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Home My WebLink About02-07-07 - r ."'-.. ...... IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION INRE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-09 9) DISCLAIMER The undersigned, James F. Cuff III ("Disclaimant"), being a grand on of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally boun , makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), nd the right to receive any other amounts from the Trust pursuant to Article FIFT (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided n Article FIFTH (4) or any other distributions which may be proper or appropriat from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. this :t.rr IN WITNESS WHEREOF, the undersigned has set her hand and eal day of r~CI- ' 2007. ~ ,~~ ]~~--- , ~. s F. Cuff III (") 1~~ (/; ]2: C) C) t) 0 -'1"'1 -)~B -.~ v. ., '.... .'" . COMMONWEALTH o:::~)=0 COUNTYOF i!/J;'9"'l 6) ; On this, the I sty Of~eJr~7, before me, a Notary Publi , the undersigned officer, personally appeared James F. Cuff III, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therei contained. SS IN WITNESS WHEREOF, I hereunto set my hand and notarial se 1. ~ ~ -:-~~ ~.. , . My Commission (SEAL) . JIN CHOON KIM p IBry Public, State of New Jersey My Commission Expires 0cl28, 2007 .~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION INRE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Stacey L. Cuff ("Disclaimant"), being a granddaughter of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. IN WITNESS WHEREOF, the undersigned has set her hand and seal itness./ Stacey L Cuff o ::0 -0 :-:cn ?::EP c/5~ c>c-.., C)-r; c= :0 --; f'--:> = = -.I " ", co I -.J -0 3: a .&:- p. ....:..... COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~ \ ~k On this, the \ \ day of ~UG/,-\ ,2007, before me, a Notary Public, the undersigned officer, personally appeared Stacey L. Cuff, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. ~~~ l Notary ub My Commission Expires: (SEAL) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Barbara J. Azar, Notary Public , Lower Macungie Twp., Lehigh County I My Commission Expires Sept. 14, 201nl Member, Pennsylvania Association of Notari:s ... . . .. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Lisa C. Brenize ("Disclaimant"), being a granddaughter of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. IN WIT~SS WHEREOF, the undersigned has set her hand and seal this day of C IC~. ,2007. /7/),kd eBAh-UV ./ W6:~renize > o So c"'~:o i ""C? ::~'~~ ---". () -n /"'..,) c:::;, = -.J ...,., ,.., co I -.J -u ~ a .&:- .".....; .... COMMONWEALTH OF PENNSYLVANIA COUNTY OF~' t'\,...- On this, theqfhday of \f~ ,2007, before me, a Notary Public, the undersigned officer, personally appeared Lisa C. Brenize, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. SS IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. ~~ ~ ';ota~p~bli6 ~ My Commission Expires: I J.. -II - 07 (SEAL) {. COMMONWEALTH OF PENNSYL~ NotariaJ Seal Tina M. M. SimpsO'h No~ Public Lower Paxton T~., Dauphin Coualy My Commission Expires Dec. 11, 2OCJ7 ;a.. . ?~ ... IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Elizabeth Ann Waite ("Disclaimant"), being a granddaughter of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. IN WITNESS WHEREOF, the undersigned has set her hand and seal this J V"J day of -::::r4v "')( ~ '1 ' 2007. ~ #Aid ~ (l '21Jo~h EI" beth Ann Waite C) So :;;~5 ~ll-l:'O 2 d; F;; ....~'.-~1 ci5.~ C)() ') C) -1~1 ~~ v r-.:> = <:::::) --.J .." rr1 co I -.J -0 -r? ~ o .;;:- ~J .~. COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF On this, the.2 f; day of 5~ ' 2007, before me, a Notary Public, the undersigned officer, personally appeared Elizabeth Ann Waite, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. COM ONWEAUH Of PENNSYLVANIA NOTARiAl SEAL ROBERT J. CMftELL, Notary PublIc City of Harrlsbul'l, Dauphin County My Commission Expires Sept. 25, 2.010 ,. 4 III. --. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION INRE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Cristina Ann Holder ("Disclaimant"), being a granddaughter of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legany bound, makes tpe following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. this I J IN WITNESS WHEREOF, the undersigned has set her hand and seal .