HomeMy WebLinkAbout05-30-07 (3)
.,
INRE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-06-0032
( ;
LJ
ESTATE OF
EVELYN G. McAULAY
Deceased
RECEIPT AND RELEASE
I, KAREN S. LENCIONI, the undersigned, being a beneficiary under the Estate of
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Evelyn G. McAulay, 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 the sum of $4,000.00 under Item 6 of the Last Will
and Testament of Evelyn G. McAulay to which I am entitled as a beneficiary of the Estate of
Evelyn G. McAulay;
4. To the extent of said distribution, release Ronald M. Wilson, Executor, ofthe Estate of
Evelyn G. McAulay, 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 Ronald M. Wilson, 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 ;2., day of
"
!f,l,L,t-
, 2006.
&4-'~~
KAREN S. LENCIO
(SEAL)
COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTYOF CJ~/3~D )
On this, the 2. ') day of /J ;1 ~ r L- , 2006, before me, the
undersigned officer, personally appeared KAREN S. LENCIONI, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument and acknowledged
that she executed same for the purposes therein contained.
rn WI~SS WHE~OF, I :::g; (; ;;;sero.
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NOTARIAL SEAL
BRYAN J. KOLB, Notary Public
East Pennsboro Twp., County of Cumberland
My Commission Expires January 13, 2010