HomeMy WebLinkAbout03-10-09Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Thelma E. Thompson No.
also known as
Deceased
Social Security No.178-16-1020
David G Thompson
Petitioner(s), who is/are 18 years of age or older, apply(ies) for
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or named in the Last Will of the
Decedent, dated 9/29/1995 and codicil(s) dated
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 documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: pendente life, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived ~ the followiE~ spouse
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(if any) and heirs: ~- ~ ~ _
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Name Relationship R~sl~nce
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal
residence at 325 Wesley Drive Mechanicsburg (Lower Allen Township) PA 17055
(list street, number and municipality)
Decedent, then 93 years of age, died JanuaN 22 , 2009 , at Bethany Village, 325 Wesley Drive, Mech. PA
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PA) All personal property ......................................... $
(if not domiciled in PA) Personal property in Pennsylvania .................... $
(If not domiciled in PA) Personal property in County .............................. $
Value of real estate in Pennsylvania ........................................................................................ $
195,000.00
Total ..................................................................................................................... $ 195,000.00
Real Estate situated as follows: N/A
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
%,~,;r ~/~' ,, ~' David G. Thom son
122 L nwood Drive
Palm ra PA 17078
RW-7
Oath of Personal Representative
Commonwealth of Pennsylvania
COUnty Of Cumberland
The Petitioner(s) above-named swear(s) and 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) wi!I well and truly administer the estate according to law.
a
Sworn to Pnd affirmed and subscribed
before me this /~ day of
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David G. Thompson " ~ `"''
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DECREE OF REGISTER
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Estate of Thelma E Thompson ..Deceased No. ~ ~ `- ~ (.~.~,;-~~~~
also known as
Social Security No: 178-16-1020
Date of Death: 1 /22/2009
AND NOW, March 10 2009 , in consideration of the Petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters 0 Testamentary ^ of Administration c t a., d.b.n.c.t.; endente life; durante absentia; durante minoritate)
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are hereby granted to David G Thompson
in the above estate and that the instrument(s), if any, dated September 29, 1995
described in the Petition be admitted to probate and filed of record as the last Will of Decedent
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Letters ..................... , .......... Register ms ~
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Short Certificate(s) ....
Renunciation ............ ~........... $ ~'
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Affidavit ( ) .......................
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Attorney: Joseph M. Farrell Esquire
Inventory & Tax Forms ........... .. $ I.D. No: 20694
Other ...................................... $ Address: 201/203 S. Railroad Street
Palmyra PA 17078
TOTAL .......................
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Telephone
: (717) 838-1385
DATE FILED
RW-7A
.OCAL. REGISTRAR'S ~ErRTIFI~ATION OF QEAT~I
WAR~IINGa It is illegal to tluplicato this copy by photostat or photograpl.
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
REV 1112006
PRINT IN CERTIFICATE OF DEATH ~~1 ~ 6
nANENT (See instructions and examples on reverse) STATE FILE NuMeEH ~C
CK INK
2_ Sex 3. Swlal Security Number 4. Date of Death IMonth, tlay, year)
NamedfDecedem(Frst.middletaataunix) female 178 - 16- 1020 January 22, 2009
Thelma Eileen Thompson
5. Age (Last Bidhday) Untler 1 year Urxter 1 tlay 6. Date of BinD (Month, tlay, year) 7. &nhplace (City and state or forego country) HosplUi: of Death (Check Dory one) Otha
Monmx Days Hors MinNea
November 11, 1915 Clearfield, PA ^Inpatient ^ERloutpauent ^DOA ®Nursing HOme ^Resldence ^Dtner speoly
93 Vrs. 9 Was Decedent of Hispanb Ongin7 ®No ^Yes f0 Race. American Indian, Black. White, etc.
6d. Facili Name It not InstiNlion, give street and number) (If yes, specify Cuban, (Specity)
Bb. County of Death 8c. City, Boro, Twp. of Death ry (
Bethan Village Mexican, Pueno Ricaq etc.) White
Cumberland Lower Allen Twp. y
11. Decedent's Usual Occ tron Klntl of wwk tlone dunn most of wrorkin Irfe. Do riot state retired 12. Was Decedent ever in the 13. Decetlent's Education (Specify only Highest grade completed) 14. Marital Slelus: Married, Never Married. 15. Surviving SDOUSe (If wile, give maiden name)
? Colle a t-0 or Si Widowed, Divorced (Specity)
KID of Business I Industry U.S. Armed Farces Elementary I Secondary (0-12) 9 ( )
Kind°fw°rk 12 2 Widowed
Education ^vea k]"°
Secretar oidDe°edem Lower Allen rwp.
t 6. DecedenYS Mailing Adhess (Street city I sown, slate, zip cotle) DecedenYS p eon s y lv an is Live in a 17c. ®Yes, Decedent Lived in
Actual Residence 17a. State Township?
