.00 1,500.00 (3) Receipts of Principal (Continued) Inventory Value Real Property 12/24/2009 California Real Estate (Land Only) 2010-2011 Assessed Value PROPOSED IN-KIND TRANSFER Total Real Property Total Inventory Receipts Subsequent to Inventory 12/28/2009 Peter & Helena Train Personal Account 01/04/2010 Civil Service Pension Check O l /04/2010 DFAS Pension Check 04/30/2010 Blue Cross/Blue Shield Reimbursement 09/21 /2010 U.S. Treasury (Amended 2006 Tax Refund} 10/22/2010 US Treasury (2009 Income Tax Refund) 02/09/2011 US Treasury (IRS Refund) 02/28/2011 PNC Estate Money Market Account #51-1331-7648 03/24/2011 Foreign Exchange Credit 06/06/2011 Inheritance Tax Overpayment 05/03/2010 VA Life Insurance Page 3 1,455.00 $ 1,455.00 $ 461,274.23 $ 0.00 4,550.41 2,324.00 779.66 6,094.61 840.00 50.29 0.00 17.09 369.42 46,734.08 (4) Page 4 Receipts of Principal (Continued) Receipts Subsequent to Inventory Total Receipts Subsequent to Inventory Total Receipts of Principal (5) $ 61,759.56 $ 523,033.79 Estate of CHARLES ROBERT WOODS OVERTON Gains and Losses on Sales or Other Dispositions of Principal Net Gain Net Loss 12/24/2009 Adjust to Inventory Gain/Loss PNC Savings Account #SOOS428594 The Guardian reported the total amount of the j oint PNC Accounts (Checlcing & Savings) as $78,029.78 as of date of death on the Guardianship Reports ($12,500.33 & 65,529.45). This amount was incorrect. The amount of the Savings Account as reported per PNC Bank was $62,525.87. Adjustment Amount $ (3,002.82) 01 /04/2010 Collection Civil Service Pension Check Net Proceeds $ 4,550.41 Carried at 4,550.41 01/04/2010 Collection DFAS Pension Check Net Proceeds $ 2,324.00 Carried at 2,324.00 03/18/2010 Collection PNC Savings Account #5005428594 Net Proceeds $ 34,025.87 Carried at 34,025.87 04/30/2010 Collection Blue CrossBlue Shield Reimbursement Net Proceeds $ 779.66 Carried at 779.66 05/03/2010 Collection VA Life Insurance Net Proceeds $ 46,734.08 Carried at 46,734.08 Page 1 (6) $ 3,002.82 Gains and Losses on Sales or Other Dispositions of Principal (Continued) Net Gain Net Loss 09/21/2010 Collection U.S. Treasury (Amended 2006 Tax Refund) Net Proceeds $ 6,094.61 Carried at 6,094.61 10/22/2010 Collection US Treasury (2009 Income Tax Refund) Net Proceeds $ 840.00 Can ied at 840.00 02/07/2011 Sale 892.922 Shares American Capital Income Builder MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 45,101.3 8 Inventoried at 42,797.75 $ 2,303.63 02/07/2011 Sale 487.69 Shares American Capital World Gi-th MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 17,878.71 Inventoried at 16,649.74 1,228.97 02/07/2011 Sale 1,696.658 Shares American High Income Trust MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 19,494.52 Inventoried at 17,950.64 1,543.88 02/07/2011 Sale 3,654.081 Shares American Income Fund of America Page 2 (7) I Gains and Losses on Sales or Other Dispositions of Principal (Continued) Net Gain Net Loss MML Investor Service Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 62,009.73 Inventoried at 56,747.88 $ 5,261.8:5 02/07/2011 Sale 200 Shares Equity Residential Depositary MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 4,852.64 Inventoried at 4,546.00 306.64 02/07/2011 Sale 732 Shares General Motors Corp MML Investor Services Acct. #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 