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IN RE: THE ESTATE OF ,
BEVERLY D. GOCHENOUR, .
A/K/A BEVERLY A. GOCHENOUR,
LATE OF
MECHANICSBURG BOROUGH
CUMBERLAND COUNTY .
PENNSYLVANIA
~~~~~ ~~~
'~ ~~~~~T
THE C ~ ~ ~ i
~~~~~1QJ~~,~ PLEAS OF
CUMBE~ AND COUNTY PEN
NSYLVANIA
ORPHANS' COURT DIVISION
NO.21-10-00537
RECEIPT, RELEASE, REFUNDING AND INDEMNITY AGREEMENT'
CONCERNING DISTRIBUTION FROM ESTATE
THIS AGREEMENT, based upon the family circumstances outlined, is entered into with the
Executor by each beneficiary, from the date of formalization of his/her separate Consent:
1. BEVERLY D. GOCHENOUR died Testate on September 19, 2010.
2. Decedent's Will, dated January 16, 2004 provided for various bequests, arrc7l designated
Kenneth E. Gochenour as Executor.
3. Said Will was accepted by the Register of Wills of Cumberland County fc>r probate on
October 1, 2010, and steps necessary to complete the administration were undertaken by the
F,xecutor.
4. rl,he beneficiaries desire that the distribution of the assets of the Estate be made without the
formality of an Accounting in the Orphans' Court Division of the Cumberland County,
Pennsylvania Court of Common Pleas, and the Executor is willing to make distribution upon
the execution of this Agreement.
5. The beneficiaries desire to forever settle and compromise airy and all claims anal rights which
they may possess, now or hereafter, in the Estate and to confirm their acceptaxice of the
distribution in satisfaction of the bequest contained in the decedent's I_,as~t Will and
Testament.
8 The beneficiaries wish to release the Executor and to indemnify him against ally grid all claims
that may be asserted against the Estate with the Executor after the date hereof.
9. "I'he Executor is willing to make a distribution of informal settlement of the Estate in
consideration of the indemnification and agreements hereinafter provided by the beneficiaries.
NOW, THEREFORE, in consideration of the foregoing and intending to be legally bound hereby,
jointly acid severally, the beneficiaries do, for themselves, their heirs, personal representatives, successors grid
assigns, agree as follows:
A. Represent and warrant that they have read and they understand this Agreement and confirm
that the facts set forth above are true and correct, to the best of their knowledge, information
and belief.
13. Declare that they have suflicient information to make air informed waiver of their right to a
formal accounting with the Court, and do hereby waive the filing and auditing of said formal
accounting.
C. Acknowledge that the distributive share shall be in satisfaction of their respective entitlements
under tl~ie Will.
D. Release, remise, quitclaim and forever discharge the Executor, his h~,eirs, personal
representatives, successors and assigns, from and against all claims that they, as residuary
beneficiaries of the Estate, had, now have, or may in the future have in conn~ec~ion with the
Estate.
E. Agree to refund, on demand, all or any part of their proportionate share of any aforesaid
distribution, which has been determined by the Executor, or by the Court, or by any court of
competent jurisdiction, to have been improperly made.
F. Agree to indemnify and hold harmless the Executor, his heirs, personal representatives,
successors and assigns, from and against any and all claims, loss, liability or damage (whether
or not related to the negligence of the Executor that may hereafter be asserted against the
Estate or against the Executor.
G. Agree to execute such additional documents as maybe necessary to effectuate the agreements
set forth herein.
H. Acknowledge that this Agreement shall be governed by and construed in accordance with the
laws of the Commonwealth of Pennsylvania.
Consent to the Court exercising personal jurisdiction over them in any suit or a,~tion arising
out of the enforcement of this Agreement.
IN WITNESS WHEREOF, the beneficiaries have set their hands and seals to the Consent`s attached
hereto, to be effective as of the date first above written.
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
rI'he undersigned, KENT E. GOCHENOUR, a beneficiary of the Last Will arid. "Testament of
BEVERLY D. GOCHENOUR, A/K/A BEVERLY A. GOCHENOUR, Deceased, hereby consents to the
Receipt, Release, Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which
has been provided to him. The undersigned also acknowledges receipt of his share of the Estate, as more
particularly described in the aforesaid Agreement, including the Accounting, subject to all 11re terms and
conditions specified therein.
