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FAMILY SETTLEMENT AGREEMErT�' i � �--�► "' °`
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�IN T�E �STA�'E OF EUNA J. BISHOP, DEC�� a °
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AGREEMENT executed this �� day of �.�-trrv�uJ�L .�, � , 2(��'3, t� �.d
between JANE C. JOHNSON, Executrix of the Estate of EDNA J. BISSOP, deceased, and
ANN L. SMITH, PATRICIA R. LE.HA�4N, and JANE C. JOHNSON, heirs and beneficiaries
of the Estate of EDNA J.BISHOP.
WHEREAS, EDNA J. BISHOP, late of South Middleton Township, Cumberland
County, Pennsylvania, died on May 23, 2010, having left a Last Will and Testament dated
August 8,2002.
WHEREAS, on Ju1y 29, 2010, the Register of Wills in and for the -County of
Cumberland, Commonwealth of Pennsylvania, did constitute and appoint JANE C. JUHNSON,
as Executrix of the Estate of EDNA J. BIS�OP, in Estate Number 21-10-0767 upon the
probating of the aforesaid Last Will and Testament,and
� WI-�REAS, the Executrix has proceeded with the administration of said Estate
consisting of assets in the amount of $99,533.12, less disbursements in the amount of
$99,533.12, leaving no proceeds for distribution to heirs, as set forth on the First and Fina1
Account, a true and correct copy of which is attached hereto and made part hereof as E�iibit
"A" and
�
WI�REAS,the only parties in interest in said Estate are the above-named parties,and -
VVHEREAS, said parties in interest desire that the Executrix shall not be required to file
an Account with the Orphan's Court of Cumberland County, Pennsylvania, and that the net
estate of the decedent sha11 be dis�ributed without the necessity of filing a formal Account to
avoid the expense, delay and publicity of a formal accounting, but should instead be distributed
in accordance with the Executrix's Proposed Schedule of Distribution, as set forth in the atta.ched
First and Fina1 Account.
WHEREAS, the Pennsylvania Department of Public Welfare has compromised their
claim against the estate as described in the correspondence from the Departiment of Public
Welfare,attached hereto and incorporated herein by reference as Exhibit`B".
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NOW THEREFORE, in consideration of the mutual promises, covenants and agreements
recited herein, the above-named heirs and beneficiaries of the Estate of EDNA J. BISHOP do
hereby mutually agree as follows:
1. The parties hereto, and ea.ch of them, a.gree and acknowledge that t11ey have
fully and carefully examined the First and Fina1 Account of JANE C. JOHNSON,Executrix
for �he Estate of EDNA J. BISHOP, deceased, and Proposed Schedule of Distribution
relating thereto,and find them to be true and correct,and accepta.ble to the parties hereto and
each of t�iem, and further that each of them has received a copy of this Family Settlement
and Fin.a1 Release and of said Account and Proposed Schedule of Dis�ribution.
2. The parties hereto hereby agree tha.t in order to avoid the expense, delay and
publicity involved in the filing of a formal Account and Schedule of Dis�tribution, no
accounting to the Court 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 f led and confirmed by the
Orphan's Court Division of the Court of Common Pleas of Cumberland County,
Pennsylvania.
3. The parties hereby remise, release, quitclaim and forever discharge the Estate
of EDNA J. BISHOP., and JANE C. JOHNSON, Executri�L, her heirs, executors,
a.drninistrators and assigns, from a11 manner of acts, suits, claims, accountings, debts and
demands whatsoev�r wl��h we or any of us or our 1���1 r�presentatives or assi�ns may at
any time hereafter ha.ve against said Execut�rix, estate, or assets thereof, touching or
concerning the Estate of the Decedent.
4. The parties hereto covena.nt and agree that they will contribute tlieir share of
the Estate to satisfy a11 claims, debts, demands, suits or cause of action which may be
successfully brought agai.nst the Estate or the Executrix after the execution of this Family
Settlement and Fina1 Release.
5. The parties hereto hereby agree tha.t they will at a11 times in the future and
wherever necessary, appropriate or convenient,made, execute and deliver to said Executrix,
and/or to the other party or persons, any and a11 insiruments, documents, conveyances,
deeds, releases or other instruments of any kind necessary or convenient to cariy out the
intention of this Fatnily Settlement and Final Release.
6. This Family Settlement and Fina1 Release constitutes the entire understandi.ng
among t11e parties hereto, and each of them acknowledges tha.t no representations or
statements of any kind, written or ora1,have been made to them or any of them prior hereto
bytaie Executrix or any other person or party upon his behalf.
7. This Family Settlement and Fina1 Release shall inure to the benefit and sha11
bind the parties hereto, and each of them, their heirs, executors, administra.tors, successors
and assigns.
8. This Family Settlement and Fi.na1 Release sha11 be governed by t11e laws of tlie
Commonwealth of Pennsylvania.
IN WITNESS WHEREOF, the parties hereto have hereunto set their respective hands
and seals the da.y and year first above written.
