HomeMy WebLinkAbout05-20-15 In the Court of Common Pleas of Cumberfand County, Pennsylvania
Orphan's Court Division
In the Matter of the Estate of Estate File No.
LI�LIAN W ROUSH, deceased 21-14-0526
Private Account, Family Settlement with Schedule of Distribution and Release by
all heirs:
FULL AND FINAL RELEASE
Know all men by these presents, that I, Richard Whittington, being an heir of
UtLIAN W ROUSH, deceased, whose signature is attached hereto, do hereby
release, remise, quitclaim and forever discharge SYLVIA BAKER, Executrix of the
Estate of !lL�IAN W ROUSH, deceased, of any and a!I claims that t may have
against the said Estate and I acknowledge the receipt of twenty-six thousand five
fiundred fifty-five dollars and sixty-six cents ($26,555.66), and agree that the said
fiduciary is hereby released and fully discharged of any and all claims that I may
have against the said Estate. ! further agree the aforesaid sum of money is aR the
monies to which I am entitled and i further agree that the said fiduciary, Sylvia
Baker be discharged without further notice to me and that I agree to this family
settlement, as presented to me, without a formal accounting. I acknowledge the
receipt of a mpy of the Family Acwunt and Schedule of Distribution and agree
that it meets all of my requirements of a family settlement. I further agree that I
received a copy of tne Last Will and Testament of LILLfAfV W ROUSH, cleceased, by
mail from the Executrix and know of my beneficial interest therein.
In witness wherecf, I have hereuntu sei�ry hanu anu �ea: vvitii tiie fuii inieniion
of being legally bound hereby the A �t day of November, 2014.
� � �
c %^ , � m
�_ � � c� �
W1�25S � -•� �.� -�c o �
/ 1
i
LG O
�Y
7 _� ,�
3 T
Richard Whittington , " �, -_ �-,
rv � m
i—
o� o0 0 �
0
In the Court of Eommon Pleas of Cumberland County, Pennsylvania
Orphan's Court Division
In the Matter of the Estate of Estate File No.
LILLIAN W ROUSH, deceased 21-14-0526
Private Account, Family Settlement with Schedule of Distribution and Release by
all heirs:
FULL AND FINAL RELEASE
Know all men by these presents, that I, Carole Weikert, being an heir of LILLIAN W
ROUSH, deceased, whose signature is attached hereto, do hereby release, remise,
quitclaim and forever discharge SYLVIA BAKER, Executrix of the Estate of LILLIAN
W ROUSH, deceased, of any and all claims that I may have against the said Estate
and I acknowledge the receipt of twenty-six thousand five hundred fifty-five
dollars and sixty-six cents ($26,555.66�, and agree that the said tiduciary is hereby
released and fully discharged of any and all claims that I may have against the said
Estate. I further agree the aforesaid sum of money is all the monies to which I am
entitled and i further agree that the said fiduciary, Sylvia Baker be discharged
without further notice to me and that I agree to this family settlement, as
presented to me, without a formal accounting. I acknowledge the receipt of a
copy of the family Account and Schedule of Distribution and agree that it meets
all of my requirements of a family settlement. I further agree that I received a
copy of the Last Will and Testament of LILLIAN W ROUSH, deceased, by mafl from
the Executrix and know of my beneficial interest therein.
In witrtess whereof, I have hereunto set my hand and seal with the full intention
of being legally bound hereby the ��� day of November, 2014.
� � . . ::�t�:i�
- . . . , .:�'yp
Witness: 7 - '�
� r
� � ZI ' �� OZ h�W Siu� �n-�f�.) S. �'U0�
� - . _ :.__.�,,,�:i
�C = �;;_� �_`yG�3�Carole Weikert
In the Court of Common P�eas of Cumberland County, Pennsylvania
Orphan's Court Division
In the Matter of the Estate of Estate File No.
LfLLIAN W ROUSH, deceased 21-14-0526
Private Account, Family Settlement with Schedule of Distribution and Release by
all heirs:
FULL ANQ FINAL RELEASE
Know all men by these presents, that I, Joel Whittington, being an heir of LILLIAN
W ROUSH, deceased, whose signature is attached hereto, do hereby release,
remise, quitclaim and forever discharge SYLVIA BAKER, Executrix of the Estate of
LILLIAN W ROUSH, deceased, of any and all claims that 1 may have against the said
Estate and I acknowledge the receipt of twenty-six thousand tive hundred fifty-
five dollars and sixty-six cents ($26,555.66�, and agree that the said fiduciary is
hereby released and fully discharged of any and all claims that I may have against
the said Estate. I further agree the aforesaid sum of money is all the monies to
which I am entitled and i further agree that the said fiduciary, Sylvia Baker be
discharged without further notice to me and that I agree to this family settlement,
as presented to me, without a formal accounting. I acknowledge the receipt of a
copy of the Famify Account and Schedule of Distribution and agree that it r��zets
all of my requiremeMs of a family settlement. I further agree that I received a
copy of the Last Wil� and Testament of LILLIAN W ROUSH, deceased, by mail from
the Executrix and know of my beneficial interest therein.
In witness whereof, I have hereunto set ml�y hand and seaf with the fuil intention
of being legally bound hereby the � �vtday of idavertrtrer, 2014.
�.�C2m �QY'
Witfl 5: �
Joel Wh t ' gton
NOTARY PUBLIC�STHAroTE OF NEW YORK
NO.01HY8189695
OUAIIFIED IN SUFFOLK COUNTY �
COMMISSION EXP�RES W/30/20�
In the Court c' Common Pleas of Cumberland County, Pennsylvania
Orphan's Court Division
in the Matter of tne Estate of Estate File No.
LILLIAN W ROUSH, deceased 21-14-0526
Private Account, Family Settlement with Schedule of Distribution and Release by
all heirs:
FULL APFD FIRFAL RELEASE
Know all men by these presents, thzt I, Sylvia Baker, being an heir of LILLIAN W
ROUSH, deceased, whose signature is attached hereto, do hereby release, remise,
quitclaim and forever discharge SYLVIA BAKER, Executrix of the Estate of LILLIAN
W ROUSH, deceased, of any and aR claims that I may have against the said Estate
and I acknowledge the receipt of twenty-six thousand five hundred fifty-five
dollars and sixty-six cents ($26,555.66), and agree that the said fiduciary is hereby
released and fully discharged of any and all daims that I may have against the said
Estate. I further agree the aforesaid sum of money is all the monies to which I am
entitled and i further agree that the said fiduciary, Sylvia Baker be discharged
without further notice to me and that I agree to this family settlement, as
presented to me, without a formal accounting. I acknowledge the receipt of a
copy of the Family Account and Schedule of Distribution and agree that it meets
all of my requirements of a family settlement. I further agree that I received a
copy of the Last Will and Testament of LILLIAN W ROUSH, deceased, by mail from
the Executrix and know of my beneficial interest therein.
In witness whereof, I have hereunto set y hand and seal with the full intention
of being legally bound hereby the �ay of December, 2014.
Wit ess: /'
�i 07/✓'^Y" ' ' d.,o.... n i F:Ld w�Lt�
�/
Sylvia Baker
In the matter of `he Estate ot
Lillian W Roush, deczased
Cumberland Couniy Estate fi�e
2 7-14-0526
Fqmily_Accounii�_wrfh Schedule of Distribi,tion
Date of Death May 8, 2014
Date of Birth August, 30, 1931
Your accountant charges herseif with the following principal assets as follows_
See Schedule fi attached $131 ,567.19
See Schedule G aitached Z7 717,64
Total Funds for Distribution $159,284.83
�o�r accountant claims credit for the following principal disbursements:
See Schedule H aitached $ 4,761 .57
See Schedule I attached � .qqo_52
PA Inheritance Tax Paid .19 133.52
Total Disbursements $25,344.55
Tota� Asseis $159,284.83
Total Disbursements 25 344.55
Balance for d�stnbution to hei�s $133,94028
SCHEDUCE OF DISTRIBUTION*'
Carole Weikert !a $ 33,485.07
P.ichard Whittingion '/< 33,485.07
Joef Whiifingfon '/, 33,485.07
Sylvia Baker '/, 33 485.07
Tofal Distributed $133,940.28
RECAPITUCATION
Total for Disir,bution $133,940.28
Total Disiributed Hereby 133 94028
Balarce NONE
Respedfully Submitied
� �y�1_ Executrix Aprit.l3, 2015
"Please nete tha' fhese disfribu;ion amcunis are di(ferent from ihe amouni fhat
passed ihrough the esiate because 'he annuity passed directly to ihe executrix
and each benef!ciary was !eimbursed directly from the executnx for their share
of the annuity (1 /4 X $27,717.64 = $6,929.41 ;.
VF'.. .... , i � .. � .
�
. � ��� �d���. ��
s pennsytvania
� uc � �, _., -__ CASH, . t t° +s Pf t�I" 5 Fi MISC.
� PF�; f).H �..:. I�i'qo'� ER�V
LN�i N �NROU
�" - .— .,_,._ . - . _.,._ _ —' _ —__
—__ ._— '_ . _ . _. . . . .:____ .
ESi OF FILE NUMOEk.
SH 21-14 0526
- ____ ._ __ ..
_. . —_ _ ..___ . .._. ..
InciudeNeprae�usofliGgt xe+ls'xereece�iNhttrees2te
PII pmperty] intly awned w tl ' . -��� , s p rist be d scl rsed on Schedule f.
.-- ---- .. — -- v4WEATDA'E
_�
_
nunie .. .. `i . . ... _ oror-nrN
�. . M&TBANR�719SIMP50'JFEQRYRDME t � ` 3 �" � T, -7 PH'1 9 1,,.5 � 13039230
I
IChIECKINGACCOUNTh38375427
9 I PA PROPERTY TAk REBATE ClA!M a13700151`9<;, 750.00
3 , PA 2073 TAX REFUND 50.00
e �' CAPIiALBLUECRA55REFUNDOPUNU5E9'%REA-U4d I ����83
5_ I AMERICAN WATER CO REFUND I ���48
6 �� CHECKPROMAUCTIONEERFOFSALEOFGE3�OI�.A_�E'_0"!61!e3S 49.80
7_ `� REFUND FROM NATIONWI9E I�SURANCE 97 00
II
i
I
II
��
I �
i
II
' I
1 I
� ._ . .. - . . ...__. .__ . _ —.I _ _ __—._'
� TOTAL(41so eoteron �ne 5 Reapituletion) $ 13�,567_19
i
.—.... . .__. _.— _. _ .
IFro.espace��c�p � u sc-dtlitlonl=hcetso�papero�[hesames�ze.
RFV J fX 0.1-1:9) �
� pennsytvania l SCHEDULE G ,
u n�N.or�vemue I INTER-VIVOS TRANSFERS AND I
- -�• I MISC. NON-PROBATE PROPERTY I
ESTATE Oi FIIE NUMBER
LiLLIAN W ROUSH 21-14-0526 _ _
Th6 schMule mus[be mmpletM an0 filed il Ihe anmer[o aoy of Quertions 1 thrta;gh 9 oc Oa9e Ihree oi tNe REY60�Is yes_ _
� � � SCdIFi�O�0 ROPE4i�' � —.. � ��
"F^' I re r' .m u a u+ I �BT`OFOAh °hOF� DS ^%CWSIOM1 I TP%ABLE
NUMac2 . w*r.us� 7 e�f ervr�u= IVALUEOFhSET INTCAS* I .uu � . VFC1E __
i. WESTEFN&SOUTHERNL!PEASSURANCE00 V1��,64 � �OO �i 2��T�a�
CONTR4CTHW0021�12325 ,
�� I
I I
II � �
II I I II
�
I
i i
i �
i
� � �i
� i
I � i I
i il �I
i
��
i
i I
'� I li �
� ' ' �,
;
I i i �
�
I i � �
I i
� ,
! ��
L _ I ' �
- - _- - _ _ _
TOTAL(A.menteronLine� RerapM1c�auan) S _. Z����.64
_ _._._ ._." _ _._ . _ __. __ __—_ _ ._ ..—
! �respare�sieiJ � iseadrfR�onal�heefsoipapero�ttesamesize.
�� uev.vawenrornu�n�e � FUIVtKAL tXYGflJtJ AIVU '
��-� � _+ �� ADMINISTRATIVE COSTS
.��. -__ -_ __ .___ .. _— — _._
-__ ._. _:_:--. ,___.- __-_. . __ .
ESTATE 9F FILE NUMBER
�I�LIAN W P.OUSH 21-14-0526
__._— _.__ . ___-._ _.-.. . . .
_ _ . . . _ . _ _ _._-. . . ____.. _ -.
�eceaent s aebts must be reportetl on SrheEule I.
- �TE, � .. . . _ . . . .... _ _�. ..
aU^ICFR I� cC*IP Ir�v � AF�oN: __
_ . _. .__ _ . .__ -
__ . .___ .— _. . _-
, IM1°i0.L hPC$F5; I
- NEILLFUNE'tAL iOME INC3501 DERRY S`HARRISBIJRG. °A 3,040.00
ICREMAi10�', �RN,COPIES Or DEAiH CE�TIFICATES AND 6UFIAL FERMhT II
z. I DA`JID DI RAD�O-MINiSTERFT GRi�;JES!�E SER'JICE I 200A0
3. j BRADBEAVEft-BURIALOPURN � 350.00
a 'I ROLANDMART',N-RENiALOfTENTfOPGRAVESIDESER\9CE ! 250.00
5. I WITMER'SMEMORIALCEMETERV-OPENINGOFGRAVE , 10000
3. I OBITUARY-HAftRISBURG PATRIOT NE WS �89 67
g, q�MINISiRATi�/ECVS75:
�, �ersmial Rcprov nr�bce Comm'asin�s. 0 00
Name�=�o�o=r��a1 Reoresenc;�ivcis) . .
Socetndtlrvss ... � -�-�
pcY ... Sta[e ZIP _. _
u�arfs;Cammssinn PaIJ: �
0.00
z. q;rome�Fees'. �
I 0.00
3. Fam.ty ExemV�ion'. Qf deader,'s atldmsi I5 no�[tle�ma es tlaiman[ ,aCi:i explaraScn.) i
ClalmaT
��� SheciAC��Fss
II C.� .. . S[a[e ZiP I
�� Rela[iunshloofClaimanco�ecedcn:
a. � �*coa,c�ms�. 34&50
S I qanvo!antFees. i 4.00
6. �� iax RtNrn Pre�are�Fees'. '
ll �
�� LEGALADVERTISING-HARRISBURGPATRIOTNEWS '; 208.34
�
a. I LEGALADVERTISING-CUMBERLANDLAWJOURNAL 75D0
I
�
il
I
i
TOTAI(Also enter on Une 9, Reczpimlation) ; 4,761.51
. _... ._ _- __
- ._. -. ._. . . Ima s�a �.s^�re �I otl01',�o�a h c`�ape'ofncsanesize.
FFI.I ll-ll� �
�; pennsytvania l SCHEDULE I
�-v,v�rr��Fv or aev�rvur DEBTS OF DECEDENT,
. _rYE��a�� I MORTGAGE LIABILITIES & LIENS
—_�_ — -_
ESTATEOF � PILEfYUMBEk
LILLIAN W ROUSH 21-14-0526
__ _" ..___..
. ._ .—_ _. ._.— _. —._ . ..
Report Eebts incurreA by Ne decedent prwr ta dezth that remainetl unpaid at the tlate ot death ircludiig unreimbu seC meEkal erpenus.
.. --_.. _. .. . _". ___—
..I EN . . . . VAW GT:.ArE
N�M9'k I ..� CtSCRIPTION .. . _ , . OPDE0.TH _
__ . . .._ .— . .__. . _- _ ____ _ _ .._
�- �CUMBERIAND GROSSMGS RETlREMENT COMMUNITY-PINAL BILL � 54155
2 IOMNICAREKlNCOFPRUSSIA-FINALBILL-MEDIGMES � 8z4.gz
3. Ct1MBERLAN�G00�WILLAMBULANCE 83.15
I
�
I
i
I I
I �
I i
I I
i j
I I
III II
I I
- -. . .. _... � --- - -- - -�- -. . __.
TOTAL(Also enter on Cmz t�, RerzOitulaUon, ; 1 449b2
_ — _ . ___— — __._
!mo*c spom a necdeQ Insert ztlC[mna shtv6 0`the sam s:ze.
�-�-�
Norice oF ir+NeRirnHCE rnx �: pennsylvania
APPRAISEMENL ALLOWANLE OR OISALLOWANCE oeanerrier�to�ecveeue
euaenu oF xdoiv[�ua� rnxss OF OE�UCTIONS AND ASSESSMENT OF TAX
iNHERflf.NOF T.1X �[V[6ION ftW-I54] E% <F✓ (OB—ISJ
P� 90M 1tl�601
NARFISBORG PA ti120-0601
❑ATE 10-2]-2014
ESTATE OF ROUSH LILLIAN W
OATE OF OEATH 05-OB-2014
FILE NUMBER 21 14-0516
COUNTV CUMBERLAND
BAKER E%EC SYLVIA M A�N 101
16660 STATE RO�iTE 3001 APPEAL DATE: 12-26-2014
MONTROSE PA 188 0 1-6 54 1 (SeerececrexideunderObjec(ionsJ
Amount Rewittatl� —�
MAKE CHECK PAYABLE AN� REMIT PAVMENT TC:
RE6ISTEft OF WILLS
I COURTHOIISE SqIIARE
CARLISLE PA 17G13
CUT AL�NG THIS LINE � RETAIN L�WER PORTION FOR VOUR RECOR�S H ______________
REV-154) EX AFP (08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWAHCE OF OEOUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ROUSH LILLIAN WFILE N0. :21 14-D526 ACN: 101 DATE: 10-2]-2014
TAX REiUkN WAn: ( X� A¢ePTE� PS FILE� O CHAN6E0
APPRAISED VAWE OF RETURN BASEO ON: ORIGINAL RETORN
.. Roel Eatatc [ic�oLuio A) (lJ '�� MOiE: ' e propar
2. S[ocks antl BonUs lSo�adolo B> �y .�0 redf[ fo�Your ecc unt�
.00 submik <M1e upper portlan
3. Qosely Held Simk/Par[nersM1lp Interes[ (Sc�etlule C) (3) of [M1is form u3tM1 your
4. Mort9egas/Notas Recolvaelo (ScSodvla �1 C4] '�� [ex paYment.
s. rasoieane oeoosicsinisc. Personaa aropertv �scneaule [) <5> 131 ,567. 19
6- Jolntiv OviceO Pr-npe�ty (SCM1etlule P] �6) .0�
�. 1rao�e�r� cs�noame c. ��� 27,73I.64
e. io�ai nzzetz (e� 159 2fl4 .83
APPROVE� OEOULTIONS AN� EXEMPTIONS:
9. WnP�dl EXpPn5e5/Atlm. LOs[SlPYSc. £xpen9e5 :Scheduie Ni (g� 4.�L3 .51
10. Oab[s/CO�tgege LIdEIliHes/Gens ($CM1atlulo U (l0] 1 •449•$�
1i. roxal �eeuccsons u u 6,211 .03
tz. eec vai�� of *a= ae<.:.� �ti� 153,D]3.80
13. CM1arlfaEle/Gove�nmental BeCues[5; Non-electetl 9113 Trus[s l5c�etlule A (�3) •��
ia. Noc vai�e o. es<ace s�o,e« ao ,a� �ia, 15a.o7s.eo
NOTE: If an assessment vas issuetl Oreviausly, Lines 14. 15, 16. 1]. 18 antl/or 19 vi21
reflett fiflures that inclutle the total of all refurns assessetl to tlate.
ASSESSHENT OF TAX:
ai. nmount oi une I4 at � ousal �ate u5) .00 % 40 = _00
16. Amount of Llne 14 [axable at lineal rate (t6l - �� X 0�1J = .��
1r. amo���c oe u�� :< ac sioi.�y �aee ci>> 94 Ol '! 12 x 12 = 1L282. 05
te. nmo�ne oe �ine �a caxanie a� collaeerai rate ue� 59.056.68 x 15 = 8,858.50
:s. e-io<iaa� *ax n�a <-9-= 20, 140 .55
TAX [RE�ITS:
GpVMENT FECEIPT DISCOIINT (r��� pMOUNT PAI�
I ORTE — N�U_NBE0. [NTERE21/PEN PPI� E) �i
��. OB-07-201�9518 � - �� 1,007.03 ��� �19,133.52
I
i I
'�,�,�_ _�_ "__ - ._—__ _ —.__ — _ '
TOTAL TAX PAYMENT 20,140 .55 �I
HALANCE OF TAX OUE .00
IN7ERES7 ANO PEN. :� .0� �
. _ _--_._. ._ . . _ _
TOTAL UUE .00
�__'—
. IF PFIO A�TER �AiE INOICAiEO. SEE REVFftSE IF TOTqL �IIE 6 ftERECiED AS R LREOIT (CR), Y00 MAV BE WE
FOR GPLNLAT[ON OL ���'_T10NAL :NTEREST_ N REFONO. $EE FEVERSE SIOE PoR INS:RIICi[QNS.