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HomeMy WebLinkAbout10-25-13 DECEDENT'S ESTATE COURT OF COMMON PLEAS OF :.,�, CUMBERLAND COUNTY,PENNSYLVAI�� w �r m ORPHANS' COURT DIVISION � -"�"�., � � ,�.�,�, �, � c> --� uy � � � rn � r rr� � v� � :� � � ESTATE OF CHARLES C.OWENS DECFs��D� � �' � c� c -� � _` No. 2111-0177 -�, -~�i` N r..;:. ►i � � � Q rn ~� 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 arry instrument pertinent to the adjudication. INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM. Name of Counsel: Paul D.Daggs Supreme Court I.D.No.:64688 Name of Law Firm: DAGGS LAW, LLC Address: 130 W. Church Street, Suite 100 Telephone: (71�) g84-4963 Fax: (7171502-7143 Fo�oc-o� rev.10.13.06 Page 1 of 10 hUJ Estate of C��-ES C. OWENS , Deceased 1. Name(s)and address(es)of Petitioner(s): Name: Larry C.Owens Adatress: 9571 Fraze Road Marshallville,OH 44645 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? , , , , , , , , , , , , , , , , , , , , �Yes � No If not, identify prior accountings,the accounting periods covered, and the date of adjudication of the prior accounting. 2. Decedent died on 42/06/2011 � Letters Testa.mentary or�Letters of Administration were granted to Petitioner(s)on 02/10/2011 Date of Will ('rfappticable): O1/15/2008 Date(s)of Codicil(s) ('fapplicable): Date of probate ('rf 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:Cumberland Law Journa105/13/2011, OS/20/2011, OS/27/2011;Paxton Herald 08/14, 08/21, 08/28/2013 Form OG01 rev.10.13.06 Page 2 of 10 Estate of CHARLES C.OWENS , Deceased 3. Was decedent survived by a spouse? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �Yes �No If yes,name of the surviving spouse: 4. Has the surviving spouse filed to take an elective share? . . . . . . . . . . . . . �Yes �No (See Section 2201 et s�. of the Probate, Estates and Fiduciaries Code) If yes, date of election: 5. In the case of an intestacy, sta.te the names of the decedent's surviving children or surviving issue of deceased children (if none, so state): 6. Did 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 0 No Fo,�oc-o� rev.1o.13.06 Page 3 of 1 O Estate of CHARLES C. OWENS , 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 Petitione�(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 o Each Party in Interest I Relationship and Comments if a I Interest Larry C.Owens Son/Executor 50% 971 Fraze Road Marshallville, OH 44645 Lisa McDonald daughter 50% 151 Evergreen Circle Dillsburg,PA 17019 Fo,m oc-oi r�.�o.r3.o6 Page 4 of 10 _ Estate of CHARLES C.OWENS , Deceased _ Name and Address o Each Party in Interest I Relationship and Comments,i a l 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 representa.tive of a deceased party, state date of death, date and place of grant of Letters and type of Letters granted. Form OG01 rev.10.13.06 P1g8 S Of 1 O �����A,,,. - _ _ - _ Estate of CHARLES C. OWENS , 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 ojEach Claimant Amount of Claim Claim Will Claim Admitted? Be Paid In Full? See Attached Schedule �Yes �Yes �No �No INSOLVENT ESTATE �Yes �Yes �No �No . �Yes �Yes �No (�No (,�Yes 0 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 OGOI rev.lOJ3.06 Page 6 of 10 Estate of CHARLES C.OWENS ,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 Interest 02/03/2012 0.00 Insolvent Estate PA Dept of Revenue Appraisment attached 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 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 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 OG01 rev.10.13.06 PSg@ 7 Of 1 O Estate of CHARLES C.OWENS ,Deceased 16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . . � Yes �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 Paragraph 9 above? . . . . . . . . . . . . . �Yes �No 18. If a reserve is requested, state amount and purpose. Amount. 30.69 Pu'�°se: incidental expenses(postage,photocopies,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? . . . . . . . . . . . . . . . . . . . . . . . . . . �Yes �No As to real esta.te only? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [,�Yes �No Form OC-01 rev.10.13.06 Page 8 of 10 Estate of C��ES C. OWENS ,Deceased Wherefore,yo�r 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 Distributee(s) Amount/Proportion See attached schedule B. Principal: Proposed Distributee(s) Amount/Proportion See atta.ched schedule Submitted By: (All petitioners must sign. Add additional lines if necessary): Name of Pe ' ' ner:L�y C. Owens Name of Petitioner: FormOG01 r�.lo.r3.o6 Page 9 of 10 _ _ - �..s,�,,,����...�� - _ Estate of CHARI-ES C. OWENS Deceased Verification of Petitioner (Verification must be by at least one petitioner.) The undersigned hereby verifies * [that he�she h=1S title Executor of the above-named name of corporation 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). ignatur of Petitioner *Corporate petitioners must 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 Peti ' Forne OC-01 rev.10.13.06 Page 10 of 10 PETITION FOR ADJUDICATION-ATTACHMENT Prioritv Claimants: *''� All claims are admitted ** All claims have been paid in full (1) IRS for 2010 Individual Tax payment (2) IRS for 2004 Individual Tax payment (payment plan) (3) Administration Expenses (a) Probate fees and Costs of Administration (b) Shawna Simpson (individual tax return preparer) (c) Paul D. Daggs, Esquire (4) Parthemore Funeral Home (5) Borough of Lemoyne (sewer/trash) Unsecured (Non-Prioritv) Claimants: ** All claims are admitted � ** Suggested Schedule of Disbursement is detailed below as these non-priority claimants will receive a pro-rata share of the remaining available balance in the estate account (1) Chase Bank (Credit Card - $14,1871.59) c% dcro services 4150 Olson Memorial Highway, Suite 200 Minneapolis, MN 55422-4811 (2) Discover Financial Services (Credit Card - $3,517.17) 2323 Lake Club Drive, Suite 300 Columbus, OH 43232 (3) Members lst Federal Credit Union (Credit Card - $2,334.20) Attn: Danielle A. Kline 5000 Louise Drive P.O. Box 40 Mechanicsburg, PA 17055 (4) Citibank (Citi Credit Card - $2,191.38) c/o Ascension Point Recovery Services, LLC 200 Coon Rapids Blvd., Suite 200 Coon Rapids, MN 55433-5876 (5) Capital One (Credit card - $1,927.18) c/o dcro services 4150 Olson Memorial Highway, Suite 200 Minneapolis, MN 55422-4811 (6) Citibank (Sears Credit Card - $1,862.47) c/o Ascension Point Recovery Services, LLC 200 Coon Rapids Blvd., Suite 200 Coon Rapids, MN 55433-5876 (7) GE Money (Credit Card - $337.01) P.O. Box 981127 El Paso, TX 79998-1127 (8) Members lst Federal Credit Union (Personal Loan - $106.41) Attn: Danielle A. Kline 5000 Louise Drive P.O. Box 40 Mechanicsburg, PA 17055 DISBURSEMENTS OF PRINCIPAL FOR PRIORITY CLAIMS PURSUANT TO PEF§3392 Claims of the US—Taxes IRS—2010 Individual Taxes 934.00 � IRS—2004 Individual Taxes (�inal payment of payment plan) 574.31 1,508.31 Administration Expenses Register of Wills 100.50 Publication Expenses 175.00 Filing Fees 130.00 � Photocopies/Mailing Expenses 25.00 Shawna M. Simpson (2010 tax preparer) 75.00 Paul D. Daggs, Esquire 1,000.00 1,505.50 Funeral Expenses 02/10/11 Parthemore Funeral Home 2,675.27 2,675.27 Claims of the Commonwealth & Countv Borough of Lemoyne (Sewer/Trash) 606.34 606.34 TOTAL DISBURESMENTS OF PRINCIPAL $6,295.42 Reserves Held for Remaining Incidental Costs 30.69 � CURRENT BALANCE AVAILABLE FOR