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Home My WebLink About09-22-08 (2)PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Walter M. Fickes COUNTY, PENNSYLVANIA File Number 21-08- p ~ `1 also known as ,Deceased Social Security Number Virginia J. Fickes Petitioner(s), who islare 18 years of age or older, apply(ies) for: (COMPLETE i4' or 6' BELOW ) QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) Is/are the ExecutriX named in the last Will of the Decedent, dated 07/06/2005 and codicil(s) dated State relevant cYcumstances, e.p., renunclaften, death of executor, etc. Except as follows, Decedent did not many, was not divorced, and did not have a child bom 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: ,..,,,, ~~ ~ c- c~ - ~- r-i B. Grant of Letters of Administration ~?' - ap a e, en a .e.; ..n.a .e.; a e; n e e a: ure e e ~ ~. Petitioner(s) after a proper search hasmave ascertained that Decedent left no Will and was survived by the following spouse (if ari~-and h (If Adminisfratron, c.t.a. or d.b.n.c.t.a., enter date of ill in Section A above and complete list of heirs.) ~-,,. ~. __ Name Relationship Residence -~:~ ~ ~~ (COMPLETE IN ALL CASES:) Attach additional sheets If necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at 445 Carlisle Road, P. O. Box 5, Newviile, West Pennsboro, Cumberland, PA 17241 (Ust street address, town/city, township, county, state, zip code) Decedent, then 66 years of age, died on 03/07/2008 at Fawcett Memorial Hospital Port Charlotte, Charlotte County, Florida Decedent atdeath owned property with estimated values as follows: (If domicled in PA) All personal properly $ 5,000.00 (If not domiciled in PA) Personal properly in Pennsylvania $ (if not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 1,000,000.00 situated as follows: in Cumberland County, Pennsylvania ,. , Wherefore, Petitioner(s) respectfully request(s) the probate of tha last W ill 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 } SS COUNTY OF Cumberland The Petitioner(s) above-named swear(s) or afflrm(s} that the statements in the foregoing Petltlon are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal re~{ese ) of the Decedent, Pe~r(s~will we~ truly administer the estate according to law. ////// Sworn to or affinned and su scribed re a this ~ ''d`a~,of ~,~1 t.~~C,~ For he Register inia J. Fickes Signature of Personal Representative cv cam:, Signature of Personal Representative ~ ' 4, O cn - -~~ r~~ _ T, i : ~ -v _ _J ~- __ ' ,k . _.~ , rv _t _; ~ _ -- File Number: 21-08- ~p _ ~~ ~~ . _ , __... . _~ Estate of Walter M. Fickes ,Deceased,.,., - -"" Oo Socia- Sec~urlty~ Number:„, ~ y~~ Date of Death: 03/07/2008 AND NOW, ~.~1' ~ ~~11"U~~,~ ~ ~-~.~U~ , In consideratlon of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Virginia J. Fickes in the above estate and that the Instrument(s) dated 07/06/2005 described In the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent. FEES Letters ............................................ S 710.00 i~ Short Certificate(s) ........................ S 28.00 Renunciation(s) ............................. $ Attorney Signature: JCP Fee $ 10.00 Attorney Name: Automation Fee $ 5.00 George F. Douglas Esq Supreme Court I.D. No.: 61886 Will $ 15.00 Saidis, Flower & Lindsay $ Address: 26 West High Street $ Telephone: TOTAL .................................... $ 768.00 Carlisle, PA 17013 717-243-6222 Form R W-02 Rav. ~a~s-2ooe coPyrrflnt (e) zoos roR„ aonwara a,iy n,e ~a~a cxaup, irc. Pace z a z _ _ _- _ - ~'~ ~ OFFICE of VITAL STATISTICS ~ ~' ~_ ,~ CERTIFIED COPY -- _ I r, PE IN I •^ ~(.