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HomeMy WebLinkAbout12-09-08PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Ruth K. Wood File Number 21-- ~ ~~~~ also known as ,Deceased Social Security Number Petitioner(s), who islare 18 years of age or older, apprypes) tor: (COMPLETE `A' or 'B' BELOW.') OX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) islare the EXeCUtriX named in the last Will of the Decedent, dated 04/2311987 and codicil(s) dated 12/06/1988 Frank Wayne Wood, the named Executor in the Will, died on December 13, 1994. Joann E. Wiewall, later known as Joann E. Dowhower died on June 10, 1998. 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: Decedent was married to Frank Wayne Wood. He died on December 13, 1994. B. Grant of Letters of Administration app rca e, enter: c. t.a.; .n. c. t.a.; pe ente rte; urante a senha; urante minorrtate Petitioner(,) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (/f Administration, c.t.a. or d.b.n.c.t.a., enter date of Wll in Section A above and complete (ist of heirs.) Name Relationship Residence ~- CJ ~ -gin -; -,-- ,.-~ t'''t - =- ~ t `, r _ -- (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ " "~' --- t Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last prinapal residenr~aC~ "Cr -- ; :~ Green Ridge Village Nursing Home, 210 Big Spring Road, Newville, West Pennsboro, Ctipgbl~l-land, ~ 1724 ,: ~, ~ _~ (List street address, town/city, township, county, state, zip code) -'' W Decedent, then 94 years of age, died on 08/26/2008 at Green Ridge Village, 210 Big Spring Road, Newville, PA 17241 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 37,000.00 (If not domiciled in PA} Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as faltows: 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 Mary Lou Stoner 1277 South Colebrook Road Manheim, PA 17545 ,!~' , For~v. 10-13-2006 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 representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed r' signarureorrer~onarrcepresenrauve Mary Lou Stoner before me: this ~~-~ ~~l day of /y~) ~j~/'~ ~~ Signature of Personal Representative / t -~ ,~ ~r Li I~ ~ ~ ~ , ~ J ~ Q Fo a RP.gister Signature of Personal Representative _ = C--- ~ :-. ~ ~~ - ; I r;- LCJ - --.~ {~ i ._._t ~- ~ ~ ~~ .. File Number: 21-- t~7~ \ ~~~ ~~ --{ ^~, t~ ~ W , Estate of Ruth K. Wood ,Deceased w Social Security Number: 205-09-9475 Date of Death: 08/2612008 `~`~, r AND NOW, _ ~ ~" Q~ ~~~ -' ~ /~ S , in consideration of the foregoing Petition, satisfactory proof having beeen presented before me, IT S DECREED that Letters Testamentary are hereby granted to Mary Lou Stoner in the above estate and that the instrument(s) dated 04/23/1987 12/0611988 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES Letters ................~..~.~.~;~~........... $ ~~t Short Certificate(s)............ "~...... $ O. Renunciation(s) ............................. $ ~~, ~,ti $ 1 C,~~c1,1 ~ a,~ $ 1 `j _~. $ i o ~ ~~~ $ 5 $ $ $ $ $ TOTP~L .................................... $ ~~ ,.? Attorney Signature: ~ L_~/ ; ( ~~~~_ Attorney Name: Richard L. Webber, Jr. Esquire Supreme Court I.D. No.: 49634 Weigle ~ Associates, P.C. Address: 126 East King Street Shippensburg, PA 17257 Telephone: 717-532-7388 Form RW-!)2 Rev. 1413-2006 Copyright (c) 2006 form software only The Lackner Group, tnc. Page 2 of 2 lus. NiiS RED i~'tl'! LOGAL RIEGISTRAR'S ~'~RTI~ICATtO~I C~I~ I~~ATI~ WARNING: It is il{egal to duplicate this copy by photostat or photograph. Fee )OI t)'n5 le'~~1flCatl. .~S6.Q~} .jp-:rr• :~ ~(ll~ IS l0 1(_~r Ih.11 I~lt illt~)Clli lull Illtt ~1`.cll 1y/'~~~~~~ l}Fp~~~ \ Cf)1'LeClll ~UI'ICCI l1 sill Ltn lNl' lilt t Itlltk,!k_ f~~ 1)C(lI ~~y`~t0~~ ~ `~~ ~ (hl~~' t{lZt~ ~A11~'1 '-13c 35 E. /t .l) tZl: 1 (1(Ir. lilt' JCi Tl!]