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HomeMy WebLinkAbout09-18-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C u rte, bey ~ ~ ~~ COUNTY, PENNSYLVANIA Estate of ~ An ~ ~ h"1 - Pd t~I ~ ( ~ also known as J ar, e E i'~n . b c e h l Deceased File Number ~ ~ d ~j ~~~~ Social Security Number ~~ ~' 3~' - 83~ (~ 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 Testamentary and aver that Petitioner(s) is /are the EX ~ C- ~ named in the last Will of the Decedent dated ~ t - 3-~ - ~ `{ and codicil(s) dated C~ ~ - cv to ° Ug (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 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 life; 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 ~ .Jw_:._;.............. ,.. ,. ,,,. ,/ h „ .. r ., o.,tor• d.~to ..f Will in ,Cortinn A nhnve and cmm~lete list of helY,4. ) (List street addr2s~, town/city, township, county, state, zip code) " Decedent, then ~ © years of age, died on Seri-e-,~.bey iS, .Z OOt! at 1 y ~C ~ r~q S ~m S ~ e C i~a r, t t S ~ in r ~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ Z. S ~ , O u C . C (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 9(v,LGO.LO situated as follows: ~ `~ Kt r~A S /-rti m S i~'1 f e I-.Otn i c s b to vet r ~ f~ Form RW-01 rev. 10.13.06 Page 1 of 2 j- (COMPLETE INALL CASES:) Attach additional sheets if necessary. a ~-- ~ -°° = - ~J Decedent was domiciled at death in r~2-r ~ c'~ r~ o~ County, Pennsylvania with his /her last princip~'residence ate 1 H- K.i na s AYm s RI ~ C-hAn i c s U ~ ~~ c-, 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: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COL1N'CY OF C U V~'l (b~~(2--L1~ N C~ SS The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representatives} of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to e; affi_*med an~a subscribed bef:,re me the ~ ~ day of r,~ ~~? ~ ~m~ ( ~ ~~ ~ `:~' Signature of Personal Representative ~ =A ; Gn Q ' or the Register Signature of Personal Representative _' _ ~; .; ~ -- ,~ _ ,. -, -~ , _- -_ - ~ File Number: ~ Estate of ~c~ne~ 1Y1 powe.,~ a-kc~, -~w~'~e ~ m ~ ~e hI Deceased Social Security Number: ~ d a 319 8 3 a ~ Date of Death: ~ ~5 0 8 AND NOW, ~ ~•e Y-Y-.be ~" ~ U 2-~~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ ~~-~~rc~ r~~ c L are hereby granted to "~c.~~ - and that the instrument(s) dated _ -~ O..v~v.s~c'~ a l~ , ~C313~ QYt c~ A ~ ~~ ,, described in the Petition be admitted to probate and filed of record as the last Wi1~} (and Codicil(s)) of Decedent. FEES Letters ... 3 ~~bl 2 ~. $ ~~ b Short Certificate(s) .. ~.. .. $ 1 ~ ~Y Renunciation(s) ........ .. $ hJ~~~ . .. $ 15 C ode c ~\ . .. $ l ~-..,~ . .. $ S . .. $ . .. $ . .. $ . .. $ . .. $ TOTAL ............ .. $ yak ~° 1 Register of in the above estate Attorney Signature: - "`= ~'' `-! J T~ y' Attorney Name: .,~ o h r~r~ a J~ u f' E c It+-~ Supreme Court I.D. No.: ~ 3 i 4 ~ Address: 1 ~ ~ So y~7-, Sl,ne ~~ N-v~r~r sburq ~ A i ~ 1 ~ Telephone: ~ f 1- Z Z!- i i 1 t Form RW-02 rev. 10.13.06 Page 2 of 2 105.805 REV (01/U7) 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 14792731 Certification Number This is to certify that the information here gig en is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent tiling. • ~,~, q Is cog --. Local Registrar Date issued C"~ rv ;~ C Q _ c-~~ca "P I= G-~ CTT C. ;~ _ r -- ` ~ > ~~ ~ , - :~ -~ --1 ` "' r`-.- I ~. n1w l+3 Rev na006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE i PRINT IN PERMANENT CERTIFICATEOF DEATH BLACK INK (See instroctions and examples on reverse) srATE Fu a NuanBER ' ~ (5~ ~~ 4'~. 