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HomeMy WebLinkAbout11-20-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Blanche G. Fromm also known aas File Number 21-08- `~ Deceased Social Security Number 162-07-3154 Mark D. Meabon Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE= `A' or `E3' BELOW) ~X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent, dated 11/25/1992 and codicil(s) dated 07/28/1995 Decedent's son, Thomas L. Fromm, died on l~'~' ~i~y 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 app Ica e, en er: c..a.; . . n.c. t.a.; pe en e i e; uran e a sen ia; uran a moron a e 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 Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence n ~' =ru ~ " - ~-; ,~ - n tv - ~'c ti _ ~ c_~ (COMPLETi5 IN ALL CASES:) Attach additional sheets if necessary. ~ -~ - iy to Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at ps Church of God Home, 801 N. Hanover St., Carlisle, Carlisle, Cumberland, PA 17013 (List street address, town/city, township, county, state, zip code) Decedent, then g7 years of age, died on 06/25/ at ~'~~dt11> Decedent a1: death owned property with estimated values as follows: (If domiciled in PA) $ .~ V ~~ (If not domiciled in PA) - (If not domiciled in PA) Value of real estate in Pennsylvania situated asfollows: All personal property Personal property in Pennsylvania Personal property in County 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: - ,Signature Typed or printed name and residence Mark D. Meabon 130 Fairway Drive ~r ..- rj Dillsburg, PA 17019 Form RW-O?' Rev. 1t)-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS couNTY oF~ Cumberland 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 D d~'nt, Petitioner(s) will well and truly administer the estate according to law. r-'' ~ ,,~~ ~ , Sworn to or affirmed and subscribed Signature of Personal Representative Mark D. Meabon before me this ~ day of ~ rr~`',~- __ :~ ~ ~ cn Y~tt J_~ Signature of Personal Representative S x _ Far the Register Signature of Personal Representative ~ -~ :11> •• Ln File Number. 21-08- "~=Zj Estate of Blanche G. Fromm ,Deceased .moo-, ~ ~ ~_ Social/l ecurity Number: 162-07-3154 ~/~~}Date of Death: 06/25/~9A8- AND NOW, ~~U rr ~ , G2~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Mark D. Meabon and that the instrument(s) dated 11/25/1992 07/28/1995 in the above estate described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~,F~FjEES Letters..........,,~t {,fix' .................. $ `166 OL Short Certificate(s)...........~....... $ / ~, Sc~ 0 Renunciation(s) ...................~........ $ $ _ /S $ /n t,/ $ ~~" $ $ $ $ off' TOTAL .................................... $ Supreme Court I.D. No.: 28078 The Wiley Group, PC Address: 130 W. Church Street Dillsburg, PA 17019 Telephone: 717-432-9666 Form RW-O? Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 '1/~'~,~tvl'•: I~ 45 tIIE?C~al 1C't L`~U~.sit`e?t~e ±~tyc; ~t~~)'~r` f3`~ K)alCl'~(3~a~~?i '~Y {;~~3~''? . ,., P 1_~5~~ 0~7 .... ........ ....... ........ . _ __ ~•.~ ~~ ~ ,; l `l j ~ 7 +~'. . -. ~ w _ , t y L T ...~, ~,~ - Y ' f I`I ~• ~ '~ _~ ~ ^~ - }y ~ REV 11/2006 PRINT IN ANENT ,K INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH ` (See instructions and examples on reverse) STATE FILE NUMBER ~ 1 ~j [~ \`r~. 1. Name of Decedent (first, middle, last suffix) 2. Sex 3 Social Seariry Number 4. Date of Death (Month, day, year) Blanche G. Fromm Female 162 - 07 - 3154 June 25, 2007 5. Age (Last Birthday) Under 7 year Untler 1 day 6. Date of Birth (Month, day, year) 7. &rthplace (City and stale or loraign country) be. Place of Death (Check only one) MonaS Deys Hours Minutes Hospital: Otner. 96 vra 9-25-1910 SllIIbu , PA ^ Inpatient ^ ER I Outpatient ^ DOA ®Nursin Home g ^ Residence ^Other ~ Speciy'. Bb. County of Death ea Ciry, Boro, Twp. of Death 60. Facility Name (If not Institution, give street and number) 9. Was Decedent of Hispanic Origin? ~ No ^Ves 10. Race: American IMian, Black, White, etc. pl yes, specify Cuban, (Speciryf Cumberland Carlisle Church of God Home Mexican, Puedo Rican, etc.) White 11. Decedent's Usual lk al'on Kind of work d one Burin most of woddn INe. Do not state retired 12. Was Decedent ever in the 13. Decedent's Education (Specify onty highest grade compl eted) 14. Mental Status: Married, Never Married, 15. Surviving Spo use (If wife, give maitlen name) Kind of Work Kind of Business I Industry U.S. Armed Forces? Elementary / Sewndary (0-12) College (1~4 or 5+) Widowetl. DivorCetl (Speciryl Operator Education ^Vea ®Np 12 Widowed 16. Decedent's Matting Address (S1reeL city I town, state, irp code) Decedent's Did Decedent Penns lvania y 801 North Hanover Street Live in a ^Ves, Decedent Lived m AcNalResitlance 17a.Slate ,7p Twp. Carlisle PA 17013 Townshp? rn. cpunty Cumberland 17tl.~ ~~o a~souyed w;min Carlisle , ~ ciglBom 18. Father's Name (First middle, last, suaixj 19. Mother's Name (First, midtlle, maiden surname) H.S. Gass Clara Tha 20a. Informant's Name (Type r Print) 20b. InfornwnYS Mailing Address (Street dry I town, state, zip cotle) Curtis Fromrm 4201 Gett abut Road, Lot # 10, Cam Hill, PA 17011 27 a. Melhotl of Disposttion ~Cremalim ^ Donator 21 b. Date of Dispositbn (Month, day, year) 21c. Place of Disposttion (Name of cemetery, crematory or other place] 21d. Lxatlon (OUy /town, state, zip code) ^ Burial ^ Removal from Slate i Was Crematlpn or Donation Auttanzed • ^ Other-Specify: ~j byMedlcalExaminerlCororter? vas^Np 6-27-2007 Cremation Soeiet of PA Harrisbur PA 17109 ' 22a. $igna of Funeral ice Licensee (or Parson acting es such) 22D. License Number 22c. Name orb Address of Pecilit~uer MemOria Home and Cremation Services , Inc . . ~ ~~,~-~ ~,a. /I,,.~--- FD 013376 - L 4100 Jonestown Road, Harrisburg, PA 17109 Cm,ple tams 23a< only wfien certifying l ti of tl lh to i il bl h ' 2 To the best I m~knowledge, tlealh occunetl at the time, tlat antl place slated. (Signature and atlej J 23b. Lcense Number ` 23c. Date Signori (Month, tlay, year) '' ' ysician s not ava e a me ea p a /// ~ / _ ~J ~~ ~ C ~ ~ ' '~L"~ C ~) (~ ~ ~ l ~ '~ ~ ~ ~ 7 ) ~ ~C~ ' _ certfly cause of death. l.~Va.. .~ ,- / .. , , X.. / V / j~ 7( /(,L Items 24-26 must be completed by person 24. Time of Death ~'" , ~ 25. Date Pronoufnced Dead (MOnlh, day, year) ~ ~~~~ ~ 2fi. Was Case Refereed to Medical Examiner /Coroner for Reason Other than Cremation or Donation? who pronounces death. / 7 ~ M. \ '~ ~ ^Yes ^ No CAUSE OF OEATH (See Inatruetlone an0 a pies) r Approximate interval: Pan II: Enter omer signifcam condilipns contribmirw Ip death, 28. Did Tobacco Use Contribute to Death? Item 27. Pen I: Emer the ~pw30S;; - tliseases, injures, or camplicatians -Mat Grectly caused Me tlealh. W NO7 enter terminal events such as caNiac artest Onset to Death but rwl resulting in the undedying cause given In Pan I. ^ Yes ^ Probabty respiratory angst, a ventricWar fibnpation wimal showing the etiology. List only pre cause on each line. i Q•~NO ^ Unknown IMMEDIATE CAUSE ffFnal tlsease or t condition resultingm d~th) _' a SE~S'Y ~ ; ~ti 4..4.L.