~ l~ ~ ~~ cerutleate t+)Il n iurr,~arde(1 it' the ~;~atc ti,ii t o L~ a` ~b;l RL~t~rlh i)1~ftci° ~ i j,~~n: ._il~nt il~nl;~. *',- ,, P 4$ 0 ~.~~_$___ ~ ~~~'~r - F~~?~°1,,• ~ce is. ~~c~. _~_- -- _ _ u~,_ 2_ s!_2oog 9 h1fNT D ,,,.•. ="="=~ Local iZetl~tf;(r 1:7;1t, (~~ist~~i Certification Number '°' _ rv -r© _ _ _ , , I ~~ ~ r - l :. r - ; 'T? 1 ~:_ ._ ~ -. `. - ,_ r „~ -~ - - ~ ~ ;~_ ,J „~ -y rJ , ~- C.J W H,osa43 REV tlnoa COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE /PRINT M PERMANENT CERTIFICATE OF DEATH eucK INK (See Instructions and examples on reverse) STATE FILE NUMBER ~ ` r` 1- a S J 5 L ~~ 0 5. Name a Decedent (First midae, last, suffix) 2. Sex 3. Social Sewrty Number 4. Data of DaaM (Month, day, year) Ruth K. Wood Female 205 -09 - 9475 August 26, 2008 5. Age (tall Birthday) Unda 7 year Undo 1 tlay 6. bate of Binh (Month, day, year) 7. Binhplaca (City and slate or for ai9n country) Sa. Place of Deam (Check only are) 94 Ma.m. rya ~ '"~° Mt . Rock PA "°~I omer Yra. 5 / 2 5 / 1914 ~ InpadeN ^ ER /Outpatient ^ DOA ~] Nursing Home ^ Rosltlence QOmer - Speciy: sb. County of Daam &. City, Boro, ~ f Deem Bd. Fadllty Noma (II nM InslftuAai, give street antl number) 9. Wes Decedent of Hwpenic Origin? [~ No ~ Yes 10. Race: American Indian, Black, White, etc. Cumberland West Pennsboro Green Ridge Village pr yea. apaciy caban, ~j ~ Mexican, Puerto Rican, etc.) W e 11. Decedents Usual Ccc lion KiM of wode d are dodo oast M world IAe. Do not stale reared 12. Wes Decedent ever in Me t3. Decedent's EWwtion (Spaoiry only highest grade compl eted) 14. Marital Slane: Manieq Never Marred, 15. Surviving Spo use (li wile, give maiden name) KiM of Wak Kind aBusiness / Intluslry U.S. Armed Fomes? Elementary I Secondary (D-12) College (1-4 or 5+) Widowed, Divorced (Speci!)'j Housewife ^vaa ®Ne 12 Widowed I6. Decedent's AlaAllg gdtlress (Street, city I town, state, zip code) Decetlem's Dld Decetlenl West e n n s bo r o Acual Realdence t?a state PA nc $J vaa Decedent lNed in p T y 210 Big Spring R d . . , wp. T w nshro Newville PA 17241 ,m 0pany Cumberland 17d.0 No, Decedent lived widtin Actual Limits of Goy 1 Bores 18. Father's Name (F l middle, last suffix) 19. Maha's Name (First mitldle, maiden surname) I. Calvin Kitzmiller Mary Myers 20a. IniamanYS IVanre Rype / Prntj 20b. Inlormanl's Mailing Address (Sheet dty! town, state, zip axle) Mary Lou Stoner 1277 S. Colebrook Rd. Manheim PA 17545 21 a. Mettatl of Disp05111p11 ~ ~ Cremation ~ Donayan 27b. Dale of D~ Lion (Month, day, year) 21c PWCe of Disposition (Name d cemetery, aenimay a Omer place) 27d. Locadm (CAy /town, stale, zip codej ~BUnal ^Ramoval from State 'Wes Cremation or DOnadon AuModzed 9/2/2008 Prospect Hill Cemetery Newville PA ^ soar - spadry: . by Medidel Examine / CoroneR ^ Yea ~ Np 17 2 41 22a. Slgna Funeral Service Lice parson acting as such) 22b. Ucanse Numoer 22c. ~ABss o dCylbl e r a l O me n C B 1 C3 p r i n g V e ~ ~G ,_ f.~ FD 13895 L Newville PA 17241 Cornpkte Items 23ac only when cenAymg ~ physidan k trot aveilade at time blde~th m a. Tome Dest of my knowledge, des ottunetl al me lime, 0 aM pl Wted (sig~eNre tie / .t ~~ 23b. license Number f~,~ f ~ l ~ Q ~ ~ ~ `~ 23c. Dale Signed (Mallh, tlay,/year) ~y / ~ ~ ~ ~ / _ - O X U ~` cerMy rouse of deenh, V v. u 1~ ~ C~ cG• Hems 242a must w wrtrnmea q parson 24. Time of Death ~ ' S5 25. Dale Prono//u~~nced Dead (Mon]th~, tlay, year) 2~ ~ ~ ~ 26. Was Case started to Medical Examiner /Coroner for a Reason rnner Man Cremation or Donatan? who pronaxaes death ~ P M. 1 f~t tvL9 ~ 5 7 es ~ No CAUSE OF DEATIi (See instrupttona and examples) r Appmzimate interval: Pan II: Enta other sgn'faant caldiigrs camthggng.4o death, 28. DItl Tobacco Use Contnbae to Deem? Item 27. Pan I: Enter Ire train M evens -tliseasx, injures, a axnptaafwrls -that directly caused me deem. DO NOT enter terminal events such az