HomeMy WebLinkAbout08-25-06
INRE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-05-0204
ESTATE OF
DORIS D. BASKIN,
Deceased
RECEIPT AND RELEASE
I, FRED H. BASKIN, the undersigned, being a beneficiary under the Estate of Doris D.
Baskin, 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 all sums to which I am entitled as a beneficiary of
the Estate of Doris D. Baskin;
4. To the extent of said distribution, release Fred H. Baskin, Executor, of the Estate of
Doris D. Baskin, and his heirs and personal representatives, from all liabilities, whether due to
his negligence or otherwise, which he may have by reason of his administration of the Estate;
5. Agree to refund to the Estate and to the said Fred H. Baskin, Executor, any portion of
the distribution to which I am not properly entitled, and, to the extent of said distribution, to
indemnify him and the Estate for claims made against him and to reimburse him and the Estate
all expenses and costs incurred in connection with any such claim; and
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this 2- 1 day of
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,2006.
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FRED H. BASKIN
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
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COUNTY OF\ i ( I Ii
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On this, the /' 11 day of i _ C ( U;>{ LJ-t , 2006, before me, the
undersigned officer, personally appeared FRED H. BASKIN, 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.
11/ i'/
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Notary Public
I
NO-m.~!t.J.. Sf.Al
WENDY S. CHES~F;O: r.Ltry PuMl,c
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Lewer APR.n 1:\";}., vl.llThlijl's.:"" ......,:"'1
My Corr\miSSloo Ex,oiiSS May 10. ,,00
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