HomeMy WebLinkAbout12-11-14 ESTATE OF DOROTHY M. LAUGHLIN
File No. 21-12-1069
FAMILY SETTLEMENT AGREEMENT
THIS AGREEMENT made this�day of , 2014,
BETWEEN: JANICE M. CHAMBERLIN, DANIEL G. LAUGHLIN, and LEE
H. LAUGHLIN, being the residuary legatees under the Last Will and Testament of
Dorothy M. Laughlin, late of the Township of Hopewell, Cumberland County,
Pennsylvania,
AND
LEE H. LAUGHLIN, Executor of the Estate of Dorothy M. Laughlin, deceased,
WHEREAS, Dorothy M. Laughlin died August 25, 2012, testate; and
WHEREAS, Letters Testamentary were granted to Lee H. Laughlin on
September 28, 2012, by the Register of Wills of Cumberland County, Pennsylvania; and
WHEREAS, all assets of the late Dorothy M. Laughlin have been liquidated or
distributed and all her debts paid in full; and
WHEREAS, the period of four months having been terminated since the first
advertisement of the issuance of Letters to the said Executor, the said parties hereto
desire to waive the duty of the Executor to file a First and Final Account with Proposed
Schedule of Distribution for purposes of confirmation by the Court of Common Pleas of
Cumberland County, Orphan's Court Division, AND FURTHER desire that a
Family Settlement Agreement be executed, which Family Settlement Agreement will be
duly recorded among the deed records in and for Cumberland County.
WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 `��+� 1
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NOW, THEREFORE, WITNESSETH, that the parties hereto, in consideration of
the premises above stated, and of the Accounting and Proposed Schedule of Distribution
attached hereto and made a part hereof, and the receipt of their distributive shares as
therein shown, do bind themselves to the said Distribution and Accounting as set forth
and further mutually release Lee H. Laughlin, Executor, from all claims and demands
whatsoever arising out of settlement of the Estate of Dorothy M. Laughlin.
The parties hereto do further agree that should any liability come due to the estate
of the said decedent after the signing of this agreement, they do hereby covenant and
agree with the aforesaid personal representative that they will contribute pro rata their
shares of the estate to satisfy any and all claims, demands, suits, or causes of action
which may be successfully prosecuted against the said estate ar the aforesaid personal
representative after the signing, sealing and delivery of this family settlement agreement
and final release.
IN WITNESS WHEREOF, the parties have hereunto set their hands and seals the
day and year first above written.
WITNESS:
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- Daniel G. Laughlin �
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� Lee H. Laughlin �
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WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17Z57-1397
COMMONWEALTH OF PENN YL NIA :
� � : SS
COUNTY OF :
On this, the 1������ da of �1���/ � 2014
Y , ,
before me, the undersigned officer, personally appeared JANICE M. CHAMBERLIN,
DANIEL G. LAUGHLIN, and LEE H. LAUGHLIN, known to me (or satisfactorily
proven) to be the persons whose names are subscribed to the within instrument, and
acknowledged that they executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
r
� � (SEAL)
COMMONWEq�TH OF PENNSti LV IA
NOTARIAL SEAL
Je�YA•Welgle,Notary Public
City of Shippensburg,Cumberland Counry
My Commission Expires October 7,2p1g
WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17Z57-1397
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-12-1069
Estate of Dorothy M. Laughlin, Deceased
Township of Hopewell, Cumberland County
First and Final Account
Lee H. Laughlin, Executor
Date of Death: 08/25/2012
Date of Incapacity, if any: None
Date of Executor's Appointment: 09/28/2012
Date of First Complete Advertisement: 11/02/2012
Accounting for the period: 08/25/2012 to 12/05/2014
Purpose of Account: Lee H. Laughlin, Executor, 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:
Jerry A.Weigle Esquire
Weigle 8�Associates, P.C.