~`~ FLORIDA CERTIFICATE OF DEATH wWENr LOCAL FILE NO. .CM INK to (~,~ tJ ~~~ 1. OECEDENPS NAME (First, Middle, Last, SuNix) '"~-- 2. Walter M. Fickes ~- Male -~--~ 3. DATE OF BIRTH (Month, Day, Yeer) 4a. AGE-l asl °.IM~tlay 4b. NOE 1 V R 4c. UNDE 1 DAY 6: DATE OF DFJ17H (MOntjLDgy, Year) ~~ (` ears) Mon MS Days Hours MJnures i -) Jul 22 1941 66 .March 7 YS08 N 6.SOCIAL SECURITY NUMBER _ 7.BIRTHPLACE (City and SYefe or Faraign Country) e. COUNTY OF DEATH 181-32-7352 Carlisle Penns lvania Charlotte 9. PLACE OF DEATH HOSPITAL ]~ Inpatlent Emergency RoonJOUtpatleni _ Dead on Arrival (cheat Dory anal - NON-HOSPTAL: _ Hospke Facility _ Nursing Home/Long Term Care Farility _ Decadenl's Home _ Omer (Specfy) 19. FACILRY NAME (M not Jns7ltuh'on, give street edtlreas) i te. CITY, TOWN, OR LOCATION OF DEATH 11b. INSIDE CITY LIMITS'? Fawcett Memorial Hos ital Port Charlotte Yes ~C No _ 12. MARITAL STATUS (Spea/y) 13. SURVIVING SPOUSE'S NAME (I/wpe, give maiden name) ]Marred _Martied, but Separated _Widowed _Divorced Never Married VlrCJ].nla Jean Young 14a. RESIDENCE -STATE 14b. COUNTY 14c. CITY, TOWN, OR LOCATION Penns lvania Cumberland Newville - 74d.STREETADDRESS. 14e. APT. NO. 14f. ZIP CODE - 14g. INSIDE CRY LIMTS'? 445 Carlisle Road 17241 vea X No . , ISa. DECEDENTS USUAL OCCUPATION(Irldreare type o/xwk done during most o/aaMng We.) 76b. KIND OF BUSINESS/INDUSTRY Dc oar use 'Retlred' tvn r O er or $110 16. DECEDENTS RACE (Speary rite racehaces ro irrdkete what decedent considered MrnaegAwrsef/ k bed More than one race maybe specilfetl.) ]~ Whtta _ Bledr or Ahicen American _ Amercan Indian or Alaskan Natlve (Speaty Wbe) -Asian Intlian _ CNnese _ Fllipino _ Japanese _ Korean _ Vletnemeee _ Other Asian (SpeMy) _ NatNe HawaiWn _ Guamanian a Chamono _ Samoan _ Other Pacific Isl. (Specify) _ Other (SPeUIy) ~ 17. DECEDENT OF HISPANIC OR HARUW ORIGIN? Yes (K Yes specf/y) 1w'a+ - Mexkan _ Puerto Rlran _ Cuban CentraVSOUth American (Specify Il decedent was of HJapank or HeWan Origin.) - - -Omer Hiepank (Specify) Haitian ~ 16. DECEDENTS EDUCATION (Speciy the decedent's hi hest de r l ? ol d d _ g g ee or ave s p Nmplefed M time of deem.) 19. WAS DECEDENT EVER IN - 6th or less _ High achocl but no dipbma ]~ High ectx»I dipbma ar GED U.S. ARMED FORCES] ~ _.Cdlege but no degree Calbge degree (Specfy): _ Associate _ Bachelor's _ Masters _ Doctorete _Yes X Na 20. FATHER'S NAME (First, Middle, Lest, Suffix) 21. MOTHER'S NAME (First, Middle, Mekan Surname) Walter W. Fickes Martha McDonald 22a. INFORMANTS NAME 22h. RELATIONSHIP TO DECEDENT 23a INFOfiMANPS MAILING -STATE Virginia Jean Fickes Wife Pennsylvania ~ 23b. CITY OR TOWN 23c. STREET ADDRESS 23tl. ZIP CODE Nerrville 445 Carlisle Road 17241- 24. PLACE OF DISPOSTION (Narne o/cemetery, crematory, or otlwrplace) 25a LOCATION -STATE 256. LOCAj10N • DR'I OR TOWN Westminster Memorial Gardens Penns lvania Cariiale 26a. METHOD OF DISPOSITION _ Burial _ Emombment _ Crernatkn _ Donation X_ Removal/ram Slate _ Omer (Speay) 26b. IF CREMATION, DONATION OR BURIAL AT SEA, 27a. LICENSE NUMBER (ot LJCensee) 27b. SI NATURE OF FUNERAL SERVICE LICENSEE OR SON ACT AS SUCH WAS MEDICAL EXAMINER APPROVAL GRANTED? _Yes _NO F043684 - 28. NAME OF FUNERAL FACILITY LRY'S MAILING -STATE ~ Lar Ta for Funeral and Cremation Services Florida 28b. CITY OR TOWN 29c STREET ADDRESS 28d. ZIP CODE > Punta Gorda 1515 Tamiami Trail 33950 _ 30. CERTIFIER: ~_ CaltXying Physician - To of my krxrwledge. death occurted al tM tkne, Uate and place, and due b the cause(s) and manner atetetl. 