HomeMy WebLinkAbout08-04-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
In Re:
Estate of Josephine D. Baran, a/k/a
Josephine Baran
Late of Lower Allen Township,
Cumberland County, Pennsylvania,
deceased.
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Estate No. 2010-01020 ' ~~ -"~~
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RECEIPT, RELEASE, REFUNDING, AND INDEMNIFICATION AGREEMENT ~~
The undersigned, Shari Zimmerman, a beneficiary of the Estate of Josephine D. Baran,
a/k/a Josephine Baran, deceased, does hereby:
1. Acknowledge that she has examined and approved the First and Final. Account of
Shari Zimmerman, Executrix of the Estate of Josephine D. Baran, alk/a Josephine Baran, a copy
of which is attached hereto as Schedule A and made a part hereof by this reference.
2. Acknowledge receipt of all the assets to which she is entitled under the
Distributions to Beneficiaries section of the First and Final Account.
3. Release Shari Zimmerman, and each of her heirs, personal representatives,
successors and assigns from all liabilities, whether due to the Executrix's negligence or
otherwise, which she may have by reason of the Executrix's administration of the estate.
4. Agree to refund the Executrix any portion of the distribution to which she is not
properly entitled and, to the extent of said distribution, to indemnify Executrix for claims against
her as Executrix, and to reimburse to the Executrix all expenses and costs (including attorney's
fees) incurred in connection with any such claims.
Declare that this instrument shall be legally binding upon her, her personal
representatives, successors, and assigns.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this _n~,`~ ,day of
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Witness:
,'' Shari Zi erman
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, P,A
ORPHANS' COURT DIVISION
File No. 2010-01020
FIRST AND FINAL ACCOUNTING OF
Shari Zimmerman, Executor
For
Estate of Josephine D. Baran
Date of Death: September 09, 2010
Date of Incapacity, if any None
Date of Appointment: October 08, 2010
Date of First Complete Advertisement None
Accounting for the Period: September 09, 2010 to July 14, 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 information, or
questions, or objections, can be discussed with:
Persun & Heim, P.C
PO Box 659
Mechanicsburg, PA 17055-0659
Jennifer Denchak Wetzel
(717)620-2440
Signatures: Supreme Court I.D. No. 200391
Estate of Josephine D. Baran
Summary of Account
Page
Receipts 2
Income Collected S 549,928.78
Net Gain on Sales or Other Dispositions 4
5
287.90
0.00
Less Disbursements: 7
$
550,216.68
Debts of Decedent $ 9,462.06
Funeral Expenses 7,618.05
Administrative Expenses 5,663.07
Federal, State, & Local Taxes 37,749.00
Fees & Commissions 6,927.50
67,419.68
Balance Before Distributions $ 482,797.00
Less Distributions to Beneficiaries 11 482,797.00
Total
482,797.00
Total Balance On Hand 12 $ 0.00
For Information:
Investments Made 13
Unpaid Expenses
Unrealized Gains and Losses 14
Estate of Josephine D. Baran
Receipts
Total Inventory
Page 1
Cash and Cash Equivalents
PNC Bank Choice Plan Checking
Account #51-4000-2705
Interest to Date of Death
UGI Utilities Inc. Refund
Verizon Pension Payment
Verizon Pension Payment (Final)
VZW Pension Funeral Benefit
Total Cash and Cash Equivalents
Tangible Personal Property
Household and personal items
Total Tangible Personal Property
Miscellaneous
Metropolitan Life Insurance
Company Policy 636119400A
(Insured Carl Baran)
Total Miscellaneous
Real Property
Approximate 0.16 acre tract of real
estate with condominium unit in
Derry Township, Dauphin County,
Pennsylvania, being tax parcel
number 24-084-054-000-0000.
