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IN RE; . IN THE COURT OF COMMON PLEAS
ESTATE OF ROSALYN LUCKMAN : CUMBERLAND COUNTY,
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• PENNSYLVANIA � �, -��
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Deceased : ORPHANS' COURT DI�$�N -r-r �_� �,
: NO. 2013-1099 f:; � ,.., � M� .-`..;
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WAIVER OF ACCOUNTING, RECEIPT,RELEASE AND ` � �-'
APPROVAL OF DISTRIBUTIONS TO BENEFICIARIES = , � �-- r��'�
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WHEREAS, Rosalyn Luckman (the "Decedent") died testate on September 22,
2013, a resident of Cumberland County, Pennsylvania; and
WHEREAS, the Register of Wills of Cumberland County granted Letters
Testamentary to Decedent's daughter, Elizabeth Hiller(the`Bxecutrix") on October 17, 2013; and
WHEREAS, Item ONE (a) of Decedent's Will bequeaths to Natasha and Miriam
Houde certain articles of jewelry as specified in a memorandum; and
WHEREAS, Item ONE (b) of Decedent's Will bequeaths all tangible personalty to
her spouse, Stanley Luckman if he survives her and then to her daughter, Elizabeth Hiller, if her
spouse does not survive her; and
WHEREAS, Stanley Luckman predeceased the Decedent dying on June 28, 2010;
and
WHEREAS, Item TWO (c) of Decedent's Will bequeaths the remaining residue as
follows: (i) fifty (50%) percent to her daughter provided she is over fifty (50) years of age and (ii)
the remaining residue to be distributed to the then living issue of her daughter, Elizabeth Hiller
provided they are over thirty-five (35)years of age; and
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WHEREAS, Elizabeth Hiller has two (2) children: Natasha Lightner and Miriam
Willoughby, both of whom where over the age of thirty-five(35) at the Decedent's death; and
WHEREAS, Estate assets have been collected, all known Estate liabilities and
expenses have been satisfied, a Pennsylvania lnheritance Tax return has been filed and the tax paid,
an approval letter has been received form the Pennsylvania Department of Revenue and the estate is
ready to be concluded; and
WHEREAS, the undersigned Beneficiaries are aware of all transactions that have
occurred during the administration of the Estate as beneficiary, Elizabeth Hiller, has acted as
Executrix, and the Beneficiaries desire that the Estate be conclude�.i without the expense and
formality of an accounting; and
WHEI2EAS, the Executrix is willing to consent to such a conclusion of the Estate
upon receipt of a proper receipt and release from the Beneficiaries, which it is the purpose of this
Agreement to provide.
NOW, THEREFORE, the undersigned Beneficiaries, for themselves, their heirs,
personal representatives and assigns:
� (1) Direct that all remaining estate assets be distributed to the Beneficiaries in
accordance with the Last Will and Testament; and
(2) State that they are familiar with all transactions occurring in the Estate and
approve said transactions (and the administration of the estate generally) as though they were
contained in a formal accounting which had been confirmed absolutely by the Court having
jurisdiction over the Estate.
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(3) Waives the Executrix's preparation of a fornzal accounting and the filing and
auditing of a formal accounting by the court having jurisdiction over the estate.
(4) Acknowledge receipt from the Executrix of the entire residue of the Estate.
(5) Do hereby absolutely and irrevocably release, remise, quitclaiin and forever
discharge the said Executrix, her heirs and personal representatives, of and from all actions, suits,
payments, accounts, reckonings, claims and demands whatsoever relating to the Estate of the said
Decedent.
(6) Do hereby absolutely and irrevocably release the Executrix from filing any
Account, Petition for Distribution or other document with the Court of Common Pleas of
Cumberland County, Pennsylvania, or in any other jurisdiction in connection with the Estate of,the
Decedent.
This instruinent shall be legally binding on the undersigned and their personal
representatives, heirs and assigns.
IN WITNESS WHEREOF, the undersigned have executed this Agreement on the
�� � � �,� 2014.
day of � Z �' ,
WITNESS:
- SEAL)
El' abeth Hiller
(SEAL)
Natasha Lightner
(SEAL)
Miriam Willoughby
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COMMONWEALTH OF PENNSYLVANIA:
� : SS:
COUNTY OF 1-������ `'� :
��
On this, the�_day of � ��, 2014, before me, a Notary Public, in and
for the Commonwealth of Pennsylvania, the undersigned officer, personally appeared ELIZABETH
HILLER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the
within instrument and acknowledged that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
(SEAL)
Notary Pu li
My Commission Expires:
(SEAL)
COMMONW�(,�OF PENNSYLVANIq
Emily S.Mi�a�Np���.�,public
�Y of Harrlsb��,Dauphin County
��m��Wres June 22,2015
MEMBER,PENNSYLVANIA ASSp�qTlON OF NOTi1RIES
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(3) Waives the Executrix's preparation of�formal accounting and the filing and
auditing of a formal accounting by the court having jurisdiction over the estate,
(4) Acknowledge receipt from�he Cxecutrix of tUe entire residue of the Estate.
