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STATUS REPORT UNDER RULE 6.12
Name of Decedent: Anna I. Blauser
Date of Death: September 22, 2005
Will No. 2005-0902
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 is complete:
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 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 and may be attached to this
report.
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,. GeraldW".' Shekletski, Esquire
414 Bridge Street
New Cumberland, PA 17070
717-774-7435
Date:
Capacity:
Personal Representative
, .,_r1Jx
Counsel for Personal
Representative
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IN RE: ESTATE OF ANNA I. BLAUSER
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
LATE OF LOWER ALLEN
TOWNSHIP, CUMBERLAND
COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2005-0902
RECEIPT, RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, GARY E. BLAUSER, being
the sole beneficiary under the will of ANNA I. BLAUSER, do hereby
acknowledge that I have received all sums of money and property due me
by virtue of the death of ANNA I. BLAUSER, 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, GARY E. BLAUSER, do by these presents, remise,
release, quitclaim and forever discharge the Executor, his heirs,
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.
//f6fIN WITNESS WHEREOFh I have
/'CLt.A- day of ~-JL
hereunto set my hand and seal
, 2006. ~ n I
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GARY E. BLAUSER
the
Witness
COMMONWEALTH OF PENNSYLVANIA:
SS:
COUNTY OF CUMBERLAND
On this, the /~~day of ~ ' 2006, before
me a Notary Public, the undersigned officer, personally appeared
GARY E. BLAUSER, known to me (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument and
acknowledged that she executed the same for the purposes therein
contained.
IN WITNESS WHEREOF, I have
and year first above written.
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
GEHf.,LD.J SHEKlETSKI. Notary Public
i !~ew Cumberland Bora. Cumberland Co.
I,. My Commission Expires Nov. 9, 2006
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t" Nota-ry Public
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