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HomeMy WebLinkAbout04-04-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF \VILLS OF CUVl'\..b't-'r-la n I COlTNTY, PENNSYLVANIA Estate of r~'o'\l<.-{b'A.<<A- l... fl1y t:....rt.J File Number J J ~ {)<t - (l3x!i also kno\vn as , Deceased Social Security Number ; Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (C01\IPLETE 'A' or 'B' BELOW:) ~i\. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the last Will of the Decedent dated 'I AVa I, 7" and codicil(s) dated v A'..,;l (',.J +-(1 , named in the ~- ....-:,? A ...::::.:L_ (State relevant circumstances, e.g., renllncliltion, deaih of executor, ete) c; 9 ~_. . D -':J ' Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ofth~F\~mer:tt>io:)ffered for probate, was not the victim of a killing and was never adjudicated an incapacitated person:':~, ~ ~ ! 1..</....... o B. Grant of Letters of Administration p' -' ....... .:: ;;:) U) l_.J II 1(+- (If applicable, enter' c,t,a.; d,b.n.c.t.a,; pendente lite; durall/e absentlil, dlirallte}llill~ate) '"'0 Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following SPOt'i?e' (if any) and ii:Irs: (If Admillistration, c,t,a, or d,hn,c.I.a" enter date of Will in Section A above and complete lisl of heirs) ~-~---b~ Relationship Residence ~ -t--~~--------~~-~---- Name (C01'vlPLETE IN ALL CASES:) Attach additiollal sheets ifllecessary. County, Pennsylvania with his / her last principal residence at ___ ~ 170 I ~ Decedent, then SD years of age, died on ~ l;J,.s I 0 S at CAI2.I.'sk !<-t!1Ion#-( {11...,J, le<<.-( e'en I. y Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in PAl Personal property in Pennsylvania (lfnot domiciled in PAl Personal property in County Value of real estate in Pennsylvania OlJC, "0 ,I ~ 'lo~, tltr;)~ $ $ $ $ !;too, 'O~! situated as follows: ->II /'l /)~ r.- v ,,-.,,)J /J N:. . CII-I2.-I..-/-J /~: jJ ri- /7CiI.,3 Wherefore, Petitioner(s) respectfully request(s) the probate ofthc last Will and Codicil(s) presented with this Petition and the grant of Letters in the approJriate form to the undersigned: Signature :.- {""XL )/1, ) --// ( f/- L~~ Y.x. h.IC ;:-1'1-~~ ~ =:=J Ty ed or rinted name and residence ;JJ' ~ .r J'-.S- Form RfV.O] rev /0./306 Page 1 of2 Oath of Personal Representative COMMONWEAL TH OF PENNSYL VANIA ss COUNTY OF LV r r--Io n -t The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and conect to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well ar.d truly administer the estate according to law. . JIt-/f.-(.. /rt. Yc::.J Signature oj Personal Representative Signature oj Personal Representallve Signature oj Personal Representative (1 C-o ';":~~Q >\iJl . C--)O '-~2 "11 r-:l ,::;::> ,::::::.:> = yo -<:J ?:l \ C"' " .'~I .VL/ \~ \-,J , ~.'. Date of Death: .~ , Deceas~ 3/15 lor; , , -- -- ,. File Number: cJl- O~ - (X3glj r5 :P'" :,Jt Estate of .- - AND NOW, I having been presenter! before If ,IJ ~'l are hereby granted to - 'Cj ( Q, - , J,lY.)j _ ,iFwn'~orf'hdO"gOing P''''wn, ""'["'0<, pmof DlcCH I ED thell Letters .JtsJ..i.lD I .tLt_L4__ ...____ ____ fHl()c N\ Rel(~' J.. .____ in the above estate TOTAL. . . $ CJt;O. CO $ LkJ. OD $ ~jrro $-1S,Ol) $ jD ,Cb $ $ $ $ $ $ $ $ Attomey Signature: Letters ... Short Certificate(s) . . . Renunciation(s) .... IMlll jet '_" r\lXtDYY\(l~~. . . Attomey Name: Supreme Court 1.0. No.: Address: Telephone: Fun" RW.