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HomeMy WebLinkAbout05-08-13 � C�D, ooa DECEDENT'S ESTATE � :: � COURT OF COMMON PLEAS OF � a � � � CUMBERLAND COUNTY, PENNSYLVANIA O0 � � '— � R7 � � --c i�'a %:=i ORPHANS' COURT DIVISION � a. r •-~` v=_� � m` a :=► �,, = ��. _. .� . , , �_ ., ...� --� r;.. � .. : � ... .._ �..., . . ...,.. ...,_ �_'J � - — --=i . s ESTATE OF Ashley E. Dunhoft , DECEA��D 4 c._; ,:; j`'` � c_.^, b <� ;� ,.,� No. 21-11-0244 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 insu�cient, 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 TH/S FORM. Name of Counsel: Edward P Seeber Supreme Court I.D. No.: 76084 Name of Law Firm: James, Smith, Dietterick�Connelly, LLP Address: Suite C-400, 555 Gettysburg Pike Mechanicsburg, PA 17055 Telephone: 717-533-3280 Fax: 717-298-2093 E-mail: eps@jsdc.com Form OC-01 Rev.10-13-2006 Copyright(c)2006 form soflware only The Lackner Group,tr,o. Page 1 of 10 ���� � � � �� r Estate of Ashley E. Dunhoft , Deceased 1. Name(s) and address(es)of Petitioner(s): Name: B�ett A. Du11hOft Add.�ss: 313 Pleasant View Road New Cumberland, PA 17070 Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution and Account and state reason: Is this the first accounting by this fiduciary?......................................................................... � Yes ❑ No If not, identify prior accountings, the accounting periods covered, and the date of adjudication of the prior accounting. 2. Decedent died on 12/15/2010 ❑ Letters Testamentary or � Letters of Administration were granted to Petitioner(s) on 02/23/2011 Date of Will (if applicable): Date(s) of Codicil(s) (if applicable): Date of probate (if different from date Letters granted): Was a bond required? � Yes � 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: 10/1912012 10/26/2012 11/02/2012 10/12/2012 10/19/2012 10/26/2012 Form OC-01 Rev.10.13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. P89e 2 Of 1 O ��� � � � � � � �� Estate of Ashley E. Dunhoft , Deceased 3. Was decedent survived by a spouse?....................................................................... � Yes � No If yes, name of the surviving spouse: Brett A. Dunhoft 4. Has the surviving spouse filed to take an elective share?......................................... ❑ Yes � No (S�g Section 2201 gt s,gq. of the Probate, Estates and Fiduciaries Code) If yes, date of election: 5. In the case of an intestacy, state the names of the decedenYs surviving children or surviving issue of deceased children (if none, so state): None 6. Did the decedent marry after execution of Will or Codicil(s)?.............................................. ❑ Yes � No 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? ..................................................................................... ❑ Yes � No Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. P892 3 Of 1 O � ���� � �� � � � ��� Estate of Ashley E. Dunhoft , 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): Name and Address of Each Part in Interest Relationship and Comments,if any Interest Linda Lundrum Mother 1/4 of residue 2207 Spangler Road,Apt. 2 Seven Valleys, PA 17360 Eric Davis, Sr. Father 1/4 of residue 336 Leeanne Road Essex, MD 21221 Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. P8g@ 4 Of 1 O �� � � �� Estate of Ashley E. Dunhoft , Deceased Name and Address of Each Party in Interest Relationship and Comments,if any Interest Brett A. Dunhoft Spouse $30,000+ 1/2 of 313 Pleasant View Road residue New Cumberland, PA 17070 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. N/A 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). 