HomeMy WebLinkAbout94-00367
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REV.llOO EX. 111,91}
~1
L Real E.lole (Schedule A) ( 1) _._ ..___....._,_____..._.
2, Slacks and Bonds (Schedule B) ( 2) --._____"ljl,QQO.OQ.__
3, Clo,ely Held SIock/Porlne"hlp Inlerell (Schedule C) (3) __.., .__.. _.__ _.______
4. Morlgoge. and NOle. Receivable (Schedule D) ( 4) ______..,___..
5. Cosh, Bonk Depo,It. & Mlscelloneou. Pe"onol Properly( 5)____.____._____
(Schedule E)
6. Jolnlly Owned Property (Schedule F)
7, Tronsfe" (Schedule G) (Schedule L)
g, T alai Gross Allets (10101 line. 1,7)
9. Funeral Expense" Admlnl.lrotive Calls, Milcelloneou. ( 9) _.____ 3247050
Expenses (Schedule H)
10, Debts, Mortgage Liabilities, Lien. (Schedule I) (10) ,
1 L Tolol Deduction. (10101 line. 9 & 10)
12, flel Value a' Ellole (line B mlnu. line 11)
13, Chorlloble and Governmenlol Beque.ts (Schedule J)
14. Nel Value Subject 10 Tax (line 12 mlnu. line 13L
15, Amounl of line 14 loxoble 016% rote
(Include value. from Schedule K or Schedule M.)
16. Amounl of line 14 lox able 01 15% role
(Include volue./rom Schedule K or Schedule M,)
17, Prlndpollox due (Add tax from line 15 and from line 16,)
1 B. Credits Spoll.ol Poverty Credit Prior Payments Dlscounl Inleresl
----- + ------- +---.--..-- - --'-'-,
19, II line IB I. greoler Ihon line 17, enler Ihe dlllerence on line 19. Thl.,. the OVERPAYMENT,
EJONmn'".,"".o'"o."'.....llI..."'"......lIIlIlr.l..,o....oS'lqfWl.illliiUI
20, II line 17 I. greoler Ihon line lB, enter the dlll..ence on line 20. Thl.l. Ihe TAX DUE,
A. Enler Ihe In'ere., on Ihe balance due on line 20A.
B, Enler the lotol of line 20 and 20A on line 20B, Thl. I. Ihe BALANCE DUE,
M.ko Chock Payablo tal Rogl.tor 0/ Will., Agent
- - --
.. II SURI TO ANSWIR ALL QUISTIONS ON REVERSE SIDE AND TO RECHECK MATH.....
Under p-;;;;;m;'. of perjury, I dlClor< Ihu' I hove examined Ihl, relurn, Incl~dlng accompanying IChedul.. and IIolements, and 10 Ihe bell 0' my knowledge and belief,
It iSlrue, correcl and complele. I declare Ihol 011 real e,lole ho. been reported 01 true mCllkol voloo. Declorollon 01 proporer olher Ihon Ihe personal repre'enlallvo il
baled on alllnformolion of which preparer has any knowledge.
SIONATURE Of P RSON RESPONSIill fO fllINO RETURN - AaDRm----------- DATE-
~ t.u,.!{(){) (YJt'(((V!.r J.I1mf-flLlLl!lC___LML_ mp-/tJ -'1 'i
IVE AuDRESS UAIE
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52..
",01
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SiONAiiJR
I L/-.;;. (,)~- h
~ ;\ ~ INHERITANCE TAX RETURN
"~I\~::!, RESIDENT DECEDENT
COMMONWEAlTIl OF PENNSYLVANIA (TO BE FILED IN DUPLICATE
DEPARTMENT OF REVENUE
HARRIS~Jib, ~~O~b8~1 WITH REGISTER OF WILLS)
!IlrrNAM! IIAST, mST. AND MIDDLE INiii~rr------.--_.._------..-.-..--
'OR OATIS 0' DIAYH Ani I 12/31/91 CHICK Hili
IP A SPOUSAL
POVII" CIIDIY IS CLAIMID 0
,iUNUMI..
COUNTY CODE 1994 YEAR 00367 NUMBER
N' ----MPU-TE-ADDRfSS-
Lindsai'.. JOlC~e No r-~--------'I--- __ ___., __u_ 6 Woodmere Drive
SOCIAl SECURITY NUMBER DA 0, DEATH DATE or 81RHl Camp Hi 11, PA 17011
20B-24-4488 _ -___'11)JJ511... _______UQ}j3Q____ cO""L______
Cjj 1. Original ROlurn [J 2, Supplem"nlOI Rolurn
o 4. Llmltod E.lolo
1.1 3. Romalndor Relurn
((or dolo. o( doolh prior 10 12.13,82)
[15, Fedoral E.lole Tax
Relurn Required
.!LB. Tolol Numbor of Safe Dopa.1t Boxo.
