STATE OF SOUTH CAROLINA COUNTY OF: IN THE MATTER OF: ) ) ) ) ) IN THE PROBATE COURT RECEIPT AND RELEASE CASE NUMBER:
The undersigned hereby acknowledges receipt from the Personal Representative(s) in this matter of the following property:
In consideration of the distribution, the undersigned releases and forever discharges the Personal Representative(s) and the Estate from any and all rights and claims, which the undersigned may have against the Personal Representative(s) and the Estate. Executed this day of , 20 .
FORM #403PC (7/87) SCPC administrative