325 Wesley Drive nd.^ "n.Decedemuyedwahln citvrewo
rib county Cumberland Adual Limits of
Mechanicsburg, PA 17055 19 Mother's Name (First middle, maiden surname)
,6. Father's Nanre (Fkst miadle, lest sanix) Myrtle Bake r
David Penvose
20b. InformanYS Mailing Adtlress (Street city I Town, state, zip coael
20a. Infomwnt's Name (Typal Print) 724 Bennington Drive, Raleigh, NC 27615
Kathie E. Mulligan z,a Location(Cirynnwnstate.dpepael
®Cremation ^ Donatan 21b. Dale of Dislxx;itbn (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory w other place)
21 a. Methotl of Disposition Schaefferstown, PA 17088
^ Burial ^ RemovalfromState I; WasCrematlonorDOnatlonAUthorized January 24, 2009 Evans Crematory
'~, by Medk:al Examiner I Coroner? ~ Yes ^ No
^ Other ~ Sp iN: 22c. Name and Address of Facility
YLb. Lcense Number
22a. Signature Fu I ee Licen~ ring as such)
- FD 012 848 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA
236. License Number 23c. Date Slg etl IMonth. day, year)
Complete Items 2 Doty when certllying 23a. To me t of my knowledge, deem oaurred at Me time, Ie acrd place stalgd. (tSignature and tille~ N' ~~~ ~ / ~ / r
physkan is not available at time of deem to GG, ~,r ,~
cediy cause of death. 26. Was Case Rele ea to Medical Examiner I Coroner for a Reason Other hen Cremation or Donalion~
24. Time of Death 3 y, 25. Date P ounced Dead (Month, day, year)
Hems 24-26 must be completed Dy person l- -f 'J ~G) ~ ^Ves ~ No
who pronounces death. J ~ NL _ Q~7 c"~ v1 r L
CAUSE OF DEATH (See Instructions d examples) r Approximate interval: Pad II: Enter other ~ ific t conditions contnbuCne to death, 26. Did Tohacc° Use Contribute to Death?
r Onset to Death but not resulting in the underlying cause given in Pad I. ^Yes ProbaNy
Item 27. Pan I: Enter the ~ of events -diseases, injuries, or complwatiens -that dlredly reused the death. 00 NOT enter lertninal events such as cartliac anest r ^ No ^ Unknown
respiratory anest. w ventricular fibnllatan wAhoul showing the eDObgy. List Doty one cause on each line.
v -~~ ~ C ~ 01 ~=F U `i ~ S 2g. II Female.
IMMEDIATE CAUSE Final disease or (' ~ ~ ~"1 1 , /y` (~~~ ~ m ! ~ ~ r ^ Not pregnant within past year
condilxm resulting In ~eath) -~ a. T.1 ~ O ° ' ~ V` `~ I Q) / / nS
Due to Ior as a consequence of): r G!M ~, I (~ I(~ rIAT 1C y .~,a 1 ^ Pregnant al time of death
_ ~!1 ~"I ~ Y p ~~ ~j~'~"~ L r / K~r `/ "- - t - - ^ Not pregnanl, but pregnanl within 42 days
Sequentially list conditions, If any, b. N r ' ~.~ r '
leadingg to the cause listetl on Nne a. Due 1° (or as a consequence oft: r p~L f n ///~ .- , ~~ j ~},~„-ry An~V ) of death
Enter me UNDERLYING CAUSE Lr LI ~ Y Y! ~ ~ r ~ ^'v+ •• I ~^ Not pregnant but pregnant 43 days to r year
(Disease or Injury that Iniaated me c. , belore death
events resulting m deem) LAST. Due to (or as a consequence oq. r
d ~ ^ ` I ~ O _ 1 I ^ Unknown if pregnant within the past year
L / V 7v ar 32b. Describe How In u Occurted 32c. Place of Inlury. Nome, Fartn, Street Factory,
32a. Date of Injury (Month, day, ye) I ry OAice Builtling, em. fSpeciNl
30a. Was an Auopsy 30b. Were Autopsy Fir~rgs 31. Manner o eath
Performed? AvaiWde Prior to Completion ural ^ Homicide
of Cause of Deam? 32g. Location of Inlury (Street city I town, stale)
^ Accident ^ Pending Investigation 32tl. Tine of Inury 32e. Injury at Work? 321. If T2nspoda6on In'lury (Specify)
^ y~ ~ ^Yes ^ No ^Ves ^ No ^ DrNer I Opemta ^ Passenger ^Pedaslrian
^ Suicide ^ C,wld Not be Delennined M, ^Dlher - SpeciN:
