HomeMy WebLinkAbout08-31-06 (2)
IN RE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO.21-05-0619
ESTATE OF
GAIL E. SEIDLE,
Deceased
RECEIPT AND RELEASE
I, KELLI WILLIAMSON, the undersigned, being a beneficiary under the Estate of Gail
E. Seidle, deceased, do hereby:
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1. State and acknowledge that I am an adult individual; JJ ~ p
2. Waive the filing of an Account or Schedule of Distribution by the persomd;~~sp
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representative of the Estate;
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3. Acknowledge that I have received all sums to which I am entitled as a beneficiary ~fl
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the Estate of Gail E. Seidle;
4. To the extent of said distribution, release Gomer L. Stephenson, III, Executor of the
Estate of Gail E. Seidle, 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 Gomer L. Stephenson, III, 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.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ::;. .j. day of
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,2006.
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KELLI WILLIAMSON
(SEAL)
COMMONWEAL TH OF PENNSYLVANIA )
( SS:
COUNTY OF CUMBERLAND )
On this, the '\.' day of ,(. \. , 2006, before me, the
undersigned officer, personally appeared KELLI WILLIAMSON, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument and acknowledged
that she executed same for the purposes therein contained.
IN WITNESS WHEREOF. I have hereunto set my hand and official seaL
Notary Public
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