HomeMy WebLinkAbout02-20-07
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of ROBERT M. HECKMAN
No.
eJ/ ',;;007- /(,0
also known as
, Deceased
Social Security No.
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Petitioner(s), who is/are 18 years of age or older apply(ies) for:
COMPLETE "A" OR "B" BELOW:)
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i:8J A. Probate and Grant of Letters and aver that Petitioner(s) is the executor named in the Las6Nltl of t~
Decedent, dated March 11. 2002 and codicil(s) dated n/a -v
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State relevant circumstances, e.g., renunciation, death of executor, etc.
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
o B. Grant of Letters of Administration
(c.I.a., d.b.n.c.l.a.: pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following
spouse (if any) and heirs:
I Name Relationship Residence I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence
at 500 Noble Bolevard. Carlisle. Cumberland County. PA
(list street, number and municipality)
Decedent, then ~ years of age, died January 30. 2007, at Sarah Todd Memorial Home. Cumberland Ctv.. PA
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property ................................................................................ $
(If not domiciled in PA) Personal property in Pennsylvania ............................................ $
(If not domiciled in PA) Personal property in County...................................................... $
Value of real estate in Pennsylvania ................................................................................................... $
T atal.......................................................................................................................... ........... $
Real Estate situated as follows:
" 2,.e~ d 01:)
i99.eee.ee
599.999.99 (~20Cl/ooO
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and
the rant of letters in the a ro riate form to the undersi ned:
Signature Typed or printed name and residence
Joan C. Heckman
500 Noble Boulevard
Carlisle, PA 17013
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Form RW-1 Page 1 of 2 (Dauphin County - Rev. 9/92)
Commonwealth of Pennsylvania
County of Cumberland
Oath of Personal Representative
The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and
correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent,
Petitioner will well and truly administer the estate according to law.
36LO--,i ~ /I-€t'~~ ./
Joan C. Heckman
Sworn to and affirmed and subscribed
bef re me this d~ day of
,~:;wi
Estate of ROBERT M. HECKMAN
also known as
Social Security No.:
DECREE OF REGISTER
, Deceased
,1/. c;l0l57. /00
No.
Date of Death
January 30, 2007
AND NOW, , 2007, in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters [8J Testamentary 0 of Administration
(c.I.a.; d.b.n.c.l.; pendente lite; durante absentia; durante minoritate)
are hereby granted to Joan C. Heckman
in the above estate and that the instrument(s), if any, dated March 11.2002
described in the Petition be admitted to probate and filed of record as the last Will of
FEES
Letters.............................. -...
Short Certificate( s) ...............
Renunciation ........................
Affidavit ( ).........................
Extra Pages ( ) ..................
Codicil..................................
JCP Fee ...............................
Inventory & Tax Forms ........
Other .....................~~.jr
TOTAL................... .
Form RW-1 Page 2 of 2 (Dauphin County - Rev. 9/92)
$ 'I~O. ()O
$ "")6. CD
\...../
$
$
$
$
$
$
$
JO,()D
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Peter J. Ressler, Esquire
6844
3401 North Front Street
Harrisburg, PA 17110-0950
717-232-5000
Attorney:
I.D. No.:
$
~
Address:
Telephone:
DATE FILED:
HIIlS.ROS REV 1/05
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. tJ'I- /&()
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
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Local Registrar ~
p
13310437
No.
FEB 2
Date
2007
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H105.143 REV 1112006
TYPE I PAINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
,. Name of Decedent (Rrst, midcle, last, suffix)
2007
183 12
Sa. Pl8C8 of Death (Check only one)
Hospital: Other:
o Inpatient 0 ER I Outpatient 0 DOA Nursing Home 0 Re"""",,,
9. Was Decedent of Hispanic QrIgil? iJ No 0 Yes
Iff yes, specify Cuban,
Mexican, Puer10 RIcan,eIc.)
13. Oecedenfs Education (Specify only highest grade completed) 14. Marital Status: Married. NeYer Married,
Elementary I Secondary (0-12) CoUege (1-4 Of 5+) WIdowed. Divorced (Sp6ci1)1
2 Married
D1dDocedent
Uvelna
Towns~?
