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HomeMy WebLinkAbout07-16-13 Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Lorraine A. Goforth Date of Death: ��22��011 File Number: �1-11-01039 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 0 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 �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. oQ1e July 16, 2013 �-- � � Signature of Person Filing this Form C=a r,.=, '"�' a��, ---� �� Capacity: �Personal Representative �Counsel �6 . r �'� (,ti = ��. �` Karl E. Rominger, Esquire � '� � '� -::7 c�' Name of Person Filing this Form ��' a � � �.. �:.) ,r,,) �;�� ��� ��.. � �..� 155 South Hanover Street �� <�;y ,r.�;3 � �- C�} � Address �t./ �� �. �, a� Carlisle,PA 17013 � � � � m� '., o � 717-241-6070 — ,'� Telephone � v FormRW-!0 rer. 10.L3.06 INFORMAL FINAL ACCOUNTING FO���� ��, , ,.� ,_.t�,�° �r ESTATE OF LORRAINE A. GOFORTH���'" �-�� �� ��.7, '_� File No.21-11-1039 '!��3 �l�� � �� ;; �.;1 - CLE���� �;= ASSETS: V(I��H�t7� (`a�.�il� � cur���Ri�r��i c�, � Pinnacle Health System 1,92�.'�� Addus HealthCare refund 132.00 L.B. Smith refund 14:15 Social Security 6 420.00 � U.S. Treasury 45.00 Proceeds from sale of automobile 23,500.00 Members First accounts 92,292.58 Interest deposits - 171.70 TOTAL ASSETS $124,501.18 REAL ESTATE: Proceeds from sale of Mobile Home 12,000.00 - TOTAL FROM SALE $12,000.00 FUNERAL EXPENSES AND ADMINISTRATION COSTS: Advertising Cumberland Law Journal 75.00 Tax Claim Bureau, real estate tax lien 100.58 County Taxes 111.89 Appraisal 250.00 Orrstown Bank, chargeback fees 48.00 Donald Liddick, upkeep and maintain property 300.00 Premier Eye Care 15.00 Zlotoff, Gilfert & Gold 18.00 Nephrology Associates 14.82 Attorney's Fees 3 000.00 � Probate Fees—Register of Wills 358.50 Pennsylvania lnheritance Tax 15.325.02 TOTAL EXPENSE & COSTS $19,616.81 . >.��., � ��i i U t�l'i ,� �'� . . V�ir1\� �F . . V('Lp���IHI��Vf �..eiJ�i��VT VUf�7�7�(1�� '��: ��r�,� I�jr`�"i FINAL RELEASE IN ESTATE OF LORRAINE A. GOFORTH (File No. 21-11-1039) I, DONALD LIDDICK, hereby acknowledge that I have this day had and received from the personal representative and from the Rominger&Associates Law Office, legal counsel for the Estate of Lorraine A. Goforth, deceased, the final sum of Thirty-five Thousand Seven Hundred Sixty-Three and 53/100 Dollars ($35,763.53) in full satisfaction and payment of my share in the Estate. AND THEREFORE, I, by these presents remise, release, quit claim, and forever discharge the said personal representative and attorney, their heirs, executors and administrators, of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatever, from the beginning of the world to the day of the date of these presents. And I hereby consent and agree that the Orphans Court of Cumberland County may discharge the executor and legal counsel as to this share upon application, without further notice to me. IN WITNESS WHEREOF, I have hereunto set my hand and seal the � day of � , 2013. � � ���11 �.��� COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) On this, the�_�day of � , 2013, before me a notary public, the undersigned officer, personally appeared Donald Liddick, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Affidavit, and acknowledged that he executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. C' 13� Notary Publi�M � �pEN S LVANIA Notarlal Seal Susan K.Guyer,Notary PubHc Carlisle Boro,Cumberland Counry MY Commissior►Expires 4 7A15 MEMBER,PENNSVLVANIA ASSOC►ATT(�N t��Ci����"��:� ���`;:d�;C t3� FINALRELEASE ,��,���;:;�' ;�s; ��- �U'ea,: E�� iN :�'±��3 (�i�� � �'i1 � G9 ESTATE OF LORRAINE A. GOFORTH �����i; �l;' (File No. 21-11-1039) fl re'a r-�"1'��'� �.