HomeMy WebLinkAbout07-21-14 40
DECEDENT'S ESTATE
!' C_ rn C-:
TTY r-- « i;
COURT OF COMMON PLEAS OF 1`-= N n r3-'
CUMBERLAND COUNTY, PENNSYLVANIA O
ORPHANS' COURT DIVISION c)(Z--" x a
—_
D H
}' ~�Y)
v
ESTATE OF Jonathan Dean Faircloth DECEASED
No. 21-13-0130
PETITION FOR ADJUDICATION I
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 insufficient, riders may be attached. Attach the spouse's election, if any,- the papers
required under items 6-19 inclusive; and any instrument pertinent to the adjudication.
INCLUDE ATTACHMENTS.AT THE BACK OF THIS FORM.
Name of Counsel: Bruce J.Warshawsky
Supreme Court 1.D. No.: 58799
Name of Law Firm: Cunningham & Chernicoff, P.C.
Address: 2320 North Second Street
Harrisburg, PA
Telephone: 717/238-6570
Fax:
E-mail: bjw @cclawpc.com
Form OC-01 Re,1013-2006 Copyright(c)2006 farm software only The Lackner Group,Inc. Page 1 Of 10
V/
PETITION FOR ADJUDICATION
Estate of Jonathan Dean Faircloth Deceased
1. Name(s)and address(es) of Petitioner(s):
Name: Alicia D. Faircloth
Address: 716-B Carpenter Park
Patuxent River, MD 20670
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and Account and state reason:
NONE
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 03/29/2011
❑ Letters Testamentary or ® Letters of Administration were granted to Petitioner(s) on
03/06/2013
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: 5,000
Are proofs of advertising of the grant of Letters attached? .......................................... ® Yes ❑ No
Dates of advertising of the grant of Letters:
03/22/2013 03/29/2013 04/05/2013 03/2212013 03/2912013 04/05/2013
Form OC-Of Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 2 of 10
r
THE CENTRAL PENN BUSINESS JOURNAL
Proof of Publication
Under the Pennsylvania Newspaper Advertising Act
45 Pa.C.S. §101, et seq.
Commonwealth of Pennsylvania}
ssl
County of Dauphin }
Jerome Zary,being duly sworn according to law,deposes and says:
That he is the Controler of and duly authorized agent for JOURNAL MULTIMEDIA CORPORATION,a corporation
organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 1500
Paxton Street, in the city of Harrisburg,County of Dauphin, State of Pennsylvania;that the THE CENTRAL PENN BUSINESS
JOURNAL,a newspaper of general circulation distributed and circulated in Dauphin,Cumberland, Lancaster, Lebanon and York
counties, is published by the said JOURNAL MULTIMEDIA CORPORATION at 1500 Paxton Street,in the City,County and State
aforesaid;and that THE CENTRAL PENN BUSINESS JOURNAL was established September 9th, 1984 and has been continually
published ever since;
That the printed notice or publication which is securely attached hereto is exactly as printed and published in the week]
�
editions/issues of the CENTRAL PENN BUSINESS JOURNAL which appeared on the 22nd and 29'"day(s)of March and the 5
day(s)of April 2013. That neither he nor said Corporation is interested in the subject matter of said printed notice or advertising,and
that all of the allegations of this statement as to the time, place and character of publication are true;and
This is a statement published by JOURNAL MULTIMEDIA CORPORATION:
PUBLICATION
COPY — -- -- " Jerome Za
NOTICE IS HEREBY GIVEN that Letters of
Administration have been granted in the
following Estate. All persons indebted of
the said Estate are required to make pay- Sworn to and subscribed before me this day of 2012 A.D.
to and ihase having claims or demands
to present the same without delay to the
Administratrx or attorney named below.
ESTATE OF Jonathan D. Faircloth, late of JAR&"
Mechanicsburg.Cumberland County,Penn- NOTARY PI BLIC
syNania (died March 29, 2011).Adminis-
Vatdx–Alicia D.Faircloth.Attorney–Bruce
J. Warshawsky, Esquire, Cunningham g COMMONWEAL F PENNSYLVANIA
Chernicoff,P.C.,2320 North Second Street, NOTARIAL SEAL
Harrisburg,PA 17110 DONNA SCHANKWEILER,Notary Public
-- -- - City of Harrisburg,Dauphin Coumy
My Commission Expires October03,2016
Publisher's Receipt for Advertising Cost
JOURNAL MULTIMEDIA CORPORATION,publisher of the CENTRAL PENN BUSINESS JOURNAL,newspaper of general circulation,
distributed and circulated in Dauphin,Cumberland, Lancaster,Lebanon and York counties,hereby acknowledges receipt of the aforesaid
notice and publication costs and certifies that the same have been duly paid.
