Loading...
HomeMy WebLinkAbout08-12-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CtrnIBERI-AND COUNTY, PENNSYLVANIA Estate of !G. BOOK ROTH File Number 21 08 U ~33 also known as Petitioner(s), who islare 18 years of age or older, apply(ies) for: (COMPLE'TE 'A' OK 'B' BELOW:) ,Deceased Social Security Number A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executor named in the last Will oI'the Decedent dated 3/17/2003 and codicil(s) dated none Primary Executrix, Arlene Z. Roth, has renounced her appointment set forth in Item Nine of subject Will pursuant to Renunciation filed herewith Continued on a Separate Page (State relevant circumstances, e.g., renunciation, death of executor, etc.) Except as fi~llows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate„ was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d. b.n.c.t.a.; pendente liter 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: (If Ailmini.crrntinn c t_a_ nr d.h.n_c.t.a.. enter date of Will in Section A above and complete list ofheirsJ r =~ Decedent was domiciled at death in County, Pennsylvania, with his !her last principal residence at (List street aa!dress, town/city, township, county, state, zip code) Decedent, then 85 years of age, died on 7/28/2008 at Church of God Home, 801 North Hanover Street Carlisle Borout?h Cumberland Countv PA 17013 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $,?~SO.GoD, ~(~ (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 0.00 situated as follows: 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: ignature Typed or printed name and residence i ,,a ~ ~ L ~ ,~ ~ ~~ Allen Z.Roth 717-249-6659 30 Sheele Lane Boilin S rin s PA 17007 Page 1 of 2 Form RW-01 rev. 10.13.06 (COMPLETE INALL CASES:) Attach additional sheets if necessary. ~''? Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND The ]?etitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowlledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me the ~rryyyyd~~a~~y,of ,E~ n n t ._~ , ~, ~_ ~~-~- ~T of Personal Representative Allen Z. Roth .-..; Signature of Personal Representative `_. m -r7 r^ -:- ~~ F the Re ester Signature of Personal Representative ~ F J~; -~ N _ - ~ ~ ; -~ - -1 ~::~ File Number: 21 ~ ~ O 8~ _~ ~,~ c,:, Estate of G. BOOK ROTH ,Deceased Social Securi .Number: Date of Death: 7/28/2008 gllD SOW, )o~ ~ 2008 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS DECREED that Letters Testamentary are hereby granted to Allen Z. Roth Executor in the above estate and that dhe instrument(s) dated 3/17/2003 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES ISLJ~- Letters .........~~.(~.. ~Y ~ /~ $ U Register o ills A ~ Short Certificate(s) ....~•••• $ ~ Attorney Signature: . ~ ~j, ~ "" ~%~~ Renunciation(s) ••••••••L•••••• $ (,,,~ ~ ~, $ ~ S Attorney Name: No V. Otto III n ~ :: Supreme Court I.D. No.: 27763 ~ H $ ~ .,•. $ Address: 10 East High Street .... $ Carlisle .... $ .... $ PA 17013 .... $ $ Telephone: 717-243-3341 TOTAL, . ............................ $ J~~ Form RW-Ol rev. !0.13.06 Page 2 of 2 1O5.80:i REV (01107) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 „m~"'""""-- This is to certify that the information here given i 11' a~~N OFp~" correctly copied from an original Certificate of Deatl ,,t`'°o`L`~~ ~~`~l`_, duly filed with me as Local Registrar. The origins ~?~ ~ ~ certificate will be forwarded to the State Vita w y~~ a~ Records Office for permanent tiling. ,- ~i tt ~~9lMENt ~F~~' ' Certification Number """""""'d~~ ~ Local Registrar Date Issued -~~ r-:. ~~ , ~'~ - , `' ; ~? ~-~ _ ; .. ... _ ___- _.