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HomeMy WebLinkAbout09-01-11 (4)'^~' r1 r ~,A 4 ~ ~ ~'~ ~) __. ... J ~. .., i .. DECEDENT'S ESTATE f __, COURT OF COMMON PLEAS OF ~~,. ~ ~~ ~ r'a~ CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS COURT DIVISION ESTATE OF MARIE E. GRIBBLE _ DECEASED No. 21-09-1072 PETITION FOR ADJUDICATION / STATEMENT OF PROPOSED DISTRIBUTION PURSUANT TO Pa. O.C. Rule 6.9 This form may be used in all cases involving the Aaidit of the Account of a Decedent's Estate. ~~j~ space is inst.tffident, riders may be attached. Attach the spouse's election, if any: the papers regzrired under items 8-19 inclusive; and any instrument pertinent to the adjudication. INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM. Name of Counsel Richard C. Snelbaker Supreme Court I.D. No.: 6355 Name of La~m~ Firm: Snelbaker & Brenneman, P.C. Address: 44 West Main Street, Mechanicsburg, PA 17055 Telephone: 717-697-8528 Fax: 7I7-697-7681 t~~~,~r~~ oc-o! ,~e~~. to. r=.o6 Page I of 10 ~ S Estate of MARIE E. GRIBBLE I . Name(s) and address(es) of Petitioner(s): ~ rrme: David E. Gribble, Executor 4ddress: 641 Whiskey Springs Road Boiling Springs, PA 17007 Deceased 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, identif}- prior accountings, the accounting periods covered, and the date of adjudication of the prior accounting. 2. Decedent died on November 13, 2009 Letters Testamentary or ~ Letters of Administration were granted to Petitioner(s) on Noy-ember I9. 2009 Date of Will (if applicable): October 5, 2001 Date(s) of Codicil(s) (i f applicable): N/A Date of probate (if di fferent from date Letters granted): same as ahnvP 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: C`,,mhartanrl i a.x; ice,,,-„~~ TIA~Amhor it 1 I, 18, 2009 and Patriot News, December 4, 1 I, 18, 2009 Farm oc-or rer. to.r=.o6 Page 2 of 10 Estate of MARIE E. GRIBBLE Deceased 3. Was decedent survived by a spouse? ............................. Yes ~ No If yes, name of the surviving spouse: 4. Has the surviving spouse filed to take an elective share'? ............. Yes ~ No (See Section 2201 et sue. of the Pf•obate, 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 sun-wing issue of deceased children (if none, so state): N/A 6. Did decedent marry after execution of Will or Codicil(s)'? ........... Q Yes ®No Were any children born to decedent after execution of Will or Codicil(s)? ........................................... Q Yes 0 No If ves, give names and dates of birth: Name: Date of Birth: 7. If required by the Medical Assistance Estate Recovery Aci, 62 P.S. § 1412, was a request for a statement of claim sent to the Department of Public Welfare'? ............... Yes No Fore, oc-or re,~. rn.13.o6 Page 3 of 10 Estate of MARIE E. GRIBBLE 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 vet 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 «-i11 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. crud Comments, ifanv ~ Interest A. State each party's relationship to the decedent and the nature of each parn-'s interest(s): 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. 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%ame nrad Address ofEach Party in Interest David E. Gribble Son 641 Whiskey Springs Road Boiling Springs, PA 17007 FormOC-UI rev.lo.1~.O6 Deceased 100% of residue Page 4 of 10 Estate of MARIE E. GRIBBLE Deceased B. Identify each party who is not sui juris (e.g., minors or incapacitated persons). For each such party, give date of birth, the name of each Guardian and how each Guardian was appointed. If no Guardian has been appointed, identify the next of kin of such party, giving the name, address and relationship of each. N/A C. State why a Petition for Guardian/Trustee Ad Litem has or has not been Eled for this Audit (see Pa. O. C. Rr.