()] rev 10.13.06 Page 2 of2 :}/' cP~ ()3,f V LOCAL REGISTRAR'S CERTIFICATION OF DEt f'H WARNING' It is illegal to duplicate this copy by photostat or phok'qrap 1 t, H llu" \..'t"!"lll":,-':!f( '\(, {Jl p ,) ,. '",,( ",t/fi,'/,-,., ,,"~'~;J\1 OF P.j/:2 /l~\- . - .--- \'4"':'-~~ /~~~... ~.v~>~ i~ . r~' . S:'~ ~.' ~-, .<tfI/.,.?t- ..', '-' "- -oj:-.~ :: .,~'" ~~_. Sf ':. Cf::; ,~"I ;0",:<,1.-91' ",,(<i-~.,: -'_/;'fEN11)\'",,'" '~f::~.:~(i'~/!~ 1_ !)I", " 1; \ \...._'!.' 1 llTL'l'/!\ \'I';~'1 ,,~u i \ I! k';l J[ \llj. illJ, II he 11l!'Tlllalioll here ",ivell is :11 ()11i2II:iI Certificate oj Death i ()c,iI l^'ci2i"trar. The orit!illal "I\\:lI"<k<l Ll the State Vital lL!Ilen filillt!. '1'11j'iL",lh' 1 i ,.I L_" ~ I? ~~~R 212008 1'[1'1.' 7; Date J.::~'lIe~j--~- \.. " I'll! j., ; III i i: I "'" I ~ o <':;0 - 'n '';JCl '- r- ',rl '-.JJ '/" r....,) '~~g .,:1 I .{:- ~"-'Sl1l ~\1 :;:';":1 J;'lM- ~-"ff'* _;t;... ':6 --I '1'") J? N REV 11/2006 f PRINT IN MANENT \CK INK COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER 1, Name 01 Decedent (First. middle, last, suffix) Cumberland IBC City, Bom, Twp, of Death South Middleton I';:male 13soc'al~c~'rN:b~8 -4034 7.8irthptace(Cilyan<lstateorforeigncounlry) 8a. Place of Death (Check only one) I I Hospital: I Other' 30. 1927 Carlisle. PA lXl'cpallOCI DER/Oulpali,nl DooA DNu"mgHom, DResldecce DOlh"'Sped~ ad. Facility Name (II nol inslitution, give street and number) 9. Was Decedent of Hispanic Origin? IX! No 0 Yes /'0. RlIce: Ame.jcan Indian, Black. While, ele (II yes. specify Cuban, (5peclfy) Carlisle Regional Medical Center Me"c"" Pue" RIO"', ,'e) White 12 Was Decedent ever in the 13. Decedent's Education (Specify only highest grade completed) 114. Manlal Status: Married, Never Married(115, Surviving Spouse (If Wile, givE~ maiden name) U.S. Armed Forces? rElementary I Secondary (0-12) College (1-4 or 5+) I Widowed, Divorced (Specify) IlIves DNo 12 3 Widowed Decedent's Did Decedent ActualResidence 17a.Stale Pe.nnRylvania ~~;~:h~P? 17bCounty Cnmhprland !,OateofDeath(Month,day,yea,) Karch 25. 2008 Barbara 5 Age (Last Birthday) Lee Mvers 80 Under 1 yeal Under 1 day 6 Dale of Birth (Month, day, year) V" I Moo,", I 0." I Hoo" I M,,,,.., I Kay 8b. County of Dealh 11. Decedent's Usual Occupation I<ind of work done durinn most 01 warkin lite. Do not slale retlledl Kind 01 WoO I V ari~1i8slcM ""!t'lian Reeistered Nurse . :1~ . 16 Oecedenfs Maiting Address (Street, city.' town. stale, ZiP Code) 210 Dorwood Drive Carlisle. PA 17013 18. Father's Name (First middle, lasl, suHi~) George G. Sayers 20a. Inlormant's Name (Type I Print) 17c !Xl Yes, Decedent lived In 17d. 0 No, Decedent Lived wllhin Aclual Limits of North Middleton Twe 19, Mother's Name (Firsl, middle, maiden surname) Emma Anna Mueller Cityi Bora Kr. William J. Myers 21a. Method 01 Disposrtion I IX] Cremation 0 Donation 21b. Date 01 Disposition (Monlh, day, year) 21c. Place of Dispositior1 (Name of cemetery, crematory or other place) . 0 Burial 0 Removallrom Stale Was Ctemallon or Donation Authorized Ka h o O'her.Specify by Medical E..miner/Comner' ~vesDNo rc 28. 2008 Cremation Society of PA . 22a. Signatur'fl F";~' SeIViC8 uc'n.s~e (or person jling as such) f22b.license Number 122c. Name and Addre:s ~f :a~lity Auer Mem~ri~l Home and . ~ ^~)o-x.... ( ) -Co", I FD 010696 L I I.wn Il~"... Complete Items 23a-c only when certifying 23a. To the best 01 my knowledge, death occurred at the time, dale and place staled (Signature and tille) pllysician is not available at lime 01 dealh 10 certify cause of death 201:>. Informant's Mailing Address (Street, city I town, stale, Zip code) 2412 William Street. Augusta. GA 30904 121d. Location (City/lown, stale zip code I Harrisburg. PA 17109 Cremation Services, Inc. 1>.