HomeMy WebLinkAbout03-14-08
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA
ORPHANS' COURT DIVISION
FILE NO. 21 -07-0016
FIRST AND FINAL ACCOUNT OF
Michael G. Shenk and Nancy S. Cantone, a/k/a Nancy Shenk, Executors of the
EST ATE of DOROTHY L. SHENK, Deceased
Late of East Pennsboro Township, Cumberland County, Pennsylvania
Date of Death:
December 10, 2006
~~ :)
Date of Grant of Letters Testamentary
to Michael G. Shenk and Nancy S. Cantone,
alkla Nancy Shenk
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January 5, 2007
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Date of First Advertisement of Letters:
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Cumberland Law Journal
The Sentinel
January 26, 2007
January 24, 2007
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Date of Accounting
December 10, 2006 to
February 26, 2008
PURPOSE OF ACCOUNTING:
Michael G. Shenk and Nancy S. Cantone, alkla Nancy Shenk, Executors, offer this
Account to acquaint interested parties with the transactions that have occurred during this
administration.
It is important that the Account be carefully reviewed. Requests for additional
information or questions can be discussed with:
Michael L. Bangs, Esquire
Bangs Law Office
Attorney Identification Number 41263
429 South 18th Street, Camp Hill, P A 17011
717) 730-7310
SUMMARY OF ACCOUNT
PAGE
PRINCIPAL
Receipts of Principal 3 $24,409.15
LESS DISBURSEMENTS
Debts of Decedent 4 $2,667.16
Administrative Expenses 4 $13,367.52
Attorney's Fees 4 $6,058.50
Administrator's Fee 4 $0.00
Accountant Fees 4 $310.00
$22,403.18
INCOME
Receipts of Income 5 $0.00
COMBINED BALANCE ON HAND $2,005.97
PROPOSED SCHEDULE OF DISTRIBUTION 6
VERIFICATION 7
.
Page 2
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RECEIPTS OF PRINCIPAL
DATE
PRINCIPAL
RECEIPTS
1/26/2007 M&T Bank Account
1/26/2007 Wachovia Bank Account
3/6/2007 Refund of unearned automobile insurance premium
3/13/2007 Refund from West Shore Pathology Associates
4/16/2007 Refund of unearned renters insurance
5/25/2007 IRS 2006 income tax refund
9/5/2007 Sale of automobile
10/5/2007 Liquidation of Stock Account with The Investment Center
$4,189.02
$16,940.04
$119.20
$22.00
$144.20
$534.00
$2,400.00
$60.69
TOT AL PRINCIPAL RECEIPTS
$24,409.15
Page 3
DISBURSEMENTS OF PRINCIPAL
DATE
DEBTS OF DECEDENT
1/26/2007 PP&L
1/29/2007 Verizon Wireless
1/29/2007 Wachovia Platinum
1/29/2007 Mutual Benefit Insurance Company (car insurance)
3/6/2007 Wachovia Card Services
3/6/2007 John Clements (February Rent)
3/6/2007 Comcast Cable
3/19/2007 Reversal of March Social Security payment
3/26/2007 P A Department of Revenue (2006 income tax due)
4/9/2007 Comcast Cable (final bill)
6/412007 Citibank
TOT AL DEBTS OF DECEDENT:
$196.22
$71.21
$123.60
$144.20
$30.11
$615.00
$99.18
$543.00
$8.00
$10.03
$826.61
$2,667.16
DATE
ADMINISTRATIVE EXPENSES
1/5/2007 Register of Wills (probate fees)
1/16/2007 Cumberland Law Journal (advertising fee)
1/26/2007 Parthemore Funeral Home
1/26/2007 Cantone's (funeral luncheon)
2/1/2007 M&T Bank (check fee)
2/12/2007 The Sentinel (advertising fee)
3/6/2007 Michael Shenk (reimbursement for funeral beverages)
3/6/2007 Karen R. Shenk (reimbursement for funeral expense)
3/6/2007 Judith Shenk (reimbursement for funeral expense)
3/26/2007 Postmaster (mailing of2006 income tax returns)
5/24/2007 Register of Wills (short certificates)
9/4/2007 Register of Wills (inheritance tax due)
9/4/2007 Register of Wills (filing fee for inheritance tax return)
9/19/2007 Register of Wills (additional probate fee)
11/20/2007 Register of Wills (additional inheritance tax due)
Register of Wills (filing fee for formal accounting)
TOT AL ADMINISTRATIVE EXPENSES:
$102.00
$75.00
$10,306.60
$1,662.05
$18.00
$122.51
$158.80
$130.98
$354.03
$6.30
$8.00
$220.65
$30.00
$30.00
$12.60
$130.00
$13,367.52
DATE
FEES AND COMMISSIONS
2/12/2007 Frank Baker (stock valuation)
4/26/2007 Boyer & Ritter (accountant fee)
Michael L. Bangs, Esquire
TOTAL FEES:
$75.00
$235.00
$6,058.50
$6.368.50
TOTAL DISBURSEMENTS OF PRINCIPAL:
$22,403.18
Page 4
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RECEIPTS OF INCOME
DATE
INCOME
RECEIPTS
TOT AL INCOME RECEIPTS
$0.00
Page 5
PROPOSED SCHEDULE OF DISTRIBUTION OF REMAINING PRINCIPAL AND INCOME
NAME
DISTRIBUTION
Kristin Dyan Shenk
Michael G. Shenk
Nancy Shenk
Owen P. Shenk
Robert Clayton Shenk, III
Richard J . Yost
$200.59
$401.19
$401.20
$401.19
$200.60
$401.20
TOT AL DISTRIBUTIONS TO BENEFICIARIES
