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Fill and Sign the Claim Against Estate 497331440 Form

Fill and Sign the Claim Against Estate 497331440 Form

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Compromise of Creditor's Claim against Estate by Payment of Cash and Conveying of Real Property Release and Settlement Agreement This Release and Settlement Agreement is made on the __________________ (date) , between _____________________ (Name of Claimant) of ____________________________ ____________________________________________ (street address, city, state, zip code) , hereinafter referred to herein as Claimant , and _____________________ (Name of Administrator) , of _____________________________________________________________ _________________ (street address, city, state, zip code) , as Administrator of the Estate of ___________________ (Name of Decedent) , deceased , hereinafter referred to herein as Administrator . Whereas, _____________________ (Name of Decedent) died intestate on __________________ (date) , and proceedings to administer the Decedent's Estate appear of record in _______________________________________ (name of public records office) of __________________ (name of county) , and Administrator has duly qualified as Administrator of the Estate of _____________________ (Name of Decedent) , deceased; and Whereas, Claimant made a claim against the Estate of ____________________ (Name of Decedent) , deceased, for services rendered to during the Decedent's lifetime; and Whereas, Claimant 's claim has been duly presented to the Administrator for his approval; and Whereas, it is the desire of Claimant and the Administrator of the Estate of ____________________ (Name of Decedent) , deceased, to compromise the claim; and it is the further desire of the parties to settle finally and completely all equities existing between the Estate of ___________________ (Name of Decedent) , deceased, and Claimant so that the Estate will be fully and completely released of all claims which Claimant now has or may have against it in the future; and Whereas, this Agreement comprises the entire understanding of the parties as to the settlement of outstanding claims against the Estate of __________________ (Name of Decedent) , deceased; and Whereas, the Administrator, acting in his capacity as Administrator of the Estate of ___________________ (Name of Decedent) , deceased, delivered to Claimant $ _________ in cash, and in addition delivered a Deed to the following described property (the Property ): (description of property) ______________________________________________________ ________________________________________________________________________; and Whereas, this Agreement has been approved by the ____________________________ (Name of Court in which Estate is being administered) on ________________ (date) , and a copy of the Decree approving this Settlement Agreement is attached hereto as Exhibit A and made a part hereof by reference. Now, therefore, for and in consideration of the payment of said sum and the deeding of said Property and the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Claimant acknowledges receipt of the payment of $__________ in cash, and further acknowledges receipt of the Deed to the described Property, and in consideration of the same Claimant now completely, fully and finally releases and discharges Administrator and the Estate of ______________________ (Name of Decedent) , deceased, from all claims which Claimant may now have or may later have arising out of or connected with any services or property which Claimant rendered or furnished to ___________________ (Name of Decedent) , deceased, during Decedent 's lifetime. 2. Claimant further completely, fully and finally releases and discharges Administrator and the Estate of _____________________ (Name of Decedent) from any titles, interests, claims, rights or causes of action that Claimant might now or later have against Administrator and/or the Estate whether it be land, money, securities, accounts receivable, or notes receivable, and Claimant agrees to execute any further instruments that may later be required to evidence the fact that the payment is in full settlement of any claims that Claimant might have against the Administrator and/or Estate and that this is a full release of the Estate of Administrator and/or _____________________ (Name of Decedent) , deceased, and any beneficiaries under the Will of ___________________ (Name of Decedent) , deceased. 3. It is agreed that Claimant rendered services to _______________________ (Name of Decedent) during Decedent's lifetime and to the Estate of _______________________ (Name of Decedent) since Decedent's death, that Claimant has presented to the Administrator a claim for these services and that the parties have reached an Agreement and compromised as to the payment of the claim. 4. This Release and Agreement is evidence of the fact that Claimant has fully considered the Settlement Agreement and is satisfied with it, that Claimant fully understands that this is in full, complete and final settlement of any and all claims of every kind and character which Claimant had against Administrator and/or Decedent or now has or in the future may have against the Administrator and/or Estate. Witness our signatures this _________________ (date) . Estate of ___________________ (Name of Decedent) ________________________ By_________________________ (P rinted name) (P rinted name) ________________________ _________________________ (Signature of Claimant) (Signature of Administrator) , as Administrator (Acknowledgment form may vary by state) State of ______________ County of _______________ Personally appeared before me, the undersigned authority in and for the said county and state, on this _____ day of _____________, 20____, within my jurisdiction, the within named, _________________________ (Name of Administrator) , as Administrator of the Estate of _______________________ (Name of Decedent) , who acknowledged that he executed the above and fore going instrument for and on behalf of said Estate and as his act and deed as Administrator. _____________________ NOTARY PUBLIC My Commission expires: ______________________ State ______________ County of _______________ Personally appeared before me, the undersigned authority in and for the said county and state, on this _____ day of _______________, 20____, within my jurisdiction, the within named, _____________________ (Name of Claimant) , who acknowledged that he executed the above and fore going instrument. _____________________ NOTARY PUBLIC My Commission expires: ______________________

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