[I 40. Furure Inlere,' Comproml,e
lIar dale. of death after 12,12,B21
o 6, Docedenl Died Te.loI. [J 7, Decedenl Malnlolned 0 living TrUll
(Attach copy of Will) (Attach copy of Tru'l)
ALL CORR'SI'ONDINCI AND CONPlDINTlAL TAX INI'ORMATiONSHOULD'sfDIR'i'CTID TO.
NAME - [MPlElE MAllliioAiiDlITs
Howard J. Lindsay 6 Woodmere Drive
"""""' "",,,.. '" - 5937 - --~=~ ~==~_~"'o:U I, :,: 7011
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( 6) ____________..:..
(7) ___
" .
;,J
( B)
1B.000.OO
3247050
(15)_____
14752.50
(II)
(12) 14752,50
(13) ____________
(14) ~4752.50
..x ,06 '" __~B5 .15
(16) ----------_,x ,15 '"
------
(17) _____,,~85 015
(IB)____
(19)_______,
(20) '__ BB5.15
(20A) .__ IB. 90
(20B)___2_04...Q2.____
-----------------
"~ISI' (lit fl'''1
-
~~
COMMONWIALTH 0' 'INNlnVANIA
INHI!ITANCI TAl WUIN
IIIIRlNT DICIDIIll
nmTop"
SCHEDULE H
FUNERAL EXPENSBS,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pita.. Print or Typt
1: NU:::: . 00367
ITEM
NUMBER
A.
B.
1.
1.
Lindsay, Joyce M.
DESCRIPTION
AMOUNT
Funeral bp.n"I'
Egger Funeral Home Newville, PA
Services . Opening of grave, creamation, urn
death certificate, transportation
1107.00
Cumberland Valley Memorial Gardens
Plot, burial
375.00
. Cumberland Valley Memorial Gardens
Admlnlltratlv. COI'8i-on7.e Memorial
P.rlonal Reprtl.ntallve Commllllonl
Social Security Numb.r of P.rlonal R.prer,ntallv.:
V.ar Commllllonl paid
1390.00
2. Allorn.y Feel
3. Family Ex.mpllon
Claimant Relallonlhlp
Addr... of Claimant at dec.d.nt'l d.ath
Street Addr...
4.
C.
1.
2,
3.
4.
5.
6.
7,
8,
City
Stal. __ Zip Code
Probate Fee.
Regieter of Wills . Affidavit and short certificate
MllCtUantOuI Ilcptnlu,
58.00
Giant Foods - Food
Pro Clean . Home Carpet Cleaning
Mellon Securities Trust C. - Bond Premium
of stock
for losl: Cert
128.88
. 9Q.00
88.62
10.00
Holly Best
Notary Foes
TOTAL (Aho enl.r on IIn. 9, Recapltulallonl
(II mort Ipact II nltd.d, Inmt addltlonal.hlt" of lam. II.t.)
S 3247.50
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a}
-
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. Name of Decedent I
JO'1Ct!. m, J..,"rJD5~':f
YnIl'J-R1 19'13
,I
Ci
()"
, ,,",
Date of Deathl
Iqqt/ - tJCJ:3 /tJ 1
.-
Admin. No.
Will No.
.-
To the Registerl
I certify that notice of beneficial interest required by
Rule 5.6 (a) of the orphans' Court Rules was served on or mailed to
tho ~:.1J':.:rJ"nof~d"i" uf U" ,bo.._c.pLlonod """ "
~~
j.;MDM!f-lJ3Jlls&f.-'=-~--_9-5l:?L ~C)WN tlll~Ld e tllNe I ~ flm~ I
lilJD5~1 Billy Ef, ai-~Q~K 3t ~~\(I'J.'71 PA. /1Q1q
.~~1R~O/'-cy H, 111 {()ruLDRilL<L---r-J-~-f.~~11
Sm i ~,lJrlrJdll ffI, 103 i==Wt RM b 1__ mechfd/it S bll.(l.1.Pfll?IJ{{
~~
Notice has noW been given to all persons entitled thereto under
Ruie 5.6(a) except
Datel ~-- ~JJ--1i
Signa~)dfl, ~1
Name fl-vwMD J. A,'IJ./)S#'I
AddressLLUCI()DmUe ])RI'IJ~
(I f/'mp iliJ. t- I P fr, /70 II
Telephone?!'?) ?'l~- !kJ-rJ'
73,/- 5"9.9'1
capacitYI ~ Personal Representative
Counsel for personal
representative
~
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REV.l!147 EX AFP 110.93*
CO""ONWEALTH OF PENNSVLVANIA
OEPAR1HENT OF REVENUE
BUREAU OF INDIVIDUAL lAMES
OEPI. /10601
fIARRISBURO, PA 111/8'0601
!STATE OF LI fm"S" FILE NO.
