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IN RE: THE ESTATE OFC!RF'r-~~`~~~~~ ~ ~-'~~~`-".~4T
HARRYE.CLAI~~~'~~~~ ~'~~~ ° ~ '~~~ ~,•~
CUMBERLAND COUNTY .
PENNSYLVANIA
THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-11-1069
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 his separate Consent:
1. HARRY E. CLARK died Testate on September 27, 2011.
2. Decedent's Will, dated May 1, 2009 provided for various bequests, acid designated David S.
Clark and Richard P. Clark Co-Executors.
3. Said Will was accepted by the Register of Wills of Cumberland County for probate on
October 12, 2011, and steps necessary to complete the administration were undert~ilcen by the
Co-Executors.
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 distribution upon
dle execution of this Agreement.
5. 1~e beneficiaries desire to forever settle acid compromise any and all claims and rights which
they may possess, now or hereafter, in the Estate and to confirm their acceptance of tl-e
distribution -in satisfaction of the bequest contained in the decedent's Last Will acid
Testament.
6. The beneficiaries wish to release the Co-Executors and to indemnify them against any and all
claims that may be asserted against the Estate with the Co-Executors aticr the date hereof.
7. The Co-Executors are willing to make a distribution of informal settlement of the Estate in
consideration of the indemnification and agreements hereinafter provided bythe beneficiaries.
NOW, THEREFORE, in consideration of the foregoing and intending to be legally bound hereby,
jointly and severally, die 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 shall be in satisfaction of their respective entitlements
under the Will.
D. Release, remise, quitclaim and forever discharge the Co-Executors, their heirs, personal
representatives, successors 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 Co-Executors, or by the Court, or by any court
of competent,}urisdiction, to have been improperly made.
F. Agree to indemnify and hold harrnless the Co-Executors, their 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 Co-Executors that may hereafter be asserted against the
Estate or against the Co-Executors.
G. Agree to execute such additional documents as maybe necessary to effectuate the agreements
set forth herein.
H. Acknowledge that this Agreement shall be governed by and construed in accordance wide tlic
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, BRIAN R. CLARK, a beneficiary of the Last Will and Testanient of HARRY E.
CLARK, Deceased, hereby consent to the Receipt, Release, Refunding and Indemnity Agreement Concerning
Distribution From Estate, a copy of which has been provided to her. The undersigned also ackuowlcdges
receipt of her share of the Estate, as more particularly described in the aforesaid Agreement, subject to all Lhe
terms and conditions specified therein.
COMMONWEALTH OF
COUNTY OF
,VANIA
On this, dle _1~? w~'day of~
L
__ _________________________________
BRIAN R. CLARK
SS.
'___, 201~before me, a Notary Public, the
undersigned o$icer, personally appeared BRIAN R. CLAR~, known to me to be the person whose name. is
subscribed to the within instrument, and acknowledged that she executed the same for the. purpose therein
contained.
IN `'FITNESS WHEREOF, I have hereunto s~hand and N
N
COMMONWEALTH Or '~Ce`ir„ 3`s":'1,+.°u:~=..,-
Notarial Sew'
Janet 5. Gore, NotaR~ :'° '' ".
Diilsburg Boro, York C::u
My Commission Expires ~7ct. v::;
Member. Pennsylvania Association oT ~--
C
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, DAVID S. CLARK, a beneficiary of the Last Will and Testarncnt of HARRY E.
CLARK, Deceased, hereby consent to the Receipt, Release, Refunding and Indemnity Agreement Concerning
Distribution From Estate, a copy of which has been provided to him. The undersigned also acknowledges
receipt of his share of the Estate, as more particularly described in the aforesaid Agreement, subject to all the
terms and conditions specified therein.
-~
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DAVID S. CLARK
COMMONWEALTH QF PENNSYLVANIA
COUNTY OF
SS.
On this, the _ ~ ~~V~.day of _ __ ___Y~.___ __, 201, before me, a Notary Public, the
undersigned officer, personally appeared DAVID S. CLAR sown to me to be the person whose name is
subscribed to the within instrument, and acknowledged that he executed the same for the purpose therein
contained.
IN WITNESS WHEREOF, I have hereunto set hand and N i Seal.
-- ---- -- -- ----------------------
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COMM7f~WEAt.~H O~ ~~ ~;N$~'L4'~~~~~
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Jan€~t ~- `'~ ~, a4,ra , ~ i<<~~'
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M~m~r. Pertn~.v€~~,;pl~ vv ~^;~~ *i:_r= u;` t1 ,i.,sr~-,
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, KIMBERLY C. SWARTZ, a beneficiary of the Last Will Auld Testament of
HARRY E. CLARK, Deceased, hereby consentto the Receipt, Release, Kefunding and Indemnity Agrcement
.~_',unceruing Disu~ibuti~n 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,
subject to all the terms and conditions specified therein.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
E .,
KIMBE~tLY C. SWT~
ss
SS.