Total Real Property
Inventory Value
09/09/2010
$ 94,941.02
0.78
54.92
650.11
29.90
450.00
~_ 96,126.73
$ 100,000.00
100,000.00
$ 41,965.34
41,965.34
$ 309,560.00
309,560.00
~_ 547,652.07
(2)
Receipts (Continued)
Receipts Subsequent to Inventory
02/01 /2011
American Water Refund
05/10/2011
2010 Pennsylvania Income Tax
Refund
05/27/201 1
2010 Federal Income Tax Refund
05/27/201 1
Pennsylvania Inheritance Tax
Refund
Total Receipts Subsequent to Inventory
Total Receipts of Principal
Page 2
$ 24.76
173.00
2,000.00
78.95
~__ 2,276.71
~ 549,928.78
(3)
Estate of Josephine D. Baran
Income Collected
Income Collected
MetLife Total Control Account
#4060615473
12/22/2010 Interest $ 30.62
$ 30.62
Metropolitan Life Insurance Company
Policy 636119400A (Insured Carl Baran)
12/15/2010 Interest $ 39.22
12/21 /2010 Interest 145.04
184.26
PNC Bank Choice Plan Checking
Account #51-4000-2705
10/05/2010 Interest $ 3.13
Less accrued portion (O,~g)
2.35
PNC Bank Estate Account #3259
l 1 / 10/2010 Interest $ 8.01
12/14/2010 Interest 9.54
01/13/2011 Interest g 79
02/11/2011 Interest 10. l 1
03/11/2011 Interest 9.18
04/13/2011 Interest 9.65
05/12/2011 Interest ~ 82
06/13/2011 Interest ~ 5~
70.67
Total Income Collected $ 287.90
Total Income Collected $ 287.90
Page 1
(4)
Estate of Josephine D. Baran
Gains and Losses on Sales or Other Dispositions
10/01 /2010 Sale
Verizon Pension Payment
Net Proceeds $
Carried at
11/30/2010 Sale
VZW Pension Funeral Benefit
Net Proceeds $
Carried at
12/15/2010 Sale
Metropolitan Life Insurance
Company Policy 636119400A
(Insured Carl Baran)
Net Proceeds $
Carried at
01/04/2011 Sale
Verizon Pension Payment (Final)
Net Proceeds $
Carried at
02/03/2011 Sale
American Water Refund
Net Proceeds $
Carried at
05/24/2011 Sale
2010 Pennsylvania Income Tax
Refund
Net Proceeds $
Carried at
05/31/2011 Sale
2010 Federal Income Tax Refund
Net Proceeds $
Carried at
06/09/2011 Sale
Pennsylvania Inheritance Tax
Refund
Net Proceeds $
Carried at
650.1 1
650.11
450.00
450.00
41,965.34
41,965.34
29.90
29.90
24.76
24.76
173.00
173.00
2,000.00
2,000.00
78.95
78.95
Net Gain
Net Loss
Page 1
(5)
Gains and Losses on Sales or Other Dispositions (Continued)
Page 2
Net Gain
Total Gains and Losses
No Gain or Loss
$ 0.,00
$ 0.00
(6)
Net Loss
$ 0.00
Estate of Josephine D. Baran
Disbursements
Date Paid Amount Paid
Debts of Decedent
Checks written but not cleared prior to date of
death
09/09/2010 $ 9,068.00
Total Checks written but not cleared prior to date
of death $ 9,068.00
PA Department of Revenue
11/19/2010 2010 Estimated Personal $ 180.00
Income Tax Payment
Total PA Department of Revenue $ 180.00
Smith Radiology, Inc.
12/24/2010 Unpaid medical bill $ 1.83
Check Number 107
Total Smith Radiology, Inc. $ 1.83
John R. Zimmerman
10/21/2010 Nursing home bill for Bethany $ 212.23
Village. Expense was
originally paid by Decedent's
son-in-law, John R.
Zimmerman, and is being
reimbursed to him.
Total John R. Zimmerman $ 212.23
Total Debts of Decedent $ ~_ 9,462.06
Funeral Expenses
Hoover Funeral Home
10/29/2010 Funeral expenses $ 7 006.00
Total Hoover Funeral Home
$ 7,006.00
John R. Zimmerman
10/21 /2010 Costs for funeral luncheon and $ 612.05
cemetery. Expenses were
originally paid by Decedent's
son-in-law, John R.
Zimmerman, and are being
reimbursed to him.
Page 1
(7)
Disbursements (Continued)
Date Paid Amount Paid
Funeral Expenses
Total John R. Zimmerman
$ 612.05
Total Funeral Expenses
$ 7,618.05
Administration Expenses
Derry Township, Tax Collector
02/07/2011 2011 real estate taxes for $ 1,739.38
residence
Check Number 110
Total Derry Township, Tax Collector
$ 1,739.38
Persun & Heim, P.C.
11/18/2010 Legal costs, including $ 15.89
photocopy charges and postage
fees
Check Number 101
12/20/2010 Legal costs, including legal 90.23
advertisement fees, photocopy
charges, and postage
Check Number 105
O l /25/2011 Legal advertisement fee 198.16
Check Number 109
03/18/2011 Legal costs, including 8 75
photocopy charges and postage
fees
Check Number 118
Total Persun & Heim, P.C.
$ 313.03
John R. Zimmerman
10/21 /2010 Household utilities and $ 966.93
association dues for personal
residence. Expenses were
originally paid by Decedent's
son-in-law, John R.
Zimmerman, and are being
reimbursed to him.
