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ESTATE OF NANCY Q. GRIM IN THE COURT OF COMMON PLEAS
DECEDEASED OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2011-00810
APPROVAL OF ACCOUNT
RELEASE AND INDEMNIFICATION
WHEREAS, NANCY Q. GRIM (the "Decedent") died on July 17, 2011, leaving a
Will dated December 10, 2008, and a Codicil dated October 18, 2010, which documents were
probated by the Register of Wills of Cumberland County, Pennsylvania on July 22, 2011; and
WHEREAS, Letters Testamentary were duly granted to KELLEY A. QUAIN
TROIA and MICHAEL QUAIN (the "Executors") on July 22, 2011; and
WHEREAS, Decedent was survived by her husband, ROBERT R. GRIM, and two
children, KELLEY A. QUAIN TROIA and MICHAEL QUAIN; and
WHEREAS, Decedent's husband, Robert Grim, received no property under
Decedent's Will; and
WHEREAS, Decedent's children, KELLEY A. QUAIN TROIA and MICHAEL
QUAIN, are the beneficiaries and parties in interest under Decedent's Will (the `Beneficiaries");
and
WHEREAS, Items 1 and 3 of Decedent's Will bequeath to her two children all of
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her tangible personal property and the residue of the estate, in equal shares'
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WHEREAS, the Pennsylvania Inheritance Tax and Federal Estate Tax returns have
been filed and approved and the administration of the Estate is nearly complete with the exception
of filing final fiduciary income tax returns; and
WHEREAS, the Beneficiaries desire that the Estate be concluded without the
expense and formality of a court accounting and the Executors are willing to consent to such a
conclusion of the Estate upon receipt of a proper release and indemnification, which it is the
purpose of this Agreement to provide.
NOW, THEREFORE, the undersigned Beneficiaries, for themselves, their heirs,
personal representatives and assigns:
(1) State that they have examined the First and Final Account of the
administration of Decedent's Estate and the accompanying Statement of Proposed Distribution
which is attached hereto as Exhibit "A", and approve the transactions and distributions set forth or
proposed therein as though they had been confirmed absolutely by the Court having jurisdiction
over the Estate.
(2) Waive the filing and auditing of the Account by any Court and agree that
any Court having jurisdiction over the Estate may confirm the Account and the Proposed
Distribution.
(3) Acknowledge receipt from the Executors of the assets shown as having been
distributed to them in such Account and Statement of Proposed Distribution in full and complete
satisfaction of all of their interests in Decedent's Estate.
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(4) Do hereby absolutely and irrevocably release, remise, quitclaim and forever
discharge the said Executors, their heirs and personal representatives, of and from all actions, suits,
payments, accounts, reckonings, claims and demands whatsoever relating to the Estate of the said
Decedent.
(5) Do hereby absolutely and irrevocably release the Executors from filing any
Account, Petition for Distribution or other document with the Court of Common Pleas of
Cumberland County, Pennsylvania, or in any other jurisdiction in connection with the Estate of the
Decedent.
(6) Do hereby agree to indemnify the Executors and hold them harmless to the
extent of the Estate assets received by the undersigned from and against any and all claims, loss,
liability or damage (including legal fees and costs) which the Executors may suffer or to which they
may be subjected by reason of the administration of the Estate or the distribution of the assets of the
Estate without having formal approval of the Court of Common Pleas, Orphans' Court Division, of
Cumberland County, Pennsylvania, or any other court.
(7) Do hereby agree that this Agreement may be signed and acknowledged by
the parties hereto in counterparts and a complete set of executed counterparts, containing the
signatures of all parties, shall constitute an original and complete instrument.
This instrument shall be legally binding on the undersigned and their personal
representatives, heirs and assigns.
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IN WITNESS WHEREOF, the undersigned have executed this Agreement on the
day of _ , 2012.
t I (SEAL)
Witness Kelley A, Quoin roia
(SEAL)
Witness Michael Quain
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IN WITNESS WHEREOF, the undersigned have executed this Agreement on the
27nj_ day of AI E rM ,3 ne , 2012.
' (SEAL)
Witnes Kelley A.
(SEAL)
Witness Michael Quain
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STATE OF LOUISIANA
SS:
COUNTY OF
30 41-
l041- day of NOV&i 4*t6, 2012, before me, a Notary Public,
On this, the
the undersigned officer, personally appeared KELLEY A. QUAIN TROIA, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within Agreement and
acknowledged that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my h d and official seal.
(SEAL)
No ub is
My ommission Expires:
(SEAL)
5 -
STATE OF NORTH CAROLINA
SS:
COUNTY OF
On this, the day of Iq 6i:q,R' , 2012, before me, a Notary Public,
the undersigned officer, personally appeared MICHAEL QUAIN, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within Agreement and acknowledged that
he executed the same for the purposes therein contained,
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
cr- (SEAL)
Notary Public
My Commission Expires: F7
(SEAL)
RACHEL E EVANS
Notary Public
Orange Co., North Carolina
my commission Expires June 11, 2017
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2011-00810
FIRST AND FINAL ACCOUNTING OF
Kelley A. Quain Troia, Co-Executor
Michael Quain, Co-Executor
For
Estate of Nancy Q. Grim
Date of Death: July 17, 2011
Date of Appointment: July 22, 2011
Date of First Complete Advertisement: August 12, 2011
Accounting for the Period: July 17, 2011 through September 30, 2012
Purpose of Account: The above fiduciaries offer this account to acquaint interested parties with the transactions
that have occurred during her administration.
It is important that the account be carefully examined. Requests for additional information, or questions, or
objections, can be discussed with:
Stanley A. Smith, Esquire
Rhoads & Sinon LLP
One South Market Square, 12`h Floor
P.O. Box 1146
Harrisburg, PA 17108-1146
(717) 233-5731
EXHIBIT "A"
868103.1