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 Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. P89@ 5 Of 1 O ��� � � � � �� � Estate of Ashley E. Dunhoft , 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 wll Claim Admitted? Be Paid in Full? Above Attachment Total 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?.......................................................................................... � ves ❑ No Was family exemption allowed?.......................................................................................... � ves ❑ No Family exemption claimanYs name and relationship: Name: Brett A. Dunhoft Relationship: SpOUS@ Form OC-O'I Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,ir,�. Page 6 of 10 � ��� ������ � �� �� � �� � � Estate of Ashley E. Dunhoft , 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 /nterest 12/03/2012 0.00 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 decedenYs 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 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. Form OC-O�Rev.10-13-2006 Copyright(c)2006 form soflware only The Lackner Group,Inc. P8g@ 7 Of'I O � �,��a.�,e� �-�.�� ,�.,- _ - ������� � �� �� � � ��� � � « Estate of Ashley E. Dunhoft , Deceased 16. Had the decedent been adjudicated an incapacitated person?........................................... ❑ Yes � No If yes, attach a copy of the Order if available; otherwise state 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. Date Description Amount See Schedule of Proposed Distribution B. Has notice of the additional receipts and disbursements been given to the parties identified in Paragraph 9 above?................................................... � Yes � No 18. If a reserve is requested, state amount and purpose. Amount: P�'p°Se: See Schedule of Proposed Distribution 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 . � Yes � No partiesin interest?................................................................................................. 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 Asto real estate only?......................................................................................................... � Yes � No Form OC-O'I Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. P8g@ 8 Of 1 O � ���� �� ���� � �� �� �� r Estate of Ashley E. Dunhoft , 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 Distri6utee(s) Amount PropoRion See attached Schedule of Proposed Distribution B. Principal: Proposed Distributee(s) Amount Proportion See attached Schedule of Proposed Distribution Submitted By: (All petitioners must sign. Add additio nes if necessary � iw � Name of Petitioner: Brett A. Dunhoft � Name of Petitioner: Name of Petitioner: Form OC-01 Rev.10-13-2006 Copyright(c)2006 form soflware only The Lackner Group,Inc. P8g@ 9 Of'I O �������� � � � �� ���� � � ��� � Estate of Ashley E. Dunhoft , Deceased Verification of Petitioner (Verification must be by at least one petitioner.) The undersigned hereby verifies* [th8t ne�she is ra�e of the above-named nameofcorporation 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). � Signature of Petitioner Brett A. Dunhoft Signature of Petitioner Signature of Petitioner *Corporate petitioners must comp/ete 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. � nature of Counsel for Petitioner Edward P Seeber Form OC-O�Rev.10-13-2006 Copyright(c)2006 form soflware only The Lackner Group,i�o. Page 10 of 10 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA : . ss. COUNTY OF CUMBERLAND . 