6,035.38 Inventoried at 3,894.24 2,141.14 02/07/2011 Sale 412 Shares Prudential PLC Perpetual Sub MML Investor Services Account #APJ-906328 TRANSFER to Estate Account #JAV-413313 on 2/1/1 I Inventoried at $ 10,015.72 Net Proceeds 9,894.97 $ 120.75 02/07/2011 Sale 500 Shares Prudential PLC Perpetual Sub MML Investor Services Account #APJ-906328 TRANSFER to Estate Account #JAV-413313 on 2/1/11 Inventoried ai $ 12,155.00 Net Proceeds 11,990.76 164.24 Page 3 (8) Gains and Losses on Sales or Other Dispositions of Principal (Continued) 02/09/2011 Collection US Treasury (IRS Refund) Net Proceeds Can ied at 02/28/2011 Adjust to Inventory Gain/Loss Personal Property (Decedent was a resident of a nursing home at death and had minimal personal property at death which did not warrant the cost of an appraisal) (Personal Property was disposed for no monetary value) Adjustment Amount 03/24/2011 Collection Foreign Exchange Credit Net Proceeds Carried at ~ 50.29 50.29 Net Gain Net Loss Total Gains and Losses Net Gain Page 4 ~ (100.00) ~ 17.09 17.09 (9) $ 100.00 $ 12,786.11_ $ 3,387.81 $ 9,398.30 Estate of CHARLES ROBERT WOODS OVERTON Disbursements of Principal Date Paid Amount Paid Debts of Decedent Associates in Kidney Disease 05/04/2010 $ 162.76 Check Number 106 Total Associates in Kidney Disease $ 162.76 Camp Hill Emergency Physicians 07!12/2010 $ 28.50 Check Number 110 Total Camp Hill Emergency Physicians $ 28.50 Central Pa. Pulmonary 05/11/2010 $ 64.57 Check Number 107 Total Central Pa. Pulmonary $ 64.57 Civil Service (Retrieval of Pension Payment of 1/4/2010) 03/01/2010 $ 4,550.41 Check Number Auto Total Civil Service (Retrieval of Pension Payment of 1/4/2010) $ 4,550.41 County Meadows 05/12/2010 $ 52.62 Check Number 109 Total County Meadows $ 52.62 DFAS Retrieval of Pension Check 04/23/2010 $ 2,324.00 Check Number Auto Total DFAS Retrieval of Pension Page 1 (10) Disbursements of Principal (Continued) Date Paid Amount Paid Debts of Decedent DFAS Retrieval of Pension Check Check $ 2,324.00 Moffitt Heart and Vascular 07/14/2010 $ 31.55 Check Number 111 Total Moffitt Heart and Vascular $ 31.55 Quantum Imaging 05/17/2010 $ 15.67 Check Number 108 Total Quantum Imaging $ 15.67 Spirit Physicians 10/ 15/2010 $ 3 6.51 Check Number 113 Total Spirit Physicians $ 36.51 West Shore EMS 05/05/2010 $ 879.66 Check Number 105 Total West Shore EMS $ 879.66 Total Debts of Decedent $ _ 8,146.25 Administration Expenses Register of Wills 01/07/2011 (Guardianship Accounting Filing Fee) $ 15.00 Check Number 120 Total Register of Wills $ 15.00 Cumberland Law Journal (Estate Advertisement) 12/17/2010 $ 75.00 Check Number 117 Total Cumberland Law Journal $ 75.00 Page 2 (11} Disbursements of Principal (Continued) Date Paid Amount Paid Administration Expenses Cumberland Law Journal (Estate Advertisement) (Estate Advertisement} Estate Value 12/ 17/2010 (Fee for Stock Valuations) Check Number 117 Total Estate Value King County Tax Collector (CA Property Tax) 12/22/2010 Check Number 118 Total King County Tax Collector (CA Property Tax) Pa. Department of Revenue (2009 State Income Tax) 04/20/2010 Check Number 103 Total Pa. Department of Revenue (2009 State Income Tax) Pa. Department of Revenue (2010 Income Tax) 02/25/2011 Check Number 122 Total Pa. Department of Revenue (2010 Income Tax) Peter Train 04/02/2010 Postage 09/08/2010 