HomeMy WebLinkAbout07-16-13 �
��� ) IN THE COURT OF COMMON PLEAS OF
� ) CUMBERLAND COUNTY,
) PENNSYLVANIA
ESTATE OF �
HAZEL B. HIJNN, ) ORPHANS' COURT DNISION
Deceased �
) N0. 21-13-0202
RECEIPT AND RELEASE
I, CYNTHIA A. SELL, the undersigned, being a beneficiary under the Estate of Hazel B.
Hunn, deceased, do hereby:
1. State and acknowledge.that I am an adult individual;
2. Wai've the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received the sum of$25,000.00 as a partial distribution to
which I am entitled as a beneficiary of the Estate of Hazel B. Hunn;
4. To the extent of said distribution, release Cynthia A. Sell, Executrix of the Estate of
Hazel B. Hunn and her heirs and personal representatives, from all ]iabilities, 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 Cynthia A. Sell, Executrix, any portion of
th� disYribation to which I am not properly entitled, and, to the extent of said distribuYion, to
ir.d"err7r�,-�he;<ard the L,=� ate'fe,:-claims�inade against her and'to reimburse fier and the Estate all
expenses and costs incnrred 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 10"-` day of
, 2013.
� l � �CQ� (SEAL)
CYNTHI,�A. SELL
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF U,(,�'}�b�l('/LU.Lvtd- � SS:
)
On this, the �D� day of O} , 2013, before me, the
undersigned officer,personally appeared CYN �HIA A. SELL, 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. �
� -
i
Notary Public
COMMONV�'_fP�TH dF FENMSYLVANIA�
NUTARIAL SEAL '��
W.endy K. Straub, Motary Public
Lower Alleo Towrtshlp. LumbeAand Counq
tdy Cpmmissbn Exp�res MoY 10,2q1 B