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HomeMy WebLinkAbout03-17-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of John L. Chipriano also known as John Louis Chipriano Deceased File Number ~ ~ l ?~~ ~~~ Social Security Number 187-16-2581 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 Testamentary and aver that Petitioner(s) is /are the /a beneficiary and son of Decedent named in the last Will of the Decedent dated October 8, 1998 and codicil(s) dated none. Decedent's spouse, Mary Jane Chipriano and Decedent's daughter Nancy M. Carlson each signed renunciations in favor of Petitioner. (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 COUNTY, PENNSYLVANIA (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following sen~tse (if any) at~lteirs: (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 Relationshi Resideiica~- it ; = ~.J ~~~ -i _ _..i (COMPLETE /NALL CASES:) Attach additional sheets if necessary. y~~ --a .: _ ` r 0 . r-, Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at .,1 The Thornwald Home 442 Walnut Bottom Road Borough of Carlisle, Cumberland County, Pennsylvania 17013 (List street address, town/ciry, township, county, state, zip code) Decedent, then 86 years of age, died on March 8, 2009 at The Thomwald Home, Cumberland County, Pennsylvania Decedent at death owned property with estimated values as follows: (1f 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 situated as follows: $ 20,000.00 Form RW-02 rev. !0.13.06 Page 1 of 2 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: 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.a . c~ - Signature of Pe nal Repres tative ~ before me the ~ ~ day of ~ ?~ -- ~' .~7 , . J ~ I ` ~ ... ~~ ~ F r " ~ Signature of Personal Representative . ; R~ -~ .; 3 " t .' ~r _ i__a c ~: :,: _ -b - ~ ,~~ ~ t -~ ~ : o e Register Signature of Personal Representative ,, ,,_ - ~ ,. :- ,-j U ~ --~ -~ File Number: o~ ~ ~~ ~~~tJ Estate of John L. Chipriano ,Deceased Social Security Num/ber: 187-1/6-2581 ~ Date of Death: March 8, 2009 AND NOW, ~~~'ra>/i,tl/lT ~~~/,~_ t_~~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, I IS DECREED that Letters Testamentary are hereby granted to Ronald J. Chipriano __ in the above estate and that the instrument(s) dated October 8, 1998 described in the Petition be admitted to probate and filed of as the last Will Codicils FEES Letters ... ~t~~~.... $ tk'~ Short Certificate(s) ..~..... $_ Renunciation(s) ... ~ .... $ L ... $ .~D ... $ J ... $ ... $ ... $ ... $ ... $ ... $ ^TOTAL ... `~ ~~ Attorney Signature: Attorney Name: Keith O. Brenneman Supreme Court I.D. No.: 47077 Address: 44 West Main Street, Mechanicsburg PA 1705 Telephone: 717-697-8528 Form RW-02 rev. 1 D.13.06 Page 2 of 2 vR./~rO f"1~ i I~M~V f , ^~~7 V~~•~~~~~ 1 ~®~ ~~ i6AF°4 ! tNARNii`~G; It is illegal to d~piicr~te this ct,py by photostat of photogr~at~h, ~- ~" ~- '~` "~ ~ ' ~ ~ r ti "9~ ~' ~ ,, .~ ~.. i ~ 1. _;-i} I c1;I v4.. ~;I1~rC: '. - ~:~ REV n za;a PHINi IN En1.lANENT y~~At=K lNF °~~' ~~~ . ~~ ~ F ff ~ -v Q ~ z ~3 ;.. ~ ~ ~ :-, •~ ~o ,~ a~j'~'f iti ~ ~4 ~~P~ 1~Itl,ti 1> .,,. ii ;;lr ... Il.t t~,- i7 . ~^y ,,.i1~ ,(c,j „.,~ ill ( +.,_ .. ,'! ,'c,ti~ L t l j11~ t t~ t c i 1 I c =yt I ., 11pi1~,1 L ~.