DISBURSEMENT TO REMAINING CREDITORS $1,300.00 SCHEDULE OF PROPOSED DISBURSEMENT PURSUANT TO PEF§3392 Total Outstanding Claims of Unsecured Creditors $26,487.41 Remainin� Creditors Amount of Claim % of Total Claims Chase Credit Card 14,1871.59 53.58% Discover Credit Card 3,517.17 13.00% Members lst Credit Card 2,334.20 8,820/ Citibank/Citi Credit Card 2,191.38 8,2go/ Capital One Credit Card 1,927.18 7.280�0 Citibank/Sears Credit Card 1,862.47 7.04% GE Money Credit Card 337.01 1.30% Members 1st Personal Loan 106.41 0.40% Proposed Disbursements Based on Creditor's Percentage Interest of the Outstanding Claims Calculation = Amount Available for Disbursement g Creditors % Interest of Total Debt ($1,300.00 x % Interest) Remaining Creditors Calculation Disbursement Amount Chase Credit Card 1300 x 53.58% 696.54 Discover Credit Card 1300 x 13.00% 169.00 Members 1gt Credit Card 1300 x 8.82% 114.40 Citibank/Citi Credit Card 1300 x 8.28% 107.64 Capital One Credit Card 1300 x 7.28% 94.64 �itibank /Sears Credit Card 1300 x 7.04% 91.52 GE Money Credit Card 1300 x 1.30% 16.51 Members lgt Personal Loan 1300 x 0.40% 5.20 N�TICE OF INHERITANCE TAX pennsylvania � BUREAU oF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE PO BOX 280601 REV-1547 DC AFP C12-11) HARRISBURG PA 17128-0601 DATE 06-18-2012 ESTATE OF UWENS CHARLES C DATE OF DEATH 02-06-2011 FILE NIJMBER 21 11-0177_ PAUL D DAGGS ESQ COUNTY CUMBERLAND STE 100 ACN 101 APPEAL DATE: 08=I7�2012 13 0 W C H U R C H S T (See reverse side under-�bjections) DILLSBURG PA 17019-1278 A�ount Re�ftted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER UF WILLS 1 CUURTHOUSE SQUARE CARLISLE PA 17013 CUT ALON6 THIS LINE �► RETAIN LOWER PORTION FOR Y�UR REC�RDS E� --------------------------- ----------------------- EV-1547 EX AFP C12-11� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR -------------- � � DISA�LOWAI�E.� _OF--DEDUC�IONS A�tD ASSESSMENT DF TAX ESTATE OF: _OWENS -- CHARLES CFILE N0. :21 11-0177 ACN: 101 DATE: 06-18-2012 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate CSchedule A) C1� .0 0 2. Stocks and Bonds CSchedule B) NOTE: To ensure proper C2) .0 0 credit to your account, 3. Closely Held Stock/Partnership Interest CSchedule C) (3) .0 0 submit the upper portion 4. Mortgages/Notes Receivable CSchedule D) of this form with your C4) .0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) 7, . 626 11 , ��._ . � C6)> _ :fl'� 6. Jointly Owned Property CSchedul� F . 7. Transfers CSchedule 6) � ` C7) �0� 8. Tota1 Assets APPROVED DEDUCT�``I ONS AND EXEMPTI ONS: � �.�;� � c8) 7,626.11 9. Funeral Expenses/Adm. 'Costs/�tisc.� Expenses CSchedule H) C9)- � 4.0 77 10. Debts/Mortgage Liabilities/Liens CSchedule I) (10)_ 28,602.06 il. Total Deductfons 12• Net Value of Tax Return C11) 32,627.83 � 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J? C13� 25�0 01.7 2- 14. Net Value of Estate Sub3ect to Tax .0 0 ci4� 25,001.72- NOTE: If an assesssent was issued previously, lines 14, 15 and/or 16, 17, reflsct finures that include the total of ALL returns assessed to d te�nd 19 will ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .0 0 X 0 0 = .0 0 16. AmouR�_of �ine 14 �axable at Lineal/Class A-rate ,.__ C16) -- �-� x -445 = .0 0 17. Amount of Line 14 at Sfblfng rate C17) _00 X 12 = 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0 19. Principal Tax Due TAX CREDITS: C19)= .00 PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. RESERVATION: intpossessioncoreen�ovment to ClassfBr(collateral)9beneficiariesfofUtheldecedentlafter theaexpirationsofrany estate for life or for vears, the Commonwealth hereby expresslY reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on anv such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 20D0. (72 P. . Section 9140). PAYMENT: Detach the top portion of th3s notice and submit with vour pavment to the Register of Wills printed on the reverse side. --Make check or money order pavable to: REGISTER OF WILLS, AGENT. Failure to pay the tax, interest, and penalty due mav result in the filing of a lien of record in the appropriate county, or the 3ssuance of an Orphan's Court citation. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, mav be requested bY completing an "ApPlication for Refund of Pennsylvania lnheritance and Estate Tax" (REV-1313). Applications are available from the department's web site at www.revenue.state.pa.us, anY Reg3ster of Wills or Revenue District Office, or from the department's 24-hour answering service: 1-800-362-2050; services for taxpayers with special hear3ng and/or speaking needs: 1-800-447-3020 (TT on1Y). OBJECTIONS: Any party in interest not satisfied with the apPraisment, allowance or disallowance of deductions or assessment of tax (including discount or interest) as shown on this notice maY object within 60 davs of the date of receipt of this notice bv: A) Protest to the PA Department of Revenue, Board of Appeals, bY filing a protest online a www.boardofappeals.state.pa.us on or before the 60 dav appeal period expires. In order for an e ec ronic pro es o e va13d, you must receive a confirmation number and processed date from the Board of Appeals web site. You maY also send a written protest to PA Department of Revenue, Board of Appeals P.O. Box 281021, Harrisburg, PA 17128-1021. Petitions may not be faxed: or B) Have the matter determined at the audit of the personal representative's account: or ADMIN- C) Appeal to the Orphans' Court. ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of evenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box 280601, Harrisburg, PA 17128-0601 or call (717) 787-6505. See Page 4 of "Instructions for Inheritance Tax Return for a Resident Decedent" CREV-1501) for an exPlanation of administrativelv correctable errors. DISCOUNT: If anv tax due is paid within three calendar months after the decedent's death, a five percent discount of the tax paid is allowed. PENALTY: The 15 percent tax amnesty non-oarticipation penaltv is comp�ted on the total of the tax and interest assessed and not pa3d before Jan. 18, 1996, the first dav after the end of the tax amnestv period. Th3s non-participation penaltY is appealable in the same manner and in the the same time period as vou would appeal the tax and interest that has been assessed as indicated on this not3ce. INTEREST: Interest is charged beginning with first day of delinquencv, or nine months and one day from the date of death, to the date of pavment. Taxes which became delinquent before Jan. 1, 1982, bear interest at the rate of six percent per annum calculated at a dailv rate of 0.000164. All taxes which became delinquent on and after Jan. 1, 1982, will bear interest at a rate which varies from vear to vear w3th the rate announced bv the PA Department of Revenue. Rates for 1982 through 1999 can be found in the Pennsylvania Resident Instruction Booklet (REV-1501), the Pennsvlvania Non-resident Instruction Booklet CREV-1736) or on the Department of Revenue Web site www.revenue.state.pa.us. The apPlicable interest rates for Years 2000 through 2012 are: Interest Daily Interest Daily Interest Dailv Year Rate Factor Year Rate Factor Year R�te Facto_ —� .000247 2002 6% .000164 2000 8% .000219 2001 9% 20D3 5% .000137 2004 4% .000110 2005 5% .000137 2006 7% .000192 2007 8% .000219 2008 7% .000192 2009 5% .000137 2010 4% .000110 2011 3% .000082 .000082 ?