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IN RE: ESTATE OF HELEN A/K/A
HELEN E. HARATINE
LATE OF THE BOROUGH OF
CAMP HILL, CUMBERLAND,
COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-06-0180
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RECEIPT, RELEASE AND WAIVER OF ACCOUNTING;
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KNOW ALL MEN BY THESE PRESENTS, that I, SAMUEL SQQ~~ HEmx
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HARATINE, being one of the be~eficiaries under the wil:;f)~~f HaEN A/K/A
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HELEN E. HARATINE, do hereby acknowledge that I have receiveCPall sums
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of money and property due me by virtue of the death of HELEN A/K/A
HELEN E. HARATINE, 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 req0ire 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 examin~ 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, SAMUEL SCOTT HERR HARATINE, do by these pres-
ents, remise, release, quitclaim and forever discharge the Co-Execu-
tors, their heirs, successors and assigns, from the acts of the Co-
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Executors 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 Co-Executors.
IN WITNESS WHEREOF,
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I have hereunto set my hand and seal
the d1..
of
, 2006.
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STATE OF FLORIDA
SS:
COUNTY OF ~q -e.i
On this, the ~ day of ~0\I\~e.r-
, 2006, before
me a Notary Public, the undersigned officer, personally appeared
SAMUEL SCOTT HERR HARATINE, known to me (or satisfactorily proven) to
be the person whose n~me is subscribed to the within instrument and
acknowledged that he executed the same for the purposes therein
contained.
IN WITNESS WHERE~F, I have hereunto set my hand and seal the day
and year first above written.
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. Notary Public
~l\ Kaheen C Mcinturf
!?J.j My CommiaIiOn 00342783
~ Of ,,'J Expires Auguat 01. 2008
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