~ A.~..l V\CEf1_ 29. 1If; Fye,~male. Due to (or as a Consequence of): ~ rvol pregnant within past year Sequentially list rnnditions, if any, b ~ R„Z('tq Z rLJ9 a- r ~f ~• Z~ ~ ~'°~• ~ _ i Lz1~/ ~ UL ~ ~` y ~ 01 ^ Pregnant at time of death laaarg to me cause listetl on line a. Enter the UNDERLYING CAUSE Due !o (or as a cpnsequence ^ Not pregnam, but pregnam withn 42 tlays (disease or injury that inidatad the C ~ events resulNrK in death) LAST r of deem . ) Due Ip (or as a consequence oQ: Nof pre rant, but pre nt 63 da t ^ g gna ys o 1 year d- belore tleatn ^ Unknown if pregnant within the past year 30a, Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, day, year) 32h. Describe How Injury Occuned 32c, Place of Injury: Home, Farm, Street Factory, Penormed? Available Prior to Complelim ~Metural ^ Hpmictle Ofike Building, etc. (Speciy) of Cause of Death? ^ Ves [~.NO ^Ves ^ No ^ Aaitlenl ^ Pending Investigation 32d. Time of Injury 32e. Injury at Wodr? 32t. It irarisponation Inury (Specity) 32g. Locatlon pf Injury (Street city I town, stele) ^ Suitide ^ Could Not be Determuted ^Ves ^ No ^ Driver I Operator ^ Passenger ^Petlestnan M ^Other- Speciy 33a. Cenifier (check onty one) 33b. Signature and Title of nifier • CenNying physldan (Physician certirying cause of deem when another physidan has protwuncetl tleam and completed Item 23) ~~ C P ~ o To the Feat of my knowbdge, r1eaN occurred due to the cause(s) antl manner as slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ _ _ • Pronouncing and certitying physician (Physkian both pronouncing death and cenilying to cause of death) To the bast of my krrowledge, death occurred at the time, date, and place, and due to the cause(s) and manner es slated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ 33c. License Number 33d. Date ,gne Month, tla year) ~ • Medical Examiner /Coroner U ~. ~ SO ~ ~ ~ ~a - L ZC On the bests of exeminatlon and I or Investigation, in my opinion, deelh occured at the time, date, end place, and due to the cause(s) and manner as slated_ ^ 34. Name and Address of Person Who Com~letatl Cause of Death (Item 27) Type I Print ' b p ~' ~ ~ 35. Registrar's Signature a 'strict Number ~ I o71 tl ~ /I / I '~ ~ ~ 36. Dale Bled (Month, da ,year) ~ .~o~ rSe.!'~y la +2o e `u z..zo .. s ~ ~ ' G: G ~17 p .i 0 3 LAST WILL AND TESTAMENT ~ c~ `~ OF -~ ~„ _ _ __.. . r- "' BLANCHE G. FROMM y'~ ~ BE IT REMEMBERED that I, BLANCHE G. FROMM, of Le Tort honor, 80~,nHannove~ tT Street, Carlisle, Cumberland County, Pennsylvania 17013, being of sound mind, memory, and understanding, do make, publish, and declare this as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments, or writings in the nature thereof, by me at any time heretofore made. 1st: I direct that all of my just debts and funeral ext,~nses be paid and discharged as soon as may be convenient after my dece~:,e by my executor or alternate executor, hereinafter named. 2nd: All of the rest, residue, and remainder of my estate, of whatsoever nature and wheresoever t,ie same may be situate, whether real, personal, or mixed, ~ give devise and bequeath unto my beloved husband, T. LYNN FROMM, to be his a~solutely and forever, provided that he survives my death for a period of thirty {30) days. 3rd: In the event that my husband, T. LYNN FROh4M, should predecease me or LAW OFFICES FETTER, NESSLER 6 PERSING B NORTH THIRD STREET P. O. BO% 512 LEWIS BURG, PA I7B3J-0512 jin the event that he should fail to survive my death for a period of thirty {30) days, then I direct my executor or alternate executrix, hereinafter namad,i I to convert all of the rest, residue, and remainder of my estate, of whatsoever nature and wheresoever the same may be situate, whether real, personal, iir Blanche G. Fromm mixed, into cash, at either public or private sale, whichever my- said executor or alternate executrix may deem to be for ttte best interests of mL F~state; .:,nd, for this purpose, T do hereby authorize and empower my said eaecutcr or alter- pate executrix to make ~gcod and sufficient deeds, in fee sirr,ple, fc~r :~i~~- ,~r.d all real estate, which I may own a.t the time of mti~ death, tl~e s;~me a,s l r~igl~t. do if then living. ~lth: The cash fund so realized from the conti~er°sion of m estate, I ilir•ect to be divided into two {2} equal shares, Which 1 do gi~•e and bequeath as follows: A. C?ne (1) equal sharz thereof unto my son, THO~i~S L. FROb1'~i, or to hi=; {phi ldren ir, the ei~ent. treat he should mgt survive me, to be his or theirs :.absolutely ar~d forever. B. One 41) equal share thereof to be equally di~'ideci,rimong my then living grandchildren, to be theirs absolutely and foretier. LASTLY, I hereby nominate, constitute, r.-~,nd appoint my son, THGhi.AS L. FROMnI, LAW OFFICES "ETTER, KESSLER 6 PERSING 8 NORTH THIRD STREE-f P. O. BOX 512 .EWISBU RG, PA 1783 ~-09:12 to be the executor of this, my Last Will and Testament. In the event that my ,son, THOMAS i.. FR0'!1h1, should not survive me or in the event that he should fail to qualify°, then I hereby nominate, constitute and appoint my daughter-in-law, ', w. Y6`Oti\E FROAiM, to be the first alternate executrix of this my Last kill and Testament; my named executor and alternate executrix shall serve without bond, '.irrespective of his or her place of residence at the time of my death. IN WITNESS WHEREOF, I, the said BLANCHE G. FROMM, have to this, my Last !Will and Testament, written and contained on three (3) pages of paper, sub- J=~ ~d, `= rr,>rrvr,.,, , (SEAL ) Blanche G. Fromm - 2 - scribed my jjn``ame and affixed my seal to each of the three t3) pages thereof, this ~~__ day of /~-lcj~c°'~ `~ may, one thousand nine hundred ninety-two (1992). ,~'~r,vi.t-~c,~ ~ ~ZrT~'~`'' Y t SEAL ) Blanche G. Fromm * * * * * * * * * * * * The aforegoing instrument, written and contained on three (3) pages of paper, iwas subscribed by the said BLANCHE G. FROAg1 on each of the three (3) pages thereof and sealed, published, and declared by her, the said BLANCHE G. FROMM, as and for her Last Will and Testament, in our presence and in the presence of each of us, and we, at the same time, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses, this ,~ of ~~a~~rh ,/-`~~,.' one thousand nine hundred