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COURT OF COMMON PLEAS OF r U i;-L' ;.
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF Carolyn MacAvoy DECEASED
No. 21 -12 -00511
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 8-19 inclusive;and any instrument pertinent to the adjudication.
INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: Debra K Wallet
Supreme Court I.D. No.: 23989
Name of Law Firm: Law Offices of Debra K.Wallet
Address: 24 North 32nd Street
Camp Hill, PA 17011
Telephone: 7171737-1300
Fax: 7171761-5319
E-mail: walletdeb@aol.com
Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 1 of 10
PETITION FOR ADJUDICATION
Estate of Carolyn MacAvoy Deceased
1. Name(s)and address(es) of Petitioner(s):
Name: Joan Fitzwater Jackson
Address. 625 Creekside Way,#3307
New Braunfels, TX 78130
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and Account and state reason:
Is this the first accounting by this fiduciary?.......................................................................... 0 Yes ❑ No
If not, identify prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on 3/22/2012
❑ Letters Testamentary or 0 Letters of Administration were granted to Petitioner(s)on
6/5/2012
Date of Will (if applicable): 11/1/2001
Date(s) of Codicil(s) (if applicable):
Date of probate (if different from date Letters granted):
Was a bond required? ❑ Yes FX-1 No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? .......................................... [K Yes ❑ No
Dates of advertising of the grant of Letters:
11/8/2014 11/14/2014 11/15/2014 11/21/2014 11/22/2014 11/28/2014
Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 2 of 10
PETITION FOR ADJUDICATION
Estate of Carolyn MacAvoy Deceased
3. Was decedent survived by a spouse?........................................................................ D Yes Q No
If yes, name of the surviving spouse:
4. Has the surviving spouse filed to take an elective share?......................................... El Yes Q No
(See Section 2209 et seq. 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):
6. Did the decedent marry after execution of Will or Codicil(s)?............................................... El Yes ❑X No
Were any children born to decedent after execution of
Will or Codicil(s)? ................................................................................................................ 1:1 Yes ❑X 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 R No
Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 3 of 10
PETITION FOR ADJUDICATION
Estate of Carolyn MacAvoy , 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
See attached schedule
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 Carolyn MacAvoy Deceased
Name and Address of Each Party in Interest Relationship and Comments,if any Interest
B. Identify each artYwho is not suiJuris(e.9�, 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.
N/A
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for
this Audit(see PA. 0.C. Rule 12.4).
N/A
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.
N/A
Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 5 of 10
PETITION FOR ADJUDICATION
Beneficiaries or Heirs
(continuation of Question#9A)
Estate of Carolyn MacAvoy Deceased
Name and Address of Each Party in Interest Relationship and Comments,if any Interest
Joan Fitzwater Jackson Sister
625 Creekside Way,#3307
New Braunfels,TX 78130
Kathleen Murphy Sister
871 E.Toledo St.
Gilbert,AZ 85295
Charles W. Fitzwater Father
1001 Carpenters Way, C215
Lakeland, FL 33809
Theodora S. Fitzwater Mother
1001 Carpenters Way, C215
Lakeland, FL 33809
Jonathan C. MacAvoy Stepchild
2219 N. 2nd St.
Harrisburg, PA 17111
Rachael MacAvoy Stepchild
1760 Pemberton Rd.
Blue Bell, PA 19422
William F. MacAvoy Other
c/o Jonathan C. MacAvoy
2219 N. 2nd St.
Harrisburg, PA 17111
Form OC-01 Rev.10-13-06
PETITION FOR ADJUDICATION
Estate of Carolyn MacAvoy Deceased
10. Other than the claim for the family exemption, list the names of all known claimants and
the amount of their claims and state whether each claim is admitted.
Name and Address of Each Claimant Amount of Claim Claim Will Claim
Admitted? Be Paid in
Full?
l
See attached schedule
Above
Attachment 59,209.05
Total 59,209.05
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 0 No
Was family exemption allowed?........................................................................................... E] Yes 0 No
Family exemption claimant's name and relationship:
Name: Relationship:
Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 6 of 10
Claims
(continuation of Question#10)
Estate of Carolyn MacAvoy , Deceased
Name and Address of Each Claimant Amount of Claim Claim Will Claim
Admitted? Be Paid in
Full?