�-��-'�� � CU��$ER��.��C �'��., �'� I, WAYNE LIDDICK, hereby acknowledge that I have this day had and received from the personal representative and from the Rominger&Associates Law Office, legal counsel far the Estate of Lorraine A. Goforth, deceased, the final sum of Thirty-five Thousand Seven Hundred Sixty-Three and 53/100 Dollars ($35,763.53) in full satisfaction and payment of my share in the Estate. AND THEREFORE, I, by these presents remise, release, quit claim, and forever discharge the said personal representative and attorney, their heirs, executors and administrators, of and from all actions, suits,payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatever, from the beginning of the world to the day of the date of these presents. And I hereby consent and agree that the Orphans Court of Cumberland County may discharge the executor and legal counsel as to this share upon application, without further notice to me. IN WITNESS WHEREOF, I have hereunto set my hand and seal the j`�� `�day of Fi=��Z J�� � 2013. ���/r-cc-- �v��c�-c�[ � COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF.� - k�i k-�\1 ) On this, the 1Li`�\"' day of��5�-l.�,a._C-� , 2013, before me a notary public; the undersigned officer, personally appeared Wayne Liddick, known to me(or satisfactorily proven) to be the person whose name is subscribed to the within Affidavit, and acknowledged that he executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. , `�-�.�~�--� Notar TM pp pENNSYLVANIA� ��o�������°:���? ���Q���y����s� .. Notarial Seal i Use C.VaBnsky,Notary Public ���d9�i�'�t� ��_��t�+��-_._ WestMahanoyTwP•,SchuyiklllCounty NN Commisslon Euplres Sept.8,2016 MEMBER,pEqNSYLyqNLq qS�pqA.Rp�,�p�NOTARIES . � From:Aaminget & Ass�ciates 717241687$ Q4/26l2013 15:05 #677 P.002I003 o�v�r��' ��? ;?�i=34:� (}�" ����=`��a�"���� i3 i �%��'..�� ,: 'i?I3 i�lt�`� $ Pi`�3 � C�� FINAL RELEASE �`�"��'� �`'� TN C+�i,'i°����$�' ���L�F�� ESTAT�UF LORRAINE A. +GUFO��$�R�-.���� �'�., �� (Fele No.21-ll-1Q39) I, I�AVID LIDDICK,hereby acknowledge that I have this day had and received froin the persanal representativ�and from the Rominger&Associates Law Qffice,legal counsel for the Estate of Lorraine A. Goforth,deceased,the final srim of Thirty-five Thousand Seven Huz�dred Sixty-Thi�ee and 53/l00�nllars{$35,763.53} 'rn fiill satisfaction and payment af rny share in#he Estate. A�D THEREFORE, I,by these presents remise, rel�ase, quit cla�m, and fcsrever discharge the saici personal representa#'rve and attorney,their heizs, executars and adrninistrators, af and frozn all actions, suits,payments, accounts,reckanings, claims and demands whatsoever, for ar by reason thexeof, or any other act,matter, cause ar thing whatever, from the beginning af the world to the day of the date of these presents. And I hereby consent and agree that the C7rphans Court of Curnberla��d County may discharge the executor and Iegal counsel as to this sllare upon application,without further r�otice to me. IN V'VITNESS WHEREOF,i�ave hereunto set i�ny hand and seal the�' ` day of ��,2413. " ��.�� David Liddick CC?MMC?NWEALTH C}F 1'ENNSY�,VANIA } a 5S: COUNTY OF CUMBERLAND ) On this,the . � day of 1�1 ,2013,befare m�a notary publie, the undersigrxed of�cer,personally appeared avid Liddick, know�l to me(or satisfactorily proven}to be the person wh;ase name is subscribed#o#he within Affidavit,atad acknowledged thafi he executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official sea1. �j �j r �� '/' � 4 J C�MM!'� .-� . - . . ; � otaly Pub ic N� . . . . _ i Lori A � .. � Lower �� _ �,� MY C4h ',�� : : . .� , . , - =