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HomeMy WebLinkAbout02-13-12 (2)IN RE: ~ ESTATE OF ~ NANCY E. TOMASSINI ~ Deceased ~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, c?o PENNSYLVANIA --; ORPHANS' COURT DIVISION N0.21-11-1222 RECEIPT AND RELEASE -_, i~ v'CJ'` T ~~ :'t7 _~ D ;: ,• P^y~ r~ ~a C.J ^7 LL t~.a ~~ I, MARY QUATRALE, 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 $13,750.00, as a partial distribution to which I am entitled as a beneficiary of the Estate of Nancy E. Tomassim; 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 entitied, and, to the extent of said distribution, to indemnify him and the Estate for claims made against him and to reimburse him -cam `z~ ~__~ ~' ~~ ~-r, '~~ and the Estate all expenses and cults 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 ~ day of ~~ - , 2012. e~~ ' {`Gt. ~~ ~ ~ (SEAL) MARY QUATRALE STATE OF NEVADA ~ (SS: COUNTY OF ~ J da of ~~ Q , 2012, before me, the On this, the Y undersigned officer, personally appeared MARY QUAT LE, known to me (or satisfactorily proven) to be the person whose name is sub ereinecontahnewdithin instrument and acknowledged that (s)he executed same for the purposes th IN WITNESS WHEREOF, I have hereunto set my hand and official seal. -- ---- Notary Public D~O~~N{N~A~CAR~LLA q ^,s, ',. IW EMI fVONN ~ ; -' STATE OF NEVADA yr .;;~- r~ My Commission Explrea: O7-0T•1+1 "°"E°^°A Certiflcetc No: 10.2725-1