IN THE CIRCUIT COURT IN AND FOR PALM
COUNTY, FLORIDA
PROBATE DIVISION
IN RE: ESTATE OF
File No.
ANNE1TE SIEGAL 502011CP001706XXXXSB
Deceased/
RECEIPT OF BENEFICIARY
The undersigned, PEGGY SIEGAL, hereby acknowledges having received from the
personal representative of this estate the following:
The sum of Eight Hundred Thousand ($800,000) Dollars pursuant to Article
THIRD(A) of the Last Will and Testament of Annette Siegal dated December 16,
2010.
Signed on , 2012.
PEGGY SIEGAL
Beneficiary
EFTA_R1_02066912
EFTA02700488