Refunding Bond And Release - Salem County Surrogate'S Court (Page 2 of 2) in pdf

Refunding Bond And Release - Salem County Surrogate'S Court Page 2

REFUNDING BOND AND RELEASE

IN THE MATTER OF THE ESTATE OF:

SALEM COUNTY SURROGATE’S COURT

____________________________, DECEASED

DOCKET NUMBER: _____________________

I am __________________________________________________________________

(Beneficiary’s Name and Address)

I am a beneficiary/heir of this estate and receive the sum of $_______________________________

(

Amount and/or items received)

__________________________________________________________________________________________________.

from the Executor/Administrator ______________________________________________________

(Name of Executor/Administrator)

Upon receipt of this distribution, I am hereby obligated to refund any portion of this distribution

should such refund be required by the Executor/Administrator to discharge all proper debts and

obligations of the estate. My obligation extends to my heirs, Executor or Administrator. I

acknowledge the informal closing of the estate.

The condition of this obligation is that I receive from the Executor/Administrator the

sum of $ ________________________________ representing distribution to me as an intestate heir

(Amount received)

of this estate or as a beneficiary under the Will if the decedent died testate.

And in consideration thereof, I release and forever discharge the Executor/Administrator

from all claims and demands whatsoever in respect to the estate of the deceased and my interest

therein.

____________________________________

Sworn to and subscribed before me

Beneficiary signature

this

day of

, 20___

____________________________________

Beneficiary printed name

_________________________________

(

signature)

Notary Public printed name

State of ________________________________

My Commission expires: __________________

Refunding Bonds/A – R&R instructions and sample form

04/07/16 nab

Refunding Bond And Release - Salem County Surrogate'S Court Page 2