Instruction Form
_____Mercer___________________ (Filing fee $10.00 per bond form)
IN THE MATTER OF THE
ESTATE OF
___(Decedent’s name)_____, DECEASED
KNOW ALL MEN BY THESE
PRESENTS, THAT I,
(Name and address of beneficiary)
of
the Township of
hereinafter known as the Obligor, am
held and firmly bound unto
(Name and Address of Executor)
(Executor of name of estate)
hereinafter known as the Obligee,
in
the sum (Amount Received)
lawful money of the United
States of
THE
CONDITION OF THE ABOVE OBLIGATION is such, that whereas, the Obligor has received from the Obligee
(Description
of amount received i.e. cash, real estate, stocks, etc.)
AND IN CONSIDERATION THEREFOR, the Obligor has released and forever discharged, and by these presents,
does release and forever discharge the Obligee
from all claims and demands whatsoever on account of or in respect to the
estate of the said deceased, and of Obligor’s
interest therein;
If the Obligor is a legatee and any part of the whole of such legacy shall at any time hereafter appear to be wanting to discharge any debt or debts, legacy or legacies, which the said executor or administrator may not have other assets to pay, the Obligor will return said legacy or such part thereof as may be necessary for the payment of the said debts, or for the payment of a proportional part of the said legacies; or
If
the Obligor is a distributee and any
debt or debts, truly owing by the intestate, shall be afterwards sued for and
recovered or otherwise duly made to appear, and which there shall be no other
assets to pay, Obligor shall refund
and pay back to the administrator his ratable part of such debt or debts, out
of the part and share so allotted to him;
Then the above obligation to be void, or else to be and remain in full
force and virtue.
If
more than one person executes the within instruments, then words used in the
singular shall be considered to include the plural, and wherever herein any
particular gender is used it shall be inclusive of the masculine, feminine and
neuter gender, where the text so requires.
SIGNED,
SEALED AND DELIVERED
IN
THE PRESENCE OF
______(Beneficiary)______________________
______(Witness)___________________________
COUNTY OF }
BE IT REMEMBERED, That on this day of ,
20
before me, the subscriber,
a
of the State of
personally appeared
who, I am satisfied,
is the person
in
the foregoing instrument named, and thereupon acknowledged that he/she signed,
sealed and delivered the same as his/her act and deed, for the uses and
purposes therein expressed. ________________________________________
Notary Public (seal)