1. Name d Decedent (Fuss, middle, last, sunix) 2. Sex 3. Social Security Nrnber 1. Dale a Deem IMnim, day. year) Janet M. Powell Female 202 - 36 - 8326 Se t. 15 2008 S. Aga (last &itbay) Under I year llrxbr 1 day 6. Data of Binh (MOnm, day, Year) 7. Bi ICrry and skk w Iweign country) 6a. Pku d oeam (Cneclc wk) Morass DaYS (lours Mxwles Ibspllal: Other: 60 vie Jan. 11, 1948 Coaldale, PA ^Inpanenl ^ER/Ompabea ^DOA ^Nursing HOrtk ~Residetlce ^Olner Specny !b. County a I)ealh &. Ciry, Boro. TwD. of Death ab. FaaNy Name (If rwl msaulini, give Mraa and number) 9. Was Decedent a Hispanic Origin? ~ No ^Yes 10. Race: American Aldan, Bkck, Wkte. etc (If yes. epeary Cubarl. ISpeciM Clunberland Hampden TWP • 14 Kings Arms Maxx:arl, Poem RKart etc) White 11. Decedents Usual Occ uon Kkld of walk d one most of worker tile. W not skk raked 12. Was DecederK aver b me 13. Decedent's Edlcalion (Spedry only highest yade cantpl eled) I4. Malikl Status: Mazrkd, Never Marred 15. survivag Spo use (N wda, give maiden name) KirM a Work Kira a Buskess / prtluslry U.S. Amred Forces? Ekmenury 7 Secondary (0-12) College It ~4 w k) Witlowea, DivorcW I~a>at'tli'I L$tpr]TrinictratYr Naval De t ^Yes (}9NO 5+ Married David P. Paaell . 16 Decetlenl's Mailing Address ISreat city / bxm, stale, zp cak) Decedent's Did Decedent Sate Pennsylvania Wain 8 770 [$Yes Decedent lived k HalTlpden s Actual Resberice 17a 14 Kings Arms . , ore Townstep? rid. ^ No, Deceaea Lieetl widen rid c Qunberlanrl Mechanicsbur PA 17050 a,nry addal L:aka crry/Bwo 16 Father's Name (First middle, ka, wdix) 19. Homer's Name (First, middle, maiden wmame) Jose P J 20a Inbrmant's Name (Type I PrinQ 200. pdomua's Haling Address ISneet dry /born, skk, zip ode) David P Powell 14 Kings Arms, Mechanicsburg, PA 17050 21a. Melnod a Dispositon ^ crenktion ®Donalbn zm. Dale a Disposition (Moab, dav. v~l zlc. Place a DispoMiort (Naae of cemaen. uenkbry w aver pkca) Icay 21d. Lwalbn /born, skk. zp catle) ^ Burial ^ Rainn.allromSala WuCramalionwDonationAumoriud ^ 15 2008 $ept Humanity Gifts Registry Philadelphia PA plYes ^ Omer ~ Sper::ry W Medal Eaaminx I Caronart No . , ~ 22a. Sgrkiwe Fuse~`Se ~ licensee sari actin a s ) ?ID. Lrense Number 22c. Name end Adaess a FaciGry Mar et P aza Way - - ,u-! Fn-0116 7 Mal zzi Funeral Home Mechanicsb , PA 17055 Cornpkte Hams 23at oMy wren cenlfy' 23a, Tome . M ad el me kkd. (Spnabre and ~ 1 23n. licxne Nurtder 23c. Dak signed (Homo, day. year) IMysiraan a w1 avarkbb al nlre d De to tansy reuse of deem. /I ~ Y (. ~. 1 y L-. ('~ - J('. .J (~ I~Y~1 '~ ~ ~~ 4 Irerns 27.26 muss be compkkd by person a 24. Tune d Death 25. Dek P Dead (Mahn, tley. year) 26. Was Cau Relaned k Medca Examiner /Cornier Ica a Reason r dkn Cremation w Dorktxm? who pronowcss deem. • ~ . ~ ~ M, ~F. ~ ~> lYl' 1 ~ ~ ~ }~- ~_ ~ ~ ^Yes ^ No CAUSE OF DEATH (Sea InstrueUOna alld a a) I Apprwmale ntervaL Pan II: Eder other Io_gpdW. 28. Did Tmacco Use Cnitribae b Deam7 rem 27. Pan I: Ernes me cnairrulaYpgts - diseases, ugwks w cariplicalxlns -mat dreclly caused me Beam. W Tenter lermmal evenk wch az cardiac arrest. Onset to Death but na resalirg in dk urrdertyirg reuse given b Pan 1. ^Yes ^ PrWady resgrabry driest w veneicaar IibaWlion winwut snowing me ebaogy. List oay one cause on each pre. ^ NO ^ llacrwwn Wp1ED1ATE CAUSE Fnial msease ur ~/ carttlilion resunag'n ~aml -~ /M F~i~~ ~4. ~~~ 29. II Femak: ^ Due to (w cnisequerke oil: bW~- Nol pregraa wilNn past year ^ Pregnant at lrnw W bath JayuanWllyy psi wlxplxxn, it ally, b ~ baevq b N se pMod un bw a Duo b Ica a5 a consequence ol) 1 Eaor qw UNUEIILYING CAUSE t J Nul