HomeMy WebLinkAbout08-22-11 (5)4
IN RE: IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY,
PENNSYLVANIA
ESTATE OF ANNA MAE MCCOMBS,: ~.
Deceased :ORPHANS' COURT DIVISIOI~> -~'
FILE N0.2I-10-0572 ~'`_~~ - `
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RECEIPT ~ ~ `~ ~~
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FINAL AND COMPLETE RELEASE ;`-'-'
AND INDEMNIFICATION AGREEMENT r~ _-~ ~ ~ ''
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KNOW ALL MEN AND BY THESE PRESENTS, that I, SARA SHREI[NER, do
1, _, r.,~+cr K~1,.-....x-1 --~.a -. ~ 4 !'. ~ 7nA?Tl(l ~.~i i x .rr. r r
..C.-....~ _,:,,...~..b:, rereip~, fiv'ITi v~.,~lv-wL ilv n. TV11i,LL~, Executrix ~llerelna Ler
referred to as "Fiduciary"), of the Estate of Anna Mae McCombs, deceased, the suns of
Fourteen Thousand Two Hundred Ninety-Three and 54/100 Dollars ($I4,293.54) 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
tinal 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 weli as said decedent's estate, of and
from all manner of actions, cause or causes of action, debts, dues, claims and demands
whatsoever, both in law and in equity, against the FIDUCIARY, individually, corporately
and/or in a fiduciary capacity, and against said decedent's estate, «~hether 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 -~iow has
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 FURTI-IER 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 loss
from ai7y and all further claims, demands and actions, in law or in equity or otherwise,
tliUt l'tii.y llLi ecitlGl• is iii 1~ tii'IIC: ilC I~iiiide Vl~ l ~vli~i~it U~ ~i 1'IC Lei i~li111VliWC. tll lil ill
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
uudersigned 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 uudersigned has duly executed this Receipt, Final
and Complete Release and lndemnitication Agreei~~ent the day, month and-year set
opposite the signature of the uudersigned.
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Witi ess Date
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C!
S SHREINER
ACKNOWLEDGMENT
COMMONWEAL"I'H OF PENNSYLVANIA
:ss
COUNTY OF ~ Lt '~'"` ~~ r ~``'~ ~
On this, the ~ ~' day of -~ ~ , 201 1, before me, the undersir;ned
officer, personally appeared SARA SHREINER, known to me (or satisfactorily proven)
to be the person named in the foregoing instrument and acknowledged that she executed
the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
COMMONWEALTH OF PEN~~YLVANIA
Notarial seal
Tina M. Robertson, Notary ~ c
~P~E~~NOv.16,2011ty
Member, Pennsylvania Associat'ron of Notaries
/ / / '///u"`~ 9
Notary Public
COMMONINE r3' - : PI=Ni~-- `' -~ ~~1
.i Seal
Tina p;. ,;n, Notary Public
Fast Pen! s ,.~., Cumberlarxl County
My Ccrr~~ =xplrrs Nov. 't 3, 2011
Member, Pen~uy~.ania A,ssoCiafion of Notaries