~ ... _ ~ fT ; - -7 6 ~A L~ _ _- __ _ ~:,, __ -~ ~ 'a ~ '~ - s CJ t•~ H105-143 REV 1120D6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TY7E! PRINT IN PERMANENT CERTIFICATE OF DEATH BLACK INK See instructions and exam les on reverse ~ t 0 ~ (~ ~ ~~ ( P ~ STATE FILE NUMBER x w a 0 ~y~ 3. S/ocla~lxS~e'w7rly Number(, 4. Date d Daeth I M, deY, ya ) s t. Name d Dewtlenl (~~~st, midAje~ ulRy~) yn-~j- 2. Sex +y[st , . _ ~ 1:7.. L.~iF- ^N'~T a'7 !' ~ l lam` - ~ 1 -V•r' / "' ~ J ~3 5. Age (1aa18irMwy) Under 1 year Under 1 day 6. Date of Birth (Monet, da , a 7. Birmplace (City and slate or k caMryl Be. Place d Daam (Check oral 85 Mmaw °'" "~' MnWa V f~~•~'~ Carlisle PA Hapial: om°` ` ~ Ey'€X ^ Inpatient ^ ER /Outpatient ^ DOA ®Numirp Home ^ Reeitlerice ^DMer - Spedly. © Yrs. ` • eb, Coa+ry of DaaM Bc. City, Bono, Twp. d Deem 6d. Fadisy Noma 111 not wadtuaoa, glue sweet erd numoar) 9. Wee Decedent d Hlspenic Odgin? r3 No ^ Vea 10. Rasa'. Amanean Indian, Black, NTae, ale. "x Cumberland Middlesex IM Yes. apeciry Cuban, (svedM M.xian Ih»rtaRka^~°) ~ ~~ ~ ~~ ~ • ;. u O r,c i e OseWnt's float Ked d work tlaa dud mwt d wdle Nfe. Do rld mare 11 /2. Wes Decetlenl erer In Ma 13. Decedent's Ed~catbn (Spedry anty hlgheat grade compreted) 11. MemM Sala: Herded Never Memel, 15. SuMVing Space (lf wits, tyre maidari name) . f(k1d d Wdx KIM of Businaw /Industry U.S. Armetl Forces? Widowed, Divomed (SpeuM Elememary !Secondary (012) Coaege (14 or 5+) 'r r Funeral Home ~7vea ^Na 4+ Married Arlene Zie ter . 18. Dxadent's Maswy Address tSreet. ^nY I town, slate, zip code) Deatlenl's DM Decedent AcRal Residenw 17a. Sere PA l.iva in a 17c. ®Ves, Decedent Lrvetl n M; rj d,l 2 ca v Twp. 801 N. Hanover St. T ""'4~ nd.^NO, DecxMnt Uved wvmm. 17b co n Cumberland Carlisle PA 17013 y . a Aaluel LimWd Cdy/BOm 18. Father's NMne (Fhat nxddre, rest, suffix) 18.12oltar's Nmra (Fnst mktlb, maiden surname) rva Book Mi S Eeiward W. Roth ne . 20a. M/omanYS Name (type / Pdnt) 20b. IN«menYS Mpakg Address (SWeI, dly / bwn, state, zq atla) Arlene Roth 801 N. Hanover St., Carlisle PA 17013 21 s. Medgd d Dispoeltlon V ^ Creme9on ^ Doneaon 21U. Dare d Dispaieon (Mmm, day, rear) tic. Place of 06poeitlm (Name d wmelery, arwnamry «aMa plea) ltd. Lowlian (Gay / m+m, state, tlP code) Budel ^ RBrrIWM from Slate I Wee Creloe6on a is«ie6orl Aelhorized ~ 2008 l 31 J Westminster Cemetery Carlisle PA 17013 ,.~y,. eytMdlalE,eminsryc«on.r? ^rea^Na ^ u y , ' 22as aFanealservicalicmwe sum) 22D.liwreetlwrber 22c.NameantlAddrassdFedliry Hoffman-Roth Funeral Home & Crematory . ~ ) 013144E Hams 23a<a,ry wP,an aday:ig z3e. To ra my . seam occarred al lre lime, de vlea em, . (signawre end uuel z3D. Llcertse Number z3c. Date sgned (Monet, day, yeart phyaiden a not aaWbre M tlma d tlmm m ~ ) ~ -t artlly woes d lath. / ' aM te Proraurxxd (Momh, day, 26. Was Case Referred to Madcal Examiner / Comrar a Re gher Man Cremation «Donelion? Wets 2426 must W ~k1etl by Dsrsa^ ~ who PrmaaKws deem. ~ M. •y / a[~ ~ ^Ves ~No CAUSE OF DFATX (See Inetrlsctl a entl a amplae) r Apgoximate ird«val: Pan II: Em« dher siati6anl cardtlms cantdWana la deem, 26. Did Tdtecco Use Comrihute b Deem? Item 27. Pert R Emet the tlare d wrests -diaeeaes,'equdes, a c«npkads^s - that deecmy eased Me tleeM. W NOT enter lerminel events such as wmiec artesl, s Onset to DwM hd not resuaing in Me uriwdyirg woes given in Pad l [~ Yes ^ Probably nepiremry anesl, m vemrkuWr fAxdretbn wafwd s^owlr9 Ma etiology. Ilst only one ease on each IN1e. ^ No ~ kmwn iSonare~wtCm U$E (F»~I dlseese« ~ ic.\\'•J'~.:,~ / r Ig m des ) . 'V' 31 Sv,; ~' ^ .~ L. ; s'T k1y a .1 \~4r.Y•~~,1 ~•' 29.HFemale: ^ N 'mv st a t l _ ~ . Due to (« as a canse0uerh:e Dry: '~~ o pregan i pa ye r w [] Preyanl at two d weth c..."'_..