txegrr,nN but yrayuM xldwi 4'_' Ja} a a rwab (disease of mlury tlkl nmalc-0 me S events resunng m deem) U T Due b (« as a consequence op: ^ Na pregnant ha Dregnam 43 days to l year d. before ODalh ^ lMkmwn s pragraru winm tlw past Yeae 30a Was an.4uloDay 30b Were Autopsy Flndngs 37 Manner a Deem 32a. Dale a mjwy (Mwdn, day, year) 326. Describe How hgwy Occurred 32c Place d prPUY. Havre. Farm Street. FaWay, Pencrrc"ed? Availaae Prot k Cwnpkuon of Cause a Deam? ~ Nalwal ^ Matricide glke BWldng, eb. (Spec:ly) ^ Accitlenl ^ Pending Invespgation 72tl. 7elk a Injuy 32e. Injury at Work? 321. If Transponalxn Injury (spearyy 32g. Caution of Injury (Sleet cry I lawn, skk) [] Yes No ~~ ^Yes ^ No ^ siacide ^ Cowd Not be Determined ^Yes ^ No ^ Driver i Operator ^ Passergel ^Pedesirlan M ome! ~ specny 33a. Czniber (check carry one) 33b. Sgwlwe ant Titb W cenitkr 7 • Cenilying pnysician (Php:cian ceNlynry cause of diatn when anclher pnyscian Has proriountetl death and completed Ikm 23) TO[Mpast 0l my knowledge, deals a0umed du~10111l uusHal erW manrer 88 eklad________________________________ - ... • Pronouncing and ceniryinq phyaklan IPnysician bolo prurrouncing dean arb ceNrying to cause ul rkahl 33c 1 itense Number 33d. Date Sgrred lMUn day, y rl Ta the bast a my knewkdge, deeln occurretl at the lime, dale, and plan, ant due b me cause(s) and manner ac akled_ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ ~ • Medical Examirer/Crooner Syyyxs .lY r'l u x ~ 7 ~ '/ / On IM basis of uaminstion and / or Invesllgalkn, in my opinion, death occurred al me lima dale. and place, and du to IM cause(s) arM manner as skted_ U mo led a e of Death Inem 271 TYDe % Prim 34 Name atd Atldess 01 Pere p ~ U~ / ~ T 3r Ra ise ~as n earb Dia(rkl mb~r ICI ~ ~ ~~ ~ ~~ ~ r ( - Dale pea (Harm, day, yeaq l5~ ~3e ~- ~ ~ 39/a r.:~`T ~ 'r P 7D~ C - ~ r {M e ~,•, Z~ v~ ~~iya LAST WILL AND TESTAMENT OF JANET M. DIEHL N N N N N O n_ Q a u rc Q N N X O m I, Janet M. Diehl, of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time previously made. FIRST I direct the payment of my just debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently maybe done. SECOND I give, devise and bequeath a life estate in my residence known as 14 Kings Arms, Mechanicsburg, Pennsylvania, to my friend, DAVID P. POWELL. Upon the death of David P. Powell, I direct that the house be sold and the proceeds by shared equally by my daughter, Lori A. Prevost, and the son of David P. Powell, Raymond D. Powell, or their survivor. ^~ THIRD - +- cn --; _ c ~, I hereby give, devise and bequeath the rest and residue of my estate as follower ~~ MM_~ _ J ,~~..\ W ~ ~. a. Two-thirds to my daughter, Lori A. Prevost f > ~-: -- - .- -. -~, -- _..,.. b. One-third to be divided among any grandchildren I have at the of my death . and if they have not attained the age of eighteen (18) then to said grandchi~ IN TRUST, to be used for post-secondary education, with the balance to be distributed at the age of twenty-five (25). FOURTH All shares of principal and income hereby given shall be free from anticipation, assignment, pledge or obligation of the beneficiaries and any of them, and shall not be subject to any execution, attachment, levy or sequestration or other claims of the creditors of said beneficiaries or any of them. Page 1 of 5 pages. FIFTH Any person who shall have died at the same time as I or under such circumstances that it is difficult or impossible to determine who shall have died first, shall be deemed to have predeceased me. SIXTH N N All death taxes (and interest and penalties thereon) imposed as