HomeMy WebLinkAbout03-14-13~ ~, G °lo~9a-
DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND .COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF ROY SCOTT LAUFFER D~EASED ~;
21-09-0980
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PETITION FOR ADJUDICATION / ~ ~ -
,
STATEMENT OF PROPOSED DISTRIBUT~~ --~ +- "
m
PURSUANT TO Pa. O.C. Rule 6.9 a o r i o
N `-1
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 arty instrument pertinent to the adjudication.
INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: Robert G. Frey
Supreme Court LD. No.: 46397
Name of Law Firm: Frey & Tiley
Address: 5 South Hanover Street, Carlisle, Pennsylvania 17013
Telephone: 717 - 243 - 5838
Fes: 717 - 243 - 6441
FormOC-0! rev. !0.!3.06 Page 1 of 10
Estate of ROY SCOTT LAUFFER ,Deceased
1. Name(s) and address(es) of Petitioner(s):
Name: Regina M. Lauffer
Adieu: 94 Rustic Dr.
Shippensburg, PA 17257
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
Is this the first accounting by this fiduciary? ..................... Q Yes ^ No
If not, identify prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on October 19, 2009
Di Letters Testamentary or ~ Letters of Administration were granted to Petitioner(s) on
October 19, 2009
Date of Will (f applicable): November 26, 2002
Date(s) of Codicil(s) (if applicable): N/A
Date of probate (f different from date Letters granted):
Was a bond required? DYes Q No If yes, state amount:
Are proofs of advertising of the grant of Letters attached?
........ Q Yes ~ No
Dates of advertisiing of the grant of Letters: 5e~; ~~( .~ e C, /~~~ / ~
C~w.~~r 1~~.~ ~~.~,,, S~~Iv~~ ~cu~,..~-ter 4 /G Z3 Zo /~
Fom oc-ol rev. 10.13.06 Page 2 of 10
Estate of ROY SCOTT LAUFFER
Deceased
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.
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):
Regina M. Lauffer
94 Rustic Drive
Shippensburg, PA 17257
Spouse
a~
100% of the
remainder
Form OC-Ol rev. 10.13.06 Page 4 of 10
Estate of ROY SCOTT LAUFFER
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.
None
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.
N/A
Farm oc-ol rev. 10.13.06 Page 5 of 10
Estate of ROY SCOTT LAUFFER ,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 acrd Address of Each Claimant Amount of Claim Claim Will Claim
Admitted? Be Paid In
Full?
Citzens Automobile Finance 85879.57 yes ^ Yes
Richard J. Boudreau & Assoc. ^No ONo
5 Industrial Way
Salem, NH 03079
RBS Citizens, N.A 6879.24 Dyes ^ Yes
480 Jefferson Blvd ^No ~No
Mail Stop RJE 110
Warwick, RI 02886
Thousand Trails 643.04 Qyes ^ Yes
Equity Lifestyle Properties, Inc. ^No ~ No
2 North Riverside Plaza
Chicago, IL 60606
Chase $15,426.82 ^i yes ^ Yes
DCM Services/Chase ^No ONo
PO Box 1473
Minneapolis, MN 55440
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? ................................ DYes ^No
Family exemption claimant's name and relationship:
Regina Lauffer Spouse
Name: Relationship:
Form OG01 rev. 10.13.06 Page 6 of 10
Estate of Roy Scott Lauffer
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 oJClaim Gaim Will Claim
Admitted? Be Paid In
Fu117
Citibank South Dakota $11,078.16 yes ^Yes
DCM Services/Citibank ^No ^i No
PO Box 1568
Minneapolis, MN 55440
West Shore EMS $1112.62 •Yes
^
^Yes
% Consolidated Collection Service ^No ONo
Inc.
PO Box 60550
Harrisburg, PA 17106
PNC Bank, NA $8236.08 Qyes ^Yes
Weltman, Weinberg & Reis
^No
~No
323 West Lakeside Ave., Suite 200
Cleveland, OH 44113
ChaseDCM Services/Citibank $9549.52 Dyes ^Yes
PO Box 1473 ^No ~No
Minneapolis, MN 55440
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:
Form OC-Ol rev. 10.13.06 Page 6 of 10
Estate of Roy Scott Lauffer
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 Addreu of Each Claimant Amowt of Claim Claim Will Claim
Admitted? Be Paid In
Fvll?
Discover Cazd $5,922.14 •Yes
^
^Yes
% Weltman, Weinberg & Reis ^No 0 No
175 South 3rd St., Suite 900
Columbus, OH 43215
^• Yes ^Yes
^No Q No
^• Yes ^Yes
^No Q No
DYes ^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:.
Form OG01 rev. 10.13.06 Page 6 of 10
Estate of ROY SCOTT LAUFFER
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, aze as follows:
Dole Payment Interest
0
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 0 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 dischazged 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 Pazagraph 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.
