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ORPHANS' COURT DIVISION
ESTATE OF ERNEST H. BLAKE, DECEASED
No. 21-12-0088
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 ofa Decedent's Estate.Ifspace
is insufficient,riders may be attached.Attach the spouse's election, ifany;the papers required under
items 8-19 inclusive; and any instrument pertinent to the adjudication.
INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: Seth T. Mosebey
Supreme Court I.D. No.: 203046
Name of Law Firm: MARTSON LAW OFFICES
Address: 10 East High Street, Carlisle, PA 17013
Telephone: (717)243-3341
Fax: (717)243-1850
Forth OC-01 rev./0. 13.06 Page I of 9
Estate of Ernest H. Blake, Deceased
1. Name(s)and address(es)of Petitioner(s):
Name. Pamela B. Vazquez
Address: 539 Corley Manor Court
Lexington, SC 29702
Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement
of Proposed Distribution and state reason: Not applicable.
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 January 17, 2012.
® Letters Testamentary or ❑ Letters of Administration were granted to Petitioner(s) on
January 23, 2012.
Date of Will (if applicable): September 2, 2011
Date(s)of Codicil(s) (f applicable): None.
Date of probate (if different from date Letters granted): Not applicable.
Was a bond required? ❑Yes ® No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? . . . . . . . . . . . . . . . . . . . . . ®Yes o No
Dates of advertising of the grant of Letters:
The Sentinel: January 28, February 4 and 11, 2012
Cumberland Law Journal: February 3, 10 and 17, 2012
Fomr OC-01 rev./0. 13.06 Page 2 of 9
Estate of Ernest H. Blake, 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 sue. of the Probate,Estates and Fiduciaries Code)
If yes, date of election:
5. In the case of an intestacy,state the names of the decedent's surviving children or surviving issue of
deceased children (if none,so state): None.
6. Did decedent marry after execution of Will or Codicil(s)9 . . . . . . . . . . . . . . . . . . . . . ❑ 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: Dale 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
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 togetherwith 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.
Form OC-01 mv./0. 13.06 Page 3 of 9
Estate of Ernest H. Blake, Deceased
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 o(Each Parry in Interest Relationship and Comments,if any Interest
Patricia A. Bowser Daughter None.
101 N. Prince Street, Apt. 310
Shippensburg, PA 17257
Pamela B.Vazquez Granddaughter 1/9 of residue
539 Corley Manor Court
Lexington, SC 29072
Michael Bowser Grandson 1/9 of residue
408 Temple Drive
Sanford,FL 32771
Stephen Bowser Grandson 1/9 of residue
618 Hope Street
Pittsburgh, PA 15220
Katherine Vazquez Great Granddaughter 1/9 of residue
539 Corley Manor Court
Lexington, SC 29073
Grayson Vazquez Great Grandson 1/9 of residue
539 Corley Manor Court
Lexington, SC 29073
Morgan Bowser, a minor Great Granddaughter 1/9 of residue
(DOB: 10/16/2007)
c/o Michael Bowser, parent
408 Temple Drive
Sanford, FL 32771
Alexis Bowser, a minor Great Granddaughter 1/9 of residue
(DOB: 06/27/2010)
c/o Michael Bowser,parent
408 Temple Drive
Sanford,FL 32771
Fomr OC-01 rev./0. 13.06 Page 4 of 9
Estate of Ernest H. Blake, Deceased
Crystal Bowser, a minor Great Granddaughter 1/9 of residue
(DOB: 02/25/1998)
c/o Stephen Bowser, parent
618 Hope Street
Pittsburgh, PA 15220
Sabrina Bowser, a minor Great Granddaughter 1/9 of residue
(DOB: 12/21/2000)
c/o Stephen Bowser,parent
618 Hope Street
Pittsburgh,PA 15220
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 Act Litem has or has not been filed for this Audit
(see Pa. 0.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.
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 Admitted? Will Claim Be
Paid in Full?
Patricia A. Bowser $2,212.31 ❑ Yes ❑ Yes
101 N. Prince Street,Apt. 310 Filed with Court on ® No ❑No
Shippensburg, PA 17257 July 8, 2013
Patricia A. Bowser $4,495.98 ❑ Yes ❑ Yes
101 N. Prince Street, Apt. 310 Filed with Court on ® No ❑No
Shippensburg, PA 17257 September 13, 2013
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
Form OC-01 rev./0. 13.06 Page 5 of 9
Estate of Ernest H. Blake, Deceased
Family exemption claimant's name and relationship:
Name: Relationship:
12. The amountof 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
04/04/2012 $8,000.00
10/10/2012 $2,000.00
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 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.
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.
Fonn OC-01 rev./0. 13.06 Page 6 of 9
Estate of Ernest H. Blake, Deceased
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o Yes o No
18. If a reserve is requested, state amount and purpose.
Amount: $ 12,332.00
Purpose: Martson Law Offices, estimated attorney's fees$8,000.00
Martson Law Offices, estimated costs advanced $500.00
Pamela B. Vazquez, Executrix's commission, $3,832.00
Ifa 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o Yes ®No
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 Distributee(s) Amount/Proportion
None.
B. Principal:
Proposed Distributee(s) Anioun/Proportion
Pamela B. Vazquez 1/9 of estate residue
539 Corley Manor Court
Lexington, SC 29072
Michael Bowser 1/9 of estate residue
408 Temple Drive
Sanford, FL 32771
Foml 0001 mv.10.13.06 Page 7 of 9
Estate of Ernest H.Blake, Deceased
Stephen Bowser 119 of estate residue
618 Hope Street
Pittsburgh,PA 15220
Katherine Vazquez. 1/9 of estate residue
539 Corley Manor Court
Lexington,SC 29072
Grayson Vazquez 1/9 of estate residue
539 Corley Manor Court
Lexington,SC 29072
Morgan Bowser,a minor 1/9 of estate residue
c/o Michael Bowser
408 Temple Drive
Sanford,FL 32771
Alexis Bowser,a minor 1/9 of estate residue
c/o Michael Bowser
408 Temple Drive
Sanford,FL 32771
Crystal Bowser,a minor 1/9 of estate residue
c/o Stephen Bowser
618 Hope Street
Pittsburgh,PA 15220
Sabrina Bowser,a minor 1/9 of estate residue
c/o Stephen Bowser
618 Hope Street
Pittsburgh, PA 15220
Submitted By:
(All petitioners mast sign.
Add additional lines ijnecessary):
YY '
Pamela B.Vazquez,Executrix of the G of est H.
Blake
Fore OG01 rev.a.1106 Page 8 of 9
Estate of Ernest H. Blake,Deceased
Verification of Petitioner
(Verification must be by at: least one petitioner.)
The undersigned hereby verifies she is the Executrix of the above-named Estate 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 unswom falsification to authorities).
Pamela B. Vazquez, Executrix of the Estat t�est
Blake
t r Certification of Counsel
z tThe 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.
Seth T.Mosebey,Esquire
cam OC.0I m.,U 1106 Page 9 of 9
Estate of Ernest H. Blake, Deceased
Verification of Petitioner
(Verification must be by at: least one petitioner.)
The undersigned hereby verifies she is the Executrix of the above-named Estate 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 unswom falsification to authorities).
Pamela B. Vazquez, Executrix of the Estate of Ernest H.
Blake
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.
- , 0 r
Seth T. Mosebey, Esquire
Form oc-oa rev.io. 13.06 Page 9 of 9
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Jackie 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):
January 28, February 4 &11, 2012
COPY OF NOTICE OF PUBLICATION
. ESTATE NOTICE .
Letters Testamentary on the Estate of ERNEST H.BLAKE,late of LowerAllen Affiant further deposes that he/she is not
Township.Oumbedand County,Pertnsyl9nla.efeceased:have been p
granted tothe undersigned.. - - interested in the subject matter of the
All persons knowing themselves to be Indebted to said Estate will make
payment Immediately,and those having claims will present them for i aforesaid notice or advertisement, and that
settlement on _-?.' all allegations in the foregoing statement as
Pamela B.Vazquez,ExecuMx
No MARTSON LAW OFFICES '` t0 time, place and character of publication
10 East High Street
Carlisle.PA,17013'+.'' are to .
Seth T.Mmebey,Espuim
MARTSON LAW OFFICES
Attorneys
Sworn t and subscrib d before me this
� ZDIZ
Notary Public
My commission expires:
NOTARIAL SEAL
BAMBI ANN HECKENDORN
Notary Public
CARLISLE BOROUGH, CUMBERLAND CNTY
My Commission Expires Jan 27, 2014
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 swom, 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:
February 3, February 10, and February 17, 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.
Lis Marie Coyne, Ed' or
SWORN TO AND SUBSCRIBED before me this
17 of February, 2,
_. ........—
Notary
Blake,Ernest H.,decd.
Late of Lower Allen Township,
Camp Hill,
Executrix:Pamela EL Vazquez C/o
Mariann law Offices,10 East High
Street, Carlisle,PA 17013. NOTARIAL SEAL
Attorneys: Seth T. Mosebey, Es- DEBORAH A COLLINS
quire,Martson Law Offices. Notary Public
CARLISLE BOROUGH,CUMBERLAND COUNTY
My Commission Expires Apr 28,2014
F WILES\Clients\14474 Blake\144)4.1 account no&e wpd
IN RE: : IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYLVANIA
ESTATE OF ERNEST H. BLAKE,
DECEASED ORPHANS' COURT DIVISION
NO. 21-12-0088
LATE OF THE BOROUGH OF CAMP HILL,
CUMBERLAND COUNTY,
PENNSYLVANIA
NOTICE OF FILING FIRST AND FINAL ACCOUNT AND
PETITION FOR ADJUDICATION/SCHEDULE OF PROPOSED DISTRIBUTION
AND CALL FOR AUDIT OR CONFIRMATION
NOTICE IS HEREBY GIVEN that Pamela B.Vazquez,Executrix of the Estate of Ernest H.
Blake, deceased, has this date filed the First and Final Account and Petition for
Adiudication/Schedule of Proposed Distribution in the above-captioned Estate in the Office of the
Clerk of the Orphans' Court in and for Cumberland County,Pennsylvania,where the same is filed
as public record and may be inspected. Copies of the Account and Petition are enclosed for your
information.
YOU ARE FURTHER NOTIFIED that any exceptions or objections to said Account or
Petition must be filed in writing at the office of the Clerk of the Orphans' Court,Cumberland County
Courthouse, Carlisle,PA 17013,aforesaid prior to the confirmation of said Account and Schedule
of Proposed Distribution scheduled as set forth below.
UNLESS written exceptions or objections are filed prior thereto, said Account will be
presented by the Clerk of the Orphans' Court to the above-captioned Court in Court Room No. 1 of
the Cumberland County Courthouse, Carlisle, Pennsylvania, at 9:30 a.m. prevailing time, on
Tuesday,January 14, 2014,at which time said Account will be confirmed and distribution ordered
in accordance with the Petition for Adjudication/Schedule of Proposed Distribution.
MART,SOON LAW OFFICES
By: J�
Seth T. Mosebey, Esquir
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Date of Notice: 3 20 Attorney for Estate of Ernest H. Blake
NOTICES TO:
Patricia A. Bowser Grayson Vazquez
101 N. Prince Street, Apt. 310 539 Corley Manor Court
Shippensburg, PA 17257 Lexington, SC 29073
Pamela B. Vazquez Morgan Bowser, a minor
539 Corley Manor Court c/o Michael Bowser,parent
Lexington, SC 29072 408 Temple Drive
Sanford, FL 32771
Michael Bowser Alexis Bowser, a minor
408 Temple Drive c/o Michael Bowser,parent
Sanford,FL 32771 408 Temple Drive
Sanford, FL 32771
Stephen Bowser Crystal Bowser, a minor
618 Hope Street c/o Stephen Bowser,parent
Pittsburgh, PA 15220 618 Hope Street
Pittsburgh, PA 15220
Katherine Vazquez Sabrina Bowser, a minor
539 Corley Manor Court c/o Stephen Bowser, parent
Lexington, SC 29073 618 Hope Street
Pittsburgh, PA 15220
1MARTSON DEARIJORFF WILLIANIS O"I'TO GII,120Y & FALLER
MARTSO N WII.IJAAI F. MAR7SON DAVID A. FITLSI\IONS
JOHN B. ro nx.R Ill CHRISTOPHER E. RicE
DANIEL K. DGARDORrr1 JENNIFER L.SPEARS
LAW OFFICES
I HOBLAS J.WILIAAMS" SETT F.. MOSE*Bin,
]VO V. 0,1 TO III KATIE J.,MAXW11•J.I.