~~
KENT E. GOCH OUR
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF ______ ;
On this, the __~_ ~'_ day of ____ _____, 2011, before me, a Notary Public, the
undersigned officer, personally appeared KENT E. GOCHENOUR, known to me to be the person whose
ntune is subscribed to the within instrument, and acknowledged that he executed the same fc-r the purpose
therein contained.
IN WITNESS WHEREOF, I have hereunto~y hand and No~-ial ~al.
OTA~Y Pk1BLI
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Janet S. Gore, Notary Public
Dillsburg Boro, York County
My Commission Expires Oct. 25, 2014
Member. Pennsylvania Association Of Notaries
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, DEIDRE L. SCHAEFFER, a beneficiary of the Last Will acid. Testament of
BEVERLY D. GOCHENOUR, A/K/A BEVERLY A. GOCHENOUR, Deceased, hereby consents to the
Receipt, Release, Refunding and Indemnity Agreement Concerning Distribution From Estate, .a. copy of which
has been provided to her. The undersigned also acknowledges receipt of her share of the Estate, as more
particularly described in the aforesaid Agreement, including the Accounting, subject to all the terms and
conditions specified therein. ~-,~
;;
~~
. ..-~
DEIDRE L. SCHA~EF
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF _______ :
On this, the ___ d'l_~'" day of __ _ _ ________, 2011, before me, a Notary Public, the
undersigned off cer, personally appeared DEIDRE L. SCHAEFFER, known to me to be the: person whose
name is subscribed to the within instrument, and acknowledged that she executed the same fc~r the purpose
therein contained.
IN WITNESS WHEREOF, I have hereunto
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Janet 5. Gore, Notary Public
Dillsburg Boro, York County
My Commission Expires Oct. 25, 2014
Member. Pennsylvania Association of Notaries
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, DIANA L. BRUCE, a beneficiary of the Last Will and Testament of BEVERLY
D. GOCHENOUR, A/K/A BEVERLY A. GOCHENOUR, Deceased, hereby consents to the Receipt,
Release, Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of which has been
provided to her. The undersigned also acknowledges receipt of her share of the Estate, as more particularly
described in the aforesaid Agreement, including the Accounting, subject to all the terms and conditions
specified therein.
DIANA L. BRUCE
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF ~~_rjZ,~~.~``"~~,D _______
On this, the __`~5 da of ~ ~,~~~ 2011 before me a No ~
Y __-~ -------------, tar} Public, the
undersigned officer, personally appeared DIANA L. BRUCE, known to me to be the person whose name is
subscribed to the within instrument, acid acknowledged that she executed the carne Ior Llic pur-pose dlerein
contained.
IN WITNESS WHEREOF, I have hereunto set my hand and No i~,l S ~/
NOTARY PUBLIC
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
MICHAEL R. CARANC{, Notary Public
Lemoyne Boro. Cumberland County
My Commission Expires June 15, 2014
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, ROBERT M. BRUCE, a beneficiary of the Last Will and Testament of~BEVERLY
D. GOCHENOUR, A/K/A BEVERLY A. GOCHENOUR, Deceased, hereby consents to the Receipt,
Release, Refunding and Indemnity Agreement Concerning Distribution From Estate, a copy of «-hich has been
provided to him. The undersigned also acknowledges receipt of his share of the Estate, as more particularly
described in the aforesaid Agreement, including the Accounting, subject. to all the terms and conditions
specified therein.
ROBERT M. BRUCE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~lr~'~l'.~~.,~_1.~.~~iZ?~ _____ ;
On this, the 1~__ day of ___--~~~ir1
2011, before me, a Notauy Public, the
undersigned officer, personally appeared ROBERT M. BRUCE, known to me to be the person whose name
is subscribed to file within instrument, and acknowledged that he executed the same for the purpose therein
contained.
IN WITNESS WHEREOF, I have hereunto set my hand and No Seal
~q.._ ~_ ... .}
NOTARY PUBLIC
COMMONWEALTH OF PENNSYLVANIA
SS.
NOTARIAL SEAL
MICHAEL R. CARANCI, Notary Public
Lemoyne Boro. Cumberland County
My Commission Expires June 15, 2014
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, KENNETH E. GOCHENOUR, a beneficiary of the Last Will and. "]':~estament of
BEVERLY D. GOCHENOUR, A/K/A BEVERLY A. GOCHENOUR, Deceased, hereby consents to the
Receipt, Release, Refunding and Indemnity Agreement Concerning Distribution 1''rom Estate, a copy of which
has beery provided ~o lrirn. Tyre undersigned also acknowledges receipt of his share of the I~state, as rnore
particularly described in the aforesaid Agreement, including the Accounting, subject to all the terms arld
conditions specified therein.
a
-.