~le 12. -~). 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 OGOI re r. 1G.1~.06 Page 5 of 10 Estate of MARIE E. GRIBBLE 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 andAddress of Each Claimant Amoa~nt of Claim Claim It'i[l Claim Admitted? Be Paid In Fu117 None ^Yes ^Yes ^No ^ No ^Yes ^Yes ^No ^ No ^Yes ^Yes ^No ^No ^Yes ^Yes ONo ONo 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 ONo Was family exemption allowed? ................................ ^Yes ~No Family exemption claimant's name and relationship: b'ume. Relalionrhip: Forrn OG01 rev. IOJ3.06 Page6of10 Estate of MARIE E. GRIBBLE 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 Payniertt Italerest 08/ 13/2010 247.96 0.00 8/13/2010 7,435.84 0.00 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? ................... Dyes ~ No If ves, 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: N/A B. Has notice of the question requiring adjudication been given to the parties identified in Paragraph 9 above? .................. Yes ~ No 15. If Petitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed or attached, provide a copy of the assignment, renunciation, disclaimer or attachment, together with any relevant supporting documentation. N/A H~~,-~~ oc-o! ,~e,~. io. v.ob Page 7 of 10 Estate of MARIE E. GRIBBLE 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, dale, 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. N!A 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. ~l mount: Purpose: 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 [f so, attach a copy of the notice. 19. Is the Court being asked to direct the filing of a Schedule of Distribution'? .......................... Yes ONo As to real estate only'? ........................................ DYes ~ No Form OC-01 re r. 10.13.06 Page g Of I Estate of MARIE E. GRIBBLE 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 Dish~ihutee(s) ~?rrrosu~t/Proportion See Accounting B. Principal: Proposed Distrrbutee(s) See Accounting .AmountiPropnr7ion Submitted Bv: (All petitioners jnust sign. Add additional lines i f necessary): Name of Petitioner: David E. Gribble. Etecutor Name of Petitioner: ~or~„ oc-ol rev. 10.3.06 Page 9 of 10 Estate of MARIE E. GRIBBLE Verification of Petitioner (Verification must be by at least one petitioner.) Deceased The undersigned hereby verifies * [that he%~he he is rime Executor of the above-named name of corporation Estate of Marie E. Gribble and] that the facts set forth in the foregoing Petition for Adjudication /Statement of Proposed Distribution which are ~~--ithin the personal knowledge of the Petitioner are true, and as to facts based on the information of others. the Petitioner, after diligent inquiry, believes them to be true; and that any false statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 (relating to unswom falsification to authorities). ignature of Petitioner * Corporate petitioners must complete bracketed information. 