�Interest is celculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR 15 davs --Any notice issued after the tax becomes delinquent will reflect an interest calculation to on the beYOnd the date of the assessment. If payment is made after the interest computation date shown notice, additional interest must be calculated. PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587,approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVA1vIA : : ss. COUNTY OF CUMBERLAND • Lisa Marie Coyne,Esquire,Editor of the Cumberland Law Journal,of the County and State aforesaid, bemg duly sworn, according to law, deposes and says that the Cumberland Law Journal,a legal periodi�al publish�d in the Borough of Carlisle-in the County and Sta.te aforesaid, was established January 2, 1952, and designated by tlie Ioca1 courts as the official legal penodical for the publication of a111ega1 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 da,tes, viz: Mav 13. Mav 20, and Mav 27, 2011 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. .---,�� �. , ; �. �.�_- Lisa Marie Coyne,Editor SWORN TO AND SUBSCRIBED before me this 12 day of October,2012 � . Notary Ow���G`i�s C.,dec'd. Late o[C�tmberl�d County. Executor:I.axty C.Owens,64 31 st �r�ee3t. N.W., Biu-berton, OH NOTARIAL SEAL DEBORAH A COLLINS ���'�NO�• Notary Public CARUSLE 60ROUGH,CUMBERLANO COUNTY My Commission Expires Apr 28,2Q14 • I 7 FaX rw•�.+��w,aa•��o�n.�.,►�.,.��w�m��•amoaa (717)657-3523 East Shore Office& Plant- (�'O Box 6310) 101 Lincoin Street (717)545-9540 Harrisburg, PA 17112 (7�7)545-8762 � OOF OF PUBT.TCATTnN STATE OF PENNSYLVANIA COUNTY OF DAUPHIN Before me, the subscriber, a Notary Public in and for the said County, personally came Lisa M• Carnes who, being duly sworn, doth depose `� , and say that she is ��,gj� of THE FAXTON HERALD, a newspaper of generat circulation published in Harrisburg,Pennsylvania; - t That THE PAXTON HERALD was established on the 28th day of June, 1960,and has been published continuously since that date; That the advertisement, of which a copy is attached hereto, was published in the advertising columns of THE PAXTON HERAI�D in i. all respects as ordered in the issue(s)of��C�,g'-� �-ag a�i3 }` Affiant further deposes that she is not interested in the subject matter of �� iz� , the aforesaid notice or advertisement, and that the allegations in the foregoing statement as to the time, place and character of publication are true. �>�t � _ (Sign re of the Affiant) Sworn and subscribed before me this day of � r A.D. I � Notary P lic N ARIAL SEAL O�A a�.IN��Nldta��ypublb �A► sion Exp1res II�Y26.201�4 —?.�' oo I, 7�. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS COURT DIVISION � � � ,� ° w ,,.�',� �" t�o .�'� t � Q In Re: : •— : r.'�,,, Z`�-+�► �"' N -� .ri�. ESTATE OF CHARLES C. OWENS,: � r� � `-�' � � Deceased : No. 21-11-017� ca � --� ° � : � C ��`f� "':3 �,„,,,� �'�t : �� � :��'V �j, �7 � � �� FIRST AND FINAL ACCOUNT �` -�' ��y ° a� -� of LARRY C. OWENS, EXECUTOR for ESTATE OF CHARLES C. OWENS ** INSOLVENT ESTATE ** Date of Death: 2/06/2011 Date of Executrix's Appointment: 2/10/2011 Dates of Advertisement of Grant of Letters - Cumberland Law Journal 5/13/11, 5/20/11, 5/27/11 - The Paxton Herald 08/14/13, 08/21/13, 08/28/13 Accounting Period: 2/10/11 — 10/25/13 Purpose of this Informal Account: The Executor offers this Account to acquaint interested parties with the transactions that have occurred during the Administration. Requests for additional information, questions or objections can be discussed with: Paul D. Daggs, Esquire DAGGS LAW, LLC 130 W. Church Street, Suite 100 Dillsburg, PA 17019 (717) 884-4963 � W SUMMARY OF ACCOUNT Pages PRINCIPAL � R,eceipts from Personal Estate 