Petition To Settle Wrongful Death And Survival Actions Page 9
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105-19-16
4.
The Survival Claim in the sum of
$______________shall be paid to
______________, Administrator/Executor, of the Estate of ____________________, Deceased;
provided, however, that counsel shall not distribute any funds to the said Administrator/Executor
until the additional security as may be required by the Register of Wills of
____________________ County pursuant to 20 Pa. C.S. §3323(b)(3) is posted.
Within sixty (60) days of the entry of this final Order, counsel shall file with the office of
Civil Administration an Affidavit from counsel certifying compliance with this Order. Counsel
shall attach to the Affidavit a copy of the Certificate of Deposit and/or bank account containing the
required restrictions.
BY THE COURT:
__________________________
J.
ORPHANS' COURT DIVISION
cc:
Register of Wills of ________________________ County.
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