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STATUS REPORT UNDER RULE 6.12
Name of Decedent: Lotta H. Bushong
Date of Death: December 24, 2004
Will No.
21-05-0022
To the Register:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court
Rules, I report the following with respect to completion of the
administration of the above-captioned estate:
1.
Yes ~
State whether administration of the estate
No
lS
complete:
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 X
(b) The separate Orphans' Court No. (if any) for the
personal representative's account is: N/A
(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 a b ttached to this
/'
report. .
Date:
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,ti\ tr 'Ol,
Capacity:
Personal Representative
X
Counsel for Personal
Representative
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est\re~\BUSP.ONGjudith
IN RE:
ESTATE OF LOTTA H. BUSHONG
LATE OF THE TOWNSHIP OF
UPPER ALLEN, CUMBERLAND
COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-05-0022
RECEIPT, RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, JUDITH L. BUSHONG, being
the sole beneficiary under the will of LOTTA H. BUSHONG, do hereby
acknowledge that I have received all sums of money and property due me
by virtue of the death of LOTTA H. BUSHONG, in full satisfaction and
settlement of all of my rights and claims under her estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution In any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and Proposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, JUDITH L. BUSHONG, do by these presents,
remise, release, quitclaim and forever discharge the Executrix, her
heirs, successors and assigns, from the acts of the Executrix as
aforesaid, and 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 whatsoever, and I do hereby
consent to the discharge of the said Executrix.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
~
the ~- I
, 2006.
Witness
J~'~r-
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la&;~~ . - M ~?
UDITH L. BUSHONG ~
day of ~~
me a Notary Public, the undersigned officer, personally appeared
STATE OF MARYLAND
COUNTY OF ~~
On this, the ~\-
SS:
, 2006, before
JUDITH L. BUSHONG, known to me (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument and acknowl-
edged that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the day
and year first above written.
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