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HomeMy WebLinkAbout03-22-12"v f .7 1 ... ~~ v © _~~ ~' __, ~ i _ _ ~' C-~ xR : 7 -'. ~ t~> - DECEDENT'SESTATE <> ~' ''`' ,- - ~- ,-, -... -- , _1 ~.. _. COURT OF COMMON PLEAS OF ~ -, ~: --r-> CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF ROSELYN B. GROUSE ,DECEASED No. 21-10-1208 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 Audit of the Account of a Decedent's Estate. If space is insufficient, riders may be attached. Attach the spouse's election, if any; the papers required render 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 LD. No.: 6355 Name of Law Firm: Snelbaker & Brenneman, P.C. Address: 44 West Main Street, Mechanicsburg, PA 17055 Telephone: 717-697-8528 Fax: 717-697-7681 Form OC-01 rev. 10.13.06 Page ] of l0 4 L.e ~~ Estate of ROSELYN B. GROUSE 1. Name(s) and address(es) of Petitioner(s): :'Fame: Carlynn E. Crouse, Executrix Address. 2921 Chestnut Street Camp Hill, PA 17011 Deceased Identif~~ 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 Q No If not, identify prior accountings, the accounting periods covered, and the date of adjudication of the prior accounting. 2. Decedent died on November 29, 2010 Letters Testamentary or ~ Letters of Administration were granted to Petitioner(s) on December 9. 2010 Date of Wi11 (if applicable): Julv 19. 1974 Date(s) of Codicil(s) (if applicable): N/A Date of probate (if different from date Letters granted): Same date as above Was a bond required? Wes 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: Cumberland Law Journal, December 24, 31, & January 7, 2011 & Patriot News December 31, 2010 & January 7, 14, 2011 Page 2 of 10 Form OG01 rev. 10.13.06 Estate of ROSELYN B. GROUSE 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? ............. DYes ~ No (See Section 2201 et sue. of the Probate, Estates and Fiduciaries Code) If yes, date of election: 5. In the case of an intestacy, state the names of the decedent's surviving children or surviving issue of deceased children (if none, so state): N/A . ~ ~ ~ ........... Yes No 6. Did decedent marry after execution of Will or Codicil(s)'. 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? DYes ~ No Farm OC-01 rev. 10.13.06 Page3of10 Estate of ROSELYN B. GROUSE 100% Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6.7 and 6.8 has been or will be given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants listed in item 10 below. In addition, notice of any questions requiring Adjudication as discussed in item 14 below has been or will be given to all persons affected thereby. A If Notice has been given, attach a copy of the Notice as well as a list of the names and addresses of the parties receiving such Notice. B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and addresses of the parties receiving such Notice shall be submitted at the Audit together with a statement executed by a Petitioner or counsel certifying that such notice has been given. C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated persons), Notice of the Audit has been or will be given to the appropriate representative on such party's behalf as required by Pa. O.C. Rule 5.2. D. If any charitable interest is involved, Notice of the Audit has been or will also be given to the Attorney General as required under Pa. O.C. Rule 5.5. In addition, the Attorney General's clearance certificate (or proof of service of Notice and a copy of such Notice) must be submitted herewith or at the Audit. 