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IN RE: THE F;STATE OF THE COURT OF COMMON P]L:EAS OF
RICKY L. OHRUM, a/k/a RICKY CIJMBERL.AND COUNTY, PENNSYLVANIA.
LYNN OHRUM, LATE OF
NORTII MIDDLETON ORPHANS' COURT DIVISION
TOWNSHIP, CUMBERLAND
COUN'T'Y, PENNSYLVANIA NO. 21-10-00184
RECEIPT, RELEASE, REFUNDING AND INDEMNITY AGRE~:MENT
CONCERNI~T~.T DIS'T'RIBUTION FROM ESTATE
THIS AGREEMENT, based upon the family circumstances outlined, is enterccT ~iuto witTi tTie
Executor by carT~ beneficiary, from the date of formalization of his/her separate Consent:
1. RICKY L. OHRUM died 'T'estate oii February S, 2010.
~'.. T)ccedent's Will, dated February 27, 2000 provided lior ~rarious bequests. ~~u,~d desi~iiate<T
~~'illi~rrn h:. Ohrum as Executor.
~~~. laid Will was accepted by the Register ol~ Wills of Cunibcrl~uid Count}- fcu probate on
l~ebruary 2~1,, 2010, and steps necessary to complete tTie administration were tznd~~ertaken by
he l~:xecutor.
l,. l~he bencGciarics desire that. the distribution of the assets of the. Estate. be tnadc~ ~.vitT~oul the
Formality o1 aii Accouiitiii~ iii tlic Orphans' Court 1)iv.isioii of the Cumberland County,
('cniisylv~ulia Court oT~ Common Pleas, quid tTie I?;xccutor is williii~~ to make ~liis distribution
~_ipon tile. execution of LTiis Agreement.
i. hhe benclici-tries desire to forever settli~ acid com~~romise any and all claims and ri~;~hts «~hich
they may possess, iiow or hereafter, in the Fs~lte and t~:~ conlirm tTicir a+_~ce~;~t~uue of tTic
distribution iii satislaction of the hequesl co~itained in the decedent's 1.,;1~~t ~~lill and
l~cslamciit.
fi. I,he bencGciarics wish to release the Executor quid to indemuily him against .uiy~ acid all claims
ghat may be asserted against tTle hstate with the l~:xecutor a[t.er the date hercof~.
i'. The hxecutor is willing to make a distribution of informal scltlement ~ ~C the F'slate in
consideration of the indemnification and agrecmeiiLs hereiu~rEter provided by the beneficiaries.
NOW, 'T'HEREFORE, iii consideration of the loregoiiig and intending to he IcgalT~~ b~~und hereby,
Jointly and sevcr~~lly, the beneficiaries do, Tor themselves, their heirs, personal representati~-e:~~. ~ucces~~,ors and
assigns, agree .as 1~>llows:
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~. IZcpreseiit and warrant that they have read aid dley understand this Agrecrncnt and confirm
~ hat the lads set lords above are true and correct, to the best oI~ their knowledge, information
~fud belief.
Ii. l )eclare that they have sufficient iniormatioii to snake are informed waiver oI~ their right to a
formal accounting with the Court, and do hereby waive die filing and auditing oI~ said formal
~-ccounting.
C. ,acknowledge that die distributive share shall be iii satisfaction of dicir respective entitlernenr"s
- ender d1e ~~'ill.
ll. Release, remise, quitcl~~im acid forever discharge the Executor, leis heirs, ~~ersoiial
represen~ilives, successors acid assigns, Isom and against Kdl claims that d~c~-~, ;ls residuary
icneficiaries of the h~state, had, now have, or may in d~~e Iuturc have in ronnectic-n with tlic
l~,statc.
I;. ,agree to refund, on demand, all or any part of their prod>ortionate share ~:~[~ a~iy aforesaid
distribution, which has been determined by dle. Executor, or by die Court, or~ by a~iy court of
conlpetent,jurisdiction, to have been improperly rnade,
F'. l~grec to indemnify and hold harmless die l~;xecutor, his heirs, personal representatives,
successors aiid assigns, from and against ~uiy quid all claims, loss, liability or damage (wliedier
or not related to the negligence of die Executor that may hereafter be ass~.~rted against the
l~,st~iLe or against the Executor.
G. .lgrec to execute such additional documents as maybe necessary to eI~(cctuate th~~ agreements
set Iorth herein.
H. .lcknowledge that dais Agreement shall be governed by .uid coiistrucd in acc~:>r~~lance with the
litws oI die Commonwealth of Pennsylvania.
I. t 'oi~sent to the Court exercising personal jurisdiction over diem in jury suit. or action arising
~~ut of the enforcement of dais Agreement..
IN WI'htVESS WHEREOF, the benefici~u-ies have set their hands and seals to the C~:»is~euLs attached
hereto, to be c[7c±~tive as o1~ die date first above. wriucii.