TWI'
2284
Carlisle, FA
85 v~.
Bb. County of DeaIt1
11, 1921
Oou,.,._,
10. Race: American indian, Black, White, ate.
.I~ite
Bet Facity Name Iff not_, gWe -. and number)
CUnt>erland
rah Todd Memorial Home
11.0ecedenfsUsua!
Kind "'WOO<
12. Was Decedent ever in !he
U.S. Armed Forces?
IKJv" ONo
Docedent.
ActuaIResidence 17a&ate
PA
Joan. C. Sunda
. 16. Decedent's MaillngAdchss (Street, city I town, slate, ~ code)
500 Noble Blvd.
Carlisle, Fa 17013
18. father's Name (FIfSt, middle, last, suIftx)
Hugh H. Heckman
208. Infonnant's Name (Type / Print)
Joan C. Heckman
2'aMelhod"'_ Oc_ ODooa""
o ~,B':',P R.,""",lromSlate ~..=:-....:....~- 0 V..ONo
: 22aSil;p18tureof (or person acting as such)
He. 0 Yes, Decedent lived In
'7d.1iI No,_Uved"","
AdualIinllB of
Carlisle
c;nnh<:>rl "nn
17b. Coonly
City/Born
19. MoIher's Name (Firs!, middle, maiden surnamel
Janet Goodhart
201:1. lnformanfs Mailing Amhss (Street, ciIy !Iown, stale, zip code)
500 Noble Blvd., Carlisle, pa 17013
21e. Place of DisposItIon (Name ofC8lTl8let'y, aemaklly or othefpace) 21d.l.ocalion (ClIy !!(MIn, slate, zip code)
2007 Westminster Cemetery Carlisle, Fa 17013
22c.Namoand^""",,"'F"'1Iy Hoffman-Roth Funera Home & Crematory
Hanover St. Carlisle FA 17013
23b~ ,umbar
!01/ JrJlj1C/ L
. ~
23c. Dale SIgned (Month, day, year)
26. Was Case Referred 10 Medeal Examiner I Coroner lor a Reason Other than Cremation or Donation?
OV" lllINo
hems 24-26 must be oompleled by person
who pronounces deatt\.
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CAUSE OF DEATH (See Instructions and examp4es)
hem V.PaltI: EnterthelibllnJlt..m1Dl dlsaa6es,injuries,orcompllcations-lhal.drectlycausedlhedealh.OONOTemartanninaleventssuchascarclllCarrest,
respiralOry arrest, or ventricular fibrillalion wlIhoul showing the etioIogy.li8I only one cause on each fine.
AwroKimate interval: Part II: ~er other sIonificant corlliIions conlribulina to death 28. Did Tobacco Use Contribute to Death?
Onselto Death but not reslili'lg in the underlying cause!,Mn In Part I. 0 Yes 0 Probably
B1lO 0 1Jn<......
~=S~C'I~. M.'10tM011"0-- /jVr-Ml-c..T1-0..v
Due 10 (or as a consequence of):
~jAJ~/... fN,...ff'l~ U':,vc..'1
SV'IN~(""" .r.cfW~I$
29. 11 Female:
ON"'""""",,""'''''''"''
o Prt9l8Olallimeofdeath
DNolpnl!Jlilnt,but~wilhin42days
"'doa'"
o NoI pregnant, but pregnant 43 days to 1 year
baloredeath
o Unknownil~wllhinlhepastyear
32e. Place of 1r'fJry: Home, Fann, Slreet. FacIoIy,
OlIIcoBWklng,....(SpoOfy)
'*" \..UV,.
_"''''''''''''',ffany,
leading 10 thacause Ilsted on line a.
Enter the UNDERLYING CAUSE
~~~r,;,,~~~
b.
Due to (or as a consequence 01):
Due to (or as a ronsequence of):
d.
3Ob.WereAutopsyFiKings
Available Prior to CompI8Iion
oICauseolDealh?
31. Manner of Death
[91qB"", 0 -"'"
o Accident 0 Pending lnvesliglltion
Os._ Oeoo"NoIbeDo1,"""",
M.
3Oa.WasanAulopsy
Performed?
o V" [3'f<O
Ov.. ONo
32d. Twne of Injury
:32g. location 01 Injury (Street, city I town, slate)
33a.~lcheck"'~"")
Certifying physician (Physician cerliIylng cause of dealh when another physician has pronounced death and completed hem 23)
lob beel: of my knowIedgII, death occu~ due to the cauee(1) and m..... as stated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
=~~:=~=:=~and~an~tolO~'::mannar8lstatecL_________________ 0
~= =m~,,:"x:..mec:: and! or 1nveItig8tion, In my opinion., d8lIth oc:curred at the time, date, and place, and dUll to the cause(l) and manner as stated... 0
330. Dalo S""", (Month, cloy, Y"")
~ I tlo,
34.NameandAddressofPersonWho~~useof.Pqth(1tem27) Type/P~
WIL.....'...1o\A -l.'. KAA.fFII-'\A-1V, 1M!}
\Cnt S'f/1./N<:' ~O C.lldt.lJ.lS'L€)4A \"'\013
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Disoositlon Pennil No. t) \ rr ~b
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mast BIill anll westament
OF
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ROBERT M. HECKMAN
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I, ROBERT M. HECKMAN, of Cumberland County, Pennsyfvania,;;.
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declare this to be my last Will, hereby revoking all prior wills and codicils.
FIRST:
The expenses of my last illness and
funeral shall be paid from my estate.
SECOND: I may leave a written list in my safe
deposit box or elsewhere disposing of certain items of my tangible personal property.
The Executor shall dispose of items of my personal property as specified in the
written list. Ifno written list is found in my safe deposit box or elsewhere and
properly identified by the Executor within thirty (30) days after the probate of my
Will, it shall be presumed that there is no other statement or list. Any subsequently
discovered list shall be ignored. I give and bequeath, absolutely and in fee simple, my
household furniture and furnishings, books, pictures, jewelry, silverware,
automobiles, wearing apparel and all other articles of household or personal use or
adornment not mentioned in the written list and all policies of insurance thereon to
my spouse, JOAN C. HECKMAN, provided that if my spouse dies before the thirtieth
(30th) day following the day of my death, this gift shall lapse or be divested and I
make said bequest to my issue, per stirpes, living at the time of my death, to be
Page 1
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divided among them as they shall agree. If they cannot agree for any reason, my
Executor shall make the decision and its decision shall be final.
My Executor shall represent any minor child in any division of such
property and shall deliver to the person standing in the place of a parent to such
minor, without bond, such portion of the minor's share as my Executor, after
considering the minor's wishes, deems appropriate and shall sell the balance and pay
the proceeds to my Trustees to be retained for the minor under I tern SIXTH hereof.
THIRD: The gift to my spouse in this Item is
intended to give my estate the marital deduction effective under the Internal
Revenue Code to reduce Federal estate tax. Any provisions in this Will which conflict
with or fail of this intention shall be so reconciled or amplified as to accomplish this
objective.
If my spouse, JOAN C. HECKMAN, survives me, I direct that my
Trustees, hereinafter named, hold, IN TRUST, an amount free of all taxes equal to
the maximum marital deduction allowable to my estate for Federal estate tax
purposes, reduced by the aggregate marital deduction allowable for Federal estate tax
purposes for other property or interests that pass or shall have passed to my spouse
otherwise than under this clause and that qualify for the said marital deduction; and
further reduced by an amount, if any, needed to increase my taxable estate to the
largest amount that after allowing for the unified credit and state death tax credit
(provided the use of this credit does not require an increase in state death taxes)
available to my estate, will result in no Federal estate tax, and pay the net income
therefrom, beginning at my death, not less frequently than quarterly to my spouse for
life. My spouse shall have power to appoint all or any part or parts of the principal of
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this Trust to herself or a class composed of the issue of myself and my spouse. This
power shall be exercisable by her alone and in all events by specific reference thereto
in her Will, or by delivery at any time or times during her lifetime of a written
direction to my Trustees who shall thereupon make payment as she directs.
