HomeMy WebLinkAbout05-26-06
INRE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-05-1096
ESTATE OF
ELLEN E. MYERS
Deceased
RECEIPT AND RELEASE
I, BONNIE J. MYERS the undersigned, being a beneficiary under the Estate of Ellen E.
Myers, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received all sums to which I am entitled as a beneficiary of
the Estate of Ellen E. Myers;
4. To the extent of said distribution, release Bryan Myers, Executor of the Estate of Ellen
E. Myers, and his heirs and personal representatives, from all liabilities, whether due to his
negligence or otherwise, which he may have by reason of his administration of the Estate;
5. Agree to refund to the Estate and to the said Bryan Myers, Executor, any portion of
the distribution to which I am not properly entitled, and, to the extent of said distribution, to
indemnify him and the Estate for claims made against him and to reimburse him and the Estate
all expenses and costs incurred in connection with any such claim; and
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this
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day of
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,J
,2006.
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(SEAL)
COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTY OF )
On this, the :Z. t' day of ' ,//;:// '1-/ , 2006, before me, the
undersigned officer, personally appeared BONNIE J. MYERS, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument and acknowledged
that (s)he executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
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,/ / / , .
Notary(t:~// A!;L~
'.'-'~:'---"--'-_."-"~ ~~ ~"'o)l~ Jt""'" ...-
i NOTARIAL sEAL ~ .. --~Hl
~ ROBERT D. PEFFER, Notary Public /'
01Ive~. ~Prln.g TWp., Cumberland County
':J!r~~lon ExpirSl? ,II)IV 4,2006'
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INRE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-05-1096
ESTATE OF
ELLEN E. MYERS
Deceased
RECEIPT AND RELEASE
I, BARRY L. MYERS the undersigned, being a beneficiary under the Estate of Ellen E.
Myers, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received all sums to which I am entitled as a beneficiary of
the Estate of Ellen E. Myers;
4. To the extent of said distribution, release Bryan Myers, Executor of the Estate of Ellen
E. Myers, and his heirs and personal representatives, from all liabilities, whether due to his
negligence or otherwise, which he may have by reason of his administration of the Estate;
5. Agree to refund to the Estate and to the said Bryan Myers, Executor, any portion of
the distribution to which I am not properly entitled, and, to the extent of said distribution, to
indemnify him and the Estate for claims made against him and to reimburse him and the Estate
all expenses and costs incurred in connection with any such claim; and
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this 2,:, day of
) 0./1;
//'/
/
,2006.
~(L({~%J,i<-~
BARRYL.~YERS (J
(SEAL)
COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTY OF )
On this, the Z (c day of /)/Z~' , 2006, before me, the
undersigned officer, personally appeared BARRY L: YERS, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument and acknowledged
that (s )he executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
. - "~.:..,,:,~- '.' '~:'-'>---~-~'::.~:~;;::"~~-<~-7'i)C1'~--_:"-"-~~'_:;.C\"'!"~"""_'_"""""'i
NOTARIAl SEAL '
.'.'.' HOB E.R.~ D. PEFFER. NotsfY.PubI... ie, I.'
1 Silver Spnng Twp., Cumberland County
:_~~ ~mi$slon ExpIres July 4, 2006
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;/ ~ ,.. ,,;II' -' /-
Notary Public' ..
ESTATE OF
ELLEN E. MYERS
Deceased
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-05-1096
INRE:
RECEIPT AND RELEASE
I, CYNTHIA A. MARSH the undersigned, being a beneficiary under the Estate of Ellen
E. Myers, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received all sums to which I am entitled as a beneficiary of
the Estate of Ellen E. Myers;
4. To the extent of said distribution, release Bryan Myers, Executor of the Estate of Ellen
E. Myers, and his heirs and personal representatives, from all liabilities, whether due to his
negligence or otherwise, which he may have by reason of his administration of the Estate;
5. Agree to refund to the Estate and to the said Bryan Myers, Executor, any portion of
the distribution to which I am not properly entitled, and, to the extent of said distribution, to
indemnify him and the Estate for claims made against him and to reimburse him and the Estate
all expenses and costs incurred in connection with any such claim; and
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ;l C day of
,/////y
,
,2006.