10 Fnrr F-Lr,H S'IxEE•1• Huur;RT X.GIIJtOY AARON S. HAYNrs
CARLISLE,PENN'S17AANIA 17013 GEORGE.B.FAU.ER JR.-
TELEPHONE (117)243-3341 'BOew CFMnM CML TI m S06UAIM
FACSIMILE (717)243-1850 IBo.wn Cr.F r1ED WOnxtni COMPCNG9ON Srreuusr
IN'1 ERNE[' Wmu;martsoniaw.Com '
December 13, 2013
VIA CERTIFIED MAIL Morgan Bowser, a minor
AND U.S. MAIL c/o Michael Bowser, parent
Patricia A. Bowser 408 Temple Drive
101 N. Prince Street,Apt. 310 Sanford, FL 32771
Shippensburg, PA 17257
Michael Bowser Alexis Bowser, a minor
408 Temple Drive c/o Michael Bowser, parent
Sanford, FL 32771 408 Temple Drive
Sanford, FL 32771
Stephen Bowser Crystal Bowser, a minor
618 Hope Street c/o Stephen Bowser, parent
Pittsburgh, PA 15220 618 Hope Street
Pittsburgh, PA 15220
Katherine Vazquez Sabrina Bowser, a minor
539 Corley Manor Court c/o Stephen Bowser, parent
Lexington, SC 29073 618 Hope Street
Pittsburgh, PA 15220
Grayson Vazquez
539 Corley Manor Court
Lexington, SC 29073
RE: Estate of Ernest H. Blake
Our File No. 14474.1
Dear Folks:
Enclosed is a Notice of Filing First and Final Account and Petition for
Adjudication/Statement of Proposed Distribution and Call for Audit or Confirmation and a copy of
the First and Final Account and Petition of Pamela B.Vazquez, Executrix of the Estate of Ernest H.
Blake.
INFORMATION • A D V 1 CE • ADVOCACY SM
Patricia A. Bowser
Michael Bowser
Stephen Bowser
Katherine Vazquez
Grayson Vazquez
Morgan Bowser
Alexis Bowser
Crystal Bowser
Sabrina Bowser
December 13, 2013
Page 2
As stated on the Notice,the Account will be presented for confirmation in Court Room No. 1
of the Cumberland County Courthouse, Carlisle, PA, at 9:30 a.m. on Tuesday, January 14, 2014.
Please contact our office should you have any questions or concerns.
Very truly yours,
MAARTSON LAW OFFICES
Seth T. Mosebey
STM/mas
Enclosures
cc: Ms. Pamela B. Vazquez(w/enc.)
F''de1LESTlients%t"74 Blake\14494.1.uc nt.nwice lener.wpd
INFORMATION • ADVICE • ADVOCACY SH
RWILESTliants\14474 Blake\144]4.1 acwuntfot al.wpd
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PA
ORPHANS' COURT DIVISION
FILE NO. 21-12-0088
FIRST AND FINAL ACCOUNT OF PAMELA B. VAZQUEZ,
EXECUTRIX OF THE ESTATE OF ERNEST H. BLAKE,
LATE OF LOWER ALLEN TOWNSHIP,
CUMBERLAND COUNTY, PENNSYLVANIA
Social Security Number: 247-20-2920
Tax ID Number: 45-6709045
Date of Death: January 17, 2012
Date of Incapacity, if any None
Date of Executor's Appointment: January 23, 2012
Letters Advertised:
Sentinel - January 28, February 4 and 11,2012
Cumberland Law Journal - February 3, 10 and 17, 2012
Accounting for the period: January 17,2012 to November 30, 2013
Purpose of the Account: Pamela B. Vazquez, Executrix, 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:
Seth T. Mosebey, Esquire
MARTSON LAW OFFICES
10 East High Street
Carlisle, PA 17013
(717) 243-3341 c- o M
Supreme Court No. 2030469, r? o
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SUMMARY OF ACCOUNT
Page Fiduciary
No. Acquisition
Value
PRINCIPAL
Receipts 3 214,704.38
Net Gains (Losses) on Disposition 4 -364.63
214,339.75
Less Disbursements 8 -75,895.76
Debts of Decedent 4 $ 1,266.27
Administration Expenses 4-7 $ 32,784.49
Federal, State& Local Taxes 8 $ 10,015.00
Fees and Commissions 8 $ 31,830.00
Balance Before Distributions 138,443.99
Distributions to Beneficiaries 8-9 -90,000.00
Principal Balance on Hand 48,443.99
INCOME
Receipts 9 90.07
Income transferred to principal 9 -90.07
Income Balance on Hand 0.00
COMBINED BALANCE ON HAND $ 48,443.99
-2-
PRINCIPAL RECEIPTS
Assets Listed in Inventory (or Inheritance Tax Return)
(Valued as of Date of Death)
Real Estate
Real estate located at 314 Manchester Road, Camp Hill, Lower Allen 124,000.00
Township, PA
Common Stocks