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, viz: October 19, October 26, and November 2, 2012 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. .-- sa Marie Coyne, itor SWORN TO AND SUBSCRIBED before me this 2 day of November, 2012 � ` DuahoR,Mhley E.,dec'd. � �'Q� Late of Upper Allen Township. - j�jOt�T'y Administrator: Brett A. Dunhoft c/o Edward P. Seeber, Esquire, James, Smith, Dietterick&Con- nelly, LLP, 555 Gettysburg Pike, Suite C-400, Mechanicsburg, PA 17055. Attorneys: Edward P. Seeber,Es- NOTARIAL SEAL quire,James,Sxnith,Dietterick& DEBORAH A COLLINS Connelly, LLP, 555 Gettysburg Notary Public Pike, Suite C-400, Mechanics- CARLISLE BOROUGH,CUPl6fRLAND COUNTY burg,PA 17055, (717) 533-3280. p�y Commission Expires Apr 28.2014 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tackie Cox,Sales Director,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 13th, 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): October 12, 19&26, 2012 COPY OF NOTICE OF PUBLICATION , ESTATE NOTIG� NOTICE�S htEREBY G WEt�tt�at latters of Adm(�istratiori he+�e been 9rented in the Estpte of'ASH E.DUM�F7,late of Upper Ailen Township, Cumberlend Couniy�ennsyNania;who dred on December 15,,2010. nu pereo�.inas4ma t����are reauirea to make P�yme��,ana�osa Affiant further deposes that he/she is not ������8��,,,�,�,p��,,,t me aame w��,o�ra�y to: interested in the subject matter of the Brenn.o�,�non;nafi���s�tor , aforesaid notice or advertisement, and that �/o Edward P.Seeber,EsQuire .re,►,es,smnn,Dietterick 8 Connely,��P all allegations in the foregoing statement as s��c-aoo � , ��, � � 555Reriys�� to tune,place and character of publication Mechan�s ` :PA 17056 __. 719-533-3280 . aT tI'U . Sworn to d subscribe before me this � �`� Notary Public My commission expires: NOTARIAL SE.4L BAM31 ANN HECKENDORN Notary Pubiic CARLISLE BQROUGH,CUPr"BERLAND CNTY iAy Ccrnmiss'o^ Expi*es Jan 27, 2014 _ ��, .-�.� ,��—���, �-�.�-..�. e �...� .F���,��, �. . , - .�-�.� �. .�_. ����.n,�,,�� u,.., - NOTTCE OF INHERITANC� TAX � �ennsylvania APPRAISEMENT, ALLOWANCE OR DISALLOWAFJCE BUREAU OF INDIYIDUAL TAXES pF DEDUCTIDNS AND QSSESSMENT OF TAK DEPARTMENTOFREVENUE INNERITANCE TAX DIVISION REV-154? IX AFP {Q9-12? PO BOX 2$Ob01 HARRISBURG PA 17128-0601 . DATE 03-04-2013 ESTATE OF DUNHOFT ASHLEY E DATE OF DEATH 12-I5-20IQ FILE NUMBER 21 11-0244 GOUNTY CUMBERLAND EDWARD P SEEBER p�N 101 STE C400 APPEAL DATE: 05-03-2013 555 �ETTYSBUR6 PIKE (SeereversesideunderObjections) MECHANICSBURG PA 17055-5207 Amount Remitted� � MAKE CHECK PAYABIE AND i2EMIT PAYMEHT T0: RE6ISTER OF WILLS 1 CQtlRTHOUSE SQUARE CARLISLE PA 17013 CUT A�QHG THTS �INE �i RETAIN �OWER POR7ION FOR YOUR RECORDS �F— ------------------------------------------------------------------------------------------- REV-1547 EX AFP C12-117 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISA�LOMtANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: DUNNOFT ASHLEY EFILE N0. :21 11-0244 AGN: 101 DATE: 03-04-2013 TAX RETURN W,4S: t}(3 ACCEPTED AS FILED C } CHAM�ED APPRAISED VALUE OF RETURN BASED ON: QRIGINAL RETURN 1. Real Estate tSchedule A} {27 ��Q NOTE: To ensure proper 2. Stocks and Bonds CSchedule B) C2) .QO credit to your account, .OQ submit the upper portYon 3. Closely Neld Stock/Pa�tnership Interest CSchedule C} C37 of this farm with your 4. MortgageslMotes Receivable {Schedule D� t43 •�Q tax payment. 