(' .'. \..
CYNT~\A i ~ARSH\ \;\v\ ("~~'-, "
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
(: (jJf16
)
( SS:
)
On this, the .1 0 day of J/~~1 t/ , 2006, before me, the
undersigned officer, personally appeared CYNn'IIA A. MARSH, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument and acknowledged
that (s)he executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
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Notary ~ubii~ . C / //
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OIjqOd F.relON 't13:H3d '0 ltl3av
, lV3S lVIl::IV10N
ESTATE OF
ELLEN E. MYERS
Deceased
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-05-1096
INRE:
RECEIPT AND RELEASE
I, LAURIE J. HEIKEL the undersigned, being a beneficiary under the Estate of Ellen E.
Myers, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received all sums to which I am entitled as a beneficiary of
the Estate of Ellen E. Myers;
4. To the extent of said distribution, release Bryan Myers, Executor ofthe Estate of Ellen
E. Myers, and his heirs and personal representatives, from all liabilities, whether due to his
negligence or otherwise, which he may have by reason of his administration of the Estate;
5. Agree to refund to the Estate and to the said Bryan Myers, Executor, any portion of
the distribution to which I am not properly entitled, and, to the extent of said distribution, to
indemnify him and the Estate for claims made against him and to reimburse him and the Estate
all expenses and costs incurred in connection with any such claim; and
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~'/L' day of
)1/:4 y
/
,2006.
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(SEAL)
COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTY OF )
On this, the :cJ c.. day of ///:.,::y , 2006, before me, the
undersigned officer, personally appeared LAURIEt HEIKEL, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument and acknowledged
that (s)he executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
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Notary Public /' /
:t-..-,.-..o<~-...-=....",.
I NOTARIAl SEAL
. ~OBERT D. PEFFER, Notary PubI1c
I Silver Spring TWp., Cumberland County
, ,My ~~~~on Explres July 4, 2006
INRE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-05-1096
ESTATE OF
ELLEN E. MYERS
Deceased
RECEIPT AND RELEASE
I, ROBIN L. DLUZESKI the undersigned, being a beneficiary under the Estate of Ellen
E. Myers, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received all sums to which I am entitled as a beneficiary of
the Estate of Ellen E. Myers;
4. To the extent of said distribution, release Bryan Myers, Executor of the Estate of Ellen
E. Myers, and his heirs and personal representatives, from all liabilities, whether due to his
negligence or otherwise, which he may have by reason of his administration of the Estate;
5. Agree to refund to the Estate and to the said Bryan Myers, Executor, any portion of
the distribution to which I am not properly entitled, and, to the extent of said distribution, to
indemnify him and the Estate for claims made against him and to reimburse him and the Estate
all expenses and costs incurred in connection with any such claim; and
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this Z c> day of
I
~N .' >f
// </;'y
!'
,2006.
~~.
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ROBIN ~ESIZI.
(SEAL)
COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTY OF )
On this, the ;7 c.:, day of ;l;~/<;,,;,/ , 2006, before me, the
undersigned officer, personally appeared ROBIN L. DLUZESKI, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument and acknowledged
that (s )he executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
-........... NoTAAlAr'sEAi.""""'.~~,c'-l
~r{OBERT D. PEFFER, I
~...!I.\..'.8r S.p..ri.nn Twp ('j....~ PubIfc
. .... ' '\:i ., ""'1/ II.'ttfI61TO Cou
.. '. :'~~I~~I~~..~U:(l July 4\ ~.
-~ '_'''_"-~~~''"''"''~'~"'_''-_''C'.,-...n;~=.-J
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I'/'.'~" ,~
Notar:P~~i~"~ .<~~
INRE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-05-1096
ESTATE OF
ELLEN E. MYERS
Deceased
RECEIPT AND RELEASE
I, BRYAN H. MYERS the undersigned, being a beneficiary under the Estate of Ellen E.
