Receipt And Release
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Receipt And Release Form. This is a Pennsylvania form and can be use in Allegheny Local County.
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Tags: Receipt And Release, Pennsylvania Local County, Allegheny
Form OC Div. 91
In the Matter of the Estate of
In the Orphans’ Court Division of the
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 Director of the Department of Court Records to
enter a receipt on the Audit Docket in my name, place and stead.
___________________________________________________________________________________
(Signature)
Witness my hand and seal this __________________________day of ______________, __________
Witness: ______________________________________________________________________(SEAL)
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