HomeMy WebLinkAbout05-27-15 (2) IN THE COURT OF COMMON PLEAS OF THE NINTH JUDICIAL DISTRICT
CUMBERLAND COUNTY, PENNSYLVANIA
I ORPHANS' COURT DIVISION
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IN RE: / �//11 ,,,, A i 5 y k S DctYk
DECEASED I
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I NO. 21-2-01,'S - S
RELEASE AND AFFIDAVIT OF BENEFICIARY
The undersigned swears and affirms as follows:
1. 1 am a beneficiary of the above referenced estate.
2. 1 am of legal age and of full legal capacity.
3. 1 am familiar with the contents of the petition for letters filed in this case and with the
petitioners seeking letters testamentary or administration in the above estate.
4. 1 agree that the petitioner(s) may be appointed to serve as personal representatives of the
estate without the requirement of posting bond to protect my interests as a beneficiary of the
estate, which would otherwise be required.
5. 1 hereby release the Register of Wills and her deputies and agents from any claim arising
from the Register issuing letters to the petitioner(s) without requiring bond, under 20 PA. C.
S. Section 3172 or other applicable law.
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Beneficiary
Sworn to and subscribed before me this
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� Notary Public
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BARBARA A.BREWER
NOTARY PUBLIC
CARROLL COUNTY
STATE OF MARYLAND
COMM.EXP 3-06.2016
Note: This form is effective only if all beneficiaries of the estate are of full legal age and
full legal capacity, and all such beneficiaries execute this affidavit.