126 East King Street
Shippensburg, PA 17257
717/532-7388
Supreme Court I.D. No. 01624
SUMMARY OF ACCOUNT
Estate of Dorothy M. Laughlin, Deceased
For the period of August 25, 2012 through December 5, 2014
Fiduciary
Current Acquisition
PAGES Value Value
Proposed Distributions
to Beneficiaries 21 155,223.87 155,223.87
PRINCIPAL
Receipts: This Account 3 -5 337,228.22
Net Gain (or Loss) on Sales
or Other Dispositions 0.00
337,228.22
Less Disbursements:
Debts of Decedent 6 12,671.06
Funeral Expenses 6 11,533.42
Administration Expenses 6 -9 31,128.29
Federal, State� Local Taxes 9 10,000.00
Commissions 9 2,000.00
Fees 9 -10 12,342.00
Family Exemption 0.00 79,674.77
Balance Before Distributions 257,553.45
Transfer to (from) Principal 0.00
Distributions to Beneficiaries 11 - 12 102,483.76
Principal Balance on Hand 13 155,069.69
For Information:
Investments Made
Changes in Holdings 14-15
INCOME
Receipts This Account 16 - 17 181.18
Net Gain (or Loss) on Sales 0.00
or Other Dispositions 181.18
Less Disbursements �$ 27.00
Balance Before Distributions 154.18
Transfer to (from) Income 0.00
Distributions to Beneficiaries 0.00
Income Balance on Hand 19 154.18
For Information:
Investments Made
Changes in Holdings
COMBINED BALANCE ON HAND 20 155,223.87
Signature 22
Verification 23
- 2 -
SCHEDULE A
RECEIPTS OF PRINCIPAL
Assets Listed in Inventory Fiduciary
(Valued as of Date of Death) Acquisition
Value
Cash
Cash on hand found in residence 29,450.00
Cash on hand found in residence 975.00
Cash on hand found in residence 812.00
M&T Bank Checking Account 47339 40,499.44
Accrued income on above item through date of death 0.15
Members First Federal Credit Union#47 Certificate of 28,968.41
Deposit-jointly owned with Lee Laughlin, Daniel
Laughlin,and Janice Chamberlin,children of
decedent
Accrued income on above item through date of death 19.40
Members First Federal Credit Union#48 Certificate of 58,998.95
Deposit-jointly owned with Lee Laughlin, Daniel
Laughlin,and Janice Chamberlin,children of
decedent
Accrued income on above item through date of death 20.00
Members First Federal Credit Union Savings Account 33.14
Orrstown Bank Checking Account 504610 14,534.12
Accrued interest on above item through date of death 0.62
Prudential Alliance Checking Account 7679 5,860.54
Accrued interest on above item through date of death 12.53
Total Cash 180,124.30
Personal PronertT
1984 Oldsmobile-proceeds of sale 5-23-13 2,000.00
Cedar Chest 1 65.00
Cedar Chest 2 45.00
Clock 125.00
Coins-purchased by Lee Laughlin on 11-1-12 at 8,667.25
appraised value
Diamond Solitaire Ring 3,000.00
Figurines of two chickens on a nest 17.00
Personal Property -purchased by Lee Laughlin 6-4 3,275.00
-13 at appraised values
Personal Property -purchased by Lee Laughlin 5-9 275.00
-13 at appraised value
- 3 -
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
Personal Property -purchased by Daniel Laughlin 5 350.00
-9-13 at appraised values
Personal Property -purchased by Janice Chamberlin 510.00
12-6-13 at appraised values
Personal Property-gross proceeds of public sale 6-8 7,876.50
-13, including guns appraised at$320.00
Personal Property-additional net proceeds of public 632.45