-- day of '1;( PQA ~ ,2007. 1: i/~~ W~ ss (>>WaQ~ Cristina Ann Holder C) S;o ;-] ~ f;; "~ Z~~. ~ . Cj c.:) <~-n -.- 53 ::a --I .> J'. r--,;, c:::. = --.J -r"J rr1 co , -.J -0 -...... ~ - . . C) .s::- -. .. I . II "4 .... COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF On this, the \ I day of cr~ ' 2007, before me, a Notary Public, the undersigned officer, personally appeared Cristina Ann Holder, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. My Commission Expires: (SEAL) ...;OMMONWEALTH Of PENN~n'LVANIP, NOTARIAL SEAL ROBERT J. CAMPBELL, Notary Public City of HarrisbulI, Dauphin County My Commission ~xplres Sept. 25, 2010 I ~,. '- IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION INRE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Scott Victor Gartzke ("Disclaimant"), being a grandson of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. IN WIT~S WHEREOF, the undersigned has set her hand and seal ~~::vqr~ .~~~ Witness Scott Victor Gartzke o S;o ':Q~5 )~~ ) (:~) C) ~~-) g'-' :0 --I J.;.>- r-.,:; c:::;,. c::::> -.J ." f"'T1 co I ~ " :::E: ~ a .&:- .,.'\. COMMONWEALTH OF PENNSYLVANIA COUNTY OF C ll/llIJ,E,.,uA--NJ) SS On this, the /5 day of.J ~ ' 2007, before me, a Notary Public, the undersigned officer, personally appeared Scott Victor Gartzke, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. ~(~ Notary Public My Commission Expires: (SEAL) COMMONWEALTH OF PEN .SYLVANIA NOTARIAL SEAl ROBERTA E. BIESECKER, NotIfy Public Camp HiD Boto, CumbertllCl County .~.Gp~m~~~i.~~.F~~lrIlJR Juty 2t 2009 .. -.. "'- .....-, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION INRE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Laura Lynn McClure ("Disclaimant"), being a granddaughter of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFrH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFrH (1)) and principal (pursuant to Article FIFrH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFrH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. IN WITNESS WHEREOF, the undersigned has set her hand and seal this W\'- day of ~ . 2007. ~ W ness 2 '"'-0 '0 ."::0 ~lS ?5IP . ;?~ rT-i ,J~!~ ~ :rJ -.l':.ro... --I C'::> .;:::- \./' r-...,;" c::, c:::::> ~ M Cti I -....J ........... COMMONWEALTH OF PENNSYLVANIA COUNTYOFQ~"-- : On this, the \It-l^aay of \ - ./ ,2007, before me, a Notary Public, the undersigned officer, personall~Laura Lynn McClure, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. SS IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. My Commission Expires: (SEAL) NOTARIAL SEAL MarlIlUl L Stiely, NotarY Publlo Lemoyne Boro., CumberJacl COlIIltY My committloll expi. JIIlUItY 02, 2009 ...~.... ... IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION INRE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Karen June Boyles ("Disclaimant"), being a granddaughter of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. IN WITNESS WHEREOF, the undersigned has set her hand and seal this In..e( day of 1- ~~ ' 2007. ~At~' Witness ~ClrWn ~ ~~ Karen June yles o (- :~i fg :J~p zCQ u5 7~ :~_:;~~; ,,---J "-...:-1 ,..> "'-> c;::, c:::::> -.J ...." rrI c:o , -.I -0 ~ - .. o .r:- ..> · till.. -. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CuinWAl~ tJi On this, the d. day of i~l.A.JJL;lLY ,2007, before me, a Notary Public, the undersigned officer, personally appeared Karen June Boyles, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. SS IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. ~~W~I Notary Public My Commission Expires: (SEAL) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Valerie S. Stacknick, Notary PlbIic Hampden Twp., Cumberland County My Commission Expires Nov. 30, 2008 Member, Pennsylvania Association Of Notaries .,: "'~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Donna R. Cuff ("Disclaimant"), being a daughter of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. IN WITNESS WHEREOF, the undersigned has set her hand and seal this fo ~ day of J~, v., ,2007. ~~ t ~~.. - ine~~ - Donna R. Cuff Y( (}..#;- C) ~~o ! ~ ;;:; (:~5 5~ ,___1 C') '-"') )c)~ .