HomeMy WebLinkAbout06-29-07
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
eV 1I/4R lII-A/.!) COUNTY, PENNSYLVANIA
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Estate of
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, Deceased
IJII ~ /I GO ~ L. t: .7. .:Tit/? /(!,;("
, ~ a subscribing witness to
(Print Name/s)
the ~ Will ~ CeEliei1(s~ presented herewith, feaeh1 being duly qualified according to law, depose(s) and
say(s) that she I ae I thiy was I-we'fe. present and saw the above Testator f-Testatrix sign the same
and that she l.J1e .' 1:key signed the same and that she14n" / th"y signed as a witness at the request of
the Testator '(Testatd~ in ..fte!"'! his presence and in the presence of each other.
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(Signature) HI/CHe-LI. . JU;(/ck
(Signature)
, t!LopSBi~,
(Street Address)
(Street Address)
fJ!lie}fIMltCS8tttl(;; Ill#- 170SS;
(City, State, Zip)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
of
day
before me this
of ..Tiuu
e:;,/I, day
, .2&JOr .
~t:~'r
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths, Show date of expiration of Notary's Commission.)
Deputy for Register of Wills
NOTE:
To be taken by Officer authorized to administer oaths. Please have present the original or colG:~~pf~~ANIA
Notarial Seal
Charles E. Shields III, Notary PlbIic
Monroe Twp., Clmbel1and Cou1ty
My Commission Expires June 20, 2008
Member, Pennsylvania Association Of Notaries
FormRW.03 rev, /0./3,06
REGISTER OF WILLS
C LLIt1 eEJeJflND COUNTY, PENNSYLVANIA
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OATH OF SUBSCRIBING WITNESS(ES)
Estate of
F,e.EE'DEl2/(!J< J;). 8A/Q:~
en
en
, Deceased
eHAIt?Lf.s e, Sit / fF2..'D.s 1iL
.. ("a...Ii) a subscribing witness to
(Print Name/s)
the 1JI Will g..codkil(~) presented herewith,~ being duly qualified according to law, depose(s) and
say(s) that sfi&/ he / ifter was /~ present and saw the above Testatod Testatri'C sign the same
and that efte./ he /-4ey signed the same and that .sfte.I he ..4ftey signed as a witness at the request of
the Testator /-1'e3tatriK in ~ his presence and in the presence of each other.
lfCW-u f:~~
(Signature) t!.N /be t.ES~ E. SN / ~ 1ii: (Signature)
~ ~"'~ I€J>.
(Street Address) (Street Address)
lhecN/IA)ICSl3lf.~J A4- /7tJ5S;
(City. State, Zip) (City. State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
{J1Hl day
, deDI .
Executed out of Register's Office.
Sworn to or affirmed and subscribed
before me this
day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RW-03 rev. /0./3.06
RENUNCIA TION
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REGISTER OF WILLS
CU m/JEIUANl> COUNTY, PENNSYLVANIA
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Estate of F;eEl) EJe./eI( 1> . 1311- JC.t:7!...
, Deceased
I, IhICNA-E"l J>, e,A-~
(Print Name)
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
tD-exECU101l.
administer the Estate of the Decedent and respectfully request that Letters be issued to
ME"I-/SJJ. .I. 6,4j!:&lf tUUI /FiliAl AI. ~~J:G7(
(Date)
'/~0t-
ICflA/El. ]). 8A~
lJ ~olR c;,~ PAItK :;P~.
(Street Address)
/J}T. Joy" ~A /1ssZ
(City, State, Zip)
Executed in Register's Office
Sworn to or affIrmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he ~executed the renunciation for the
purposes stated within on this ;; stl. day
o~~
Notary Public
My Commission Expires:
Deputy for Register of Wills
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNSYLVANIA
Nolarial Seal
awtea E. SNeIds III, Nolary PlilIlc
Monroe ~.. Ctmbel18nd CoIny
My Commla8lon ElQ:lIree.llre 20, 2008
Member. Pennlytvanl. A'IOCI.'on Of Notaries
LAST WILL AND TESTAMENT OF FREDERICK D. BAKER
I, FREDERICK D. BAKER, currently of 1285 West Trindle Road, Mechanicsburg, Monroe
Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and
making void any and all prior Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon after my decease as the
same can conveniently be done.
2.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situate, I give, devise, and bequeath to be equally divided and distributed in three (3)
shares, as follows, to wit:
A) One share to my beloved wife, MELISSA I. BAKER. In the event she predeceases
me, then to her children, NICOLE M. GRIMES and RYAN P. GRIMES in equal shares. In the
event either of them predeceases me, then to the survivor of them, per cavita. In the event none of
them survive me, then to my two children as set forth more fully hereinbelow.
B) One share to my son, MICHAEL D. BAKER. In the event he predeceases me, then
to his sister, ERIN N. BAKER.
C) One share to my daughter, ERIN N. BAKER. In the event she predeceases me, then
to her brother, MICHAEL D. BAKER.
3.
I nominate, constitute and appoint my beloved wife, MELISSA I. BAKER, my son,
MICHAEL D. BAKER, and my daughter, ERIN N. BAKER, to be Co- Executors of this my Last
Will and Testament. I further direct that they shall not be required to file bond or other security in
the Office of the Register of Wills for the purpose of administering my Estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~
Ar ' A.D. 2007.
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FREDERICK D. BAKER ~-l
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Signed, sealed, published and declared by the above-named FREDERICK D. BAKER, as
and for his Last Will and Testament, in the presence of us, who at his request and in his presence,
and in the presence of each other, have hereunto subscribed our names as witnesses.
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HIO:;.RO:; REV 1011071
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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.
Fee for this certificate, $6.00
Certification Number
tf?~.-.".i2L.. ~ { / J If / If 7
Local Registrar Date Issued
P 13670632
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Hl()5.143 REV 1112006
TYPE : PAINT IN
PE_NT
IllACl(INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Inatrucllons and a.amp'" on ...vanlll)
I. _ol_IFnI, _, Iut. sUb)
Frederick D. Baker
5.AplLaalllinhdal)
51 VIS
.... Courol ol DeaIh
CUmberland
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11.Dtc;edertllllual
Kindol_
Engineer
1I._'.-.g_ISO'...""'_,_...._1
1285 West Trindle Road
Mechani.csburg, PA 17055
... f_._IF...._.Iut._1
Donald Baker
201. _'_lTIPO'Prinll
Melissa I. Baker
21.. -.od olllirjlolllion
o Iluriol 0 Removll__
o Olho<.
221. . ol
19. __Ifill. -.-...-..oJ
N Goodlin
2lII.-'MIlIng__"",_._,..._1
1285 West Trindle Road Mechanicsburg, PA 17055
2'e.PIacoolOiapoallion_ol_."""",,,Of"*ploco) 21d.lccam(Cllj,__...._1
Docodort.
AcIuaI Raidence 17.. S&iIe
111>. Cc<.ny
Pennsylvania
cumberland
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