RECEIPT FOR PECUINARY LEGACY PAYABLE TO AN INSTITUITON

I,_______ the undersigned approved the accounts dated______ and hereby acknowledge to have received from_____ the personal representative of the above named deceased the sum of ________ needs to be payable to the ________(Name of the institution), and acknowledge this is paid full and final satisfaction of my entitlement to the account of _______(deceased Name).

Dated this ____ day of____ 20__

Signature:

Full Name: