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SETTLEMENT AND FINAL RELEASE ' `' ~ ~ ~~
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ESTATE OF KATHRYN M.ZYGMUNT - r-;
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Kathryn M. Zygmunt, late of Cumberland County, Penn~ylvani~;
deceased, died testate on June 11, 2011. Her last will and testament
was duly executed on September 27, 2010. On June 20, 2011, the original
document was recorded in the Cumberland County Register of Wills as an
entry in Estate No. 21-11-0697;
Kathryn M. Zygmunt, by her last will and testament, named David
Zygmunt, as Executor of said last will and testament;
Letters testamentary on the estate of the said decedent were duly
issued on June 20, 2011 by the Register of Wills of Cumberland, County,
Pennsylvania, to Mr. David Zygmunt, hereinafter called personal
representative
The personal representative gathered the assets of the estate of
his late mother. The assets consisted of real and personal property, to
a total gross value of $148,727.00 and net value, after expenses of
$95,847.57, as set forth in Exhibit A, which is an Inheritance Tax
Return and summary filed with the Cumberland County Register of Wills.
All the assets have been converted to personal property, and the
entire estate, has been distributed or will be distributed, some in
kind, and the remainder in cash to the undersigned heirs. The
undersigned heirs agree that the full value of the aforesaid property
has been distributed and disposed of to their satisfaction.
Page 1 of 4
The debts and deductions, including the payment of inheritance tax
in the said estate, have been paid in full and the Personal
Representative has no knowledge of any unpaid claims.
We, individually by the signing of this Settlement and Final
Release, as heirs under the last will and testament, acknowledge that we
have received or will receive upon delivery of this Settlement and Final
Release, from the aforesaid Personal Representative, all sum or sums of
money, legacies, bequests, and devises as were given, devised and
bequeathed to each of us respectively by our beloved Mother/Grandmother
and as established her last will and testament.
Each of us does hereby stipulate that in order to avoid the expense
and time involved in the filing of a formal account and schedule of
distribution, we each agree that no account is necessary and we do
hereby agree that we do 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 they had been filed and confirmed by the
Orphans' Court Division of the Court of Pennsylvania, Cumberland County
Branch.
We and each of us, do hereby remise, release quitclaim and forever
discharge the said Personal Representative, his heirs, executors, and
administrators and assigns of and from the said estate and from all
actions, suits, payments, accounts, reckonings, 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 our Mother, and
each of us do further hereby covenant and agree that should any
Page 2 of 4
liability come due to the estate of the said decedent after the signing
of this agreement, we and each of us do hereby covenant and agree with
each other and the aforesaid 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 said estate or the aforesaid 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, by
individual execution of copies of the Settlement and Release on the
various respective dates reflected on our releases.
WITNESS:
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~-~ ..._ l~'~~---~A ~---~ ~ ( SEAL )
~~ David gmu 'r a ~s al Re resentative
~-% (SEAL)
- Tracee L. gmunt
~',%// ~ ~' ( SEAL )
~~ _
'~~ ( SEAL )
(SEAL)
Ian J. Zygmunt
(SEAL)
Kevin Zygmunt
Kenneth Zygmunt
James Zygmunt
(SEAL)
(SEAL)
Page 3 of 4
liability come due to the estate of the said decedent after the signing
of this agreement, we and each of us do hereby covenant and agree with
each other and the aforesaid 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 said estate or the aforesaid 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, by
individual execution of copies of the Settlement and Release on the
various respective dates reflected on our releases.
WITNESS:
David Zygmunt Heir and Personal (SEAL)
Representative
(SEAL)
Tracee L. Zygmunt
(SEAL)
Jadee M. Zygmunt
(SEAL )
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J. Z
gmunt
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( SEAL )
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(SEAL)
Kevin Zygmunt
(SEAL)
Kenneth Zygmunt
(SEAL)
James Zygmunt
Page 3 of 4
liability come due to the estate of the said decedent after the signing
of this agreement, we and each of us do hereby covenant and agree with
each other and the aforesaid 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 said estate or the aforesaid 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, by
individual execution of copies of the Settlement and Release on the
various respective dates reflected on our releases.
