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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
In Re:
Estate of Eris J. Kann, Estate No. 2011-00037
Late of South Middleton Township, :
Cumberland County, Pennsylvania,
Deceased.
RECEIPT. RELEASE. REFUNDING AND INDEMNIFICATION AGREEMENT
The undersigned, Timothy P. Kann, as Trustee of the Eris J. Kann Trust, a beneficiary of
the Estate of Eris J. Kann, deceased, does hereby:
1. Acknowledge that he has examined and approved the First and Final Account of
Timothy P. Kann, Executor of the Estate of Eris J. Kann;
2. Acknowledge receipt of all assets to which the Trust is entitled under the
Distributions to Beneficiaries and/or Proposed Distributions to Beneficiaries sections of the First
and Final Account;
3. Release Timothy P. Kann and each of his heirs, personal representatives,
successors and assigns from all liabilities, whether due to the Executor's negligence or
otherwise, which it may have by reason of the Executor's administration of the estate;
4. Agree to refund to the Executor any portion of the distribution to which the Trust
is not properly entitled and, to the extent of said distribution, to indemnify Timothy P. Kann for
claims against him as Executor and to reimburse to him all expenses and costs (including
attorney's fees) incurred in connection with any such claims; and
5. Declare that this instrument shall be legally binding upon him, his personal
representatives, successors, and assigns.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of
, 20/~.
Wi Hess: Eris J. Kann Trust
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Name: Timo P. Kann
Title: Trus e
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COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF ~A1~.~.p~~l V1
On this, the~_ day of ~~ , 20 ~, before me, the
undersigned officer, a Notary Public in and for said cowl ty and state, personally appeared
Timothy P. Kann, Trustee of the Eris J. Kann Trust, known to me or satisfactorily proven to be
the person whose name is subscribed to the within instrument, and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
~owYw-~. (Notary Public)
TH Y VANIA
NOTARIAL SEAL
TAMICA C. GOODSON, Notary Pubpc
8uaquehanna 7Yrp., Dauphin CoiaitY
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