\ 17101) 23b. License Number 23c. Date Signed (1I'1ont~l, d.:.y, year) ~~~~Te~1tt~~~ ~~~~ dise~ 125. Dale Pronounced Dea~ (Month, day, ye~r) A- M. 3- ,;:. ~" d,OO 2? CAUSE OF DEATH (See Instructions and examples) Item 27. Part I: Enter the ~ - diseases injuries, or comphcalions - thal directly caused the death. 00 NOT enter lerminal events such as cardiac arrasl, respiratory arrest. or ventricular fibnllatlon without showing the etiology. List only one cause on each line ':) l/<J~"1'\IA Due to (or as a ces!.~u~nce 01) b ) I ,e.t' "-eo" Due 10 (or as a consequence of) 24 Time af Death I L.. If 26 Was Case Referred to Medical Examiner I Coroner for a Reason Other than Cr(~malion 0' Donation? o Ves W-No llems24-26 must be completed by person . who pronounces death Approximate inteNal Onset to Death Part II: Enler other sianificant conditions contribulino 10 death, but no! resulting in the under1ying cause given if1 Part I. 28. Did Tobacco U~.e COIltribJte \0 Death? DYes J:J Probably U"NO [J Unkn'Jwn 29. If Female:/'- ~'~regnantwilhinpastyear o Pregnant ,It lime 01 death D Notpregnllnt, but pregnant within 42 days at death o Notpregn<!f1l.bu'pr~gnant43daysl01yeaT before death o Unknown i' pregnarl' WIthin the past year Sequenhallh list conditions, if any, ~~l~~ JJD~~~i~~~r~~ a (disease or injury that ifIiliated the . events resulling In death) LAST. Due to (or as a consequence of) d. 30a. Was an Autopsy Performed' 3Qb. Were Autopsy Findings Availabte Prior to Comoletior1 01 Cause ot Death? 31. Manner 01 Dealh 32a. Dale 0' tr1jury (Month, day, year) f32b. Describe How In;ury Occurred 32c. Place of Injury Home, F3rm, Streel, Factory, I Office Building elc. (Sp€(:ify) o Accidenl 0 Pending tnvesligalion 32d. Time 01 Injury l32e. injury al Work? 32/. Ii Transporta. tiO. n Injury (Specify) 7'1" r 32g. Location of Injury {Street, city I town. slate} o SUicide 0 Could Not be Determined 0 Yes 0 No 0 Dnver I Operntor 0 Passenger Op.. strlan M DOther-Sp6CIfy 338. Certifier (check only one) 33b Signalure and Title of ge~ter " Certifying physician (PhysiCIan certifying cause of death when anolher physiCian has pronounced death and completed Item 23) ... ;;':'--:>. ...)..J 02.1! ~\ J\J_"._"'t../l_ To the best of my knowledge, death occurred due to the cause(s) and manner as staled- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 Pronouncing and certifying physician (Physician both pronouncing death and certifYing to cause of death) , '3~c License Number . 133d Date Signed (Month day, year) To tile best of my knowledge, death occurred al the lime, dale, and place, and due 10 the cause(s) and manner as slaled_ - - - - - - - - - - - - - - - - _.-EJ c, "'" (?, (Ii!, Z. t(. j __ i 'Nt A'" "')' __~:;-. l (l'(:'~ :;,~ Medical Examiner f Coroner ..;; ~ \ ~_. _;; On the b,," of ...mlnallon and I 0< '''''''9allon, In my Op;ClOO, death occ",,,d " lhe tlm., d"e, and place, "d duo 10 Ih. causels) and macner" stal.d. D 34 Nam, aod Add"~:3 ~{ftPL'~"~~.t O,,'h (lI.m 271 Typ'i O'lel ~. 35.Registrar'SSi~eandDiSl[iCl~r. ""'--'1'7 136.Date:ited(Mo~th,day,year) C ' 1') I 1/1 If Ie. ,-' ~ //........... /,//L" AA Idl/loo?! /1 /, ~LJ',h/ClCJi',;,\L-L\':"C:'_ K"",YI^( r(],'!/(?; .