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RECEIPT RELEASE AND INDEMNIFICATION `' ~? ' ,
For Specific Bequest ~ N ~=
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This F_eceipt. Release and Indemnification (hereinafter referred to as "Agr..~~nt") is~ven~
this " ~; _~ day of ,((L~ ~~~~ E~-e~,~> 2008, by [JNITY CHURCH, of 927 ~ertzville ~ad,
Enola, Pennsylvania, 17025, (hereinafter referred to as "Beneficiary").
ESTATE OF CHLOE O. FRY, IN THE COURT OF COMMON PLEAS
Deceased CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE NO. 21-08-0890 ,_,,
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PREAMBLE:
WHEREAS, CHLOE O. FRY, (hereinafter referred to as "Decedent"), late of Silver Spring
Township, Cumberland County, Pennsylvania, died testate on August 27, 2008, having first made a
Last Will and Testament, duly executed on January 2Q 1995, which is recorded in the Office of the
Register of Wills of Cumberland County, Pennsylvania;
WHEREAS, Letters Testamentary on the Estate of the said Decedent were duly issued on
August 29, 2008, by the Register of Wills of Cumberland County, Pennsylvania, unto Geraldine F.
Howard, who by the Decedent's aforesaid Last Will and Testament was appointed as Executrix of
the Estate (hereinafter referred to as "Personal Representative");
WHEREAS, the Beneficiary, pursuant to the Decedent's Last Will and Testament, is
beneficially interested in the above referenced estate; and
WHEREAS, it is the desire of the Beneficiary that distribution be made without the formality
of an accounting, and the Personal Representative is willing to ~.~al:e such distribution upon the
receipt of a proper release and indemnification, which it is the purpose of this Agreement to provide.
NOW, THEREFORE, intending to be legally bound hereby, the Beneficiary represents,
warrants, covenants and agrees as follows:
1. Waiver of Accounting. The Beneficiary hereby waives the necessity for an
accounting and directs the Personal Representative to dispense with a formal audit of the
same.
Receipt, Relea+e and Indemnification Agreeme~il
Page l of 4 (inc@rdi,ng signature page)
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2. Recei t. The Beneficiary requests the Personal Representative to make
distribution of the following property and effective upon delivery to the undersigned of the
property shown as distributable, acknowledges receipt of such property:
CASH: $10,000.00
The Beneficiary does further acknowledge that the aforesaid distribution represents the
Beneficiary's entire interest in the above-referenced estate.
3. Release and Indemnification of Personal Representative. In exchange for
the Personal Representative's willingness to make the distribution hereunder without first
securing the benefit of a formal court audit:
a. the Beneficiary does by these presents remise, release, quit-claim and
forever discharge from all actions, suits, payments, accounts, reckonings, claims and
demands whatsoever, the Personal Representative for or by reason of the Personal
Representative's administration of the above-referenced Estate, or any other act,
matter, cause or thing whatsoever; and,
b. the Beneficiary agrees to indemnify Personal Representative, and hold
the Personal Representative harmless, to the extent of any funds or assets received by
the Beneficiary hereunder, from and against the Beneficiary's then pro rata share of
any and all liabilities, losses, damages, costs, verdicts, judgments, awards and
expenses (including attorney's fees and other costs or expenses of defense) to which
the Personal Representative may be subjected by reason of the Personal
Representative's administration of the above referenced Estate, as well as the
settlement thereof by means of an informal distribution.
c. the Beneficiary agrees to waive the provisions of Pennsylvania Rules
of Civil Procedure Rule 229.1 (relating to sanctions for failure to receive settlement
funds within twenty days after receipt of an executed release).
