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ESTATE OF FLORENCE J. ENDERS
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CUMBERLAND COUNTY, PENNSYLVANIA = )n:C. r
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ESTATE NO. 21-12-0159 :P0
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LEANNE P. ZEIGLER, EXECUTRIX C',
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RECEIPT,RELEASE AND AGREEMENT OF INDEMNI CC) r-
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I, JESSICA HENRY, the undersigned, a specific beneficiary in the
above-captioned estate, agrees to waive an accounting of the adminis-
tration of the subject estate or the filing of such an account for
court audit.
Therefore, the undersigned, in consideration of payment of the spe-
cific bequest made for his benefit and without the preparation and
submission of an accounting of the administration of the estate as
aforesaid, hereby:
A. Represents and warrants that the undersigned has read and under-
stands this instrument and that the facts set forth above are
true and correct to the best of the undersigned' s knowledge,
information and belief.
B. waives the filing of an accounting of the administration of the
estate before the court having jurisdiction over this estate.
C. Requests the above-named fiduciary to make distribution of the
specific bequest shown on the attached sheet and, effective upon
delivery to the undersigned of the amount shown as distributable,
acknowledges receipt of such property.
D. Absolutely and irrevocably remises, releases, quit-claims and
forever discharges the above-named fiduciary, in their fiduciary
and individual capacities, from any and all actions, suits,
payments, accounts, reckonings, liabilities, claims and demands
relating in any way to the administration of the estate.
E. Agrees to indemnify and hold harmless, to the extent of the funds
received by the undersigned hereunder, the above-named fiduciary,
in their fiduciary and individual capacities, from and against
any and all claims, losses, liability or damage (including legal
fees and costs in connection therewith) which the above-named
fiduciary may suffer or to which the above-named fiduciary may be
subjected by reason of their administration of the estate, the
settlement of their account and a distribution of the assets of
the estate without having the formal approval of the court having
jurisdiction over this estate.
F. Declares it to be the undersigned's intention that this instru-
ment shall be governed by the laws of Pennsylvania and shall be
legally binding as an agreement upon the undersigned and upon the
undersigned's heirs, executors, administrators, successors and
assigns.
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Executed this day of 2013 .
(SEAL)
J ENRY
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF CUMBERLAND
On this, the 84 h day of m�'��,1 2013 , before
me, the undersigned officer, personally appeared JESSICA HENRY, known
to me (or satisfactorily proven) to be the person whose name is sub-
scribed to the within instrument and acknowledged that she executed
the same for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official
seal. V k
Notary Public
My Commission Expires:
COMMMALTH Of PENNSYLVANIA
NOTARIAL EAL
BETH B.LENGEL,NOTARY PUBLIC
SHIREMANSTOWN BORO,CUMBERLAND COUNTY
MY COMMISSION EXPIRES DECEMBER 12,2015
ESTATE OF FLORENCE J. ENDERS
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE NO. 21-12-0159
LEANNE P. ZEIGLER, EXECUTRIX
I, JESSICA HENRY, acknowledge receiving the following cash and/or
assets, in satisfaction of my rights under the estate:
Specific Bequest - $5, 000 . 00, received as follows :
Sterling Silver valued at $15 . 00; and
$4, 985 . 00 Cash Distribution