HomeMy WebLinkAbout10-15-14 (2) i
IN RE: ) IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,
PENNSYLVANIA
ESTATE OF )
DORIS J. BROUDE, ) ORPHANS' COURT DIVISION
Deceased )
NO. 21-14-0120
RECEIPT AND RELEASE
1, JAMES C. BUCK;the undersigned, being a beneficiary under the Estate of Doris J.
Broude, deceased, do hereby:
1. State and acknowledge that I am an adult individual;
2. Waive 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$150,000.00 as a partial distribution to
which I am entitled as a beneficiary of the Estate of Doris J. Broude;
4. To the extent of said distribution, release James C. Buck, Executor of the Estate of
Doris J. Broude; and his heirs and personal representatives, from all liabilities, whether due to his
negligence-o'r`otherwise -which he may have by reason of his administration of the'Estate;
5`. -Agree to refund to the Estate and to the said James C. Buck, Executor, any portion of
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the distribution to which I am not,properly entitled,and, to the extent of said distsbutiorr,to m
indemnify him and the Estate for claims made against him and to reimburse"V r the4state�i t
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all expenses and costs incurred-in•connection with any such claim; and �0
6. Declare that this instrument shall be legally binding'upon me, my ArFonal ►=► rn
representatives, and assigns.
IN T 'E S WHEREOF, I have hereunto set my hand and seal this day of
;—.-14.
(1 (SEAL)
JAM C. BUCK
COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTY OF CUMBERLAND )
On this, the day of 0,0 , 2014, before me,the
undersigned officer, personally appeared JAMES C. BUCK, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument and acknowledged
that he executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
otary Publ'
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NOTAMAI SEAL
Wend ,K. Straub, �OVATV Pub4c
Lower Allan Towr•siclip,Curnbe-rtand County
My Commission Fxpires iyoy_i a, 21015