Myers, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received all sums to which I am entitled as a beneficiary of
the Estate of Ellen E. Myers;
4. To the extent of said distribution, release Bryan Myers, Executor of the Estate of Ellen
E. Myers, and his heirs and personal representatives, from all liabilities, whether due to his
negligence or otherwise, which he may have by reason of his administration of the Estate;
5. Agree to refund to the Estate and to the said Bryan Myers, Executor, any portion of
the distribution to which I am not properly entitled, and, to the extent of said distribution, to
indemnify him and the Estate for claims made against him and to reimburse him and the Estate
all expenses and costs incurred in connection with any such claim; and
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ('7 day of
fJili{
,2006.
/,
J,
BRYAN l}/MYERS f
. /l
/
(SEAL)
'ct
COMMONWE~L TH OF PENNSYLVANIA
COUNTY OF C LU'J,LbtcL ar;-
On this, the J..Jill.day of cU , 2006, before me, the
undersigned officer, personally appeared BRYAN . MYERS, known to me (or satisfactorily
proven) to be the person whose name is subscribe to the within instrument and acknowledged
that (s)he executed same for the purposes therein contained.
)
( SS:
)
IN WITNESS WHEREOF, I have he~eunto set my hand and official seal.
o
NOTARW: SEAl
WEN:>Y S. CHES8RO, Nolary PtbIc
t..ow. Men Twp., ClImerIand County
.., QRJ1ll1llWt &.pns May 10, 2J1f1
INRE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-05-1096
ESTATE OF
ELLEN E. MYERS
Deceased
RECEIPT AND RELEASE
I, SUSAN E. POTTEIGER the undersigned, being a beneficiary under the Estate of
Ellen E. Myers, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received all sums to which I am entitled as a beneficiary of
the Estate of Ellen E. Myers;
4. To the extent of said distribution, release Bryan Myers, Executor of the Estate of Ellen
E. Myers, and his heirs and personal representatives, from all liabilities, whether due to his
negligence or otherwise, which he may have by reason of his administration of the Estate;
5. Agree to refund to the Estate and to the said Bryan Myers, Executor, any portion of
the distribution to which I am not properly entitled, and, to the extent of said distribution, to
indemnify him and the Estate for claims made against him and to reimburse him and the Estate
all expenses and costs incurred in connection with any such claim; and
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
.>'1 -"),
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ,:~;-(i"v'-day of
--...,-t .-.
i J; L CL-r
()
,2006.
C' (" ",/)
c~,h:,-x- VJ f-;:[zt.~-e' C:~7 ~~
SUSAN E. POTTEIGER t/
(SEAL)
.:.J"ttl Ie of FLo~lM
eOMMONWLALTII OF PENN5-r L\! ANIA: )
HILL~,?()R~i<<61(/ {pU~rv (SS:
f:OUNT J. OF L uJ),,!,,~'~ I ai, ,~ )
On this, the :;.. v;( .,,,,\ day of /l< (~. , 2006, before me, the
undersigned officer, personally appeared SUSA I E. POTTEIGER, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within instrument and
acknowledged that (s)he executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
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=~: 11.14-06 :0=
ica:. No. DO 157629 .:~ ~
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Not;f Publi/
ri< f~< ct.--u"II""'- <ZA."-
I
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Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
N fD d t Ellen E. Myers
ame 0 ece en :
Date of Death: December 3, 2005
Estate No.: 21-05-1096
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration ofthe above-captioned estate:
I. State whether administration of the estate is complete:
Yes [8] NoD
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. I is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes 0 No 0
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
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Date: S I;; /, Iv .;-
/
W~Llo
Signature ~
Michael L. Bangs
Name
429 South 18th Street
Camp Hill, PA 17011
Address
(717) 730-7310
Telephone No.
Capacity: 0 Personal Representative
lXl Counsel for personal representative
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