3 (Check one) _ Msdlal nsr - asis of ezemmatlon, anNm invest tlon, in m 19a y oplnbn, deem occurred at Ure tlme, date and pace, due to the cause(s) antl manner stated. E 31 a. (Syrwture arrd Tith of C 31 b. DATE SIGNED (mMddyyyy 32. TIME OF DFATH (24 hn) 33. MEDICAL EXAMINER'S CASE NUMBER ~ r - F'fs"d5t~:~t4'S D3 (o oZo 0 ~ 1428 3 _ _ _ _ _ _ _ _ _ 34a. LICENSE NUMBER (c/ fierj 34b. CERTIFIER'S NAME 35. NAME OF ATTENDING PHYSICIAN (I/otller gran Cep' ME 66791 Steven Christesen M.D. 8 w 38a. CERTIFlERS -STATE 366 CITY OR TOWN . 36c. STREET ADDRESS 36d. ZIP CODE Florida Port Charlotte 3440 Tamiami Trail, Suite 2 33952 37. SUBREGIS7RAR -Signature ell Defe 38a. LOC REGISTRAR - Sl~nefwe 38b. DATE FILED BV REGISTRAR (MO., Day Yr.) - 6G 39. PROBABLE~.IANNER OF DEATH I The followirp are urMer 1ha )rxisrfclWn y the medkal examiner. 40. REPORTED TO MEDICAL EXAMINER DUE TO _ Natural i _ AccMent _ Sukitle _ HoMade _ Pamtlng Inveetlgatbn _ Untletennined .CAUSE OF DEATH? _ yes X No at. CAUSE OF DEATH -PART 1. Eraer me chain of evema - dlessee, InJurlee, or complications -mat directly caused the death. Eller only one cause on a Ihre. Approximate Interval , (Sea insiruMions on beck) DO NOT enter terrranel evert such m cardac arrest, respirerory arrest, or venakWar ilbriiletlon without showlrg ill etiology Onse[ to Deam , i IMMEDIATE CAUSE (Flnai disease ar corKation /} A ~ 7 p _ L 9 /~ `r L eh tsArM1~, ~-/~,.~.,~~ re tti i d m se ) e, ng n ee J I ~~_ .. Ic :....r ..., v. Seauerroally Hst comilNOna, ~T/~-/~/d Lo cp CC,}L ~' mn, vN+~A, ( it arty, leading to the cause b. (S s~ dW Wr ~n-f ~ ~ r /ZT \ 1 Ilsletl on line a. Eller the ~ ~~ ~ - ~ UNDERLYING CAUSE ~ ~- ~~~~ ~- - . ( (tllaeese a Mlury that c ) 1 INtlated the eveMS _, -_ ' : - ~ . .. _ g .r, :. ; •!r,:, . : -.:..:'..; . ~. resJltlng in death)LAST .. d, d $ ~ PART B. Other 61 Yk N ^^aIN - ~+;~ - ro loam but not resetting M the untleryfrg cause given M PART 1. 42e. WAB AN AUTOPSY alb. WERE AUTOPSY FINDINGS AVAILABLE PERFORMED? TO COMPLETE THE E OF DEATH? _ Ves ~C No _Yes No E 43a. IF SURGERY MENTIONED IN PART I OR II, ENTER REASON FOR SURGERY 43b. DATE OF SURGERY (MO., Day, Yr) _ 44. DID TOBACCO US~TRIBUTE TO DEATH? 3 ~ ~-- _Yes _ No _ ProbaNY _ Unkrwwn 45. IF FEMALE, WAS SHE PREGNANT WITHIN THE PAST YEAR: - . ~ w -Yes _ No _ Unknown X Yaa, apedly tlmehame: _ at tlme of deem _ wlmin 7 ro 42 tlays of tleam _ wi9an 43 days b 1 year of deem 46. GATE OF INJURY (Mmm, Day, Yeen 47. TIME OF INJURY (24 fr.) 4B. INJURY AT WORK? 49a. LOCATION OF INJURY -STATE - _ Yea _ No 4 w Jgg • 49b. CITY OR TOWN 49c. STREET ADDRESS 49d. APT. NO. 49e. ZIP CODE 50. DESCRIBE HOW INJURY OCCURRED 51. PLACE OF INJURY (e.p. Decedent's hnrrre, _ cpneQlUdfion site, restaurant, woodetl area) _......._.. _.__.... __. _-.__ _. __~~..... _ Drwer/Operetor _ Peas®nger _ Pedestrian _ Other (SpeC/lyl ro 52b. type o1 VMlda _ ~/MinNan _ S.U.Y. Motorc/cie Pickup TrucWCargo Yen Bus Heavy TransP rt ghat (Spedly) 9 >_I _ lG ! ,. ~..r4 ~~-~ i~2'~ ~~ r ~~~,.