WIINESSETH:
/ -1 -13 �-� d7��cy�
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Date J C. JOHN N,
cutrix and individually as heir
and beneficiary �
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Date ANNL.SMITB
�ndividually as heir and beneficiary
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.� O / �'L.
Date PATRICIA R LE
Individually as heir and beneficiary
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FIRST A.ND FINAL ACCOUNT OF
J.�►NE C. JOHNS4N, . EXECUT]RIX OF T'HE ESTATE OF
EDNA J.BISH4P,Deceased
Date of Death: May 23,2010
Date of Executrix'Appointment
July Z9, �010
Accounting for the Period of July.29,20�0
?'hrough October 31,2013
Purpose of Account: J�INE C. JOHNSON, Executrix of the Esta.te of
EDNA ,T. BI-SHOP, offers this Account to acquaint interested parties with the
transactions that have occurred during his administration of the Estate for the
accounting period indicated above. The Account also indicates the proposed
distribution of the Esta.te.
It is important that the Account be carefully examined. Request for
additional information or questions or objections can be discussed with:
Bradley L. Gr�e, Esquire
GRIFFIE�ASSOCIATES
200 North Hanover Street
Carlisle, PA 17013
(717) 243-�5�1
1 DO Lincoln Way East, Suite D
Chambersburg, PA 17201
(717)267-1350
(800) 347-��'S2
In #he Court of Common Pleas af Cumberland County, Pennsylvania
Orph.ans' Cour�t Division
File No. 21-10-0767
Estate of Edna J BISHOP� Deceased
Late of Township of South Middieton
First and Finai Account
Jane C..Johnson,:Executrix
Date of Death: 05123/2010
_Date of Incapacity,�f any: None
Date of Executrbc's Appointment: 07/29/2010
Date of first Complete Advertisement: 08/25/2010
Accour�ng#or the period: 05/23/2010 to 10/31l2013
Purpose of Account: Jane C.Johnson,.Executrix,offers�this Account to acquaint interested parties
wlth the transa�tions that have occurred during the Administration.
it is importantthat the Account be carefuily examined. Requests for additionai information or questions
or objections can be discussed with:
Bradley L.Griffie
Griffie�Associates
Z00 North Hanover St.
Carfisle,PA �17013
(71 T)243-5551
Supreme Court I.D. Na.34349
E�hibit "A"
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SUMMARY OF ACCOUIVT ,
Estate of Edna J BISHOP,Deceased
� _ __ _ _ _ _ Fiduciary
Current Acquisition
PAGES Value Value
Proposed Distrlbutions
to Bene�iciari� PD 0.00
PRINCIPAL
Receipts: This Account A 99,533.12
Net Gain (or Loss)on Sales
or Other Dispositions 0.00
99,533.12
Less Disbucsements: �
Debts of Decedent 80,575.09
Funerai Expenses • 3,427.22
Adminjstration Expenses 3;130.81
Federai,State&Local Taxes 0.00
Commissions 1,400.00
F� 11,000.08
Family Exemption 0.00 98,533.�12
Balance Before Distributions o.00
Transferto(from)Principal �P 0.00
Distributions to Beneficiaries 0.00
Principai Balance on Hand PBOH 0.00
For Inf.Qrr��t,i�n:
Investments Made
Changes in Hoidings F
ld�E
Receipts �This Account , 0.00
Net Gain (or Loss)on Sales 0.00
or Other Dispositions 0.00
Less Disbursements 0.00
Balance Before Distributions o.00
Transfer to(from) income '�'� 0.00
Distributions to Beneficiaries 0.00
income Balance on Hand 0.00
For fnformation:
Investments Made
Changes in Holdings
COMBINED BALANCE ON HAND CBOH 0.00
Signature
Verification
SCHEDULE A
RECEIPTS OF PRINCIPAL
Assets Listed in inventory Fiduciary
(Valued as of Date of Death) � Acquisition
Value
��
Checking Account No.5140343059,PNC Bank 3.074.39
Coins/Siiver poilars 1,071.00
Cumberland Crossing Personal Care Account refund 339.12
Homeowner's Insurance Premium refund 51.00
The Ser�tinel refund-Newspaper subscription refund 38.77
Totai Cash 4,574.28
Personal Prenr ertv
Capital Advantage Insurance Company.premium 174:24
refund
Household furnishings(auctioned) �1,184.60
Total Personai Property 1.358.84
Reai Estate
420 Droneberger Road,Blain,Perry CouMy, 93,600.00
Pennsylvania cabin
Total Real Estate 93.500.00
Total Receipts 9s.533:�2
7otal Receip�s of Principal 99,533.�2
A-1
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent
Cumberland Crossiny N, ursiny Home
09/02/2010 (April/May 2010 Services) 1.039.82
1.039.82
�pen�es a�a^ia��1 with maintenance of real e.��*A+p grior to death
07/15/2013 7.029.75
Resl Estate taxes $4,825.45 .