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 to the form have been made beyond the responses herein. Signature of Counsel for Petitioner F-ormoc-or rer. io.v.o~ Page 10 of 10 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, vlz: December 4 December 11 & December 18 2009 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. ` ~ 1~~-- ~-- Li arie Coyne, Edi r SWORN TO AND SUBSCRIBED before me this 18 day of December, 2009 Gribble, Marie E., deed. Late of Monroe Township. Executor: David E. Gribble, 641 Whiskey Springs Road, Boiling Springs, PA 17007. Attorneys: Sneibaker & Brenne- man P.C., 44 West Main Street, P.O. Box 318, Mechanicsburg, PA 17055-0318. ~. ~ Notary N07ARIAL SEAL DEQC7RAhi A COLL;IJS Notvey Public rARL,SLE QOi?O, ';Ui,;~'}ER~P,IO COUNTY ft~y Cc~m,nissior~ Expires Apr 28, 2010 The ~t-News Co. 812 Market St. Harrisburg, PA 17101 Inquiries - 717-255-8213 SNELBAKER, BRENNEMAN & SPARE, P.C. 44 WEST MAIN STREET P.O. BOX 318 MECHANICSBURG PA 17055 ~e ~tatriot 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 Marianne Miller, 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 severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY This ad # 0002028560 ran on the dates shown below: EXECUTOR'S NOTICE Letters TektamenTarY on the Estate of MARIE E. RIBBiE, deceased, late of Monroe. ToW.nship, Cumberland County, Pennsyl4ahla, have been granted to the uhderslgned: .All persons knowing themselves to be Indebted fo said E~tdte w(II make pay- ment Immedla?ely ahd those having claims will present them for settlement t0: David E. Grlbble 6tl1 Whlskev Springs Rood Boiling Springs, PA 17007 'i=xecutor SNELBAKER &BRENNEMAN P:C.-, '44'WestMalnSireeT P.O. Sox 318 ' ~ Mechsinlesburo, PA 17Q55-0318. Attorneys ~j' ~ / Y t. Sworn to grid subscribed beforPim~ this 29 d~~ Notary Public December 04, 2009 December 11, 2009 December 18, 2009 December, 2009 A.D. g" C~OM1Vt~YUE~L'.~~ p~ p~NNSYLV d _. t+btaral Spa! ANIA ~he3tl~ , ~4sner COY Of ta~r7rsd~U NQ~N pubrlc ~", [7allptlin Coun ~Y Comrni~ar~tr~~i~s Nov 26.20 1 Member, Ponnsala Ania association of Notaries COMPAONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUB! IC WELFARE BUREAU OF PROGRAM INTEGRITY DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG. PA 17105-8486 March 1.8, 2010 SNELBAKER & BRENNEMAN PC RICHARD C SNELBAKER ESQUIRE 44 W MAIN ST MECHANICSBURG PA 17055 Re: Marie Gribble SSN: ###-##-0502 Dear Attorney Snelbaker: Pursuant to your letter dated February 18, 2010, tha Department of Public Welfare (DPW), Estate Recovery Frogram, has reviewed the information you provided regarding the above-referenced individual. It has been determined that this individual did no` receive any type of assistance during tree questioned period. Therefore, according to :he information you provided, the department's Estate Recovery Program will not seek any recovery from phis estate. If your client applied for Medical Assistance and had an applica~io^. and/or hearing pending at the time of deat_~, 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 R2C0'.'2ry SeCtiGi. Mat'!agc-~ (717)772-6604 SNELBAKER F~ BRENNEMAN, P.C. A PROFESSIONAL. CORPORATI O N ATTORNEYS AT LAW RICHARD C. SNELBAKER KEITH O. BRENNEMAN 44 WEST MAIN STREET MECHANICSBURG. PENNSYLVANIA 17055 717.697-8528 P. O. BOX 318 FACSIMILE (717) 697-7681 September 1, 2011 David E. Gribble 641 Whiskey Springs Road Boiling Springs, PA 17007 Re: Estate of Marie E. Gribble, Deceased Estate No. 21-09-1072 NOTICE TO PARTIES IN INTEREST The undersigned, as attorney for David E. Gribble, Executor of the Estate and under the Last Will and Testament of Marie E. Gribble, Deceased, hereby gives notice to each of the above named persons pursuant to Rule 6.3 of the Pennsylvania Supreme Court Orphans' Court rules as follows: 1. He has filed this date in the office of the Clerk of Orphans' Court and Register of Wills of Cumberland County, Pennsylvania, at Carlisle, PA, the First and Final Account of his administration as such Executor, together with an Inventory and Statement of Proposed Distribution, true copies of which are enclosed herewith. 