HomeMy WebLinkAbout01-0218
(f)
Estate of Ralph L. Shenk
also known as Ralph Shenk
PETITION FOR PROBATE and GRANT OF LETTERS
No. ~- CJ 1- :l./~
To:
Register of Wills for the
, Deceased. County of Cumberland in the
Social Security No. 174-05-0781 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner~, who is~ 18 years of age or older at~xecutor
in the last will of the above decedent, dated
and codicil(s) dated
Renunciation dated February 15, 2001
April 26
named
, 19~
(state relevant circnmstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
h; R last family or principal residence at Thornwald Home
Borough of Carlisle L..4? TJ,qJnll!" Rn!"!"nm Rif, r.,qrlic:lp, PA 17013
(list street, number and muncipality)
Decendent, then __.-.9~ years of age, died
at Thornwald Home
Except as follo~'s, decedent did not marry, was not divorced and did not have a child born or adopted
after execlltion- of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
February 14
, P9 2001
$ 36,474.
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters testamentary
theron.
(testamentary; administration c.La.; administration d.b.n.c.La.)
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Lawrence L. Shenk
304 Glendale Street
r.,qrl;Rlp, PA 17011
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~ ss
COUNTY OF _ CUMBERLAND )
The petitioner(s) above..named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well d truly administer the e~te acc rding to law.
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No.
21-01-218
Estate of RALPH L. SHENK A/K/A RALPH SHENK
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW FEBRUARY 26th ~ 2001, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated APRIL 26. 1996
described therein be admitted to probate and filed of record as the last will of
RALPH L. SHENK A/K/A RALPH SHENK
and Letters TESTAMENTARY
are hereby granted to LAWRENCE LEE SHENK
~tJ. ~LAyJ ru. t?d/~~~~dj
Regist Wills
ATTORNEY (Sup. Ct. .0. No,)
. Broujos, Esquire #6268
anover Street, Carlisle 17013
ADDRESS
FEES
Probate, Letters, Etc. ......... $
Short Certificates("i) . . . . . . . . .. $
Renunciation ................ $
.Tep $ ') . 00
TOTAL _ $ 92.00
Filed . :F.EaRlJARY. Z.6.~ . ZO.Ql . . . . . . . . . . . . .
70.00
12.00
5.00
717-243-4574
PHONE
ATTORNEY CALLED FEBRUARY 26, 2001
,'~
n,
Hl05.805 REV 9/86
This is to certifY that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
""""1''''''0"",,,,,
\\\\\1"~~\.1\\ OF PEi:----__
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Fee for this certificate. $2.00
P 6948281
FEB 1 5 2001
Date
/
H'OS.i43AfN.2/87
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
"IN"
v".
UNDER 1 DAY
HourI ! '-tlnul.
SEX
.. Male
SWE FIlE NUMeEA
SOCIAL SECUAITV NUMBER
174 - 05
CATE OF OEATH iMcrnn. De~. .",.,)
..February 14, 2001
,ENT
INK
NAME Of DECEDENT {F1fsr. Middle, la!al
1. Ralph L. Shenk
AGE llast Binhday) UNOER 1 YEAR
__ Do,.
98
BIRTHPLACE p,_
H . ,... '" ~'!'2' CcuN'Y!
lCKO"y,-OWO PA
=",,0
..
COUNTY OF OE.fJ'H
..~rland Ie. Carlisle
DECeoeNT's USUAL OCCUPRION
(~wortI~~~~:::ir:r
".. Ca nter ".. Lumber Yard
DECEDENT'S "''''UNO ADDRESS (SIr". CiIyITown, sw.. Z'IpCoclt) DECEDENT'S
442 Walnut Bottom Road ~~NCE
Carlisle PA 17013 ~orI'I~1OI"II
1l.
FMHER'S NAME (F"~. Middle. I..nl
11. Har Shenk
INFOAMAHT'S NAME (TYP6'PrintJ
RACE. Amencan lnellan, SItIctl, Whit.. etc.
I_I
White
SURVfVING SPOuSE
," WIf.. 0fYI!J /n8ll:Wl name)
d(
17., State
170.
0lcI
-
......
-.
""'.
Carlisle
Cify/bclro.
PART II: Other signiftcanl condItionI contl'ibUtin; 10 death. baA
noIl1t8UtlingintM~cauMgMoninPAml
~~~'D
out TO tOR AS A CONSEQUENCE OF):
{b,
e.
d.
WERE AUlOPSY FINDINGS
JUULASLE PRJOA 10
COMPlETlON OF CAUSE
Of DE.<rH?
DUE TO (OR AS A CONSEOUENCE OF):
DUE"1\) lOA AS ^ CONSEOUENCE Ofj,
.....0
MANNER OF DEATH
N_ "kb Homicide 0
- 0 "__Ion 0
- 0 Could nor tit det.rmined 0
DATE OF INJURY
I""""'. Day. _,
TIME OF INJURY
INJURY n WORK? OESCRlBE HeM' INJURY OCCURRED.
..... 0 HoD
2aII. _.
CERTIFIER (CtItctl; only one)
~CEllTIFY1NG PttYSlCtAM (Pt\ysoen~ eauM at dn1h when anolher physi(:iln Ns ptor'lOllnced death ana ccrnpleled"am 23)
Tothe-..ot"'YIuIowfedOe, ..thOCC\N'l'Mduetolhe~a)and""nneraaatat_............ ,.....,.,........,.',...,.,'...".
...
Db ".
PlACE OF INJURY. AI horne, farm, sf,.., I~, oIftce
_. ....tsooc.,l
>Go.
NoD
.MEOICAL EXAMINER/CORONEA
On the blal. of eumlnatlon and/or InvuUgation, in my OJ)lnion, death oecurred at the time, date, ."d pllce, and due to the cau..(.} and
mannera. stated....,........,....,..."....,...".,.....".,."",...,.,...,.......".,..,...........,.".......,
:11,.
REGISTR,A.P:S SIGNATURE AN
.R
(:\. ~eu...~
~\ ..?J\ 01
p~
.~HG AND CERTIFYING PHYSICIAN (Physician boItI ptQnOllncmg cJea1h and Cetlilylng to cause d dealhl
To "'- blMt of tny kno~, dhtft OCCUfTM at tfte um., date, and place, and due 10 the cauM(s) and manner.. .taled.. . . . . . . . .. . . .... . . . . . .. . .
c:\wp51 \wills\shenk.wil
21-01-218
1Ea6t lIlIill anb Qrtstatntttl
OF
RALPH SHENK
I, RALPH SHENK, of 341 "A" Street, Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and understanding, do make,
publish and declare this as and for my Last Will and Testament, hereby revoking and
making void any and all former Wills, Codicils, or writings in the nature thereof, by me at
any time heretofore made.
FIRST: I hereby order and direct my Executor, hereinafter named, to pay
all my just debts, funeral expenses, testamentary expenses and all Inheritance, Estate,
Transfer and Succession Taxes, as soon as may be conveniently done after my death,
out of my residuary estate.
SECOND: All the rest, residue and remainder of my estate, be it real,
personal or mixed, of whatsoever kind and wheresoever situate, I hereby give, devise and
bequeath to my sons, EDWARD SHENK, of 500 Franklin Street, Carlisle, Pennsylvania;
LAWRENCE LEE SHENK, of 304 Belvedere Street, Carlisle, Pennsylvania; and FRANK
T. SHENK, of 15 Briarwood Court, Mechanicsburg, Pennsylvania, in equal shares, per
stirpes.
c:\wp51 \wills\shenk.wil
LASTLY: I nominate, constitute and appoint my sons, EDWARD SHENK,
LAWRENCE LEE SHENK and FRANK T. SHENK, to be the Executors of this my Last
Will and Testament. In the event that any of my said sons shall predecease me or shall
be unable to serve as Executor any reason, I appoint, my surviving sons as Executors.
No Executor shall be required to file bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
(:) b'.Jt day of
r11
.
, 1996.
j p' /~ /' 7
tJ-/;'L E!../'VL. //;/ /
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
~~
2
c:\wp51 \wills\shenk.wil
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
I, RALPH SHENK, Testator, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will; that I signed it
willingly; and that I signed it as my free and voluntary act for the purposes therein
expressed.
Sworn or a~)Nved to a.np acknowledged before me, by , the Testator, this
~~..1r.. day of ~~ul ,1996.
~
NOTARIAL SEAl
MERLENE MARHEVKA, Notary Plblic
carisle. Cumberiand County, PI.
My Commission E~res 618198
3
c:lwp51Iwillslsbenk.wil
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF CUMBERLAND
We, Thomas E. Flower and James D. Flower, Jr.,
the witnesses whose names are signed to the attached or foregoing instrument, being
duly qualified according to law, do depose and say that we were present and saw
Testator sign and execute the instrument as his Last Will; that he signed willingly and that
he executed it as his free and voluntary act for the purposes therein expressed; that each
of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the
best of our knowledge the Testator was at that time 18 or more years of age, of sound
mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by Thomas E. Flowe
and James D. flower, Jr. this d.(Q~ day of~1..
1996.
C}~~
Witness
M~'i:E:!L~~ary Ptbl~
My Comm. " nd ~Ullly, Pa.
ISSI01l Expns 6IllI'98
4
RENUNCIATION
21-01-218
In Re Estate of Ralph L. Shenk
deceased.
To the Register of Wills of Cumberland
County, Pennsylvania.
The undersigned children
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
Testamentary
be issued to
Lawrence L. Shenk
WITNESS
our
handSthis
~
/' day of February
, J:~200 1 .
2~:?,C~
Edward Shenk
(Signature)
500 Franklin Street
Carlisle, PA 17013
(Address)
~c-iL ~ ~
(Signature)
Frank T. Shenk
609 Copper Circle
Carlisle, PA 17013
(Address)
(Signature)
(Address)
E
-----
CERTIFICATION OF NOTICE UNDER RULE 5.6 (a)
Name of Decedent: Ralph L. Shenk
Date of Death: February 14,2001
Will No.: Admin. No.: 21-01-0'31 f
To the Register:
I certify that Notice of Beneficial Interest required by Rule 5.6(a) of the Orphan's Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
February 23,2001:
Name
Address
Edward Shenk
Lawrence L. Shenk
Frank T. Shenk
500 Franklin Street, Carlisle, P A 17013
304 Glendale Street, Carlisle, P A 17013
609 Copper Circle, Carlisle, P A 17013
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: none
Date: February 23,2001
Signature:
~.~ ;( AJz
Lawrence L. Shenk
Personal Representative
Capacity:
i'-
"-
I
John H. Broujos, Esquire #06268
4 North Hanover Street
Carlisle, P A 17013
(717) 243-4574
Capacity: Counsel for Personal Representative
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INVENTORY OF THE REAL AND PERSONAL ESTATE OF
Ralph L. Shenk, deceased
File J] C I Ol..t- of - 00 '-I "?
Date of Death: February 14,2001
1. Waypoint Bank Checking Acct. # 1700031777 $ 380.54
2. Waypoint Bank Savings Acct. # 1705004134 6,093.76
3. Waypoint Bank Certificate of Deposit #1700015175 30,000.00
4. Interest on CD through DOD 140.61
5. Refund from Hoffman-Roth Funeral Home 422.45
6. Refund from Sprint - telephone 25.00
r;:?
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a..
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I
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TOTAL
$ 37,062.36
~
\J)
,.0
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ID=
Gu
Lawrence L. Shenk, being duly sworn according to law, deposes and says that he, the Executor
of the Estate of Ralph L. Shenk, late of Carlisle, Cumberland County, Pennsylvania, deceased,
and that the within is an inventory made by Lawrence L. Shenk, the Executor of the entire estate
of decedent, consisting of all the personal property and real estate, except real estate outside the
Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory
represent its fair value as of the date of decedent's death.
~x~~
Lawrence L. Shenk, Executor
16 -c:) J ;3 -~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
Rec>)'
Re:
DATE
ESTATE OF
DATE OF DEATH
...fILE NUMBER
:5 COUNTY
ACN
02-18-2002
SHENK
02-14-2001
21 01-0218
CUMBERLAND
101
~)
JOHN H BROUJOS ESQ
BROUJOS 8 GILROY
4 N HANOVER ST
CARLISLE
'02
FEB 25
(111.
Mil
'*
REY-1547 EX AFP IlZ-DDI
RALPH
L
Allount Rellitted
G: E;;! 1<.
PA 1701~l\1nt1c
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV=is4j-EX-AFP-fi'2=oOY-NOYiCE--OF-YNHERiTAifCE-YAX-APPRAisEMENy-,--AL1-owAiicE-oi-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SHENK RALPH L FILE NO. 21 01-0218 ACN 101 DATE 02-18-2002
TAX RETURN WAS: (X) ACCEPTED AS FILED
CHANGED
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
.00 X 00 = .00
34,203.79 X 045 = 1,539.17
.00 X 12 = .00
.00 X 15 = .00
ll9)= 1.539.17
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
ll)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
37,062.36
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
llO)
1,359.00
1.499.57
(11)
ll2)
ll3)
ll4)
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
37,062.36
2.81jR 1j7
34,203.79
.00
34,203.79
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-14-2001 AA496591 76.96 1,500.00
02-11-2002 REFUND .00 37.79-
TOTAL TAX CREDIT 1,539.17
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
\/ -
Jb-.c:2I.3 . ~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
'*'
REY-1Ul EX AFP 101-82)
'02 FlPH-1
JOHN H BROUJOS ESQ
BROUJOS & GILROY
4 N HANOVER ST C: ';
CARLISLE f{AUlll'jt)H.
:49
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-25-2002
SHENK
02-14-2001
21 01-0218
CUMBERLAND
101
RALPH
L
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV =i&'ifj-ixAFP-((jr=02Y------...-iNHERii'ANc'E--;:A3f-STATEM'E1i;:-ifF'-AC-COUNT--...------------------ ---
ESTATE OF SHENK RALPH L FILE NO. 21 01-0218 ACN 101 DATE 02-25-2002
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-18-2002
PR I NCI PAL TAX DUE: ..........................._...................................................................................................................................................................................
1,539.17
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-14-2001 AA496591 76.96 1,500.00
02-11-2002 REFUND .00 37.79-
I I
TOTAL TAX CREDIT 1,539.17
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
IE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
vn.. MAV D" nil" ... DI'I'IINn. So!::!:: R!::V!::RSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
Family Settlement Agreement
THIS is an agreement entered into this 19th day of April, 2002, by and between Lawrence Lee
Shenk, Executor and Beneficiary under the estate of Ralph L. Shenk, of 304 Glendale Street,
Carlisle, P A 17013, and R. Edward Shenk, 500 Franklin Street, Carlisle, P A 17013, Beneficiary,
and Frank T. Shenk, 609 Copper Circle, Carlisle, P A 17013, Beneficiary, whose names are set
forth as signatories at the end of this agreement.
WHEREAS:
A. Ralph L. Shenk, of Thomwald Home, 442 Walnut Bottom Road, Carlisle, PA 17013,
died on February 14, 2001.
B. On February 26,2001, Letters Testamentary were granted to Lawrence Lee Shenk at File
No. 21-01-0218 in the Register of Wills Office for Cumberland County, Pennsylvania.
C. Executor has administered the Estate of Ralph L. Shenk up until the present time and has
paid all debts of the estate, including Inheritance Tax owed.
D. Ralph L. Shenk died testate, thereby vesting all rights and interest in his personal and real
property to Lawrence Lee Shenk, Edward Shenk, and Frank T. Shenk.
E. The assets of the estate are set forth in Exhibit A attached hereto and made a part hereof.
F. Executor has paid all debts ofthe estate as set forth in Exhibit B attached hereto and
made a part hereof.
G. There remains for distribution the sum of $32,903.11.
H. Executor and Beneficiaries desire to forego a formal accounting and schedule of
distribution and desire to conclude the estate by virtue of the filing of this document.
NOW, THEREFORE, Executor and Beneficiaries intending to be legally bound, state as follows:
1. The Executor and Beneficiaries agree that the Executor of the Estate of Ralph L. Shenk
need not file a formal accounting or schedule of distribution.
2. Executor states that all costs of the estate are paid.
3. Beneficiaries agree that the final distribution of all estate assets remaining after payment
of debts and expenses shall be made to the Beneficiaries in accordance with Exhibit C.
4. The parties acknowledge that any distribution made by Executor pursuant to this
Agreement is an "at risk" distribution pursuant to 20 P .S. 3532. Beneficiaries hereby release
Executor with respect to acts or omissions in the administration and distribution of the estate and
hereby agree to return such funds as were distributed under the administration of the estate as
may be required for the payment of any proper claims not discharged prior to this distribution.
5. The parties designate this statement as a "satisfaction of award" and hereby authorize and
direct the Clerk of Orphans' Court to make satisfied of record any award which may
subsequently be made by the Court with respect to the distribution made to the distributees in
this Agreement.
6. The parties agree that this Family Settlement Agreement shall be filed with the Clerk of
Orphans' Court in final settlement ofthe estate of Ralph L. Shenk, subject to the provisions
hereof.
IN WITNESS WHEREOF, Lawrence Lee Shenk, Executor, and Beneficiaries, intending to be
legally bound hereby set their hands and seals the day and year first above written.
Mrn~
,,~W-'W-<= XcL,kJ
Lawrence Lee Shenk, Executor and Beneficiary
/Z. ~~~~
R. Edward S enk, Beneficiary
d':.-e... <3=~
Frank T. Shenk, Beneficiary
COMMONWEALTH OF PENNSYL VANIA
: SS
COUNTY OF CUMBERLAND
On this, the 19th day of April, 2002, before me, the undersigned officer, personally appeared
Lawrence Lee Shenk, R. Edward Shenk, and Frank T. Shenk, known to me or satisfactorily
proven to be the persons whose names are subscribed to the within document, and acknowledged
that they executed the same for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal.
~R~riLI~ &~
Notarial Seal
Bridget Ann Corcoran, Notary Public I
Carlisle Bora, Cumberland County
My Commission Expires June 10, 2002
l
EXHIBIT A
ASSETS & INCOME
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
ASSETS
1. Waypoint Checking Acct. # 1700031777 $ 380.54
2. Waypoint Savings Acct. # 1705004134 6,093.76
3. Waypoint Bank Certificate of Deposit #1700015175 30,000.00
4. Interest on CD through 000 140.61
TOTAL ASSETS $ 36,614.91
INCOME
5. Refund from Hoffman-Roth Funeral Home 422.45
6. Refund from Sprint - telephone 25.00
7. Interest from estate checking account 585.06
TOTAL INCOME $ 1,032.51
TOTAL ASSETS & INCOME
$ 37,647.42
EXHIBIT B
EXPENSES & DEBTS
ITEM
NUMBER
DESCRIPTION
AMOUNT
A. FUNERAL EXPENSES
1. Ed Shenk - reimbursement for payments to
minister, organist, soloist
$ 225.00
B. ADMINISTRATIVE COSTS
1. Personal Representative Commission
2. Attorney Fees - Broujos & Gilroy, P.C.
3. Register of Wills - Probate Fees
- 0 -
1,000.00
92.00
C. MISCELLANEOUS EXPENSES
1. Register of Wills - Inventory
2. Register of Wills - Inheritance Tax Return
3. Register of Wills - Family Settlement Agreement
10.00
15.00
17.00
D. DEBTS
1.
PharMerica - medications
185.55
2.
Thornwald Home - nursing care
3.
Sprint - telephone
1,081.50
30.54
4.
Darlene Moyer - 2001 personal tax
9.90
5.
RWC Corp - hospital exam
12.45
6.
Carlisle Hospital
35.12
7.
Cumberland Goodwill Ambulance
144.51
8.
Dept. of Revenue - 2001 state income tax
17.00
9.
Raymond Keller - 2001 income tax preparation
75.00
TOTAL EXPENSES & DEBT
$ 2,950.57
Assets and Income
Expenses and Debts
Balance
Inheritance Tax Paid
Adjustment
Balance for Distribution
Bank Balance for Distribution
R. Edward Shenk
Lawrence Lee Shenk
Frank T. Shenk
EXHIBIT C
DISTRIBUTION
$ 37,647.42
- 2,950.57
$ 34,696.85
- 1,462.21
- 331.53
$ 32,903.11
$ 32,903.11
$ 10,967.70
10,967.71
10,967.70
"
[/1/
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Ralph L. Shenk
Date of Death: February 14,2001
Will No.
Admin. No.
21-01-0218
Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. State whether administration ofthe estate is complete:
Yes X No
2. lfthe answer is No, state when the personal representative reasonably believes
that the administration will be complete:
3. lfthe answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account/statement with the
Court? Yes X No
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties
in interest? Y es ~ No
d. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of Orphans' Court and may be
attached to this report.
~"~J
ohn H. Broujos
4 N. Hanover St., Carlisle, P A 17013
717-243-4574
,..,.......
.....'.._l
Date: 4-19.-02
r-J
.--.....1
P
>=
- -'
" "'\ ( ~...
--' '-"
Capacity:
Personal Representative
~ Counsel for Personal
Representative