Form oc-n1 rev. 10.13.06 Page Z of 10
Estate of ROY SCOTT LAUFFER
Deceased
16. Had the decedent been adjudicated an incapacitated person? .......... ^Yes 0 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 sepazate 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 Pazagraph 9 above? ............. ^Yes ^ No
18. If a reserve is requested, state amount and purpose.
Amount:
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
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
Form oc-o~ rev. io.ls.o6 Page 8 of 10
Estate of ROY SCOTT LAUFFER
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 Dtstrtbutee(sJ
B. Principal:
Proposed DLstrtbutee(s)
Amount/Proportion
Amount/Pioportion
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
Name f Petitioner: gma e
Name of Petitioner:
Form oc-or rev. lo.rs.o6 Page 9 of 10
Estate of ROY SCOTT LAUFFER
Verification of Petitioner
(Verification must be by at least one petitioner.)
Deceased
The undersigned hereby verifies * [that ~is~e is ade
of the above-named m:me of corporaliwt 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 unsworn
falsification to authorities).
Sign a of Petitio
* Corporate petitioners nwst 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
Form OC-01 rev. 10.13.06 Page 10 of 10
First and Final Account of
Regina.M.Lauffer RECORDED OFFICE OF
Executor of the Last Will and Testament oiR E G 1 S T E R O F W 3 L L S
Roy Scott Lauffer
Late of South Newton Township, Cumberland Count3kl~e>L~r~ni~~ 4 ~2
DATE OF DEATH: LETTERS TES'PI'tQ~Y ADVERTISED:
ORPHANS' COURT
October 12, 2009 C~'~~ ~i~NAL
ecember 6, 11
THE SENTINEL
December 1, 8, 15, 2011
ACCOUNTANT IS CHARGED WITH THE AMOUNTS OF PRINCIPAL AND INTEREST
RECEIVED AND CLAIMS CREDIT FOR THE DISBURSEMENTS MADE AS STATED BELOW:
PRIN IP RECEIVED
70 shares, Comcast Class A common stock
22 shares,AT&T common stock
4 motorcycles and 1 Lark trailer sold at Gateway Auction
McGregor boat and trailer
Stingray boat and trailer
1995 Ford Econoline Van and 2002 Jeep, sold together
Motor Home. Repossessed and sold by secured creditor
Z-3 automobile
Miscellaneous personal property
TOTAL PRINCIPAL RECEIVED
1,076.00
565.00
6,076.72
975.86
1,360.00
5 X75.00
0.00
4,045.00
1,982.14
6,435.20
28,090.92
IN OME RE EIV D
Dividends received 31.72
TOTAL INCOME RECEIVED
31.72
DI M N S
Priority expenses paid:
Ewing Brothers Funeral Home 9,281.80
Family exemption to Regina Lauffer 3500.00
Executrix fee to Regina Lauffer 1>~•~
Attorney's fee to Frey & Tiley 1>~•~
Probate fee to Register of Wills 132.00
Advertising fee to Cumberland Law Journal 75.00
Advertising fee to the Sentinel 178.92
Inheritance tax return filing fee 15.00
Filing fee for final account and petition for adjudication 243.50
Auctioneer fees for sale of motor vehicles 375.00
Title fee for trailer 39.50
Replacement battery for Ford van 86.92
Total priortity expenses to be paid 15,927.64
Total Asserts 28,090.92
Less, Total Priority Expenses (15,927.64)
Net assets to be paid to creditors prorata 12,163.28
Debts proposed to be paid prorata:
Total Debt re ttor Debt to be Paid
85,87957 Citizens Automobile Finance (net of proceeds of sale of
reposed motorhome)
6,879.24 RBS Citizens, NA acct. ending 1687
15,426.82 Chase acct. ending 4672
11,078.16 Citibank (South Dakota) NA, acct. ending 6051
643.04 Thousand Trails acct. 730-298-094730
1,112.62 West Shore EMS acct. 009009109
8,236.08 PNC Bank acct. 4311 9675 2058 2574
949.52 Chase account ending 1144
5,922.14 Discover Bank Account 601100227588107
144,727.19 Total
TOTAL DISBURSEMENTS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERALND
SS.:
7,217.56
578.15
1,296.51
931.04
54.04
93.51
692.18
80257
497.71
12,163.27
I, Regina Lauffer, Executrix of the Last Will and Testatment of R. Scott Lauffer, does hereby declare under
oath that I have fully and faithfully discharged the duties of the office; that foregoing Account is true and correct and
fully discloses all significant transitions occuring during the accounting period; that all known claims against the estate have been
included in this Account; that there are no known claims against the estate and that no taxes are presently due .
~'14'.
Regin Lauffer
Sworn to and subscribed before me
this day of February 2013.
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