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Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Name of Decedent: FLORENCE J. GORDON
Date of Death: 7/23/2005 File Number: 21 05 00916
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete: ........................ ^X Yes ^ No
2. If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
3. If the answer to No. 1 is YES, state the following:
a. Did the personal representative file a final account with the Court?......... ^ Yes
b. The separate Orphans' Court No. (if any) for the personal
representative's account. is:
0 No
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 Clerk of the Orphans' Court and may be attached to this report.
Date: 7/24/2012 ~ ,
Signature of Person Filing this F
Capacity: ^ Personal Representative ~ Counsel
Mark A. Mateva Esquire
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Name of Person Filing this Form
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Form RW-] 0 .
`rev. 10.13.06
RECEIPT RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon of 111 Maple Drive, Mechanicsburg, Pennsylvania, being the son
of Florence J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have
received a partial distributive share of her Estate.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have
or ma~~ in the future have against the Estate and Executor, whether due to negligence or
~~th~r~~ ise. ~~~hich I may have by reason of administration of the Estate.
I, in consideration of the promise of the other beneficiaries, do hereby agree to
refund to the Estate on a pro rata basis any amount which may be necessary in the future to
discharge any obligations and liabilities of the Estate of which I may hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate
proceedings.
IN WITNESS WHE~;F~F, and ' ending to be legally bound hereby, I have
hereunto set my hand and seal this i~~jCC day of ~ 2009.
_C~~ ,
,` ~~~~`~~ Adam Gordon
RECEIPT, RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of 111 Maple Drive, Mechanicsburg, PA, being the son of
Florence J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have received a
partial distributive share of her Estate in an amount of $1,500.00, which will be reflected in the
informal account for Adam Gordon, as Executor of the Estate of Florence J. Gordon.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have
or may in the future have against the Estate and Executor, whether due to negligence or
otherwise, which I may have by reason of administration of the Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities of the Estate of which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate
proceedings.
IN WITNESS WHEREQF, and intending to be legally bound hereby, I have
hereunto set my hand and seal this ~ y~~ day of ~'r/1 a~---v~•• , 2009.
.-
~~ ~
Witness Adam Gordon
RECEIPT, RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon of 111 Maple Drive, Mechanicsburg, Pennsylvania, being the son
of Florence J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have
received a partial distributive share of her Estate.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have
or may in the future have against the Estate and Executor, whether due to negligence or
otherwise, which I may have by reason of administration of the Estate.
I, in consideration of the promise of the other beneficiaries, do hereby agree to
refund to the Estate on a pro rata basis any amount which may be necessary in the future to
discharge any obligations and liabilities of the Estate of which I may hereafter receive notice.
Presently there is a balance of $1,468.92. There are presently unpaid invoices in
the amount of $849.84. As Executor, I am requesting an early distribution in the amount of
$1,300.00, leaving a balance of $168.92 in the estate checking account. Based on the current
balance in the account, Attorney Mateya would prefer not to make this distribution but at the
Executor's insistence is willing to do so.
I consent to the recording and indexing of this Agreement in the estate
proceedings.
IN WITNESS WHEREOF, and intendin to legally bound hereby, I have
hereunto set my hand and seal this ~_ day of ~ 2009.
Witness d Gordon
RECEIPT, RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of 111 Maple Drive, Mechanicsburg, PA, being the son of
Florence J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have received a
partial distributive share of her Estate in an amount of $7,823.34, which will be reflected in the
informal account for Adam Gordon, as Executor of the Estate of Florence J. Gordon.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have
or may in the future have against the Estate and Executor, whether due to negligence or
otherwise, which I may have by reason of administration of the Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities of the Estate of which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate
proceedings.
IN WITNESS WHER F, and i ending to be legally bound hereby, I have
hereunto set my hand and seal this ~~Pday of 2009.
Witness Adam Gordon
RECEIPT. RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of 111 Maple Drive, Mechanicsburg, PA, being the son of
Florence J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have received a
partial distributive share of her Estate on October 19, 2009, in an amount of $5,629.09, which
will be reflected in the informal account for Adam Gordon, as Executor of the Estate of Florence
J. Gordon.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have
or may in the future have against the Estate and Executor, whether due to negligence or
otherwise, which I may have by reason of administration of the Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities of the Estate of which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate
proceedings.
IN WITNESS WHEREOF, and intending to be legally bound hereby, I have
hereunto set my hand and seal this ~_ day of ~>~ _ ~ ~
2009. '
Witness Adam Gordon
~~~ ~ ,~;_
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~~,..._
RECEIPT RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of 111 Maple Drive, Mechanicsburg, PA, being the son of
Florence J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have received a
partial distributive share of her Estate on October 26, 2009, in an amount of $600.00, which will be
reflected in the informal account for Adam Gordon, as Executor of the Estate of Florence J.
Gordon.
I acknowledge that there is presently an outstanding unpaid balance of $849.84
owed to three (;) creditors of the Estate and further acknowledge that I am taking the $600.00
distribution1against the advice of Mateya Law Firm which leaves insufficient funds in the Estate
account to satisfy the balance owed to creditors in the amount of $849.84. I hereby absolutely
release and discharge Adam Gordon, Executor of the Estate of Florence J. Gordon and Mateya
Law Firm of and from a~iy and all claims and rights I now have or may in the future have against
the Estate and Executor, whether due to negligence or otherwise, which I may have by reason of
administration ofthe Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities o1'the Estate of which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate proceedings.
IN WITNESS WHEREOF d
an ~ntendmg to be legally bound hereby, I have
hereunto set my hand and seal this ~_ day of _ ~. ~~~ d
2.00 9.