Postage Check Number 114 Total Peter Train Steven L. Shahbazian, Esq. (Transfer of CA property) $ 4.65 ~ 4.65 $ 16.18 ~ 16.18 ~ 208.00 ~ 208.00 ~ 197.00 ~ 197.00 i ~ 35.47 10.29 ~ 45.76 ~ (12) 1 Disbursements of Principal (Continued) Date Paid Amount Paid Administration Expenses Steven L. Shahbazian, Esq. (Transfer of CA property) 04/ 11 /2011 Check Number 123 Total Steven L. Shahbazian, Esq. (Transfer of CA property} The Sentinel (Estate Advertisement) 12/17/2010 Check Number 117 Total The Sentinel (Estate Advertisement) United States Treasury (Income Taxes) 04/ 16/2010 (2009 Income Tax) Check Number 102 Total United States Treasury (Income Taxes) Total Administration Expenses Federal and State Taxes Register of Wills, Agent 03/23/2010 (Inheritance Tax) Check Number 1 10/15/2010 (Inheritance Tax) Check Number 116 Total Register of Wills, Agent United States Treasury (2009 Fiduciary) 03/09/2011 Check Number 121 Total United States Treasury (2009 Fiduciary) Page 4 $ 1,500.00 $ 1,500.00 $ 81.34 $ 9,000.00 $ 19,350.00 2,617.00 $ 302.80 ~ 81.34 $ 9,000.00 ~ 11,142.93 ~ 21,967.00 ~ 302.80 (13) Disbursements of Principal (Continued) Date Paid Amount Paid Federal and State Taxes Total Federal and State Taxes Fees and Commissions Kutak Rock LLP 07/16/2010 $ 897.24 Check Number 112 Total Kutak Rock LLP Register of Wills 03/22/2010 (Probate Fee) $ 493.50 Total Register of Wills Seligman, Freidman & Co. (Accountants) 04/27/2010 $ 200.00 Check Number 104 08/17/2010 650.00 Check Number 115 Total Seligman, Freidman & Co. (Accountants) Serratelli, Schiffman & Brown, PC 12/17/2010 $ 2,230.35 Check Number 117 Total Serratelli, Schiffman & Brown, PC Total Fees and Commissions Total Disbursements of Principal Page 5 $ 897.24 $ 493.50 $ 850.00 $ 2,230.35 $ 4,471.09 $ 46,030.07 (14) Estate of CHARLES ROBERT WOODS OVERTON Distributions of Principal to Beneficiaries CHARLES W. OVERTON 12/31/2009 Cash (Dated prior to death; cleared after death; included in equalization of guardianship account) Check Number 381 02/ 17/2011 Cash (Equalization of Guardianship Account) 06/06/2011 California Real Estate (Land Only) 2010-2011 Assessed Value PROPOSED IN-KIND TRANSFER (In-Kind Distribution) 06/06/2011 Penn West Petroleum Gas Lease Canada (Value has been provided by Penn West Exploration, Suite 200, 207-9th Avenue SW, Calgary, Alberta T2P 1K3) PROPOSED IN-K.IND TRANSFER (In-Kind Distribution) Total To or For Beneficiary LINDA OVERTON 12/31/2009 Cash (Dated prior to death; cleared after death; included in equalization of guardianship account) Check Number 382 Total To or For Beneficiary Page 1 Distribution Value $ 2,000.00 76,191.36 728.00 750.00 ~ 2,000.00 79,669.36 2,000.00 (1S) Distributions of Principal to Beneficiaries (Continued) BF;IAN TRAIN 12/31/2009 Cash (Dated prior to death; cleared after death; included in equalization of guardianship account) Check Number 383 Total To or Por Beneficiary HELENA TRAIN 12/31/2009 Cash (Dated prior to death; cleared after death; included in equalization of guardianship account) Check Number 384 01/06/2010 Cash Disbursements from Checking 8594 were $20,000, $4500, $4000 and reimbursements of $10,869.10 and $4000 = $13,630.90. Disbursement from Checking # 1523. Total: $17,630.90 Check Number N/A 01/07/2010 Cash (Dated prior to death; cleared after death; included in