9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice or knowledge, having or claiming any interest in the estate as beneficiaries under the Will or Codicil(s) or as intestate heirs if there is a complete or partial intestacy: A. State each party's relationship to the decedent and the nature of each parn 's interest(s): ~~'ame and Address Carlynn E. Crouse 2921 Chestnut Street Camp Hill, PA 17011 Form OG01 rev. 10.13.06 in Interest ~ Relationship and Comments, Daughter Deceased Interest Page 4 of 10 Estate of ROSELYN B. GROUSE N/A Deceased C. State why a Petition for Guardian/Trustee Ad Litern has or has not been filed for this Audit (see Pa. O. C. Rule 12.4). N/A D. If distribution is to be made to the personal representative of a deceased party, state date of death, date and place of grant of Letters and type of Letters granted. N/A Page5of10 Form OC-0] rev. ]0.13.06 B. Identify each party who is not sui.juris (e.g., minors or incapacitated persons). For each such parry, 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. Estate of ROSELYN B. GROUSE ,Deceased 10. Other than the claim for the family exemption, list the names of all known claimants and the amount of their claims and state whether each claim is admitted. Name and Address of Each Claimant Amount of Claim Claim Admitted? Will Claim Be Paid In Full? Yes ~ Yes None ~No ~No Yes Q Yes No ~ No Yes ^Yes ~No ~ No Yes Yes ~No ~ No If the estate is insolvent, attach a schedule setting forth the order of preference under 20 Pa.C.S. § 3392 and the proposed payments. 11. Was family exemption claimed? ................................ ^Yes ®/ No Was family exemption allowed? ................................ ^Yes ©/ No Family exemption claimant's name and relationship: Name: Relationship: f~brmOC-01 rev. 10.13.06 Page ~ Of t0 Estate of ROSELYN B. GROUSE 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 Payment Interest 02/07/2011 14,000.00 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? ................... Yes ~ No If yes, provide the name of the estate, indicate whether an account has been filed and confirmed absolutely and all awards performed, or, in the alternative, how the decedent's estate will be discharged for the decedent's fiduciary administration of the estate. 14. A. Describe in detail any questions requiring adjudication and state the position of the Petitioner(s) as to each question: 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 Page 7 of 10 Form OC-Ol rev. 10.13.06 Estate of ROSELYN B. GROUSE Deceased 16. Had the decedent been adjudicated an incapacitated person? .......... ~ Yes ©/ No If yes. attach a copy of the Order if available; otherwise state the Court, term, number. date, and name of Hearing Judge. 17 A. List or attach a separate list of additional receipts and disbursements since the closing date of the Account. None B. Has notice of the additional receipts and disbursements been given to the parties identified in Paragraph 9 above? ............. DYes ~ No 18. If a reserve is requested, state amount and purpose. A___..., 1,000.00 Purp°.5e: filing fees and other miscellaneous costs associated with the administration of the estate If a reserve is requested for counsel fees, has notice of the amount of fees to be paid from the reserve been given to the ........................................ parties in interest? Yes `/©No If so, attach a copy of the notice. 19. Is the Court being asked to direct the filing of a Schedule of Distribution? .......................... ~/ Yes ~No ........................................ As to real estate only? ~/ Yes ^ No Page8oC10 Form OC-01 rev. 10.13.06 Estate of ROSELYN B. GROUSE 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 Distributee(s) See Accounting B. Principal: Proposed Distributee(s) See Accounting Amouint/Proportion Amount/Proportion Submitted By: (All petitioners must sign. Add additional lines if necessary): I ~ `~ 1 ~ ~~1J--'~----- e of Petite er: Carlynn E. Crouse, E?