~ Z ~~Q _ March 1 4 , 20 0 8 / _ (/ ~i CHARLOTTE COUNT HEALTH DEPT., 514 E. GRACE ST., PUNTA GORDA, FL 33950 FLORID DBPAA'TMBY4'P OP THIS DOCUMENT IS PRINTED OR PHOTOCOPIED ON SECURITY PAPER WITH A WATERMARK OF THE GREAT HEALT WARNING: SEAL OF THE STATE OF FLORIDA. DO NOT ACCEPT WITHOUT VERIFYING THE PRESENCE OF THE WATERMARK. ~~~~± THE DOCUMENT FACE CONTAINS A M LTI L R __ e U -COO ED BACKGROUND AND GOLD EMBOSSED SEAL. THE BACK i CONTAINS SPECIAL LINES WITH TEXT AND SEALS IN THERMOCHROMIC INK. a ~: wa~~`' 3 4 2 8 0 9 2 4 OH F ~M 1 .7 (08/D4) - . - . I IIIIII VIII VIII VIII VIII VIII VIII VIII IIII II 3 4 2 8 ~1 9 2 4 ~; Vii,++~° ~~~ ~~, ~j ~ ~~ : ~ ~ LAST WILL AND TESTAMENT r` ~,~ , ~. ~ , I ~.; OF WALTER M. FICKES ~~~~ ~ .. ~~ I, WALTER M. FICKES, of Newville, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my just debts and expenses of my last illness and I~ SAIDIS SHUFF, FLOWER & LINDSAY ATTORNEYS • AT• LA W 2109 Market Street Camp Hill, PA funeral from my estate as soon after my death as conveniently may be done. If there be no cemetery lot available for my interment owned by me at the time of my death, 1 authorize my personal representative to purchase such cemetery lot with a contract for perpetual care, using therefor funds from my estate in such amount as s/he shall consider necessary and desirable, and I authorize my personal representative to cause title to or ownership of such lot so purchased to be vested in such person as my personal representative shall designate. Further, I authorize my personal representative to expend funds from my estate, in such amount as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. SECOND DISCLAIMER TRUST: If my wife survives me fora .period of thirty (30) days but disclaims in whole or in part any property or interest in the marital deduction gift, such property or interest so disclaimed shall be distributed to my hereinafter named trustee as a Disclaimer Trust, to be held and distributed as follows: A. During the lifetime of my wife, VIRGINIA J. FICKES, my trustee shall SAIDIS SHUFF, FLOWER & LINDSAY ATi'DRNEI'S•A7•LAW 2109 Market Street Camp Hill, PA . pay and distribute to her or for her benefit the entire net income therefrom, which payments shall be made to her periodically but not less frequently than quarterly. In addition, trustee shall from time to time pay to my wife, or shall apply directly for her benefit, as much of the principal of the Disclaimer Trust as my trustee may consider desirable for her health, maintenance and support, after considering all resources available to her. B. Upon the death of my wife, my trustee shall distribute the principal and any accrued and undistributed income of the Disclaimer Trust, in equal one-half (1/2) shares to my sons, W. JAMES FICKES and BRADLEY E. FICKES, or their issue, per stirpes. THIRD MARITAL DEDUCTION GIFT: 1f my wife, VIRGINIA J. FICKES, survives me, I give the rest, residue and remainder of my estate outright to her free of all trusts. If my wife disclaims all or any part of her interest in this residuary gift, such disclaimed property shall be added to and be held and distributed in accordance with the terms of the Disclaimer Trust. 