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DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF JAMES E. ORRIS, DECEASED
NO. 21-10-713
PETITION FOR ADJUDICATION /
STATEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa.O.C. Rule 6.9
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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 under items 8-19 inclusive; and any instrument pertinent to the
adjudication.
INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM
Name of Counsel: Wayne F. Shade, Esquire
Supreme Court ID: 15712
Address: 53 West Pomfret Street
Carlisle, PA 17013
Telephone: 717-243-0220
Fax: 717-249-0017
Estate of James E. Orris, Deceased
1.
Name(s) and address(es) of Petitioner(s):
Name: James E. Orris, Jr.
Address: 6958 Wertzville Road
Enola, PA 17025
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and Account and state reason:
None
Is this the first accounting by this fiduciary? ................. X Yes No
If not, identify prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2.
Decedent died on May 6, 2010
X Letters Testamentary or Letters of Administration were granted to
Petitioner(s) on July 15, 2010
Date of Will (if applicable): April 13, 1999
Date(s) of Codicil(s) (if applicable):
Date of probate (if different from date Letters granted):
Was a bond required? Yes X No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? ...... X Yes No
Dates of advertising of the grant of Letters: Cumberland Law Journal: August 6,
13, and 20, 2010; The Sentinel: July 27, August 3, and August 10, 2010
3.
Was decedent survived by a spouse? ..................... .
Yes X No
If yes, name of the surviving spouse:
4
Has the surviving spouse filed to take an elective share? ....... .
(See ~ 2201, et seq., of the Probate, Estates and Fiduciaries Code)
Yes No
If yes, date of election:
-2-
Estate of James E. Orris, Deceased
5. In the case of an intestacy, state the names of the decedent's surviving children or
surviving issue of deceased children (if none, so state): N/A
6. Did decedent marry after execution of Will or Codicil(s)? ...... Yes X No
Were any children born to decedent after execution of Will
or Codicil(s)? ......................................... _ ___ Yes X 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? ........................ X Yes No
8. Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6.7, and 6.8 has been
or will be given to all parties in interest listed in item 9 below, all unpaid creditors,
and all claimants listed in item 10 below. In addition, notice of any questions
requiring Adjudication as discussed in item 14 below has been or will be given to all
persons affected thereby.
A. If Notice has been given, attach a copy of the Notice as well as a list of the
names and addresses of the parties receiving such Notice.
B. If Notice is yet to be given, a copy of the Notice as well as a list of the
names and addresses of the parties receiving such Notice shall be submitted at the
Audit together with a statement executed by a Petitioner or counsel certifying that
such notice has been given.
C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated
persons), Notice of the Audit has been or will be given to the appropriate
representative on such party's behalf as required by Pa.O.C. Rule 5.2.
D. If any charitable interest is involved, Notice of the Audit has been or will
also be given to the Attorney General as required under Pa.O.C. Rule 5.5. In
addition, the Attorney General's clearance certificate (or proof of service of Notice
and a copy of such Notice) must be submitted herewith or at the Audit.
-3-
Estate of James E. Orris, Deceased
9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice
or knowledge, having or claiming any interest in the estate as beneficiaries under the
Will or Codicil(s) or as intestate heirs if there is a complete or partial intestacy:
A. State each party's relationship to the decedent and the nature of each
party's interest(s):
Name and Address orEach Party in interest Relationship and Comments, if any Interest
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.
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been
filed 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.
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
Pnid in FiJ19
None Yes Yes
No No
Yes Yes
No No
Yes Yes
No No
If the estate is insolvent, attach a schedule setting forth the order of preference under
20 Pa.C.S. § 3392 and the proposed payments.
11
Was family exemption claimed? .... ...................... Yes X No
Was family exemption allowed? .... ..................... .
Yes No
-4-
Estate of James E. Orris, Deceased
Family exemption claimant's name and relationship:
Name:
Relationship:
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
Interest
13. On the date of death, was decedent a fiduciary (personal
representative, trustee, guardian, agent under power of
attorney), or surety on the bond of a fiduciary? .............. Yes X 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:
B. Has notice of the question requiring adjudication been
given to the parties identified in item 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.