('YII"~_ (j .ETNatural o Homicide Dyes .DNo DVes .DNo DiSposilion Permit No 0195836 OF (") c:::o ":~ --c) ,-- r-:-~.J f~. :> , ") LAST WILL AND TESTAMENT ) "n J ;>,) I BARBARA LEE MYERS " . -I ,.!") 7, " ~~:- :,,-., " _ 'ij I, BAR BAR ALE E MY E R S, ale gal res ide n t 0 F Cum b e r 1 an;d-I County, Common we a 1 th of Pennsy 1 van i a, be i ng of sound ari'a- ['-,) , , disposing mind and memory, do hereby make, publish and declare this instrument to be my LAST WILL AND TESTAMENT. I hereby revoke any and all wills and codicils by me heretofore made. I IDENTIFICATIONS AND DEFINITIONS A. I am married to WILLIAM JENNINGS MYERS, JR., hereinaFter referred to as "my spouse." We have two children, WILLIAM JENNINGS MYERS, III and ANNE MYERS REID, hereinaFter referred to as "my children." My husband has one child, PATRICIA LEE CLOUD, of a previous marriage. I have intentionally omitted to provide herein for PATRICIA LEE CLOUD and for any other relatives or For any other person, whether claiming to be an heir of mine or not. B. The following definitions obtain in any use of the terms in this will: 1. "Descendants" means the immediate and remote lawful, lineal descendants of the person referred to, and it means those descendants in being at the time they must be ascertained in order to give effect to the reference to them, whether they are born before or after my death or of any other person. The persons who take under this will as descendants shall take by right of representation, in accordance with the rule of per stirpes distribution and not in accordance with the rule of per capita distribution. Persons legally adopted when under the age of Fourteen years shall not be differentiated From blood descendants for any purpose. 2. "Survive me" is to be construed to mean that the person referred to must survive me by thirty days. If the person referred to dies within thirty days of my death, the reFerence to him shall be construed as if he had failed to survive me. Page 1 of 4 Pages 3. As used in this will, the words "Executor," "he," "him," "his," and the like shall be taken as generic and applicable to a natural person of either sex or a corporatE! person of other legal entity. C. I have served in the Armed Forces of the United States. ThereFore, I direct my Executor to consult the legal assistance oFFice at the nearest military installation to ascertain iF there are any beneFits to which my dependents are entitled by virtue of my military aFFiliation at the time of my death. Regardless of my military status at the time of my death, I direct my Executor to consult with the nearest Veterans Administration and Social Security Administr'ation oFFice to ascertain iF there are any beneFits to which my dependents may be entitled. II PAYMENT OF DEBTS AND TAXES I direct my Executor to pay the Following as soon aFter my death as may be practicable: 1. All of my just debts and the expenses of my last illness, Funeral and of the administration of my estate; but my Executor need not accelerate and pay those unmatured obligations which, in his opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. 2. All inheritance, transFer, estate and similar taxes(including interest and penalties) assessed or payable by reason of my death, on any property or interest in my estate For the purpose of computing taxes. My Executor shall not require any beneFiciary under this will to reimburse my estate For taxes paid on property passing under the terms of this Will. III RESIDUARY ESTATE A. I deFine "my Residuary Estate" as all of my property aFter the payment of debts and taxes under Article II, including real and personal property, whenever acquired by me, property as to which eFFective disposition is not otherwise made in this Will, and property as to which I have an option to purchase or a reversionary interest. Page 2 of 4 Pages B. I give my Residuary Estate to my Spouse iF he survives me. C. IF my Spouse does not survive me, I direct my Executor to divide my Residuary Estate into equal shares and to distribute those shares as Follows: 1. one share to each of my children, WILLIAM JENNINGS MYERS, III and ANNE MYERS REID; 2. iF either of my Children, named above, Fails to survive me, then his or her share shall be distributed equally among his or her descendants who survive me; 3. iF either of my children Fails to survive me and leaves no descendants who survive me, then his or her share shall go to the survivor of them or their descendants who survive me, as set Forth in subparagraphs 1 and 2 above. IV APPOINTMENT AND POWERS OF EXECUTOR I nominate and appoint my spouse, WILLIAM JENNINGS MYERS, JR., as Executor of this my LAST WILL AND TESTAMENT. IF my spouse, WILLIAM JENNINGS MYERS, JR., is unable or unwilling to serve in this capacity, I appoint WILLIAM JENNINGS MYERS, III of Port Orange, Florida, and ANNE MYERS REID of Bethlehem, Pennsylvania, as Co-Executors to serve instead. I request that my Executor be permitted to serve without bond or surety thereon. I authorize my Executor to do any and all things which in his opinion are necessary to complete the administration and settlement of my estate, including Full right, power and authority, without the order of any court and upon such terms and under such conditions as my Executor shall deem best For the proper settlement of my estate; to bargain, sell at public or private sale, convey, transFer, deed, mortgage, lease, exchange, pledge, manage and deal with any and all property belonging to my estate; to compromise, settle, adjust, release and discharge any and all obligations or claims in Favor of or against my estate; and to borrow money For the payment of inheritance and estate taxes or For any other purpose. Without in any way limiting the scope of the powers enumerated herein of my Executor, I hereby speciFically give to him Full power to retain any and all securities or property owned by me at the time of my decease whenever, in his absolute and uncontrolled discretion, such a course shall seem to him Page 3 of 4 Pages to be best, without liability For depreciation or loss, and Free From investment restrictions incident to executorship, whether imposed by common law or statute. In the execution of his duties and powers as Executor he shall have the power to comply with all legal requirements as to the execution and delivery of deeds and all other writings, documents or Formalities without the order of any court; and he shall Furnish a statement of receipts and disbursements at least annually to each person then entitled to receive income or property From my estate. IN WITNESS WHER.EOF, I have at Carlisle, Pennsylvania, this + day of //LW<t.--C 1992, set my hand and seal to this my LAST WILL D TESTAMENT consisting of Four (4) typewritten pages. /1 ~'2~:C{..(,~,- ,L"" ,~.{, B'ARBARA LEE MYERS Testator '\1 , ,/ rLc'yC.