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IN RE: ~,~~~ ~~~ ~'' uA IN THE COURT OF COMMON PLEAS
~~}~~r,~. CUMBERLAND COUNTY,
PENNSYLVANIA
ESTATE OF ORPHANS' COURT DIVISION
ELAINE C. PARSONS, DECEASED NO. 21-11-0182
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 their separate Consents:
1. ELAINE C. PARSONS died Testate on December 5, 2010.
2. Decedent's Will, dated June 3,1997 provided fox various specific and general bequests,
and designated H. Francis Parsons to serve as Executor. The said H. Francis Parsons
predeceased his wife, and the named alternate James A. Rogers serves as Executor.
3. Said Will was accepted by the Register of Wills of Cumberland County fox probate on
February 11, 2011, and steps necessary to complete the administration was undertaken
by the Executor.
4. The 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 this
distribution upon the execution of this Agreement.
5. The beneficiaries desire to forever settle and compromise any and all claims and rights
which they may possess, now or hereafter, in the Estate and to confirm their acceptance
of the distribution in satisfaction of the bequest contained in the decedent's Last Will
and Testament.
6. The beneficiaries wish to release the Executor and to indemnify him against any and all
claims that maybe asserted against the Estate with the Executors after the date hereof.
7. The Executors 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 and severally, the beneficiaries do, for themselves, their heirs, personal representatives,
successors and 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.
B. Declare that they have sufficient information to make an 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 they have received shall be in satisfaction of
their respective entitlements under the Will.
D. Release, remise, quitclaim and forever discharge the Executor, his heirs, personal
repxesentatives,successnrs 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 connection 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 may be 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.
I. Consent to the Court exercising personal jurisdiction over them in any suit or action
arising out of the enforcement of this Agreement.
IN WITNESS WHEREOF, the beneficiaries have set their hands and seals to the Consents
attached hereto, to be effective as of the date first above written.
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, DANIEL B. ROGERS, a beneficiary of the Last Will and Testament of
ELAINE C. PARSONS, 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 the terms and conditions
specified therein.
1
D IEL B. ROGERS
COMMONW TH OF ENNSYLVANIA
_ ~ SS.
COUNTY OF
On this, the _1~__~ day of _^__ __________, 2011, before me, a Notary Public,
the undersigned officer, personally appeared DANIEL B. ROGERS, known to me to be the person
whose name is subscribed to the within instrument, and acknowledged that he executed the same for
the purpose therein contained. ~- „ ~
IN WITNESS WHEREOF, I have her~unto set my hand and
N
COMMOPIWEALTH OF PENNSYEVwvw
Notarial Seal
Janet S. Gore, Notary Public
Dillsburg Boro, York County
My Commission Expires Od. 25, 2014
Member. Pennyylvanfa F~ssoclatian of Notaries
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, JAMES A. ROGERS, a beneficiary of the Last Will and Testament of
ELAINE C. PARSONS, 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 the terms and conditions
specified therein.
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF _~N_~ ~~___
On this, the __~3 __-day of _ _ ~~Y~~-~~ ^, 2011, before me, a Notary Public,
the undersigned officer, personally appeared JAMES A. ROGERS, known to me to be the person
whose name is subscribed to the within instrument, and acknowledged that se executed the same for
the purpose therein contained.
IN WITNESS WHEREOF, I have her~unto set my hand a1~1 N~itarial Seal.
COMMONWEALTH OF PENNSYLVANIA U
Notarial Seal
Janet S. Gore, Notary Public ~'r C
Dilisburg i3oro, 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, SUSAN P. WALBERT, a beneficiary of the Last Will and Testament of
ELAINE C. PARSONS, 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.
COMMONW TH OF PENNSYLVANIA
SS.
COUNTY OF __Y~ __ ~ __ .
On this, the _ ~~'~ day of _ Q~~~~ 2011, before me, a N
--- ~_^~
the undersigned officer, personally appeared SUSAN P. WALBERT, known to me to
whose name is subscribed to the within instrument, and acknowledged that she executed
the purpose therein contained.
IN WITNESS WHEREOF, I have her nto set my hand anc~lota~al Seal.
Gi/
USAN P. WALBERT
otary Public,
be the person
the same for
COMMONWF-A~T~ OF PENNSYLVANIA
Notarial Seal
Janet 5. Gore Notary Public
Dillsburg Boro, Yeos OCtto• 25 2014
My Commission Fxpi iatlan of Notaries
Member. Pennsvlyanla Assac