Page 2
(8)
Disbursements (Continued)
Date Paid
Administration Expenses
12/15/2010 Household utilities and
association dues for personal
residence. Expenses were
originally paid by Decedent's
son-in-law, John R.
Zimmerman, and are being
reimbursed to him.
Check Number 106
01/19/2011 Household utilities and
association dues for personal
residence. Expenses were
originally paid by Decedent's
son-in-law, John R.
Zimmerman, and are being
reimbursed to him.
Check Number 108
03/10/201 l Household utilities and
association dues for personal
residence. Expenses were
originally paid by Decedent's
son-in-law, John R.
Zimmerman, and are being
reimbursed to him.
Check Number 1 16
03/10/2011 Household utilities and
association dues for personal
residence. Expenses were
originally paid by Decedent's
son-in-law, John R.
Zimmerman, and are being
reimbursed to him.
Check Number 117
Total John R. Zimmerman
Total Administration Expenses
Federal and State Taxes
Register of Wills, Agent
12/09/2010 Prepayment of inheritance tax
Check Number 103
03/04/2011 Inheritance tax
Check Number 113
Page 3
Amount Paid
776.51
514.35
717.53
635.34
$ 30,000.00
7,749.00
(9)
$ 3,610.66
~ 5,663.07
Date Paid
Federal and State Taxes
Total Register of Wills, Agent
Total Federal and State Taxes
Fees and Commissions
Persun & Heim, P.C.
11/18/2010 Legal fees
Check Number 101
12/20/2010 Legal fees
Check Number 105
01/25/2011 Legal fees
Check Number 109
02/25/2011 Legal fees
Check Number 112
03/18/2011 Legal fees
Check Number 118
Total Persun & Heim, P.C.
Register of Wills, Agent
03/04/2011 Additional probate fees
Check Number 114
Total Register of Wills, Agent
Total Fees and Commissions
Total Disbursements
Page 4
Disbursements (Continued)
Amount Paid
$ 1,936.00
l ,088.00
1,136.00
1,242.50
1,295.00
$ 230.00
$ 37,749.00
$ 37,749.00
$ 6,697.50
$ 230.00
$ 6,927.50
$ 67,419.68
(10)
Estate of Josephine D. Baran
Distributions to Beneficiaries
Shari Zimmerman
10/08/2010 Household and personal items
03/18/201 1 Approximate 0.16 acre tract of real
estate with condominium unit in
Derry Township, Dauphin County,
Pennsylvania, being tax parcel
number 24-084-054-000-0000.
06/20/2011 Cash
Total To or For Beneficiary
Total Distributions to Beneficiaries
Total Distributions
Distribution Value
$ 100,000.00
309,560.00
73,237.00
~ 482,797.00
$ 482,797.00
$ 482,797.00
Page 1
Estate of Josephine D. Baran
Balance On Hand
Inventory Value
Total Balance on Hand
Page l
$ 0.00
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hari Zi rman, Execut~- ,
Josephin D. Baran
(12)
Estate of Josephine D. Baran
Information Schedules
Inventory
Value
Exchanges and Stock Distributions
Approximate 0.16 acre tract of real estate with condominium unit in Derry
Township, Dauphin County, Pennsylvania, being tax parcel number
24-084-054-000-0000.
09/09/2010 Received
See attached deed and fair
market value calculations.
03/l 8/2011 Distribution
To Shari Zimmerman
Edward Jones Traditional Individual Retirement Account #336-91186-1-1
(Shari M. Zimmerman, Beneficiary)
09/09/2010 Received
On Hand
Edward Jones Transfer on Death Account #336-14263-1-9 (Shari M.
Zimmerman, Beneficiary)
09/09/2010 Received
On Hand
Household and personal items
09/09/2010 Received
10/08/2010 Distribution
To Shari Zimmerman
Metropolitan Life Insurance Company Policy 636119400A (Insured Carl
Baran)
09/09/2010 Received
12/15/2010 Sold
Metropolitan Life Insurance Company Policy 011773115A
09/09/2010 Received
On Hand
Page 1
$ 309,560.00
(309,560.00)
26,821.69
$ 26,821.69
318,609.85
$ 318,609.85
100,000.00
(100,000.00)
41,965.34
(41,965.34)
3,455.38
$ 3,455.38
(13)
Estate of Josephine D. Baran
Unrealized Gains and Losses
Market Value Inventory Value Gain or (Loss)
Total $ 0.00 $ 0.00 9~ 0.00
Page 1
(14)
Estate of Josephine D. Baran
VERIFICATION
SHARI ZIMMERMAN, Executor of Josephine D. Baran, 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 riow 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 tinsworn
falsification to authorities
Dated
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