HomeMy WebLinkAbout12-09-14 (2) �
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IN RE:Estate of • '�' �'. ;��. � `�'
Keith E. Peifer : No. 21-14-1037 �-� � �, � � �
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RECEIPT,RELEASE,REFUNDING, AND
INDEMNIFICATION AGREEMENT
The undersigned beneficiary under the Estate of Keith E. Peifer, deceased, does hereby:
1. Acknowledge that she has examined and approved the attached First and Final
Account and Schedule of Distribution of the Estate of Keith E. Peifer, copies of which are
attached hereto.
2. Waives the filing of the Account and Schedule.
3. Acknowledges receipt of the sum indicated on the Schedule of Distribution.
4. Releases Saundra M. Peifer, Executor of the Estate of Keith E. Peifer, and her heirs
and personal representatives, from all liabilities, whether due to the Executor's negligence or
otherwise, which she may have by reason of her administration of the Estate.
5. Agrees to refund to the Executor any portion of the distribution to which she is not
properly entitled, and to the extent of said distribution,to indemnify her for claims made against
her as Executor, and to reimburse to her all expenses and costs incurred in connection with any
such claims; and �
6. Declares that this instrument shall be legally binding upon the undersigned, her
personal representatives, successors and assigns.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this i.5 �ay of
I Q c�,�.er , 2014.
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SA DRA M. PEIFER
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