$2,005.97
Page 6
AFFIDA VIT
Michael G. Shenk and Nancy S. Cantone, a/k/a Nancy Shenk, Executors of the Estate of Dorothy
L. Shenk, deceased, hereby declare under oath that they have fully and faithfully discharged the duties of
their office; that the foregoing Account is true and correct and fully discloses all significant transactions
occurring during the accounting period; that all known claims against the estate have been paid in full;
that, to the best of their knowledge, there are no claims now outstanding against the estate; that all taxes
presently due from the estate have been paid; and that more than four months have elapsed since the first
complete advertisement of the granting of letters in this estate.
This statement is made subject to penalties of 18 Pa. C.S.A. Section 4904 relating to unsworn
falsification to authorities. ' \
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NANCY ~TONE
Also known as:
SUBSCRIBED AND SWORN TO
~mEdtIS -Ulc D~ ro~:.
~}j)~Ub~&
COMMONWEALTH OF PENNSYLW\NIA
Notarial Seal
Wendy K Straub, Notary Public
lower Allen Tv.rp., Cumberland (',Qunty
My Commission Expires May 10, 2011
Pennsylvania Association of Notaries
REQUEST FOR DISTRIBUTION
Accountant requests that distribution be determined by the Court in accordance with the Schedule
of Proposed Distri bution filed as part of th i s account. /1 c' . '\ "." y. ". '
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Page 7
DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF DOROTHY L. SHENK
, DECEASED
No. 21-07-0016
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PETITION FOR ADJUDICATION /
ST A TEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa. O.C. Rule 6.9
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This form may be used in all cases involving the Audit of the Account of a Decedent's Estate. If
space is insufficient, riders may be attached. Attach the spouse's election, if any; the papers
required under items 8-19 inclusive: and any instrument pertinent to the acijudication.
INCLUDE A TTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: Michael L. Bangs, Esquire
Supreme Court 1.0. No.: 41263
Name of Law Firm:
Address: 429 South 18th Street, Camp Hill, PA 17011
Telephone: (717) 730-7310
Fax: (7]7)730-7374
Form DC-OJ rev. }(U3.06
Page] of 10
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Estate of DOROTHY L. SHENK
, Deceased
I. Name(s) and addressees) ofPetitioner(s):
Name:
Michael G. Shenk
Nancy S. Cantone, a/k/a Nancy Shenk
Address:
4 Spartan Circle
6230 Spring Knoll Drive
Camp HilL PA 17011
Harrisburg, PA 17111
IdentifY any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
N/A
Is this the first accounting by this fiduciary? . . . . . . . . . . . . . . . . . . . .. rzl Yes D No
If not, identifY prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on December 10,2006
rzl Letters Testamentary or 0 Letters of Administration were granted to Petitioner(s) on
Januarv 5. 2007
Date of Will (if applicable): February 23, 1996
Date(s) ofCodicil(s) (if applicable): N/A
Date of probate (if different from date Letters granted):
Was a bond required? DYes rzl No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? ......... rzl Yes D No
Dates of advertising of the grant of Letters: 1/26/07; 2/2/07 and 2/9/07 Cumberland
Law Journal and 1/24/07; 1/31/07 and 2/7/07 The Sentinel
Form OC-Of rev. /O./3JJ6
Page 2 of 10
J
Estate of DOROTHY L. SHENK
, Deceased
3. Was decedent survived by a spouse? .. . .. . .. . . .. . .. . . . .. .. . . . . . .. DYes IZl No
If yes, name ofthe surviving spouse:
4. Has the surviving spouse filed to take an elective share? ............. DYes IZl No
(See Section 2201 et~. of the Probate, Estates and Fiduciaries Code)
If yes, date of election:
5. In the case of an intestacy, state the names ofthe decedent's surviving children or
surviving issue of deceased children (if none, so state):
None
6. Did decedent marry after execution of Will or Codicil(s)? . . . . . . . . . .. DYes IZl No
Were any children born to decedent after execution of
Will or Codicil(s)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes IZl No
If yes, give names and dates of birth:
Name:
Date of Birth:
7. Ifrequired by the Medical Assistance Estate Recovery Act,
62 P.S. S 1412, was a request for a statement of claim sent to
the Department of Public Welfare? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. IZlYes D No
Form OC-O/ rev. /0./3.06
Page 3 of 10
.