My Trustee shall pay to her personal representatives from any
unappointed principal the difference between all taxes, interest and penalties which
they must pay by reason of her death and those which would be payable by them if
such unappointed principal were not taxable in her estate and shall add the balance
of such unappointed principal to my residuary Trust.
FOURTH: I give and devise the residue of my
estate, real and personal, to my Trustee hereinafter named, IN TRUST, as follows:
(a) The net income therefrom shall be paid to my spouse,
for life.
(b) My spouse shall have the power to appoint to herself up to the
greater amount of five percent (5%) or $5,000 annually from the principal of the
residuary trust under this Item. This power of appointment shall be noncumulative
and may be exercised during my spouse's lifetime only by her giving the Trustee
written direction other than by her Will.
(c) Upon the death of the survivor of myself and my spouse, the
principal shall be divided into as many equal shares as there are children of mine
then living and children then dead, leaving issue then living. Thereafter:
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(i) One share shall be paid outright to each of my children who
survive me by thirty (30) days.
(ii) One share shall be subdivided into subshares for the issue, per
stirpes, of each of my children who do not survive me by thirty (30) days. Thereafter:
(A) The net income from one sub-share may, in the absolute
and sole discretion of Trustee, be paid to or accumulated on behalf of each of my said
living issue until they attain the age of twenty-one (21) years, at which time the
income shall be paid to each child for life, provided however, that each such child
shall have the right to withdraw one-third (1/3) of his or her share of the principal
and accumulated income when he or she shall attain the age of twenty-five (25) years,
one-half (1/2) of his or her remaining share of the principal and accumulated income
when he or she shall attain the age of thirty (30) years, and the remaining balance of
his or her share of the principal and accumulated income when he or she shall attain
the age of thirty-five (35) years. The rights of withdrawal may be exercised from time
to time in whole or in part and the said rights of withdrawal shall be cumulative.
(B) Upon the death of each of my aforesaid issue of a deceased
child who survive the survivor of my said spouse and myself, the share of principal
from which he or she is eligible to receive income shall be paid to his or her surviving
issue, per stirpes, or in default of such issue, shall be divided among that issue's
siblings shares, if any, otherwise added proportionateley to the other shares created
hereunder and distributed outright or held in trust as the case may be.
(C) If no issue of my children survive the survivor of my said
spouse and myself, the remaining undistributed principal and accumulated income
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shall be divided into two equal shares and one share shall be paid to my heirs who
would be entitled thereto under the Intestate Laws of Pennsylvania in effect at the
death of the survivor of myself and my spouse; and the other share shall be paid to
my spouse's heirs who would be entitled thereto under the Intestate Laws of
Pennsylvania in effect at the death of the survivor of myself and my spouse as if my
spouse had then died Intestate.
FIFTH: During my spouse's life time, Trustee
may use principal of the trust under Item THIRD hereof (Marital Deduction
Trust)and Item FOURTH hereof (Residue Trust), only for the benefit of my spouse.
Upon the death of my spouse, my Trustee may use principal from the trust under
Item FOURTH hereof (Residue Trust) for the benefit of my issue as that Trustee
deems necessary:
(a) To meet the expense of any accident, illness or other emergency
befalling any of them;
(b) For maintenance, support and education (including college and
graduate school);
(c) To pay funeral expenses, including the cost of a grave marker and
perpetual care of the grave.
Any principal used for the benefit of my issue shall be charged as an
advancement from his or her family's share of the trust. Further, any invasion on
behalf of any issue cannot exceed the amount that would be allocated to his or her
family's share of such trust.
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Notwithstanding the foregoing, the power to consume, invade or
appropriate property for the benefit of my spouse and issue shall be limited by
ascertainable standard relating to health, education, support or maintenance within
the meaning of subparagraph (a) of Section 2041(b)(1) of the Internal Revenue Code
of 1954 or any similar provision which may be in effect at the time of my death so
that such power will not constitute a general power of appointment.
