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2010 FEB 19 AM 9= QO
CLEP~K OF
IN RE : ESTATE OF 5~~~,~
~ ~;V,. IN THE COURT OF COMMON PLEAS OF
LATE OF TH~ C3~JGH OF CUMBERLAND COUNTY, PENNSYLVANIA
MECHANICSBURG, CUMBERLAND ORPHANS' COURT DIVISION
COUNTY, PENNSYLVANIA NO. 21-08-0744
RECEIPT. RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, BRENT SHELLEY, being one
of the beneficiaries under the will of LOIS M. LANTZY, do hereby
acknowledge that I have received all sums of money and property due me
by virtue of the death of LOTS M. LANTZY, 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 require 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 examine 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, BRENT SHELLEY, do by these presents, remise,
release, quitclaim and forever discharge the Executrix, her heirs,
successors and assigns, from the acts of the Executor as aforesaid,
and of and from all actions, suits, payments, accounts, reckonings,
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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 Executrix.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the ~ Y
day of ~ 2010.
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Wi n ss ~Gtr~A/r ~uhGtSC~ BRENT SHELL
STATE OF NESW J~E/R/Sl~E~Y
C~I.L. / S S
COUNTY OF
On this, the ~ day of ~G!/JZ1.C~~ 2010, before
me a Notary Public, the undersigned officer, personally appeared BRENT
SHELLEY, known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the day
and year first above written.
t~nn Lindsley Voorhees
Notary Public
{ New Jersey
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