~~~. ial;:Z4;si T~"L~S'-n.) WIN Cd wnditlpa it Mry, b 4A f,'ec•~.'l'4..3"ti's ~/ , . ro the w«e listed m Wa a. hpd~rq 4 ^ Nd pepanl, bet prernanl wi1Nn 42 days Dam (« as a cos o1): Enar dw UtmERLY1NC, CAUSE ddeath (dbeaseampuy mat' e~dyda c i ~U , ST. evenre raeatwq m dealh) , ^ p Vim, wl Premerd 43 wys ro t ymr Due m (« as a consequence of4. i a_ • ^ unkawn a Melyla^I wimm da I~ rear 36e. Was an Autopsy 360. Wee Autopsy Rrd^gs 31. Harmer d Deem 32a. Dare at InpAy (MOnM, day, Year) 32b. Describe How lnWry Oxuned 32c. Place d Mjury. fbme, Faint. Street. Fadory, Dina BuPdng, ek. ISpscih) Ped«med? AveAade Priorm Cornpelfon se d DeaM? d Ca I'~ ~`"'"'uy ^ u ^ Acdtlent ^ Pendng Ilrxastigalian 32d. Tina of IrWry 32e. Injury et Wom? 321. II Transpodation Irdury (SpadM 32g. Location d Injury IStred, dN /Town, sale) ^ Ves [~4s5 ^ Yo ^ No ^Ves ^ ~ ^ Drive! / Opemt« ^ Passengw ^Pedastnen ^ Suicitle ^ Cale Not a Dererrtxned M ^OMer. Specity: O .. 33a. GeraA« (wed: only anal 336. Sigwmm eM,tnk of Ce ' } ~ _ v - ,G / - '~" ``•""' ' Cer11ryM6 phyekren (Physiden wrtdying gauss d tlaaM when enolFiar phYsx:ien hew porouncee rbaM aM c«npretetl hem 23) _ _ _________ Unsd due to the eauays)aM mennerwatated d eM OC k l tl d - („ _. \ '~ +- ~ -•~ ______ ______________ _ _ ge, C now e s To da bwn my • PralarNktg and anlry4rlg phyek4n I~Y~^ bdh Pr~d^9 deaM aM arorying m ease d deaM) ^ al d 33c. Licenw Number - 33d. DatyS' Jatl ,day, it t r ` _ _ _ _ ______________ e To Oa Mm dmy kiawkdga, death otturred at Me lima,dale,aM pleas, end da to the wuee(a)aM manner ae s `. .~~ `,, ~~'`T~' ~ .1- Z1 • kladlcN E,MnInarlC«oner On IW bacla d examkutbnend / or mvestlgetmn, M nW optMon, death occums0 d the tWe, deb, end prece, end due to tM ease(s) end manner es eleted_ ^ 30. Name and AddreeE o/ Person WM Con~lpap Cause of DeaM (dam 271 Type / P 1 ~. emre 36 Date Fl etl (ManM. daY, Yssr) .•; 'Z:.. i... M +L • `~ } v Drepwidon Permd No. V cX(Jk~ ~/'A Ox F-\FILES\DATAPILE\EState Planning~5965-I.h.will LAST WILL AND TESTAMENT I, G. BOOK ROTH, of the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils made by me. ITEM ONE I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all death taxes shall be paid to the extent possible from the assets held or passing under ITEM SIX hereof as soon as practicable after my decease and as part of the administration of my estate. ITEM TWO If my said spouse, ARLENE Z. ROTH, does not so survive me, then I give the sum of Thirty-five Thousand Dollars ($35,000.00) to The First Church of the Brethren, Carlisle, Pennsylvania, and the sum of Five Thousand Dollars ($5,000.00) to the Children's Aid Society of the First Church of the Brethren; provided, however, that the foregoing bequests sh~l~ Jae reduce _, ,_ pro rata to the extent that such bequests, in the aggregate, exceed five percent (5%) ~of~ grerss estate. rL - : `~ ITEM THREE ~ `~ : `M' I bequeath any automobiles or motor vehicles I may own at my death, my p~r5o~al effe~is, ; ~ " ._ ,_.a such household goods if any as maybe my individual property and not the property of my sp~se or owned jointly by me with my spouse, and other tangible personal property of like nature (not including cash or securities), together with any existing insurance thereon, to my spouse, ARLENE Z. ROTH, providing she survives me by thirty (30) days. Should my spouse predecease me or die on or before the thirtieth day following my death, I bequeath such tangible personal property and insurance thereon to such of my children as are living on the thirty-first day after my death, to be divided between or among them with due regard for their personal preferences in as nearly equal shares as practical and as they shall mutually agree. I direct that any of the foregoing articles not selected by such children or about which there is no agreement shall be sold at public or private sale by my personal representative, and I further direct that the net proceeds thereof shall be administered and distributed as a part of the residue of my estate. ~~~~ [Initials] Page 1 of 7 Pages ITEM FOUR If my spouse, ARLENE Z. ROTH, is living thirty (30) days after my death, then I give, devise and bequeath all of my estate, both real and personal property, unto my said spouse, absolutely. If my said spouse does not so survive me, then I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal property, unto my Trustees to beheld or distributed by such Trustees under ITEM SIX hereof. ITEM FIVE In the event my said spouse shall disclaim all or any portion of any devise or bequest made to my spouse under the foregoing ITEM FOUR, then the amount otherwise payable shall be held by my Trustees under ITEM SIX hereof. For purposes of the Trust established under ITEM SIX hereof, :ny said spouse shall not be deemed to have predeceased me by virtue of my said spouse's exercise Hof the right to disclaim set forth herein. ITEM SIX RESIDUARY AND DISCLAIMER TRUST My Trustees shall hold the assets received under ITEMS FOUR and FIVE hereof, if any, for the following purposes: A. My Trustees shall pay the net income, at least quarter-annually, to my spouse, ARLENE Z. ROTH, for life. In addition, my Trustees, in my Trustees's sole discretion, may invade the principal of the Trust for the proper and adequate support of my said spouse. B. My Trustees shall further pay to my said spouse, annually, such sum from the principal of the Trust as my said spouse may request in writing, provided, however, that said sum may not exceed the greater of Five Thousand Dollars ($5,000.00) or five percent (5%) of the aggregate value, at the time of said request, of the principal of the Trust hereunder. C. Upon the death of my said spouse, or upon my death if my spouse shall not survive me by thirty (30) days, my Trustees shall distribute the principal of the Trust to my children, WILLIAM B. ROTH, ALLEN Z. ROTH, CONSTANCE H. HENRY, DEAN G. ROTH, in equal shares, absolutely. D. In the event that any of my said children shall fail to survive my spouse and me, but shall leave issue surviving, then such deceased child's share shall be held by my Trustees and the ~~~ [Initials] Page 2 of 7 Pages net income therefrom shall be used for the support, maintenance and education of the issue of such deceased child. My Trustees shall use as much of the principal as it shall deem desirable for said purposes. My Trustees shall distribute absolutely the principal of such share of such deceased child to the issue of such deceased child per stirpes as each shall attain the age of twenty-five (25) years. In the event that any of my children shall fail to survive my spouse and me and not leave issue surviving, then such deceased child's share shall be added to the shares of my other children as if originally a part thereof. E. Notwithstanding any other provisions to the contrary, in no event shall any share be distributed to any beneficiary later than twenty (20) years after the later death of my spouse or me. ITEM SEVEN POWERS OF EXECUTRIX AND TRUSTEES In addition to the powers conferred by case law, by statute, and by other provisions hereof, my Executrix and Trustees and their successors, shall have the following discretionary powers ,applicable to all property held by them which powers shall be effective without order of any court .and shall exist until final distribution. A. To retain any property of any nature received by them for whatever period they shall deem advisable; B. To invest and reinvest all or any part of said property in such stocks, bonds, common trust funds, securities, accounts, certificates of deposit (including, but not limited to, stocks, bonds, common trust funds, securities, accounts or certificates of deposit of the