HomeMy WebLinkAbout03-23-06 (4)
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
RECEIPT AND RELEASE
WHEREAS, Helen W. Hendley, late of Monroe Township, County
of Cumberland and Commonwealth of Pennsylvania, died on February
1, 2005, having first made her Last Will and Testament in writing
probated before the Register of Wills of said Cumberland County
on February 8, 2005, and Letters Testamentary were issued on the
same date to Raymond C. Smith, Jr., the Executor named in the
Last Will and Testament of said Decedent;
and
WHEREAS, said Executor has entered upon and completed his
administration of said Decedent's Estate as set forth in his
First and Final Account attached hereto, and intends to
distribute the net balance of the assets of said Estate to the
person named in the Statement of Proposed Distribution also
attached hereto, both of said documents being incorporated herein
by reference thereto; and
NOW KNOW ALL MEN BY THESE PRESENTS, that I, Raymond C.
Smith, Jr., being the principal legatee and distribute named in
the Will of said Decedent and the person entitled to share in the
residuary distribution of the Estate of said Decedent, do hereby
declare and say that I have examined the attached Account and
Statement of Proposed Distribution, and find the same to be true
and correct, and in s~rict accordance with the terms and
, "\ ..
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1
GJP
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
provisions of said Will, and I do hereby acknowledge
that I, this day have, had and received of and from Raymond C.
Smith, Jr., Executor of the Estate of Helen W. Hendley, the cash,
personalty and/or real estate set opposite my name in the
attached Statement of Proposed Distribution, in full
satisfaction, payment and discharge of all such sum or sums of
money, legacies and bequests, share or shares, purports and
dividends which were due, owing and payable and belonging to me,
by any means whatsoever, for or on account of my full share, part
or dividend of the Estate of Helen W. Hendley, Deceased.
NOW, THEREFORE, I, the said Raymond C. Smith, Jr., do by
these presents, remise, release, quit-claim and forever discharge
the said Raymond C. Smith, Jr., his heirs, executors and
administrators, of and from my said shares or dividends of the
Estate aforesaid, and of and from all actions, suits, payments,
accounts, reckonings, claims and demands whatsoever, for or by
reason thereof, or of any act, matter, cause or thing whatsoever,
from the beginning of the world to the day and date of these
presents.
AND, desiring to avoid the delay and expense of the
settlement of said Estate by filing the foregoing Account of said
administration in the Office of the Register of Wills of said
Cumberland County and by having the balance in the hands of the
Executor, as shown by said Account, distributed by the Court of
Common Pleas of Cumberland County - Orphans' Court Division, I do
2
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
hereby agree that the foregoing Account and Statement concerning
the matter of settlement may be recorded with the same effect
upon me as if the same had been reported upon by said Court, in a
decree of distribution made on such proposed Statement of
Distribution by the said Court of Cornmon Pleas - Orphans' Court
Division.
AND in consideration of the aforesaid settlement being made
without the aid of such Court of Common Pleas - Orphans' Court
Division, I the said Raymond C. Smith, Jr., do hereby agree that
if any debts or demands other than those included in the above
referenced First and Final Account, as hereinbefore set forth,
shall be hereafter recovered against the Estate of said Decedent
and be legally payable out of the same, that I will return to the
said Executor such amounts thereof as may be necessary to pay
such debts or demands.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this ~Jf\ot day of ~'la(lc h
2006.
WITNESSED BY:
~i-~
(SE1\L)
3
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY
OF
CUMBERLAND)
On this the d~(\d. day ofVlaRch
2006, before me, a
Notary Public in and for said State and County, the undersigned
officer, personally appeared Raymond C. Smith, Jr., known to me
(or satisfactorily proven) to be the person whose name is
subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
~~Cj)&IQ ~~~~
Notary Public
COMMONV{~AL L:j,~?!:i:1~1~t~.?YL VANIA
Notarlal Seal
Sandra K. ShO'It\'l9f'S, Notary Public
Mechanicsburg Soro, Cumberland County
My Commission Expires Nov. 22, 2007
Member. Pennsylv3ni~1;\ssociation Of Notaries
4
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
ESTATE NO. 21-05-0120
FIRST AND FINAL ACCOUNT AND STATEMENT OF PROPOSED
DISTRIBUTION OF AND BY RAYMOND C. SMITH, JR., EXECUTOR
OF THE ESTATE AND UNDER THE LAST WILL AND TESTAMENT
OF HELEN W. HENDLEY, DECEASED, LATE OF MONROE
TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA
Raymond C. Smith, Jr., Executor as aforesaid and Accountant herein,
avers as follows:
DATE OF DECEDENT'S DEATH:
DATE LETTERS TESTAMENTARY ISSUED:
February 1, 2005
February 8, 2005
DATES EXECUTOR NOTICE ADVERTISED:
Cumberland Law Journal
Patriot-News
August 5, 12, 19,2005
August 9, 16,23,2005
FIRST AND FINAL ACCOUNT
PERSONAL TV - PRINCIPAL ACCOUNT
DEBITS
The Accountant charges himself with the receipt of the following items of
Decedent's Personalty valued as of the date of Decedent's death:
1. Manulife Financial Corporation, 206 shares of common stock value
at $44.01 per share
2. Citizens Bank, savings account # 6140277523
3. Citizens Bank, checking account #6100631648
4. PA Employee Benefit Trust Fund (PEBTF), refund on medical benefit plan
5. U.S. Treasury, social security benefit
6. U.S. Treasury, refund on 2004 Individual Income Tax Return
7. Deposit into Citizens Bank checking account #6140277523
8. Commonwealth of Pennsylvania, refund on Inheritance Tax
9. Manulife Financial Corporation, gain on sale of stock
10. Raymond C. Smith, Jr., loan made to the estate
11. P A State Employment Retirement System, death benefit
12. Belvedere Medical Corp., refund on medical expenses
13. Carlisle Regional Medical Center, refund on medical expenses
14. Cumberland Goodwill Fire Rescue, refund overpayment
TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, DEBITS:
PERSONAL TV - PRINCIPAL ACCOUNT
CREDITS
The Accountant claims credit for the payment of the following items from
Decedent's Personalty Account:
1. U.S. Treasury, debit social security payment received in error
2. Ewing Brothers Funeral Home, Inc., funeral services
3. Cumberland Goodwill Fire Rescue, ambulance service
4. Belvedere Medical Corp., medical expenses
Page 1
$ 9,066.06
188.27
5,243.27
482.10
797.00
397.00
503.19
52.63
355.59
4,000.00
14.00
1 05.00
185.88
42.36
$ 21,432.35
$ 797.00
6,057.26
42.36
162.64
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
5. Carlisle Regional Medical Center, medical expenses
6. Citizens Bank, service charge
7. Andorra Radiology Assoc., P.C., medical expenses
8. Raymond C. Smith, Jr., advance distribution
9. Register of Wills, Agent, Inheritance Tax
10. Register of Wills, filing fee for Inheritance Tax return
11 . Register of Wills, additional probate fee
12. West Shore EMS, ambulance service
13. Raymond C. Smith, Jr., repayment of loan made to estate
14. Snelbaker & Brenneman, P.C., attorney fees
15. Snelbaker & Brenneman, P.C., costs advanced:
a. Register of Wills, probate fee
b. Patriot-News, advertising Executor Notice
c. Cumberland Law Journal, advertising Executor Notice
d. Register of Wills, short certificates
16. Reserve for filing fees, accounting fees and other costs associated
with the Administration of Decedent's estate
TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS:
PERSONALTY - INCOME ACCOUNT
DEBITS
The Accountant charges himself with the receipt of the following
income from the investment of Personalty Principal:
1. Citizens Bank, savings account # 6140277523, interest
2. Manulife Financial Corporation, dividend
3. MetLife, additional interest on annuity contracts
TOTAL, PERSONALTY, INCOME ACCOUNT, DEBITS:
PERSONALTY - INCOME ACCOUNT
CREDITS
The Accountant claims credit for the payment of the following items
from the Personalty Principal Account:
1. Cohick & Associates, preparation of 2004 Individual Returns
TOTAL, PERSONALTY, INCOME ACCOUNT, CREDITS:
REAL ESTATE - PRINCIPAL ACCOUNT
DEBITS
The Accountant charges himself with the receipt of Decedent's
Real Estate as follows:
TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, DEBITS:
REAL ESTATE - PRINCIPAL ACCOUNT
CREDITS
The Accountant claims credit for the payment of the following
items from Real Estate Principal Account:
TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, CREDITS:
Page 2
83.00
126.27
75.00
8.00
185.88
15.00
160.00
400.00
5,153.56
15.00
15.00
529.74
4,000.00
1,500.00
292.27
1,000.00
$ 20,325.71
$
0.10
36.67
5.20
41.97
$
$
$
140.00
140.00
$ NONE
$ NONE
$ NONE
$ NONE
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
REAL ESTATE -INCOME ACCOUNT
DEBITS
The Accountant charges himself with the receipt of the
income from the investment of Real Estate Principal Account:
TOTAL, REAL ESTATE, INCOME ACCOUNT, DEBITS:
$ NONE
$ NONE
REAL ESTATE -INCOME ACCOUNT
CREDITS
The Accountant claims credit for the payment of the following items
from the Real Estate Income Account:
TOTAL, REAL ESTATE, INCOME ACCOUNT, CREDITS:
$ NONE
$ NONE
Page 3
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
RECAPITULATION
PERSONALTY:
PRINCIPAL ACCOUNT:
Debits
Credits
Balance
INCOME ACCOUNT:
Debits
C red its
Balance
TOTAL PERSONALTY
REAL ESTATE:
PRINCIPAL ACCOUNT:
Debits
C red its
Balance
INCOME ACCOUNT:
Debits
Credits
Balance
TOTAL REAL ESTATE:
TOTAL FOR DISTRIBUTION:
Page 4
$ 21,432.35
$ 20,325.71
$ 41.97
$ 140.00
$ NONE
$ NONE
$ NONE
$ NONE
$
1,106.64
$
(98.03)
$ NONE
$ NONE
$ 1,008.61
$ NONE
$ 1,008.61
LAW OFFICES
SNELBAKER &
BRENNEMAN, P.C.
STATEMENT OF PROPOSED DISTRIBUTION
Raymond C. Smith, Jr., Executor and Accountant herein, proposes to
distribute the balance of the Estate of Helen W. Hendley, Deceased, to wit:
$1,008.61 in accordance with the Last Will and Testament of said Decedent
as follows:
1. Raymond C. Smith, Jr.
1000/0 of residue as per item Second of Will
$ 1,008.61
TOTAL FOR DISTRIBUTION:
$ 1,008.61
Page 5
LAW OFFICES
SNELBAKER &
BRENNEMAN. P.C.
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY
OF CUMBERLAND
Raymond C. Smith, Jr., being duly sworn according to law deposes and says:
that he is the Executor of the Estate and under the Last Will and Testament of
Helen W. Hendley, Deceased, and the Accountant herein; that there are no
unpaid creditors or claimants of said Estate; that there are no persons
interested in the distribution of said Estate other than as stated in the foregoing
Statement of Proposed Distribution; and that the facts set forth in the foreqoing
First and Final Account and Statement of Proposed Distribution are true and
correct to the best of his knowledge, information and belief.
Sworn to and subscribed before me
thisJJ I\Ol day of f\\{>'a('~ 2006
~CJ~ ~~~
Notary Public
COMMONY~~t~::.-C::.Q~_E~Ei.l'i~~ S V'L VANIA
Noirvia! Seal
Sandra K Showers. Notary Public
Med1anicsburg Bora, Cumberland County
My Commission Expires Nov. 22, 2007
Member. Pen'lS~'i'i;'~;~;' "\Ci:'~')ci8tion Of Notaries
Page 6