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HomeMy WebLinkAbout07-22-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~~~~ COUNTY, PENNSYLVANIA Estate of ~~]~Q_~,_~ File Number ~~ ~ ' ~~'~LQ also known as ,Deceased Social Security Nurnber ~ ~ Z - Z Z ' h 3 ~ h Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testame tary and aver that Petitioner(s) is /carte, the ~;ai named in the last Will of the Decedent dated ~ and codicil(s) dated IV Ct/ll~P (State relevant circumstances, e.g., renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instntment(s) offered e~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: -~ ~-' G `:c' ~_._ ^ B. Grant of Letters of Administration • '? ~ c.~ C7 r"°" f'y (lfapplicable, enter: c.t.a,, d. b. n. c.t.a.; pendente lire; duraiue absentia; durarites~+tpritate) tV ~ . _~~7 `r -~ Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following slj~~~ ~if,any) anted heirs;: (!f Adntittistration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ; ~ ~ -~~ ---.r ; .~. Name Relationship ResidFgce , (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. wasGdomiciled a~death in t. ,. lvania with his /her last principal residence at T ~ ~. 7 O~ (Lh•t street address, town/city, township, count), state, zip code) li- ~ zz ) Decedent, then ~_ years of age, died on z at ~{Q Z ~;,1~miHP, ~d1 ,;-~ ~ ~[ . P> C ~~s s Decedent at death owned property with estimated values as follows: O t;t (If domiciled in PA) All personal property $ ~ ,~C7 ~(j~= (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Penusylvania /y $ f ~ ,~ d Q ~= situated as follows: ~ O Z ~]~~.~; ~ - ~_ ~~q~s(,QXjt yI }-P ~ > '7~'~ t~' S Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: or printed name and residence r Form R6V-0? re,,. !0.13.06 Pabe I Of 2. Oath of Personal Representative CONIMONbVEALTH OF PENNSYLVANIA COUNTY OF ~t YV~ SS The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con~ect to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioners} will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me tl.;e 2 ~ ~ day of ~~ ~~ ~ For the Register Signature of Signature ojPersonnl Representative n., c~ v n G ~')--- ' -1-~ i`7 t_ v Signature ojPetsonal Representative - ~' ~''~' ' <~', t:. _ ; (j "t~l _ ~' File Number: 2.~' Q6' 1~1 Estate of jc~,.,,.~~ ~ . ~ ~ ,Deceased t`J Social Security Number: ~ ~f 2. - 22 " ~ 3 3 -~ Date of Death: ~ /7 ~ ~ ~_ -7 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DEC,RE^^ED thant Letters ~~ o~re~r.~.~ ~ are hereby granted to ~ ~n~ Iv Y ~X and that the instrument(s) dated __~ described in the Petition be admitted to probate FEES Letters ............... $ c10f00 Short Certificate(s) ........ $ .~ Renunciation{s) .......... $ JCS ... $ 1~0. ~O ~~ ... $ ~J•©O ... $ ... $ ... $ ...$ ... $ ... $ TOTAL .............. S_ filed of record as the last Will (and Codicil(s)) of Decedent. . ~l~-,r~ ~~~ ~c.~ ~ in the above estate Regi r ojWi!(s J `~~ ~~ Attorney Signature; ~ Attorney Name: ~ ~ ~ ~ ~---Fs ~-c~ y ~/t--` Supreme Court I.D. No.: 0 ~ Z ~,~ Address: __~~ ~ 1 /" l a~ >~ KG ~ ~ ~`- y z2~ Telephone: ~ '~ ~~ -' ~ .~ 7 '_' b ~ ~ 1_t Form RW-01 rev. !0.13.0( Page 2 of 2 IOS.RO~ REV tQl/(1~+ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, X6.00 P _14649323 Certification I~3umber tom= - _~_ _ _~ _ ~,-... ~ _ C ' -. ~ . u_,`)c . 