cardiac arrest Onset to Death but rid resuMrg in Me undedying cause given in Part L ^ Yes ~ Pmbaby respiratory ertesl, a ventricular flbnlWdon wdltaul showefg IM etiology. List ooh/ pre cause M each line. r No Unknown IMMEDIATE GAUSI° Fowl disease a i axdNOn resulting in ealh) ~~ a t ~~ i ~ CA20~p m Ym°lA7'Y1'Y r ~ 29 If F ie. _ Due to (a az wnsequarae N): ~ Not pregnant within past year Pregnant at time W deem SequeN~Ily list cariAions, d any, b. Q'~,J~~•( ~n, /G>SCl,~Q$aS leafingg to Me cause Meted m line a Enter the UNDERLYING CAUSE Due to (a az a ax,seguenw ot): ^ Nol pregnant bN pregnant within 42 days (Disease a injury mat inAieted me h UST c ~.(~h y(~rj7g. ~L ~~ of death events restating m Msa1 ) . Due to (or az a mnsewrerae oty. ^ Not pregnant, but pregnant d3 days to t year d. betas death ^ Unktgwn A praglwM within IhB past year tea. Was an ANOps)` 30b. Were Aaopsy Findings 31. Mannar of Deem 32z Date of Injury (Ma1M, day, year) 32b. Describe Haw Injury Occurtetl 32<. Piece of Injury: Home, Fa , 51reaL Feclpry, Pedormed? Available Pfior to Completion of Cause of Death? ~ Natural ~ Hamicitle Office Builtling, etc. (Specrly) Vas ~No (] Ves ..~ No ^ Apddenl ~ Pentling Investigation 32d. Time pf Injury 32e. injury at Work? 321. If Transportation Injuy (sparay) 32g. Laation of Injury (Street, city /town, state) ^ Suicide ~ Could Not be Dererminad ^ Yes ^ No ^ Drve (Operates ~] Passenger QPedesMan M OMa~ 33a. Cedifier (diet only one) 336. S aM TNk M CerAilar Cedilying phyaickn (Physician pnitying woes a death when ammer plysioien Des pronwiaetl deaM arrd mmpletetl Ilan 23) To the best of my knowledge, death oaurtetl due to Me cause(s) arW manner m stmetl,. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Proneunclrig and roditying physkian (Physician bpm prpnourxing deaM aM wnilying to cause W death) 33c. Lit Number . Data Sgned (Month, tlay, year) Sad To A,e beat of my knowledge, death occurted M the time, date, end place, end due to the cause(s) end manner as steted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ d5 d0 93 3 - ~-- ^ ~"7Ll Z ~ 2~5 ~~ Medical Examiner l Coroner On the baste tlf examination and 1 a investfgalion, in my opinion, deaM occurred at fine time, dale, antl pWce, antl due to the rouse(s) and manner as steted_ ^ I P-ersLOn dW-ho ~ leled Cau,~ye of Deem gtem~ 27~ Type 1 Prim 34 Name and Atldre~ss ,(~„ Gl l• _ I d D~tdcl N 35. Regisir 9gnalure an of Idl 1 lal l ~(~I y ~ .Date Flied (Hoorn, day, yea~ry. $ ao~S - n ~J ' ,w~-~-'~ 6vo T2L /Lfi~.~ 173Zo T k , ~ '1 ~ v Disposition Permit Nc. lJ ~S~ > ~~ CODICIL TO LAST WILL AND TESTAMENT OF RUTH K. WOOD DATED APRIL 23, 1987 I, RUTH K. WOOD, of North Newton Township, Cumberland County, Pennsylvania, being of sound mind, memory and dispositon, having made my Last Wi11 and Testament dated April 23, 1987, do hereby make, publish and declare this to be a Codicil to my ~' said Last Will and Testament. -_`=~ ~- ~' F:LRST. I hereby amend paragraph III and XI of my will by changing: i~t#~~`-i}ame`~ la "Wlewall" t0 "Dowhower". lr~ --'° - SECOND. I hereby amend paragraph V of my will to change Forty ~easand ribollar-s . ,. cv (~>40,000.00) to Thirty Thousand Dollars ($30,000.00). w THIRD. I hereby amend paragraph VI of my will to change the words "child, children and step-child" to "children". FC)URTH. I hereby delete paragraph IX of my will and insert in its place the fallowing: "Any share of my estate which shall become distributable to a person less than 22 years of age shall be held in a savings account, certificate of deposit or similar security, in a federally insured banking or savings institution in the name of such person and marked not to be withdrawn until one of the following events occurs: (1) such person reaches 22 years of age, (2) such person desires to use said share or a portion thereof towards