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PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF
THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY
UNTIL COMPLETION
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Rebecca Mae Swartz aka Mae Swartz
Date of Death: January 20.2005
Estate No.: 21-2005-0108
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. State whether administration of the estate is complete:
Yes xx No
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
(date)
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 xx
The separate Orphans' Court No. (if any) for the personal representative's
account is: (Not Applicable in Dauphin County)
Did the personal representative state an account informally to the parties in
interest? Yes xx No
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.
B.
c.
D.
Date:
April 7. 2006
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Linda J. Lundberg
Name (Please type or print)
PNC Bank. NA
PO Box 308. Camp Hill. PA 17001-0308
Address
717-730 -2265
(MAH:nnt/AM3)
Telephone No.
Capacity:
xx
Personal Representative
Counsel for Personal Representative (J
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R.W. - 58
\SWARTZ,RSBSCCA-RRW
IN RE: ESTATE OF REBECCA MAE
SWARTZ a/k/a MAE SWARTZ, MAE R.
SWARTZ, and REBECCA MAE FLINT
SWARTZ
LATE OF UPPER ALLEN TOWNSHIP
CUMBERLAND COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-05-0108
RECEIPT, RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, ROY L. FLINT, being one
of the beneficiaries under the will of REBECCA MAE SWARTZ a/k/a MAE
SWARTZ, MAE R. SWARTZ, and REBECCA MAE FLINT SWARTZ, do hereby ac-
knowledge that I have received all sums of money and property due me
by virtue of the death of REBECCA MAE SWARTZ a/k/a MAE SWARTZ, MAE R.
SWARTZ, and REBECCA MAE FLINT SWARTZ, in full satisfaction and settle-
ment 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, ROY L. FLINT, do by these presents, remlse,
release, quitclaim and forever discharge the Executor, its successors
and assigns, from the acts of the Executor 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 Executor.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
day of -R1cQ~ ,2006.
the l#1
9# -c {Lp
ROY L. FLINT
STATE OF NEW JERSEY
COUNTY OF NiM\~
On this, the \~\
SS:
day of kbruq,ry
, 2006, before
me a Notary Public, the undersigned officer, personally appeared ROY
L. FLINT, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the within instrument and acknowledged
that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and seal t~le day
alld year first above written.
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