~ecutrix Name of Petitioner: Page 9 of 10 Fnrm OC-01 rev. 10.13.06 Estate of ROSELYN B. GROUSE Verification of Petitioner (Verification must be by at least one petitioner.) The undersigned hereby verifies * [that heishe she is n~rle Executrix of the above-named name of corporation Estate of Roselyn B. Crouse Deceased and] that the facts set forth in the foregoing Petition for Adjudication /Statement of Proposed Distribution which are within the personal knowledge of the Petitioner are true, and as to facts based on the information of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 (relating to unswom falsification to authorities). 7 ~ -,~ ~_. Signa e of P i oner * 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 Page 10 of 10 Form OC-Ol rev. 10.13.06 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, ~riz: December24 December 31 2010 and J~iuary 7, 2011 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Joun~al, a legal periodical of general circulation, and that he is not interested in the subject l~~atter 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 B ~~~ Lis Marie Coyne, SWORN TO AND SUBS 7 of January before me this Notary Crouse, Roselgn B., deed. Late of the Borough of Camp Hill. Executrix: Carlynn E. Crouse, 2921 Chestnut Street, Camp Hill, PA 17011. Attorneys: Snelbaker 8v Brenne- man P.C., 44 West Main Street, P.O. Box 318, Mechanicsburg, PA 17055-0318. NOTARIAL SEAL DEBORAH A COLLINS Notary Puhlsc CARLISLE BOROUGH, CUMBERLAND COUNTY My Commission Expires Apr 28, 2014 "~'he Patriot-News Co. 2020 Technology Pkwy Suite 300 Mechanicsburg, PA 17050 Inquiries - 717-255-8213 SNELBAKER, BRENNEMAN & SPARE, P.C. 44 WEST MAIN STREET P.O. BOX 318 MECHANICSBURG PA 17055 ~e~latriot-News Now you know THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Holly Blain, being duly sworn according to law, deposes and says: That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 2020 Technology Pkwy, Suite 300, in the l~ownship of Hampden, County of Cumberland, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 1900 Technology Pkwy, 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/ Community Weekly 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. This ad # 0002116793 ran on the dates shown below: PUSLCCh,TION COPY December 31, 2010 January 07, 2011 _._._.. January 14, ?_011 a r~ ~ I _ '' ~ EXECUTOR'S NOTICE Letters Testamentary on the Estate of ed late SE d $ ~, g ~ ~,S ~ k ' , ' `~ ~ 1 . ~~,,. ~h'.~ ~..= ~`~ ~. v' '~ ~ ~ • k'~~'` , eceas , -~ ROSELYN B, GROU of Borough of Cama HIII, Cumberland County, Pennsylvania, have been grant- ed To the undersished. _ %i r' p ~ _ ~~ of January 14~~da th r 011 A. D. owlnethemselvestobe sk , y is e me ~nd subscnti befo orn to~ S n All person indebted to said Estate will make pay ; w ~ ~ - --~ ~" ' ~ ~' ~ meet ImmedfaTely and Those having claims:wllipreseritthemTorsettlement ~ ' ~ ~ 1- ~~ -- (. -- Carlvnn E. Crouse ~",. ' ~ ~ ~'~ ~ '` ' '~ ' ~ • ~ ~~~~~~ ~~ _. -- " 2924Chestnut STreet 97 11 I " ry ~ ~ ~ NOta Public 0 . , PA Camp HII Executrix SNELBAKER &.BRENNEMAN P.C. 44WesiMalnSTreet ~ .. ( P.O. Box 318 I Mechanicsburg, PA 17055-0318 _ .~ a ~' - I I Attorneys • t ' " ~ '. _. , r-. ~. RICHARD C. SNELBAKER KEITH O. BRENNEMAN SNELBAKER ~ BRENNEMAN, P.C. A PROFESSIONAL CORPORATION ATTORNEYS AT LAW 44 WEST MAIN STREET MECHANICSBURG. PENNSYLVANIA 17055 717-697-8528 March 22, 2012 T0: Carlynn E. Crouse 2921 Chestnut Street Camp Hill, PA 17011 Re: Estate of Roselyn B. Crouse, Deceased Estate No. 21-10-1208 NOTICE TO PARTIES IN INTEREST P. O. BOX 318 FACSIMILE (7 V) 697-7681 The undersigned, as Attorney for Carlynn E. Crouse, Executrix of the Estate and under the Last Will and Testament of Roselyn B. Crouse, Deceased, hereby gives notice to each of the above named perscns pursuant to Rule 6.3 of the Pennsylvania Supreme Court Orphans' Court rules as follows: 1. She has