Date:

To:

Re: Estate of Deceased: Date of Death:

I, the undersigned, being a beneficiary/heir of the above-named estate, hereby consent to the proposed distribution of the estate assets as set out by the administrator/executor. I confirm that I have received, or will receive, my due share as agreed among all beneficiaries and as detailed in the estate distribution plan.

I further confirm that I have no objection to the closing of the estate according to the law and that all dues, taxes, and liabilities pertaining to the estate have been or will be settled accordingly.

Address: