HomeMy WebLinkAbout09-19-13 (2) IN RF.: ) IN I�HI: t'<1C 11�1'nF C()N1Mt�N I'I.I:AS t�f
) CUM[3FTtLAND�'nIJNTY.
) PtNNSY[.VANiA
ES"iAT� C}f 1
COI�t4Tr�NCP. R. CO�Jb'MAN, ) ORYE IANS' COl1R"I IJiViS10N
a/k/a MA�tY CC)IVS'1'ANCF•,t'()WMAN )
) Ni). 21-13-1)139
RECF.fPT ANU RELEAS�:
1.JUDil'H C. RYT3F.R, the undersigned, being a �ieneticiar�� undcr the �state�i'
C'onstancc R. Cowmsn, a/k/a Mtary ConsEAr�ce Cowman, decc2scd, do hereby:
l. State and aeknowl�d�c that I azn an adult indivic3ital;
3. Waive the filirr� of�an Acca�unt or Sthedule c�fi}istrit�ution hy the Fmrsan�l
reptescntative of tfic F.state;
?. l�ck�u�wlecf�,.e iltat I hatie received the sum of$86,000.00 as a partial distribution to
which I am entitted a� a l3cnrficinry of'the h:state of tbnstancc R. Cowni:ui, a/k/a Mary
C�nsiance Cowman:
�1. Tc� the extenl of said distributFc�n, eelease Quemin R. Cn�vnSan, Jr._ 6xecutor. oY`thc
l�:state ol'C�nstanc� R. C�wman. a/kfa Maty C�nstance Co�man, and his heirs and �rsanal
mpres�ntativcs. frnm all liahilities, whecher dac to his ne{tlig�ence or othcrwise, t+�hich he mar�
havc b�� reasc�n�fhis admin'tslrati�n ofthe Estate:
i. Agr��to refuttd t� thi 1-:Qtate �ct7cl ta thc saicl (lueiitin It. Cir�vnian. Jr., Fxecutcar. aiay
pqMiun ot the disttihuticsn to which I am not properly entitJed, and, to the�teni of sai�k Y
�- � ,
distributiuz�, to indcmnify him and the Estaze for claims ma�de aZwznst him��`'m�i4 ee.imfnirsc hinr
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and the Estate all cxpenses and eosts ineurre�d in conncctiun witl� zny suct��)541�s;:�nd
v ;.
G. Deci�re Ch�t [his instrument shatl be legally bindin� u�in me iti� �rsonal .
- _� ,.�
r€�res�ntatives, and a�i�n.. � =� `'
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• IN WITP�iE;�S WHEREOF', 1 have hcmutito set niy hand and sea( this oti� day �f
i���� �� _ . 3���.
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JlJ(�CTH C. tYULR
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S`{�A"fi:Oi'CAL[FC)RN1A )
( SS:
CDUNTY (�F �j11CX'nCJ� >
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(?n this, the � $day of �_ . :?013, bcfore me, the
urtdecsi�ned crffic�r,perstma{ly appe�ed 1U TH C. RYDE?R, kno�vii to me(or satisfactt�ril}'
�ror�en) to be the pe�rsan H'hose trame is swbscribed w the within instrumcnt and ackrtcswledged
that she executed se�me f�r the rurposes thercin cuntained.
IN WITNESS WH�RCOF. I have hcreunto set my hand and otiieial scal.
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SARAH L LONG �
Commisaion* 1980112
< -r Notary Public-California =
= Sonoma County ' Nt�t�rr� Public
M Camm.Ex ires Ma 28,2016+