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LIVING TRUST ESTATE OF MAZIE B. MOHNEY w;
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DISCLAIMER and RENUNCIATION T~ `-~'
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WHEREAS, Mazie B. Mohney died on October 28,
Cumberland County, Pennsylvania (the "Decedent").
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2007, a resident 'o~ ~am~?Hill
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WHEREAS, during the Decedent's lifetime, she created the Mazie B. Mohney Living Trust
dated February 11, 2002, and any amendments thereto (the "Trust"). The Successor Death Trustee
of the Trust is Franklin H. Mohney.
WHEREAS, the assets of the Trust are to be distributed into two separate shares to be
identified as the Survivor's Share and the Family Share. The Trust provides further that the Family
Share is to be held, administered and distributed according to the provisions of the Family Trust.
WHEREAS, the entire net income of the Family Trust and so much of the principal that is
necessary for his health, education, maintenance or support is to be distributed and paid to
Decedent's spouse, Franklin H. Mohney.
WHEREAS, the net assets of the Family Trust consist of those listed on Schedule A
attached hereto (the "Assets")
WHEREAS, less than nine (9) months have elapsed since the date of death of the Decedent
and the undersigned Disclaimant has not accepted any of the property of the Family Trust nor has
he exercised any control as beneficial owner over the Assets or any interest therein.
WHEREAS, the Disclaimant acknowledges that the effect of the execution of this
Disclaimer and Renunciation is that the Assets that would have otherwise been held for his benefit
under the Family Trust shall pass to his and the Decedent's son, Charles E. Gutshall.
NOW, THEREFORE, I, FRANKLIN H. MOHNEY, an adult beneficiary residing at
2958 Lincoln Street, Camp Hill, do hereby exercise the rights granted to me in the Pennsylvania
Probate, Estates and Fiduciaries Code, 20 Pa. C.S.A. §6201 et seq., to DISCLAIM AND
RENOUNCE all right, title and beneficial interest in and to the Assets. As a consequence of this
instrument, the Assets shall now pass to Charles E. Gutshall.
IN WITNESS WHEREOF, intending to be legally bound hereby, and intending that this
Disclaimer and Renunciation shall be filed of record with the Trustee of the Living Trust, as
provided in 20 Pa. C.S.A. §6204(a), I have hereunto set my hand this ~ day of July, 2008.
WITNESS:
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
.,
FRANKLIN . MOHN
ss:
On this, the ~ day of July, 2008, before me, a Notary Public in and for the
Commonwealth of Pennsylvania, the undersigned officer, personally appeared FRANKLIN H.
MOHNEY, known to me (or satisfactorily proven) to be the person whose name is subscribed to
the within instrument and acknowledged that he executed the same for the purposes therein
contained.
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Notary Public
My Commission Expires:
G~~'>,S~aal~
~~~ OF PENNSYLVANIq
Sal
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MY ~7~nwi !E>rp~xs ~,~y 25, 2011
Member, Pennsylvania Association o{ Notaries
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