a result of my death upon the ,~ property passing under my Will, and upon assets held in any qualified or non-qualified deferred N compensation plan or IRA, and proceeds of insurance on my life, but not otherwise, shall be paid out o of my residuary estate, each share thereof, to bear a pro rata portion of such taxes. I authorize my Executor, in my Executor's sole discretion, to make an election, in whole or in part, to cause a Pennsylvania Inheritance Tax to be payable by my estate on property passing to or for the benefit of my spouse or to defer the Pennsylvania Inheritance Tax on such property. My Executor shall be without liability to anyone for making or failing to make such election. SEVENTH My Executor shall have the following powers in addition to those conferred bylaw until all property is distributed: (a) To retain any real or personal property in the form in which it is received. (b) To sell at public or private sales for cash and/or credit, to exchange, and to lease for any period of time, any real or personal property and to give options for such sales, exchanges, or leases. (c) To purchase all forms of property, including but not limited to stocks, bonds, notes and other securities, common trust funds, life insurance policies and real estate, or any variety of real or personal property, without being confined to so-called legal investments and without regard for the principle of diversification. (d) To purchase securities at a premium or discount and to charge such premium or credit such discount to principal or income. (e) To exercise any option arising from the ownership of any investment; to join in any recapitalization, merger, reorganization, liquidation, dissolution, consolidation or voting trust plan affecting any investment; to delegate powers with respect thereto; to deposit securities under agreements and pay assessments; to subscribe for stock and bond privileges; and generally to exercise all rights of security holders. (f) To hold property unregistered or in the name of a nominee. Page 2 of 5 pages. (g) To mortgage, divide, alter, repair and improve real property and generally to exercise all rights of real estate ownership. N N n N N 0 Q a u m a a 0 a r 0 0 u w 0 Z 0 0 r~ 0 0 J m U J J W Z Z Q z c~ a W U 0 J (h) To distribute in cash, in kind, or partly in each, and to cause any share to be composed of cash, property, or undivided fractional shares in property different in kind from any other share. (i) To compromise claims by or against my estate including but not limited to tax issues and disputes, without order of court or consent of any party in interest and without regard for the effect of such compromise on any interest hereunder. (j) To borrow money and to pledge any real or personal property as security for the repayment thereof. (k) To apply income for the benefit of any incapacitated individual to whom income may or must be distributed for any reason during the period of incapacity. Income not so applied maybe distributed to a custodian or accumulated, invested and if not sooner applied, paid to such individual upon gaining capacity. (1) To join with my spouse or my said spouse's personal representative in filing any joint income tax return, and to join in any gifts made by my said spouse for gift tax purposes even if this may result in additional liabilities for my estate. Any income or gift taxes due on such returns and any deficiencies, interest, penalties or refunds thereon shall be allocated between my estate and my said spouse or my said spouse's estate, or all to any of them, in such manner