HomeMy WebLinkAbout09-28-12Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF
CUMBERLAND
Name of Decedent: Katharine E. Jeffries
COUNTY, PENNSYLVANIA
Date of Death: 02/26/2012 File Number: 21-12-0319
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete:
2. If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
3. If the answer to No. 1 is YES, state the following:
a. Did the personal representative file a final account with the Court?
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
® Yes ^ No
^ Yes ® No
c. Did the personal representative state an account
informally to the parties in interest? ® Yes ^ No
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Clerk of Orphans' Court and may be attached to this report.
Copy of the Family Settlement Agreement is attached to this report.
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Form RW-1~ Rev. 10-13-2006
Marielle F Hazen, Esq. #68003
Name of Person Fdmg this Form
2000 Linglestown Road
Suite 202
Address
Harrisburg, PA 17110
City, State, Zip
717-540-4332
Telephone
Copyright (c) 2006 form software only The Lackner Group, Inc.
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Capacity: ^ Personal Representative ® Counsel
FAMILY SETTLEMENT AGREEMENT AND FINAL RELEASE
IN THE
ESTATE OF KATHARINE E. JEFFRIES, DECEASED
KNOW ALL MEN BY THESE PRESENTS, that WHEREAS Katharine E. Jeffries, late
of Cumberland County, Pennsylvania, deceased, died testate on February 26, 2012, having first
made her Last Will and Testament, which was duly executed on February 21, 1998 and is duly
recorded in Cumberland County Courthouse, Register of Wills, File No. 21-12-0319;
WHEREAS, Katharine E. Jeffries, by the aforesaid Last Will and Testament, named Jill
A. Miller as Executrix of her Last Will and Testament;
WHEREAS, Letters Testamentary on the estate of decedent were duly issued by the
Register of Wills of Cumberland County and were granted to Jill A. Miller on March 16, 2012,
hereinafter called Personal Representative;
WHEREAS, the Personal Representative has gathered the assets of the estate of the
decedent, and the assets consist of real and personal property to a total value of $21,685.14 as set
forth in Exhibit A, which is a statement of account of the said Personal Representative, and
which is attached hereto and made a part hereof and marked Exhibit A;
WHEREAS, the balance for distribution as shown in the statement marked Exhibit A has
been distributed as herein indicated in accordance with the terms of the Last Will and Testament
of the decedent;
NOW, THEREFORE, Donald M. Jeffries, Jr., and Jill A. Miller, being the beneficiaries
and heirs of the decedent, and being those persons entitled to inherit under the Last Will and
Testament, do hereby acknowledge that we have this day had and received from the Personal
Representative, in full satisfaction and payment, all sum or sums of money, legacies, bequests
and devices as are given, devised and bequeathed to us, which amounts we have received this
day, and which amounts are set opposite our names in the table and schedule of distribution in
the statement attached hereto and marked Exhibit A;
AND, we do hereby stipulate that in order to avoid the expense and time involved in the
filing of a formal account and schedule of distribution, we agree that no account is necessary;
and we do hereby consent to distribution being made without the filing of an account and
schedule of distribution, the same to be with the same force and effect as if it had been filed and
confirmed by the Orphans' Court Division of the Court of Common Pleas, Cumberland County.
THEREFORE, we and each of us do hereby remise, release, quit claim and forever
discharge the Personal Representative, Jill A. Miller, her heirs, executors, administrators and
assigns, of and from the estate and from all actions, suits, payment, accounts, reckoning, claims
and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing
whatsoever touching upon the estate of the decedent; and each of us do further hereby covenant
and agree that should any liability come due to the estate of the decedent after the signing of this
agreement, each of us do hereby covenant and agree with each other and the Personal
Representative that we will contribute pro rata our share of the estate to satisfy any and all
claims, demands, suits or causes of action which may be successfully prosecuted against the
estate or the Personal Representative after the signing, sealing and delivery of this Family
Settlement Agreement and Final Release.
IN WITNESS WHEREOF, we have hereunto set our hands and seals this ~ day of
ev~~b~ , 2012.
C
Witness
. Miller
Estate of Katharine E. Jeffries
COMMONWEALTH OF PENNSYLVANIA
. ) ss:
COUNTY OF os )
On this the ~~ day of S~'~ cZv~.e1~ 2012, before me, a Notary
Public, the undersigned officer, personally appeared Jill A. Miller, known to me or satisfactorily
proven to be the person whose name is subscribed to the within instrument, and acknowledged
that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
~~
Notary Public
IN WITNESS WHEREOF, we have hereunto set our hands and seals this G~~ day of
\~, 2012.
~~ ~et.a {,~c~
fitness
Estate of Katharine E. Jeffries
COMMONWEALTH OF PENNSYLVANIA
onald M. Jef
ss:
COUNTY OF`~~..~ )
On this the ~~ day of S~l~ ~ ~^ 2012, before me, a Notary
~T
Public, the undersigned officer, personally appeared Donald M. Jeffries, Jr., known to me or
satisfactorily proven to be the person whose name is subscribed to the within instrument, and
acknowledged that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
NOTARUIL 8EAL
CORINNE EfiGERS WOOONWISE
Nofut- PwNC
SUSOtlEilMINA TIM!. OAIlPlNN t'OtMM1tl
Mfl Co~rribtion Expk~s Mp 1~. ~Ot~
ESTATE OF KATHARINE E. JEFFRIES -STATEMENT OF ACCOUNT
Date of Death: 2/26/2012
Assets DOD VALUE
Citizens Bank -ckin acct. #610070-588-9 $ 9 541.52
Citizens Bank - savin s acct. #6258-758011 $ 1,376.02
PNC Bank -ckin acct. #50-0579-9344 - Jt. w/Jill $ 3,275.67
MetLife Inc. stock - 37 shares $37.89/sh. $ 1,401.93
Prudential Financial, Inc. stock - 100 shares $60.90/sh. $ 6,090.00
TOTAL $ 21,685.14
Ex enses Amount
Alert Pharmac $ 95.52
Jesse H. Gei le Funeral Home $ 179.28
Funeral -dinner $ 371.41
Hazen Elder Law -fees and disbursements $ 1,178.26
Messiah Villa e $ 15,829.80
MetLife -return of ension a ment $ 154.96
Podiatrist - Dr. Paul Dolbe $ 10.00
Re ister of Wills - robate fees $ 119.50
Re ister of Wills - filin fees for PIT return $ 30.00
Total $ 17,968.73
TOTAL TAXABLE ASSETS $ 21,685.14
LESS TOTAL EXPENSES $ 17,968.73
TOTAL $ 3,716.41
LESS INHERITANCE TAX PAID $ (150.32
TOTAL $ 3,566.09
ma
Beneficiaries Distribution "`
Donald M. Jeffries Jr. $ 1,783.04
Jill A. Miller $ 1,783.05
Total $ 3,566.09
* Actual cash distribution may increase or decrease based on receipt of additional assets
or income, presentation of an obligation, and/or payment of additional expenses.
** Note that funds gifted by Katharine more than a year prior to the date of death are also
being divided be(ween the beneficiaries