HomeMy WebLinkAbout11-28-06 (3)
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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 CHARLOTTE E. HORTON, the undersigned, being a beneficiary under the Estate of
Ellen E. Diehl, 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 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 all liabilities, whether due to
her negligence or otherwise, which she may have by reason of her administration of the Estate;
5. Agree to refund 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.
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this I fa day of
(\1 6U ·
, 2006.
..d~ g(mL
CHARLOTTEE.HORTON
(SEAL)
)
( SS:
COUNTY OF )
On this, the I ~y of 1\J~ , 2006, before me, the
undersigned officer, personally appeared CHARLOTTE E. HORTON 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, ~ set my hand an~ D
Notary Public
NOTARIAL SEAL
WENDYS. CHESMO, NotIfy PubIc
u.r Men lWp., Cumbed8ncf CO&IIlr
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