Internal Revenue Service 3,581.33 ❑X Yes ❑Yes
Fresno, CA 93888-0419
1:1 No FX] No
Members 1st Federal Credit Union, 5000 Louise Dr., 12,358.60 ❑X Yes ❑Yes
P.O. Box 40, Mechanicsburg, PA 17055(full amt.of ❑ No ❑X No
claim-credit union took payment from checking &
savinqs acct. at same institution -see acct.)
Members 1st Federal Credit Union 4,460.78 ❑X Yes ❑Yes
5000 Louise Dr., P.O. Box 40
Mechanicsburg, PA 17055 ❑ No No
DB Servicing Corporation (Discover Card) 7,002.04 ❑X Yes ❑Yes
P.O. Box 1370
Reynoldsburg, OH 43068 ❑ No 1Z No
Boscov's 488.22 Q Yes ❑Yes
P.O. Box 5221
Carol Stream, IL 60197 ❑ No 1K No
DCM Services (Target) 192.70 0 Yes ❑Yes
P.O. Box 1334
Minneapolis, MN 55440 E] No No
The Plum 824.85 ❑X Yes ❑Yes
P.O. Box 1032
Harrisburg, PA 17108 E] No [Z No
eciService 622.64 Yes ❑Yes
124 West Church St., P.O. Box 459
Dillsburg, PA 17019-0459 ❑ No RX No
ADT Security Services 134.97 Yes ❑Yes
P.O. Box 650485
No No
Dallas,TX 75265-0485 ❑
Verizon 638.18 Yes ❑Yes
P.O. Box 920041
Dallas,TX 75392 ❑ No No
Q
PPL Electric Utilities 174.96 0 Yes ❑Yes
2 North 9th Street
No No
Allentown, PA 18101 ❑
Claims
(continuation of Question#10)
Estate of Carolyn MacAvoy Deceased
Name and Address of Each Claimant Amount of Claim claim Will Claim
Admitted? Be Paid in
Full?
Erie Insurance Collection Department 129.25 0 Yes Ej yes
100 Erie Insurance Place No No
Erie, PA 16530 ❑
Cumberland County (2011 tax) 137.17 [j]yes Ej yes
21 Waterford Drive,Suite 201
Mechanicsburg, PA 17050 E]No 0 No
Elizabeth &Albert Schaffhauser(rent) 3,450.00 Yes Yes
240A North 36th Street No No
Camp Hill, PA 17011
American InfoSource on Behalf of Bank of America 24,139.01 Yes Ej yes
P.O. Box 248852 Ej No FXJ No
Oklahoma City, OK 73124
DCM Services(Capital One N.A.) 874.35 Yes yes
7601 Penn Avenue S., Suite A600 No nX No
Minneapolis, MN 55423-5004
The Estate is insolvent and there is no money to pay any of the claims listed above.
Members V Federal Credit Union put a freeze on the checking and savings accounts at
the bank, and made monthly payments on its $12,358.60 claim until the balance of the bank
accounts were exhausted. (See final accounting).
PETITION FOR ADJUDICATION
Estate of Carolyn MacAvoy 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 ❑X 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:
None
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above?............................................................. Yes ❑X No
15. If Petitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed
or attached, provide a copy of the assignment, renunciation, disclaimer or attachment,
together with any relevant supporting documentation.
