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Receipt And Release - Pennsylvania

Receipt And Release Form. This is a Pennsylvania form and can be used in Orphans Court Allegheny Local County .
 Fillable pdf Last Modified 4/7/2009
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Form OC Div. 91 In the Orphans Court Division of the In the Matter of the Estate of Court of Common Pleas of Allegheny County Pennsylvania _______________________ No. __________________________________ of ____ DECEASED Know All Men By These Presents, that I_____________________________________________ do hereby acknowledge to have received from ____________________________________________ ________________________________________________________________________ _the sum of (EXECUTOR-ADMINISTRATOR-TRUSTEE-GUARDIAN) _____________________________________________________________________________________________($___________________) Dollars and ____________________________________________________________________ ___________ ________________________________________________________________________ __________ ________________________________________________________________________ __________ in full of the amount awarded me under the decree of the Orphans Court Division of the Court of Common Pleas of Allegheny County, Pennsylvania entered at the above number. And I do further authorize and direct the Clerk of the Orphans Court Division to enter a receipt on the Audit Docket in my name, place and stead. Witness my hand and seal this ________________ day of ____________________, _____ _____ Witness: _______________________________________________________________ _____(SEAL) American LegalNet, Inc. www.USCourtForms.com
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