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HomeMy WebLinkAbout10-23-12 Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WII,LS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: William F. Mentzer. Sr. Date of Death: 3/5/2011 File Number: 21 11 00338 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 : ........................ ®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 ^X No b. The separate Orphans' Court No. (if any) for the personal representative's account is: 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: 10/23/2012 Signature of Person Filing this Form Capacity: ^ Personal Representative ~ Counsel `' a o u. "' ~_.~ Donna L. Godfrey. E~uire ~ c~ t =' u~ ~~ ~Q Name of Person Filing this Form -,.;_. ~ `.:'.~°0 1122 Fleetwood Drive ~ ~.- ("') '_ ~~ ~ address } ~ r i _7~w Carlisle PA 17013 o ©~ 7174227865 L.~ (,) Telephone c c-~ ~+ Form RW-10 rev. 10.73.06 Approval of Account, Release and Indemnification TSE undersigned is one ofthe legatees named is the Last Will and Tit of William F. Mentzer, Sr., and desires that the Estate be distnbuted without the formality of a court accounting. THE Executrix of the Estate is willing to consent to sash distn'bution upon receipt of a proper release and indemnification, which it is the purpose of this doc~mnent bo provide. In consideration of the willingness of the Executrix to distribute and ternninate the Estate in accordance with the terms of the Last Will and Tint without the protection afforded her by a formal adjudication of her account, the undersigned beceficiary does hezeby: 1. Acknowledge that I am familiar with the provisions of the Will of decedent; 2. Waive the filing of a formal acco~mt of the administration of this estate; 3. Declare that I have examined the First and Final Aoco~mt of the administration of this estate and approve it with the same force and effect as if it had been prepared and duly filed with, audited and adjudic~bed by the Orphans Court. 4. Absolutely and irrevocably release and disc~e the Executrix aad the legal counsel for the Estate from any and all actions, suits, paymonts, aocownts~, reckonings, claims and demands whatsoever, for or by reason thereof; 5. Agree to nrfimd to the Eacecutriac such part or all of the distn'butive share which at any time may be determined to have been an eirocteous distribution, regardless of the cause of such error, 6. Agree to indemnify and hold harmless the Executrix and legal counsel from any liability, loss or expense,. arising from any cause whatsoever, which may be incurred by the Executrix as a result of the administration of this Estate or distn'bution in accordance with this agn~ent including, but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other taxes relating in any way to the estate; 7. Agree that this agreement shall be governed by the laws of the Commonwealth of Pennsylvania. I1V WITNESS WHEREOF, I have here~mto set my hand and seal the~~ day oi' ~' 2012. Witness: ~,~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ~~~ Dorothea S. Adams SS On this, the ~~ day of 2012, before me, the undersigned oil, personally appeared Dorothea S. Adams, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instnunent, and acknowledged that she executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. (SF.~lL) ' J Notary Ptr~ic MONWEILLT V NIA NOTARIAL SEAL KATHY A. ~RKETT, Nof~r Pt~lic S. Middleton'IVYp., Cumberland Co~»y My Commission Expires May 23, 2016 Approval of Account, Release and Indemnification THE undersigned is one of dre legatees named in the Last Will and Testament of William F. Mentzer, Sr., and desires that the Estate be distributed without the formality of a court accounting. THE Executrix of the Estate is willing m consent to such distrr-Mrtion upon receipt of a proper release and indemaific~tion, which it is the propose of this document to provide. In consideration of the willingness of the Executrix to distribute and terirtinaLe the Estate in accordance with the terms of the Last Will and Testament without the protection atForded her by a formal adjudication of her acxount, the undersigned beneficiary does hereby: 1. Acknowledge that I am familiar with the provisions of the Will of dooodertt; 2. Waive the filing of a formal aooourlt of the administration of this estate; 3. Declare that I have examined the First sad Final Accotmt of the administration of this estate aml approve it with the same force and effect as if it had been prepared and duly filed with, audited and adjudicated by the Orphans Court. 