On this, the _~ ~! "~!~-~ day o ____ ~t/l,
_ ____ ___, 201 before me, a Notary Public, tttc
undersigned officer, personally appeared KIMBERLY C. S RTZ, known to me to be the person whose
name is subscribed to the within instrument, and acknowledged that she executed the same for the purpose
therein contained.
IN WITNESS WHEREOF, I have l-ereunto s y hand and No' ial ,
- --- -- ---------------------
cor~M~r~w~~-r~ o~ ~~r,r~~Ytv.~,~aR O Y P LI
dV~tariai Sc:~i -~~-._._.__~
.lane` S. Core, 4dctary fi;r~lic
Dildshura eoro, York Cc+~rsty
My Commission; [xpires Cct.t5, 2Q4
Member. Pennsvivania Asscdati~n of (vr,,arias
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, LINDA S. WILLIS, a beneficiary of the Last Will and Testament of HARRY E.
CLARK, Deceased, hereby consent to the Receipt, Release, Refunding and Indemnity AgreemenC 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, subject to all the
terms and conditions specified therein.
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LINDA S. WILLIS
COMMONWEALTH O~ PENNSYLV
/' / / i
SS.
COUNTY OF
On this, the _1J~ day
undersigned officer, personally appeared LINDA S.
subscribed to the within instrument, and acknowled
contained. ~
_____, 201'x., before me, a Not~u~y Public, the.
~, to me to be the person whose name is
she execute e same for the purpose t}ierein
IN WITrdESS WHEREOF, I lave
.to s.,t :..y ha:.d and ~.~taria(/ceal.
OTARI'
COMMONWEALT~1 OF PENNSYLVANIA
Notarial Seal
Janet S. Gore, Notary PQ,~bGc
Diilsburg Boro, York County
My Cammissior~ Expires Oct. 25, 2014
Member. Pennsvivania Association of Notaries
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, RICHARD P. CLARK, a beneficiary of the bast Will acid Testament of HARRY
E. CLARK, Deceased, hereby consent 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,
subject to all the terms and conditions specified therein.
r '~," _ ~
RICHARD P. CLARK
COMMONW LTH OF PENNSYLVANIA
SS.
COUNTY OF
On this, the __~~ ~ day of ___ __
_ ______ _, 2011, before me, a Notary Public, Che
undersigned officer, personally appeared RICHARD P. CLAR 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 hereunto set m _hand and Notarial S
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h1e.^ ~e:' ,>enresv?,r;~~ 7 ~ss~,ciaticn+,f iJO~re;
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, RONALD H. CLARK, a beneficiary of the Last Will and Testament of HARRY
E. CLARK, Deceased, hereby consent 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,
subject to all the terms and conditions specified therein.
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- -------------
ALD H. CLARK
4~
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF
On this, the _ I ~ ~ day of _~
(~, 20I'~, before me, a Notary Public, the
undersigned o$icer, personally appeared RO~LD H. CLARknown to me to be the person whose name
is subscribed to ttre within instrument, and acknowledged that e executed the same for the purpose therein
contained.
IN WITNESS WHEREOF, I have hereunto. seyrfiy hand and N
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- ~,,, ~ 1~1.OTARY PU~$LI
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CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, STEVEN M. CLARK, a beneFciary of the Last Will and Testament of HARRY
E. CLARK, Deceased, hereby consent 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,
subject to all the terms and conditions specified therein. ~ ~ r
--y=~~- --.--------------------------
S`I'EVEN M. CLARK
COMMONWE~OF PENNSYLVANIA
COUNTY OF
On this, the __ ~~~ day o , 201 ~, before me, a Notary Public, the
undersigned officer, personally appear own 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 hereunt
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SS.
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ed VEN M. C K, kn
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, TROY L. CLARK, a beneficiary of the Last Will and Testament of HARRY E.
CLARK, Deceased, hereby consent to the Receipt, Release, Refunding and Indemiuty A~;reemenr i~oncer; tiii~
Distribution From h~state, 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, subject to all the
terms and conditions specified therein. ,,,~
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- ~'- - - -----------------
TR(~Y L. CLARK - - -
COMMONW LTH OF PENNSYLVANIA
COUNTY OF ________
--------- S.
On this, the ___ ~ ~ day of ____ __ __ _____ _, 201'J.f before me, a Notary Public, the
undersigned officer, personally appeared TROY L. CLARK, own to me to be the person whose name is
subscribed to the within instrument, and acknowledged that he executed the same for Lt;e purpose therein
contained.
IN WITNESS WHEREOF, I have hereunto set
COMMONWEALTH pE PENN ~Yt~VA^a_~:~
Notarial seai ~ v
Janet 5. Gore, Nntary t'e~i3ii~~
Dillsburg Sarc~~ ~~ir'it%ciUC~~j
My Commission Ex~rtires rJd:. i~, ~.t314 ~
Member. Pennsylvania association of Notaries