16. Had the decedent been adjudicated an incapacitated person? ... Yes X 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.
B. Has notice of the additional receipts and disbursements
been given to the parties identified in item 9 above? .......... Yes No
-5-
Estate of James E. Orris, Deceased
18. If a reserve is requested, state amount and purpose.
Amount: $450
Purpose: Filing Account, etc.
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? ..................................... X Yes No
As to real estate only? ................................ Yes X No
Wherefore, your Petitioner asks that distribution be awarded to the parties
entitled and suggests that the distributive shares of income and principal (residuary
shares being stated in proportions, not amounts) are, as follows:
A. Income:
Prnnn.ced I~istrihuteeLcl
Amnnnt/Prnnnrtinn
James E. Orris, Jr. One-third
Kimberl L. Rohrer One-third
Rebecca A. Davis One-third
-6-
Estate of James E. Orris, Deceased
B. Principal:
Proposed Distributee(s)
Amount/Proportion
James E. Orris, Jr. One-third
Kimberl L. Rohrer One-third
Rebecca A. Davis One-third
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
. ~
Ja E. Orris, Jr.
Verification of Petitioner
(Verification must be by at least one petitioner)
The undersigned hereby verifies that the facts set forth in the foregoing Petition
for Adjudication. /Statement of Proposed Distribution which are within the personal
knowledge of the Petitioner are true, and as to facts based on the information of others,
the Petitioner, after diligent inquiry, believes them to be true; and that any false
statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 (relating to
unsworn falsification to authorities).
Date: July ~,S , 2012
Ja s E. Orris, Jr.
7-
Estate of James E. Orris, Deceased
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.
Date: July 25 , 2012 'A , ~~• G -
Wayne .Shade, Esquire-C_
Counsel for Petitioner
-8-
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:
August 6, August 13, and August 20, 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.
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`Lis~'Marie Coyne, Edit r
Orris, James E., deed.
Late of 7320 Wertzville Road,
Carlisle.
Executor: James E. Orris, Jr.,
6958 Wertzville Road, Enola, PA
17025.
Attorney: Wayne F. Shade, Es-
quire, 53 West Pomfret Street,
Carlisle, PA 17013.
SWORN TO AND SUBSCRIBED before me this
20 of August, 2010
Notary
NOTARIAL SEAL
DEBORAH A COLLINS
Notary Public
CARLISLE BOROUGH, CUMBERLAND COUNTY
My Commission Expires Apr 28, 2014
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
lames Kleinklaus, Director of Sales and Marketing, of The Sentinel, of the County and
State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper
of general circulation in the Borough of Carlisle, County and State aforesaid, was
established December 13,1881, since which date THE SENTINEL has been regularly
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):
Iuly 27, August 3 and August 10, 2010
COPY OF NOTICE OF PUBLICATION
EXECUTOR'S T E
Letters Testamentary on the Estate of JAMES E. ORRIS, late of 7320
Wertzygle.Road,.Cadisle, Cumberland County, Pennsylvania 17015,
deceased; have been granted to James E.'Orrls, Jr.
-
All persons knovring themselves to be indebted to said Estate shall make
~yFrrent fiiifiediatety ~hd those havhig'dlaims wilt present them for
' James E. Orris, Jr.
6958 Wertzville Road
Enola; PA 17025
Wayne. Shade, Esquire
53 West Pomfiret Street
Carlisle, PA 17013
Attorney
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 publication
are true.
Sworn to and subscribed before me this
lam ao~o.
~~~~~
~~
Notary Public
My commission expires:
NOTARIAL SEAL
BAMBI ANN HECKENOORN
Notary Public
CARLISLE BOROUGH, CUMBERLAND CNN
My Commission Expires Jan 27, 2014
IN RE: ESTATE OF :THE COURT OF COMMON PLEAS OF
JAMES E. ORRIS, :CUMBERLAND COUNTY, PENNSYLVANIA
Deceased, Late of the :ORPHANS' COURT DIVISION
Township of Middlesex
Cumberland County, Pennsylvania : NO.21-10-713
NOTICE OF FILING ACCOUNT AND
STATEMENT OF PROPOSED DISTRIBUTION
NOTICE is hereby given that the First and Final Account of James E. Orris, Jr., Executor
of the Estate of James E. Orris, Deceased, and a Statement of Proposed Distribution of the
balance of the assets of said Estate will be filed in the Office of the Register of Wills of
Cumberland County, Pennsylvania, on or before July 27, 2012, and that the same will be called
for confirmation on August 28, 2012, at 9:30 A.M. in the designated courtroom on the fourth
floor of the Cumberland County Courthouse, Carlisle, Pennsylvania, at which time and place you
may appear, either in person or by counsel.