4-; , i_ c_ _ N -- - N _.1 ~ / ~ ' =-+ n-- t ,~-, C .. ~a ~ N Chis is to certify that the information here given is :orrectly copied from an original Certificate of Death iuly filed with me as Loca] Registrar. The original :ertificate will be forwarded Co the State Vital Zecords Office for permanent filing. A• ~~c~~.,,~.e ~u[ z ~ 2oos vocal Registrar Date Issued r~ms~t/3 REV nrtaos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE / PRINT IN d PERMANENT CERTIFICATE OF DEATH BUCK INK ~ (See instructions and examples on reverse) STATE FILE NUMBER ~ I • O a 1 a ll ) J U 1 • a J 6 I' 0 1. Name d Dac.danl (P , midma, last augi:) { Male a. epee s,~`~ty22 2 6 3 3 6 4 D~u`~ y (y''ZY~ O S ti Y\ i'l~ B . I ,_ - 5. Age (Last BinMay) Untler t year Untler 7 tley 6. Dale d BiM (Mo nth, day, year) 7. BirHgace (CNy acct seta a for ego country) 6a. Place of Death (Cneck ody orle; 79 ~~ ~~ ~~ H.aa~ 10/30/1928 Castle Shannon,P Hosplal: Other: ~~+S ~~ Ym ^Inpaliam ^ER/Oapalient ^DOA ,, ,, ^Nurairg Home L~}Resitlence ^OMar-Spedty: Bb. County of Death 6c. City, Bom, Twp. of Daath ed. Facility Noma (II nd hemaon, give street antl nurreerJ 9. Was Decedent of Hispaac Origin? No ^ Yes 10. Raro, American Irdiart, Black, yyhne, etc. Cumberland Upper Allen Twp 402 Berkshire Rd, of yea. opacity cabeq r~ Medan, Puerto Rican, ac.) N]ll l e 1t. Oecedenfs Usual Occu aaa aid d wod; b ane mrot a Me. Do not sMte re0 12. Wes Decedent ever in the 13. De etknt's Educetlon (Spedty only highest grade comp leted) 14. Marital Status' Married, Never Monied, 15. Surviving Spo use (If wpa, give maiden name) Kird d WoIX Kintl d Bua ass /Industry U.S. Armed Fomes? Elementary 1 Secondary (p-]2) Collage (1 d a 5.j Wdox'ed• Divorced (Spea/y Postal Clerk Postal Service LlYaa ^Nq fL widowed 16. Decedenys Meiling Address (SCaet, wY/lam. state, zip cgtle) 402 Berkshire Rd Decetlenra perms lvania Did Dece°•"' }X~ Upper Allen slat~ y Lweine T7 MauelResitlerxe tTa D tli ~ v d dL . Mechanicsburg, PA 17055 . es, ece n Twp. c.L e Ne Cumberland r ship? 17a^NO, Decedent Lived within fTb. ca,ny Actual Unglsd ciy/13ao 16. Faptar's Name (Post, mitlde, last, sullix) 19. Mother's Name FwL midde, nladen wmgrre) Boyd E. Nell Dorot~3y I. Baird 20a. Infamenl's Name (Type / Printl Z6b. Informant's Melling Atltlress (street, clry /town, stale, zip ode) Jeffrey K. Knell Locust Rd. New Cumberland, PA 17070 21a. McMOd a Dish i ^ Gematbn ^ Oonalgn 21 b. Data d Dispoeitlon (Month. day, year) 21c. Place a Dlspositron (Name d cemetery, aemetory a dhar pace) 21tl. Lace! (City /town. slate, dp mde) Burial ^ Removal hen Stale , was cremetlgn err oorMnon Aamadzed 7/23/2008 Indiantown Gap National Annville PA ^ OIMr - Specify: by Metllael Examiner / Corortar7 ^ Yes ^ NO , 22a. S e a Funeral Service licensee fa person sang as such) 220. License Number 22c. Name antl Address of Fedliry - ,~,- 011589E Hollinger Funeral Holne & CrematoryMtHollySpgs,PA Caopble Hems 2385 mty when cetgfyng physidan u not avaXabk at tnrie d deeN to 23a. To the Oast of tlealh oauned at pro dme, date a plat tiled. (sig re and Ikb) : ~ 230. license Number 23c. Dale gn (Month. tlay, r G' '~i cadAy muase a dmm. ~_ . - --,. ~,L. 2 ~ ~N ~ i ~ g l~ o ~-- ~ a~ Hems 2x26 meal be canpletetl by person i th d 24. Tme d Dee ~ 25. Date Praqunwd Deed (Monty, tlay, ytmr) (~ 2fi. Was Case Refe rted to Matlical Examiner / Gaoner for a Reason Other Than Cremation or Donatbn? w a Pmnaxtces . ea 7~M. ~O QtI ^Yes ~ o CAUSE OF DEATH (See isretructimre and examples) Approximate Nterval: r Pan II: Enter dher Sigpl6fAn1 cortdliom canlrPoUenv m tl6aN 26. Ditl Tobacco Use CodnWle fo Deets? Item 27. Pan I: Eaef the Maul of aven6 -diseases, epodes, a carrpWCe6ms -that aredry cawetl the death. W NOT solar larmmal events such as wrdlac arrest, Onset b Death but rti» resoling in the untlerlying cause Siren in Pan L ~ Yes ^ Probably respiratory arrest, or vMlncdBr IdxiaallOn wilhoN stgwkg Ne etiology. LIST arty one ceuee an 6adr line. ^ No ^ Unknown IMMEDIATE CAUSE ffFirel aseese a - cnnfFlronresulargardealh) _~ /~/[LY(J~tYW~KS J J .{e a 29. It Female'. ^ Due to (or as a consequence cry' Nd pregnem within pall year sagnerdiepY liar con6lims, g any, 0. keprq to the reuse lisletl an line e ^ Program el lime d tleaih . p~ to (or as a consequence dl: Enter tln UNDERLYING CAUSE ^ Not Hint, but pregnant wilMn 42 tla Dm9 Ys (~daease or nlury Inert iralialetl the ants resdtxg m death) LAST. a a death Due to for as a con sequence vp: Not ^ Drtgnanl, but pregnant 13 days to f year balore death tl. ^ Unknown g pregnant whhin the past year 30a. Was an Autopsy 33b. Were Aylopry Frdings 31. Manner d DeaM 32a. Date at Iryury (MOdh, day, year) 32b. Describe hbw Iryury Caurred 32c. Place d InW7~ Halle, Famt SKeeL Factory, Parlame?! Avallade Prior to Canpletun ~ ^ liarw~de ""~' Opice Buddng, eta (Speciry/ of caws a Deem? ^ Vas [~ri0o ^ Yea ^ No ^ Aaidea ^ PenQng Imresligation 32d. Time of Injury 32e. Inlury al Work? 32f. p TranspoMbon Injury (SDad/Y! 329. Location a Inury (Streit, dry! town, stale) ^ SuicMe ^ Could Na ba Detemried ^ Veer ^ No ^ Ddverl Oparata ^ Passenger ^Petlasiden H ar~r - sDea'7 33a. GeNf 1d,ed1 oMy a») 33b. signature dk a .. r • CaNyag POYalvien IPhysccian a•niryag cause of deem when andner physiden has prarouncetl deem and opnplated Hem 23) - ~~V To the Coat d mY IawwAad9s, dean accurted sue tothe cauaga) antl mallet ea slated- _ - - _. _ [~' • Prawuncirg all pdirying pnyelekn (Physician both prorourcing daeN and ceNhdng to cave d death) T N n td o t l a d m d t tn u m d m d t t ^ 33c. Li rise t mbar 33d. Dale Signetl (Hoop,, day, Year) a e ae my w ge, oaarre a e ee a a m.,d~ e. and pa~a.a o a eaa..(alan manner as sw.a_'--------------'- ie • A1eCrcel Examiner / Canner ©~ ~)~f'~(y ~_ / ~ 2! w On the basis of eaaminalbn and / Or Investigation, In my opinion, death attuned al the lime, sate, antl place, arts due to the cause(s) antl manner as steted_ ^ 34 Name ell Address of Person Wlw Completed Cause of DeaN (Item Typo I Print ~ ~~ 35. R ~nelure a^9,DistricC~ 36. Da Filed (Month, day, year) •, t'~ t ~ / ~ Dislxnition Permit No, ~ (~~ Ip1r r-a c~ ~:-, ~~ :..a ~ ~~~ _~~~ ,.~, . __~ , T:~ ~'.:, _ ~ L.~ ....~_. I, KENNETH B. NELL, of the Township of Upper Allen, C~nty of Oberland;; ~~ Commonwealth of Pennsylvania, declare this to be my Last Will and revoke any will or codicil previously made by me. ITEM 1: I direct that my body be buried next to my late wife, Peggy Nell at Fort Indiantown Gap National Cemetery, Annville, Lebanon County, Pennsylvania. ITEM 2: I direct that all my just debts and funeral expenses be paid as soon as practical after my death. ITEM 3: I direct that all taxes and interest and penaltif;s thereon that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my Estate. ITEM 4: I give, devise and bequeath the sum of Five Thousand Dollars ($5,000.00) to the ,~ Z USS Radford 446, Inc. of Newcomerstown, Ohio to be used for the operation and maintenance of the GQ "USS Radford National Naval Museum," located at 238 West Canal Street, Newcomerstown, Ohio ~' W 43852. ITEM 5: I give, devise and bequeath the sum of Five Thousand Dollars ($5,000.00) to The 'l ~ Navy -Marine Corps Relief Society with offices located at 401`_i Wilson Boulevard, 10"' Floor, Arlington, VA 22203 for use by deserving sailors and marines and their families. Page I of 8 ITEM 6: I give, devise and bequeath my house at 402 I3erkshire Road, Mechanicsburg, PA ].7055 to my son, JEFFREY K. NELL, provided he survives my death by thirty (30) days. ITEM 7: I give, devise and bequeath all my heirlooms, personal items, and furniture to my son, JEFFREY K. NELL of 432 Locust Street, New Cumberland, Pennsylvania 17070, provided he survives my death by thirty (30) days. In the event my son, JEFFREY K. NELL does not desire any of these stated items, then I direct that they be sold and the proceeds of s~zch sale be made part of the residue of my estate. ITEM 8: I direct that all the rest, residue of remainder of my estate of every nature and wheresoever situate, together with insurance thereon, be liquidated as soon as possible after my demise and that proceeds of this liquidation be made a part of my residual estate and distributed as follows: I give the rest, residue and remainder of my estate to my Trustee, my brother, RAY NELL to ._,,,, `>/ W z N W W hold in trust, manage, invest and reinvest the share so received, and in accumulation of income thereon, and to use and apply the income and principal, or so much thereof as, in Trustee's absolute discretion, may be necessary or appropriate for the benefit of my son, JEFFREY K. NELL, but I direct that my son shall receive Two Thousand Dollars ($2,000.00) per month for his lifetime, beginning one year after the establishment and funding of this residual testamentary trust, the monthly distribution to my son, JEFFREY K. NELL, shall increase in such an amount and in such a percentage not to exceed the cost of living rate as stated annually in the January 2"d edition of the Wall Street Journal. Should the combined principal and interest of this residual trust fall below Ten Thousand Dollars ($10,000.00), I hereby direct that the Trust be terminated and distributed in full to my son, JEFFREY K. NELL. Upon my brother Ray's death or disability, I hereby direct that the Trust be terminated and distributed in full to my son, JEFFREY K. NELL. Page 2 of 8 ITEM 9: My executor and trustee and their successors shall have the following powers in addition to those given by law to be exercised by them in their absolute discretion, which powers shall be applicable to all property held by them, effective without the order of any court and until the actual distribution of all such property: A. To retain any investments at discretion including stock of any corporate fiduciary hereunder or of a holding company controlling it; B. To invest and reinvest in the executor's or trustee's discretion as permitted under Act 28 of 1999, the "Prudent lnvestor Act," with the specific right 1:o invest in stocks, bonds and real estate, including non-income producing residential real estate for the occupancy of any present income beneficiary or beneficiaries, successor or affiliated corporation or a holding company controlling it and in such diversified, money market and mutual funds, including any proprietary mutual funds of any corporate fiduciary hereunder or those of any successor or affiliated corporation or a holding company controlling it, as my executor and trustee deem appropriate; C. To sell, to grant options for the sale of, or otherwise convert any real or personal property or interest therein, at public or private sale, for such prices, at such time, in such manner and upon such terms as they may think proper, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase money; D. To borrow money and to secure the repayment thereof by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof, E. To compromise claims by or against my estate or any trust created hereunder; Page 3 of 8 F. To allocate and distribute different kinds or disproportionate shares of property or undivided interests in property among beneficiaries or trusts, in cash or in kind, or partly in each; G. To register investments in the name of a nominee or to hold the same unregistered in such form