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FAMILY SETTLEMENT AND FINAL RELEASE
ESTATE OF HELEN N. CAMPBELL
KNOW ALL MEN BY THESE PRESENTS, that
WHEREAS, Helen N. Campbell, late of Mechanicsburg, Cumberland County
Pennsylvania, Deceased, died Testate on March 11, 2005, having made her Last Will and
Testament, which was duly executed on January 21, 2003, and duly recorded in Cumberland
County, Pennsylvania File No: 21-05-0284, Register of Wills; and
WHEREAS, the said Helen N. Campbell, by her aforesaid Last Will and Testament,
named Robert F. Brown, Executor of her Last Will and Testament; and
WHEREAS, Letters Testamentary on the Estate of the said Helen N. Campbell were duly
issued by the Register of Wills of Cumberland County, Pennsylvania, to the said Executor on
March 29, 2005; and
WHEREAS, the said Robert F. Brown, as Executor of the Estate of Helen N. Campbell,
having gathered the assets of the Estate of the said decedent and the assets consist of personal
property to a total value of $883,175.86 as set forth in "Exhibit A", which is a statement of
account of the said Executor and which is attached hereto and made a part hereof and marked
"Exhibit A"; and
WHEREAS, the debts and deductions, including the payment of Pennsylvania
Inheritance Tax in the said Estate, amount to $188,617.07, leaving a balance for distribution of
$694,558.79 also set forth in the statement of said Executor, which is attached hereto and marked
as "Exhibit A"; and
WHEREAS, the balance for distribution as shown in the said statement marked "Exhibit
A" has been distributed in accordance with the terms of the Last Will and Testament of the said
Helen N. Campbell.
,.
,
NOW, THEREFORE, KNOW YE, that I, Lloyd Wilkinson, 1355 Charleston Road,
Wt!~sboro, Pennsylvania 16901-8459; I, Thomas Nell, 3181 East Overby Trail, Lake Leelanaw,
Michigan 49653; I, Philip Nell, 51328-315 West Fifth Avenue, Russell, Ohio 50238; I, Benjamin
Neil, 2511:Luther Road 431, Pun Tagora, Florida 33987; Kathy Nell Rich, 86 Hilltop Road,
Hl.fl1tsville, Texas 77320; I, Michelle Gullage, 4104 Cypress Road, Apt. B, Harrisburg,
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Pennsylvania 17109; I, Deborah Barry, 120 Yellow Breeches Drive, Camp Hill, Pennsylvania
17011; I, Mildred M. Dell, 529 Orchard Street, Bel Mar, New York 12054; Thomas Campbell,
2140 Clarks Valley Road, Dauphin, Pennsylvania 17018; Shriner's Hospital for Crippled
Children, Post Office Box 25356, Tampa, Florida 33662; and, Lloyd A. and Helen Nell
Campbell Fund c/o The Greater Harrisburg Foundation, Post Office Box 678, Harrisburg,
Pennsylvania 17108-0678, being those persons or entities entitled to inherit under the terms of
the Last Will and Testament of the said Helen N. Campbell and being the persons or entities
entitled to inherit under Items III and IV of the said Last Will and Testament do hereby
acknowledge that we will receive from the aforesaid Executor, in full satisfaction and payment
of all sum or sums of money, legacies, bequests and devises as are given, devised and
bequeathed to them by the said Last Will and Testament the amounts due us under the said Last
Will and Testament, and which amounts are in the amount set opposite the respective names in
the Table and Schedule of Distribution and said Statement attached hereto and marked as
"Exhibit A."
I do hereby stipulate that in order to avoid the expense and time involved in the filing of a
Formal Account and Schedule of Distribution, I agree that no account is necessary and do hereby
agree that I do consent to distribution being made without the filing of an Account and Schedule
of Distribution, the same to be with the same force and effect as if one had been filed and
confirmed by the Orphans Court Division of the Court of Common Pleas of Cumberland County,
Pennsylvania.
THEREFORE, I do hereby remise, release, quit claim and forever discharge the same
Robert F. Brown, Executor aforesaid, his heirs, executors, and administrators and assigns, of and
from the said Estate from all actions, suits, payments, accounts, reckonings, claims and demands
whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever,
touching upon the Estate of said Helen N. Campbell, and the deeds of the Executor of the Estate,
and I do further hereby covenant and agree that should any liability come due to the Estate of the
said Helen N. Campbell after the signing of this Agreement, I hereby covenant and agree as an
aforesaid heir, that I will contribute pro rata, my share of the Estate to satisfy any and all claims,
demands, suits or causes of action which may be successfully prosecuted against the Estate of
Helen N. Campbell, Deceased, or the aforesaid Executor after the signing, sealing and delivery
of this Family Settlement and Final Release.
Robert F. Brown, Executor on the Last Will and Testament of Helen N. Campbell,
Deceased, hereby declares that by penalties of perjury that he has fully and faithfully discharged
the duties of his office; that the aforegoing Statement of Account is true and correct and fully
discloses all significant transactions occurring during the account period; that all known claims
against the estate have been paid in full; that the first complete advertisement on the Grant of
Letters was more than four (4) months from the date the account was filed; that to his knowledge
there are no claims now outstanding against the estate; and that all taxes presently due from the
estate have been paid. He understands that false statements herein are made subject to the
penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn falsification to authorities.
~~~.
Robert F. Brown, xecutor
Sworn to and subscribed
before me this e-9.(P day
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EXHIBIT A
STATEMENT OF ACCOUNT
ROBERT F. BROWN, EXECUTOR OF THE
ESTATE OF HELEN N. CAMPBELL
The Account charges himself as follows:
Value at Value at
PERSONAL PROPERTY Time of Death Time of Sale
Adams County National Bank $55,668.60 $52,704.00
Certificate No. 21501 - 1098 Shares
Certificate No. AC26629 - 1098 Shares
PNC Financial Group 14,081.76 14,143.69
Stock No. CPT211888
264 Shares
Verizon Stock Certificate 12,119.52 10,209.29
Bell Atlantic No. ZQ 4502 8882
Book Entry Shares - 168 Shares
Bell South 16,334.28 17,462.90
Certificate No. ZQ 00584950 - 157 Shares
Certificate No. BSC 113158 - 157 Shares
Pennsylvania Power & Light 121,368.49 139,355.70
Certificate No. CL 125305 - 300 Shares
Certificate No. CL 97607 - 300 Shares
American Electric Power 16,785.00 18,314.23
Certificate No. M 94008 - 500 Shares
Lucent Technologies 502.24 438.29
Certificate No. LU0629181-43 Shares
Pennsylvania Insured Municipal Bond Trust 2,032.40 2,003.80
Certificate No. P18-4728
Series Eight - Five Units
Putnam P A Exempt Income 44,000.00 45,841.76
Account No. A241207077956BBBR
1
Financial Data Services
ML Muni BD National
CL 1012-0000038270
IDS American Express Mutual Funds
No. 08150781024
Shares 80725.507
Savings Bond Series EE
Three bonds purchased 8/92 at $5,000.00
Total Value at date of death
Citizens Bank
Premier Growth Money Market
No. 620838-540-0
Citizens Bank
4101 Carlisle Pike
Camp Hill, Pennsylvania 17011 Account No. 6100764257
Pennsylvania Inheritance Tax Refund
Interest and Dividends Earned
TOTAL PERSONAL PROPERTY
DISBURSEMENTS
Musselman Funeral Home
Personal Representative's Commissions
Attorney's Fees
Probate Fees
Tax Return Preparer's Fees
Cumberland Law Journal - Advertisement
The Sentinel - Advertisement
Post-Funeral Meal
Messiah Village - Resident and Medical Fees
Alert Pharmacy Services, Inc. - Medication
AT&T - Phone Service
$ 7,475.00
43,712.18
28,357.68
568.00
189.00
75.00
155.72
451.50
9,032.24
26.97
25.31
2
72,827.93
357,398.69
31,104.00
76,182.59
25,395.71
625.26
$846,426.47
$846,426.4 7
72,555.64
366,252.86
31,728.00
76,342.41
25,455.38
625.26
$873,433.21
9,742.65
$883,175.86
.
Mobile X-Ray Imaging - Transportation of
X-Ray Equipment
Pennsylvania Income Tax 2004
Pennsylvania Income Tax 2005
I.R.S.
Internists of Central Pennsylvania
Medical Services
Philhaven Behavioral Healthcare Services
Capital Area Health Associates
Citizens Bank - Service Fees
UPS Delivery
Pennsylvania Inheritance Tax Paid
TOTAL DISBURSEMENTS
BALANCE FOR DISTRIBUTION
70.52
452.00
279.17
140.00
21.03
127.01
6.18
36.80
33.00
97,382.76
PROPOSED DISTRIBUTIONS TO BENEFICIARIES
Lloyd Wilkinson
- Thomas Nell
- Philip Nell
Benjamin Nell
Kathy Nell Rich
-, Michelle Gullage
- Deborah Barry
. Mildred M. Dell
- Thomas Campbell
Shriner's Hospital for Crippled Children
Lloyd A. and Helen Nell Campbell Fund
c/o the Greater Harrisburg Foundation
$70,219.90
$70,219.90
$70,219.90
$70,219.90
$70,219.90
$70,219.90
$70,219.90
$70,219.90
$70,219.90
$31,289.88
$31,289.88
TOTAL DISTRIBUTIONS TO BENEFICIARIES
3
$188,617.07
$694,558.79
$694,558.79