Copies of said First and Final Account and Statement of Proposed Distribution are
enclosed herewith or attached hereto, and the originals as filed may be inspected in the Office of
the Register of Wills of Cumberland County, Pennsylvania, at anytime prior to their presentation
for confirmation.
Unless objections to said First and Final Account or Statement of Proposed Distribution,
or both, are filed in writing not later than 9:00 A.M. (prevailing time) of the date fixed for
confirmation thereof unless otherwise permitted by the Court prior to confirmation, said First and
Final Account will be confirmed; and distribution will be ordered according to the enclosed
Statement of Proposed Distribution.
If you have no objections to the enclosed, you do not need to appear in court at the time
of confirmation.
Date: July 11, 2012 L~
Wayne F hade
Attorney for Accountant
NOTICE TO:
James E. Orris, Jr.
6958 Wertzville Road
Enola, Pennsylvania 17025
Kimberly L. Rohrer
7320 Wertzville Road
Carlisle, Pennsylvania 17015
Rebecca A. Davis
72 Hoover Road
Carlisle, Pennsylvania 17015
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA
ORPHANS' COURT DIVISION
FILE NO. 21-10-713
FIRST AND FINAL ACCOUNT OF
JAMES E. ORRIS, JR., EXECUTOR
For
ESTATE OF JAMES E. ORRIS, DECEASED
Social Security #:
Tax ID #:
Date of Death:
Date of Incapacity, if any:
Date of Appointment:
Date of First Complete Advertisement:
Accounting for the period:
191-40-8056
27-6734979
May 6, 2010
None
July 15, 2010
August 20, 2010
July 15, 2010 to
July 10, 2012
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Purpose of Account: The Executor offers this Account to acquaint interested parties with
the transactions that have occurred during the Administration.
It is important that the Account be carefully examined. Requests for additional
information, questions or objections can be discussed with:
Wayne F. Shade, Esquire
53 West Pomfret Street
Carlisle, Pennsylvania 17013
717-243-0220
Supreme Court I.D. No. 15712
SUMMARY OF ACCOUNT
PRINCIPAL PAGE
Receipts 3
$66,106.51
Advances for Estate Administration 3
3,939.70
Net Gain or Loss on Sales or Disposition 4
(1,900.00)
Less Disbursements:
Debts of Decedent 4 $39,580.45
Administration Expenses 6 4,268.16
Fees and Commissions 7 10,625.00 54,473.61
Balance before Distributions
$13,672.60
Distributions to Beneficiaries
0.00
Principal Balance Remaining
$13,672.60
INCOME
Receipts 7 $3,003.35
Less Disbursements 8
0.00
Income Balance Remaining
3,003.35
COMBINED BALANCE REMAINING
$16,675.95
Verification 9
-2-
PRINCIPAL RECEIPTS
5/13/10 Walmart, final paycheck
$9.16
7/15/10 Eric R. Snyder, purchase of 1999 Chevrolet Blazer
2,100.00
8/20/10 The Prudential Insurance Company of America, Walmart
16
000
00
death benefit ,
.
11/26/10 Members 1St Federal Credit Union, account # 188108
3,067.38
12/15/10 Minnesota Life, life insurance premium refund
120.00
12/16/10 Rowe's Auction Service, proceeds of sale of miscellaneous 3
320
45
household contents ,
.
3/ 3/11 Net proceeds of sale of house and lot of ground known and 2
181
00
numbered as 7320 Wertzville Road, Carlisle, Cumberland ,
.
County, Pennsylvania
4/14/11 Nationwide Mutual Fire Insurance Company, refund of
756
00
homeowner's insurance premium .