that they will pass by delivery; H. To join in any recapitalization, merger, reorganization or voting trust plan affecting investments; to deposit securities under agreement; to subscribe for stock and bond privileges; and generally to exercise all rights of security holders; I. To manage, operate, repair, alter or improve real estate or other property, and to lease real estate and other property upon such terms and for such period as my executor and trustee deem advisable even for more than five (5) years and beyond the duration of any trust; J. To deduct administration expenses upon either the federal estate tax return or fiduciary income tax return with or without adjustment as between principal and income, as my corporate or disinterested executor shall determine; K. To associate with them in the absence of a corporate fiduciary, an accountant, <~ a W r~ W z . G>a ,y ~ W _~ -~/ ~ / i custodian and investment advisor, and other agents and to compensate them from principal or income or both, as my executor or trustee shall determine, such compensation to bye a reduction of the compensation of my executor or trustee; L. To exercise any stock options which they may receive; to borrow such funds from any source as my executor or trustee may deem necessary for the; exercise of such options; and to pledge assets as my executor or trustee deems appropriate for this purpose; M. In the discretion of the individual trustees, to employ an investment advisor for any trust created hereunder (including any investment advisor of which a beneficiary of any trust created under this will or any related party is a principal or an employee) to perform the investment function of Page 4 of 8 the corporate trustee and such advisor shall have the rights and powers of the trustee hereunder and the corporate trustee shall be relieved from any and all obligation, responsibility or liability to anyone for the consequences of said investment advisor s exercise or failure to e~:ercise the foregoing direction and control and corporate trustee shall not be liable for losses resulting from any such decisions or directions, or any failure to act, of such investment advisor. The power vested in an investment advisor may be exercised in a fiduciary capacity only. Any fees paid to such investment advisor shall be in addition to fees otherwise payable to the corporate trustee for non-investme~it services. The persons having authority to remove any then serving corporate trustee may also remove the investment advisor from time to time and substitute therefor another investment advisor, or the corporate trustee. The same persons may also exclude certain assets or trusts from the responsibility of the :investment counselor; N. No fiduciary shall be required to qualify before, be appointed by, or, in the absence of a breach of trust, account to any court (and failure to aca~unt alone shall not be considered such a breach); nor shall fiduciary be required to obtain the order or approval of any court in the exercise of any power or decision granted hereunder; O. To disclaim any interest in property without court approval; and z ~ ~ > x ~' W W ~~ ~ /' P. To do all other acts and things necessary or~ appropriate in the management, administration and distribution of my estate or trust. Q. No income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to the beneficiary, No part of the trust shall be subject to the claims of any beneficiary's creditors, or specifically JEFFREY K. NELL'S voluntary or involuntary creditors for the provision of care and services to him/her during his or her lifetime, including payments for residential care and