4. Absolutely and irrevocably release and discharge the Executrix and the legal counsel for the Estate fi+~ any and alI actions, suits, payments, accounts, reckonings, claims and demands ate, for or by reason thoreoi", 5. Agree to refund fb the Executrix such part or all of the distributive share which at any time may be determined to have been an erroneous distribution, regardless of the cause of such error, 6. Agree to indemnify and hold harmless the Executrix and legal counsel from any liability, loss or expense, arising from any c~uuse whatsoever, which may be incurred by the Executrix as a resole of the administration of this Estate or distribution in accordance with this agreement inchiiding, but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other taxes relating in any way to the estate; 7. Agree that this agreement shall be governed by the laws of the Commonwealth of Pennsylvania. IN WITNESS WHEREOF, I have hereunto set my hand and seal the~L day of 2012. Witness: ~~..~- (SEAL> eremiis6 L. Mee ~ r COMMONWEALTH OF PENNSYLVANIA COUNTY OF CtrMSExLANn ss /~1eG,~Ian~CS~~ On this, the mil` !~ day of ~j 2012, before me, the undersigned office, personally appeared Jea+entiah L. Mentzer, to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. Common-~iiv '"earth o ~Q.~ ~~P~it. (t. (SEAL) NOTARIAL SEAL Panrin M. Mehrtash, Notary Pubic NOtR~y Prrbl3c Upper Allen Twp., Cumberland County My Commission Expires March 07, 2016 In witness whereof, I hereunto set my hand and o C j~iel Approval of Account Release and Indemnification THE undersigned is one of the Legatees named in the Last Will and Tit of Witham F. Mentzer, Sr., and desires that the Estate be distn'buted without the formality of a court accounting. THE Executrix of the Estate is willing to consent to such distn'bution upon receipt of a proper release and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Executrix to distribute and terminate the Estate in accordance with the terms of the Last Will and Testament widi<ocrt the protection afforded her by a formal adjudication of her account, the undersigned beneficiary does hereby: 1. Acknowledge that I am familiar with the provisions of die Will of dooedeat; 2. Waive the filing of a formal account of the administration of this estate; 3. Declare that I have examined the Firms and Final Account of the administration of this estate and approve it with the same force and effect as if it had been prepared and duly filed with, auditod and adjudic~od by the Orphans Court 4. Absolutely and irrevocably release and discharge the Executrix and the legal counsel for the Estate fmm any and all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereo; 5. Agree to refund to the Executrix such part or all of the distn'butive share which at any time may be determined to have been an erroneous distn~bution, regardless of the cause of such error, 6. Agree to indemnify and hold harmless the Executrix and legal counsel from any liability, loss or expense, arising from any cause whatsoever, which may be incurred by the Executrix as a result of the administration of this Estate or distribution in accordance with this agreement including, but not limitod tq any liability for any federal estate tax, Pennsylvania inheritance tax or aay other taxes relating in any way to the estate; 7. Agree that this agreement shall be governed by the laws of the Commonwealth of Pennsylvania. IN IYITNF.SS WHE1tEOF, I have hereunto set my hand and seal the ~L day of 2012. w: COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ~~ ~ ~~~ eremnt6 L. Mm er . ss /f'fB~aniCSl~u~ On this, the ~11~ day ofk~~R~~.US ~._, 20i2, before me, the undersigned officer, peisonallY appeared Jeremiah L. Mentzer, to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the pwposes therein contained. In witness whereof, I hereunto set my hand and~~~c((i ~f /~ _ Common Weal 1Q i--.- /~=! ~~~ [~M~ (SQL) NoTAaIAi sEnt. Nom, Pwblic Parvin M. Mehrtash, Notary Public Upper Allen Twp., Cumberland County My Commission Facpires March 07, 2046 Approval of Account, Release and Indemnification THE undersigned is one of the legatees named in the Last Will and Testament of William F. Mentzer, Sr., and desires that the Estate be distributed without the formality of a court accounting. THE Executrix of the Estate is willing to consent to such distn'bution upon receipt of a proper release and indemnification, which it is the purpose of this doctmmnt m provide. In consideration of the willingness of the Executrix to distribute and terminate the Estate in accordance with the terms of the Last Will and Testament without the won afforded her by a formal adjudication of her account, the undersigned beneficiary does hereby: 1. Acknowledge that I am familiar with the provisions of the Will of deced~t; 2. Waive the filing of a formal acxouunt of the administration of this estate; 3. Declare that I have examined the First a~ Final Account of the administration of this estate and approve it with the same force and effect as if it had been prepared and duly filed with, audited and adjudicated by the Orphans Court. 