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2fl10 FED 19 AN 9~ QO
IN RE: ESTATE OF LOIS M(`,~,I~ZY IN THE COURT OF COMMON PLEAS OF
LATE OF THE B~~,~$~~,~l~T CUMBERLAND COUNTY, PENNSYLVANIA
MECHANICSBUR~J~,~~I~A. ORPHANS' COURT DIVISION
COUNTY, PENNSYLVANIA NO. 21-08-0744
RECEIPT, RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, ANDREW LANTZY, 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 LOIS 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, ANDREW LANTZY, 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 ~~~
day of ~~,;.,,42.,~ 2010.
W
ANDREW LANTZ
STATE OF GEORGIA
SS.
COUNTY OF ~~ ,
On this, the ~- day of ~ u _~ 2010, before
me a Notary Public, the undersigned officer, personally appeared
ANDREW LANTZY, 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.
Notary Public, Cobb County, Ge R~1 ) 1 / ~Y ~~
MY Commission Expires June 2~ ~n _~ ~¢,~'y'~ 1 e JJ~`
Notary Public
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