SIXTH: I appoint my Trustee as Guardian to
hold for minors all property payable by law to a guardian appointed by my Will and
use the same for the minor's maintenance and education, either directly or by
payment to any person selected to disburse it, whose receipt shall be a complete
acquittance therefor. All unexpended income and principal shall be paid to the minor
at majority. For purposes of this Will, majority shall be construed to be when the
individual attains the age of twenty-one (21) years.
SEVENTH: No provision of this Will is intended to
exercise any power of appointment, including any power of appointment granted to
me by my spouse's estate planning or other documents.
EIGHTH: All taxes, interest and penalties
thereon payable by reason of my death with respect to property comprising my gross
estate, whether or not passing under this Will, shall be paid from the principal of my
residuary estate, provided however, that funds of my Trust created herein may be
used to pay taxes, interest and penalties attributed to such trust assets.
NINTH: No interest of any beneficiary under
this Will or any codicil hereto shall be subject to anticipation or voluntary or
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involuntary alienation, and the personal receipt of such beneficiary shall be the
sufficient and only discharge of my Executor and Trustee unless otherwise provided
herein.
TENTH: In addition to powers given them by
law, my Executor and Trustee and their successors and any guardian acting
hereunder shall have the following discretionary powers applicable to all real and
personal property held by them, effective without court order and until actual
distribution:
(a) To retain all property received by them including the stock of any
corporate fiduciary acting hereunder, provided such property remains productive;
(b) To invest in all forms of property without restriction to
investments authorized to fiduciaries, so long as such investments are productive;
(c) To join in any incorporation, partnership, recapitalization,
merger, reorganization or voting trust plan; to delegate authority with respect
thereto; to deposit investments under agreements and pay assessments; and
generally to exercise all rights of investors;
(d) To compromise controversies;
(e) To exchange or sell for cash, property or credit, publicly or
privately, or to lease, even for a term exceeding five (5) years or the duration of the
trusts hereunder, without liability on the purchasers or lessees to see to application
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of the consideration, and to give options for these purposes without obligation to
repudiate them in favor of a higher offer;
(D With respect to my residuary trust under Item FOURTH hereof,
to allocate items of receipt or disbursement between income and principal as they
deem equitable regardless of the character given such items by law;
(g) To apply income or principal to which any beneficiary is entitled
directly for his or her maintenance and support should they deem such beneficiary
incapable of receiving the same by reason of age, illness or any infirmity or
incapacity, or to pay the same to such person as they select to disburse it, whose
receipt shall be a complete acquittance therefor, without the intervention of any
guardian;
(h) To borrow money, including the right to borrow from any
corporate fiduciary acting hereunder, and mortgage or pledge as security;
(i) To hold investments in the name of a nominee;
(j) To distribute in cash or kind or partly in each at valuations fixed
by them;
(k) To assume continuance of the status of any beneficiary with
reference to marriage, divorce, illness, incapacity or other change in the absence of
information deemed reliable without liability for disbursements made on such
assumption;
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(l) To elect to value my gross estate for Federal estate tax purposes
as of the date of my death or as of the alternate valuation date as allowed for such
purposes, to claim as income tax deductions expenses that would otherwise qualify as
estate tax deductions, to make reverse GST elections, to reform this document to
comply with any Pennsylvania statutory unitrust options, and to make other
elections allowable under law;
(m) Except to the extent necessary in order that the trust under Item
THIRD hereof qualify for the marital deduction allowable under the Internal
Revenue Code, it shall not be necessary to segregate investments as belonging to a
particular trust or share therein and all interests may be held in undivided form in a
single fund from which proportionate distributions are made based on current
reappraisals;
(n) To merge any similar trust established by my spouse where the
terms of the same are identical;
(0) To make income or principal distributions during the course of
administration of my estate or trusts created hereunder;
(p) In the event that I am the beneficiary of a qualified terminal
interest trust and the same is taxable in my estate, I direct that my Executor shall
seek reimbursement from said trust for all taxes due by my estate because of the
inclusion of such trust in my estate, said computation of taxes due to be computed by
taking taxes owed by my estate and such property included therein as compared to
the taxes my estate would owe in the event said property were not taxable in my
estate; and
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(q) To undertake any and all acts deemed necessary and proper by it
for the proper and advantageous management of any trust and the settlement of my
estate.