. ~,,.-
KENNETH E. GOCHENOUR
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF ______
On this, the __ ~`i -=~"day of --- -- -----------, 2011, before me, a Notiuy Public, the
undersigned officer, personally appeared KENNETH E. GOCHENOUR, known to me to be fire person
whose name is subscribed to the within instrument, arrd acknowledged that Ile r:xecuted the same for dye
purpose therein contained. ,,
IN WITNESS WHEREOF, I have hereunto my and and N
OT1~RY PU~$LIC
COMMONWEALTH OF PENNSYLVAN:[A
Notarial Seal
Janet S. Gore, Notary Public
Dillsburg Boro, York County
My Commission Expires Oct. 25, 2014
Member. Pennsylvania Association of Notaries
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, CARLY J. (SCHAEFFER) AMUNDSEN, a beneficiary of the :Last Will and
Testament of BEVERLY D. GOCHENOUR, A/K/A BEVERLY A. GOCHENOUR, Deceased, hereby
consents to the Receipt, Release, Refunding and Indemnity Agreement Concerning Distribution From Estate,
a copy of which leas keen provided to her. The ttndersigr~ecl also acknowledges receipt of her sh~se of the
Estate, as more particularly described in the aforesaid Agreement, including the Accounting, subject to all the
terms and conditions specified therein.
... ~,,~-
-----------------------------~ -- ~t
CARLY J. (SCHAEFFER) AMUND EN
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF
On this, the _~~'~~`'day of __ __ __ ___________, 2011, before me, a Notiuy Public, the
undersigned officer, personally appeared C Y J. (SCHAEFFER) AMUNDSEN, known too me to be the
person whose name is subscribed to the within instrument, and acknowledged that she executed the same for
the purpose tllerciri contained.
IN WITNESS WHEREOF, I have hereunto s my hared and tar' Seal.
OTARY U IC
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Janet S. Gore, Notary Public
Dillsburg Born, York County
My Commission Expires Oct. 25, 2014
Member. PennsvNania Association Of Notaries
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, KEITH A. GOCHENOUR, a beneficiary of the Last Will and 'T'estament of
BEVERLY D. GOCHENOUR, A/K/A BEVERLY A. GOCHENOUR, Deceased, hereby consents to the
Receipt, Release., Refunding acid Indemnity Agreement Concerning Distribution From Estate, a copy of which
has been provided to him. The undersigned also aclrrowledges receipt of i~iis share of tl~e IsG~te, as more
particularly described in the aforesaid Agreement, including the Accounting, subject to all the terms and
conditions specified therein.
~~ ~- ~--~t~ air
KEITH A. GOCHENOUR
COMMONWEALTH OF PENNSYLVANIA
`~ SS.
COUNTY OF ---__-__- ~YZ~
On this, the _ ~t`%~ _ day of __ _ _______________, 2011, before me, a Notary Public, the
undersigned officer, personally appeared KEITH A. GOCHENOUR, known to me to be the person whose
name is subscribed to the within instrument, and acknowledged that he executed the wine for the purpose
therein contained.
IN WITNESS WHEREOF, I have hereunto y hand
,~
NOTA
otadlal Seal.
PU$/LIC
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Janet S. Gore, Notary Public
Dillsburg Boro, York County
My Commission Expires O~ 25, 2014 _
Member. Pennylvania Association Of Notaries
LAW OFFICE OF
WM. D. Scx~cx III
124 WEST HARRISBURG STREET
DILLSBURG, PA 17019
Telephone 717-432-9733 L-mail
Telefax 717-432-1053 Schracklaw@comcast.net
June 30, 2011
Register of Wills of Cumberland County
Curnbe.rland County Court House
One Courthouse Square
Carlisle, PA 17013-3387
Re: Estate of Beverly D. Gochenour
D/D: September 19, 2010
File #: 21-10-0999
To Whom It. May Concern:
You will find enclosed herewith the original and one copy of the Status Report, and the original
and a copy of the face page of the Receipt, Release, Refunding and Indemnity Agreement. on the
above-noted Estate.
Please accept the original documents for filing, and return the copies with your time stamp
impression in the envelope provided.
Appended to the bottom of this letter is the a check in the amount. of $5.00 fir the Release
filing fee.
Sincerely,
WM. D. SCHRACK III
WDS/jsg
enc.