his or her post-high school education, or (3) a court of competent jurisdiction orders that said share is to be withdrawn." FIFTH. I hereby ratify and confirm my said Last Will and Testament except insofar as any part thereof is revoked or modified by this Codicil. MARK, WEIG LE AND PER KINS - ATTORNEYS AT LAW - 175 EAST KING STREET - SHIPPENSBURG, PA. 17257 IN WITNESS WHEREOF, I, RUTH K. WOOD, have to this, a Codicil to my Last Will ~ t. and Testament dated April 23, 1987, subscribed my name and set my seal this ~ day o.f December, 1988. ~_~~~, ~~ ~ \, (.:~~ (,=--1, C~ (SEAL) Ruth K. wood Signed, sealed, published and declared by Ruth K. Wood, the above named, as and far her Codicil, written on two sheets of paper, in our presence, who in her presence, at her request, and in the presence of each other have hereunto subscribed our names as witnesses: r ` "- ~1 ~ , / . c..- --~ .~ ~ -~! IuIARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - li5 EAST KING STREET - SHIPPENSBURG, PA. 17257 COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND I, RUTH K. WOOD, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Codicil; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. :, 1 j.' t•/ ~` f _~' ~ ~_-~._ ! ~ ,-c.~~~ 4-- ~ L~, ,1 ~ ~ ~'~' .-~ Sworn or affirmed to and acknowledged before me by RUTH IC. WOOD, this C,'~nday of ~_~~,.~~:~t,~c~t- 1988. ~~ ~~ M~ S OatobK f ~ MARK, WEIGLE AND PERKWS - ATTORNEYS AT LAW - lt5 EAST KING STREET - SNIPPENSBURG. PA. 17257 COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND ;~J, ~~~, . , We , - ' ' ` ~ ~~ `'~ ,~ ' 1 and '~ -fig r j;~7,,/ ~ ~:1 ~ ~, l"t ='- ? ~'; ~ I~ S +~_ the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw RUTH K. WOOD, sign and execute the instrument as her Codicil; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of RUTH K. WOOD signed the will as witnesses; and that to the best of our knowledge the she was at the time eighteen (].~3) or more years of age and of sound mind and under no constraint or undue irif luenc e . ~` ~._, ~ ~ '.~~ ~- ~~ - ~ ~' -~- t ' I, ~"7 Sworn or affirmed to and su s ribe before me~by``-i' 'art ~f;C~ ~ ~. ',C ~;G and ~ '~~`~ u ~r_ Vii` , ,~~~ - ~~~ ~-, ~, witnesses, `this ~~, ~~ day of ~_>;~ ~ , .., ~~c: ~ ~ _ 1988. --~-j~ Nd!'AlgAL TEAL Osvit! 1! -*rldr~s„ i+barlf i'ubllQ Shi~pertsburq, A4 Cumbsriand Courtly My Commission Expires October 28, 1989 MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - t 15 EAST KING STREET - SHIPPENS@URG. PA. 17257 ~~ -- I, RUTH K. WOOD, of North Newton Township, Cumberland County, Pennsylvania, ', declare this to be my last will and testament, and revoke all wills and codicils which I have previously made. I - I give and bequeath to my husband, Wayne Wood, if he shall survive me, all of my tangible personal property including automobiles. IT - All the rest, residue and remainder of my estate, real and personal,', I give, devise and bequeath unto my husband, Wayne Wood, if he shall survive me, absolutely and in fee simple. III - If my husband, Wayne Wood, fails to survive me, I give and bequeath ~\i ~y N. ti ~ ~~ ~°~1 V ~-'~ J ~~:, to my two daughters, Mary Lou Stoner and Joann E. Wiewall, such articles of tangible personal property, excluding automobiles as they shall amicably agree and select, without requiring strict equality of distribution between them. Any articles not so selected shall be sold and the proceeds added to my residuary estate. IV - If my husband, Wayne Wood, fails to survive me, I give~and beq,~~ath my Farmers National Bank stock to my two daughters previously named in dal sYes :!.