551.688 Shares, Exelon Corporation (CUSIP 30161N101) at $39.925 22,026.14
Other
Cash in home 2,502.00
Fulton Bank, Checking Acct.No. 3622-82053 34,763.46
United States Treasury checks from September to December 2011 not 2,183.00
deposited until after date of death
United States Treasury insurance dividend check issued 11/30/2011 not 77.40
deposited until after date of death
Cashier's check not deposited until after date of death 21,000.00
HSBC Card Services, credit balance refund 166.44
U.S. Treasury, 2011 income tax refund 1,021.00
Foremost Insurance Company, homeowner's insurance refund 637.00
U.S. Treasury, 2012 income tax refund 400.00
Tax proration 641.03
Sewer and water, refund 73.98
Pennsylvania Department of Revenue, inheritance tax refund . 483.28
Polish National Alliance, life insurance paid to the estate 4,489.58
M&T Bank checking cash bonus 150.00
Income transferred to Principal 90_07
TOTAL PRINCIPAL RECEIPTS 214 704.38
-3-
PRINCIPAL GAINS OR LOSSES ON SALES OR OTHER DISPOSITIONS
Cost basis:
01/17/12 551.688 shares of Exelon Corp. 22,026.14
Redeemed:
03/05/12 491.688 shares of Exelon Corp. 19,086.94
04/10/12 60 shares of Exelon Corp. 2,302.71
04/06/12 7.465 shares of Exelon Corp. 271.86 21,661.51
(dividend reinvest)
TOTAL PRINCIPAL GAIN/LOSS (364.63)
PRINCIPAL DISBURSEMENTS
DEBTS OF DECEDENT
02/17/12 Pennsylvania American Water, account payable as of date of 72.15
death
02/17/12 Lower Allen Township, trash/sewer service, account payable 139.85
as of date of death
02/17/12 PPL Electric, account payable as of date of death 197.66
02/17/12 West Shore Meals on Wheels, account payable as of date of 247.80
death
02/17/12 UGI Utilities, account payable as of date of death 161.00
02/17/12 Allied Exteriors, account payable as of date of death 405.00
02/27/12 Comcast, account payable as of date of death 42_81
Total Debts of Decedent 1,266.27
ADMINISTRATION EXPENSES
01/23/12 Register of Wills, Agent, probate fee 323.50
01/24/12 Cumberland Law Journal, legal advertising 75.00
01/31/12 Stock valuation reports 1.55
01/31/12 Register of Wills,,additional short certificates 12.00
02/01/12 Copy of Deed 0.24
-4-
02/02/12 Copies 0.08
02/14/12 United Parcel Service 12.80
02/17/12 Register of Wills, additional short certificate 4.00
02/23/12 The Sentinel, legal advertising 200.16
03/02/12 Register of Wills, additional short certificates 8.00
03/06/12 UGI Utilities 80.00
03/12/12 Pennsylvania American Water 19.25
03/16/12 LifeWatch USA 114.80
03/16/12 United Parcel Service, return LifeWatch equipment 19.00
03/22/12 Bonnie K. Miller, Treasurer(real estate/per capita taxes) 621.89
04/02/12 Lower Allen Township, trash/sewer service 98.05
04/09/12 Pennsylvania American Water 19.29
04/16/12 PPL Electric 85.00
05/16/12 Pennsylvania American Water 19.29
05/16/12 PPL Electric 84.99
06/20/12 Pennsylvania American Water 19.29
06/20/12 PPL Electric 71.99
07/11/12 Lower Allen Township, trash/sewer service - 108.95
07/16/12 Pennsylvania American Water 19.36
07/16/12 PPL Electric 71.98
08/07/12 Wilson Lawn & Property Care, LLC 1,171.00
08/17/12 Pennsylvania American Water 19.36
08/17/12 PPL Electric 71.98
09/05/12 Wilson Lawn& Property Care, LLC 148.40
09/14/12 PPL Electric 19.98
09/14/12 Pennsylvania American Water 19.36
09/21/12 Bonnie K. Miller, Treasurer(school taxes) 1,272.93
10/01/12 UGI Utilities 11.74
-5-
10/01/12 Lower Allen Township, trash/sewer service 108.95
10/01/12 Erie Insurance Group, homeowner's insurance 31.00
10/03/12 Wilson Lawn & Property Care, LLC 148.40
10/10/12 Register of Wills, filing fee for Inheritance Tax Return 15.00
10/16/12 Pennsylvania American Water 20.46
10/16/12 PPL Electric 19.98
10/16/12 Foremost Insurance Company,homeowner's insurance 1,581.00
