HomeMy WebLinkAbout02-13-12IN RE: ~
ESTATE OF ~
NANCY E. TOMASSINI j
Deceased ~
~..~
IN THE COURT OF COMMON R~F~S OF "~ -ri
CUMBERLAND COUNTY, ~A~ ~ ~ ~; ;= ;- t_1
PENNSYLVANIA ~ ~-- ~~
~
_ ~
c:.a P ` ~ '.'
_ _.
_ . , ,,
ORPHANS' COURT DIVISION ,~^4~ -F-i
~.~)~ ;...... fTi
f....
21-11-1222
NO ~ ~ ~= `~~ o
. ~,
RECEIPT AND RELEASE
I, STEPHEN M. TOMASSINI, the undersigned, being a beneficiary under the Estate of
Nancy E. Tomassini, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received the sum of $41,250.00, as. a partial distribution to
which I am entitled as a beneficiary of the Estate of Nancy E. Tomassini;
4. To the extent of said distribution, release Stephen M. Tomassini, Executor of the
Estate of Nancy E. Tomassini and his heirs and personal representatives, from all liabilities,
whether due to his negligence or otherwise, which he may have by reason of his administration
of the Estate;
5. Agree to refund to the Estate and to the said Stephen M. Tomassini, Executor, any
portion of the distribution to which I am not properly entitled, and, to the extent of said
distribution, to indemnify him and the Estate for claims made against him. and to reimburse him
and the Estate al] expenses and costs incurred in connection with any such claim; and
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this t.~ 4`` day of
~~ b~ ~~u ~~ _ , 2012.
t.. ice. ~ih~w~..-== (SEAL)
STEPH N M. TOMASSINI
COMMONWEALTH OF PENNSYLVANIA )
'~ ~ (SS:
COUNTY OF ~_. ~,l.,Y~'~~~,'~,~'~~-- )
~:~~ ~ A
On this, the day of ~ ~ '±~. ~ , 2012, before me, the
undersigned officer, personally appeared ST PHEN M; OMASSINI, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within instrument and
acknowledged that (s)he executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
.~
~ ~ ~-
', --- ---
Notary Public f,.
F
OMMOIIMlALTII O~ -ENNSYivAlllA
NOiAR1Al SEAL
Wendy K. Straub, rotary Public
Lower Allen Township, Cumberland County
My Commission Expires May 10, 2015