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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 officer
of the Pennsylvania Association for the Blind, beneficiary,
of 90 East Shady Lane, Enola, PA 17025, does hereby
acknowledge receipt from Mid Penn Bank, Executor, under the
Last Will and Testament of the above named decedent, of the
following:
Twenty Six Thousand Four Hundred Eighty and 91/100
($26, 480.91)
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In full satisfaction of the residuary.
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IN CONSIDERATION of said full payment and to the extent'l
thereof, the undersigned does hereby release, remise~~quib~
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claim and forever discharge the said Executor of and from )
all actions, suits, payments, accounts, reckonings, claimi"
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.
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.
Date: 11~~7
~~Zfi-~~iCer
Pennsylvania Association for the
Blind, Beneficiary
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~u-mt:eJ'\OJ\C\
SS.
On this, the O\q~ day of mO(l\)
, 2007,
before me, a Notary Public in and for the said State and
County, personally appeared ~~~. ~ '
an officer of the Pennsylvania Association for the Blind
who certifies that he or she is authorized to sign this
Receipt and Release on behalf of the Pennsylvania
Association for the Blind, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the
foregoing Receipt and Release and acknowledged that he or
she executed the same for the purposes therein contained
and desires that the same be recorded as such.
WITNESS my hand and seal.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Meghan E. Kearns, NotarY Public
East Pemsboro Twp., c\.I1ll:leII8nd County
My CornmisSIOO ExpIres June 14, 2010
Member, Pennsylvania Association of Notaries
~M"\. f~aA)Y.Q
Notary Publlc