as my Executor and my said spouse or my said spouse's personal representative may agree. (m) To apply expenses of my estate permitted as income tax or real estate tax deductions and to value my estate for estate tax purposes by any method permitted. (n) To employ accountants, agents, attorneys, investment counsel, brokers, bank or trust company to perform services for and at the expense of my estate and to carry or register investments in the name of the nominee of such agent, broker, bank or trust company. The expenses and charges for such services shall be charged against principal or income. My Executor is expressly relieved of any liability or responsibility whatsoever for any act or failure to act by, or for following the advice of, such accountants, agents, attorneys, investment counsel, brokers, bank or trust company, so long as my Executor exercises due care in their selection. The fact that an Executor may be a member, shareholder or employee of any accounting, investment, legal or brokerage firm, agent or bank or trust company so employed shall not be deemed a conflict of interest. Any compensation paid pursuant to this subparagraph shall not affect in any manner the amount of or the right of my Executor to receive commissions as a fiduciary. (o) To invest any part of my residuary estate in, or lend money to, any closely-held business in which I may have an interest at my death for any purposes incident thereto, including but not limited to expansion and entry into new fields of business provided that only assets actually invested in such business shall be liable for the debts incurred in its operation. Page 3 of 5 pages. (p) To disclaim any interest in property without court approval. EIGHTH N N n N N O n_ Q a u m a a ~; N N X 0 m 0 a r W W K 0 0 r rc O Z 0 0 m (a) I appoint David P. Powell as Executor. If he fails to qualify or ceases to act for any reason, I appoint my daughter, Lori A. Prevost, as Executor in his place. (b) My Executor shall not be required to post security in any jurisdiction. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, this ~ ~ day of -rtC1-~L~-;~ , 200,x. yl~~ ~ ~~~~~ (SEAL) Jan .Diehl Signed, sealed, published and declared by the above-named Testator, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testator and of each other. WITNESSED BY: Page 4 of 5 pages. I, Janet M. Diehl, 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 and Testament; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. N N n n N N 0 n_ Q a u m a ~; N N X 0 m O a Jane .Diehl COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN On this .~6~day of ~~a'`~'j ,200~before me, the undersigned officer, personally appeared Janet M. Diehl, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing Last Will and Testament, who acknowledged that he executed the same as her Last Will and Testament. Notarial Seal ~.~?y,(~ Shirley J. Lloyd, Notary Public Nota City of Harrisburg, Dauphin County ry My Commission Expires May 23, 2605 Member, Pennsylvania Assaciation of Notaries We, .1n~+~-+r~ .,I )<a~~ ~, and I~i.S~ 6c~~- ,the witnesses whose names are signed to the attache-d o-~egoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his Last Will and Testament; that the testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the will as a witness; and that to the best of our knowledge the testator if age, of sound mind and under no constraint or undue influence. SEAL) Residing at: Sao Y~- SQcr~A~, ~,/' ~~ ~~/0 ~ SEAL) Residing at: C,~6 -,f-(M~t, , Pmt Subscribed and sworn to before me by both witnesses, this ~~ ~ day of , 200 .1 , U~ Notary P lic COMMONWEALTH OF PENNSYLVANIA Page 5 of 5 pages. Notarial Seal Shirley J. Lloyd, Notary Public City of Harrisburg, Dauphin County My Commission Exptres May 23, 2005 Member, Pennsylvania AssxlaUon of Notaries a ~ v~ ~~~~ CODICIL TO THE LAST WILL AND TESTAMENT OF JANET M. DIEHL, NOW JANET M. POWELL I, Janet M. Powell, of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be a Codicil to my Last Will and Testament, dated January 26, 2004, as follows: SECOND I give, devise and bequeath a life estate in my residence known as 14 Kings Arms, Mechanicsburg, Pennsylvania, to my husband, David P. Powell. Upon the death of David P. Powell, I direct that the house be sold and the proceeds by shared equally by my daughter, Lori A. Prevost, and the son of David P. Powell, Raymond D. Powell, or their survivor. In the event t at the resi~nce is sold by David P. Powell to purchase a new one, any proceeds procured from the seLsf said ~=~ residence shall be divided equally between them at the death of David P. Powell and ;sale of~e new residence. --_ ~ -~, - t1i ~ ~^ THIRD ~:~ -~ ~ ~ ~ `ca ~;» I hereby give, devise and bequeath the rest and residue of my estate as follow~,~.=~=+ _: ~' N b a. Any and all savings bonds owned by me at my death, plus two-thirds of the residue to my daughter, Lori A. Prevost b. One-third to be divided among any grandchildren I have, including after-born grandchildren, and if they have not attained the age of eighteen (18) then to said grandchild(ren), IN TRUST, held by David P. Powell and Lori A. Prevost as Trustees, to be used only for post-secondary education and/or extraordinary healthcare issues, with the balance to be distributed at the age of twenty-five (25). In all other respects, the Original Will, dated January 26, 2004, is hereby ratified in full. IN WITNESS WHEREOF, I have set my hand and seal to this, my Codicil to my Last Will and Testament, this ~'~ day of C~tt~L6l.~~- , 2008. ~?~~J~.~~L~~ (SEAL) anet M. Powell -- ~' t Page 1 of 3 pages. Signed, sealed, published and declared by the above-named Testator, as and for her Codicil to her Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testator and of each other. WITNESSED BY: ~:.~:.%- _v ,' v ~^ I, Janet M. Powell, 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 a Codicil to my Last Will and Testament; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. net M. Powell COMMONWEALTH OF PENNSYLVANIA COUNTY OF On this ~ day of ~' ,2008, before me, the undersigned officer, personally appeared Janet M. P ell, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing Codicil to the Last Will and Testament, who acknowledged that she executed the same as her Codicil to her Last Will Testament. ' ..~. N0~1RMIl TEAL ~NGEtI- ~ At~iRT Notary P blic Nday Awe NARRIp11R0i C111-. O~tlRiM! OQI~VIY My Con~MOn ~ X7.2010 We, .JO~r,r~a .) • I-~cT~ec.~ and ~~lef)a~c. I'~'~aY~~ne~ ,the witnesses whose names are signed to the attache~egoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as her Last Will and Testament; that the testator signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the will as a witness; 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. Page 2 of 3 pages. ~ ~'~- ~~'=~ ~ ~ -) (SEAL) f~ ,~ f~ ~~ (SEAL) Residing at: ~?~ •J~~~ s~~.~ ~ f~~~v~~~1. 9;,0 >~inf Residing at: j a~ ;~`~-~n ~I~e ~ ~ct~,rt~,5 ~u~u~ ~ ~~Q. ~ ~ «~ Subscribed and sworn to before me by both witnesses, this C9~-' day of MDWlIAL SEA! M16ElA t At~f No~ary'uhliC HIIRRG CRY, O~Af!'11NV COINVIY My C.omm~ion ExpM~a Jun Z7. TOlO 2008. Notary Page 3 of 3 pages.