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STATE OF SOUTH CAROLINA COUNTY OF BERKELEY PROBATE COURT IN THE MATTER OF CASE NUMBER RECEIPT The undersigned hereby acknowledges receipt from the Personal Representative in this matter of the following

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Form undersigned hereby acknowledges is a legal document that confirms the acceptance or acknowledgement of certain terms or conditions.

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The purpose of form undersigned hereby acknowledges is to ensure that all parties involved are aware of and agree to the terms outlined in the document.

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The information required on form undersigned hereby acknowledges may vary depending on the specific terms or conditions being acknowledged.