ninety-two {'`1992) . .,,~ '~` residing at 5 Jefferson Ave.,_Lewisburgy, PA 17837. l ~,, r1 ~ residing at RD 4~1 Box 409C, Mifflinburg, PA 17$44. l~W OFFICES FETTER, NESSLER 6 PER5ING 8 NORTH THIRD ST RE~ET P. O. BOX 512 LEWISBU RG, PA 1783)-OS12 - 3 - COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF UNION ) We, BLANCHE G. FROMM , W. ROGER FETTER and KAREN L. WATTERS , the testatrix and the witnesses, respecti~~e- ly, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and Testament, and that she signed willingly, and that she executed it as her free and voluntary act for the purposes herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the will as witness and that to the best of his or her knowledge the testatrix was at that time eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. `' A `~ ~" Test t~1x C ~~ , ,.; ~. Wi Hess i ~ UW OFFICES FETTER. KESSLER d. PERSING _'( ~ ,~ ,L(~ b'1 Witness B NORTH TRIRO STREET P. O. BOX !~ i 2 LEWISBU RG, PA 17837-0512 Subscribed, sworn to and acknowledged before me by BLANCHE G. FROMM, testa- trix, and subscribed and sworn to before me by W. ROGER FETTER and KAREN L. WATTERS , witnesses, this 25th day of November one thousand nine hundred ninety-two (1992). N4~ry M. [1r~hr;~s!~<<, ivotary P~hc L,~`Jt^~i:l!"~,~ E~C:~G, ~!iIOY] (i0Urlly Nty Corr!mis~;!cn Gxp!rc& Jan.16,1994 ,`'• ~ Notary Public - 4 - N ie;3 CODICIL ~?~ .. ¢~~_. , _~ .t~ _ r~ I, BLANCHE G. FROMM, of Carlisle, Cumberland ~~~ty~ :_ ; ,? ~ __ Pennsylvania, having made my Last Will and Testament.--dated ~ _~ November 25, 1992, do hereby make, publish and declare t~s ;~o J .. Cl1 be a Codicil to my said Last Will and Testament. cs~~ FIRST. Whereas in Paragraph LASTLY of my said Last Will and Testament I appointed W. YVONNE FROMM to serve as an alternative executrix of my estate, I now hereby revoke such appointment and in lieu thereof I hereby nominate, constitute and appoint PAMELA S. MEABON and MARK D. MEABON, to serve as alternate executors in place of W. YVONNE FROMM as provided in Paragraph LASTLY aforesaid, with the same force and effect as if the same had been originally named as alternate executors in my said Last Will and Testament. SECOND. In all other respects, I hereby ratify, confirm and republish my Will dated November 25, 1992, together with this codicil, as and for my Last Will and Testament. IN WITNESS WHEREOF, I, BLANCHE G. FROMM, have hereunto set my hand and seal to this Codicil to my Last Will and Testament UQ1..CU 1V :~VCmbGi L,J, iJJG., mil i.J uu~ Vf - w/~ , A.D., One Thousand Nine Hundred Ninety-Five (1995). wry,:: ~ ~.~I?,2<:'~-~•."~`- (SEAL) -~,W ~,~„~ ~_; M AHLIN R- McC FILEH The preceding instrument, consisting of two pages, was on the date thereof signed, sealed, published and declared by BLANCHE Ge FROMM, the Testatrix therein named, as and for a codicil to her Last Will and Testament dated November 25, 1992, in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto, ~= /~ ~~ <: .rn ~ ~'TYWYG ~.W ~,F ~ ~,, ~. MAfi LIN f3. McC l1l C. E3 -2- RENUNCIATION REGISTER OF WILLS OF Estate of Blanche G. Fromm CUMBERLAND COUNTY, PENNSYLVANIA ,Deceased C~ rv ~~ =0 w ., ti t ~r~ ~ i. Pamela S. Meabon in my capacity/relat~or~sfitp asa , '- (Print Name) C_~ '-~; ; ~" ~ ~ . ~~ ~_~ ~ co-executor under Codicil dated July 28th 1995 of the above