2. Said Account and Statement will be presented to a judge of the Orphans' Court Division of the Cumberland County Court of Common Pleas at the Cumberland County Court House, 1 Court House Square, Carlisle, PA 17013, on October 11, 2011 at 9:00 o'clock A.M., prevailing time, at which time said Account will be confirmed and distribution ordered in accordance with said Statement of Proposed Distribution unless written objections are filed prior thereto. 3. You have the-right to file written objections to said Account and Statement prior to the confirmation as scheduled above. Very truly yours, Richard C. Snelbaker RCS:sks Enclosures IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA. ORPHANS' COURT DIVISION FILE NO: 21-09-1072 FIRST AND FINAL ACCOUNT OF David E. Gribble, Executor For ESTATE OF MARIE E. GRIBBLE LAW OFFICES SNELBAKER SC BRENNEMAN, P.C. Social Security #: Tax ID #: Date of Death: Date of Incapacity, if any: Date of Executor Appointment: Date of First Complete Advertisement: Accounting for the period: 174-05-0502 27-6320902 November 13, 2009 None November 19, 2009 December 4, 2009 November 13, 2009 July 29, 2011 Purpose of Account: David E. Gribble, Executor, offers this Account to acquaint interested parties with the transactions that have occurred during his Administration. It is important that the Account be carefully examined. Requests for additional information, questions or objections can be discussed with: Richard C. Snelbaker Snelbaker & Brenneman, P.C. 44 West Main Street Mechanicsburg, PA 17055 Phone #: 717-697-8528 Supreme Court I.D. No: 06355 ~'~> -, ' -_, T, -;-, - } -~, j-' Page 1 - - = '~ ._' J .-- J LAW OFFICES SNELBAKER EC BRENNEMAN. P.C. SUMMARY OF ACCOUNT PRINCIPAL Receipts Net Gain on Sales or Disposition Less Disbursements: Debts of Decedent Funeral Expenses Administration Expenses Family Exemption Federal, State & Local Taxes Fees and Commissions Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand For Information: Investments Made Changes in Holdings PAGE INCOME Receipts Less Disbursements Balance before Distributions Distributions to Beneficiaries Income Balance on Hand COMBINED BALANCE ON HAND Listing of unpaid creditors: Persons interest in the Distribution of Estate Proposed Statement of Distribution Affidavit/Verification 3 $186,166.64 3 0.00 $ 186,166.64 3 $ 932.77 3 0.00 3 4, 502.06 3 0.00 3 7,683.80 4 4,250.00 17,368.63 $ 168,798.01 4 3,850.00 $ 164,948.01 4 4 4 $0.00 4 0.00 0.00 4 0.00 $0.00 $ 164, 948.01 5 5 6 7 Page 2 PRINCIPAL RECEIPTS Assets Listed on Inventory per copy of attached: $175,347.68 (Valued as of Date of Death) ADJUSTMENTS TO INVENTORY 0.00 SUBSEQUENT RECEIPTS 11/24/2009 David E. Gribble, proceeds from joint PNC Bank checking account 10,389.61 12/21/2009 Claremont Nursing Home & Rehab, refund overpayment 155.35 6/7/2010 Erie Insurance Group, refund overpayment made by the estate 274.00 TOTAL PRINCIPAL RECEIPTS $186,166.64 PRINCIPAL GAINS OR LOSSES ON SALES OR OTHER DISPOSITIONS NONE $0.00 $0.00 DISBURSEMENTS OF PRINCIPAL LAW OFFICES SNELBAKER EC BRENNEMAN, P.C. DEBTS OF DECEDENT 11/27/2009 PPL Electric, electric service $ 10.36 11/27/2009 United Water Pennsylvania, water service 8.91 11/27/2009 Monroe Township, sewer services 193.50 11/27/2009 Claremont Nursing Home & Rehab, nursing home care 720.00 $ 932.77 FUNERAL EXPENSES NONE $0.00 $0.00 ADMINISTRATION EXPENSES 11/27/2009 PPL Electric, electric service $ 122.42 12/31/2009 Leffler Energy, heating oil 1,300.73 1/12/2010 United Water Pennsylvania, water service 105.55 1/20/2010 RSR Appraisers & Analysts, real estate appraisal fee 650.00 3/22/2010 Monroe Township, sewer services 387.00 4/5/2010 