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IN THE ORPHANS' COURT DIVISION
OF THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF DONALD D. SCHUMACK, DECEASED
No. 2005-00540
APPROVAL OF ACCOUNT, WAIVER, RECEIPT,
RELEASE, AND AGREEMENT OF INDEMNITY
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The circumstances leading up to the execution of this instrument are as follows:
1. Donald D. Schumack died on May 3, 2005, leaving a Will dated March-29,
1969, naming Robert Schumack as Executor.
2. Robert Schumack, the named Executor, passed away before 1990.
3. Mary A. Schumack, wife of Donald D. Schumack, Donita J. Schumack and
Lisa A. Schumack, daughters of Donald D. Schumack, renounced their rights to administer the
Estate on June 3, 2005 and asked that Letters of Administration c.t.a. be issued to Mark D.
Schumack.
4. Letters of Administration c.t.a. were granted to Mark D. Schumack by the
Register of Wills of Cumberland County on June 17, 2005.
5. It is the desire of the Schumack heirs that the Estate be distributed without the
formality of a court proceeding in order to save the expense, publicity, and delay incident to
such court proceeding, and the Administrator is willing to make such distribution upon the
execution of this instrument.
6. An account of the administration of the Estate of Donald D. Schumack has been
prepared by the Administrator. A copy is attached hereto as Exhibit A.
7. In consideration of the foregoing, each of the undersigned hereby:
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A. Represents and warrants that he/she has read and understands this
instrument and that the facts set forth above are true and correct to the best of his/her
knowledge, information and belief;
B. Declares that he/she has examined the attached account of the administration
of the Estate and the attached schedule of distribution; that he/she finds them to be true and
correct in all particulars; that he/she accepts and approves them as if they had been duly filed,
audited, adjudicated and confirmed absolutely by the Orphans' Court Division of the Court of
Common Pleas of Cumberland County, and as if the amounts shown as distributable had been
duly awarded to him/her;
C. Waives the filing and auditing of the account of the administration of the
Estate in the Orphans' Court Division of the Court of Common Pleas of Cumberland County,
and agrees that the Orphans' Court Division of the Court of Common Pleas of Cumberland
County may by its decree confum the account and approve the schedule of distribution;
D. Requests the Administrator to make distribution of the principal and income
in accordance with the schedule of distribution, and effective upon delivery to him/her of the
amounts shown as respectively distributable, acknowledges receipt of such property;
E. Agrees to refund to the Administrator any amount which may at any time be
determined to have been an erroneous distribution to him/her, regardless of the cause of such
erroneous distribution, even if attributable to negligence, and agrees that any period for the
limitation of actions for the collection of any erroneous distribution shall commence only at
such time as the Executor shall have obtained actual knowledge of such erroneous distribution
and that in no event shall the period for collection of any erroneous distribution be less than
two years after the actual discovery thereof;
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F. Absolutely and irrevocably remises, Ireleases, quitclaims and forever
discharges Mark D. Schumack, individually and in his capacity as Administrator, from any and
all actions, suits, payments, accounts, reckonings, liabilities, claims and demands relating in
any way to the administration of the Donald D. Schumack Estate;
G. Agrees to indemnify and hold harmless, to the extent of the funds received
by him/her hereunder, Mark D. Schumack, individually and in his capacity as Administrator,
from and agahist any and all daiIn&, loss, liaLility Oi dat"'n~age- (including legal fees and costs in
connection therewith) which he may suffer or to which he may be subjected by reason of his
administration of the Estate, the settlement of his Administrator's account and the distribution
of the assets of the Estate without having the formal approval of the Orphans' Court Division
of the Court of Common Pleas of Cumberland County, including, but not limited to, any
liability for any federal estate tax, Pennsylvania inheritance tax -or anyother death taxes,
together wich interest and costs incidental thereto, relating in any way to the Estate; and
H. Declares it to be his/her intention that this instrument, consisting of 3 pages,
shall be governed by the law of Pennsylvania and shall be legally binding as an agreement
under seal upon him/her and upon his/her heirs, executors, administrators and assigns.
Executed on:
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DATE
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MARK D. SCHUMAC'K'"
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DONITAJ. SCHUMACK
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LISA A. SCHUMACK
(Seal)
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DATE
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DATE
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BEFORE THE REGISTER OF WILLS,
CUMBERLAND COUNTY , PENNSYLVANIA
No. 2005-00540
FIRST AND FINAL ACCOUNT OF
MARK D. SCHUMACK, Administrator
For
ESTATE OF DONALD SCHUMACK, Deceased
Date of Death:
May 3, 2005
Date of Administrator's Appointment:
June 17, 2005
Accounting for the Period:
June 17, 2005 to July 31, 2006
PURPOSE OF ACCOUNT: Mark D. Schumack, Administrator, offers this Account to
acquaint interested parties with the transactions that have occurred during his 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
LD. #23989
(717) 737-1300
EXHIBIT A
SUMMARY OF ACCOUNT
Page
Current
Value
Fiduciary
Acquisition
Value
Proposed Distribution
to Beneficiaries
5
$41,357.47
PRINCIPAL
Receipts 2 $47,708.94
Less Disbursements
Debts of Decedent 3 $1,855.33
Funeral Expenses 3 710.00
Administration Expenses 3 387.57
Federal and State Taxes 3 1,945.65
Fees and Commissions 3 1,540.00 $6,438.55
Principal Balance on Hand $41,270.39
INCOME
Receipts 4 $87.08
Income Balance on Hand 87.08
Combined Balance on Hand 41,357.41
Assets Listed in Inventory:
(Value as of Date of Death)
Cash and Bank Deposits:
RECEIPTS OF PRINCIPAL
M&T Bank
Savings Acct. #15004206021153 $10,843.09
Checking Acct. #11793430 1,774.08
Premium Interest Acct. #98084615 19,960.55
Tananble Personal Property:
2004 Subaru Forester 2.5 Turbo
Refunds:
Allstate Auto Insurance Refund
PP&L Utilities Refund
Vitamin Catalog Refund
$41. 40
9.92
79.90
TOTAL ASSETS LISTED IN INVENTORY:
2
$32,577.72
$15,000.00
$131.22
$47,708.94
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent:
2005 Mechanicsburg SD Personal Taxes
HealthSouth
Pennsylvania American Water
PP&L
Skillito Oil Inc.
Timothy A. Clark, M.D.
Verizon
West Shore EMS
PSECU
2004 P A State Tax Return
2005 County Real Estate Taxes
Funeral Expenses:
Malpezzi Funeral Home
St. Gabriels Cemetery
Administration Expenses:
Probate Fees
Postage, photocopies, etc.
Reserve for Filing of Account
Federal and State Taxes:
P A Inheritance Tax
Fees and Commissions:
Debra K. Wallet, Esq. - Atty. fees
Guy DeAngelis, Inc. (tax prep)
$19.60
10.00
16.75
31.16
641.08
110.00
50.79
716.95
6.00
40.00
213.00
$560.00
150.00
$317.00
45.57
25.00
$1,500.00
40.00
3
$1,855.33
$710.00
$387.57
$1,945.65
$1,540.00
RECEIPTS OF INCOME
Interest
Estate Checking Account
2005 Interest
2006 Interest
$39.43
47.65
TOTAL RECEIPTS OF INCOME:
$87.08
4
PROPOSED DISTRIBUTION TO BENEFICIARIES
TO: Mark D. Schumack
P.O. Box 731
Albrightsville, PA 18210
$41,357.47
This distribution is made pursuant to waivers of all interest signed by Donita J. Schumack and
Lisa A. Schumack.
5
IN THE ORPHANS' COURT DIVISION
OF THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY , PENNSYLVANIA
ESTATE OF DONALD D. SCHUMACK, DECEASED
#2005-00540
I understand that I am entitled to $13,785.82 from the Estate of Donald D. Schumack,
representing my share of the Estate as provided in paragraph 5 of the Last Will and Testament
of Donald D. Schumack. For reasons personal to me, I renounce, release, and disclaim any
interest in the Estate in favor of my brother, Mark Schumack. I have consulted with legal
counselor having been told that I should consult with legal counsel, I have decided not to
consult counsel about my disclaimer of these assets.
By my signature, I also agree to refund to the Administrator any amount which may at
any time be determined to have been an erroneous distribution, regardless of the cause of such
erroneous distribution, even if attributable to negligence, and agree that any period for the
limitation of actions for the collection of any erroneous distribution shall commence only at
such time as the Administrator shall have obtained actual knowledge of such erroneous
distribution and that in no event shall the period for collection of any erroneous distribution be
less than two years after the actual discovery thereof.
I agree to indemnify and hold harmless, Mark Schumack, individually and in his
capacity as Administrator, from and against any and all claims, loss, liability or damage
(including legal fees and costs in connection therewith) which he may suffer or to which he
may be subjected by reason of this disclaimer of the assets of the Estate without having the
formal approval of the Orphans' Court Division of the Court of Common Pleas of Cumberland
County, including, but not limited to, any liability for any federal estate tax, Pennsylvania
inheritance tax or any other death taxes, together with interest and costs incidental thereto,
relatiugin aay way to the Estate. .
I2I/tLk~ ~
ONITA J. SCHUMACK
~-I ~-O~
IN THE ORPHANS' COURT DIVISION
OF THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF DONALD D. SCHUMACK, DECEASED
#2005-00540
I understand that I am entitled to $13,785.82 from the Estate of Donald D. Schumack,
representing my share of the Estate as provided in paragraph 5 of the Last Will and Testament
of Donald D. Schumack. For reasons personal to me, I renounce, release, and disclaim any
interest in the Estate in favor of my brother, Mark Schumack. I have consulted with legal
counselor having been told that I should consult with legal counsel, I have decided not to
consult counsel about my disclaimer of these assets.
By my signature, I also agree to refund to the Administrator any amount which may at
any time be determined to have been an erroneous distribution, regardless of the cause of such
erroneous distribution, even if attributable to negligence, and agree that any period for the
limitation of actions for the collection of any erroneous distribution shall commence only at
such time as the Administrator shall have obtained actual knowledge of such erroneous
distribution and that in no event shall the period for collection of any erroneous distribution be
less than two years after the actual discovery thereof.
I agree to indemnify and hold harmless, Mark Schumack, individually and in his
capacity as Administrator, from and against any and all claims, loss, liability or damage
(including legal fees and costs in connection therewith) which he may suffer or to which he
may be subjected by reason of this disclaimer of the assets of the Estate without having the
formal approval of the Orphans I Court Division of the Court of Common Pleas of Cumberland
County, including, but not limited to, any liability for any federal estate tax, Pennsylvania
inheritance tax or any other death taxes, together with interest and costs incidental thereto,
relating in any way to the Estate.
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