Estate of DOROTHY L. SHENK
, Deceased
8. Written notice of the Audit as required by Pa. O.c. Rules 6.3,6.7 and 6.8 has been or will be
given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants
listed in item 10 below. In addition, notice of any questions requiring Adjudication as
discussed in item 14 below has been or will be given to all persons affected thereby.
A. If Notice has been given, attach a copy of the Notice as well as a list of the names
and addresses of the parties receiving such Notice.
B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and
addresses of the parties receiving such Notice shall be submitted at the Audit
together with a statement executed by a Petitioner or counsel certifYing that such
notice has been given.
C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated
persons), Notice of the Audit has been or will be given to the appropriate
representative on such party's behalf as required by Pa. O.c. Rule 5.2.
D. If any charitable interest is involved, Notice of the Audit has been or will also be
given to the Attorney General as required under Pa. O.c. Rule 5.5. In addition, the
Attorney General's clearance certificate (or proof of service of Notice and a copy
of such Notice) must be submitted herewith or at the Audit.
9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice or
knowledge, having or claiming any interest in the estate as beneficiaries under the Will or
Codicil(s) or as intestate heirs if there is a complete or partial intestacy:
A. State each party's relationship to the decedent and the nature of each party's
interest(s):
Name and Address of Each Part',' in Interest
Relationship and Comments. if an','
Interest
**See attached sheet for listing
of beneficiaries
Form DC -0 I rev. 10. /3. 06
Page 4 of 10
Estate of DOROTHY L. SHENK
, Deceased
Name and Address of Each Part]; in Interest
Relationshiv and Comments, if anv
Interest
B, Identify each party who is not sui juris (e,g, minors or incapacitated persons).
For each such party, give date of birth, the name of each Guardian and how each
Guardian was appointed. Ifno Guardian has been appointed, identify the next of
kin of such party, giving the name, address and relationship of each.
N/A
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for
this Audit (see Pa, o.c. Rule 12.4).
N/A
D, If distribution is to be made to the personal representative of a deceased party,
state date of death, date and place of grant of Letters and type of Letters granted.
N/A
Form OC-Ol rev. f(}.13.06
Page 5 of ] 0
Estate of DOROTHY L. SHENK
, Deceased
10. Other than the claim for the family exemption, list the names of all known claimants and
the amount of their claims and state whether each claim is admitted.
Name and Address of Each Claimant Amount of Claim Claim Will Claim
Admitted? Be Paid In
Full?
N/A DYes DYes
DNo DNo
DYes DYes
DNo DNo
DYes DYes
DNo DNo
DYes DYes
DNo DNo
If the estate is insolvent, attach a schedule setting forth the order of preference under
20 Pa.C.S. S 3392 and the proposed payments.
II.
Was family exemption claimed?
DYes
0No
0No
Was family exemption allowed?
DYes
Family exemption claimant's name and relationship:
Name:
Relationship:
Form OC-OI re\'. 10.13.06
Page 6 of 10
Estate of DOROTHY L. SHENK
, Deceased
12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate
Tax paid, the date(s) ofpayment(s), and the interest(s) upon which paid, are as follows:
Date
Payment Interest
9/6/2007
220.65 0.00
11/26/07
12.37 0.23
13. On the date of death, was the decedent a fiduciary
(personal representative, trustee, guardian, agent under power
of attorney) or surety on the bond ofa fiduciary? . . . . .. . . . . . . . . . ... . DYes [l] No
If yes, provide the name of the estate, indicate whether an account has been filed and
confirmed absolutely and all awards performed, or, in the alternative, how the
decedent's estate will be discharged for the decedent's fiduciary administration of the
estate.