maintenance by am/ public entity or private creditor. Page 5 of 8 R. Under no circumstances can the beneficiary compel a distribution from the trust for any purpose. Trustee's discretion in making non-support distributions is final as to all interested parties, even if my trustee elects to make no distributions at all. Further, trustee may be arbitrary and unreasonable. Trustee's absolute and independent judgment, rather than any other party's determination, is intended to be the criterion on which distributions are made. No court or any other person should substitute its or their judgment for the decision or decisions made by trustee. S. Whenever the trustee, in his absolute discretion, determines that the size of any share held in any trust hereunder does not warrant continuing the same in trust, or its administration would be impractical for any reason, trustee, without further responsibility: May pay such share to the person entitled at the time to the income from it; or 2. If such person is in the opinion of my trustee, is disabled by advanced age, illness or other condition, my trustee may pa}~ such share to the parent or other person in charge of such minor or incapacitated person, or to his or her guardian, or to a custodian. ITEM 10: In the event my son, JEFFREY K. NELL predeceases me or dies before the z 1 W x W _ Z W q x entire distribution of the principal and income of the Trust is made to him, I direct the following distribution to be made: A. Fifty percent (50%) to my brother, RAY N1=;LL, of 4659 South East Glenn Ridge, Stuart, Florida (Telephone: 561-288-7397); per stirpes and B. Fifty percent (50%) to my sister, LOIS R. ESSIG, per stirpes. ITEM 11: I hereby acknowledge the existence of a child., CONNIE MARIE KUHN and intentionally, with full knowledge, have chosen to exclude her and he°r descendents from any benefit under the terms of this Last Will. Page 6 of 8 ITEM 12: Until distributed, no gift or beneficial interest shall be subject to anticipation or voluntary or involuntary alienation. ITEM 13: I appoint my brother, RAY NELL, Executor of this my Last Will. Should my brother, RAY NELL predecease me, fail to qualify or cease to act for any reason as my Executor, I appoint my son, JEFFREY K. NELL, alternate Executor of this my Last Will. ITEM 14: I direct that my personal representative and trustee, or his successor shall not be required to give bond for the faithful performance of their duties in anv jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this \ ~ day of ~~ '[~ }"Z 1 L , 2008. KENNETH B.. NELL Signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~/ ___ `~~~~ ~ residing at "~-~~-1.~.`_ ~ ~?t .~ 7. Q 1 ~ ``~ l 1 } ~,~-w*-~ ~''~ <..~k~t..,,,.5~. residing at ~7 ~ /11v ".r", `>~i~..~ ,C~',.C~~wr., ~3 r Zcl~i 1 Z..._ ~ Page 7 of 8 COMMONWEALTH OF PENNSYLVANIA ) ss: COUNTY OF CUMBERLAND ) We, KENNETH B. NELL, l lC Ci.,1/t3 and ~, (~+,-wr-~- ,the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instn.zment as his Last Wi11 and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the will as witness and that to the best of his or her knowledge, the Testator was at the time eighteen (18) years or older, of sound mind and under no constraint or undue influence. ~~ . `~~'~ B.:r Witness ` " Witness Subscribed, sworn and acknowledged before me i ~ N9~n~ ~ 4~,~ by KENNETH B. T NELL, the Testator, and subscribed and sworn to before me by lk JC= C.~-~ ~^~^ and ~+^~-~- tit - ~~ ,the witnesses, this ~~ day of ~.: / , 2008. Notary P lic (SEAL) COMMONWEACfH OF PENNSYLVANIA USA MARIE COYN~EtNOT RY PDBUC HAMP~)EN TWP„ CU4~1$ERLAND COUNN Page 8 of 8 MYCOT,gMiSSION EXPiRES1UNE 20, 2008