~~/ c-.' (SEAL) Signed, sealed, published and declared by the Testator, BARBARA LEE MYERS, as and For her LAST WILL AND TESTAMENT, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. NAME ADDRESS ",-./' II. 1.-< ~":,;r - "'- /L I / " J ,//.,.: '~l. /.c-1~'~' '~_ '---L. / ] , ) , "--',.:-' I ;J - -f} ." / ~~ . .il A -}', I ). '" c :,. 'A_ <. ! . :, 1?;dLer (/ //I~ ~:- A~>^-~~ J).. el~~ ~-7 d-l',c ~j,-r'-'-"-/ 4. , ~ . . 1 . //u~... A1~ /' J ~.~-7 ~/J-.("'1:~, r / 7-CO'-:3 ,/} t~, /7cJ /3 ,;7~) ~ ~ ;#:L"t: '~r?f f:{ j ~d.j-~ Page 4 of 4 Pages ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY OF CUMBERLAND ) I, BARBARA LEE MYERS, 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; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged .before .me, LEE MYERS, the Testator, thi s' day of / (I, ,~" _ /1 , . by BARBARA 1992. NfJTARIAl SEAl ROSlf M.I3URTON, Notary Public C<>.:~\;);<;, Curnt1i:rland County My CCil;r1is~j,~f' b.pltl;~ M-ty fj, 1~ -_....~-.......-.....~.."...~"'I""'.-~~~-~ ....... ~1 ,~: t, I "_ & ~! i') r " . ~ _ "',- L /"'",,' '_ /.... BARBARA LEE MYERS, T~stator i -<".' Notar~ Public AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY OF CUMBERLAND ) '. , W_8.. ' f.. !,I; !J ' 'I" < < I ' , I , i3 n d i' ""/ ",' l (Ir f' ; 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 sign and execute the instrument as his Last Will; that BARBARA LEE MYERS, signed willingly and that she executed it as her free and volun1:ary 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 18 or more years of age, of sound mind and under no constraint or undue influence. .Sworn or affirmed to and subscribed to before r' / _ ;' /1 <' :....-' I ^-'v-c/2 )// )://lh "-' ~_" / J/ ",IL--r" /', /0/'/-' / witnesses , this (I day of " '," /. 1 992. I me by ,f(;,TN ,t? ';0,,) (". , , ',j'< ( ~,......)/~ /... I~.. k /<' /\ u..<...~~~ WITNES~ /j~1~)' )/1 I / I it ( .i . j WITNESs! ,/ 1/ r.' :t , I ) / / i . (...(. .-t........,..: ~ "- WITNESS I, , I /1,1 // I~ ,/ __<-. ,,'f .:- / .,.. NO"PARY PUBLIC ----.--.--...' NO r AH1AL SEAL p. 1(;,,- ,. B' '0 r"'N ,\J.~tr ril. , dill v ,Notary PUblic ~;arl;.;ie, ~;LJmberlano CclNlfy My COIl1m;S~l(;n Expires Mey 6.1__ 2153455857 EASTBURN GRAY 10:35:46 a.m. 03-31-2008 RENUNCIATION REGISTER OF WlLLS C1.j.mberland COUNTY, PENNSYLVANIA ~I-()S'~ G3<6Y Estate of Barbara L _ Myers I, William J _ Myers (prliJJ ~) Co-execllt.or/son C~) C':'O ::, :c~ ?:2 fT! .):} /, ") C-) J=- ., ,~,_~-_) -T1 ::c ,~sed --;; ""J J.> . in my capacity/relationship as of the above Decedent, hereby rCDOUDce the risht to administer the Estate of the Decedent and respectfuDy request that Letters be issued to Anne M. Reid. Executor March 31, 2008 (DtIIt) ExecMtdi" Regi#er's OJJlce Sworn to or a1linned and subscribed before me this day of Deputy for Register oCWiUa Ftmtt RW-06 rw 10./ HI(, f1t1/ ~ ~~ .?f)J/]~~. ~ ~) ;;.i f . v /. )- L( /7-- ~/l// II/CA,/}'} 51 (Swfft AtldnssJ /l /. / /' -1../0 / Ll ~ /7 C.?/i./ t.J 1-1 At l/j v~-I '7 / t.1' I (j-- 17' ./ v / U J (Cli". s-. ~ ' ExeClltetllllllllf Register'$ Office Before the undersigned personally appeared the party executing this renunciation and certiti-ed that he the renunciation for the :t~C~~ i;thin 'on this. .<.~~~/_ ~ " . /"1 __c___~ . / ..' /:.' rtL(-;!, /.~~/ (;" oj NotaJy PuJ.lic .. .,;. ; , . . M C - r: . E' ',I" '," ^. ./ Y omnnsslon xpues: '---,f.A.:, 'oj' / (SipIIure _ Seal ofNoIary or oIIlcr olfital ~ 10 ~ oalill. SIIow _ of npDtio. ofNOlIIry'5 Coumiuioa.) 2/11 ,........) ':.::~ .C::::~ .::.;;~::) ;r;:o. "--0 /::J I ,$:- ,:"~) 1'1 IN