Trustees) or other property, real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the property which a fiduciary may purchase; C. To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of any trust herein, without liability on the purchasers or lessees to see to the application of the proceeds, and to give options for these purchases without the obligation to repudiate them in favor of a higher offer; D. To execute and deliver any deeds, leases, assignments or other instruments as may be necessary to carry out the provisions of any trust hereunder; -~~ [Initials] Page 3 of 7 Pages E. To borrow money, including the right to borrow money from any bank and to nnortgage or pledge any asset of the estate as security; F. To assume continuance of the status of anybeneficiary with regard to death, marriage, divorce, illness, incapacity and the like in the absence of information deemed reliable without liability for disbursements made on such assumption; G. To pay from the trust, or the income therefrom, all debts or claims against my estate, or any taxes or similar charges on my estate; H. To make any distribution hereunder either in kind or in money, or partially in kind and partially in money. Distribution in kind shall be made at the market value of the property distributed, and my Trustees, in my Trustees's absolute discretion, may cause the share distributed t:o any distributee to be composed of property similar to or different from that distributed to any other distributee; I. To exercise any subscription right in connection with any security held hereunder, to consent to or participate in any recapitalization, reorganization, consolidation or merger of any corporation, company or association, the securities of which may be held hereunder, to delegate authority with respect thereto, to deposit investments under agreements, to pay assessments, and generally to exercise all rights of investors; J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries of any trust hereunder; K. To continue in any partnership, joint venture, joint ownership or other business enterprise of which I am a part at the time of my death; L. To compromise claims; M. To continue for whatever period of time as they shall deem necessary any ownership as a tenant in common or as a partner, in real estate or other property and to act as I could have done had I been living; N. To lend money to my estate or to any trust created hereunder or to purchase from the estate or from any trust created hereunder, at the market value thereof at the time of purchase, any securities or other property tendered to them by my estate or any trust created hereunder at any time and from time to time within a period of nine (9) months after my death; ~/ [Initials] Page 4 of 7 Pages O. In the event that any amounts are payable hereunder or under any trust created hereunder to a minor, or to a person otherwise under legal disability, or to a person not adjudicated to be an incapacitated person, but who, by reason of illness or mental or physical disability is, in the opinion of the fiduciary(ies) hereunder, unable to properly administer such amounts, such amounts may be paid by the fiduciary(ies) hereunder in his, her or their sole discretion in any of the following ways as he, she or they may deem best: 1. Directly to such beneficiary; 2. To a legally appointed guardian of such beneficiary for the benefit of such beneficiary; 3. To a person having custody of such beneficiary for the benefit of such beneficiary; 4. By the fiduciary(ies) hereunder using such amounts directly to the benefit of such beneficiary. Evidence of the application of payment of an amount in such a manner shall be a full and complete discharge of the fiduciary(ies) hereunder to the