Loading...
HomeMy WebLinkAbout03-26-15 DECEDENT'S ESTATE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION f\ ESTATE OF DONNA J. FRITZ , DECEA Ea `' M No. 21-13-1009 ; • h� raj rn PETITION FOR ADJUDICATION STATEMENT OF PROPOSED DISTRIBUTION 0 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. INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM. Name of Counsel: Michael L. Bangs Supreme Court I.D. No.: 41263 Name of Law Firth: Bangs Law Office, LLC Address: 429 South 18th Street, Camp Hill, PA 17011 Telephone: 717-730-7310 Fax: 717-730-7374 Form OC-01 rev. 10.13.06 Page 1 of 10 Estate of DONNA J. FRITZ , Deceased 1. Name(s) and address(es) of Petitioner(s): Name. Michael L.Bangs,Esquire Address. 429 South 18th Street Camp Hill,PA 17011 Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution and state reason: N/A Is this the first accounting by this fiduciary? . . . . . . . . . . . . . . . . . . . . . JI Yes 0 No If not, identify prior accountings,the accounting periods covered, and the date of adjudication of the prior accounting. 2. Decedent died on June 24, 2013 Q Letters Testamentary or ✓I Letters of Administration were granted to Petitioner(s) on April 16. 2014 Date of Will (if applicable): July 24, 1978 Date(s) of Codicil(s) (if applicable): N/A Date of probate (if different from date Letters granted): 11/22/13 Was a bond required? Yes 0 No If yes, state amount: Are proofs of advertising of the grant of Letters attached? . . . . . . . . . 0 Yes 0 No Dates of advertising of the grant of Letters: Cumberland Law Journal: 5/30/14 6/6/14 and 6/13/14; The Patriot News: 5/27/14, 6/3/14 and 6/10/14 Form OC-01 rev. 10.13.06 Page 2 of 10 Estate of DONNA J. FRITZ Deceased 3. Was decedent survived by a spouse? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Yes No If yes, name of the surviving spouse: 4. Has the surviving spouse filed to take an elective share? . . . . . . . . . . . . . F1 Yes Q No (See Section 2201 et L . 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): N/A 6. Did decedent marry after execution of Will or Codicil(s)? . . . . . . . . . . . E]Yes 01 No Were any children born to decedent after execution of Will or Codicil(s)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M Yes 0 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wil Yes No Form OC-01 rev. 10.13.06 Page 3 of 10 Estate of DONNA J. FRITZ , 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 parry's relationship to the decedent and the nature of each party's interest(s): Name and Address of Each Party in Interest I Relationship and Comments,if any I Interest Jodi A. Fritz Daughter one-half of estate JAF Station P.O. Box 8067 New York,NY 10001 Robert J. Fritz Son one-half of estate 105 Kings Highway Marysville, PA 17053 Form OC-01 rev. 10.13.06 Page 4 of 10 Estate of DONNA J. FRITZ Deceased Name and Address of Each Party in Interest I Relationship and Comments,if any I Interest B. Identify each party who is not suijuris (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. N/A C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for this Audit (Lee 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. 10.13.06 Page 5 of 10 Estate of DONNA J. FRITZ , 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? N/A ®Yes E]Yes E]No 0 No C f Yes -1 Yes M1 No 77 No Yes 0 Yes ONo 0 No E]Yes i_JI Yes MI No E]No 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes ✓1 No Was family exemption allowed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E]Yes ®I No Family exemption claimant's name and relationship: Name: Relationship: Form OC-01 rev. 10.13.06 Page 6 of 10 Estate of DONNA J. FRITZ , 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 8/14/14 11,207.53 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? . . . . . . . . . . . . . . . . . . . EYes ✓_� 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: N/A B. Has notice of the question requiring adjudication been given to the parties identified in Paragraph 9 above? . . . . . . . . . . . . . . . . . . 0 Yes 0 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. 10.13.06 Page 7 of 10 Estate of DONNA J. FRITZ Deceased 16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . . M Yes 0 No If yes, attach a copy of the Order if available; otherwise state the 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. N/A B. Has notice of the additional receipts and disbursements been given to the parties identified in Paragraph 9 above? . . . . . . . . . . . . . E-1 Yes El No 18. If a reserve is requested, state amount and purpose. Amount: Purpose: N/A 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F711Yes El No If so, attach a copy of the notice. 19. Is the Court being asked to direct the filing of a Schedule of Distribution? . . . . . . . . . . . . . . . . . . . . . . . . . . F711Yes ONo As to real estate only? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E]Yes 2]No Form OC-01 rev. 10,13.06 Page 8 of 10 Estate of DONNA J. FRITZ 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: Proposed Distributees) Amount/Proportion Jodi A. Fritz One-half Robert J. Fritz One-half B. Principal: Proposed Distributee(s) Amount/Proportion Jodi A. Fritz One-half Robert J. Fritz One-half Submitted By: (All petitioners must sign. Add additional lines if necessary).- Name of Petitioner: L Name of Petitioner: Michael L. Vgs Form OC-01 rev. 10.13,06 Page 9 of 10 Estate of DONNA J. FRITZ , Deceased Verification of Petitioner (Verification must be by at least one petitioner.) The undersigned hereby verifies * [that helshe is title of the above-named name of corporation 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). 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 been made beyond the responses herein. Signature of Counsel for Petitio Form OC-01 rev.10.13.06 Page 10 of 10 i . Ernst Ivill UnA &staftmt OF DONNA JEAN FRITZ I, DONNA JEM FRITZ of Camp Hill, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all previous wills and Codicils heretofore made by me. FIRST: I order my Co-Executors hereinafter named to pay all my debts and funeral expenses as. soon after my death as reasonably possible. SECOND: All the rest, residue and remainder of my estate, of whatsoever kind and wheresoever situated, I give, devise and bequeath to my beloved children, Jodi Ann Fritz of New York City, New York, and Robert Lee Fritz of Harrisburg, Dauphin County, Pennsylvania, in equal shares, per capita. THIRD: If either of my beloved children should predecease me or fail to survive me by thirty (30) days, then I devise that his or her share be distributed to the surviving child. FOURTH: I appoint my children, Jodi Ann Fritz and Robert lee Fritz, Co-Executors of this my Last Will and Testament. FIFTH= I direct that my Co-Executors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. SIXTH: I hereby declare it to be my express desire that the Co-Executors of this my Last Will and Testament, employ the law firm of Mancke & Lightman of Harrisburg, Dauphin County, Pennsylvania, for legal advice and assistance C: �; a p rn v r•� rn noo 7-0 C. c N �-t in the Probating of and carrying out of the provisions of my Last Will and Testament, ` they having an intimate knowledge of my affairs, views and wishes respecting many matters that may arise in thepprobate of this instrument, the administration of my estate and the execution of the powers therein mentioned, IN WITNESS WHEREOF, I have hereunto set my Viand and seal to this my Last will and Testament this day of It 1978. (SEAL) JeanF~�t�Z This instrument consisting of two typewritten pages, each bearing the signature of the above named, Donna Jean Fritz, was by her on the date hereof, signed, published and declared by her to be her Last will and Testament, in our presence, who at her request, and in her presence and in the presence of each other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. ll !, .�,�Y residing at r_ } rl residing at • '�� Gf, ��J �-1 N/li`Gt� { 4 U �1 1t �I f'. i I, +t+ S' 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: May 30, June 6, and June 13, 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. r f L' a Marie toyne, Edit SWORN TO AND SUBSCRIBED before me this 13 day of June, 2014 Notary Fritz,Donna J.,dec'd. COMMONWEALTH OF PENNSYLVANIA Late of Mechanicsburg Borough. i FCARLISLE OTARIAL SEAL Administrator D.B.N.C.T.A.: Mi- ORAH A COLLINS chael L. Bangs. Notary Public Attorneys:Bangs Law Office,LLC, RO.,CUMBERLAND CNTY 429 South 18th Street,Camp Hill, ion Expires Apr 28,2018 PA 17011. -The Patriot-News Co. 2020 Technology Pkwy Zhe atr1*otjwXews "Svis,e 300 Mechanicsburg, PA 17050 Now you know Inquiries - 717-255-8213 BANGS LAW OFFICE ATTN: MICHAEL L. BANGS 429 SOUTH 18TH STREET CAMP HILL PA 17011 THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Marianne Miller, being duly sworn according to law, deposes and says: That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 2020.Technology Pkwy, Suite 300, in the Township of Hampden, County of Cumberland, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 1900 Patriot Drive, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/Community Weekly editions which appeared on the date(s) indicated below. That neither she nor said Company 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 That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book"M", Volume 14, Page 317. PUBLICATION COPY This ad# 0002301197 ran on the dates shown below: May 27, 2014 1 June 03, 2014 LETTERS OF ADMINISTRATION, D.B.N.C.T.A.on the Estate of DONNA J. June 1 O, 2014 FR ITZ,late of Mechanicsburg Borough, Cumberland County,Pennsylvania, deceased,were granted to Michael L. Bangs on April 17,2014.All persons _ knowing themselves to be Indebted to . . . • • • • • • • • • • • • • said Estate are requested to make Immediate payment,and those having resenclaims o°a undlerslgnedi them,without delay, S or to nd sub cribed befQr is 12 day Of Ju 20 4 A.D. Bangs Law Office,LLC 429 South 18th Street Camp Hill,PA 17011 t Not Public COMMON WEACT►+OF PEN^!"LyAnJlU Nes;gal Seal Hotly Lynn W<,,ci,NotLry Puil WashINV I T"P.,D.,uph,n CoMy Co:nm's 1 ExplreS Dec.12, MEMBER.PENNSyI 11%MTA A4cryr; p,:NOTARIES pennsylvania DEPARTMENT OF PUBLIC WELFARE May 27, 2014 BANGS LAW FIRM MICHAEL L BANGS ESQUIRE 429 S 18TH ST CAMP HILL PA 17011 Re: Donna Fritz SSN: ###-##-5047 Dear Attorney Bangs: Pursuant to your letter dated May 13, 2014, the Department's, Estate Recovery Program, has reviewed the information you provided regarding the above-referenced individual. It has been determined that this individual did not receive any type of assistance during the questioned period. Therefore, according to the information you provided, the Department's Estate Recovery Program will not seek any recovery from this estate. If your client applied for Medical Assistance and had an application and/or hearing pending at the time of death, please advise us and provide any additional information that may affect a recovery by our Department. Thank you for your cooperation in this matter. If you have any questions, please contact me. Sincerely Z C-711-1 � OL rd Vince A. Porter Recovery Section Manager (717)772-6604 Bureau of Program Integrity Division of Third Party Liability Recovery Section PO Box 8486 1 Harrisburg, Pennsylvania 17105-8486 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION FILE NO. 21 —2413 - 1009 FIRST AND FINAL ACCOUNT OF MICHAEL L. BANGS, Administrator d.b.n.c.t.a. of the ESTATE of DONNA J. FRITZ,Deceased Late of Mechanicsburg Borough, Cumberland County, Pennsylvania Date of Death: June 24, 2013 G-� Date of Grant of Letters Testamentary ; d.b.n.c.t.a. to Michael L. Bangs, Esquire April 16, 2014 Date of First Advertisement of Letters: '> K' r. rl y CD W: Cumberland Law Journal May 30, 2014Tj The Patriot News Co. May 27, 2014 ► " M, Date of Accounting June 24, 2013 to ' i March 27, 2015 ,,. co PURPOSE OF ACCOUNTING: Michael L. Bangs, Administrator d.b.n.c.t.a., offers this Account to acquaint interested parties with the transactions that have occurred during this administration. It is important that the Account be carefully reviewed. Requests for additional information or questions can be discussed with: Michael L. Bangs, Esquire Bangs Law Office, LLC Attorney Identification Number 41263 429 South 18th Street, Camp Hill, PA 17011 (717) 730-7310 w SUMMARY OF ACCOUNT PAGE PRINCIPAL Receipts of Principal 3 $261,255.32 LESS DISBURSEMENTS Debts of Decedent 4 $6,190.35 Administrative Expenses 4 $14,728.85 Attorney's Fees 5 $14,750.00 Accountant Fees 5 $405.00 INCOME Receipts of Income 6 $7.61 COMBINED BALANCE ON HAND $225,188.73 PROPOSED SCHEDULE OF DISTRIBUTION 7 VERIFICATION 8 Page 2 RECEIPTS OF PRINCIPAL PRINCIPAL -DATE RECEIPTS 5/7/2014 Riverview Bank checking account $75,325.54 5/7/2014 Riverview Bank CD $10,309.57 5/7/2014 Riverview Bank CD $10,362.68 5/7/2014 Members 1 st Federal Credit Union(rent checks) $4,200.00 5/7/2014 Bruce Lindsley (rent 2/27/14) $600.00 5n12014 Bruce Lindsley(rent 1/31/14) $600.00 5/7/2014 Bruce Lindsley (May rent) $600-00 5/7/2014 Omnicare, Inc. $10.21 - a_n 6/30/2014 Refund from Erie Insurance (original homeowners policy) $8.00 7/28/2014 Emeritus Corporation $1,439.00 8/28/2014 Bank of Landisburg account $10,379.70 12/9/2014 Proceeds from sale of real estate $147,272.49 12/9/2014 Refund of excess fees collected at real estate closing $27.50 2/12/2015 Refund of overpayment of inheritance tax $3.63 --- 3/5/2015 Refund from Erie Insurance (homeowners policy $117.00 TOTAL PRINCIPAL RECEIPTS $261,255.32 Page 3 DISBURSEMENTS OF PRINCIPAL DATE DEBTS OF DECEDENT ---5/-7/2014 Erie Insurance (homeowners insurance policy) $560.00 -- 5/9/2014 1 Perry County Tax Claim Bureau $2,175.23 6/18/2014 Forest Park Health Center $1,400.00 6/30/2014 PP&L Electric (5/9/14 to 6/9/14) $14.44 7/15/2014 PP&L Electric (6/9/14 to 7/9/14) $14.50 15/2-014 Patricia—Kisisnger, Tax—Collector(2014-15 school real estate tax) $1,863.37 -- 8/12/2014 PP&L Electric (7/9/14 to 8/7/14) $25.75 9/12/2014 PP&L Electric (8/7/14 to 9/8/14) $30.34 10/14/2014 PP& ,Electric(9/8/14 to 10/8/14) $28.74 11/11/2014 PP&L Electric (10/8/14—tol 1/6/14) -- $47.33 12/9/26-14 PP&L Electric (final bill) -,— $30.65 TOTAL DEBTS OF DECEDENT: $6,190.35 DATE ADMINISTRATIVE EXPENSES 4/16/2014 Register of Wills (probate fees for grant of Letters of Administration d.b.n.c.-"--- $40.00 5/13/2014 Cumberland Law Journal (estate advertisement) $75.00 '78 6/18/2014 The Patriot News Co. (advertising fee) $173.78 7/29/2014 Larry Brodish(real estate appraisal) $475.00 8/11/2014 Vital Records (additional death certificates) $37.00 8/14/2014 Register of Wills (estimated inheritance tax payment made in discount) $11,207.53— 8/14/2014 Register of Wills (additional probate fee) $270.00 - -10/1 3/2014 Larry Brodish(payment for repairs made to real estate: $1,500.00 Advance Septic Services, Inc.; R.E. Smith& Son, Inc.; Plank's Handyman Services; Dream Home Inspections, Ltd.; Heller's Home & Hardware) 10/17/2014 Larry Brodish(payment for repairs made to real estate: $500.00 Advance Septic Services, Inc.; R.E. Smith& Son, Inc.; Plank's Handyman — Services; Dream Home Inspections, Ltd.; Heller's Home&Hardware) 2/12/2015 Check to Postmaster(mailing of fidicuary income tax returns) $5.12 3/20/2015 Larry Brodish (payment for repairs made to real estate: $60.42 Advance Septic Services,Inc.; R.E. Smith& Son, Inc.; Plank's Handyman Services; Dream Home Inspections, Ltd.; Heller's Home & Hardware) Register of Wills (Accounting filing fee) $315.00 Postmaster(mailing of Accounting to heirs) (estimate) $20.00 Capitol Copy Service(copying of Accounting and Petition for Adjudication) $50.00 --TOTAL ADMINISTRATIVE EXPENSES: $14,728.85 Page 4 DISBURSEMENTS OF PRINCIPAL DATE FEES AND COMMISSIONS _ Michael L. Bangs, Esquire (attorney fees) (to be paid) $14,750.00 Boyer&Ritter(accountant fee) (fiduciary income tax returns) $405.00 TOTAL FEES: $15,155.00 TOTAL DISBURSEMENTS OF PRINCIPAL: $36,074.20 _ I Page 5 RECEIPTS OF INCOME INCOME DATE RECEIPTS 7/3/2014 Interest on estate checking account $0.82 7/7/2014 Interest on estate checking account $0.83 8/7/2014 Interest on estate checking account $0.83 9/5/2014 Interest on estate checking account $0.70 10/7/2014 Interest on estate checking account $0.83 11/7/2014 Interest on estate checking account $0.80 12/5/2014 Interest on estate checking account $0.72 1/7/2015 Interest on estate checking account $2.01 1/9/2015 Interest on estate checking account $0.07 TOTAL INCOME RECEIPTS $7.61 Page 6 PROPOSED SCHEDULE OF DISTRIBUTION OF REMAINING PRINCIPAL AND INCOME DISTRIBUTION TO BENEFICIARIES DISTRIBUTION Jodi Fritz $112,594.37 Robert Fritz $112,594.36 $225,188.73 Page 7 AFFIDAVIT MICHAEL L. BANGS, Administrator d.b.n.c.t.a of the Estate of Donna J. Fritz, deceased,hereby declares under oath that he has fully and faithfully discharged the duties of his 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 the best of his knowledge, there are no claims now outstanding against the estate;that all taxes presently due from the estate have been paid; and that more than four months have elapsed since the first complete advertisement of the granting of letters in this estate. This statement is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn falsification to authorities. Michael L. Bangs SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF COMMONWEALTH OF PENNSYLVANIA X 2015. NOTARIAL SEAL Wendy K. Straub, Notary Public Lower Allen Township,Cumberland County dbldlA &MJ1'— MY Commission Expires may 10,2015 Kotary Publ REQUEST FOR DISTRIBUTION Accountant requests that distribution be determined by the Court in accordance with the Schedule of Proposed Distribution filed as part of this account. Michael L. Bangs Page