Form OC-01 Rev.10-13-2006 Copyright(c)2006 form software only The Lackner Group,Inc. Page 7 of 10
PETITION FOR ADJUDICATION
Estate of Carolyn MacAvoy Deceased
16. Had the decedent been adjudicated an incapacitated person?............................................ 1:1 Yes 0 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
None
B. Has notice of the additional receipts and disbursements been
given to the parties identified in Paragraph 9 above?.................................................... E] Yes [g] No
18. If a reserve is requested, state amount and purpose.
Amount: 976.04
Purpose: Debra K.Wallet, Esq. -reduced attorney fees-$641.04
Attorney postage, mileage, photocopies, advertising costs -$115.00
Final acct.filing fees-$220.00
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?.................................................................................................. 0 Yes F-1 No
If so, attach a copy of the notice. (See First and Final Account)
19. Is the Court being asked to direct
the filing of a Schedule of Distribution?................................................................................ Yes 0 No
Asto real estate only?.......................................................................................................... Yes 0 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 Carolyn MacAvoy , 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:
poposedDe M08(s) Amount popftw
None
B. Principal:
poposedtee(a) Amounf Piopatsn
None
Submitted By:
(All petitioners must sign.
Add additional lines if necessary):
L A W4 PA"0��
Name of Pel:406r_ Joan F ter Jackson
Name of Petitioner.
Name of Petitioner.
Fom,OC-01 Rev 1&13-2W6 (c)2006 form software only The Lackner Group,lras. Page 9 of 10
PETITION FOR ADJUDICATION
Estate of Carolyn MacAvoy , Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies* [thathwo is we
of the above-named mm of mmmum
and]that the facts set
forth in the foregoing Petition for Adjudication/Statement of Proposed Distribution which are
within the personal knowledge of the Petitioner are true, and as to facts based on the
information of others,the Petitioner,after diligent inquiry,believes them to be true;and that any
false statements herein are made subject to the penalties of 18 Pa.C.S.§4904(relating to
unsworn falsification to authorities).
/V�
Signatu of Petitioner an Fitzwater ackson
Signature of Petitioner
Signature of Petitioner
'Corporate peffionem must complete bucketed fnformadon.
Certification of Counsel
The undersigned counsel hereby certifies that the foregoing Petition for Adjudication/
Statement of Proposed Distribution is a true and accurate reproduction of the form Petition
authorized by the Supreme Court,and that no changes to the form have been made beyond the
responses herein.
Signature of Counsel for Petitioner
Debra K Wallet
roan OC-M RM 10-13-2M to �,,,,sonwee«h T►re�aca�ar Group.gyne Page 10 of 10
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Cathy Clark,Advertising 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
November 8,2014 and November 15,2014 and November 22, 2014.
COPY OF NOTICE OF PUBLICATION
- NO-fICE --
NOTICE IS HEREBY GIVEN that Letters of Administration have been granted Affiant further deposes that he/she 1S not
in the following estate.All persons indebted to the estate are required to
make payment,and those having claims or demands to present the same interested in the subject matter of the
without delay to the Executrix or her attorney.
ESTATE OF CAROLYN'MACAVOY,late of Cumberiand.County, aforesaid notice or advertisement, and that
Pennsylvania,died March 22,2012.Joan Fitzwater Jackson,Administratrix. all allegations in the foregoing statement as
Attorney;Debra K.Wallet,Esquire,24 North 32nd Street,Camp Hill, g g g
Pennsylvania 17011. to time,place and character of publication
are true.
Sworn to and subscribed before me this
41, &W moLm1w 101/T--
Notary Public
My commission expires:
t=nay sras
�g K
camas 001101 cvmbedaw courly
Ni-2RE! on Sept Z5e 2013
ME?IBEk I)EVI&YLVPKh Aqq-'L,;;A9m OF WTARIES
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:
November 14, November 21, and November 28, 2014
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.
ULisa Marie Coyne, 1 ditor
SWORN TO AND SUBSCRIBED before me this
28 day of November, 2014
Notary
Macavoy, Carolyn, dec'd.