33b. S' al and Tme of Ce ' Mr
Igo
33a. Cedifier (check only one) ' ~i A • -
• Cxnilying physician (Physiclwr cemlying cause of deem when another physIdan has prorwuncetl death and cwnpletetl Item 23) v v/V) 33d. Date Signed (Month. day. year)
To the hest of my knowledge, death occuned due to the cause(s)antl manner as stated---------------------------------^ 33c Licen Number /1
• Pronouneing and unNying physician (Physkian D°m pronouncing deem and cedirying to cause of death) ~ ~ ~ ~ (~ ~ ~ ~ I ^ ~ si'1 vl
To the best of my knowledge, death occuned at the time, date, and place, and due to the caurre(s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ "~) !F ~/ 1
• Medical Examiner /Coroner ) 34. Name an Atltlress of Person Who Completetl Cau Death (Item 27) Ty e I rmt
On t bests of examination end or' vestigation, in my opinion, death occurred at the lime, data, end piece, arid due to the causes and manrrer as atated_ ~ ~ ~ N' ~ ~ E ` / 1 sr of
36. Date filed (Mc th, day, year) 1 " V r/y1O\~-••^~J~~ ~~
35. Reg i N -~ is i ~ i ~~i ~i 'i ~ ~~ ~'l,~r~ ~ 3~~b Tn~riGl~e
LAST WILL AND TESTAMENT
OF
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THELMA E. THOMPSON °'
I, THELMA E. THOMPSON of 105 Oak Drive, Camp Hill, Cumberland
County, Pennsylvania, declare this to be my Last Will and
Testament, hereby expressly revoking any and all prior Wills,
Codicils and writings in the nature thereof previously made by me.
FIRST
IDENTITY OF TESTATRIX'S FAMILY
I declare that I am a widow, my husband CURVIN L . THOMPSON
having died on October 14, 1991.
I have two children now living:
DAVID G. THOMPSON of 122 Lynwood Drive, Palmyra,
Pennsylvania 17078; and
KATHIE E. MULLIGAN of 724 Bennington Drive, Raleigh,
North Carolina 27615,
and all references to "my children" herein are to them. I have no
deceased children.
1
Thelma E. Thompson
SECOND
BILLS AND EXPENSES
I direct that all my just debts and expenses of my last
illness shall be paid by my Co-Executors, hereinafter named, from
my estate as soon after my death as shall be found convenient.
THIRD
DISPOSITION OF RENiPaINS
I direct that the expense of my funeral and burial,
including a suitable grave site, marker and perpetual care, if
deemed appropriate, be paid out of my estate in such a manner as
my Co-Executors, hereinafter named, may deem proper and without
regard to any limitation in the applicable law as to the amount
of such expense.
FOURTH
SPECIFIC BEQUESTS
I hereby give, devise and bequeath my residence located at
105 Oak Drive, Camp Hill, Cumberland County, Pennsylvania, which
had been previously reconveyed to me by him, if owned by me upon my
death, to my son, DAVID G. THOMPSON.
2 '~
Thelma E. Thompso
I further give, devise and bequeath the additional sum of FIVE
THOUSAND DOLLARS ($5,000.00) to my daughter, KATHIE E. MULLIGAN,
not in representation of any greater love or affection than held
for my son David, but in recognition of certain greater past
benevolences, during my lifetime, given to my son.
FIFTH
RESIDUARY LEGATEES
AND ALTERNATE RESIDUARY LEGATEES
I direct that the rest, residue and remainder of my estate,
whether real, personal or mixed, wherever located, be liquidated,
and the proceeds divided into two (2) equal shares and
distributed as follows:
(1) One share to my son, DAVID G. THOMPSON, or if
he predeceases me, then to his issue per stirpes who
survive me according to the terms and conditions
enunciated in the Seventh paragraph hereinafter, if
appropriate because of age.
(2) One share to my daughter, KATHIE E. MULLIGAN,
or if she predeceases me, then to her issue per stirpes
who survive me according to the terms and conditions
3
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Thelma E. Thompson ~,
enunciated in the Seventh paragraph hereinafter, if
appropriate because of age.
S IXTFI
CO-$XFCUTORS
I name my son, DAVID G. THOMPSON and my daughter, KATHIE E.
MULLIGAN, CO-EXECUTORS of this, my Last Will and Testament with the.
authority to liquidate any and all items of personalty and realty,'
along with any additional funds from any sources whatsoever,
including, but not limited to, proceeds of any policies of
insurance, whether passing through my estate or otherwise, after
considering in their sole discretion the retention of certain items
beneficial to the best interests and well-being of my children or
grandchildren and distribution of same such items to them, the
proceeds of any such liquidation or sale to become part of the
residue and pass into the hands of my Legatees as provided for in
the Fifth paragraph of this instrument.
4
.`
Thelma E. Thompson
sEVBrrTx
TRUST
If, pursuant to the Fourth or Fifth paragraph of this
instrument, any part of my estate does vest in ownership in any.
of my grandchildren before he or she attains the age of 21 years,
such funds created I direct should be tendered unto ELAINE A.
THOMPSON (if David should predecease me) in the case of Kristin
and Jeffrey Thompson, and unto JAMES R. MULLIGAN (if Kathie
should predecease me) in the case of Erin and Kirk Mulligan, to
act as TRUSTEE and to hold, administer, invest and reinvest the
separate fund amounts tendered to them for the benefit of my
grandchild(ren) on the following terms and conditions: ~,
A. To pay the income and so much of the
I
principal of the fund as may, in the sole discretion of ~
my Trustee, be necessary for the education of each i
i
grandchild. I!,
B. The amount to be paid for the benefit of each
grandchild shall be determined from time to time by his
(or her) needs and the amount and time of said payments
shall be determined by such need. Said payments may be
5
~-
T e ma E. T ompson
made by my Trustee directly to each grandchild, or may be
made by him to the person(s) having custody and care of
him (or her), or may be made by my Trustee directly to
any other person(s) or institution(s) entitled to such by
reason of services rendered to said grandchild(ren). In
making the aforesaid payments, my Trustee(s) shall give
primary consideration to the individual needs of each
grandchild, and to other sources available to him (or
her) .
C. My said Trustee is directed to pay the total
accumulated interest and principal of each fund then
remaining in his/her hands to each grandchild upon his
(or her) attaining twenty-one (21) years of age, or
successful graduation from a post high school, four year
formal degree-conferring course of college study,
whichever occurs first.
D. In the event that any grandchild should
die before termination of his (or her) trust fund
according to Subparagraph C above, LEAVING ISSUE, then
the fund shall continue for the benefit of his (or her)
6
`;
Thelma E. Thompson
issue (in equal shares where appropriate) according to
the terms and conditions of this paragraph.
H09~EVER, if any grandchild should die before
termination of his or her trust fund according to
Subparagraph C above WITHOUT LEAVING ISSUE, then any
balance therein remaining shall be paid unto his (or her)
surviving siblings' fund, or directly, whichever is
appropriate.
EIGHTH
SPENDTHRIFT PROVISION
The interests, whether in income or principal, passing under
this Will to any legatee or trust beneficiary, shall not be
subject, while said interest is in the hands of my Co-Executors or
Trustee acting under this Will and before said interest is actually
paid or delivered to the person entitled thereto, to voluntary or
involuntary anticipation, encumbrance, alienation or assignment,
either in whole or in part, nor shall such interest be subject to
any judicial process to levy upon or attach the same for or on
behalf of such person's creditors or claimants.
7
.~ //'1
Thelma E, Thompson
NINTH
WAIVER OF BOND
I direct that no Executor or Trustee named in this Last Will
and Testament shall be required to post any bond or give security
of any type, for any purpose whatsoever, any rule or laws of the
courts of the Commonwealth of Pennsylvania or any other
jurisdiction to the contrary notwithstanding.
TENTH
PAY~NT OF TAXES
I direct that any and all federal, state or local income or
inheritance taxes outstanding and/or arising out of my death, be
paid out of the residuary share of my estate.
ELEVENTH
WILL CONTESTS
If any beneficiary or remainderman under this Will in any
manner, directly or indirectly, contests or attacks this Will or
any of its provisions, any share or interest in my estate given
to that contesting beneficiary or remainderman under this Will is
revoked and shall be disposed of in the same manner provided herein
8
Thelma E. Thompson
as if that contesting beneficiary or remainderman had predeceased
me without issue.
TWELFTH
GENERAL
Effect of Inoperative, Invalid
or Illegal Provision
If any provision of this Will or of any Codicil thereto is
held to be inoperative, invalid or illegal, it is my intention
that all of the remaining provisions thereof shall continue to be
fully operative and effective insofar as is possible and
reasonable.
Headings
The headings above the various provisions of this Will have
been included only in order to make it easier to locate the'
subject covered by each provision and are not to be used in
construing this Will or in ascertaining my intentions.
IN WITNESS WHEREOF, I, THELMA E. THOMPSON, hereby set my hand
9
Thelma E, Thompso
and seal to this, my Last Will and Testament, typewritten on twelve
(12) sheets of paper, including the attestation clause, signatures
of witnesses, and acknowledgment and affidavit, upon each of which
I have also written my name this ,?~ day of September, 1995.
~s' ;° .,
~ ~/~ ~,~f r LEA Z~ ate- ~c~-<- ~--~ ~ SEAL )
Thelma E. Thompson;
Signed, sealed, published and declared by Thelma E. Thompson,
the above-named Testatrix, as and for her Last Will and Testament,
in the presence of us, who at her request, in her presence and in
the presence of each other, all being present at the same time,
have subscribed our names as witnesses.
_ ~ residing at ?~~ ~ , ~ r ~~
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.~~~~~ ~.~ residing at ~..~~~1.~~'~'1'"t~~ ~ ~, , 1 ,;'t;);A'f~7
10
Thelma E. Thompso
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF LEBANON .
I, THELMA E. THOMPSON, whose name is signed to the attached or
foregoing statement, having been duly qualified according to law,
do hereby acknowledge that I signed and executed the instrument as
my Last Will and Testament, that I signed it willingly and that I
signed it as my free and voluntary act for the purposes therein
expressed.
~~'-~-x~ ~' .
Thelma E. Thompson
SWORN TO and acknowledged before me, the undersigned officer,
by Thelma E. Thompson, the Testatrix, this 29th day of September,
1995.
11
Thelma E. Thompson '
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF LEBANON
We, Joseph Michael Farrell and
Karen L. Umberger
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
says that we were present and saw the Testatrix, Thelma E.
Thompson, sign and execute the instrument as her Last Will and
Testament, that she signed it willingly and that she executed it as
her free and voluntary act for the purpose therein expressed; that
each of us in the sight and hearing of the Testatrix signed the
Will as witnesses and that to the best of our knowledge, the
Testatrix was at the time eighteen (18) or more years of age, of
sound mind and under no constraint or undue influence.
~} ,,/ 7~ A i,.
SWORN TO and acknowledged before me, the undersigned officer,
by the above-named witnesses this 29th day of September, 1995.
-~'0.`~'Li,ci-cam. r C.' ~ ~ ~ a,~-~.~~''c
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Thelma E. Thompso
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RENUNCIATION ~ `=~ ~''
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REGISTER OF WILLS 1~ ~• ~ T
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Cumberland COUNTY, PENNSYLVANIA `" N - ~ _
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Estate of Thelma Eileen Thompson
Deceased
I~ Kathie Eileen Mulligan , in my capacity/relationship as
(Print Name)
Daughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
David Grover Thompson
March 4, 2009
(Date)
(Si lure)
~a4 ~~~~~~ I ~.
(Street Address)
~a.~~ i I
(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 renunc}~tion for the
purpos state within on this ' t day
of _~ (~~ _, ~ C~`J"~
C~~ ~ ~~~
Notary Public
My Commission Expires:
(Signature and Seal~~~~~ icial qualified to
administer oaths. S ~~ of Notary's Commission-)
VAIN COUNTY, STATE OF NORTH CAROI~IA
MY COMMISSION EXPIRES 0512812013
Form RW-06 rev. ]0.13.06