sale of personal property
Two(2)White Gold Rings-purchased by Lee 255.00
Laughlin 5-7-13 at appraised values
White Duck 25.00
Total Personal Property 27,118.20
Bonds
U.S.Savings Bonds-four(4)$100 Series E bonds, 1,769.92
redeemed 10-24-12
Total Bonds 1,769.92
Real Estate
Mountain Land-Hopewell Township,Cumberland 6,200.00
County, PA,an undivided one-fifth(1/5) interest(1/5
of$31,000 appraised value)
Residence -37 Turnpike Road, Newburg, Hopewell 117,000.00
Township, Cumberland County, PA-sold 10-3-14
Total Real Estate 123,200.00
Total Receipts ss2,212.42
Subsenuent Princinal Recei�
12/11/2012 Century Link-refund at cancellation 19.95
04/03/2014 Commonwealth of Pennsylvania-refund of PA 69.70
Inheritance Tax
10/03/2014 County Tax Proration at real estate settlement 98.29
10/29/2012 Erie Insurance-refund of premium at cancellation 37.00
04/17/2013 Hopewell Township Board of Supervisors-2012 host 73.34
benefit distribution
08/31/2012 PA State Pension 532.70
10/03/2014 School Tax Proration at real estate settlement 1,352.09
- 4 -
SCHEDULE A
RECEIPTS OF PRINCIPAL
Continued
Fiduciary
Acquisition
Value
08/31/2012 U.S. Civil Service Pension credited to bank account 873.27
after date of death
03/26/2013 U.S.Treasury-2012 federal income tax refund 618.00
10/10/2012 United Church of Christ Homes-refund 1,341.46
Total Subsequent Principal Receipts 5,015.80
Total Adjustments and Subsequent Receipts s,015.80
Total Receipts of Principal 337,2zs.zz
- 5 -
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent
08/28/2012 M 8�T Bank Checking Account 47339-check 9,430.86
outstanding at date of death drawn on account,
clearing bank after date of death
10/05/2012 Automatic bank withdrawal-return of decedent's civil 873.27
service pension credited to decedent's Orrstown
Bank checking account after date of death
10/16/2012 Blue Mountain Small Engine Repair 161.00
10/16/2012 Carlisle Regional Medical Center 50.00
10/16/2012 Century Link 7g.pg
10/16/2012 Kuhn Communication 9.37
10/16/2012 Millennium Pharmacy Systems 101.84
10/16/2012 Newburg Hopewell Joint Authority 128.00
10/16/2012 Newburg Seamless Spouting 570.00
10/16/2012 Penelec 27.69
10/16/2012 Philips Lifeline 42,g7
10/16/2012 State Employees' Retirement System -reimbursement 88.78
of overpayment
10/16/2012 Timmons Oil, Inc. 387.39
10/23/2012 Tim's Heating Service 130.00
10/24/2012 Erie Insurance Group 547.00
05/21/2013 Health Drive Podiatry Group 44.91
Total Debts of Decedent 12.671.06
Funeral Ex enses
10/02/2012 Fogelsanger-Bricker Funeral Home 11,533.42
Total Funeral Exoenses 11,533.42
Administration Ex ep nses
10/01/2012 Register of Wills,Cumberland County-Letters 415.50
Testamentary and Short Certificates
- 6 -
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
10/16/2012 Cumberland Law Journal-advertising Letters 75.00
Testamentary
10/16/2012 Orrstown Bank-printed estate checks 31.50
10/16/2012 Sailhamer Real Estate-market analyses 250.00
10/17/2012 Gateway Gallery Auction -appraisal fee 335.00
10/17/2012 Register of Wills,Cumberland County-four(4)Short 16.00
Certificates
10/23/2012 Penelec 35.84
11/13/2012 News Chronicle-advertising Letters Testamentary 104.75
11/21/2012 Penelec 33.19