equalization of guardianship account) Check Number $892 06/06/2011 California Real Estate (Land Only) 2010-2011 Assessed Value PROPOSED IN-KIND TRANSFER (In-Kind Distribution) 06/06/2011 Penn West Petroleum Gas Lease Canada (Value has been provided by Penn West Exploration, Suite 200, 207-9th Avenue SW, Calgary, Alberta T2P 1K3) PROPOSED IN-KIND TRANSFER (In-Kind Distribution} Page 2 Distribution Value $ 2,000.00 $ 2,000.00 17,630.90 500.00 727.00 7so.oo 2,000.00 (16) Distributions of Principal to Beneficiaries (Continued) Distribution Value HELENA TRAIN Total To or For Beneficiary KEVIN TRAIN 12/31/2009 Cash (Dated prior to death; cleared after death; included in equalization of guardianship account) Check Number 385 01/07/2010 Cash (Dated prior to death; cleared after death; included in equalization of guardianship account) Check Number 8890 01/07/2010 Cash (Dated prior to death; cleared after death; included in equalization of guardianship account) Check Number 8891 Total To or For Beneficiary PETER TRAIN 12/31 /2009 Cash (Dated prior to death; cleared after death; included in equalization of guardianship account) Check Number 386 Total To or For Beneficiary Total Distributions of Principal to Beneficiaries Total Distributions of Principal Page 3 $ 21,607.90 $ 2,000.00 100.00 100.00 $ 2,200.00 2,000.00 $ 2,000.00 $ 109,477.26 $ ~ 109,477.26 (17) Estate of CHARLES ROBERT WOODS OVERTON Principal Balance On Hand Inventory Value Page 1 Cash and Cash Equivalents Inheritance Tax Overpayment ~ Pass Thru Account PNC Estate Money Market Account #51-1331-7648 Total Cash and Cash Equivalents Total Balance on Hand 3 69.42 4,139.52 372,415.82 ~ ___....376,924.76 ~ 376,924.76 (18) Estate of CHARLES ROBERT WOODS OVERTON Information Schedules -Principal Inventory Value Exchanges and Stock Distributions American Capital Income Builder MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2!1/11 12/24/2009 892.922 Shs. Received $ 42,797.75 02/07/2011 (892.922} Shs. Sold (42,797.75) American Capital World Grth MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 12/24/2009 487.69 Shs. Received 16,649.74 02/07/2011 (487.69) Shs. Sold (16,649.74) American High Income Trust MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 12/24/2009 1,696.658 Shs. Received 17,950.64 02/07/2011 (1,696.658) Shs. Sold (17,950.64) American Income Fund of America MML Investor Service Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 12/24/2009 3,654.081 Shs. Received 56,747.88 02/07/2011 (3,654.081) Shs. Sold (56,747.88) California Real Estate (Land Only) 2010-2011 Assessed Value PROPOSED IN-KIND TRANSFER 12/24/2009 Received 1,455.00 06/06/2011 Distribution (728.00) To CHARLES W. OVERTON (In-Kind Distribution) Page 1 (19) Information Schedules -Principal (Continued) Inventory Value Exchanges and Stock Distributions 06/06/2011 Distribution $ (727.00) To HELENA TRAIN (In-Kind Distribution) Equity Residential Depositary MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 12/24/2009 200 Shs. Received 4,546.00 02/07/2011 (200) Shs. Sold (4,546.00) General Motors Corp MML Investor Services Acct. #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 12/24/2009 732 Shs. Received 3,894.24 02/07/2011 (732) Shs. Sold (3,894.24) Penn West Petroleum Gas Lease Canada (Value has been provided by Penn West Exploration, Suite 200, 