THE CENTRAL PENN BUSINESS JOURNAL
Re:ESTATE OF Jonathan D.Faircloth By...C� . .
CUNNINGHAM&CHERNICOFF,P.C.
2320,North Second Street
Harrisburg,PA 17110
Attention:Brace J.Warshawsky,Esquire
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:
March 22, March 29, and April 5, 2013
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.
isa arie Coyne, Editor
SWORN TO AND SUBSCRIBED before me this
5 day of April, 2013
.4 .,2 d- &��W�11
Notary
Faircloth,Jonathan D.,dec'd.
Late of Mechanicsburg.
Adrninistratrix:Alicia D.Faircloth.
Attorneys: Bruce J. Warshawsky, NOTARIAL SEAL
Esquire, Cunningham & Cher- DE80RAH A COLLINS
nicoff, P.C., 2320 North second Notary Public
Street,Harrisburg,PA 17110. CARLISLE BOROUGH,CUMBERLAND COUNTY
My Commission Expires Apr 28,2014
Ay ,
PETITION FOR ADJUDICATION
Estate of Jonathan Dean Faircloth Deceased
3. Was decedent survived by a spouse?....................................................................... ® Yes ❑ No
If yes, name of the surviving spouse: Alicia D. Faircloth
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 the decedent marry after execution of Will or Codicil(s)?.............................................. ❑ Yes ® No
Were any children born to decedent after execution of
Willor 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 farm software only The Lackner Group,Inc. Page 3 of 10
PETITION FOR ADJUDICATION
Estate of Jonathan Dean Faircloth , 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 Party in Interest Relationship and Comments,if any Interest
Alicia D Faircloth Spouse
21800 North Shangri' La Drive
Unit 3
Lexington Park, MD 20653
Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 4 of 10
PETITION FOR ADJUDICATION
Estate of Jonathan Dean Faircloth Deceased
Name and Address of Each Party in Interest Relationship and Comments,if any 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.
none
C. State why a Petition for GuardianlTrustee Ad Litem has or has not been filed for
this Audit(see PA. O.C. Rule 12.4).
D. If distribution is to be made to the personal representative of a deceased party,
state date of death, date and place of grant of Letters and type of Letters granted.
Fomr OC-01 Rev 10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 5 of 10
PETITION FOR ADJUDICATION
Estate of Jonathan Dean Faircloth 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 ead ACtlress of Each Claimant Amount of Claim CCldlm Wyyill Clam
Admitted? BePaidm
ull?
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?.......................................................................................... ❑ Yes ® No
Wasfamily exemption allowed?.......................................................................................... ❑ Yes ® No
Family exemption claimant's name and relationship:
Name: Relationship:
Farm OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 6 of 10
PETITION FOR ADJUDICATION
Estate of Jonathan Dean Faircloth 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
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:
Release from Bond---Petitioner seeks release per the attached Petition
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.
Farm OC-01 Rev 10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 7 of 10
Printed with pdfFactory Pro trial version - purchase at www.pdffactory.com
PETITION FOR ADJUDICATION
Estate of Jonathan Dean Faircloth 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
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.
Purpose
If a reserve is requested for counsel fees, has notice of the
amount of fees to be paid from the reserve been given to the
parties in interest?................................................................................................. ❑ Yes ® No
If so, attach a copy of the notice.
19. Is the Court being asked to direct
the filing of a Schedule of Distribution?................................................................................ ❑ Yes ® No
Asto real estate only?......................................................................................................... ❑ Yes ❑ No
Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 8 of 10
PETITION FOR ADJUDICATION
Estate of Jonathan Dean Faircloth 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:
Pmpased ostnbutee(s) Amount Pmodlon
Alicia D Faircloth
B. Principal:
Proposed Olsutbutee(s) Amount Proportion
Alicia D Faircloth
Submitted By:
(All petitioners must sign.
Add additional lines 7Lcesalry'
:
Name of Petitioner: Alicia D. Faircloth
Name of Petitioner:
Name of Petitioner:
Form OC-01 Rev 10-13-2006 Copyright(c)2003 form somvare only The Lackner Group,Inc. Page 9 of 10
PETITION FOR ADJUDICATION
Estate of Jonathan Dean Faircloth Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies [that hasha _is rdfe
of the above-named name orce co efion
and)that the facts set
forth in the foregoing Petition for Adjudication I 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). J"�"o
Signature of Petitioner Alicia D. Faircloth
Signature of Petitioner
Signature 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 b en a eyo he
responses herein.
S ur of Counsel for Petitioner
nice J.Warshawsky
Farm OC-01 Re,10.112006 Oopyrighl(c)2006 farm software only The Lackner Group,Inc. Page 10 of 10
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-13-0130
Estate of Jonathan Dean Faircloth Deceased
Verification
Alicia D. Faircloth under the Last Will and Testament of Jonathan Dean Faircloth, Deceased,
hereby declares under oath that he/she has fully and faithfully discharged the duties of his/her
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/her 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 Testamentary 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: � ' 01 � 14
Alicia D. Faircloth
- 8 -
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-13-0130_ Estate of Jonathan Dean Faircloth, Deceased CP c u
PQ
First and Final Account -°
�d
Alicia D. Faircloth
Date of Death: 0312912011
Date of incapacity, if any: None
Date of Appointment: 03/06/2013
Date of First Complete Advertisement: 04105/2013
Accounting for the period: 0310612013 to 04/07/2014
Purpose of Account: Alicia D. Faircloth, 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:
Bruce J.Warshawsky
Cunningham & Chernicoff, P.C.
2320 North Second Street
Harrisburg, PA
7171236-6570
Supreme Court I.D. No.58799
SUMMARY OF ACCOUNT
Estate of Jonathan Dean Faircloth, Deceased
For the period of March 6 2013 through April 7 2014
PAGES
PRINCIPAL
Receipts: This Account 3
Net Gain (or Loss)on Sales 0.00
or Other Dispositions 0,00
Less Disbursements: 0.00
Debts of Decedent 0.00
Funeral Expenses 0.00
Administration Expenses 3 648.50
Federal, State& Local Taxes 0.00
Commissions 0.00
Fees 3 1,200.00
Family Exemption 0.00 1,848.50
Balance Before Distributions -1,848.50
Transfer to (from) Principal 0.00
Distributions to Beneficiaries 0.00
Principal Balance on Hand 4 -1,848.50
For Information:
Investments Made
Changes in Holdings 5
INCOME
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 0.00
Transfer to (from) Income 0.00
Distributions to Beneficiaries 0.00
Income Balance on Hand 0.00
For Information:
Investments Made
Changes in Holdings
COMBINED BALANCE ON HAND 6 -1,848.50
Signature 7
Verification 6
- 2 -
SCHEDULE A
RECEIPTS OF PRINCIPAL
Assets Listed in Inventory Fiduciary
(Valued as of Date of Death) Acquisition
Value
Cash
Estate opened for litigation purposes only---litigation
in California---no proceeds paid to Estate
Total Cash
Total Receipts
Total Receipts of Principal
- 3 -
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Administration Expenses
Legal Advertising
03/29/2011
225.00
225.00
Probate fees 2/1113
03129/2011 93.50
93.50
Probate fees 316/13
03129/2011 15.00
15.00
Probate fees anticipated for Accounting
03129/2011 215.00
215.00
Surety Bond
03/29/2011
100.00
100.00
Total Miscellaneous Administrative Expenses 648.50
Fees
Cunningham and Cherni off
03/29/2011
1,200.00
1,200.00
- 3 -
SCHEDULE F
CHANGES IN PRINCIPAL HOLDINGS
#Units
Estate opened for litigation ggrgoses only litigation in California— no proceeds paid to Estate
03129/2011 Inventoried
Ending balance as of 4/7/2014
- 5 -
COMBINED BALANCE ON HAND
Current Value Fiduciary
04/07/2014 Acquisition
#Units Description or as Noted Value
Cash
[BankOut Name]
-1,848.50 -1,848.50
Total Cash -1,848.50 -1,848.50
-1,848.50 -1,848.50
- s -
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
Fite No. 21-13-0130
Estate of Jonathan Dean Faircloth Deceased
Verification
Alicia D. Faircloth under the Last Will and Testament of Jonathan Dean Faircloth, Deceased,
hereby declares under oath that he/she has fully and faithfully discharged the duties of his/her
1 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/her 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 Testamentary 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:
Alicia D.Faircloth
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-13-0130
Estate of Jonathan Dean Faircloth Deceased
Signature
Alicia D. Faircloth
- 7 -