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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ELIZABETH A. MICKEY
N0.21-10-0865
RECEIPT RELEASE & INFORMAL ACCOUNTING
Date of Death: March 6, 2006
Accounting Period: February 14, 2011
To: January 5, 2012
Gross Estate: $ 10,916.11
PRINCIPAL ACCOUNT
M&T Bank, checking account #62622668 $
M&T Bank, checking account #66586240
TOTAL PRINCIPAL
10,001.06
915.05
$ 10,916.11
DISBURSEMENTS
Register of Wills, Short Certificate $
Register of Wills, copy of Certification of Notice
Gingrich Smith Klingensmith & Dolan, attorney fees
Register of Wills, filing fee, Supplemental Tax Return & Inventory
To be paid, Register of Wills, filing fee, Informal Accounting
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TOTAL DISBURSEMENTS
$
1
4.00
.50
750.00
30.00
15.00
799.50
ADVANCE DISTRIBUTIONS
02/14/2011 TO: Britt M. Opperman -cash advance
02/14/2011 TO: Ariel Mickey -cash advance
TOTAL ADVANCE DISTRIBUTIONS
SUMMARY
PRINCIPAL RECEIPTS
DISTRIBUTIONS
DISBURSEMENTS
BALANCE ON HAND FOR DISTRIBUTION
2
$ 5,058,30
5.058.31
$ 10,116.61
+ 10,916.11
- 10,116.61
- 799.50
$ -0-
Britt M. Opperman, Administratrix of the Estate of Elizabeth A. Mickey, hereby
declares under oath (penalties of perjury) that she has fully and faithfully discharged the duties of
his office; that the foregoing Proposed Distribution is true and correct and fully discloses all
significant transactions occurring during the accounting period; that all claims against the estate
have been paid in full; that, to his knowledge, there are no claims now outstanding against the
estate; and that all taxes due from the estate have been paid.
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Britt M. Opperman
Subscribed and sworn to by BRITT M. OPPERMAN before me this ~' day of
2012.
~OTARY PUBLIC
C MONWEALTN S?P PFhtN~Y"LVA4VOA
NOTARIAL SEAL
DEBORAH J. KLIM, Notary Public
Eliz~etl~orm Boro., Lancaster County
Connrieebn Expires September 24, 2012
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RECEIPT RELEASE REFUNDING AND INDEMNIFICATION AGREEMENT
The undersigned, BRITT M. OPPERMAN, a residuary beneficiary of the Estate of
Elizabeth A. Mickey, does hereby:
Acknowledge that she has examined and approved the attached Account and Release and
Distribution;
Acknowledges that he waives the filing of an Account in any Court;
Agree to indemnify and hold harmless, KEVIN D. DOLAN, ESQ., and GINGRICH,
SMITH, KLINGENSMITH & DOLAN, attorneys, of and from any claims including tax claims
or demands ever made against him and his law firm by any heirs in the estate.
Declares that this instrument shall be legally binding upon him, his personal
representative, successors and assigns.
SIGNED this ~ day of J c , 2~~~~~`"
BRITT 1 . OPP AN
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RECEIPT RELEASE, REFUNDING AND INDEMNIFICATION AGREEMENT
The undersigned, ARIEL MICKEY, a residuary beneficiary of the Estate of Elizabeth A.
Mickey, does hereby:
Acknowledge that she has examined and approved the attached Account and Release and
Distribution;
Acknowledges that he waives the filing of an Account in any Court;
Agree to indemnify and hold harmless, KEVIN D. DOLAN, ESQ., and GINGRICH,
SMITH, KLINGENSMITH & DOLAN, attorneys, of and from any claims including tax claims
or demands ever made against him and his law firm by any heirs in the estate.
Declares that this instrument shall be legally binding upon him, his personal
representative, successors and assigns.
SIGNED this ~ day of ~a~J~,r , 2012.
~1N
A121EL MICKEY
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