14. A. Describe in detail any questions requiring adjudication and state the position of the
Petitioner(s) as to each question:
N/A
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. DYes D No
15. IfPetitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed
or attached, provide a copy of the assignment, renunciation, disclaimer or attachment,
together with any relevant supporting documentation.
Form OC-Of rev. fO 13.06
Page 7 of 10
Estate of DOROTHY L. SHENK
, Deceased
16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . . D Yes IZJ No
If yes, attach a copy of the Order if available; otherwise state the Court, term, number,
date, and name of Hearing Judge.
17. A. List or attach a separate list of additional receipts and disbursements since the closing
date of the Account.
N/A
B. Has notice of the additional receipts and disbursements been
given to the parties identified in Paragraph 9 above? ............. DYes D No
18. If a reserve is requested, state amount and purpose.
Amount:
PlIIpose: N/ A
I f a reserve is requested for counsel fees, has notice of the
amount of fees to be paid from the reserve been given to the
parties in interest? ........................................ DYes DNo
Ifso, attach a copy of the notice.
19.
Is the Court being asked to direct
the filing of a Schedule of Distribution?
IZJYes
DNo
As to real estate only? ........................................ DYes IZJ No
Form OC-OI rev. 10.13.06
Page 8 of 10
Estate of DOROTHY L. SHENK
, Deceased
Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled
and suggest(s) that the distributive shares of income and principal (residuary shares being stated
in proportions, not amounts) are as follows:
A. Income:
Proposed Distributee(s)
Amount/Proportion
B. Principal:
Proposed Distributee(s)
A mount/Proportion
**See attached sheet
Submitted By:
(All petitioners must sign.
Add additional lines ifnecessary):
tti<d~4<4.1-
Name of Petitioner ichael G henk
Form OC-O 1 ret'. 10. 13 06
Page 9 of 10
Estate of DOROTHY L. SHENK
, Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he/she
IS title
of the above-named name of corporation
and] that the facts set
forth in the foregoing Petition for Adjudication / Statement of Proposed Distribution which are
within the personal knowledge ofthe Petitioner are true, and as to facts based on the information
of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false
statements herein are made subject to the penalties of 18 Pa. C.S. S 4904 (relating to unsworn
falsification to authorities).
* Corporate petitioners must complete bracketed information.
Certification of Counsel
The undersigned counsel hereby certifies that the foregoing Petition for Adjudication/
Statement of Proposed Distribution is a true and accurate reproduction of the form Petition
authorized by the Supreme Court, and that no changes to the form have been made beyond the
responses herein.
Form DC-OJ rev. JO.13.06
Page 10 of 10
ESTATE OF:
Dorothy l. Shenk 204-03-9256 12/10/2006
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
1 Kristin Dyan Shenk Granddaughter one-tenth
763 2nd Avenue
Apt. 1 0
New York, NY 10017
2 Michael G. Shenk Son one-fifth
4 Spartan Circle
Camp Hill, PA 17011
3 Nancy Shenk Daughter one-fifth
6230 Spring Knoll Drive
Harrisburg, PA 17111
4 Owen P. Shenk Son one-fifth
729 Wheatland Road
Lewisberry, PA 17339
5 Robert Clayton Shenk III Grandson one-tenth
369 N. 27th Street
Camp Hill, PA 17011
6 Richard J. Yost Foster child one-fifth
110 Camp Hill Drive
Clarks Summit, PA 18411
Total
<t
1
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEAL TH OF PENNSYL VANIA
ss.
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
VIZ:
January 26, February 2, and February 9, 2007
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
2ft -
ditor
Shenk. Dorothy L., dec'd.
Late of East Pennsboro Town-
ship.
Executors: Nancy S. Cantone
and Michael G. Shenk c/o
Michael L. Bangs, Esquire, 429
South 18th Street, Camp Hill, PA
170 II.
Attorney: Michael L. Bangs, Es-
quire, 429 South 18th Street,
Camp Hill. PA 17011.
SWORN TO AND SUBSCRIBED before me this
9 day of February, 2007
NOTAR! L SEAL
LO!S E. SNYDER, Notary Public
Carlisle Bore, Cumberland County
My Commission Expires March 5, 2009
..
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tammy Shoemaker, Classified Advertising Manager, of The Sentinet of the County
and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a
newspaper of general circulation in the Borough of Carlisle, County and State
aforesaid, was established December 13th, 1881, since which date THE SENTINEL has
been regularly issued in said County, and that the printed notice or publication
attached hereto is exactly the same as was printed and published in the regular editions
and issues of THE SENTINEL on the following day(s)
January 24, 31, February 07, 2007
COPY OF NOTICE OF PUBLICATION
.EIIAIE. NQIJg
LETTERS TESTAMENTARY on the Estate of
DOROTHY L. SHENK, late of East Pennsboro
Township, County of Cumberland, Pennsylvania,
deceased, were granted to Nancy S. Cantone and
Michael G. Shenk on January 5,2007.