10/25/12 Unique Services - dumpster service and trash removal 955.00
10/25/12 Scott Chapman (I Paint), down payment to paint interior of 550.00
house
11/19/12 United Parcel Service 12.80
11/19/12 Double T Sealcoating, pressure wash house 350.00
11/19/12 Pennsylvania American Water 24.18
12/03/12 Wilson Hardscape Works 148.40
12/21/12 UGI Utilities 14.43
12/21/12 Pennsylvania American Water 22.32
01/04/13 Lower Allen Township, trash/sewer service 117.70
01/16/13 Pennsylvania American Water 19.71
01/16/13 UGI Utilities 13.28
01/25/13 Harry Williams, provided second dumpster 525.00
02/05/13 UGI Utilities 40.71
02/05/13 Clean Break, clean house after painting and kitchen 250.00
upgrade complete
02/05/13 Scott Chapman(I Paint), final payment for painting interior 1,550.00
of house
02/05/13 Todd Deavor, house renovations prior to listing house for 1,140.00
sale
02/14/13 Pennsylvania American Water 21.59
02/14/13 PPL Electric 4.02
02/14/13 Todd Deaver, additional house renovations 200.00
-6-
02/14/13 Lebanon Farms Disposal, balance on use of dumpster 30.00
03/04/13 Harry Williams, reimburse for painting cabinets 375.00
03/08/13 UGI Utilities 99.11
03/08/13 Harry Williams, reimburse for installation of quarter round, 108.93
paint and finishing nails
03/19/13 Harry Williams, reimburse for shipping chest to Executrix 61.10
03/22/13 Pennsylvania American Water 21.59
03/22/13 PPL Electric 51.00
04/19/13 PPL Electric 51.00
04/19/13 Pennsylvania American Water 19.78
04/19/13 UGI Utilities 77.92
04/22/13 B.T. Brenneman Electric, electrical work to bring up to 205.00
code prior to settlement
05/10/13 UGI Utilities 24.63
05/10/13 Earnest money retained by settlement agent 1,000.00
05/10/13 Escrow inheritance tax to Secured Land Transfer 3,747.41
05/10/13 Seller paid closing costs 5,300.00
05/10/13 Real estate commission 6,560.00
05110113 Realty transfer tax 1,240.00
05/10/13 Bonnie K. Miller, county taxes 711.07
05/10/13 Bonnie K. Miller, duplicate tax bill 1.00
05/10/13 Deed preparation fee 75.00
05/10/13 Lower Allen Township, sewer/trash service 129.47
05/23/13 PPL Electric, final bill 161.59
05/23/13 Pennsylvania American Water, final bill 17.93
05/31/13 UGI Utilities 6.82
Total Administration Expenses 32,784.49
-7-
FEDERAL. STATE& LOCAL TAXES
04/04/12 Register of Wills, Agent, inheritance tax discount 8,000.00
payment
10/10/12 Register of Wills, Agent;inheritance tax 2,000.00
additional payment
04/10/13 Pennsylvania Department of Revenue, 15_00
2012 estate income tax payment
Total Federal, State and Local Taxes 10,015.00
FEES AND COMMISSIONS
01/21/13 Martson Law Offices 12,498.00
07/02/13 Pamela B. Vazquez, partial commission 7,000.00
Reserved: Pamela B. Vazquez, Executrix's commission 3,832.00
Reserved: Martson Law Offices, attorneys' fees 8,000.00
Reserved: Martson Law Offices, miscellaneous filing fees 500.00
and expenses
Total Fees and Commissions 31,830.00
TOTAL PRINCIPAL DISBURSEMENTS: 75,895.76
PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES
11/27/13 Pamela B. Vazquez, per Item 4 of said Will:
Cash: $10,000.00
11/27/13 Stephen Bowser, per Item 4 of said Will:
Cash: $10,000.00
11/27/13 Michael Bowser, per Item 4 of said Will:
Cash: $10,000.00
11/27/13 Katherine Vazquez, per Item 4 of said Will:
Cash: $10,000.00
11/27/13 Grayson Vazquez, per Item 4 of said Will:
Cash: $10,000.00
-8-
11/27/13 Morgan H. Bowser,per Item 4 of said Will:
Cash: $10,000.00
11/27/13 Alexis M. Bowser,per Item 4 of said Will:
Cash: $10,000.00
11/27/13 Crystal Bowser,per Item 4 of said Will:
Cash: $10,000.00
11/27/13 Sabrina Bowser,per Item 4 of said Will:
Cash: $10,000.00
TOTAL PRINCIPAL DISTRIBUTIONS TO BENEFICIARIES $90,000.00
RECEIPTS OF INCOME
