HomeMy WebLinkAbout12-01-14 (8) IN THE MATTER OF THE ESTATE . IN THE COURT OF COMMON PLEAS OF
OF RICHARD D. RIFE, DECEASED . CUMBERLAND COUNTY,PENNSYLVANIA
. ORPHANS' COURT DIVISION
. NO. 1270 OF 2013
RECEIPT AND RELEASE ^'
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KNOW ALL MEN BY THESE PRESENTS that the undersigned, ASBURY F �C���ION, �.� �
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BETHANY VILLAGE SEGMENT, Mechanicsburg, Pennsylvania, does hereby ackno�v,�e�e��ece� � �
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from Elsie W. Swenson, Executrix under the Last Will and Testament of the above-nam�;d'c�edent,rcy� r=. �
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the following: �
Cash in the sum of$100,000.00;
in absolute payment of and in full satisfaction of the bequest contained in Article IIL B. 7. of decedent's
Last Will and Testament. The bequest is of a formula amount which the EYecutrix has determined to be
the full sum of$100,000.00.
The undersigned agrees that such sum shall be added to the Bethany Village Care
Assurance Endowment Fund.
IN CONSIDERATION of said payment and transfer, the undersigned does hereby release,
remise, quit claim and forever discharge the said Executrix, her heirs, personal representatives, agents and
assignees, of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever
for or by reason thereof, or any other account, matter, cause or thing whatsoever relating to the Estate of
the said decedent.
AND the undersigned does hereby agree to indemnify and save harmless the said Executrix, her
heirs, personal representatives, agents and assignees, to the extent of said distribution, against any and all
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loss, damage, costs, verdicts, judgments, awards and expenses which said Executrix, or her successor,
may suffer, incur, be put to, pay or lay out by reason of having made distribution of said bequest to the
undersigned, and the undersigned agrees to refund to the Executrix, or her successor, upon receipt of such
a request from the Executrix, or her successor, any portion of the above distribution which the Executrix,
or her successor, determines was not properly payable to the undersigned or which shall at any time be
necessary to discharge any debt, expense or liability of the Estate, including but not limited to any estate,
inheritance,transfer or income tax.
It is the intention of the undersigned to be legally bound by this instrument.
IN WITNESS WHEREOF,the undersigned has caused this instrument to be executed on the
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ATTEST: ASBURY FOUNDATION,
BETHANY VILLAGE SEGMENT
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(Asst.) Secretary By: I C �
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COMMONWF,ALTH OF PENNSYLVANIA )
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COUNTY OF ����-� ��' `� )
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On this,the � ✓ day of �' �,��, , 2014, before me,the undersigned
officer, personally appeared ��. �/ � ��,�fL,who acknowledged [himself/herselfJ to be the
����O of ASBURY FOUNDATION, B�THANY VILLAGE SEGMENT, a
corporation, and that [he/she] as such officer,being authorized to do so, executed the foregoing Receipt
and Release for the purposes therein contained by signing the name of the corporation by
[himself%herselfJ as such officer.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
�,C'� �i � J��./z.F�-�r�
Notary Public
My Commission Expires: ��-�� ��'� �`���
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
Noh��ial 5eai
Debra S.Barris,Notary Public
Wwer Allen TWp.,CLmberland County
My Commission Explres M 13,2015
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