4. Absolutely and irrevocably release and discharge the Executrix and the legal counsel for the Estate from any and all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof; 5. Agree to refired to the Executrix such pert of all of the dista'butive share which at any time may be determined to have been an erroneous distribution, regardless of the cause of such error, 6. Agree m indemnify and hold harmless the Executrix and legal counsel from any liability, loss or expose, arising from any cause whatsoever, which may be incurred by the Executrix as a result of the admini.4hxtion of this Estate or distribution in accordance with this agreement includmg, but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other taxes relating in any way to the estate; 7. Agree that this agteemart shall be governed by the laws of the Commonwealth of Pennsylvania. I1V A~P~'1VESS WHEREOF, I have hereunto set my hand and seal the ~ day of 2012. Witsess: G/ ° ~ ,,. COMMONWEALTH OF Pt:NNSYLVANIA COUNTY OF ~ p ~(~,[j ~~) Schroeder SS On this, the ay of usCr 2012, before me, the undersigned officer, personally appeared Cristine Schroeder, known to me (or satisfactorily proven) do be the person whose name is subscribed m the within instrument, and acknowledged that she executed the same for the purposes therein contained. In witness whereof; I hereunto set my hand and official seal. ~'~ f/ Notary P~~uni of pewrsnv~ NohrYlSeM ~, w~ aann~on c.c~is ~o~ Approval of Account, Release and Indemnification THE undersigned is one of the legatees named in the Last Will and Testament of William F. Mentzer, Sr., and desires that the Estate be distributed without the formality of a court acco~mting. THE Executrix of the Estate is willing to consent ~ such distribution upon receipt of a proper release and indemnification, which it is the purpose of this document to provide. In consideuation of the willingness of the Executrix to distribute and terminate the Estate in accordance with the terms of the Last Will and Testament without the protection afforded her by a formal adjudication of her account, the undersigned beneficiary does hereby: 1. Acknowledge that I am familiar with the provisions of the Will of decedent; 2. Waive the filing of a formal acxoumt of the administration of this estate; 3. Declare that I have examined the First and Final Acco~mt of the administration of this estate and approve it with the same force and e~ct as if it had been prepared and duly filed with, audibod and adjudicated by the Orphans Court 4. Absoluutely and irrevocably release and discharge the Executrix sad the Iegal counsel for the Estate fi+om any and all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason theroot; 5. Agree to refund to the Executrix such part or all of the distru'butive share which at any time may be determined to have been an erroneous distn'bution, regardless of the cause of such error, 6. Agree to indemnify and hold harmless the Executrix and legal counsel from any liability, loss or expense, arising from any cause whatsoever, which may be incurred by the Executrix as a result of the adminishation of this Estate or distribution in accordance with this agreement including, but not limited to, any liability for any federal estate tax, Pennsylvania uiheritence tax or any other taxes relating in any way to the estate; 7. Agree that this agreement shall be governed by the laws of the Commonwealth of Pennsylvania. IN WITNE.~S N'HEBEOF, I have hereum~to set my hand and seal the 15'~'day of 2022. Witiress: ,. COMMONWEALTH OF PENNSYLVANIA COUNTY OF L'~-uPhah William F: Mentze , Jr. SS On this, the ~~' day of ~~u-S~C' , 2012, before me, the undersigned officer, personally appeared William F. Mentrrer, Jr., known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed flue same for the puuposes therein contained. In witness whereof, I hereunto set my hand and offic~i jal ~se~al. _~.~ wr ~ ~~~ . Nosrtry aow~ N.trt of atwNSnv~rw- Nafedai seat - Cber„ M. LOIg„ Notary R~bMc uV d M~Ybu9. Only Ca~wdlMOn ~ Ia16 Mme. PaMIS7lYAiK11 A1rrOCIM10N Gf NO?ARalS