DATE OF DEATH 05-12-93 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YDUR ACCDUNT, SUBHIT THE UPPER PORTIOH OF THIS FORH WITH YOUR TAK
PAVHENT TO THE REOISTER OF WILLS. HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AOENT"
REMIT PAYMENT TO:
/
Diol.
(r)
ACN
101
NOTICE OF INHERITANCE TAK
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAK
flOWARD J LI NDSAY
6 WOODMERE DR
CAMP HILL PA 17011
DATE 09-13-94
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r'
Aoount Rlol Hid
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV: iillt"i" EX"" AFP"" (i'if: 93"1"" iliii'"i ciR" "OF" i"NHER"ii' ANC E" i'"AitiiPPR;ii sii,fiili'";"A t l-oWAiicE" 'ifri"..."""""""""."".
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF LINDSAV JOVCE M FILE NO. 21 94-0367 ACN 101 DATE 09-13-94
TAK RETURN WAS I I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rill E.tltl (Sohldull A)
2. Stook. .nd Bondi (Soh.dul. B)
S. Clol.ly H.ld Stook/P.rtn.r.hlp Int.r..t (Soh.dul. C)
4. Hortg.g,"/Not.. R.o.lv.bl. ISOh.dul. D)
S. C..h/B.nk D.p..lt./HI.o. P.r.on.l Prop.rty ISoh.dul. E)
6. Jointly Own.r1 Prop.rty ISoh.dul. Fl
7, Tr.n.f.r. (Soh.dull 01
8. Totol Alllto
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funlrl! Exp.n.I./Adolnl.trltlvl Co.t.1
HI.o.lllnlou. Expln.l. (Sohldull Hl
10. D.bt./Horta.g. LI.bllltl../LI.n. (Soh.dul. Il
11. Toto1 D.duotlon.
12 . N.t V.lu. of To. R.turn
IS, Ch.rlt.bl./Oov.rn..nt.l Boqu..t. ISoh.dul. J)
14. N.t V.lu. of E.t.t. Subj.ot to T..
If .n ....B.m.nt w.. i..u.d pr.viou.1Y, lin..
rlfl.ct figur.1 thlt includl the total of ALL
ASSESSMENT OF TAX: -
1&. A.ount of Lln. 14 to..blo .t 6% r.to Uti)
16. A.ount of Lln. 14 t.x.bl. .t 1&% r.t. (16)
17. Prlnolp.l T.x Du.
TAX CREDITSl
PAYHENT
DATE
NOTE I
RECEIPT
NUHBER
DISCOUNT (+)
INTEREST (-)
05-11-94
886070
14.96"
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
) CHANOEtl." .
U)
121
IS)
(4)
(S)_
(6)
(7l
.00
18.000.00
,00
,00
,00
,00
,00
(8)
18,000.00
191
UO)
3,247.50
.00
(Ill
(2)
US)
(4)
3,247,50
14,752-:50
,00
14,752,50
14, 15 and/or 16 and 17 will
r.turn. .......d to data.
14,752.50 K.06'
, 00 K .15 .
(7)
885 . 15
.00
885.15
AHOUUT PAID
904,05
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUI!
889.09
3,94CR
.00
3,94CR
IF TOTAL DUE IS LESS THAN fl, NO PAY tiE NT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
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,ReIfRVATIOHI E.t,t,. of dtotdtot. dvJng on or be for. Dtcllbtr 12, 19'2 ~~ If 'n~ future Int.r..t In thl I.tet. 1. t'In,fltred
In po.....Son or enJoy""t to CI,.. . (ool1l',r,1) benefJol,rl.. G' t~. cMc'cMnt tn,r the IlCplr,Uon of In>>' l"lt. for
11'. or for v..r., thl COllOnNtllth hlt.bw .xpr.,.lv r".rv,. the rIght tp 19pr.I.. and I...,. trln,'.r Inheritance 'IXI.
. It thl llW'ul Cl,.. . (ooU,tlrIU r.t. on any luch lutur. lnt.rltt.
PURPOSf: 01'
HOTleSI To fulfill th. r.qulr..,ntl of SeoUon 2UO ,0' thl Inheritlno. and E.t.t. TIM: Aot, Aot 2Z 0' 1991. 72 P.S.
"ollon 1140,
PAVHENT, D.t.~h the top portJon of thll NoUce and ,lubIIlt with your PIY'.nt to the RtSlht.r 0' NUll prlntld on thl r'V'r.. .lde.
"HII<. ohook or _. or.or P..obl. I" REOISTER OF HILLB, AOENT
All PIYllOtI reCtlVtd .h.ll 'Irat b, applJtd to InY Int.r..t Whh:h '.y b, due with any r...lndtr applied to the tiM,
REFUND (CR)1 A refund of · teM oredlt, whloh NI. not requ..t.d on the TIM R.\urn, II~ b. r.qu..tld by co~l.tlna In "Appllcltlon
far Refund of Ptnn,Ylva"tl Inh.rltano. Ind Elt.tt TIM" (REY.131]), Applloatlonl .rl IV.tllbl. It the Offloe
of the RIghtlr of Wl1h, any of the n R.v.nue Dhtrlot Offloll, or by o.lltng thl IPllotal 2...hour
,"Iwlrln, I.rvlol nU~lr' for for.t ord.rlngl In Plnn.ylvonl. 1.800.36Z.Z050, out.ldt P'~I.~lv,"11 and
within 10cII Hlrrl.burg .r'l (717) 7.7.8094, TOOl (717) 772.2252 (Hllrlng I.,llrld Only),
'OBJECTIONS' Any party In IntGrllt not IIthfJ.d with the .ppnhlltnt, allowlno. or dhaUowano. of dlduction., or ......lent
of tlM (Including dl.count or tnt.r..t) '1 .hewn on thl. Hotto. au.t abJ.ct within .IMtv (60J dlY. of r.atlpt of
thh Notlc. bVI
.~wrJttln prot..t to tht PA Otpartont of RtvtnUl, IOlrd of App...., OEPT, 211021, Herrhburg, PA 17128.10'1, 011
. M.lltotlon to h.v. the ..thr d.tarllnld at lIudlt of th. aocount of the P'rtOf\llI r.prtll"tetlv., OR
..IPpall to tht Orph.",' (curt,
AIlIlIH
IITRATlI/E
CllRtlt!CTlOH1,
Flatu.l .rror, dllcoy.rld on thl, ........nt .hould b. .ddr....d tn wrttt"' tal PA Dtplrtaent of R.venut,
Burllu of Indlvldull YaM", ATTNr Po.t A.....Hnt Rlvl.w Unit, OEPT, 28060t, Harrhburg, PA 17121.0601
Phone (717) ,.7.6505, S.. pig. 3 of the bookl.t "In.tructlon. for Inh.rltanc. T'M R.turn for I Rt.ldlnt
DlGtdlnt" fREY.1S01) for en 'Mpltnltton of .dltnt.tr.tlv.lv oarrtot.blt .rror..
DIICQUlfT'
If Iny tlM due I. plld within thr.. (S) cII.ndar lanth. .ft,r thl dlc.dlnt'. delth, I five p.roant (IX) dl,aount of
the tlM pltd t. Illow.d.
Inttr..t It oharged b..tnn)n. with Urtt dev of dtlJnquenoy, or nlnl (9) aonthl Ind ona (1) dlv fral thl dlt. of
d..th, to the dltl of plyalnt. TaMil whloh blO", dIUn"-l.nt beforl JlI'IUarv 1, 19'2 bur Jnterll' It the rat. of
,1M ('~) p.roent p'r ~ olloulltld It . dltlv r.t. 0' ,D0016", All taMa. whloh b,olle d.llnquent on Ind .ft'r
JlnUtry 1, 1912 "Ul btar Intlrelt .t I rete which will varv fraw aellnder Yllr to o.ltndtr YI.r with thet rat.