5. CashlBank Deposits/Misc. Personal Property CSchedule E� (5) 6 0,000.00 &. Joi�tly Owned PraRerty {SChedule F} {&} '�a 7. Transfers CSchedule G] ��� .00 8. Total Assets C8� 60.000.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral ExpensesJAdm. CoststMisc. Expenses CSchedule H) {g� 4 3:929.7I lU. Debts/Mortgage Liabilities/Liens CSchedule I) t10� 2.247,13 11. Total Deductians Cl1} 46 s 176.$4 12. Net Value of Tax Return C12� 13,823. 7.( 13. CharitabletGovernmental Bequests, Non-elected 4113 Trusts CSchedu2e J? t13} •�10 14. Net Value af Esteta Sub7ect ta Tax C14� 13,$23. 16 FIOTE: If an assessment was issued previously: Lines !4, 15, 16, 17', 18 and/or 19 will reflect fi�ures that include the tatal af all returns assessed ta date. ASSESSMENT OF TAX: 15. Amaunt of line 14 at spausal rate (�5}_ 17S�823.16 }� (I O - .CI O :&. Amauhfi nf Line 14 taxable at lineal ra#e C16) �� x 0 45 = .pQ 17. Amount of Line 2G at sibling rate C17) -Q� X 1 2 = .00 18. Amount of �ine 14 taxable at collaterai rate C18) .DO X 15 - .0 0 19. Principal Tax Due C1g�= .1�0 TAX CREDITSc PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER IPtTERESTtPEN FAID C-} AMDUNT PAID TDTAL TAX PAYMENT .00 BALANGE 0� TAX DUE ,pq INTEREST Ai�D PEN. . 00 T07AL L1UE .00 * IF PAID AFTER DATE INDICA76D, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE FQR CALCULATION OF ADDITIONAL INTEREST, A REFUND. 3EE REVERSE SIDE FOR INSTRUC7IONS. ��o,000 In the Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division File No. 21-11-0244 Estate of Ashley E. Dunhoft, Deceased Late of Township of Upper Allen First and Final Account Brett A. Dunhoft, Administrator Date of Death: 12/15/2010 Date of Incapacity, if any: None Date of Administrator's Appointment: 02/23/2011 Date of First Complete Advertisement: 11/02/2012 Accounting for the period: 12/15/2010 to 04/30/2013 Purpose of Account: Brett A. Dunhoft,Administrator, 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 or questions or objections can be discussed with: Edward P Seeber James, Smith, Dietterick 8� Connelly, LLP Suite C-400, 555 Gettysburg Pike Mechanicsburg, PA 17055 � =_; � � w r� c Q � t-�-+ c; 717-533-3280 w � :� � � e*'s z c-� -� �' Supreme Court I.D. No. 76084 �, �, r- � - r -� r'-� � �:; � �''� i�'; G, _. 4..% {'^� i � <:/ ��1 •_ ._.,. ,...�6 � ._�,._. ,.... .. .m •..i 1...� . e _ . •� � �'2 . �� �'_t ESTATE OF ASHLEY E. DUNHOFT SCHEDULE OF PROPOSED DISTRIBUTION Assets: James, Smith, Dietterick & Connelly, LLP - client IOLTA account 16,727.16 Less: James, Smith, Dietterick & Connelly, LLP - reservation for final attorney fees (if no objections) -2,000.00 Less: Register of Wills, Cumberland County- filing fee for First & Final Account -215.00 NET DISTRIBUTABLE ESTATE: 14,512.16 PROPOSED FINAL DISTRIBUTION: Brett Dunhoft - First $30,000.00 14,512.16 Brett Dunhoft - 1/2 of residue 0 Linda Lundrum - 1/4 of residue 0 Eric Davis, Sr. - 1/4 of residue 0 SUMMARY t3F ACCOUNT Estate of Ashley E. Dunhoft, Deceased For h „ppriad o#December 1�, 2010 thro��h Anril 30, 201� PAGE$ PRINCIPAL � Receipts: This Account 3 60,000.00 Net Gain (or Loss)on Sales Q.pp or Other Dispas�tions so,opo.o0 Less Disbursements: Deb#s of Decedent 4 2�24�•13 Funeral Expenses 4 18,93s.o� Administration Expenses 5 15,640.71 Federal,State��acal Taxes �.�� Commissions o.00 Fees 6 2,�as.ao Family Exemption 6 3,500.00 a3,272.84 Balance Befare Distributians 1s°727'16 Transfer to{fram) Principal 0.4a Distributions to Beneficiaries 0.00 Principal Balance an Hand - 1s,727.16 �or Infarmation: Investments Made Changes in Holdings - iN.