ELEVENTH: No fiduciary who is a beneficiary of my
residuary trust created in Item FOURTH hereof shall participate in the exercise of
any discretionary power to use the principal thereof for the benefit of any person or
to apportion or allocate items of charge or credit between principal and income of
such trust.
TWELFTH: Any person, other than my spouse, who
shall have died within thirty (30) days of my death, shall be deemed to have
predeceased me. If my spouse and I die simultaneously, or under such circumstances
that the order of our deaths cannot be established by proof, my spouse shall be
deemed to have survived me. Any person (other than myself) who shall have died at
the same time as any then recipient of income, or under such circumstances that it is
difficult or impossible to determine who died first, shall be deemed to have
predeceased such beneficiary.
THIRTEENTH: I appoint my spouse, JOAN C.
HECKMAN, Executrix, and my said spouse and my children, JEFFREY HECKMAN,
JON HECKMAN, and JAMES HECKMAN, as Trustees under this my Will. In the
event my spouse can not act as Executrix hereunder, for any reason, my said children
shall act in her place. No fiduciary acting hereunder shall be required to post bond or
enter security in any jurisdiction.
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FOURTEENTH:
My Corporate Fiduciary, if any, shall
receive compensation for the performance of its functions hereunder in accordance
with its Schedule of Fees in effect from time to time during the period over which its
services are performed; provided, however, that if any Corporate Fiduciary shall act
in a co-fiduciary capacity, its schedule of fees shall be apportioned among all
fiduciaries in relationship to the services that each fiduciary provides.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this_
~day of l/J;bl14, 2002, to this and the preceding ten (10) pages, and I have also
placed my initials on each preceding page for better identification and greater
security.
EAL)
SIGNED, SEALED, PUBLISHED and DECLARED by the above-named
Testator, ROBERT M. HECKMAN, as and for his Last Will and Testament, in the
presence of us, who at his request, in his presence and in the presence of each other, have
hereunto subscribed our names as witnesses:
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Residing at ') //J ("'-' a -1 ~-",vw.-, /~l
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ACKNOWLEDGMENT
COMMONWEAL TH OF PENNSYLVANIA
: SS.
COUNTY OF ~.JC\\Jphl()
I, ROBERT M. HECKMAN, Testator, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will and Testament;
that I signed it willingly; and that I signed it as my free and voluntary act for the
purposes therein expressed.
#~A-se)
Sworn to and subscribed
before me this ~ day
of ffiC:.(ch ,2002.
h~- CJ.. \L_~~
~ary PublicG
My Commission Expires:
(SEAL)
Notarial Seal
Ci Staoey A. !Celley, Nocary Public
Uu cy ~!:.~~bwJ, Dauphin Count}'
.~ .......ulllAlOD Expires Jan. .5, 2004
AFFIDAVIT
COMMONWEAL TH OF PENNSYLVANIA
COUNTY OF [hv~)ln
: SS.
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We, /{7J ('7.: "'2 f. I<v} ";~ I{y~nd "ju~J (' /'iCcff~~the Witnesses
whose names are signed to the attached or foregoing instrument being duly qualified
according to law, do depose and say that we were present and saw Testator, ROBERT M.
HECKMAN, sign and execute the instrument as his Last Will and Testament; that
Testator signed willingly and that he executed said Will as his free and voluntary act for
the purposes therein expressed; that each of us in the hearing and sight of the Testator
signed the Will as Witnesses; and that to the best of our knowledge the Testator was at
that time eighteen (18) or more years of age, of sound mind and under no constraint or
undue influence.
Ihi~ I~~
Witness
j d~ t .H .Ld11f#};"
tness
Sworn to and subscribed
before me this ~ day
of \\'c'fC\j , 2002.
~ Q Un
.. U.'S
N ~ry Public
My Commission Expires:
(SEAL)
Notarial Seal
Stacey A. Kelley. Notary Publk
City of Harrisburg, Dauphin Count)
My Commission Expires Jan. 5, 2004