~_
Witness
~,~~~
Adam Gordon
RECEIPT RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon. Deceased ("Estate")
I, Adam Gordon, of 1 1 1 Maple Drive, Mechanicsburg. PA, being the son of
Florence .I. Gordon, and a benet7ciary of her estate, do hereby acknowledge that I have received a
partial distributive share of her Estate on .ianuary l 3, 2010, in an amou~~t of $7,823.34, which will
be reflected in the informal account far Adam Gordon, as Executor of the Estate of Florence .I.
Gordon.
I hereby ElbtiOlUlell' release and discharge Adam (Jordon, Ixecutor ofthc l~state of
Florence .I. Gordon and Mateya I,aw Firm ol~and from any and all claims and rights I now have or
may in the future have against the Estate and Executor, whether due to negligence or otherwise,
which I may have by reason of administration of the Estate.
I do hereby agree to refined to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities oI'the Estate oi'which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate proceedings.
IN WITNESS WHERE F, and intend' g to be legally bound hereby, I have
hereunto set my hand and seal this ~~~ day of
2010.
~~
Witness Adam Gordon
RECEIPT, RELEASE AND REFUNDING BONll
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of 1 I 1 Maple Drive, Mechanicsburg, PA, being the son of
Florence J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have received a
partial distributive share of her Estate on January 13, 2010, in an amount of $7,823.34, which will
he reflected in the informal account for Adam Gordon, as Executor of the Estate of Florence J.
Gordon.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
1=lorence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have or
may in the future have against the Estate and Executor, whether due to negligence or otherwise,
which I may have by reason of administration of the Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities oI~ the Estate of which I may
hereafter receive notice.
1 consent to the recording and indexing of this Agreement in the estate proceedings.
IN WITNESS WHEREOF, and intending to be legally bound hereby, I have
hereunto set my hand and seal this I'L- day of 4~,~c-(
2010.
Witness Adam Gordon
FILE COPY
RECEIPT, RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of ,Mechanicsburg, PA, being the son of Florence J. Gordon, and
a beneficiary of her estate, do hereby acknowledge that I have received a partial distributive share
of her Estate on July23, 2010, in an amount of $7,823.34, which will be reflected in the informal
account for Adam Gordon, as Executor of the Estate of Florence J. Gordon.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have or
may in the future have against the Estate and Executor, whether due to negligence or otherwise,
which I may have by reason of administration of the Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities of the Estate of which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate proceedings.
IN WITNESS WHEREOF and intending to be legally bound hereby, I have
hereunto set my hand and seal this ~ day of
2010.
Witness Adam rdon
RECEIPT. RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of ,Mechanicsburg, PA, being the son of Florence J. Gordon, and
a beneficiary of her estate, do hereby acknowledge that I have received a partial distributive share
of her Estate on October 18, 2010, in the amount of $7,823.34, which will be reflected in the
informal account for Adam Gordon, as Executor of the Estate of Florence J. Gordon.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have or
may in the future have against the Estate and Executor, whether due to negligence or otherwise,
which I may have by reason of administration of the Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities of the Estate of which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate proceedings.
IN WITNESS WHEREOF, and intending to be legally bound hereby, I have
hereunto set my hand and seal this ~ day of ` ~~~~., .~ GT~,
2010.
4V
~, ,--~_
Witness Adam Gordon
RECEIPT, RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of P.O. Box 602, New Kingstown, PA, being the son of Florence
J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have received a partial
distributive share of her Estate on April 13, 2011, in an amount of $7,857.00, which will be
reflected in the informal account for Adam Gordon, as Executor of the Estate of Florence J.
Gordon.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have or
may in the future have against the Estate and Executor, whether due to negligence or otherwise,
which I may have by reason of administration of the Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities of the Estate of which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate proceedings.
IN WITNESS WHEREOF, and intending to be legally bound hereby, I have
hereunto set my hand and seal this ~ day of
2011.
~~
Witness
Ad Gordon
RECEIPT, RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of P.O. Box 602, New Kingstown, PA, being the son of Florence
J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have received a partial
distributive share of her Estate on January 13, 2010, in an amount of $7,950.00, which will be
reflected in the informal account for Adam Gordon, as Executor of the Estate of Florence J.
Gordon.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have or
may in the future have against the Estate and Executor, whether due to negligence or otherwise,
which I may have by reason of administration of the Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities of the Estate of which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate proceedings.
IN WITNESS WHEREQF, and intending to be legally bound hereby, I have
hereunto set my hand and seal this c( -(L~`~` day of '.,...~,-~..,.
2011. '
.,
~. f ~ ~~ z..~-
Witness Adam Gordon
RECEIPT, RELEASE AND REFUNDING BOND
IN RE: Estate of Florence J. Gordon, Deceased ("Estate")
I, Adam Gordon, of P.O. Box 602, New Kingstown, PA, being the son of Florence
J. Gordon, and a beneficiary of her estate, do hereby acknowledge that I have received a partial
distributive share of her Estate on July 11, 2011, in an amount of $7,823.37, which will be
reflected in the informal account for Adam Gordon, as Executor of the Estate of Florence J.
Gordon.
I hereby absolutely release and discharge Adam Gordon, Executor of the Estate of
Florence J. Gordon and Mateya Law Firm of and from any and all claims and rights I now have or
may in the future have against the Estate and Executor, whether due to negligence or otherwise,
which I may have by reason of administration of the Estate.
I do hereby agree to refund to the Estate on a pro rata basis any amount which may
be necessary in the future to discharge any obligations and liabilities of the Estate of which I may
hereafter receive notice.
I consent to the recording and indexing of this Agreement in the estate proceedings.
IN WITNESS WHEREOF, and intending to be legally bound hereby, I have
hereunto set my hand and seal this l~ day of J ~ ~,,
2011. '
,.
Witness
am Gordon