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IN RE: IN THE COURT;OF-COMMONfPLrEAS
U
CUMBERLAND COUNTY, PFYNSYLVANIA
ESTATE OF GLENN F. ORPHANS' COURT DIVISION
SHAFFER, DECEASED NO. 21-13-0529
RECEIPT, RELEASE, REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
THIS AGREEMENT,based upon the family circumstances outlined,is entered into with die
Executor by each beneficiary, from the date of formalisation of their separate Consents:
1. GLENN F. SHAFFER died Tcstatc on April 24, 20'13.
2. Decedent's Will, dated April 4, 2001 provided for various specific and general
bequests, and designated Donald L. Free as Executor.
3. Said Will was accepted by die Register of Wills of Cumberland County for probate on
May 7, 2013, and steps necessary to complete the administration were undertaken by
die Executor.
3. The beneficiaries desire that the distribution of the assets of the Estate be made
without the formality of air Accounting in die Orphans' Court Division of the
Cumberland County, Pennsylvania Court of Common Pleas, and die Executor is
willing to make this distribution upon the execution of this Agreement.
5. The beneficiaries desire to forever settle and compromise any and all claims and rights
which they may possess, now or hereafter, in die Estate and to confirm their
acceptance of die distribution.
6. The beneficiaries wish.to release the Exccutor'and to indemnify him against any and
all claims that may be asserted against the Estate with the Executor after the date
hereof.
7. The Executor is willing to make a distribution of informal settlement of the Estate in
consideration of the indemnification and agreements hereinafter provided by the
beneficiaries.
NOW, THEREFORE, in consideration of the foregoing and intending to be legally bound
hereby,jointly and severally,die beneficiaries do,for themselves,their heirs,personal representatives,
successors and assigns, agree as follows:
A. Represent,and warrant that they have read and they understand this Agreement and
confirm that the facts set forth above are true and correct, to die best of their
knowledge, information and belief.
B. Declare that they have sufficient information to make an informed waiver of their right
to a formal accounting with the Court, and do hereby waive the filing and auditing of
said formal accounting.
C. Acknowledge that the distributive share shall be in satisfaction of their respective
entitlements.
D. Release, remise, quitclaim and forever discharge the Executor, his heirs, personal
representatives, successors and assigns, from and against all claims that they, as
residuary beneficiaries of the Estate, had, now have, or may in the future have in
connection with lie Estate.
E. Agree to refund, on demand, all or any part of their proportionate share of any
aforesaid distribution,which has been determined by the Executor or by the Court,or
by any court of competent jurisdiction, to have been improperly made.
F. Agree to indemnify and hold harmless the Executor, his heirs, personal
representatives, successors and assigns, from and against any acid all claims, loss,
liability or damage (whether or not related to the negligence of die Executor) that may
hereafter be asserted against the Estate or against the Executor.
G. Agree to execute such additional documents as may be necessary to effectuate the
agreements set forth herein.
H. Acknowledge that this Agreement shall be governed by and construed in accordance
with the laws of the Commonwealth of Pennsylvania.
I. Consent to the Court exercising personal jurisdiction over them in any suit or action
arising out of the enforcement of this Agreement.
IN WITNESS WHEREOF,the beneficiaries have set their hands and seals to the Consents
attached hereto, to be effective as of the date first above written.
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned,ALEXANDRA DELLINGER, a beneficiary of the Estate of GLENN F.
SHAFFER, Deceased,hereby consents to die Receipt,Release,Refundingand.IndcmnityAgreement
Concerning Distribution From Estate, a copy of which has been prmided to her. The undersigned
also acknowledges receipt of her share of die Estate, as more particularly described in die aforesaid
Agreement, subject to all the terns and conditions specified therein. / /
7�N AQa��)
Ai FXANDRA DELLINGER
COMMONWEALTH OF PENNSYLVANIA
/�
SS.
COUNTY OF CUtM6r2RL&zw n
A -ffi
On this, the `� 4 day of 966.E t 2013, before me,a Notary Public,
the undersigned officer,personally appeared ALEXANDRA DELLINGER,known to me to be die
person whose name is subscribed to die within instrument, and acknowledged that she executed die
same for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
NOTARY PUBLIC
COMMONWEALTH OF PEIiNGYLVAMA
NOTARIAL SEAL
CHARLES A.HARBOLD,Notery Public
Camp Hill Boro.,Cumbedand Courdy
M Commission Expires December 30,2014
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, DONALD FREE and PATSY FREE, beneficiaries of the Estate of
GLENN F. SHAFFER, Deceased, hereby consents to the Receipt, Release, Refunding and
Indemnity Agreement Concerning Distribution From Estate, a copy of which has been provided to
them. The undersigned also acknowledge receipt,of their share of the Estate, as more particularly
described in the aforesaid Agreement, subject to all the terns and conditions specified therein.
DONALD FREE
PATSY FRE
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF
On this, dne day of f�h�� , 2013,before me, a Notary Public,
the undersigned officer,personally appeared DONALD FREE and PATSY FREE,known to me to
be the persons whose nalnes,are subscribed to the within instrument, and-acknowledged that they
executed the same for the purpose therein contained.
IN WITNESS WHEREOF, I have here to set m yha^^n//d a1 No 'al Seal.
Aq
NOT Y B C
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Janet S.Gore,Notary Public
Dilisburg Ooro,York,county
My.Wmmisslon Expires Oct.25,2014
Member.Pennsvtvania Assoclatlon of Notaries
CONSENT TO RECEIPT, RELEASE
REFUNDING AND INDEMNITY AGREEMENT
CONCERNING DISTRIBUTION FROM ESTATE
The undersigned, SHARON MESSIMER, a beneficiary of die Estate of GLENN F.
SHAFFER, Deceased,hereby consents to die Receipt,Release,Refun&igand Indemnity Agreement
Concerning Disuibution Frorn Estate, a copy of whiclh has been provided to her. The undersigned
also acknowledges receipt of her share of the Estate, as more particularly described in the aforesaid
Agreement, subject to all die tenns and conditions specified drercin.
SHARO ESSIMER
COMMONWEALTH OF PENNSYLVANIA
n 115 SS.
COUNTY OF
On this, the day of �� 2013,before me,a Notary Public,
the undersigncd officer,personally appeare ( R ki nwn to �t b the person
whose mine is subscribed to die within instrument id a luiow�cdged e e j cu-t�d U e sarne for
die purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and Notarial Seal.
NOTARY PUBLIC
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Vidd A'Aren4,Nosy Pubttc
NY�ml�ro,AOams fau
Membar.PennpXwe ASS
Wation of r4oWles Ate'22,Ioi1