Home owner's Insurance $ 840.00
Penelec(electric service) � 364.30
Tree Removal �1,000.00
7,029.75
New York Life
09/OZ/2010 Reimbursement of Annuity overpayment 91.96
91.96
Ov��vn�at�f VA Benefits refunded
10120/2010 90.00
90.00
:P_ nartment of Public Weffare
07/1512013 Medicaid-Estate Recovery ?2.�43•56
(Tota1�239,101.12)(Compromised)
72,143.56
United States Treasurv
03/09/2011 Personal taxes 2010 180.00
C-1
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL �
Continued
180.00
7ota1 Debts of Decedent 80.575.09
Funeral Exue! nses
Ann Smith Ire_ceotion fe�/fellowshin meal)
05/12/2011 281.45
281.45
Nickle Funeral Home
06/15/2011 3.010.77
3,010:T7
Rice Memorial Work(jnint, ion_)
09/14/2010 135.00
�135.00
"Total�uneral �xuenses �;4�:�
Administration Ex�er nses
2010-2011 Resl Estate Taxes
06/03/2011 �1;106.45
1.106.45
�.�t]Si
04/18/2011 Trash removal 550.00
550.00
C-2
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
Cumberland Law Jou�al
09/02I2010 Advertising 75.00
75.00
Farmers Mutual
0910?J2010 Homeowner's Insurance Premium .210.00
210.00
L.W.Brodisch
01/13l2011 Reai Estate Appraisal 350.00
350.00
P�l�
06/15l2011 Electric Service 107.32
107.32
Probate fees
p9J28hZ0�1�I �•�
544.50
jhe Sentinel
0910212010 Advertising �87•�
187.54
Total Miscellaneous Administrative Exnenses 3:130.81
Commissions
Jane C.Johnson.Executrix
05/23/2010 1,400.00
C-3
SCHEDULE C
DlSBUR�EMENTS OF PRINCIPAL
Continued
1,400.00
Totai Commissions '��'�0•�
�ees
Griffie&Associstes
O7l15l2013 (estimated finai) -11,000.00
11,000.00
Total Fees 11.000.00
TOTAL DISBURSEMENTS OF PRINCIPAL 99.533.12
C-4
PROPOSED DtSTf�IBUTIONS TO BEN�FICIA�IES
Current Value Fiduciary
10/31/2013 Acquisition
or as noted Value
TO:
Ann L.Smith- 0.00
860 Eest Lou�er Street
Carlisle,PA 17093
Jane C.Johnson- 0.00
1882 Orchard Road
Chambersburg,PA 1T202
Patricia R.Lehman- 0.00
373 Roxbury Road
Newviile,PA 1T241
0.00
Total 0.00
PD-1
In the Court of Common Pleas of Cumberland County, Pennsyfvania
Orphan�' Court Divi�cion
Fjle No. 21-10�0757
Estate of Edna J BISHOP,Deceased
Signature
C �
J C.Johnso , ecutrix
i �
in�the Court of Common Pleas of Cumberland County, Pennsyfvania
Orphans' Courlt Division
File No. .21-10-0767
Estate of Edna J BISHOP, Deceased
Verificafiion
Jane C.Johnson,Executri�c under the Last Wiil and Testament of Edna J BISHOP,.Deceased,
hereby declares under oath that he/she has fully and faithfuliy discharged the duties of his/her
afflce;-thattheforegoing Account�true and correctand fuliy disclos�ail significanttransactions
occurring during the accounting period;that ali known claims against the Estate have been paid in
fuli;that,-to his/her knowledge,#here are no claims now outstanding against the Estate;that.all
taxes presentiy due from the Estate have been paid;and thatthe grant of Letters Testamentary and
the first compiete 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 authorlties.
Dated: �I����`� C'
Jane C. ohnson, Exe x
I hereby certify t�.at written not�ce of the filing of this Account, and of the date,time and place when the
same will be presented to the Court for conf�nm.ation.and of the last day to �e wr�tten obj ectaiions to said
Account,has been given to every unpaid claimant and to every other person known to the accountant to
ha.ve or clai.m an interest in the esta.te as creditox,beneficiary,heir, or next of kin.
e,Esquire
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Ocfiober 23,2013 � .
GRIF�IE &ASSO�IATES
BRADLEY L. GRIFFIE
200 NORTH HANOVER STREET
CARLISLE PA 17013
Re: Edna Bishop
CIS�#: 080180068
SSN: �###-##-4021
Date of Death: OS/23/2010 �
Dear Attorney Gri�e:
This is�.to acknowiedge receipt of payment in the amount of��72.143:56 regarding
the above-referenced estate. This reflects payment up to the value of the estate. If any
additional funds become available, please contact me.
Your cooperation in resolving this matter is appreciated.
Sincerely,
�
�� , •
Royce L. Messersmith
Claims Investigation Agent
717-772-6608
717-772-6553 FAX
Exhibit ��B��
Bureau of Program Integrity� Divlsfon of Third Party Uability� Recovery Section
PO Box 8486 � Harrisburg,Pennsylvania 17105-8486