12/19/2012 Penelec 19.53
12/19/2012 Timmons Oil, Inc. 379.50
01/09/2013 Blue Mountain Small Engine Repair 90.47
01/09/2013 Newburg Hopewell Joint Authority 64.00
01/22/2013 Penelec 27.15
01/29/2013 Timmons Oil, Inc. 435.25
02/26/2013 Penelec 31.42
03/07/2013 Harry E. Killian,Tax Collector-residence real estate 379.96
tax
03/07/2013 Harry E. Killian,Tax Collector-mountain land real 112.32
estate tax
03/07/2013 John R.Tritt-furnace service call 75.00
03/12/2013 Timmons Oil, Inc. 444.36
03/19/2013 Penelec 29.51
04/09/2013 Newburg Hopewell Joint Authority 64.00
04/17/2013 Dan Hershey Auctioneering Service-appraisal of 225.00
personal property
04/17/2013 Penelec 21.16
04/17/2013 Recorder of Deeds,Cumberland County-recording 63.00
of executor's deed
05/21/2013 Penelec 25,72
06/04/2013 Timmons Oil, Inc. 213.92
06/08/2013 Expenses of public sale of personal property 1,655.30
06/11/2013 John R.Tritt-repairs to heating system 823.32
06/18/2013 Penelec 36.72
07/09/2013 Newburg Hopewell Joint Authority 64.00
- 7 -
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
07/16/2013 Harry E. Killian,Tax Collector-residence real estate 1,586.38
tax
07/16/2013 John R.Tritt-repairs to water lines 305.15
07/25/2013 Penelec 35.46
OS/02/2013 Fred L. Hockenberry Electrical Services-repairs 1,739.29
08/13/2013 Penelec 9.93
08/29/2013 Millville Mutual-fire insurance premium 875.00
09/17/2013 Penelec 23.42
09/18/2013 Two Springs Construction-repairs 3,005.84
10/07/2013 Newburg Hopewell Joint Authority 64.00
10/09/2013 Service Masters-1/2 down,mold treatment 991.83
10/09/2013 Service Masters-balance, mold treatment 991.83
10/15/2013 Penelec 22.g7
10/22/2013 Tim's Heating Service 131.00
11/07/2013 Linda K. Klein-notary fee 32.00
11/07/2013 Register of Wills,Cumberland County-filing PA 15.00
Inheritance Tax Return
11/07/2013 Register of Wills, Cumberland County-filing Family 100.00
Settlement Agreement
11/07/2013 Weigle&Associates, P.C. -reimbursement for 50.00
postage,xerox copies,and long distance telephone
calls
11/19/2013 Penelec 25.29
11/26/2013 Blue Mountain Small Engine Repair 237.11
11/26/2013 Timmons Oil, Inc. 265.83
12/17/2013 Penelec 128.77
01/09/2014 Newburg Hopewell Joint Authority 64.00
01/09/2014 Timmons Oil, Inc. 476.04
01/20/2014 Penelec 79.19
02/25/2014 Timmons Oil, Inc. 608.36
03/06/2014 Harry E. Killian,Tax Collector-residence real estate 390.65
tax
03/20/2014 Penelec 18.38
04107/2014 Newburg Hopewell Joint Authority 64.00
04/15/2014 Penelec 36.02
04/22/2014 Timmons Oil, Inc. 409.12
05/06/2014 Tim's Heating Service 458.50
- $ -
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
05/20/2014 Penelec 34.88
06/19/2014 Penelec 12.56
07/08/2014 Newburg Hopewell Joint Authority 64.00
07/08/2014 Register of Wills,Cumberland County-one(1)Short 5.00
Certificate
07/21/2014 Penelec 24.20
08/19/2014 Harry E. Killian,Tax Collector-residence real estate 1,633.04
tax
08/19/2014 Millville Mutual-fire insurance premium 875.00
08/19/2014 Penelec 19.48
09/16/2014 Penelec 26.09
10/03/2014 Real Estate Settlement Charges-including Deed 8,319.00
Preparation(85.00); Realty Transfer Tax(1,170.00);
Final Sewer Billing(64.00); and Seller Assist
(7,000.00)