207-9th Avenue SW, Calgary, Alberta T2P 1K3) PROPOSED IN-KIND TRANSFER 12/24/2009 Received 1,500.00 06/06/2011 Distribution (750.00) To CHARLES W. OVERTON (In-Kind Distribution) 06/06/2011 Distribution (750.00) To HELENA TRAIN (In-Kind Distribution} Personal Property (Decedent was a resident of a nursing home at death and had minimal personal property at death which did not warra nt the cost of an appraisal) 12/24/2009 Received 100.00 Page 2 I (20) ~ i Information Schedules -Principal (Continued} Exchanges and Stock Distributions 02/28/2011 Adjusted (Personal Property was disposed for no monetary value) Prudential PLC Perpetual Sub MML Investor Services Account #APJ-906328 TRANSFER to Estate Account #JAV-413313 on 2/1/11 12/24/2009 912 Shs. Received 02/07/2011 (412) Shs. Sold 500 Shs. On Hand 02/07/2011 (500) Shs. Sold VA Life Insurance 05/03/2010 Received 05/03/2010 Collected Page 3 Inventory Value 1 ~ (100.00) 22,170.72 (10,015.72) ~ 12,155.00 (12,155.00) 46,734.08 (46,734.08) (21) Estate of CHARLES ROBERT WOODS OVERTON Unpaid Principal Expenses Joseph K. Goldberg, Esq. Total Joseph K. Goldberg, Esq. Serratelli, Schiffman & Brown, PC Total Serratelli, Schiffman & Brown, PC Steven L. Shahbazian, Esq. (Transfer of CA property) Total Steven L. Shahbazian, Esq. (Transfer of CA property} Total Total Unpaid Expenses Page 1 $ 4,000.00 ~ 4,000.00 $ 6,000.00 ~ ~ 6,000.00 $ 1,000.00 $ u 1,000.00 ~ __11,000.00 $ 11,000.00 (22) Estate of CHARLES ROBERT WOODS OVERTON Principal Unrealized Gains and Losses Total Page 1 Market Value $ 0.00 Inventory Value ~ 0.00 Gain or (Loss) ~ 0.00 (23) Estate of CHARLES ROBERT WOODS OVERTON Receipts of Income Income Collected American Capital Income Builder MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 03/22/2010 Dividend on 892.922 Shares 06/21/2010 Dividend on 900.765 Shares 09/20/2010 Dividend on 909.621 Shares 12/21/2010 Dividend on 918.145 Shares 12/21/2010 Dividend on 918.145 Shares American Capital World Grth MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 03/22/2010 Dividend on 487.69 Shares 06/21/2010 Dividend on 489.855 Shares 09/20/2010 Dividend on 496.109 Shares 12/20/2010 Dividend on 498.342 Shares 12/20/2010 Dividend on 498.342 Shares American High Income Trust MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 01/29/2010 Dividend on 1,696.658 Shares 03/01/2010 Dividend on 1,701.818 Shares 03/29/2010 Dividend on 1,712.178 Shares 04/29/2010 Dividend on 1,722.341 Shares 06/01/2010 Dividend on 1,733.888 Shares Page 1 375.03 405.34 409.33 218.78 417.76 73.15 195.94 74.74 49.80 49.83 SS.16 110.65 111.28 124.85 125.71 ~ 1,823.21 443.46 (24) Receipts of Income (Continued) American High Income Trust MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on Z/1/11 06/29/2010 Dividend on 1,745.329 Shares 07/29/2010 Dividend on 1,757.134 Shares 08/30/2010 Dividend on 1,768.763 Shares 09!29/2010 Dividend on 1,780.525 Shares 10/29/2010 Dividend on 1,792.138 Shares 11/29/2010 Dividend on 1,803.594 Shares 12/29/2010 Dividend on 1,815.248 Shares 12/29/2010 Dividend on 1,815.248 Shares 01/31/2011 Dividend on 1,836.547 Shares 02/11/2011 Dividend on 5.798 Shares American Income Fund of America MML Investor Service Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 03/22/2010 Dividend on 3,654.081 Shares 06/21/2010 Dividend on 3,692.508 Shares 