filed this date in the office of the Clerk of Orphans' Court and Register of Wi11s of Cumberland County, Pennsylvania, at Carlisle, PA, the First and Final Account of her administration as such Executrix, together with an Inventory, Statement of Proposed Distribution and Petition for Ad_;udication, 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 April 24, 2012 at 9:01 c'cloc}; A.M., prevailing time, at which time said Account will be conf~_rmed and distribution ordered in accordance with said Sta~ement 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 LAW OFFICES SNELBAKER Sc BRENNEMAN, P.C, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA. ORPHANS' COURT DIVISION FILE NO: 21-10-1208 FIRST AND FINAL ACCOUNT OF Carlynn E. Crouse, Executrix For ESTATE OF ROSELYN B. GROUSE Social Security #: Tax ID #: Date of Death: Date of Incapacity, if any: Date of Executrix Appointment: Date of First Complete Advertisement: Accounting for the period: 188-44-2639 27-6961586 November 29, 2010 None December 9, 2010 December 24, 2010 November 29, 2010 to March 16, 2012 Purpose of Account: Carlynn E. Crouse, Executrix, offers this Account to acquaint interested parties with the transactions that have occurred during her 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 Page 1 c~ ~ - - F -,-- n _--< : _: ~ r~ r`, I~ `. i 7~- ~ C') __ ~~ ~ C) ~, _r~ (! LP.W OFFICES SNELBAKER 8f 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 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 Page 2 PAGE 3 314,579.12 3 0.00 $ 314,579.12 3 $ 383.73 3 2, 367.08 3 & 4 15,518.79 4 0.00 4 21,025.14 4 3,110.00 $ 42,404.74 4 $ 272,174.38 10,142.83 $ 262,031.55 5 5 $0.00 $0.00 5 $ 0.38 5 0.00 5 $ 0.38 0.00 $ 0.38 $ 262,031.93 6 6 7 8 PRINCIPAL RECEIPTS Assets Listed on Inventory per copy of attached: (Valued as of Date of Death) $313,500.83 ADJUSTMENTS TO INVENTORY 0.00 SUBSEQUENT RECEIPTS 9/9/2011 Delta Dental, premium refund 11/16/2011 PA Department of Revenue, Inheritance tax refund 56.87 TOTAL PRINCIPAL RECEIPTS 1,021.42 $314,579.12 PRINCIPAL GAINS OR LOSSES ON SALES OR OTHER DISPOSITIONS NONE $0.00 $0.00 DISBURSEMENTS OF PRINCIPAL DEBTS OF DECEDENT 12/1/2010 East Pennsboro Ambulance Association, ambulance 12/7/2010 Delta Dental, premium 12/19/2010 Comcast, cable TV service 12/19/2010 Penn Waste, trash service 12/19/2010 Pennsylvania American Water, water service 12/19/2010 PP&L Electric, electric service 1/6/2011 Verizon, phone service FUNERAL EXPENSES 12/28/2010 Foster Monuments, grave marker 2/18/2011 Myers Funeral Home, funeral services ADMINISTRATION EXPENSES 12/20/2010 Joseph Havrel, house painter 12/31/2010 Bryan Willington, yard work and snow removal 1/7/2011 Fred Weiand, floor repair 1/20/2011 Sadler Oil Co., heating oil 1/22/2011 Pennsylvania American Water, water service 1/29/2011 PP&L Electric, electric service 2/25/2011 RSR Appraisers, real estate appraisal 4/4/2011 Free Flow, clean basement drain 5/7/2011 Borough of Camp Hill, sewer service 6/16/2011 Travelers Insurance, homeowners insurance 6/27/2011 William Marejka, house repairs 7/12/2011 Fish Window Cleaning Services, window cleaning 7/16/2011 Drain Doctor, drain repairs 7/19/2011 Steven Brouse, purchase and install window blinds 7/28/2011 Home Depot, household item 8/2/2011 Comcast, cable TV service 10/9/2011 Chester Parks, new water heater 10/18/2011 DFAS, return pension payment not due the Decedent 1/20/2012 Roto-Rutter, repair sewer line LAW OFFICES SNELBAKER $C BRENNEMAN, F.C. $ 75.60 29.34 143.51 45.75 14.92 25.81 48.80 ~ 1,559.08 808.00 $ 2,635.00 1,696.25 500.00 3, 773.66 259.82 989.47 350.00 225.00 631.66 451.00 50.00 220.00 170.00 133.56 35.00 129.27 430.00 772.19 322.00 383.73 2, 367.08 Page 3 DISBURSEMENTS OF PRINCIPAL Con't ADMINISTRATION EXPENSES Con't ***" The