4/23/11 Chase Home Finance LLC, refund of mortgage escrows 1 872.32
5/ 6/11 Internal Revenue Service, 2010 federal income tax refund
357.00
5/20/11 Pennsylvania Department of Revenue
2010 income tax
,
refund 92.00
6/17/11 Internal Revenue Service, earned income credit refund
231.20
11/ 1/11 Pacific Life Insurance Company, final structured
settlement payment 36,0-- 0
TOTAL PRINCIPAL RECEIPTS
$66,106.51
ADVANCES FOR ESTATE ADMINISTRATION
6/ 1/10 James E. Orris, Jr., mortgage
$787.94
7/ 1/10 James E. Orris, Jr., mort a e
787.94
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8/ 1/10 James E. Orris, Jr., mortgage
787.94
9/11/10 James E. Orris, Jr., mortgage
787.94
10/15/10 James E. Orris, Jr., mortgage
787.94
TOTAL ADVANCES FOR ESTATE
ADMINISTRATION $3,939.70
PRINCIPAL GAINS OR LOSSES ON SALES OR OTHER DISPOSITIONS
7/1(1/1 ~ i o0o r~,o.,,,..,_~ ,„ _ GAIN LOSS
DEBTS OF DECEDENT
6/16/10 Chase Home Finance, mortgage payment
7/19/10 Chase Home Finance, mortgage payment
8/ 2/10 Chase Home Finance, mortgage payment
9/14/10 Chase Home Finance, mortgage payment
10/27/10 Chase Home Finance, mortgage payment
11/23/10 Chase Home Finance, mortgage payment
12/20/10 Chase Home Finance, mortgage payment
1/24/11 Chase Home Finance, mortgage payment
2/21/11 Chase Home Finance, mortgage payment
3/21 / 11 Chase Home Finance, mortgage payment
$1,387.94
1,3 78 94
1,3 978 94
1,387 94
1,38 .947
1,387 94
1,387.94
1,387.94
1,387.94
1,387.94
-4-
PRINCIPAL DISBURSEMENTS
6/29/ 11
6/29/ 11
1/ 5/12
1/ 6/12
1/ 6/12
1/ 6/12
1/ 6/12
1/ 6/12
1/ 6/12
1/ 1/6 2
1/ 6/12
1/ /16 2
1/ 6/12
1/ 6/12
1/ 61/ 2
1/ 6/12
1/ 6/12
1/ 6/12
Chase, credit card # 5418220583066955, written off by
Chase
Chase, credit card # 4185813832619279, written off by
Chase
Capital One Bank (USA), N.C.A., account #
5178057250616963
Verizon Wireless, telephone service
Pinnacle Health, unreimbursed medical expense
Pinnacle Health, unreimbursed medical expense
Pinnacle Health, unreimbursed medical expense
Pinnacle Health, unreimbursed medical expense
Pinnacle Health, unreimbursed medical expense
Pinnacle Health, unreimbursed medical expense
Pinnacle Health, unreimbursed medical expense
Pinnacle Health, unreimbursed medical expense
AseraCare Harrisburg PA, unreimbursed medical expense
Tristan Associates, unreimbursed medical expense
Quantum Imaging and Therapeutic Associates,
unreimbursed medical expense
Robinson and Geraldo, account # 1500
First National Bank of Marysville, fuel oil owed due to
bankruptcy West Shore Oil
Pathology Associates of Central Pennsylvania, account #
2761791
0.00
0.00
1,338.03
294.99
201 0
0781 00
1 087 00
4,5 83 10
2 060 0
514.00
1,740.20
4,210.00
2,200.00
1,675.00
1,636.00
1,151.48
4 543 55
31.00
-5-
1/ 6/12 Pathology Associates of Central Pennsylvania
935.00
1/ 6/12 Pathology Associates of Central Pennsylvania
97.00
1/ 6/12 Pathology Associates of Central Pennsylvania
163.00
1/ 6/12 Pathology Associates of Central Pennsylvania
220.00
1/ 6/12 James E. Orris, Jr., reimbursement for advances for
administration 3,939.70
TOTAL DEBTS OF DECEDENT
$39,580.45
ADMINISTRATION EXPENSES
8/31/10 Wayne F. Shade, Esquire, reimbursement for
Probate $232.50
Cumberland Law Journal, advertise $157.50
Letters Testamentary 75.00
8/31/10 The Sentinel, advertise Letters Testamentary
198.16
9/ 3/10 PPL, electric service, account # 86720-72014
1,517.16
9/ 3/10 PPL, electric service, account # 86720-72023
276.58
9/ 3/10 York Waste Disposal, Inc., refuse removal
148.26
9/27/10 Peck's Septic Service, pump septic tank
175.00
11/ 8/10 York Waste Disposal, trash removal
48.75
11/24/10 Central Pennsylvania Teamsters Pension Fund
,
reimbursement of pension payments made after the date of
1,158.00
death
3/ 9/11 York Waste Disposal, trash removal
48.75
1/11/12 Register of Wills, file inheritance tax return
15.00
-6-
7/10/12 Register of Wills, reserve for filing Account
etc
,
.