Late of Cumberland County. COMMONVVEALiH OF PENNSYLVANIA
Administratrix: Joan Fitzwater NOTARIAL SEAL
Jackson. DEBORAH A COLLINS
Attorney:Debra K.Wallet,Esquire, Notary Public
24 North 32nd Street, Camp Hill, ECARLISLE KORO.,CUMBERLAND CNTY
PA 17011.
mmission Expires Apr 28.201 B
BEFORE THE REGISTER OF WILLS,
CUMBERLAND COUNTY, PENNSYLVANIA',r
No. 2012-00511
FIRST AND FINAL ACCOUNT OF
Joan Fitzwater Jackson,Administratrix ',-� ------
For
ESTATE OF CAROLYN MACAVOY, Deceased t'
Date of Death: March 22, 2012
Date of Administratrix's Appointment: June 5, 2012
Date of Last Advertisement: November 28, 2014
Accounting for the Period: June 5, 2012 to March 5, 2015
PURPOSE OF ACCOUNT: Joan Fitzwater Jackson, Administratrix, offers this Account to
acquaint interested parties with the transactions that have occurred during her administration.
The Account also indicates the proposed distribution of the Estate.
It is important that the Account be carefully examined. Requests for additional
information or questions or objections can be discussed with:
Debra K. Wallet, Esquire
24 N. 32nd Street
Camp Hill, PA 17011
I.D. #23989
(717) 737-1300
SUMMARY OF ACCOUNT
Fiduciary
Current Acquisition
Paste Value Value
Proposed Distribution 8 $0.00
to Beneficiaries
PRINCIPAL
Receipts 2-3 $ 16,948.82
Less Disbursements
Debts of Decedent 4 $ 5,563.00
Funeral Expenses 4 6,152.27
Administration Expenses 5 2,390.82
Fees and Commissions 5 1,875.00
Reserves 6 976.04 $ 16,957.13
Principal Balance on Hand $ (8.31)
INCOME
Receipts 7 $ 8.31
Income Balance on Hand 8.31
Combined Balance on Hand $ 0.00
Page 1
RECEIPTS OF PRINCIPAL
Assets Listed in Inventory:
(Value as of Date of Death)
Cash and Bank Deposits:
Member 1 st Savings $ 5.00
Acct. #441481
Members 1st Checking 335.35
Acct.#73609
Members 1st Savings 2,746.98
Acct. #73609
Members 1st Savings 1,369.47
Acct. #378726
Members 1st Checking 994.98
Acct. #378726
Cash in safe deposit box 150.00
Cash in possession of Decedent 61.00 $ 5,662.78
Tangible Personal Property:
2001 Chrysler Sebring convertible $ 5,000.00
Furniture and household items 2,568.44
Jewelry 1,850.87
Scrap gold 1,394.14 $ 10,813.45
Refunds:
Blue Cross/Blue Shield refund $ 65.00
Erie Insurance refund 18.00
Verizon refund 3.60
Unum refund 19.06
Toluna refund 40.00 $ 145.66
TOTAL ASSETS LISTED IN INVENTORY: $ 16,621.89
Page 2
Receipts Subsequent to Inventory
(Valued When Received)
Bank of America Refund 326.93 $ 326.93
TOTAL RECEIPTS OF PRINCIPAL: $ 16,948.82
Page 3
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent: Date:
Members 1st Federal Credit Union 4/2/2012 $ 281.95
unsecured loan (freeze put on 6/20/12 621.30
Members 1 st account by bank and 7/2/12 310.65
monthly payments automatically 8/25/12 310.65
deducted) 9/4/12 310.65
10/1/12 310.65
11/2/12 310.65
12/3/12 310.65
1/2/13 310.65
2/1/13 284.31
3/8/13 336.99
4/2/13 310.65
5/1/13 310.65
6/1/13 310.65
7/12/13 310.65
8/2/13 310.65
9/5/13 310.65 $ 5,563.00
Funeral Expenses:
Parthemore Funeral Home 7/13/12 $ 4,048.75
Theodora Fitzwater(reimbursement 7/13/12 778.52
for 5/2/12 funeral deposit)
Charles&Theodora Fitzwater for reimb. 7/26/12 1,325.00 $ 6,152.27