~ L ) if living, and if either shall be deceased to her surviving children by `-_? ~ _ .: ,: ~ ' -. __ representation. ,r ,-= --~-~ ~ ~=` .._J V - I give and bequeath the sum of Forty Thousand Dollars ~d, 000 .tom) to ~ ~~. i ~ ~_~ each of my daughters if living, otherwise to her surviving issue by representation. VI - I give and bequeath the sum of Ten Thousand Dollars ($10,000.00) to each of my grandchildren if living, and if deceased to his or her surviving child, children and step-child. ... ~:-~~ ~---'`y~~`~~~"~` VII - I give and bequeath the sum of Five Thousand Dollars ($5,000.00) to~I the First United Presbyterian Church of Newville, One Thousand Dollars ($1,000.00) tq the School of the Ozarks, Point Lookout, Missouri, and Five Thousand Dollars i (:5,000.00) to the Welsh Foundation of Newville; if my estate shall be insufficient to pay all cf the foregoing legacies in full, the charitable legacies in this '~ paragraph shall first abate pro-rata. VIII - All the rest, residue and remainder of my estate, I give and bequeath in equal shares to my two daughters previously named, and if either be deceased, to her surviving issue by representation. IX - Any share of my estate which shall become distributable to a minor may be held in a savings account, certificate of deposit or similar security, in a federally insured banking or savings institution in the name of the minor and marked riot to be withdrawn until the minor attains the age of 18 years, or on order of a <;ourt of competent jurisdiction. X - All taxes becoming due because of my death, whether with respect to property passing under this will or otherwise, shall be paid out of my estate as an expense of administration. XI - I appoint my husband, Wayne Wood, as Executor of this will, and if for any reason he shall fail to qualify or cease to act as such during the administration of my estate, I appoint my two daughters, Mary Lou Stoner and Joann E~ Wie~wall, as alternate Co-Executors of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of April, 1987. ') ~--(" J Sip~ned, sealed, published and declared by Ruth K. Wood, testatrix above named, as and for her last will and testament, written on two sheets of paper, in our presence, who in her presence, at her request, and in the presence of each other have hereunto subscribed our names as attesting witnesses: ~s'~-'~% ~ i'~e-C _--° /f ~ t~~-j~~-~°4.. ter' OATH OF SUBSCRIBING WITNESS(ES) ~ , ~ ~ ,a~~ REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Ruth K. Wood ,Deceased Shirley W. Ahlers _ (each) a subscribing witness to (Print Name/s) the Q ~JVill ^ 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) Shirl y .Ahlers l,J .rz~~ (Street Addre:;s) (City, State, Zip) c7 ~o ° " ,/~ _ -- ~ F 1 (Signatwe) -C? ~ _ r l ~Ti C~ - ~'1 ~ l11 - - -,,-. _ _~, (Street Address) ~ ~$ i7 --~ j ~ _ ~:..::~ ~ W (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this day of , Notary Public My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) 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 RWa73 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Ina Executed in Register's Office Sworn to or affirmed and subscribed OATH OF NON-SUBSCRIBING WITNESS(ES) ~ i~ ~"~ ~ i~~~ REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate cif Ruth K. Wood Mary ILou Stoner and (Print Name) Deceased (Print Name) (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- acquaGnted with Ruth K. Wood and am/are familiar with the handwriting and signature of the decedent, and that the signature of Rutn K. wood to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Ruth K. Wood is in his/her own proper handwriting. j , ~~ ,,,, (signatur) ary Lou Stoner 1277 South Colebrook Road (Street Address) Manheim, PA 17545 (City, State, Zip) Executed in Register's Dice Swon~ to or affirmed and subscribed bef e me this-day W t~apuy for Register~c~f Wills (Signature) (Street Address) (City, State, Zip) ~~ ~~ -~ -:~ ~~ .,_, - ~? _~ c-~ _ r 1, r -~ c,ES _ - -~ ~ '~ rv c,~ Form RiW-O4 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.