3 $ 7,436.47 Subsequent R,eceipts 3 189.64 $ 7,626.11 INCOME R,eceipts 3 N/A COMBINED PRINCIPAL & INCOME 3 $ 7,626.11 DISBURSEMENTS Claims of the US - Taxes 4 1,508.31 FunerallMemorial Expenses 4 $ 2,675.27 Administration Costs/Expenses 4 1,505.50 Claims of Commonwealth & County 4 606.34 . $ 6,295.42 TOTAL DISBURSEMENTS 4 $ 6,295.42 RESERVES FOR REMAINING INCIDENTAL COSTS 4 $ 30.69 BALANCE AVAILABLE FOR DISBURSEMENT , TO REMAI1vING CREDITORS $ 1,300.00 SCHEDULE OF PROPOSED DISBURSEMENT TO REMAIrTING CREDITORS PURSUANT PEF 3392 5 VERIFICATION � 6 2 PRINCIPAL RECEIPTS � Assets Listed in Inventory (Valued as of Date of Death) R,eceiuts of the Personal Estate 02/10/11 M &T Bank Checking Acct 7,246.22 02/10/11 M &T Bank Savings Acct 190.25 7,436.47 Subaeauent Receipts 04/15/11 State Farm Refund 89.82 07/15/11 Citibank Refund 99.82 189.64 TOTAL PRINCIPAL RECEIPTS $ 7,626.11 INCOME ADDED TO ESTATE N/A 0.00 TOTAL INCOME RECEIVED � COMBINED PRINCIPAL &INCOME $ 7,626.11 3 DISBURSEMENTS OF PRINCIPAL FOR PRIORITY CLAIMS PURSUANT TO PEF§3392 Claims of the US—Taxes IRS—2010 Individual Taxes 934.00 IRS—2004 Individual Taxes (final payment of payment plan) 574.31 1,508.31 Adminiatration Expenses R,egister of Wills 100.50 Publication Expenses 175.00 Filing Fees 130.00 PhotocopieslMailing Expenses 25.00 Shawna M. Simpson(2010 t�preparer) 75.00 Paul D. Daggs, Esquire 1,000.00 1,505.50 Funeral Exuenses 02/10/11 Parthemore Funeral Home 2.675.27 2,675.27 Claims of the Commonwealth& Countv 60— Borough of Lemoyne (Sewer/Trash) 606.34 TOTAL DISBURESMENTS OF PRINCIPAL $6,295.42 Reserves Held for R,emaining Incidental Costs 30.69 - CURRENT BALANCE AVAILABLE FOR RS �1,300.00 — DISBURSEMENT TO REMAI1vING CREDITO 4 , SCHEDULE OF PROPOSED DISBURSEMENT PURSUANT TO PEF §3392 Total Outstanding Claims of Unsecured Creditors $26,487.41 R,emainin� Creditors Amount of Claim % of Total Claims Chase Credit Card 14,1871.59 53.58% Discover Credit Card 3,517.17 13.00% Members lst Credit Card 2,334.20 8•82% Citibank/Citi Credit Card 2,191.38 8•28% Capital One Credit Card 1,927.18 7•28% C itibank/Sears Credit Card 1,862.47 7.04% GE Money Credit Card 337.01 1.30% Members 18t Personal Loan 106.41 0.40% Proposed Disbursements Based on Creditor's Percentage Interest of the Outstanding Claims Calculation= Amount Available for Disbursement g Creditors % Interest of Total Debt ($1,300.00 g% Interest) R,einainin Creditors Calculation Disbursement Amount Chase Credit Card 1300 x 53.58% 696.54 1300 x 13.00% 169.00 Discover Credit Card 114.40 Members lst Credit Card 1300 x 8.82% 1300 x 8.28% 107.64 Citibank/Citi Credit Card 94.64 Capital One Credit Card 1300 x 7.28% Citibank/Sears Credit Card 1300 x 7.04% 91.52 1300 x 1.30% 16.51 GE Money Credit Card 5.20 Members 18t Personal Loan 1300 x 0.40% 5 Verification I, Lariy Owens, Executor, hereby acknowledge that I have read the foregoing Final Account and verify that the facts stated therein are true and correct to the st of m knowledge, information, and belief. I understand that false statements be y made herein are subject to the penalties of 18 Pa.C.S. §4904, relating to unsworn falsification to authorities. � - ' � /.�- .�— Date: l 3 I,arry ens, Executor - 6 _ � Veri�cation I, Paul D. Daggs, Esquire, hereby acknowledge that I have read the foregoing Final Accoun.t and verify that the facts stated therein are true and correct to the best of my knowledge, information, and belief. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S. §4904, relating to unsworn falsification to authorities. � � � � Date: �fJ 2S � � Paul D. Daggs, Esquire 7 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS COURT DIVISION In Re: • ESTATE OF CHARLES C. OWENS,: Deceased : No. 21-11-0177 CERTIFICATE OF SERVICE I, Paul D. Daggs, Esquire, counsel for the Estate, do hereby certify that on the 25th day of October, 2013, a true and correct copy of the Notice of the Executor's First and Final Account, including a proposed Schedule of Distribution, was served upon the following parties via first class mail: Testamentarv Beneficiaries ,� � � � �o Larry Owens � ° �; "� c"�'-� 971 Fraze Road �, � �., � � � Marshallville, OH 44645 � � �, N r� m ��4� � � � � � w14�irr ti � � �4J . Lisa McDonald �'' � � �'° `}'► `� � � y-tr� � ,�.�. "'�'t 151 Evergreen Circle � � N � c�, Dillsburg, PA 17019 -�, --a �~ '� �,,. ....�: v� � � Claimants Chase Bank c% dcro services 4150 Olson Memorial Highway, Suite 200 Minneapolis, MN 55422-4811 Discover Financial Services 2323 Lake Club Drive, Suite 300 Columbus, OH 43232 � � Members lgt Federal Credit Union Attn: Danielle A. Kline 5000 Louise Drive P.O. Box 40 Mechanicsburg, PA 17055 Citibank c/o Ascension Point Recovery Services, LLC 200 Coon Rapids Blvd., Suite 200 Coon Rapids, MN 55433-5876 Capital One c% dcro services 4150 Olson Memorial Highway, Suite 200 Minneapolis, MN 55422-4811 Citibank c/o Ascension Point Recovery Services, LLC 200 Coon Rapids Blvd., Suite 200 Coon Rapids, MN 55433-5876 GE Money P.O. Box 981127 El Paso, TX 79998-1127 Members 13t Federal Credit Union Attn: Danielle A. Kline 5000 Louise Drive P.O. Box 40 Mechanicsburg, PA 17055 Dated: October 2 / `� � 5, 2013 � Paul D. Daggs, Esquire Attorney for the Estate Attorney ID No. 64688 DAGGS LAW, LLC 130 W. Church Street, Suite 100 Dillsburg, PA 17019 (717) 884-4963 __ _, . �. ; ����,,� � _ _ r�.; - t.M r � C W � m IN THE COURT OF COMMON PLE�� �� �? ; OF CUMBERLAND COUNTY, PENNS�'I���A �� �' �' � � ORPHANS COURT DIVISION � �` � � ;�; �, - ��-- � � � � t�' ,�-� �, `�1.7 `R `°� In Re: �.., �=' ..�, � � -�` . .� � .,.� r, � • :.� � ��»+�"+'. rr� - - � w ...�.� r ESTATE OF CHARLES C. OWENS,: �" � � �'`"` rn Deceased : No. 21-11-0177 NOTICE OF FILING OF EXECUTOR'S FIRST AND FINAL ACCOUNT AND SCHEDULE OF DISTRIBUTION � TO: ALL BENEFICIARIES AND PARTIES IN INTEREST PLEASE TAKE NOTICE that the First and Final Account and Schedule of Proposed Distribution (hereinafter "Account") of Larry C. Owens, Executor of the Estate of Charles C. Owens, has beeri �led with the Clerk of the O ha ' rp ns Court Division of Cumberland County, Pennsylvania, and will be presented by the Clerk of the Orphans' Court Division to the Court for Con�irmation on November 26, 2013. Any objections to the Account or to the proposed schedule of distribution MUST be �led in writing with the Clerk of the Orphans' Court Division of the Court o f Common Pleas, Cumberland County, Pennsylvania on or before 9:OOam on - November 26, 2013, and MUST conform with the Commonwealth of Pennsylvania - and Cumberland County Orphans' Court Rules; otherwise any objection will be deemed waived. � �� _ A copy of such objection should also be served upon the attorney for the estate as follows: Paul D. Daggs, Esq. DAGGS LAW, LLC 130 W. Church Street, Suite 100 Dillsburg, PA 17019 (717) 884-4963 If no objections are �led on or before the time and date set above th , e Account will be Confirmed Absolutely. A COPY OF THE ACCOUNT, INCLUDING A PROPOSED SCHEDULE OF DISTRIBUTION HAS BEEN ATTACHED TO THIS NOTICE. Any questions concerning this Notice, the Account or other matters regardin g the administration of this Estate may be addressed to the Attorney for the Estate. Dated: October 25, 2013 Respectfully submitted, � � � � Paul D. Daggs, Esquir . Attorney for the Estate Attorney ID No. 64688 DAGGS LAW, LLC 130 W. Church Street, Suite 100 Dillsburg, PA 17019 (717) 884-4963