WITNESS:
(SEAL)
David Zygmunt Heir and Personal Representative
(SEAL)
Tracee L. Zygmunt
(SEAL)
Jadee M. Zygmunt
(SEAL)
Brian J. Zygmunt
(SEAL )
Ian J. Zygmunt
(SEAL)
Kevin Zygmunt
e.. -L~~~ t (SEAL)
Kennet Zygmunt
(SEAL)
James Zygmunt
Page 3 of 4
liability come due to the estate of the said decedent after the signing
of this agreement, we and each of us do hereby covenant and agree with
each other and the aforesaid 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 said estate or the aforesaid 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, by
individual execution of copies of the Settlement and Release on the
various respective dates reflected on our releases.
WITNESS:
n
`~ ;~~ ~~ ~~t ~~,n L Z~/GiV(Ci~SEAL)
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David Zygmunt Heir and Personal Representative
Tracee L. Zygmunt
(SEAL)
(SEAL)
Jadee M. Zygmunt
(SEAL )
Brian J. Zygmunt
(SEAL)
Ian J. Zygmunt
_.
t._' . 4
Kevin Zygmunt
(SEAL )
Kenneth Zygmunt
James Zygmunt
(SEAL)
(SEAL)
Page 3 of 4
liability come due to the estate of the said decedent after the signing
of this agreement, we and each of us do hereby covenant and agree with
each other and the aforesaid 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 said estate or the aforesaid 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, by
individual execution of copies of the Settlement and Release on the
various respective dates reflected on our releases.
WITNESS:
(SEAL)
David Zygmunt Heir and Personal Representative
(SEAL )
Tracee L. Zygmunt
(SEAL)
Jadee M. Zygmunt
(SEAL )
Brian J. Zygmunt
(SEAL)
Ian J. Zygmunt
(SEAL)
Kevin Zygmunt
(SEAL)
.-- Kenneth Zygmunt
-J ~ - ` ~2,f ( SEAL )
James Zyg unt
Page 3 of 4
SUMMARY
Total Gross Assets
Deductions
$148,727.00
$48,323.87
Net Value subject to tax
PA Inheritance Tax
$100,403.13
4 555.56
Net Value for distribution $95,847.57
NOTICE OF INHERITANCE TAX Pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX ^IVISION OF DEDUCTIONS AND ASSESSMENT OF TAX ~ ---~~-
REV-1547 EX AFP C12-lll
PO BOX 268601
HARRISBURG PA 17128-0601
DATE 10-01-2012
ESTATE OF ZYQMONT KATHRYN
DATE OF DEATH 06-11-2011
FILE NUMBER 21 11-0697
COUNTY CUMBERLAND
DAVID B ZYGMUNT ACN 101
914 HAMILTON ST APPEAL DATE: 11-30-2012
CARLISLE PA 17013-1525 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FDR YOUR RECORDS ~
REV-15 47 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE DF DEDUCTIONS AND ASSESS MENT OF TAX
ESTATE OF: ZYQMONT KATHRYN FILE N0.c21 11-0697 ACN: 101 DATE: 10-01-2012
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
APPRAI SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 129,900.00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 18,827.00
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
B. Total Assets (g) 148,727.00
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (g) 12.931.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 35.392.87
11. Total Deductions (11) 48,323.87
12. Net Value of Tax Return (12) 100,403.13
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 100,403:13
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17 , 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 7( 00 - .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 100 .40~.1~ x 045 = 4,518.14
17. Amount of Line 14 at Sibling rate C17) -00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .OO~X 15 - ,00
19. Principal Tax Due (19) = 4,518.14
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PALD (-)
AMOUNT PAID
06-20-2012 CD016144 .00 4,518.14
CALANI,t Ur UNPAlll 1NItKt51/PENALTY AS OF 06-21-2012
TOTAL TAX PAYMENT 4,518.14
BALANCE OF TAX DUE .00
INTEREST AND PEN. 37.42
TOTAL DUE 37.42
~ LF PAID AFTER DATE INDICATED. SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT DF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
NO. CD 016618
ZYGMUNT DAVID
914 HAMILTON STREET
CARLISLE, PA 17013
-------- lava
ESTATE INFORMATION: SSN: 1s6-1a-2900
FILE NUMBER: 211 1-0697
DECEDENT NAME: ZYGMUNT KATHRYN
DATE OF PAYMENT: 10/10/2012
POSTMARK DATE: 10/10/2012
couNTY: CUMBERLAND
DATE OF DEATH: 06/ 1 1 /201 1
REMARKS:
SEAL
CHECK# 4095
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 537.42
TOTAL AMOUNT PAID:
INITIALS: DMB
RECEIVED BY:
537.42
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER