Free Model Estate Account - Pennsylvania

Model Estate Account

IN THE COURT OF COMMON PLEAS OF ____________ COUNTY, PA. ORPHANS' COURT DIVISION FILE NO. 98765

FIRST AND FINAL ACCOUNT OF William C. Doe, Executor For ESTATE OF JOHN DOE, DECEASED

Date of Death: Date of Incapacity, if any: Date of Executor's Appointment: Date of First Complete Advertisement: Accounting for the period:

11/14/05 None 11/24/05 11/27/05 11/24/05 to 11/30/06

Purpose of Account: The Executor offers this Account to acquaint interested parties with the transactions that have occurred during the Administration. It is important that the Account be carefully examined. Requests for additional information, questions or objections can be discussed with:

[Name of Counsel] [Address] [Address] [Phone Number] Supreme Court I.D. No. _______

SUMMARY OF ACCOUNT

PAGES PRINCIPAL Receipts Net Gain on Sales or Disposition Less Disbursements: Debts of Decedent Funeral Expenses Administration Expenses Family Exemption Federal, State & Local Taxes Fees and Commissions Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand For Information: Investments Made Changes in Holdings INCOME Receipts Less Disbursements Balance before Distributions Distributions to Beneficiaries Income Balance on Hand 3-4 5 $ $ 6 6 6 6 7 7 8 9 $ 485.82 1,375.00 194.25 3,500.00 5,856.83 11,689.64 $ $ 160,488.76 2,662.00 163,150.76

-23,101.54 140,049.22 -52,630.00 87,419.22

10 11

12 13 14

$ $ $

2,513.40 -178.67 2,334.73 -2,334.73 .00

COMBINED BALANCE ON HAND

$ 87,419.22 ================

Verification

15

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PRINCIPAL RECEIPTS Assets Listed in Inventory (Valued as of Date of Death)

Real Estate Residence 86 Norwood Road Philadelphia, PA

$

50,000.00

Common Stocks 50 Shs. Best Oil Co. 1,000 Shs. Central Trust Co. 151 Shs. Electric Data Corp. 200 Shs. Home Telephone & Telegraph Co. 200 Shs. XYZ Corporation 5,000.00 50,850.00 1,887.50 25,000.00 6,000.00

Personal Effects Furniture - 1 antique chair Furniture - 1 antique highboy Furniture - 1 antique side table Jewelry - 1 pearl necklace 55.00 2,000.00 60.00 515.00

Mutual Funds 50 Shs. Fabulous Mutual Fund 1,833.33

$ Cash in possession of decedent

143,200.83 42.54

FORWARD

$

143,243.37

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PRINCIPAL RECEIPTS (cont'd) FORWARD $ 143,243.37

First National Bank - checking account Prudent Savings Fund Society - savings account

516.93

2,518.16

$ ADJUSTMENTS TO INVENTORY Increased value of common stock upon audit of Federal Estate Tax Return RECEIVED AS: 200 Shs. XYZ Corporation SHOULD BE: 200 Shs. XYZ Corporation SUBSEQUENT RECEIPTS 02/22/06 Proceeds of Sale - Best Oil Co. rights to subscribe received 02/15/06 03/12/06 Fabulous Mutual Fund, capital gains dividend received in cash 05/11/06 Refund of overpayment of 2005 U.S. individual income tax 09/25/06 From Richard Rose, Ancillary Administrator, net proceeds on sale of oil and gas leases in Jefferson Parish, Louisiana

146,278.46

$

6,000.00

10,000.00

4,000.00

50.00

32.50

127.80

10,000.00

TOTAL PRINCIPAL RECEIPTS

$ 160,488.76 ===============

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PRINCIPAL GAINS OR LOSSES ON SALES OR OTHER DISPOSITIONS

GAIN

LOSS

02/07/06 100 Shs. Home Telephone & Telegraph Co. Net Proceeds 14,025.00 Acquisition Value 12,500.00 $ 03/15/06 1,000 Shs. Central Trust Co. Net Proceeds 27,467.00 Acquisition Value 25,425.00 03/15/06 200 Shs. XYZ Corporation Net Proceeds Acquisition Value 05/21/06 35 Shs. Electric Data Corp. Net Proceeds Acquisition Value

1,525.00

2,042.00

9,000.00 10,000.00

$

1,000.00

530.00 437.50

92.50

07/20/06 $10,000 U.S. Treasury Bonds, 3% due 07/01/2009 Net Proceeds 10,000.00 Acquisition Value 9,997.50

2.50

TOTALS

$ 3,662.00 $ 1,000.00 ============== ============== $ 2,662.00 ==============

NET GAIN TRANSFERRED TO SUMMARY

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DISBURSEMENTS OF PRINCIPAL DEBTS OF DECEDENT 01/25/06 John T, Hill, M.D. Professional services 01/25/06 Thomas Pharmacy Prescriptions 02/01/06 Sanders Hardware Purchases per bill dated 12/15/05 04/12/06 PA Department of Revenue Balance Final Life Period Income Tax

$

250.00

23.82

56.00

156.00 $

485.82

FUNERAL EXPENSES 01/10/06 Smith Funeral Home Services 02/15/06 Jones Memorials Grave marker

$

1,200.00

175.00

1,375.00

ADMINISTRATION EXPENSES 11/14/05 Register of Wills Probate fees 02/22/06 Henry Smith Appraisal of jewelry and antiques 11/16/06 Arden, Miles & Solomon Disbursements Various miscellaneous affidavits, registered mail, toll telephone charges and other costs

$

72.00

50.00

$

56.00

16.25

72.25

194.25

FAMILY EXEMPTION 05/15/04 Janet Doe FORWARD $ 3,500.00 5,555.07

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DISBURSEMENTS OF PRINCIPAL (cont'd) FORWARD FEDERAL, STATE & LOCAL TAXES 02/12/06 Register of Wills, Agent PA inheritance tax, payment on account Less 5% discount 08/13/06 Register of Wills, Agent PA inheritance tax Less payment on account 02/12/06 08/13/06 Internal Revenue Service Federal estate tax 11/15/06 Internal Revenue Service U.S. fiduciary income tax for fiscal year ending 07/31/06 (allocable to capital gains) 11/23/06 Internal Revenue Service Deficiency in Federal Estate Tax Interest 08/14/06 to 11/24/06 $ 5,555.07

$

2,105.26 -105.26 $

2,000.00

$

2,501.33 -2,105.26 396.07

2,663.29

283.84

$

505.24 8.39 513.63 5,856.83

FEES AND COMMISSIONS 11/16/06 Albert Schryver, Esq. Fee as Guardian ad litem 11/16/06 William C. Doe Executor's compensation 11/16/06 Arden, Miles & Solomon Attorney's fees

$

375.00

6,314.64

5,000.00

11,689.64

TOTAL DISBURSEMENTS OF PRINCIPAL

$ 23,101.54 ===============

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DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES TO: Janet Doe, in satisfaction of gift under Article FIRST of Will 12/01/05 Jewelry - 1 pearl necklace 12/01/05 Furniture - 1 antique highboy 12/01/05 Furniture - 1 antique side table 12/01/05 Furniture - 1 antique chair TO: Janet Doe, in satisfaction of gift under Article SECOND of Will 12/01/05 Residence 86 Norwood Road Philadelphia, PA TOTAL DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES $ 515.00 2,000.00 60.00 55.00 $ 2,630.00

50,000.00 $ 52,630.00 ===============

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PRINCIPAL BALANCE ON HAND FIDUCIARY ACQUISITION VALUE

VALUE AT 11/30/2006

Bonds $40,000 U.S. Treasury Bills due 12/14/2006 Common Stocks 50 Shs. Best Oil Co. 1,000 Shs. Central Trust Co. 116 Shs. Electric Data Corp. 200 Shs. Home Telephone & Telegraph Co. Mutual Funds 50 Shs. Fabulous Mutual Fund $ CASH (AUTOMATICALLY INVESTED) 4,016.17 97,668.93 $ 1,910.89 1,833.33 85,508.33 1,910.89 4,500.00 32,168.76 1,684.00 16,000.00 5,000.00 25,425.00 1,450.00 12,500.00

$

39,300.00 $

39,300.00

TOTAL PRINCIPAL BALANCE ON HAND

$ 99,579.82 $ 87,419.22 ================== ==================

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PRINCIPAL INVESTMENTS MADE 02/01/06 $10,000 U.S. Treasury Bonds, 3% due 07/01/2009 $40,000 U.S. Treasury Bills due 12/14/2006

$

9,997.50

09/14/06

39,300.00 $ 49,297.50 ===============

TOTAL PRINCIPAL INVESTMENTS MADE

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CHANGES IN PRINCIPAL HOLDINGS ACCOUNT VALUE Central Trust Co. 1,000 Shs. Inventoried at 01/15/06 1,000 Shs. additional received in 2-1 split par reduced to $2.50 2,000 Shs. 03/15/06 1,000 Shs. Sold 1,000 Shs. =================== Electric Data Corp. 151 Shs. Inventoried at 05/21/06 35 Shs. Sold 116 Shs. =================== Home Telephone & Telegraph Co. 200 Shs. Inventoried at 02/07/06 100 Shs. Sold 100 Shs. 100 Shs. additional received in 2-1 split par reduced to $5 200 Shs. =================== $ 0.00 12,500.00 $ 25,000.00 -12,500.00 12,500.00 $ 1,887.50 -437.50 1,450.00 $ 0.00 50,850.00 -25,425.00 25,425.00 $ 50,850.00

$

==================

$

==================

$

03/30/06

==================

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RECEIPTS OF INCOME

Best Oil Co. Dividend 50 Shs. 01/02/06 to 10/02/06 Central Trust Co. 01/15/06 - Dividend 2,000 Shs. Dividend 1,000 Shs. 04/13/06 to 10/15/06 Electric Data Corp. Dividend 12/29/05 Dividend 06/29/06 151 Shs. to 03/30/06 116 Shs. to 09/28/06 $ 600.00 900.00 1,500.00

$

20.00

$

30.20 23.20 53.40

Fabulous Mutual Fund Dividend 50 Shs. 03/14/06 to 09/12/06 Home Telephone & Telegraph Co. 02/01/06 - Dividend 200 Shs. Dividend 200 Shs. 05/01/06 to 11/01/06 (after stock split) U.S. Treasury Bonds, 3% due 07/01/2009 06/29/06 - Interest $10,000 Less: accrued interest paid on purchase 02/1/06 TOTAL RECEIPTS OF INCOME $ 150.00 -25.00 125.00 $ 2,513.40 =============== $ 225.00

140.00

450.00

675.00

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DISBURSEMENTS OF INCOME 11/15/06 Internal Revenue Service U.S. fiduciary income tax for fiscal year ending 07/31/06 (allocable to income) To be paid: William C. Doe Executor's income commission 5% on $2,513.40 TOTAL DISBURSEMENTS OF INCOME

$

53.00

125.67 $ 178.67 ==============

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DISTRIBUTIONS OF INCOME TO BENEFICIARIES TO: Sharon Doe 11/16/06 Cash TO: William C. Doe, Trustee under Article FOURTH (A) for Walter Doe 11/16/06 Cash TOTAL DISTRIBUTIONS OF INCOME TO BENEFICIARIES 1,167.37 $ 2,334.73 =============== $ 1,167.36

__________________________________ William C. Doe, Executor of the Will of John Doe, Deceased

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VERIFICATION

WILLIAM C. DOE, Executor of the Will of JOHN DOE, Deceased, hereby declares under oath that he has fully and faithfully discharged the duties of his office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Estate have been paid in full; that, to his knowledge, there are no claims outstanding against the Estate; that all taxes presently due from the Estate have been paid; and that the grant of Letters Testamentary and the first complete advertisement thereof occured more than four months before the filing of the foregoing First and Final Account. This statement is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn falsification to authorities.

________________________________ WILLIAM C. DOE

Dated:______________________________

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