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IN RE: ESTATE OF HELEN L.:
WATERMAN
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2006-00884
RECEIPT AND RELEASE
KNOW ALL MEN BY THESE PRESENTS that the undersigned George
W. Waterman, beneficiary, of 1000 Bonita lane, McHenry, IL
60050, does hereby acknowledge receipt from Mid Penn Bank,
Executor, under the Last Will and Testament of the above
named decedent, of the following:
One Hundred Five Thousand Nine Hundred Twenty Three and
64/100 ($105,923.64)
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In full satisfaction of the residuary.
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IN CONSIDERATION of said full payment and to the extent
thereof, the undersigned does hereby release, remise,:quit ~....~
claim and forever discharge the said Executor of and~J/;rom .:::-
all actions , suits, payments, accounts, reckonings, ~claims -'.'
and demands whatsoever for or by reason thereof, or any (,'
other account, matter, cause or thing whatsoever relating
to the Estate of the said decedent.
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AND the undersigned does hereby agree to indemnify and save
harmless the said Executor, to the extent of the full
distribution received, against any and all losses, damages,
costs, verdicts, judgments, awards, expenses and tax
liability which said Executor may suffer, incur, be put to,
payor layout by reason of having made full distribution
to the undersigned and agrees to refund said distribution
to the Executor upon receipt of such a request from the
Executor.
AND the undersigned does hereby release all real estate of
the decedent and of the said Executor from all liens,
claims, actions, suits, payments, accounts, reckonings and
demands whatsoever for or by reason thereof, or of any
other account, matter, cost, thing or whatsoever.
It is the intention of the undersigned to be legally bound
by this instrument.
IN WITNESS WHEREOF, the undersigned has caused this
instrument to be executed.
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George . Waterman, Beneficiary
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Date: 3-3;--07
STATE OF ILLINOIS
COUNTY OF (f\Ctkoll1
SS.
On this, the 3\ '9t day of ma.~c.h , 2007,
before me, a Notary Public in and for the said State and
County, personally appeared George W. Waterman, known to me
(or satisfactorily proven) to be the person whose name is
subscribed to the foregoing Receipt and Release and
acknowledged that he executed the same for the purposes
therein contained and desires that the same be recorded as
such.
WITNESS my hand and seal.
OFFICIAL SEAL
ROBBIN MICULlNICH
NOTARY PUBLIC - STATE OF ILLINOIS
MY COMMISSION EXPiRES Or,lober 1, 2007
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Notary Public