extent of such payment or application. This paragraph shall be applicable to payments of income as well as principal. P. To employ agents, attorneys and proxies and to delegate to them such power as my personal representatives and Trustees consider desirable and to pay reasonable compensation for such services as maybe rendered by such agents, attorneys and proxies; Q. To conduct an inventory of any safe deposit box necessary to the administration of my estate. R. To do all other acts in their judgment necessary or desirable for the proper management, investment and distribution of my Estate. ITEM EIGHT PROTECTIVE PROVISIONS All income or principal held for the use and benefit of the beneficiaries of any trust hereunder shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor shall any such interest, while in the possession of my Trustees, be liable for or subject to the debts, ,.~/ [Initials] Page 5 of 7 Pages contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or sequestrations under process of law. ITEM NINE APPOINTMENT OF EXECUTRIX AND TRUSTEES I nominate, constitute and appoint my spouse, ARLENE Z. ROTH, as Executrix of my estate. In the event that my said spouse shall predecease me or fail to act as Executrix, then I appoint my son, ALLEN Z. ROTH, as Executor of my estate. In the event my said son, ALLEN Z. ROTH, shall be unable or unwilling to so act, I appoint my daughter, CONSTANCE H. HENRY, as Executrix. I nominate, constitute and appoint my spouse, ARLENE Z. ROTH, and my son, ALLEN Z. BOTH, as co-Trustees of any trust created hereunder. ITEM TEN WAVER OF BOND I direct that neither my Executrix nor my Trustees or their successors shall be required to file ,any bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be :required to obtain any order or approval of any court for the exercise of any power or discretion set forth in this Will. IN WITNESS WHEREOF I have hereunto set my hand and seal this ~7~~ day of ~'"li,~c~C~-~ ,003. ~GQ~~,~~2~ (SEAL) G. Book Roth SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, have hereunto subscribed our ames as witnesses thereto, in the presence of the said Testator and of each other. ~tCi ~~ ,^~L.~ Page 6 of 7 Pages COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND 1 We, G. Book Roth, No V. Otto III, and ~U~-~-, r~~ ,(. y'I'~U ,erS ,the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his last Will and that the Testator has signed willingly, and that the Testator executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no c;onstraint or undue influence. Subscribed, sworn to and acknowledged before me by G. Book Roth, the Testator, and .subscribed and sworn to before me by~vo V. the witnesses, this/7~ay of `~'~~~,~ ~~ Otto III and ~vrr r ~ ~~ ~ . ~ y ~; ~ S , -~. CGS . r~~ ~,~ Notary Public NOTARIAL SEAL VICTORIA L. OTTO NOTARY PUBLIC CARLISLE BORO. CIIMBERIAND COUNTY MY COMMISSI01~ EXPIRES DEC. 2 2006 Page 7 of 7 Pages G. Book Roth, Testator RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA ~. > ;~ - ~w: _~__ ... . ..~ ~~ ~ P ~w' ~~ 1 ~~ _,_, ._ ~ ,__ -• , „ rr ~ c.. Estate of !3. BooK RoTH ,Deceased I, ~~RLENE Z. ROTH , in my capacity/relationship as (Print Name) Executor of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ALLEN Z. ROTH . (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 (Signature) 801 North Hanover Street (Street Address) Carlisle PA 17013 (City, State, Zap) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciat~n for the purpose tated within on this -L_day of ~ t~ U-S r- , ZooB , ( l~-~L-~-~- ~ 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.) cotvIIvtc~r•v~~:l;rx o~ ar_~~sv1.vANiA ~,~r ~ r.. ~,-a; Ca1'il~'i~ ~C97f}:'}~~9, ~..~ti~:'iiiii;;( ~OtH1iy~ My commission expires llecember ?U,'.010