~, ~> ,~tlLt~ (, }. ~ .lt~ ~ ~ .. l:, ,nrcl> 1) I~It: 11~ ~,,len; °~,~ I ~1 ~.,i ~ ',;ti i.. .- ~ ~ w ~ ~ t T' ~ N • '~ ~~ ' ~. Ty -- ` ~~ _ C. '7 _ ` J ~ _._. -., x "~ ~a.J ~. T~'y COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ Q w CERTIFICATE OF DEATH -.J ,•~~' (See instructions and examples on reverse) ware FILE NuMeER ~ ~ ( ;~I n c.~~ (~ ` t Name ~t Di~Eaen1 (Fast miclola. dv. wfhxl 2. Sax 7. Serial Sa'~-.unty Nanper 1. De;e of Deam Ihlon;h, day. year) John Louis Chipriano Male 187 - 16 - 2581 March 8 2009 ~ Ay21L3s: ,,n,dayl )leper) '. t;nper I tlaV n Dp1L 01 Binn I^.10n1n. ddy. year) i ainnpwce lC,ly and iw;2 ~r Iaegn :ountry) der. P+pcB O( Deatn ~Gheck Only Of BI ln¢I 86 "°" '" ~`°" °r""" April 24, 1922 Pottsville, PA "`a°'wl o p Vas ^ InpaUenl ^ ER : OWpapenl ^ DOA ~ Nv: s~nq Homer ^ Residence ^Ctner - Spanly 6o C,,,.r,ry ;I Dean 3.; Gty. Sao. 7wp ;,I Oaaln 30 FacArty Name (If rkt msl,wt,on. qve street and nwncerl 9. Was Dacedem of R~span~c Orlgin~ ~ Vo ^ Yes 10 Race Amercan Inman. Bucw, Wnte. a;c. Cumberland Carlisle Tile Thornwald Home lu yes.spec~ry Copan P M 15pecryl White exican. penp R,wn. akl It ,^, :;,a uc.~oawn ix.nd ,r .,, ,¢ a„r, d c , cl m,rx- de Do pert swte rot.redl ' 12 Was Decedent ever In Ina 13- DecetlenYS Etl„uat on 5p=c.tv .;ply ^.;r-alt graoe compl eted) td Marital S;dtu; htar•:ed. ~*.aver :'arned t 5 S~r,v ng Spc u,e ~ I' «'e 3ne ma~den rzrral K•rA ,;a'.YUx I(ind W 6usu+ev InOpstry U.S 4rme0 ForcesY Elementary - Secondary (D-.21 Co~laye I t-1 or 6.) Widowed. Divorced I J'pa',ryl Sales Clerk Hardware ^Ve° C3N~ 12 Married ry Jane Moser 16. Dtted¢nt s Ma~l,nq Awress (Street coq ;own. stale. zip ca:el Decedent's PA Ded Decadent 40 Royal Palm Drive Actual Residence 1 id. Stale L've n a 17C. ^ Yes. Decedent Lnea n Twp. mwnsnip7 17o cppnty Cumberland nd l'9 Np Decedenu:ro¢d«.mm Carlisle Mechanicsburg, PA 17050 ry ~p Appal emus a C. tB. Favat s Name IFrst mqp¢, last. ;un~s; 19. Mkrenei s Name ,FKSt, mrddl6. maWen wrnamel Enrico Chipriano Rosa Angelucci 20a Inlorrrant s Name (Typo (Pnntt 20b. Informants Maunq Address (Scree;. clry; wwn, sate. zip cmel Ronald J. Chipriano 40 Ro al Pala Drive Mechanicsbur PA 2ta Mn;n,.J ut Dsposaan [~Cremauon ^ Donaeon 2tp. Date pl Dlsppsnon (Monet. day. year) 21c. Place of Dlsposuwn (Name of cemetery, a¢matpry a pm¢r place) ltd. Loca°on (Cry: town. sale. i:p coael ^ aw~al ^ Rnmpxanromswte waaaenatanpropnaeonApuwn:era ' March 10, 2009 Cremation Society of Pennsylvani Harrisbur PA 17109 ~, oy Medal Examr r 1 Coroner? Yes ^ No ^ Otrzr - Spec:y: g a zza sgn- drF <, eeL.cenwe,pr r na<pn 22o t,cereeNpmoer zzc Name andAdae3saFacrury Auer Cremation Services of Pennsylvania, Inc. L~ FD 013801-L 4100 Jonestown Road, flarrisbur PA 17109 Camprere perms 23ai y wean ceNlpnq 23a To :ne oast pl my M.dwi2 dB- Ih a:turted al ;ne IwnB, data and place stated (Signature and Iltlej 23d. Lcense Numder 23c. Date $gn¢d IMonN, day, year, pnys,nan s,>vv av wattmeadeatn to ! ` < < ~ ~/~ cerury cause a d¢am. ~L ~ ~j ~~cems 2126 mwt pe ovnpeced oy person 2a. rme of Deam Date Prpnourked D ad j th. day Yean 26. Was Case Referred'o `nedlcar E.am~ner ~ Coroner'or a Reason