IMoUnold bv the PA Dtp.rta.nt of R'Vlnut, The eppUclbl. tntlr..t rtt" fOI' Ita! through 1994 .rel
IHTIRIlIT'
Vllr Inttri.t R.tt Ollly Int.r.,t F.ator !!!or Intlrllt R.tA Oally Inttr..t Flator
-
1911 IU ,000&" 1916 lOX ,000174
1915 16X ,000431 1911 9X ,000141
1911 m ,000101 1911.1991 IIX ,000101
1911 IlX ,000U6 1991 9X ,000247
ml.I991 IX ,000191
....Int"..t it c;!llcullt.d II foUowlI ,
INTlREST . ULANCE OF TAK UNPAID K NUNIER OF DAYI DELINQUENT K DULY INTEREST FACTOR
....Anv Hotla. I..Uld ,Ulr tilt tlX b.cOIII. dtllnquent will r.fllct an tnterllt c.loullUon to flftttn UI) diY'
bevond the dttt 0' thl ......ttnt. If plvaent t. aldo .ft.r the tnt.r.'t c~ut.ttan d.t, 'hown on the
HoUc., IddIUonl1 Inter..t .u,t be olloul,ttd,
/1,'
5. The law of Pennsylvania under 20 Pa.C.S. 2102, Share of
Burvi ving Spouses, provides as follows I II I f there are surviving
issue of the decedent all of whom are issue of surviving spouse,
the first $30,000 plus one-half of the balance of the intestate
estate.
6. A State Inheritance Tax Return was filed on May 10, 1994.
7. The State Inheritance Tax return showed Inheritance Tax
due of $904.05 was paid with Inheritance Tax Return on or about May
10, 1994.
8. The Estate of Joyce M. Lindsay was not advertised
according to Law.
9. The Parties hereto desire and agree to finally and
permanently settle their respective interests in the Estate of
Joyce M. Lindsay without the formalities of filing of a First, and
Final Account and the AdjUdication thereof and have distributed to
themselves their respective shares in the assets of the said Estate
as hereinafter set forth.
10. Under both the will and intestate law Howard J. Lindsay
is legally entitled to the net assets of the Estate of Joyce M.
Lindsay.
11. The parties hereto being all of the heirs and
beneficiaries under the said Last Will and Testament agree that all
of the net assets of the Estate of Joyce M. Lindsay be paid to
Howard J. Lindsay and that further administration of her Estate not
be completed.
SCHEDtffiE OF DISTRIBUTIONl
TOTAL
$ 28,417.45
28,417,45
$ 28,417.45
BALANCE FOR DISTRIBUTION
Howard J. Lindsay
12 We and each of us hereby accept, approve and agree that
the said accounting of the assets I liabilities and Schedule of
Distribution shall have the same force and effect as if a First and
Final Account has been filed in the Office of the Register of Wills
of Cumberland County, Pennsylvania, by Howard J. Lindsay, the
Administrator with a proposed Sch8dule of Distribution as if the
said First and Final Account had been adjudicated and confirmed
absolutely by the Court of Common Pleas of Cumberland County,
Pennsylvania, Orphans' Court Division, and the said Court approved
the said Schedule of Distribution.
13. There are no liabilities of Joyce M. Lindsay, deceased,
known by the Parties hereto except those herein set forth.
14. We and each of us do hereby release the said Howard J.
Lindsay I of and from any and all claims known or unknown to us
which we have against the said Estate of Joyce M. Lindsay and
against the said Howard J. Lindsay, acting as herein set forth.
15 This is the entire agreement between the Parties hereto
and shall be binding upon them and their heirs and assigns.
m WITNESS WHEREOF, the parties hereto have hereunto set their
. "..
5. The law of Pennsylvania under 20 Pa.C.S. 2102, Share of
surviving Spouses, provides as follows I "If there are surviving
issue of the decedent all of whom are issue of surviving spouse,
the first $30,000 plus one-half of the balance of the intestate
estate.
6. A State Inheritance Tax Return was filed on May 10, 1994.
7. The State Inheritance Tax return showed Inheritance Tax
due of $904.05 was paid with Inheritance Tax Return on or about May
10, 1994.
8. The Estate of Joyce M. Lindsay was not advertised
according to Law.
9. 'I'he Parties hereto ,desire and agree to finally and
permanently settle their respective interests in the Estate of
Joyce M. Lindsay without the formalities of filing of a First and
Final Account and the Adjudication thereof and have distributed to
themselves their respective shares in the assets of the said Estate
as hereinafter set forth.
10. Under both the will and intestate law Howard J. Lindsay
is legally entitled to the net assets of the Estate of Joyce M.
Lindsay.
11. The parties hereto being all of the heirs and
beneficiaries under the said Last Will and Testament agree that all
of the net assets of the Estate of Joyce M. Lindsay be paid to
Howard J. Lindsay and that further administration of her Estate not
be completed.
I
'. :"-'"''-''-''''r''''' "" ",
'~
, '
SCHEDULE OF DISTRIBUTION I
BALANCE FOR DISTRIBUTION
$ 28,417.45
Howard J. Lindsay
28,417,45
TOTAL
$ 28,417.45
12 We and each oL us hereby accept, approve and agree that
the said accounting of the assets. liabilities and Schedule of
Distribution shall have the same force and effect as if a First and
Final Account has been filed in the Office of the Register of wills
of Cumberland County, Pennsylvania I by Howard J. Lindsay, the
Administrator with a proposed Schedule of Distribution as if the
said First and Final Account had been adjudicated and confirmed
absolutely by the Court of Common Pleas of Cumberland County,
Pennsylvania, Orphano' Court Division, and the said Court approved
the said Schedule of Distribution,
13. There are no liabilities of Joyce M, Lindsay, deceased,
known by the Parties hereto except those herein set forth.
14. We and each of us do hereby release the said Howard J.
I,indsay, of and from any and all claims known or unknown to us
Which we have against the said Estate of ,10yce M. Lindsay and
against the said Howard J, LindsaYI acting as herein set forth,
15 This is the entire agreement between the Parties hereto
and shall be binding upon them and their heirs and assigns.
IN WITNESS WHEREOF, the parties hereto have hereunt.o set their
. .
I
STATUS REPORT UNDER RULE 6,12
Name of Decedent 1_ J t'Jyct. tYl, L'tJ/)t:JI1
Date of Deathl S'-/;}-'l:J
Will No, J.1~}{.,'7 Admin. No.
pursuant to Rule 6,12 of the supreme Court Orphans'
Court Rules/ I report the following with respect to completion of
the administration of the above-captioned eatatel
1.
State whether administration of the estate is completel
Yes No \/
2. If the answer is No, state when the personal
rl'lpresentativen..r~asonablY bel ieves that the administration will be
complete 1 'rUJI\J~ I" 1: '~~0'" /0'
3. If the ans~er to No, 1 is Yes, state the followingl
a. Old the personal representative file a final
account with the Court? Ves No ~ .
b. The separa te Orphans' Court No. (if any) for
the personal representative's account iSI
c. Did the personal representative stt)' an
account informally to the parties in interest? Yes No
/.' '
. Ie !U.Lt>\v
d. Copies of receipts, releases kjoinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel &'~/tJ,-q9
Slg~fl ot'~1
!1tJtVflteD J, J.../NDSfiY
Name (Please type or print)
~ WoDDrne~{(I've ffttrlpfJ.;/1, PIl.
Address I 1 /10 f'
rlt11 7.31-s1,j '7
're I. No,
CapacitYI ~personal Representative
counsel for personal
representative
I!!l-~ !1P()~e"'5 ~ of _ 4~~-'f~
.;><1, rnA1v60 .s+-
B~A()f,..hu/J, riA. 3y,;tO'7
~/e: (qyi) 1rg-/~F;-
(MAH 1 rmff AM3)
STATUS REPORT UNDER RULE 6.12
Name of Decedentl_~ m. J.."N[)~AJ
Date of Deathl fr1~ IJ\ \qqt
Will No.
Admin. NO.-.JjCJ~~ (JO'~ &,
Pursuant to Rule
Court Rules, I report the
the administration of the
6.12 of the Supreme Court Orphans'
following with respect to completion of
above-captioned estate I
1.
State whether adm~istration of the estate is complete I
Yes No V'
2. If the answer is No,
representat~e p~as~nabIY believes
complete I e, lli
3. I f the answer to No.
state when the personal
that the administration will be
I is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes No
b. The separate Orphans' Court No. (if any) for
the personal representative/s account iSI
c. Did the personal representative state an
account informally to the parties in interest? Yes_____ No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel~J~-,q~
~~~~~~
Signature
_!lOI.1.J(t1IUJ T ~i)tJ O:sfl.'/
Name (Please type or print)
~ LJ t){I(/(Yl~..t ~b", fA-hnO fll'l../-, /1,
Address I
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(~11) '131~5~8'7
Te I, No.
Capac i t Y I Y Persona I Representa t i ve
(MAHlrmf/AM3)
Counsel for personal
representati ve
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