�S2�E Receipts This Account �.4� Net Gain (or Loss)an Sales 0.00 ar Qther Dispositians 0.00 Less Disbursements �'Q4 Balance Befare Distributions 0.00 Transfer to(from)Income �'aa Distributions to Beneficiaries �'Q� Income Balance on Hand 0.00 For Infarmation: Investments Made Changes in Holdings Ct�?MBINED BALANCE ON HAND - ��°��7'1� Signature 7 Verification $ - 2 - SCHEDULE A RECEIPTS OF PRINCIPAL Assets Listed in Inventory Fiduciary (Valued as of Date of Death) Acquisition Value S�S�] Settlement proceeds for civil litigation-�amount 60,000.00 allocated to survival action Total Cash 60,000.00 Total Receipts so,000.00 Total Receipts of Principal so,000.00 - 3 - SCHEDULE C DISBURSEMENTS OF PRINCIPAL Debts of Decedent Allbetter Urgent Care Centers 12/15/2010 unreimbursed medical bill 311.00 311.00 Financial Recoveries 12/15/2010 unreimbursed medical bill 51.93 51.93 Genzyme Genetics 12/15/2010 unreimbursed medical bill 1,144.00 1,144.00 Penn Hanover Family Practice 12/15/2010 unreimbursed medical bill 139.00 139.00 Pinnacle Health 12/15/2010 unreimbursed medical bill 498.82 498.82 York Hosqital 12/15/2010 unreimbursed medical bill 102.38 102.38 Total Debts of Decedent 2,247.13 Funeral Expenses - 4 - SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued Ginqrich Memorial 12/15/2010 headstone 6,640.00 6,640.00 Mvers Funeral Home. Inc. 12/15/2010 funeral services 12,299.00 12,299.00 Total Funeral Exnenses 18,939.00 Administration Ex e� Cumberland Law Journal 12/15/2010 estate notice publication fee 75.00 75.00 Register of Wills. Cumberland Countv 12/15/2010 filing fee for Return 8 Inventory 30.00 12/15/2010 probate fee 70.50 12/15/2010 additional probate fee 115.00 215.50 Schmidt Kramer PC 12/15/2010 attorney fees for civil litigation-amount allocated to 15,000.00 survival action 12/15/2010 reimbursement for expenses&reserve for civil 155.70 litigation-amount allocated to survival action 15,155.70 The Sentinel 72/15/2010 estate notice publication fee 178.92 - 5 - SCHEDULE C DISBURSEMENTS OF PRINCIPAL Continued 178.92 UPS Store 12/15/2010 copies S notary fee 15.59 15.59 Total Miscellaneous Administrative Exnenses 15,640.71 Fees James. Smith. Dietterick�Connelly. LLP 12/03/2012 attorney fees for estate administration 2,946.00 2,946.00 Total Fees 2,946.00 Family Exemot� Brett Dunhoft 12/15/2010 family exemption 3,500.00 3,500.00 Total Familv Exem�tion 3,500.00 TOTAL DISBURSEMENTS OF PRINCIPAL 43,272.84 - 6 - In the Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division File No. 21-11-0244 Estate of Ashley E. Dunhoft, Deceased Signature �� � Brett A. Dunhoft,Administrator - 7 - In the Court of Common Pleas of Cumberland County, Pennsylvania Orphans' Court Division File No. 21-11-0244 Estate of Ashley E. Dunhoft, Deceased Verification Brett A. Dunhoft,Administrator of the Estate of Ashley E. Dunhoft, Deceased, hereby declares under oath that he has fully and faithfully discharged the duties of his office; that the foregoing 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 now outstanding against the Estate; that all taxes presently due from the Estate have been paid; and that the grant of Letters of Administration and the first complete advertisement thereof occurred more than four months before the foregoing Account. This statement is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn falsification to authorities. �. /' _ Dated: � � ��� �GZ��'`%� � �� Brett A. Dunhoft,Administrator - 8 -