HomeMy WebLinkAbout08-22-11 (4)e 1
IN RE: IN THE COURT OF COMMOI~K~LEAS .°
OF CUMBERLAND COUNTY, '`_
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:PENNSYLVANIA _ ~ c`~
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ESTATE OF ANNA MAE MCCOMBS, : "-~ -- ~='
Deceased :ORPHANS' COURT DIVISIONc: ~,-_=.;=;
FILE N0.21-10-0572 ~ '~
:_
RECEIPT
FINAL AND COMPLETE RELEASE
AND INDEMNIFICATION AGREEMENT
KNOW ALL MEN AND BY THESE PRESF,NTS, that I, GREGORY M[LLER,
do hereby acknowledge receipt, from GWENDOLYN H. MILLER, Executrix
(hereinafter referred to as "Fiduciary"), of the Estate of Anna Mae McCombs, deceased,
the sum of Fourteen Thousand Two Hundred Ninety-Three and 54/100 Dollars
($14,293.54) in satisfaction of all claims, distribution, shares and property, (personal,
tangible and/or intangible) due the undersigned from the Estate.
The undersigned acknowledges receipt of Notice Beneficial Interest in Estate, a
final accounting and timely information from FIDUCIARY when requested by the
undersigned.
IN CONSIDERATION WHEREOF, the undersigned does hereby remise, release,
quitclaim and forever discharge the FIDUCIARY and the respective heirs, personal
representatives, successors and/or assigns thereof as well as said decedent's estate, of and
n;r, all ma..ner of actions, caus:: or causes of actin;., debts, dae~, clai~„s and demands
whatsoever, both in law and in equity, against the FIDUCIARY, individually, cor)~orately
and/or in a fiduciary capacity, and against said decedent's estate, whether as legatee
under the Last Will and Testament and/or as heir-at-law of said decedent and/or as
claimant/creditor and/or in any other capacity which the undersigned has had or now has
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or ought to have had for or by reason of any act, matter, cause or thing from the
beginning of the world to the day of the date of these presents.
AND IN FURTHER CONSIDERATION WHEREOF, the undersigned does
hereby expressly stipulate, covenant and agree, in consideration of the aforesaid
distribution and payments, to indemnify and hold harmless said FIDUCIARY and the
respective heirs, personal representatives, successors and assigns thereof against Goss
from any and all further claims, demands and actions, in law or in equity or otherwise,
that may hereafter at any time be made or brought by the Commonwealth of
Pennsylvania, or anyone in its behalf, for any unpaid Pennsylvania Death Transfer
Inheritance Taxes or by the Internal Revenue Service, or anyone on its behalf, for• any
unpaid Federal Gift or Estate Taxes on the gross taxable estate of said decedent and the
undersigned hereby waives any and all rights of exemption, both as to real and personal
property, to which the undersigned may be entitled under the laws of this or any other
state as against such claim for reimbursement or indemnity.
The undersigned does hereby consent to the discharge of the FIDUCIARY'
without notice to, or necessity of joinder of, the undersigned.
IN WITNESS WHEREOF, the undersigned has duly executed this Receipt, Final
and Complete Release and Indemnification Agreement the day, month and year set
opposite the signature of the undersigned.
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Witness D e GREGO MILLER
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF G 1-f~ t3c,~LA~v1~ :ss
On this, the /&'~day of ~' , 2011, before me, the undersigned
officer, personally appeared GREGORY ILLER, known to me (or satisfactorily
proven) to be the person named in the foregoing instrument and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
~rioNwEn~Tr+ of a~NSir~v~rw-
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Susan iatir ate. Noc~v ~c
~,, 21coI~ s
MEMBER, PENNSYWANU ASSOCIATION OF NdTARffi
Notary Public