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IN THE COURT OF COMMON PLEAS ~;_;- ~ -
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CUMBERLAND COUNTY, PENNSYLVANIA = ~ =~- --'
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IN RE:
ESTATE OF ELIZABETH W. PASSANANTI,
Deceased
ORPHANS' COURT DIVISION
ESTATE NO. 21-08- ~'~~U''
DISCLAIMER
I, DIANE P. HOPPA, of State College, Pennsylvania, hereby declare that I am the
daughter of Elizabeth W. Passananti, ("Decedent") who died on October 31, 2008. At the time
of the Decedent's death, she left a Last Will and Testament dated June 26, 2000 and a Codicil
dated August 21, 2008.
I, DIANE P. HOPPA, hereby irrevocably and completely disclaim and refuse to accept
any and all interest in the Estate of Elizabeth W. Passananti as set forth in the Last Will and
Testament dated June 26, 2000 and the Codicil dated August 21, 2008.
Dated the i ~ day of ~ , 2008.
WITNESS:
u __~,~~/~~ ~~. P . ~~c--- (SEAL)
DIANE P. HOPPA
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF C ~ Y, ~ ~-
On this 1/ ~~ day of /l/ vv~Ge-,~ , 200$, before me, the undersigned officer, a
Notary Public, in and for the said county and state, personally appeared DIANE P. HOPPA, who,
being duly sworn according to law, deposes and says that the facts set forth in the foregoing
Disclaimer are true and correct to the best of her knowledge, information and belief and that she
executed the same as her voluntary act and deed.
~~~~
Notary Pu_lic
My Commission Expires:
SEAL COMMONWEALTH OF PENNSYLVANIA
NOTARIAL 5EAL
MARY B. WERNER • NOTARY PUBLIC
State College Boro., Centre County
MY COMMISSION EXPIRES JAN. 22, 2011
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
IN RE:
ESTATE OF ELIZABETH W. PASSANANTI,
Deceased ORPHANS' COURT DIVISION
ESTATE NO.21-08- t~~~A
RECEIPT OF DISCLAIMER
The undersigned being duly sworn according to law, deposes and says that he is the
named Executor of the Estate of Elizabeth W. Passananti, and that on the date and place as
hereinafter set forth, he received the foregoing signed Disclaimer from Diane P. Hoppa.
Date Place
E ~~ 1 `~ ~ ~~ E~ 3401 N Front Street
Harrisburg, PA 17110-0950
Sworn to and subscribed before me this ~ ~~~
Signature
day of l~- i;~ `' i ~ ~-~~~/ , 2008.
l ~~
Notary Public
My Commission Expires:
(SEAL)
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