(5) Do hereby absolutely and irrevocably release, remise, quitclaiin and forever
discharge the said Executrix, her heirs and personal represe��tatives, of and �'rom all actions, suits,
payments, accounts, reckonings, claims and demands wha#soever re]ating to the �state of the said
Decedent.
(b) Do hereby absolutely and irrevocably xelease the �xecutrix from filing any
Account, Petition for Distribution or ather docurnent with the Court of Common Pleas of
Cumberland Caunty, Yez�i�sylvania, or in any otller jurisdiction in connection with the Estate of lhe
Decedent.
This instil�ment shall be legally binding on the undersigned and their personal
representatives,heirs and assigns.
IN WITNESS WHEREOF, the undersigned have executed this Agreennent on the
� day of ��b� ,2014.
WITNESS:
� (SEAL)
�lizabeth Hiller
�
��� �'i (S�AL}
Natasha Lightn-
(SEAL)
Miri�un Willougl�by
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C(JMMONWEAI,TH OF PENNSYLVANIA:
; SS:
COUN'I'Y OF �I��GH�H y .
On this, the�_day of ��r , 2014, before; me, a Notary Public, in and
for the Commonwealth of Pez�nsylvania, the undersigned officer, personally appea�•Ed NATASHA
LIGHTNER, lulown to me (or satisfactorily proven) to bE the person whose name is subscribed to
the within instrument and acknowledged that she executed the same for thc purposes therein
coniained,
1N WITNESS WH�iu'OF,I heretulto s my hand and official seal.
�
� " (SEAL)
Not Public
My Commission Expires: U (> "� ? 'av � �
(SEAL)
COMMONWEALTH 0___F pENIVSYLVANIA
Notarlat Seal
Kait��een Lewis,Notary Pubiic
Ross 11�vP•,��e9heny County
�"�'Commissbn ExWres June 7,2015
MEMBER,pEpNSI'tVAN�q k�p�pnON OF NpTqfuES
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(3} Waives ttie�xecut�•ix's preparation of a formal accounting and the fiiiz�g and
auditin�of a for�nal accountinb by ihe courl Ilaving jurisdictio��over the estate,
(4) r�cicnowledge z�eceipt from th��Cxecutrix of the elitire residue of tlie Estate,
(5) Do hereby absolutely and irrevocably relr;ase, rerr�ise, quitclaim anct forevex
discllarge Che said Execut�ix, her heirs and persoilal represet�tatives, of and from a11 actions, suits,
}�ayments, accotu�ts, recicoilings, claims and demands whatsoever relating to the �staCe of the said
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Decedent. �
(6) Do hercby absalutely and u�-evocably re�e�,se the ��ecutrix frorn filing any
Accau�rt, 1'etition i'or Distributian ar otJ�er document with the Cou�t of Common Pleas of
Culnberland Cotlnty, I'�nl�sylvani�, or in a��y otl��r jurisdiction in colinection with the Estate o�1',the
Decedent.
Tl�is instrument shall be tegally binding on the LindersigY�ed and theit� personal
represerttafives, }ieirs and assigns.
IN WI`i'NESS W�I�REUF, tile undersigned have executed this Agreeme��t on the
��� n �_f�� �
day of V C���""'� ,2014.
WIrIN�S S;
(SEAL,)
F,lizabelh Hiller
{SL'AL}
� Natasha tner
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_ _��L�L, ��/ZB��y
iriam Willo g y
10�28� + `f
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� F�I�N�mber 781062
GtirnmhN�n
r 29, 20
s�rnT� or lowa .
� : ss:
COUI�"TY O�' :
On thi5,t11e ���day of�C�'�v", 2014, before zne, a Notaz•y 1'ublic, iii and
fox• the Comznonwealth of Pennsylvania, the uz�deisigned ofCcer, peisanally appeared MiR1AM
WILLOUGIIBY,lcnown to rne{or satisPactorily proven)to be tlle person w�zose name is st�bscribed
to the within instrument �nd acknowledged that she executed the same for the purposes therein
cont�ined.
IN WITNESS WI-IEREOT,I lieret to set my hand and official seal.
_ (SEAL)
t� P1AT E HOPPENWpRTH Notaiy 1'ublic
. F�N�xnber 7slobt
`�OO��•�--[—�' My Cornxnission�xpi��es: ��/� �l//�
{STAL)
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