HomeMy WebLinkAbout05-13-11 (2)bill/formats/estate/simple estate release form
IN RE: THE ESTATE OF THE COURT OF COMMON PLEAS
ROSEMARY JOHNS CUMBERLAND COUNTY, PENNSYLVANIA
LATE OF CUMBERLAND COUNTY, ORPHANS' COURT DIVISION
PENNSYLVANIA NO. 21-11-0356
RECEIPT AND RELEASE
KNOW ALL MEN BY THESE PRESENTS, that I as beneficiary and heir of ROSEMARY
JOHNS, late of Cumberland County, Pennsylvania, deceased, do hereby acknowledge that I am about to
receive from the Executor of the decedent, a distribution, representing the current balance of my share of
distribution under said Will, in full, as total satisfaction and payment of such sum of the IJst:ate of the
decedent.
I desire that the shares of the Estate be distributed without the formality of a court adjudication and
final accounting, in order to save expense, publicity, and delays incident to such court proceeding, and
authorize the said Executor to make such distribution upon return of the Receipt and Release.
A1~1D, 'T`HEREFORE, 1, by these presents, remise, release, quitclaim, and absolutely discharge,
indemnify and hold harmless the Executor, his executors, heirs, and administrators, of, and from said legacy,
and of and from all action, whatsoever, for or by reason thereof or relating in any way to his administration
of the Estate or of any other act, matter, cause, or thing whatsoever from the beginning of the world to the
date of these presents.
INTENDING to be legally bound hereby, we have hereunto set our hands and seals this _ s~
day of ~Mo , 2011.
WITNESS:
~ti~' ~ti~
IM WILLIAM JOHNS
Sworn to and subscribed before me
this S day of 20 ~ c .
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