Decedent, hereki~ ~nounce<~e right to`~~ - r -: ut administer the Estate of the Decedent and respectfully request that Letters be issued to rn Mark D. Meabon. (Date) ~7~rc~L ~ ~? ~LZ 1 ~ (Signature) Pamela S. Meabon 130 Fairway Hills (Street Address) Dillsburg, Pennsylvania 17019 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this t~~ day of ~VCV 2{j~`. __ ~ ..,~ Notary Public My Commission Expires: (Signature and seal of Notary or other official qualified to administer oattasrSheW~ata gf,~xp~rationPf-NOtary;~ F~~4sV~~ir; ~.~v~ti_ _. - .__._.~, t.. .<c~9va 1 s. .. i~ ~9:.vtr3i ":.~. S. Dav~:n a',tt~~>;f;Ft, Iw~t~rr ~ubiic DillsburgD~:~;.,., a'c,;i<(;auf~y y I IVIyCommission w'.y~~fl;~ ;Uiay 37, 2609 Member, Pen~sylv~nia ~s~=.x;iation of Ngtaries Form RW-O6 ~4ev. 10-f3-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Blanche G. Fromm , Decg~,sed _ ~:~ .: 0 '~ i ,~ o ;~, ; - I rU _ -=? o = .~= f-. - ~ ~._ Traci L. Water ~ - (each) a subscribn~g~yvitriess (Pont Name/s)"`~ I ~ {~ the ^ Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and'4' say(s) tl~at she he /they wa /were present and saw the above Testator /Testatrix` sign the same ,.~ - _~ and than sh / he /they signed the same and thatr'~she / he /they signed as a witness at the request of the Testator /Testatrix in his /chef presence and in the presence of each other. ' / ~ ~, ff X i rf ' G (Signature) (Signature) Traci L. ater x l GI 3 ~ din e~~~ ~)~~ C-f (street addres:y (Street Address) (City, State, ZiEr) (City, State, Zip) Executed in Register's Office Sworn tc~ or affirmed and subscribed before m~e this-day of Deputy for Register of Wills Executed out of Register's Office Sworn to or affirmed and subscribed before me thi 1e~-day of n.J d / ZtZ ~~ /~ Notary Public My Commission Expires: (Signature and sea( tyr3(pr~ot~er^q~cj- q~akried~Q~.yti,: ~~~! 4'r~Nir1 administer oaths,,t i tioa.' dtagt.° A~rci~fa:}-----~; r•t_ * ' ~, C~awn ~„ar~r~?t4~~~;, NoCra~r b~ubl'~: Diilstxsrg 4a.,ro. '~'oa~ ~~c;urtty My Commission ~:xi:~;r~s Nlay 17, 2009 1 Member, Pennsylvania Association of Notaries NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RW-O3 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. OATH OF SUBSCRIBING WITNESS(ES) R'.EGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate oaf Blanche G. Fromm ~_.~ Deceased --O ~ ;.j?i~ v r, t- -~ -~ ~ C Curtis M. Fromm (each) a subscribing_~yi~ss to ~ (Pont Name/sl , Zy ~ ~ C.)'1 - (7'1 the ^ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in his /her presence and in the presence of each other. (Signature) (Signature) CUrtIS M. Fromm (Street Address) (Street Address) X __ ~ ~_ M~ Nd l I ,~`~ / ~ ~r ~ (City, State, L'p) (City, State, ip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy lfor Register of Wills Executed out of Register's Office Sworn to or affirmed and subscribed before me this /~~~" day of N(~~~V,~~e-, ?~~~ ~~ ~G~ ~_~`~' Notary Public My Commission Expires: (Signature and seal of Notary or other official qualified to administ `~~y'~agf'~f ~ ~F~~~sim.) Na~ra1 Sea! ~V~A S. [lawn C',adfe~i(Exr, Notary Public Dillsburg t=sc>;;z, Y+~rk Courriy My Comrn'ission Expires May 17, 2009 Member, PQnnsylvania N,sanciatian M Notaries NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Form RW-03 Rev. f0-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.