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RECEIPT AND RELEASE
BLACK
AND
DAVISON
ATTORNEYS AT LAW
I 82 W QUEEN STREET
CHAMBERSBURG, PA
I 17201.
717.264.5194
FROM: Cynthia Dawn Culp, now Cynthia Dawn Cody, of 3621 Chadwick Court,
Pasadena, Maryland 21122
TO: Constance Lee Ericksen, Executrix of the Last Will and
Testament of Janet Cody, late of West Pennsboro Township,
~~Ui„if~.liua.~ Cv~11i~y. ~...~~~>i:,.~._lu, ...ti,dE.,:.:.,v.~
', WHEREAS, Janet Cody died testate on March 9, 2009, and Letters Testamentary were
duly issued by the Register of Wills of Cumberland County, Pennsylvania, to Constance Lee
'' Ericksen on March 26, 2009; and,
WHEREAS, the First and Final Account of said Executrix, together with the Schedule
~! of Proposed Distribution, was filed in the Office of the Register of Wills of Cumberland
County, Pennsylvania, and confirmed by the Court of Common Pleas of the 9`" Judicial
District, Pennsylvania, Cumberland County Branch, on June 22, 2010.
NOW, THEREFORE, I, Cynthia Dawn Culp, now Cynthia Dawn Cody, do hereby
'' acknowledge that I have had and received of and from said Executrix of the Estate of Janet
~~' Cody, deceased, all items and all sums distributable under the Schedule of Proposed
Distribution to Beneficiaries in the aforesaid First and Final Account filed in the Office of
the Register of Wills for Cumberland County, Pennsylvania, as aforesaid..
AND, THEREFORE, I do, by these presents, remise, release, quitclaim and forever
discharge tl~le said Constance .ee Ericksen, E~~ecutrix of the. Estate of Janet Louy., deceased,
of and from the legacy or legacies according to the laws of the Commonwealth of
Pennsylvania and according to the Schedule of Proposed Distribution anal of and from all
actions, suits, payments, accounts, reckonings, claims and demands whatsoever for or by
reason thereof, or of any other act, matter, cause or thing whatsoever touching upon or
concerning the same.
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IN WITNESS WHEREOF, I hereunto set my hand and seal the /S ~`____ day of
,, 2010.
Witness:
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Cynth a Dawn Culp, now
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Cynthia awn Cody /
STATE OF _____~'-tom" ,~,~
: SS
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On this, the ~1 f day of _ _ c9~.~.I _, 2010, before me, the undersigned officer,
personally appeared Cynthia Dawn Culp, now Cynthia Dawn Cody, known to me, (or
satisfactorily proven) to be the person whose name is subscribed to the within instrument
and acknowledged that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Title: _ ~Ls i~ ~f~,.
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My commission expires: _ My Cca!~nmis iort Expires
I maintain an office in: Tun-e~30-'-
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