-...... r=- "'Xi ::-:0 ---I J-~ ~ 1-""'> <= c:::) -..J ..,.., rri co I -.J -0 ::.t: o :-- ~ .... . .. ~ COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF On this, the Ilfr day of J ~ , 2007, before me, a Notary Public, the undersigned officer, personally appeared Donna R. Cuff, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. My Commission Expires~~ 1~/PJt'ltJ (SEAL) -- - -~- - ,~!.MMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL .. [ . MARY HAlKIAS, Notary Public f ;lmp Hill Bora, Cumberland County ~ "::~Gmmission Expires Aug. 16, 201 ( '''''1''-'-.-. -. - -.'~",'..,~... ,c_.. .........,. ~..____.y.,_. ..... ..: .," IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Carol A. Holder ("Disclaimant"), being a daughter of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. this t!J IN WITNESS WHEREOF, the undersigned has set her hand and seal 1/ day of ~ ,2007. ~a.~ Mf;:;~~ Carol A. Holder o Co '.6;G lIO ;~~ c~) /,., C) (~) , )()-n "")C ".- =u -" --j j> f'-,) .:=> c:::> -.J .." rri OJ I --I -u :l: o .r::- _f' -#" ~ '1'1 .... COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF On this, the" day of a-~ ,2007, before me, a Notary Public, the undersigned officer, personally appeared Carol A. Holder, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. My Commission Expires: (SEAL) COM ONWEALld Of PENNSYLVANIA NOTARIAL SEAL ROBERT J. CAMPBELL, Notary PubIc City of Hlrrtsbu'l, OIUphln County My Commlsslo~_Expl!!.s Sept. 25, 2010 - . ..... v .. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION INRE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) DISCLAIMER The undersigned, Craig Victor Gartzke ("Disclaimant"), being a son of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. this 5 IN WITNESS WHEREOF, the undersigned has set her hand and seal day of Jal'L~ ' 2007. =y~ Crai ictor Gartzke (") So "-":0 D-O i-:!:cO ~!(~~ ()....---, c..... "-..' _J -on S; --I ......, c::::> c:::l -..I ...." f"'T1 co I -.J -0 ...". ~ C) + ~ III.-~'~'" . . ." COMMONWEALTH OF PENNSYLVANIA COUNTY OF CtttnlJ~1t.LRAJ!) SS On this, the S- day of0~ ,2007, before me, a Notary Public, the undersigned officer, personally appeared Craig Victor Gartzke, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. ~t~- Notary Public My Commission Expires: (SEAL) COMMONWEALTH OF PENNSYLVANIA NOTARIAL. SEAL ROBERTA E. 8'tSE8KI:.n~C:~ Camp HlIl ,8'?t~tJI:' _ 23 ~OOg MyCommlssioh I . , #-""11I '. ... IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF VICTOR FREDERICK GARTZKE DECEASED :NO. 2006-00959 (21-06-0959) ) DISCLAIMER The undersigned, Laura Lynn McClure and Justin McClure, Parents and Natural Guardians of.Taylor McClure ("Disclaimant"), being a great-grandson of VICTOR FREDERICK GARTZKE ("Decedent"), intending to be legally bound, makes the following disclaimer: With respect to the Gartzke Bypass Trust created under Article FIFTH, I disclaim the right to receive discretionary distributions of income (pursuant to Article FIFTH (1)) and principal (pursuant to Article FIFTH (2)), and the right to receive any other amounts from the Trust pursuant to Article FIFTH (3), during the lifetime of Lavon J. Gartzke, the surviving spouse of Decedent. I specifically reserve the right to receive distributions as provided in Article FIFTH (4) or any other distributions which may be proper or appropriate from the Trust after the death of Lavon J. Gartzke. This Disclaimer is irrevocable and unqualified. .....,;< IN WITNESS WHEREOF, the undersigned has set her hand and seal ~=_~ ';'07' .~~ -,~~ Witness La~~lure and Justin~cClure, Parents and Natural Guardians' of Taylor McClure f) :~;~ ;-'-)~~~ G0 5~? f'-..:l = = -.J """11 rrl co J -.J C)C) )C) ~"I ':)~6 ~.'-I _~':J ~,i.~.'" ;g o .- /" , --- .. ... COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~o-l On this, the\u~day of ~ ,2007, before me, a Notary Public, the undersigned officer, personally appeared Laura Lynn McClure and Justin McClure, Parents and Natural Guardians of Taylor McClure, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. SS IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. ~~~b ~ Notary Public - My Commission Expires: (SEAL) NOTARIAL SEAL Mariann L Stiely, Notary Public LtmO)'Dl Boro., Cumberlaad CO_ My oommlulon apii'll January 02, 2009