10/14/2014 Penelec 18.39
12/03/2014 Tim's Heating Service 279.00
Total Miscellaneous Administrative Exoenses 31,128.29
Federal, State, and Local Taxes
11/14/2012 Register of Wills, Franklin County-PA inheritance 10,000.00
tax, payment at discount
Total Taxes 10,000.00
Commissions
12/20/2012 Lee H. Laughlin, Executor 1,000.00
12/11/2013 Lee H. Laughlin, Executor 1,000.00
Total Commissions 2,000.00
Fees
10/25/2012 Weigle&Associates, P.C. 3,000.00
- 9 -
SCHEDULE C
DISBURSEMENTS OF PRINCIPAL
Continued
03/21/2013 Weigle&Associates, P.C. 3,500.00
07/25/2013 Weigle 8�Associates, P.C. 2,000.00
08/01/2013 Weigle&Associates, P.C. 800.00
08/08/2013 Weigle&Associates, P.C. 1,000.00
08/29/2013 Weigle&Associates, P.C. 2,000.00
11/07/2013 Weigle&Associates, P.C. 42.00
Total Fees 12,342.00
TOTAL DISBURSEMENTS OF PRINCIPAL 79,674.77
- 10 -
SCHEDULE D
DISTRIBUTIONS OF PRINCIPAL
Daniel G. Laughlin
08/25/2012 Members First Federal Credit Union#47 Certificate of 9,656.14
Deposit-1/3 share
08/25/2012 Members First Federal Credit Union#47 Certificate of 6.47
Deposit-1/3 share of accrued interest
08/25/2012 Members First Federal Credit Union#48 Certificate of 19,666.32
Deposit-1/3 share
08/25/2012 Members First Federal Credit Union#48 Certificate of 6.67
Deposit-1/3 share of accrued interest
03/20/2013 Mountain Land 2,066.67
31,402.27
Janice M. Chamberlin
08/25/2012 Members First Federal Credit Union#47 Certificate of 9,656.14
Deposit-1/3 share
OS/25/2012 Members First Federal Credit Union#47 Certificate of 6.47
Deposit-1/3 share of accrued interest
08/25/2012 Members First Federal Credit Union#48 Certificate of 19,666.32
Deposit-1/3 share
08/25/2012 Members First Federal Credit Union#48 Certificate of 6.67
Deposit-1/3 share of accrued interest
11/15/2012 Clock-Specific Bequest 125.00
11/15/2012 Diamond Solitaire Ring-Specific Bequest 3,000.00
11/15/2012 Figurines of two chickens on a nest-Specific 17.00
Bequest
03/20/2013 Mountain Land 2,066.67
10/14/2014 Partial Distribution-CASH 5,000.00
39,544.27
Lee H. Laughlin
08/25/2012 Members First Federal Credit Union#47 Certificate of 9,656.13
Deposit-1/3 share
08/25/2012 Members First Federal Credit Union#47 Certificate of 6.46
Deposit-1/3 share of accrued interest
- 11 -
SCHEDULE D
DISTRIBUTIONS OF PRINCIPAL
Continued
08/25/2012 Members First Federal Credit Union#48 Certificate of 19.666.31
Deposit-1/3 share
08/25/2012 Members First Federal Credit Union#48 Certificate of 6.66
Deposit-1/3 share of accrued interest
03/20/2013 Mountain Land 2,066.66
31,402.22
Lisa M. Miller
11/15/2012 Cedar Chest 1 -Specific Bequest 65.00
11/15/2012 White Duck-Specific Bequest 25.00
90.00
Lora Laughlin a/k/a Laura Davidson
11/15/2012 Cedar Chest 2-Specific Bequest 45.00
45.00
TOTAL DISTRIBUTIONS TO BENEFICIARIES 102,483.76
- 12 -
PRINCIPAL BALANCE ON HAND
Current Value Fiduciary
12/05/2014 Acquisition
# Units Description or as Noted Value
sasl�
Estate Checking Account 155,069.69 155,069.69
Total Cash 155,069.69 155,069.69
155,069.69 155,06 9.69
- 13 -
SCHEDULE F
CHANGES IN PRINCIPAL HOLDINGS
# ni Cost
Cedar Chest 1
08/25/2012 Inventoried 65.00
11/15/2012 Distributed -65.00
0.00
Cedar Chest 2
08/25/2012 Inventoried 45.00
11/15/2012 Distributed -45.00
0.00
Clock
08/25/2012 Inventoried 125.00
11/15/2012 Distributed -125.00
0.00
Diamond Solitaire Rinq
08/25/2012 I nventoried 3,000.00
11/15/2012 Distributed -3,000.00
0.00
Fiaurines of two chickens on a nest
08/25/2012 I nventoried 17.00
11/15/2012 Distributed -17.00
0.00
Mountain Land
08/25/2012 I nventoried 6,200.00
03/20/2013 Distributed -2,066.67
03/20/2013 Distributed -2,066.67
03/20/2013 Distributed -2,066.66
0.00
- 14 -
SCHEDULEF
CHANGES IN PRINCIPAL HOLDINGS
Continued
# ni Cost
White Duck
08/25/2012 Inventoried 25.00
11/15/2012 Distributed -25.00
0.00
Total o.00
- 15 -
SCHEDULE G
RECEIPTS OF INCOME
InterestlBank
M 8�T Bank Checking Account 47339
10/24/2012 interest date of death to closing 0.49
0.49
Orrstown Bank Checking Account 504610
10/01/2012 interest date of death to closing 0.78
0.78
Orrstown Bank Estate Money Market Account
10/31/2012 5.00
12/02/2012 5.16
12/31/2012 4.68
01/31/2013 5.01
02/28/2013 4.52
03/31/2013 5.01
04/30/2013 4.84
06/02/2013 5.33
06/30/2013 4.53
07/31/2013 5.01
09/02/2013 5.33
09/30/2013 4.53
10/31/2013 5.01
12/01/2013 5.02
12/31/2013 4.85
02/02/2014 5.34
02/28/2014 4.53
03/31/2014 4.69
04/30/2014 4.85
06/01/2014 5.19
06/30/2014 4.69
07/31/2014 5.02
09/01/2014 5.18
09/30/2014 4.70
- 16 -
SCHEDULE G
RECEIPTS OF INCOME
Continued
11/02/2014 25•22
11/12/2014 8.61
151.85
Prudential Alliance Checking Account 7679
10/23/2012 interest date of death to closing 28.06
28.06
TOTAL BANK INTEREST 181.18
TOTAL RECEIPTS OF INCOME 181.18
- 17 -
SCHEDULEI
DISBURSEMENTS - INCOME
Ext�ense / INCOME
02/25/2014 Pennsylvania Department of Revenue-2013 PA 41 2.00
fiduciary income tax
12/03/2014 Weigle&Associates, P.C. -reserve for payment of 25.00
2014 final fiduciary income tax returns
TOTAL DISBURSEMENTS OF INCOME 27.00
- 18 -
INCOME BALANCE ON HAND
Current Value Fiduciary
12/05/2014 Acquisition
# Units Description or as Noted Value
i�ash
Estate Checking Account 154.18 154.18
Total Cash 154.18 154.18
154.18 154.18
- 19 -
COMBINED BALANCE ON HAND
Current Value Fiduciary
12/05/2014 Acquisition
# Units Description or as Noted Value
.ash
Estate Checking Account 155,223.87 155,223.87
Total Cash 155,223.87 155,223.87
155,2 23.87 155,223.87
- 2� -
PROPOSED DISTRIBUTIONS TO BENEFICIARIES
Current Value Fiduciary
12/05/2014 Acquisition
or as noted Value
TO: Daniel G. Laughlin
One-Third Share of Residuary-CASH 53,407.96 53,407.96
53,407.96 53,407.96
TO: Janice M. Chamberlin
One-Third Share of Residuary -(less$5,000 partial distribution on 48,407.96 48.407.96
10/14/14)-CASH
48,407.96 48,407.96
TO: Lee H. Laughlin
One-Third Share of Residuary-CASH 53,407.95 53,407.95
53,407.95 53,407.95
Tota I 155,223.87 155,223.87
- 21 -
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-12-1069
Estate of Dorothy M. Laughlin, Deceased
Signature
Lee H. Laughlin, Executor
- 22 -
In the Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
File No. 21-12-1069
Estate of Dorothy M. Laughlin, Deceased
Verification
Lee H. Laughlin, Executor under the Last Will and Testament of Dorothy M. Laughlin, 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.
�v � �
.� / __ _
Dated: � -
Lee H. Laughlin, Executo
- 23 -