HomeMy WebLinkAbout08-22-11 (10)
IN RE:
ESTATE OF ANNA MAE MCCOMBS,
Deceased
IN THE COURT OF COMMO,,IV PLEAS .
OF CUMBERLAND COUNT ; C-~ ----
PENNSYLVANIA ~~=~
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ORPHANS' COURT D[VISI' j; ~~.
FILE N0.21-10-0572 '.r-,~~~~
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RECEIPT ;~ ~~
FINAL AND COMPLETE RELEASE
AND INDEMNIFICATION AGREEMENT
KNOW ALL MEN AND BY THESE PRESENTS, that I, JANICE SHAI)LE
(HOMER), 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 f~re~~er discharge the FIDUCIARY and the respective heirs. personal
representatives, successors and/or assigns thereof as well as said decedent's estate, of and
from all manner of actions, cause or causes of action, debts, dues, claims and demiands
whatsoever, both in law and in equity, against the FIDUCIARY, individually, corporately
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
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claimant/creditor and/or in any other capacity which the undersigned has had or now 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 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 loss
from anv 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.
I?~? ~?~~IT?~TEce ~xII-IFRpnF, the undersigned has duly exPCUted this Rec;eipt, Firal
and Complete Release and Indemnification Agreement the day, month and year set
opposite the signature of the undersigned.
//
itne Date
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JANICE SHADLE (HOMER}
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
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COUNTY OF ~A-e~h~ n
On this, the /~~ day of , 2011, before me, the undersigned
officer, personally appeared JANICE S ADLE (HOMER), 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 WHF,REOF, I hereunto set my hand and official seal.
M NWEALTH OF PENNSYLVANIA
Notarial Seal
Virginia R. Wiest, Notary Public
Lykena twp., Dauphin Counrr
My Golnm~l4tr expires May 27, 20ta
pRlbBr, YreRn$ylyb}R1li Asse~eiatien of Notaries