HomeMy WebLinkAbout03-18-13 (2) IN RE: } IN THE COURT OF COMMON PLEAS OF
} CUMBERLAND COUNTY,
} PENNSYLVANIA
ESTATE OF )
JOSEPH ZEDLAR, } ORPHANS' COURT DIVISION
Deceased )
} NO. 21-12-1106
RECEIPT AND RELEASE
I, AMY G. YOVANOVICH, the undersigned, being a beneficiary under the Estate of
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Joseph Zedlar, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
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2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
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3. Acknowledge that I have received the sum of$26,000=00 as a partial distribution to
which I am entitled as a beneficiary of the Estate of Joseph Zedlar;
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4. To the extent of said distribution, release Amy G. Yovanovich, Executrix, of the i II
Estate of Joseph Zedlar 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
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Estate;
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5. Agree to refund to the Estate and to the said Amy G. Yovanovich, 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 �I
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and the Estate all expenses and costs incurred in connection with any such claim; and
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6. Declare that this instrument shall be legally binding upon me, V Versonal—; c
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representatives, and assigns. r—' c'j
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this_7
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2013.
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AMY G. YOVAN VI 'H (SEAL)
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COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND ( SS:
On this, the -1=` day e _
undersigned officer,—personally a 203before me, the
satisfactorily proven) to be the person wh se name s subscribed to the within instrument and
acknowledged that she executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have ereunto set my hand and official seal.
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wotMublic
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0 ""o N_ FAUN Of PFNNIy VAN
NOTARIAL SEAL
Wendy K. Straub, Notary Public
Lowsr Al lsn Township, Cumberland County
My CommlasFon Explrea May ip,yp}6
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