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HomeMy WebLinkAbout12-06-12 PA O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUI''I ~Lh1-N'r~ COUNTY, PENNSYLVANIA Name of Decendent: i4(~STI ~ ~~ ~~ ~',}~~7'y Date of Death: ~ - 9 - ~ 2, File Number: p2.) - ~ Z - (,c~Qr~ 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 ersonal re resentative file a final account with the Court? .... ^ Yes CJ No P P b. The sepazate 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? ............................. L~Yes ^ No d. Copies of receipts, releases, joinders and approvals of formal or informal account }- ( s be filed with the Clerk of the Orphans G~urt~~nd nza3~-be^~tached to this report. Date '~t ~ V~ d-~ ~'Z~ J Sign re of P on Filing this Form Capacity. Personal Representative Counsel ~` ° a o cn in cz.. ~;,: =^~ ~-- s.~•- ~ o Name of Person Filing this Form (t U ®o ~" ~vo P3~ U M~c_-r S~~T , ~~~ ~ ~ ~ '~ LL) W ~ 'Q Address ~`,~, +~- --~ a o`'c '~l C 170-3 L3C ~ y V Q W t. , w w ~ o ~ -717` : ~ 19- o~ f 3 ~ ~ ~ V Telephone RECEIPT AND RELEASE I, ARLENE B. DOUGHERTY, Executrix of the Estate of AUSTIN C. DOUGHERTY, of 218 Bailey Street, New Cumberland, PA, and the sole heir of the Estate, do hereby acknowledge that I have on this 30th day of October, 2012, received all of the net assets, in money and in kind, as final distribution to the Estate of Austin C. Dougherty of the net assets of the Estate of John J. Dougherty; that I have examined an informal accounting of the Estate and find it true and correct and I accept it in lieu of a formal adjudication; that I am satisfied that the total distributions to the Estate of Austin C. Dougherty were complete, accurate, and correct; and, therefore, I do hereby release, quit-claim, and forever discharge said Executrix individually and as a representative of the Estate, and Albert J. Hajjar, the Attorney for the Estate, of and from any liability or actions pertaining to the Estate. IN WITNESS WHEREOF, I set my hand and seal hereto on this day. ~~,~_ ~~-