SPECIFIC BEQUEST RECEIPT IN THE ESTATE...
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In the Circuit Court of Davidson County, Tennessee (Probate Division) SPECIFIC BEQUEST RECEIPT IN THE ESTATE OF: Docket No. Deceased STATE OF TENNESSEE COUNTY OF DAVIDSON I, , do acknowledge that I have received from the Personal Representative of the above referenced estate the Specific Bequest(s) made to me under the Last Will and Testament of the above referenced decedent. This day of , 20 . Signature of Recipient: Address of Recipient: Signature State of County of Sworn to and subscribed before me, this day of , 20 . Notary Public / Deputy Clerk My Commission Expires: OR I certify under penalty of perjury that the foregoing is true and correct. Signature Revised 7/1/17
Transcript of SPECIFIC BEQUEST RECEIPT IN THE ESTATE...
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In the Circuit Court of Davidson County, Tennessee (Probate Division)
SPECIFIC BEQUEST RECEIPT
IN THE ESTATE OF: Docket No.
Deceased
STATE OF TENNESSEE COUNTY OF DAVIDSON I, ,
do acknowledge that I have received from the Personal Representative of the above referenced estate the
Specific Bequest(s) made to me under the Last Will and Testament of the above referenced decedent.
This day of , 20 .
Signature of Recipient:
Address of Recipient:
Signature
State of County of
Sworn to and subscribed before me, this day of , 20 .
Notary Public / Deputy Clerk
My Commission Expires:
OR
I certify under penalty of perjury that the foregoing is
true and correct.
Signature
Revised 7/1/17
Deceased: Docket No: Recipient: Add3: Add2: Add1: Day: Month: Year: State: County: PRINT FORM: RESET FORM: SignatureWithNotary: NotarySignature: SignatureWoutNotary: RecipientSignature: NotaryCommission: NotaryDay: NotaryMonth: NotaryYr:
