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PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH IREGARDLESS OF
THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM
YEARLY UNTIL COMPLETION.
5T A TU5 REPORT UNDER RULE 6.12
Name of Decedent: MARION L. LANDT
Date of Death: DECEMBER 4.2005
Will No.:
Admin No.: 21-06-00098
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 ~ 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? Y es ~ No
Administratrix was the sole beneficiary.
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.
Date: ~ 21(, ~QO" ~ /!J. ~..
Signature
Edmund G. Myers, Attorney
Johnson, Duffie, Stewart & Weidner
301 Market Street, P.O. Box 109
Lemoyne. PA 17043-0109
Address
(717) 761-4540
Telephone No.
Capacity: Personal Representative
~ Counsel for Personal Representative
1...../
~Q) ~)''t
RELEASE
I, LINDA 1. NIZIOLEK, Administratrix of the Estate of Marion 1. Landt and sole heir
of the Estate of Marion 1. Landt, do hereby confirm that all matters relating to the administration
of the Estate of Marion 1. Landt have been concluded and all Inheritance Tax assessed has been
paid in full.
As the sole heir, I am hereby confirming that all matters relating to the administration of
the Estate of Marion L .Landt are concluded and requesting that the Administrator's Bond (No.
104678654) issued by Travelers Casualty and Surety Company of America be cancelled and not
renewed.
Sworn to and affirmed before
me this ;Z G:. day of
d GvY\J-- , 2006.
. ~~.,
nda 1. Niziolek, Admllll tratnx /11m I J)/STRPRI.
of the Estate of Marion 1. Landt
d~~CX:~
Notary Public
. '~
Linda 1. Niziolek, sol heir of
the Estate of Marion 1. Landt