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HomeMy WebLinkAbout07-25-13 Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Lois G. Jasek Date of Death: June 28, 2007 File Number:2107-0707 Pursuant to Pa. O.C. Rule 6.12, 1 report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . . . O 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 ®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 O 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'm be a c ed tot i re ort. pare July 24, 2013 I $i more ofPerso ing[his Form N 0_ Capacity: 0 ersonaI R presentative ®Counsel to Richard L.Placey Name of Person Filing this Form 3621 North Front Street Address or Harrisburg,PA 17110 U = o m (717)236-9577 Wr� L Telephone Form RW-10 rev. 10.13.06 J y ' a. 1 . . . W F - � :. \ _ . . IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS OF LOIS G. JASEK, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION APPROVAL OF ACCOUNT, RELEASE AND INDEMNIFICATION ESTATE OF LOIS G. JASEK,DECEASED The undersigned is one of the residuary beneficiaries of the Estate of Lois G. Jasek, Deceased. John A. Plesic, Executor of the Estate of Lois G. Jasek (hereinafter"Personal Representative"), is willing to make distribution of the assets of the estate without the formality of a court accounting upon the receipt of a proper release, receipt and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Personal Representative to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned does hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal Statement of Account of the Personal Representative; accepts and approves it with the same force and effect as if it had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awarded by the court in accordance with the Statement; 3. Warrant that the undersigned is one of the residuary beneficiaries named in the informal Statement of Account and is entitled to receive the distribution therein set forth; x_ . cy i I a 4. Absolutely and irrevocably releases and discharges the estate, the Personal Representative, his respective heirs, personal representatives, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the estate and distribution in accordance with the informal Statement of Account; and 5. Agrees to indemnify and hold harmless the Personal Representative and his personal representatives heirs, successors and assigns, from and against any claims, liabilities, loss or expenses (including costs and counsel fees) arising from any cause whatsoever which the Personal Representative may incur as a result of the administration of the estate and distribution in accordance with this document and to refund to the Personal Representative any portion of the distribution of the undersigned which exceeds the amount of the undersigned's share as the Personal Representative finally determines. IN WITNESS WHEREOF, intending to be legally bound,the beneficiary has executed this document this day of 2013. (SEAL) rtnes John E. Gumbert Pty PUBS Ct1j�4h m has signed before me at�;- n fl,Wi on the day of 201-' my commission expires hlf'�1��1 Oew��GO' t }� ��. .. - q t