Mary A. Murray, Tax Collector, real estate taxes 242.59 4/10/2010 Erie Insurance Group, insurance premium 436.00 7!20/2010 Mary A. Murray, Tax Collector, real estate taxes 703.74 8!12/2010 Register of Wills, filing fee for Inheritance Tax Return 15.00 paid by David Gribble with personal funds The following item is to be paid upon confirmation of the Accounting: ~~"~ Snelbaker & Brenneman, P.C., costs advanced: 539.03 a. Register of Wills, probate fee 306.00 b. Patriot News, advertise Executor Notice 158.03 c. Cumberland Law Journal, advertise 75.00 Executor Notice FAMILY EXEMPTION NONE $0.00 FEDERAL, STATE & LOCAL TAXES 8/12/2010 Register of Wills, Agent, Inheritance Tax 7435.84 8/12/2010 Register of Wills, Agent, Inheritance Tax paid by 247.96 David Gribble with personal funds $ 4,502.06 $0.00 $ 7,683.80 Page 3 FEES AND COMMISSIONS The following item is to be paid upon confirmation of the Accounting: ~""' Snelbaker & Brenneman, P.C., attorney fees $ 4,250.00 $ 4,250.00 TOTAL DISBURSEMENTS OF PRINCIPAL $ 17,368.63 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES TO: David E. Gribble Household goods retained In-Kind 3,850.00 3,850.00 TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES $ 3,850.00 PRINCIPAL BALANCE ON HAND FIDUCIARY VALUE AT ACQUISITION 7/29/2011 VALUE Cash $0.00 $ 1,497.68 Household goods 0.00 3,850.00 Real Estate 164,948.01 164,948.01 TOTAL PRINCIPAL BALANCE ON HAND $ 164,948.01 $ 170,295.69 INFORMATION SCHEDULES PRINCIPAL INVESTMENTS MADE NONE $0.00 TOTAL PRINCIPAL INVESTMENTS MADE $0.00 CHANGES IN PRINCIPAL HOLDINGS NONE $0.00 $0.00 RECEIPTS OF INCOME NONE $0.00 TOTAL RECEIPTS OF INCOME $0.00 DISBURSEMENTS OF INCOME LAW OFFICES SNELBAKER EC BRENNEMAN, P.C. NONE $0.00 TOTAL DISBURSEMENTS OF INCOME $0.00 DISBURSEMENTS OF INCOME TO BENEFICIARIES NONE $0.00 TOTAL DISBURSEMENTS OF INCOME TO BENEFICIARIES $0.00 Page 4 UNPAID CREDITORS: NONE ** PERSONS INTERESTED IN DISTRIBUTION OF ESTATE: David E. Gribble 641 Whiskey Springs Road Boiling Springs, PA 17007 LAW OFFICES SNELBAKER SC BRENNEMAN, F.G. Page 5 PROPOSED DISTRIBUTION TO BENEFICIARIES David E. Gribble, Executor and Accountant herein, proposes to iistribute the balance of the Estate of Marie E. Gribble, Deceased, to wit: i 164,948.01 in accordance with the Last Will and Testament of said Decedent ~s follows: David E. Gribble 100% of residue per Item Second of Will a. Property known and numbered as $ 111,587.33 805 Fairfield Street, Monroe Twp., Cumberland County, Mechanicsburg, PA, In-Kind by separate Decree b. Property (lot) located on Fairfield Street, $ 53,360.68 Monroe Twp., Cumberland County, Mechanicsburg, PA, In-Kind by separate Decree LAW OFFICES SNELBAKER SC BRENNEMAN, P.C. ~rOTAL DISTRIBUTION: $ 164,948.01 $ 164,948.01 Page 6 AFFIDAVIT /VERIFICATION DAVID E. GRIBBLE, Executor under the Last Will and Testament of MARIE E. GRIBBLE, Deceased hereby declares under oath that he has fully and faithfully discharged the duties of his 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; to his 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 months before the filing of the foregoing First and Final Account. This statement is made subject to penalties of 18 pa. C.S.A. Section 4904 relating to unsworn falsification to authorities. % f' David E. Gribble, Executor Dated: ~~~vt/f f Subscribed and sworn to by DAVID E. GRIBBLE before me this ~>`dl day of Q U~' 2011 Notary Public TH OF PENNSYLVANIA Noiarfai Seel Sara K SFtoMere, Notary Public Medtaafoebtig Boro, C~xriberlartd Caxdy Mp Oortxnis~on E~Y+es Nov. 22.2011 UAemAer. Pennsvivan~~ Assrctatkon at Notaries LAW OFFICES SNELBAKER SC BRENNEMAN, P.C. Page 7