2 FOURTH In the event my wife does not survive me, I give the rest, residue and remainder of my estate in equal shares to my sons, W. JAMES FICKES and BRADLEY E. FICKES, or their issue, per stirpes. FIFTH If my wife and 1 should die under circumstances that render the order of our deaths uncertain, for the purposes of the residuary marital gift, it shall be conclusively presumed that my wife survived me. SIXTH e r I'~ SAIDIS SHUFF, FLOWER & LINDSAY ATTORNEI'S•AT•lA W 2109 Market Street Camp Hill, PA No interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual paym~;nt to the beneficiary. SEVENTH 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 X999, the 'Prudent Investor Act," with the specific right to 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, 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 3 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 SAIDIS SHUFF, FLOWER & LINDSAY ATTORN£YS•AT•lA W 2109 Market Street Camp Hill, PA 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 crE:ated hereunder; 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 al{ rights of security holdE:rs; 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 bei:ween principal and income, as my corporate or disinterested executor shall determine; K. To join with my wife and file any income tax or gift tax returns that may be due on my behalf and to pay so much of such taxes as my corporate or disinterested executor may deem appropriate and to consent to any gifts made by my wife being treated as having been made one-half (1/2) by me; L. To associate with them in the absence of a corporate fiduciary, an accountant, custodian and investment advisor, and other agents and to compensate them from principal or income or both, as my executor or trustee shall determine; M. To associate with them at any time, in their absolute discretion and of their choice, a corporate fiduciary which shall have the same powers as my executor or trustee, such designation by my executor or trustee and acceptance by a corporate fiduciary to be in writing; 4 N. To delegate to a corporate fiduciary the exercise of any powers, with the same effect as if the executor or trustee delegating such power had joined in the exercise of such power, and to revoke any such power, provided, however, that the revocation of any such delegation shall be in writing delivered to and accepted by the corporate fiduciary; O. To combine, without prior court approval, any trust herein with any other trust with substantially similar provisions, although such other trust may have been created by separate instruments and by different persons, and, if necessary to protect different future interests, to value the assets at the time of such combination and to record the proportionate interest of each separate trust in the combined fund; provided however, that no such combination shall be permitted if the effect of such combination would be (1) to violate the applicable rule against perpetuities; or (2) to disqualify any interest in one or more of such trusts for a deduction for federal estate tax purposes which would otherwise be allowable; ,~,,, SAIDIS SHIJFF, FLOWER & LINDSAY ATTORNEI'S•AT•IA W 2109 Markel Street Camp Hill, PA P. 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; Q. To permit any present beneficiary to occupy any real estate forming part of the trust estate without rent or on such other terms and conditions as the disinterested or corporate trustee shall determine; R. 