HomeMy WebLinkAbout11-28-06 (2)
MICHAEL L. BANGS, ATTORNEY AT LAw
BANGS LAw OFFICE
429 SOUTH 18TH STREET
G~E H~. PENNSYLVANIA 17011
CERTIFIED COpy
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ATTORNEY
IN RE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-06-0091
ESTATE OF
ELLEN E. DIEHL
Deceased
RECEIPT AND RELEASE
,-
L BEVERLY J. MYERS, the undersigned, being a beneficiary under the Estate of-.811en
E. Diehl. deceased. do hereby:
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.,
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 all sums to which I am entitled as a beneficiary of
the Estate of Ellen E. Diehl;
4. To the extent of said distribution, release Charlotte E. Horton, Executrix of the Estate
of Ellen E. Diehl, and her heirs and personal representatives, from all1iabilities, whether due to
her negligence or otherwise, which she may have by reason of her administration of the Estate;
5. Agree to refimd to the Estate and to the said Charlotte E. Horton, Executrix, any
portion of the distribution to which I am not properly entitled, and, to the extent of said
distribution, to indemnify her and the Estate for claims made against her and to reimburse her
and the Estate all 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
day of
-1J - ~ () ,-010,2006.
~~OJL0SEAL) .
BEVERL Y 1. MYER
e8~~trn f\~!E~A~L TH OF PENN8YLV ANLA.. )
( SS:
COUNTY OF )
On this, the C} 0 day of ~ OJ<t M DJL\ , 2006, before me, the
undersigned officer, personally appeared BEVERLY J. MYERS 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.
.. DEAN NA HEKKING ~
NOTARY PUBLIC
DARE COUNTY. N. C. ~./~ \ . _ L-
My Commission ~Explres 04111108 Notary Public