for payment to St. Matthew Catholic Church
(columbarium burial unit)
Page 4
Administration Expenses:
Probate Fees 12/19/12 $ 146.50
Adminstratrix mileage(including 12/5/12 532.80
several round trips from Garnet Valley,
PA to Harrisburg, PA)
Adminstratrix expenses 12/5/12 375.33
(hotel for 2 nights, meals, postage,
turnpike tolls)
Administratrix expenses (for filing 3/30/13 259.04
inheritance tax return 12/19/2012
in Camp Hill)
Towing for auto to prepare for sale* 6/22/12 537.35 *These auto-related
Commonwealth of PA(title/registration)* 6/22/12 58.50 bills were paid
Jones BP (auto repair)* 6/26/12 139.07 by Administratrix
Auto Traders (listing fee for car)* 6/26/12 55.00 & reimbursed in
State Farm (to insure car from 6/20/12 to 6/26/12 38.71 one check
7/11/12)*
Gasoline for car 6/26/12 10.00
Jones BP (inspection and emissions) 6/26/12 96.70
The Sentinel (advertisement of Grant 12/14/14 126.82
of Letters)
Bank Service Charges:
1/5/14 1.00
2/5/14 1.00
3/5/14 1.00
4/4/15 1.00
5/5/14 1.00
6/5/14 1.00
7/5/14 1.00
8/5/14 1.00
9/5/14 1.00
10/3/14 1.00
11/5/14 1.00
12/5/14 1.00
1/5/15 1.00
2/5/15 1.00
3/5/15 1.00 $ 2,390.82
Fees and Commissions:
Debra K. Wallet, Esq.--Attorney Fees 12/19/12 $ 1,750.00
LA Long &Assoc. (2012 Income Tax 2/28/13 125.00 $ 1,875.00
Returns)
Page 5
Debra K. Wallet, Eso —Attorney Fees 641.04
(fee reduced due tplack offunds)
Attorney's postage, copies, mileage, etc. 40.00
Cumberland Law Journal(reimbursement for 75.00
advertisement ofgrant ufletters paid byattorney)
Reserve for filing ofAccount 220.00 $ 976.04
/
Page 6
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RECEIPTS OF INCOME
Interest:
Members 1st Estate Savings Acct. 378726
dividends 3/25/12 - 11/30/12 $ 2.61
dividends 12/1/12 -2/28/12 0.21
dividends 1/1/13-9/24/13 1.52
Members 1 st Estate Savings Acct. 73609
dividends 3/25/12 - 11/30/12 3.26
dividends 12/1/12 - 1/31/13 0.05
Members 1 st Estate Savings Acct. 441481
dividends through 6/24/12 0.66
TOTAL RECEIPTS OF INCOME: $ 8.31
Page 7
PROPOSED DISTRIBUTION TO BENEFICIARIES
TO: William F. MacAvoy
c/o Jonathan C. MacAvoy
2219 N. 2nd Street
Harrisburg, PA 17111 $0.00
Rachael MacAvoy
1760 Pemberton Road
Blue Bell, PA 19422 0.00
Jonathan C. MacAvoy
2219 N. 2nd Street
Harrisburg, PA 17111 0.00
Theodora S. Fitzwater
1001 Carpenters Way, C215
Lakeland, FL 33809 0.00
Charles W. Fitzwater
1001 Carpenters Way, C215
Lakeland, FL 33809 0.00
Kathleen Murphy
871 E. Toledo Street
Gilbert, AZ 85295 0.00
Joan Fitzwater Jackson
625 Creekside Way, #3307
New Braunfels, TX 78130 0.00
TOTAL PROPOSED DISTRIBUTION TO BENEFICIARIES: $0.00
Page 8
IN RE: CAROLYN MACAVOY IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
LATE OF CAMP HILL,
PENNSYLVANIA
ORPHANS' COURT DIVISION
DECEASED #2012-00511
VERIFICATION
JOAN FITZWATER JACKSON, ADMINISTRATRIX FOR THE ESTATE OF
CAROLYN MACAVOY, 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 recognized; that all inheritance taxes
presently due from the Estate have been paid; and that the grant of Letters of Administration
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.
Date: `(n AFS�+ 21r, o t S�
JOA ITZWATER J KSON, AD STRATRIX