Interest on M&T Bank estate checking account no. 9856065553 through 80.23
11/30/13
Exelon dividends 9.84
TOTAL RECEIPTS OF INCOME 90.07
DISBURSEMENTS OF INCOME
Income transferred to principal 90.07
TOTAL DISBURSEMENTS OF INCOME 90.07
Pamela B. Vazquez,Executrix 6f e
Will of Ernest H. Blake,Decease
-9-
VERIFICATION
Pamela B. Vazquez, Executrix of the Will of Ernest H. Blake, deceased, hereby declares
under oath that she has fully and faithfully discharged the duties of her office;that the foregoing First
and Final 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 her
knowledge,there are no claims outstanding against the Estate;that all taxes presently due from the
Estate have been paid; and that the grant of Letters Testamentary and the first complete
advertisement thereof occurred more than four months before the filing of the foregoing First and
Final Account.
This statement is made subject to penalties of 18 Pa.C.S.A.Section 4904 relating to unsworn
falsification to authorities.
Dated: i'`� �' l'J �Q5�1•U
Pamela B. Vazquez,Execu 'x
10
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA
ORPHANS' COURT DIVISION
FILE NO. 21-12-0088
FIRST AND FINAL ACCOUNT OF PAMELA B. VAZQUEZ,
EXECUTRIX OF THE ESTATE OF ERNEST H. BLAKE,
LATE OF LOWER ALLEN TOWNSHIP,
CUMBERLAND COUNTY,PENNSYLVANIA
SCHEDULE OF PROPOSED DISTRIBUTION
Pamela B.Vazquez,Executrix of the Last Will and Testament of Ernest H.Blake,deceased,
proposes to distribute the balance in her hands,to wit: $48,443.99,in accordance with the said Last
Will and Testament as heretofore filed in the Office of the Register of Wills of Cumberland County,
Pennsylvania, as follows:
TO: Pamela B. Vazquez, per Item 4 of said Will:
Cash previously distributed $ 10,000.00
Cash: 5,382.67 15,382.67
Stephen Bowser, per Item 4 of said Will:
Cash previously distributed $10,000.00
Cash: 5,382.67 15,382.67
Michael Bowser, per Item 4 of said Will:
Cash previously distributed $10,000.00
Cash: 5,382.67 15,382.67
Katherine Vazquez, per Item 4 of said Will:
Cash previously distributed $10,000.00
Cash: 5,382.67 15,382.67
Grayson Vazquez, per Item 4 of said Will:
Cash previously distributed $10,000.00
Cash: 5,382.67 15,382.67
Morgan H. Bowser,per Item 4 of said Will:
Cash previously distributed $10,000.00
Cash: 5,382.66 15,382.66
-1 l-
Alexis M. Bowser,per Item 4 of said Will:
Cash previously distributed $10,000.00
Cash: 5.382.66 15,382.66
Crystal Bowser,per Item 4 of said Will:
Cash previously distributed $10,000.00
Cash: 5.382.66 15,382.66
Sabrina Bowser, per Item 4 of said Will:
Cash previously distributed $10,000.00
Cash: 5.382.66 15382.66
TOTAL BALANCE FOR DISTRIBUTION $48,443.99
STATEMENT OF THE REASONS FOR THE PROPOSED DISTRIBUTION
The above distribution is proposed in accordance with the Last Will and Testament of Ernest
H. Blake.
Pamela B.Vazquez,Execu n
Sworn and bscribed to before me this
da
Notdry P lic
Elizabeth Kate Boatright
Not�y Public, State of South Carolina
MY Commission Expires May 23, 2022
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FAMLES\ClimtW4474 B1akc\14474.1w1
LAST WILL AND TESTAMENT
I,ERNEST H.BLAKE,of Lower Allen Township,Cumberland County,Pennsylvania,being
of sound and disposing mind and memory, do hereby make,publish and declare this to be my Last
Will and Testament, hereby revoking any and all former Wills or Codicils made by me.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all death taxes(whether such taxes may be payable by my estate or by any recipient of any property)
shall be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executrix shall have no duty or obligation to obtain reimbursement
for any such tax so paid, even though on proceeds of insurance or other property not passing under
this Will.