450.00
TOTAL ADMINISTRATION EXPENSES
$4,268.16
FEES AND COMMISSIONS
3/26/12 Smith Elliott Kearns & Company, preparation of fiduciary
inc $625
00
ome tax returns .
7/10/12 Wayne F. Shade, Esquire, attorney fees
9,250.00
7/10/12 Smith Elliott Kearns & Company, reserve for preparation
of final fiduciary income tax ret
750.00
urns
TOTAL FEES AND COMMISSIONS
$10,625.00
INCOME RECEIPTS
6/ 1/10 Midori McCauslin, rent
$600.00
6/30/10 Members 1St Federal Credit Union, account # 188108-00
,
interest
.23
7/ 1/10 Midori McCauslin, rent
600.00
7/31/10 Members 1St Federal Credit Union, account # 188108-00
,
interest
.47
8/ 1/10 Midori McCauslin, rent
600.00
8/31/10 Members 1St Federal Credit Union, account # 188108-00
,
interest
.70
8/31/10 Midori McCauslin, rent
600.00
9/30/10 Members 1St Federal Credit Union, account # 188108-00
i
,
nterest
.68
10/ 5/10 Midori McCauslin, rent
600.00
10/31/10 Members 1St Federal Credit Union, account # 188108-00
i
,
nterest
.70
-7-
11/26/10 Members 1St Federal Credit Union, account # 188108-00,
interest .57
TOTAL INCOME RECEIPTS
$3,003 35
INCOME DISBURSEMENTS
None
TOTAL INCOME DISBURSEMENTS
-8-
VERIFICATION
JAMES E. ORRIS, JR., Executor of the Will of JAMES E. ORRIS, 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; that, 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. § 4904 relating to
unsworn falsification to authorities.
Date: July ~, 2012
4~
Ja E. Orris, Jr.
-9-
IN RE: ESTATE OF :THE COURT OF COMMON PLEAS OF
JAMES E. ORRIS, :CUMBERLAND COUNTY, PENNSYLVANIA
Deceased, Late of the :ORPHANS' COURT DIVISION
Township of Middlesex
Cumberland County, Pennsylvania : NO.21-10-713
STATEMENT OF PROPOSED DISTRIBUTION
The Executor proposes to distribute the entire balance of the Estate for distribution
under the provisions of Item Second of the Last Will and Testament of the decede and :r
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as to the 1999 Chevrolet Blazer, in accordance with the agreement of th s, as G ~: ~:: ~~~.~.
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follows: ~ ,~,:` ~~,
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o c :~•
1. James E. Orris, Jr., 1999 Chevrolet Blazer, in kind at no 0~3 ~' `;..n ~
value - -~ ~-"
~ ~~.
2. James E. Orris, Jr., cash $5,558.65
3. Kimberly L. Rohrer, cash 5,558.65
4. Rebecca A. Davis, cash 5,558.65
TOTAL $16,675.95
I, JAMES E. ORRIS, JR., Executor of the Estate of JAMES E. ORRIS, Deceased,
hereby declare under penalty of perjury that the foregoing Statement of Proposed
Distribution is true and correct to the best of my knowledge, information and belief.
Date: July 2S , 2012
J es E. Orris, Jr.