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 account 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; S. To disclaim any interest in property without court approval; and T. To do all other acts and things necessary or appropriate in the management, administration and distribution of my estate or trust. EIGHTH My executor and trustee shall pay all estate and inheritance taxes which shall be payable with respect to property passing under my will out of the Disclaimer Trust without apportionment. Only to the extent the Disclaimer Trust is 5 insufficient or unless my wife predeceases me shall any such payments be made from my residuary estate. NINTH I appoint my wife, VIRGINIA J. FICKES, as executrix of my will. If my wife, VIRGINIA J. FICKES, is unable or unwilling to qualify as executrix, or having qualified is unable or unwilling to continue to act, I appoint my sons, W. JAMES FICKES and BRADLEY E. FICKES, to act jointly as Co-Executors. TENTH I appoint my wife, VIRGINIA J. FICKES, as my trustee. In the event that my trustee shall be unwilling or unable to server or to continue to serve, I appoint my sons, W. JAMES FICKES and BRADLEY E. FICKES, and the survivor of them, to act jointly as Successor Co-trustees. ELEVENTH 1 direct that no fiduciary hereunder shall be required to furnish bond in any jurisdiction, and if any bond is necessary, no surety shall be required. IN WITNESS WHEREOF, I, WALTER M. FICKES, have hereunto set my SAIDIS SHUFF, FLOWER & LINDSAY ATTORNEI'S•AT•LA W 2109 Market Street Camp Hill, PA hand and seal to this my Last Will and Testament, consisting of seven (7) typewritten pages, the first six (6) of which bear my signature in the margin for identification, this ~~ day of , 2005. R~ / WALTER M. FICKES, Testator 6 Signed, sealed, published and declared by the above-named WALTER M. FICKES, Testator, as and for his Last Will and Testament in the presence clf us, SAIDIS SHUFF, FLOWER & LINDSAY ATTORNEI'S•AT•1.AW 21D9 Markel Street Camp Hill, PA who have hereunto subscribed our names at his request as witnesses thereto, in the presence of said Testator and of each other. ~~. ~ ADDRESS ,~,~~ ,.~,'c~_ ~- ADDRESS 1 ~ ~,~ - ~- , ^Lc ~-a - ~~,~, S~ . C~~~~~~~ ~o~ ,_ t `l ~ i~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. We, WALTER M. FICKES, ~++or/Ir~s ~~ %-;-z' i,L'~~~ and ~~~~rc. ~ ~- ~~`~'~~ ~`;~ the Testator and witnesses, respectively whose names are signed to the foregoing or attached 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 Testament and that he signed willingly and that executed 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 1,Nill as witnesses and that to the best of their knowledge the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~e ~ - WALTER M. FICKES Witness i~ ~ Witness Subscribed, sworn to and acknowledged before me by WALTER M. FICKES, the Testator, and subscribed to and sworn or affirmed to before ~e by ~h~~n r,,p ~ ~~~-~ and L(TC ~ Uu ~. ~, witnesses, this ~_ day of , 2005. r „~ ~ /"~1 Notary Pic NOTARIAL SEAL MERLENE J. MARHEVKA, NOTARY PUBLIC ~ CARLISLE. CUt,ABERLAND COUNTY, PA ~~ Afi' COMPdiS51ON EXPIRES JUNE 8, 2006 SAIDIS SHUFF, FLOWER & LINDSAY ATI'ORNE~~S'AT' ~ W 2109 Market Street Camp Hill, PA 8 <~ ~ -~ C-