2.
I give such items of personalty as are itemized in a certain list, if any, to the persons named
thereon, which list is signed and dated by me at the end thereof.
3.
1 have intentionally failed to provide for my daughter, PATRICIA BOWSER. Insofar as I
have failed to provide in this Will for my said daughter, such failure is intentional and not
occasioned by accident or mistake.
4.
I give, devise and bequeath all the rest, residue and remainder of my estate, of whatever
nature and wherever situate,in equal shares,unto my grandchildren and great-grandchildren who are
living at the time of my death.
5.
In the event any of my said great-gandchildren have not attained the age of eighteen (18)
years at the time for distribution,his or her share shall be held by his or her parents, in trust, for the
following purposes:
a. I direct that such trustee(s)shall hold,invest and reinvest the same,collect the income
arising therefrom,and after paying all expenses incident to the management of the trust,to use and
9jD
[Initials]
Page 1 of 4 Pages
apply as much of the income and principal as may be necessary in the sole discretion of such
trustee(s) for the support, well-being and education of the beneficiary of such trust.
b. I direct that the beneficiary of such trust shall have the right of withdrawal of the
principal and any accumulated income of such trust as he or she attains the age of eighteen (18)
years.
C. Prior to the distribution of the principal, the said trustee(s) shall have the sole
discretion to invade the principal of such trust for the support, maintenance and education of the
beneficiary thereof, regardless of age.
d. To the extent that the same is permitted by law, none of the beneficiaries hereunder
shall have any power to dispose of or to charge by way of anticipation any interest given to such
beneficiary;and all sums payable to such beneficiaries hereunder shall be free and clear of the debts,
contracts, alienations and anticipations of the beneficiaries, and all liabilities for levies and
attachments and proceedings of whatsoever kind, at law or in equity.
6.
I nominate,constitute and appoint my granddaughter,PAMELA B.VAZQUEZ,as Executrix
of my estate.
7.
I direct that all fiduciaries acting under this Will, whether or not named herein, shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
8.
1 authorize and empower my Executrix and trustee(s), in their sole and absolute discretion,
to purchase or otherwise acquire and retain any investments of which I die seized or any real or
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or
grant options in regard to any or all property of any kind forming a part of my estate for such terms
and such prices as they may deem advisable;to borrow money for any purposes connected with the
protection and preservation ofmy estate;to mortgage orpledge anyreal orpersonal property forming
a part of my estate or to join in or secure the partition of same; to compromise any claims or
demands of my estate against others or of others against my estate; to make distribution in kind and
e A L
[Initials]
Page 2 of 4 Pages
to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my Executrix and trustee(s) consider desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers. In
addition,I direct that my Executrix shall have the power to conduct an inventory of any safe deposit
box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this 2nd day of September,
2011.
(SEAL)
Ernest H. Blake
SIGNED,SEALED,PUBLISHED AND DECLARED by the above-named Testator,as and
for his Last Will and Testament,in the presence of us;who at his request,have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testator and of each other.
J `
Page 3 of 4 Pages
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
We,Ernest H.Blake,Seth T.Mosebey,and eD rr i,n e the Testator
and the witnesses,respectively,whose names are signed to the foregoing instrument,being first duly
sworn, do hereby declare to the undersigned authority that the Testator signed and executed the
instrument as his last Will and that the Testator has signed willingly, and that the Testator executed
it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in
the presence and hearing of the Testator, signed the Will as a witness and that to the best of his/her
knowledge the Testator was at that time eighteen years of age or older,of sound mind and under no
constraint or undue influence.
6 d"
Ernest H. Blake, Testator
�1
J .
Witness
Witness
Subscribed, sworn to and acknowledged before me byErnest H. Blake, the Testator, and
subscribed and sworn to before me by Seth T. Mosebey and (Drr r n e
the witnesses, this 2nd day of September, 2011.
COMMONWEALTH OF PENNSYLVANIA Not ry blic
Notarial Seal
Mary M.Price,Notary Public
Carlisle Born,Cumberland County
My Commission Expires Aug.18,2015
MEMBER,P! VANG ASS MTION OF NOTARIES
Page 4 of 4 Pages