following is to be paid upon confirmation of the Accounting: 1. Snelbaker & Brenneman, P.C., costs advanced: a. Register of Wills, probate fee 744.91 b. Cumberland Law Journal, advertise 369.50 Executrix Notice 75.00 c. Patriot News, advertise Executrix Notice 300.41 2. Reserve for filing fees and other costs associated with the administration of the estate 1,000.00 FAMILY EXEMPTION NONE $0.00 FEDERAL STATE & LOCAL TAXES 1/31/2011 Register of Wills, Agent, estimated Inheritance tax 3/2/2001 Janet L. Miller, real estate taxes $ 14,000.00 7/20/2011 Janet L. Miller, real estate taxes 1,317.40 8/31/2011 Janet L. Miller, real estate taxes 3,258.19 2,449.55 FEES AND COMMISSIONS 2/24/2011 Ralph C. Clouser, preparation of 2010 Individual taxes 7/1/2011 Snelbaker & Brenneman, filing fee for Inheritance Tax 7/18/2011 Register of Wills, additional probate fee ""'`* The following is to be paid upon confirmation of the Accounting: 1. Snelbaker & Brenneman, attorney services TOTAL DISBURSEMENTS OF PRINCIPAL $100.00 15.00 50.00 15,518.79 $0.00 21,025.14 2,945.00 DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES TO: Carlynn E. Crouse a . Household goods retained In-Kind b. Advance distribution 4/27/11 585.00 c. Advance distribution 6/28/11 210.00 d. Advance distribution 7/5/11 500.00 e. Advance distribution 8/15/11 3,000.00 f. Advance distribution 8/17/11 3,000.00 g. Advance distribution 8/25/11 347.83 h. Advance distribution 10/18/11 1,500.00 1, 000.00 LAW OFFICES SNELBAKER SC BREN NF_Mt~N, F.C. TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES $3,110.00 $ 42,404.74 10,142.83 $ 10,142.83 Page 4 PRINCIPAL BALANCE ON HAND FIDUCIARY VALUE AT ACQUISITION 3/16/2012 VALUE Household Goods $0.00 $ 585.00 Cash 36,721.84 82,915.83 Real Estate Less items to be paid upon confirmation as listed on page TOTAL PRINCIPAL BALANCE ON HAND INFORMATION SCHEDULES PRINCIPAL INVESTMENTS MADE None CHANGES IN PRINCIPAL HOLDINGS None RECEIPTS OF INCOME 12/17/2010 M&T Bank, checking account, interest TOTAL RECEIPTS OF INCOME DISBURSEMENTS OF INCOME None 230,000.00 230,000.00 -4,689.91 $ 262, 031.93 $ 313, 500.83 DISBURSEMENTS OF INCOME TO BENEFICIARIES None $0.00 $0.00 $ 0.38 $ 0.38 $0.00 $0.00 LAW OFFICES SNELBAKER BRENNEMAN, P.C, Page 5 UNPAID CREDITORS: NONE '~" PERSONS INTERESTED IN DISTRIBUTION OF ESTATE: Carlynn E. Crouse 2921 Chestnut Street Camp Hill, PA 17011 LAW OFFICES SNELBAKER HC BRENNF_MAN, P.C, Page 6 PROPOSED DISTRIBUTION TO BENEFICIARIES Carlynn E. Crouse, Executrix and Accountant herein, proposes to distribute the balance of the Estate of Roselyn B. Crouse, Deceased, to wit: $262,031.93 in accordance with the Last Will and Testament of said Decedent as follows: Carlynn E. Crouse 100 % of residue per Item Third of Will a.. Real Estate known and numbered as 230 North 29th Street, Borough of Camp Hill, Camp Hill, PA 17011 $ 230,000.00 b. Cash LAW OFFfCES SNELBAKER BRENNEMAN, P.C. TOTAL DISTRIBUTION: $ 32,031.93 $ 262,031.93 Page 7 AFFIDAVIT /VERIFICATION CARLYNN E. GROUSE, Executrix under the Last Will and Testament of ROSELYN B. GROUSE, Deceased hereby declares under oath that she has fully and faithfully discharged the duties of her office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Estate have been paid in full; to her knowledge, there are no claims outstanding against the Estate; that all taxes presently due from the Estate have been paid; and that the grant of Letters Testamentary and the first complete advertisement thereof occurred more than four 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. Carlynn Crouse, Executrix ~~ Dated: ~~ ~ ~ o ~ ~~ Subscribed and sworn to by C RLYNN E. GROUSE efore me this ~2 day of j~ 2012 F-- Notary Public Sandra ~~ ~~ my ~y ~eErt, wulrn+~OCra~~mis Nor LAW OFFICES SNELBAKER & BRENNEMAN, P.C Page 8