09/20/2010 Dividend on 3,732.538 Shares 12/27/2010 Dividend on 3,771.691 Shares 12/27/2010 Dividend on 3,771.691 Shares Bank of America Checking Account #004164967687 05/10/2010 Interest for January 2010 to Close Page 2 126.55 127.45 128.21 129.03 129.90 130.76 41.75 197.44 66.60 26.77 602.92 609.26 615.87 330.02 622.33 0.95 ~ 1,632.11 2,780.40 0.95 (25) Receipts of Income (Continued) Equity Residential Depositary MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 01/15/2010 Dividend on 200 Shares 04/15/2010 Dividend on 200 Shares 07/15/2010 Dividend on 200 Shares 10/15/2010 Dividend on 200 Shares 01/18/2011 Dividend on 200 Shares Money Market MML Investor Services Account #APJ-906328 01/29/2010 02/26/2010 03/31 /2010 04/30/2010 05/28/2010 06/30/2010 07/30/2010 08/31 /2010 09/30/2010 10/29/2010 11/30/2010 12/31/2010 01/31/2011 02/21 /2011 02/28/2011 Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend 81.00 81.00 81.00 51.00 81.00 1.66 1.50 2.I6 2.25 2.33 1.78 1.67 1.67 1.61 1.67 1.62 1.67 1.67 0.05 0.43 Page 3 ~ 405.00 23.74 (26) Receipts of Income (Continued} Pass Thru Account 01 / 18/2010 Interest 04/ 15/2010 Interest 05/14/2010 Interest 06/15/2010 Interest 07/16/2010 Interest 08/16/2010 Interest 09/16/2010 Interest 10/15/2010 Interest 11/15/2010 Interest 12/ 16/2010 Interest 02/15/2011 Interest 03/15/2011 Interest 04/ 15/2011 Interest 05/15/2011 Interest Penn West Petroleum Gas Lease Canada (Value has been provided by Penn West Exploration, Suite 200, 207-9th Avenue SW, Calgary, Alberta T2P 1K3) PROPOSED IN-HIND TRANSFER 12/13/2010 Miscellaneous Income 12/21!2010 Miscellaneous Income 02/09/2011 Miscellaneous Income 03/08/2011 Miscellaneous Income Page 4 $ 7.47 2.30 3.86 10.47 10.45 7.11 6.89 6.64 7.18 7.20 6.34 0.28 0.05 0.04 3 0.93 268.05 10.99 12.88 $ 76.28 :322.85 (27) Receipts of Income (Continued) PNC Estate Money Market Account #51-1331-7648 04/ 14/2011 Interest $ 663.40 05/13/2011 Interest 332.16 PNC Savings Account #5005428594 01/25/2010 Interest $ 19.68 02/22/2010 Interest 15.80 Prudential PLC Perpetual Sub MML Investor Services Account #APJ-906328 TRANSFER to Estate Account #JAV-413313 on 2/1/11 03/23/2010 Dividend on 912 Shares $ 384.75 06/23/2010 Dividend on 912 Shares 384.75 09/23/2010 Dividend on 912 Shares 384.75 12/23/2010 Dividend on 912 Shares 384.75 ~ 995.56 35.48 1,539.00 Total Income Collected Total Income Received Page 5 $ L0,078.04 $ ]L0,078.04 (28) Estate of CHARLES ROBERT WOODS OVERTON Gains and Losses on Sales or Other Dispositions of Income Net Gain Net Loss 03/18/2010 Collection PNC Savings Account #5005428594 Net Proceeds $ 35.48 Carried at 35.48 02/07/2011 Sale 3 8.066 Shares American Capital Income Builder MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 1,922.82 Inventoried at 1,823.21 $ 99.61 02/07/2011 Sale 13.478 Shares American Capital World Grth MML Investor Services Account _ #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 494.11 Inventoried at 443.46 50.65 02/07/2011 Sale 139.897 Shares American High Income Trust MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 1,607.41 Inventoried at 1,541.45 65.96 02/07/2011 Sale 175.328 Shares American Income Fund of America MML Investor Service Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds $ 2,975.34 Page 1 (29) Gains and Losses on Sales or Other Dispositions of Income (Continued) Net Gain Net Loss Inventoried at 2,780.40 194.94 02/11/2011 Sale 5.798 Shares American High Income Trust MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 Net Proceeds Inventoried at Total Gains and Losses Net Gain Page 2 67.00 63.89 (30} 3.11 $ 414.27 0.00 Estate of CHARLES ROBERT WOODS OVERTON Disbursements of Income Date Paid Amount Paid Administration Expenses MML Investors Write-Off 03/15/2011 Total MML Investors Write-Off Total Administration Expenses Total Disbursements of Income Page 1 $ 0.48 ~ 0.48 $ 0.48 ~ 0.48 (31) Estate of CHARLES ROBERT WOODS OVERTON Distributions of Income to Beneficiaries Distribution Value Total Distributions of Income $ 0.00 Page 1 {32) Estate of CHARLES ROBERT WOODS OVERTON Income Balance On Hand Inventory Value Cash and Cash Equivalents Pass Thru Account $ 435.56 PNC Estate Money Market Account #51-1331-7648 10,056.27 Total Cash and Cash Equivalents Total Balance on Hand ~ __ 10,491.83 ~ 10.491.83 'r~(e ~~~'-o/ PETER VAN DU R TRAIN, t~rdrntnis~.tor of CHARLES ROBERT WOODS OVERTON Page 1 (33) Estate of CHARLES ROBERT WOODS OVERTON Information Schedules -Income New Investments American Capital Income Builder MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 03/22/2010 7.843 Shs. Purchased via Reinvestment 06/21/2010 8.856 Shs. Purchased via Reinvestment 09/20/2010 8.524 Shs. Purchased via Reinvestment 12/21/2010 4.374 Shs. Purchased via Reinvestment 12/21/2010 8.469 Shs. Purchased via Reinvestment American Capital World Grth MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 03/22/2010 2.165 Shs. Purchased via Reinvestment 06/21/2010 6.254 Shs. Purchased via Reinvestment 09/20/2010 2.233 Shs. Purchased via Reinvestment 12/20/2010 1.413 Shs. Purchased via Reinvestment 12/20/2010 1.413 Shs. Purchased via Reinvestment American High Income Trust MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 01/29/2010 5.16 Shs. Purchased via Reinvestment 03/01/2010 10.36 Shs. Purchased via Reinvestment 03/29/2010 10.163 Shs. Purchased via Reinvestment Page 1 Inventory Value 375.03 405.34 409.33 215.75 417.76 73.15 195.94 74.74 49.80 49.83 55.16 110.65 111.28 (34) Information Schedules -Income (Continued) New Investments 04/29/2010 11.217 Shs. Purchased via Reinvestment 06/01/2010 11.771 Shs. Purchased via Reinvestment 06/29/2010 11.805 Shs. Purchased via Reinvestment 07/29/2010 11.629 Shs. Purchased via Reinvestment 08/30/2010 11.762 Shs. Purchased via Reinvestment 09/29/2010 11.613 Shs. Purchased via Reinvestment 10/29/2010 11.456 Shs. Purchased via Reinvestment 11/29/2010 11.654 Shs. Purchased via Reinvestment 12/29/2010 3.718 Shs. Purchased via Reinvestment 12/29/2010 17.581 Shs. Purchased via Reinvestment 01/31/2011 5.806 Shs. Purchased via Reinvestment American Income Fund of America M1VII1 Investor Service Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 03/22/2010 38.427 Shs. Purchased via Reinvestment 06/21 /2010 40.03 Shs. Purchased via Reinvestment 09/20/2010 39.153 Shs. Purchased via Reinvestment 12/27/2010 20.001 Shs. Purchased via Reinvestment 12/27/2010 37.717 Shs. Purchased via Reinvestment Page 2 Inventory Value 124.85 125.71 126.55 127.45 128.21 129.03 129.90 130.76 41.75 197.44 66.60 602.92 609.26 615.87 330.02 622.33 (35) Information Schedules -Income (Continued) Inventory Value New Investments Total New Investments $ 6,652.41 Exchanges and Stock Distributions r American Capital Income Builder MML Investor Services Account #APJ-906328 TR.ANSFER.RED to Estate Account #JAV-413313 on 2/1/11 03/22/2010 7.843 Shs. Income Reinvestment $ 375.03 06/21/2010 8.856 Shs. Income Reinvestment 405.34 09/20/2010 8.524 Shs. Income Reinvestment 409.33 12/21/2010 4.374 Shs. Income Reinvestment 215.75 12/21 /2010 8.469 Shs. Income Reinvestment 417.76 38.066 Shs. On Hand $ 1,823.21 02/07/2011 (38.066) Shs. Sold (1 823.21) , American Capital World Grth MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 03/22/2010 2.165 Shs. Income Reinvestment 73.15 06/21/2010 6.254 Shs. Income Reinvestment 195.94 09/20/2010 2.233 Shs. Income Reinvestment 74.74 12/20/2010 1.413 Shs. Income Reinvestment 49.80 12/20/2010 1.413 Shs. Income Reinvestment 49.83 13.478 Shs. On Hand $ r 443.46 02/07/2011 (13.478} Shs. Sold (443 46) . American High Income Trust MML Investor Services Account #APJ-906328 TRANSFERRED to Estate Account #JAV-413313 on 2/1/11 01/29/2010 5.16 Shs. Income Reinvestment 55.16 03/01/2010 10.36 Shs. Income Reinvestment 110.65 03/29/2010 10.163 Shs. Income Reinvestment 111.28 04/29/2010 11.217 Shs. Income Reinvestment 124.85 06/01/2010 11.771 Shs. Income Reinvestment 125.71 06/29/2010 11.805 Shs. Income Reinvestment 126.55 Page 3 (3 6) Information Schedules -Income (Continued) Inventory Value Exchanges and Stock Distributions 07/29/2010 11.629 Shs. Income Reinvestment 08/30/2010 11.762 Shs. Income Reinvestment 09/29/2010 11.613 Shs. Income Reinvestment 10/29/2010 11.456 Shs. Income Reinvestment 11/29/2010 11.654 Shs. Income Reinvestment 12/29/2010 3.718 Shs. Income Reinvestment 12/29/2010 17.581 Shs. Income Reinvestment 01/31/2011 5.806 Shs. Income Reinvestment 145.695 Shs. On Hand 02/07/2011 (139.897) Shs. Sold 5.798 Shs. On Hand 02/11/2011 (5.798) Shs. Sold American Income Fund of America MML Investor Service Account #APJ-906328 TRANSFERRED to Estate Account #JAV-4133 13 on 2/1/11 03/22/2010 38.427 Shs. Income Reinvestment 06/21/2010 40.03 Shs. Income Reinvestment 09/20/2010 39.153 Shs. Income Reinvestment 12/27/2010 20.001 Shs. Income Reinvestment 12/27/2010 37.717 Shs. Income Reinvestment 175.328 Shs. On Hand 02/07/2011 (175.328) Shs. Sold Page 4 ~ 127.45 128.21 129.03 129.90 130.76 41.75 197.44 66.60 $ 1,605.34 (1,541.45) $ 63.89 (63.89) 602.92 609.26 615.87 330.02 622.33 ~ r 2,780.40 (2,780.40) (37) Estate of CHARLES ROBERT WOODS OVERTON Income Unrealized Gains and Losses Total Page 1 Market Value Inventory Value Gain or (Loss) $ 0.00 $ 0.00 $ 0.00 (38) Estate of CHARLES ROBERT WOODS OVERTON VERIFICATION L-~c~c . GAY PETER VAN DUZER TRAIN,.~~c~t~t~r of CHARLES ROBERT WOODS OVERTON, hereby declares under oath that said executor has fully and faithfully discharged the duties of their 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 their knowledge there are no claims now outstanding against the Estate; and that all taxes presently due from the Estate have been paid; and that the grant of Letters Testamentary and the first complete advertisement thereof occured more than four months before the filing of the foregoing First and Final Account. This statement is made subject to the penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn falsification to authorities. ~---_'_ PETER VAN DU R. TRAIN Dated: C~