All persons knowing themselves to be indebted to said
Estate are requested to make Immediate payment,
and those having claims will present them without
delay, to the undersigned. '
Michael L. Bangs, Esquire
429 South 18th Street
Camp Hill, PA 17011
Affiant further deposes that he/ she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement
as to time, place and character of
3:~~~~
Sworn to and subscribed before me this
7th. day of February, 2007.
Giu;}J:bAt1 ,X UJ~
Notary Publ'
My commission expires: q II jOg
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Chnstina L Wdfe, Notary Public
Cartisle 8010, Cumberland County
My CommissiOn Expires Sept. 1, 2008
Member. Pennsylvanif'. Association Of Notaries
LAST WILL AND TESTAMENT
OF
DOROTHY L. SHENK
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I, DOROTHY L. SHENK, of Lower Allen Township, Cumberlan~County,
Pennsylvania, declare this to be my last will and revoke any will
previously made by me.
ITEM I: I devise and bequeath all of my estate of every nature
and wherever situate as follows:
A. One-fifth to my son, ROBERT C. SHENK, or to his issue if
he does not survive me.
B. One-fifth to my daughter, NANCY S. CANTONE, or to her
issue if she does not survive me.
~
C. One-fifth to my son, OWEN PHILIP SHENK, or to his issue
if he does not survive me.
D. One-fifth to my son, MICHAEL G. SHENK, or to his issue
if he does not survive me.
E. One-fifth to my foster son, RICHARD J. YOST, if he
survives me.
ITEM II: I appoint two of my children, NANCY S. CANTONE and
MICHAEL G. SHENK, Executors of this my last will.
ITEM IV: I appoint my Executors and their successors guardian of
any property which passes, either under this will or otherwise, to a
minor and with respect to which I am authorized to appoint a guardian
and have not otherwise specifically done so, provided that this ap-
Page 1 of 4
pointment of a guardian shall not supersede the right of any fiduciary
in its discretion to distribute a share where possible to the minor or
to another for the minor's benefit. Such guardian shall have the
power to use principal as well as income from time to time for the
minor's support and education (including college education, both
graduate and undergraduate) without regard to his or her parent's
ability to provide for such support and education, or to make paYment
for these purposes, without further responsibility, to the minor or to
the minor's parent or to any person taking care of the minor.
ITEM V:
No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his/her duties
in any jurisdiction.
IN WITNESS WHEREOF, I, DOROTHY L. SHENK, have hereunto set my
hand and seal this ~).1 day of ~~ ' 1996.
M "X-7~);( .~
DOROTH L. SHENK
SIGNED, SEALED, PUBLISHED and DECLARED by DOROTHY L. SHENK, the
Testatrix above named, as and for her Last Will and Testament, and in
the presence of us, who at her request, in her presence and in the
presence of each other, have subscribed our names as witnesses.
QQ~N~~
W. i sn..~ ,#-. ... fJI ~/---L ./
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Address r
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Address
Page 2 of 4
COMMONWEALTH OF PENNSYLVANIA:
:SS:
COUNTY OF CUMBERLAND
I, DOROTHY L. SHENK, the Testatrix 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 this instru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for the purposes therein contained.
~~~~
DORO Y L. SHENK
Sworn to or affirmed to and acknowledge by DOROTHY L.
SHENK, the Testatrix, this ~3 ~ day of , 1996.
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Notary Publi
N(::n:Li,R!AL 8E.<\l
CON?F\NCf: L MRU, ~1(\1.3ry PlJ!Jllc
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My Commission Explms j;P~';;'13,'1999
COMMONWEALTH OF PENNSYLVANIA
:SS:
COUNTY OF CUMBERLAND
We,
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the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix sign and execute the instrument as
her last will; that Testatrix signed willingly and that she executed
Page 3 of 4
it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix signed the
will as witnesses; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
under no constraint or undue influence.
~<4Z~~
4dd~
ltness
Sworn to or affirmed to and
acknowledged before W~ by
and~9~:
, 1996.
witnesses, this ;:;;.3 ^1 day of
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Notary Pub lC
NOTARIAL SEAL
CONSTAt',iCE L [(ARLI, t'!otJPf Publlc
New Cum!}:Bi!;},1:d, p;~ CUl'i1\!erI3Ild Co.
My Commis:;ion Ex[Jire.s ~prB i~. 1999
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