4. Agreement to Refund Distributions Upon Request of Personal
Representative. The Beneficiary further agrees to:
a. refund or return, promptly upon the Personal Representative written
demand, any funds or assets distributed by the Personal Representative to the
Beneficiary, if the distribution thereof is determined at any time to have been an
erroneous or negligent distribution to the Beneficiary, whether such error or
negligence was or was claimed to have been premised upon a mistake of law or of
fact; and,
Receipt, Release and Gtdemnification Agreement
Page 2 of 4 (including signature page)
b. modify and displace any otherwise applicable period limiting the time
within which the Personal Representative's action to collect an erroneous or negligent
distribution must be commenced, so as to provide that the Personal Representative
need not commence an action to collect an erroneous or negligent distribution to the
Beneficiary until two (2) years after such time as the Personal Representative shall
have obtained actual knowledge of such error or negligence.
5. Release and Indemnification of Skazlatos &Zonarich LLP. 1n exchange for
the Personal Representative's willingness to make the distribution hereunder without first
securing the benefit of a formal court audit:
a. the Beneficiary does by these presents remise_ release, quit-claim and
forever discharge from all actions, suits, payments, accounts, reckonings, claims and
demands whatsoever, Skarlatos & Zonazich LLP, its employees, successors and
assigns, for or by reason of their representation of the Personal Representative, or any
other act, matter, cause or thing whatsoever; and,
b. the Beneficiary agrees to indemnify Skazlatos &Zonarich LLP, its
employees, successors and assigns, and hold them harmless, to the extent of any
funds or assets received by the Beneficiary hereunder, from and against the
Beneficiary's then pro rata share of at2y and all liabilities, losses, damages, costs,
verdicts, judgments, awards and expenses (including attorney's fees and other costs
or expenses of defense) to which Skarlatos &Zonarich LLP, its employees,
successors and assigns may be subjected by reason of their representation of the
Personal Representative.
6. Miscellaneous.
a. The provisions of this Agreement shall be deemed severable in the
event that one or more thereof shall be deemed invalid or unenforceable, with the
effect that the remaining provisions shall persist as if such invalid or unenforceable
provision had never been a part hereof In_ addition, ±he constnicton. effect, validity
and performance of this Agreement shall be governed in all respects by the laws of
the Commonwealth of Pennsylvania, without regard to its conflict of laws provision.
b. This Agreement shall bind the Beneficiary, the Beneficiary's heirs,
representatives, successors, and assigns.
c. The Beneficiary hereby acknowledges that this Agreement may be
filed at any time, at the discretion of the Personal Representative or Skarlatos &
Zonarich LLP with any court of competent jurisdiction, and the Beneficiary consents
to any such filing.
Receipt, Release and /ndemnificatian Agreement
Page 3 of 4 (including signature page)
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d. The headings in this Agreement are solely for convenient reference
and shall not be deemed to affect the meaning or interpretation of any section or
paragraph hereof; provided, however, that the Recitals / Preamble of this
Agreement shall be incorporated and may be used to interpret any section or
pazagraph hereof.
IN WITNESS WHEREOF, the Beneficiary has executed and sealed this Agreement on the
date first above inscribed.
UNITY CHURCH
~__~ t.,. _ G-~ Tr~J w J By: ~Ys~ ~ 8 0R R~b ~R~~S.
WITNESS
EIN t3-zz~~c~`t
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COMMONWEALTH OF PENNSYLVANIA
_ SS:
COUNTY OF Ih..~l.,.,
On this, the ~ ~ day of ~<<<.wl <, , 2008, before me, a Notary Public,
the undersigned officer, personally appeared I~=1=,~J ~ !~/~~~~~° 1 who is the
~,,. ~e, d ~. ~ tt~ ~a ...1 r'/, v~l Hof the Unity Church and in such position is authorized to execute this
affidavit on its behalf, and further acknowledged that the Beneficiary executed the same for the
purposes .Herein ccnts.ine .
IN WITNESS WHEREOF, I have set my hand and official Seal.
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COMMONV'fEr"•.LS rI OF Pe.MNSYLVANIA ~ / -- - C_ _
NOTARIAL SEAL Notary Public
THOMAS S. PEDERSEN, Notary Public
City of Harrisburg, Dauphin County My Commission Expires:
My Commission Expires July 25, 2009
Receipt, Release and /ndemnification Agreement
Page 4 of 4 (including signature page)