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CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGRI~EMENT
CONCERNING DISTRIBUTION FROM ESTATE
"I'lic iui<icrsi~;ncd, TARA MEGAN OHRUM SALISBURY, a beneficiary of the Last. Will and
"I'est~itnent oC RICKY L. OHRUM, a/k/a RICKY LYNN OHRUM, lleceascd, hereby c~>usents to llie
Receipt, Release, Refunding quid Indemnity A~reerneiit Coiicernin~ Dist.ribulion Nrom Estate, a copy of which
has been pro~~i~ cd to her. "1'he undersigned also acknowle~lgcs rcccil~~t oI~ tier share of the Islate, as more
particularly described in the ~~Eoresaid Agree meat, including the llecouiiting, subject to all the terms acid
conditions spcci(~ied tilereiii.
COMMONWEALT~~~JF PENN VANIA
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COUNTY OF ------- ` ~; ~ `=-~ ~a ----
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On this, the _:~~~__=~~ day,o~~~~_-_-~-- ~~~_-~,~-~ ~__, 20110, before me, a Notary Pul:~lic, the
undersigned of~li~~er, pcrsc~nally appe~u-ed TARA~VIEGAN OHRUM SALISBURY, knowal to~ ~~me tr,~ be the
person whose u~une is subscribed to the within instrument, and~acl~iowledged that she ehccutecl the same for
the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hail quid Notari~>_l cal. ~~ ~'
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NQ.TARY PUBLIC
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_ OMNIONWEgLTH OF PENNSYLVANU~
Notarial Seal -----
Janet S. Gore, Notary public
Dillsburg Boro, York County
__`Y Commission Expires OcC 25, 20x4
Member, i'Q'~nsvivania Association of Notaries
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM: ESTATE
"1'lic uudrrsig-ncd, TRISTAN DANIEL KAUFFMAN OHRUM, a bciie[iciary ol~ the Last Will and
"hcstameiit of RICKY L. OHRUM, a/k/a RICKY LYNN OHRUM, Deceased, hereby c~:>>nsciils to tlic
Receipt, Release, Refunding and Indemnity Agreement Concerning Distribution From hat<itc, ~~~ copy of which
leas been pro~~i~]ed to him. "1'he undersigned also acknowledges receipt o[~ his sh~u-e of the hstate, as more
particularly described iii the aforesaid Agreement, including the Accounting, subject to all the terms and
conditions specified tlicrein. _-------_
TRISTAN DA EL, KAUFFM,%~N OHRUM
COMMONWEALTH OF F~NNSYLVANIA
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COUNTY OF' ----------- ~._ ~d_ ~_ ,~ -----
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y _____~ 2010, before me, a NoLlr}' Public, the
(7n this, the _ `____-- d~ of _ __f_-- ~~m-~ _--
undcrsig~ied off~iccr, personally appeared TRISTAN DANIEL KAUFFMAN OHRUM, kno~~~u ~~o me to be
the person ~~hos4.~ name is subscribed to the within instrument, acid ackiiowledgcd that he executed tlic same
for the purpose t herein contained.
l:N WI'TNESS WHEREOF, I have ilercunto set my find quid Not i~i:d Sep .
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NOTARY F'~7BLIC
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_.,L~MMONWEALTH GF PENNSYLVANIA
v Notarial5eal
Janet S. Gore, IVotary Public
Dillsburg Boro, York County
icy Commission Expires Oct 25, 2014
Member. ~{~nnsvivania association of Notaries
LAW OFFICE OF
WNt. D. SCHRACK III
124 WEST HARRISBURG STREET
DILLSBURG, PA 17019-1268
~l~clc~~liunc i l ; -1~~32-~~73~3
"hclcla~ 7 17-1~~-3t~-~1 U ~~3
c-illail:
~Cl ll~aclilal'~'~~~~e~)1'ncatit.net
March ~~, xO11
Clerk Ol~ Orj>(iuis C~~urt
Cuinl~crl;in~l C~~~znt~~ C<~urth~>usc
Carlisle, I'.~ 1 % 1) (~~
Re: '7'he Estate of Ricky L. Ohrum
~o. 21-10-00184
I;~r~lics:
Y~>u ~~~ill find encl<~secl licrcwith a Release <>l~ G~luciary res~~~.~nsibilil}' c~cctttc~l l~-~,~ the heirs <~l
the I.~isl ~~'ill ~~n~l ~hestanlent ol~ Ricky L. Ohruul wli<> ~lel~arte~l this h;arthl}~ Lilc ~>n h'cha-r,~,-u-~;~ ,i, `~U lU.
"l,hc Release i~, ~~.rcoi7ij~~uliccl by a siu~;~le ~~a~;~e c~~j~}' stanl~~c~l c<>~~}~, as well as ~n}~ ~;cncral r~icc~-uut check
#~~~~~ (~ 1<~r the slim ~~C $ ~.O0.
Please acce~~t the Release. for Iilin~;~, link stam~~ the c<>I~y j~a~;e anal return the c~~~:~~~ ~i~n{1 a receij~t
to >iic iii the cr.~t~,~lo~~c ~~r<~~~i~le~l.
l,hanl: ~~~ >u l<>r your at~cntion to ~liis rc~~ucst.
Sinccrcl~~,
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~;~~;' , D. S~ ;~~.~" ~~ III:
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1HR~CK ~ LINSENB~CI~.
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l~-4 ~~'i~i H~kiii~is~ iz~~~ Sii:i~ i
CLERK OF ORPIFIANS COURT
CUMBERLAND COUNTY COURTHOUSE
CARLISLE, PAN 70 13
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