Omer ;pan Cr¢matan or Dona;;on~ wrw prmancas deam ~~~~~ M. ~ (1/,~~ V ^ves ~No CAUSE OP DEATH (Sea instructions antl examples) t Apprc,urate ,nterval. Pan If Emer pleat ~ficam corw~uon= ccc' cut no to dean, 28. Db tooaao Use Cmtrwwe a Oeam> uem 27. Pant Enter dw cna n of events - aseases, iryunes, or complicatorts -mat direcpy caused gw Oeam. DO NOT enter termnal events lace as rardwc arrest. Onset to Geam out ro, rewlung In me urwertying cause gven m Pan I. ^ yes ^ Prooaoly resgralIXy arreef, a venrncWar rrpnNarron »vmow slpwrng !ne eliapgy VA onFy one pose on each Ilse. ^ No ~ Unugwn IMMEDIATE CAUSE Firal aseasa a ~ L Y ` ~ 29. It Female eam) -~- ~/ conappn rewlpng ~n "i L~'s G LL--C, a . ^ / Due to for az nsegperce oq'. Sequenway tut rpnatans, d arty, o, ~ vLG ~ l~ ~ L ~ •~ ~~ l Na wegw,t wrote pasty°ar ^ Pregrunt at prru d Geam Eam~g W db Cdp°e Oiled pr1 I,nB d. Due 0 as d cOnS¢ Enl®r the UNDERLYING CAUSE lw quanta oq-. ~ / ^ Na Yea. oui Or,9rtarx wrth^ <2 dots (dseasa a mryry mat inaated me c events resWpng ~n deam) LAST of Geam . Due to (or as a wnwquence ol)~. ^ Nor DreyunL out Pregnant a3 says m 1 year d. nefae deam ^ wkrovm n preplan) wmxn mw pas year 30a Was do AulOpay 71iC. Ware Au1o(uy Fmbpys 31. Manner W Deam 32a. Date of Inryry (Monet, day, year) 32d Descnpe RGw Inryry occurred 32c. %xe dt Inlury. Hang, Farm, $Irea. Fackrr, Penormea? AvalWpw Pna to Cwnptetron r~ 'Ddice Bwldmg. ak. Speaiyl of Cause of Deatn'! p,Natural ^ NarucWe ^ yes ~ Np ^ ras ^ No ^ Acc+dem ^ Penang Invespgduon 32d- i e pf Iryury 72e. %nryry at Wwxv 321. It Lansponatwn mlury t5pexlyl 72g. Lccaecn of Inlury ISueet. crry' town, local ^ Swuoe ^ CoWd Not oe Oeterm,ned ^ Yes ^ Na ^ Deter ~ Ope ea ^ Passenger ^Pedesman M Oren - Sperry' 333 C°Ntar ~Cf~cck „ply oneJ 730. Signal a aW Tple o ember ~ ~ • Cemryln9 pnysrcun IPnrs,can candying cause ~;t doom wean anomer pnysslan nos prmounced deam and :ompleted I,em 271 To the pest of my snowkoge, xatn o¢urred doe to the caus'Nsl an0 manner as sUted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ r , ~ ~ -r ~ /~ L ` `Ca ~ /~) ~l ~ / - g tying pnysKUn lPnysKan poet prcnpun<nq deam and cen~tyng ;o cause pl deam) • Pronounce ana ceni ^ 37c. L~crose Numcer 770 Dale Sgt iMwn -;ay rear) To Ina 1x91 al my luawkdge, deam acprted at cna time, date, ono place, ono dW to lM causelsl and manner as sldted_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Mortal Examiner) Coroner ) 7 `~ ) (, /~ /L l,~~ ~+ 1C.T~ ~` '~ 1 C.' On me palls a eaamrnatron and 1 or investigation, in my opinion death acurred at iM time, date. and place, and due to the causgsl and manner as su,ed_ ^ ~ ' - , is Marne and Andress cl Person Wrc Cpmpietad ~e„se . eam ~~ m 271 'rpe P,~m ~ ~- C b ~~N I lit 1 p+~j I ~ ~' 7i F war s C.,' I d :ra . ,cer I ~ ~la~ ~I~I 76 D~ . ~ day. ,earl {/ !SL 1 ~U r n L~ ~. ~ V Cl s I M D 3c ~ N . r,n.. ~ ~.~.~ ~ mr 1 yl s ~f 17U~•~ /' 0358302 Distx.sn,on Permn.NO _ ~~r~i~ l LAST WILL AND TESTAMENT I, JOHN L. CHIPRIANO, of the Township of Monroe, County of (Cumberland and Commonwealth of Pennsylvania, being of sound and (disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby ..~. revoking and making void all former wills and cod.i~c~s bye--lane at ~~ -w- any time heretofore made. -~~~> .- '--r -ti -~ _ c-~ FIRST. I order and direct that all my just deht~~ran 4 -~j funeral ex enses be -{ ' ' p paid by my Executrix, hereina~'~er named, ~as- soon as conveniently may be done after my decease, SECOND. I give, devise and bequeath all the rest, residue ~~ and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated unto my wife, MARY JANE CHIPRIANO, absolutely and in fee simple, if she survives me by as many as sixty (60) days. THIRD. If my wife, MARY JANE CHIPRIANO, does not survive me by as many as sixty (60) days, then and in that event, I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, in equal shares unto my three children, namely, NANCY M. CARLSON, RONALD J. CHIPRIANO and ROBERT G. CHIPRIANO, share and share alike, absolutely and in fee simple. If any of my said children should predecease me, I LAW OFFIC E'.S SNELBAKER. BRENNEM~\N ECG SPARE; order and direct that the foregoing share of my estate attributable to such deceased child shall be distributed among his or her lawful issue per stirpes icy represzntation and r-ot per capita, subject, however, to the protective trust provisions as contained in Item Fourth hereinbelow with respect to any beneficiary who has not attained the age of twenty-two (22) years iat the time for distribution. FOURTH. If any beneficiary hereinabove has not attained the a ,a ,._, .., ~ .. `~~~ `T~a •~: age of twenty-two (22) years at the time of distribution, I order and direct that the distributive share of such person shall be paid over and delivered unto PNC BANK, N.A., (or its successor by merger, consolidation or other corporate reorganization) as my testamentary Trustee, IN TRUST, NEVERTHELESS, to hold, manage, invest, accumulate income and reinvest until said beneficiary attains the age of twenty-two (22) years, at which time said trust shall be terminated and the net proceeds thereof be paid over to the beneficiary absolutely. I authorize and empower my said Trustee to invest the assets of said trust in any reasonable manner and not be limited 'tor restricted to so-called "legal" or statutory investments for fiduciaries. I designate any trust hereunder to be a spend-th~_ift 'trust. The beneficiary shall have no right to invade, pledge, assign or otherwise dispose of the assets of said trust (including income) nor shall any creditor of a beneficiary have any right to seize, levy or execute upon said assets by reason of any pledge, assignment or other transfer, voluntarily or involuntarily, made by said beneficiary. I further authorize and empower my said Trustee to use, LAW OFFICES S NF_LBAKER, BRENNEMAN & SPARE consume, expend and apply from time to time such amounts of principal and income of and from said trust which in the exercise of its sole discretion shall be determined to be reasonable and necessary for the beneficiary's education. The term "education" shall be construed and interpreted to mean college or other post- highschool training which is intended to improve the beneficiary's productivity as an adult or enhance the quality of -2- (his or her life. In considering what is reasonable and necessary, my said Trustee shall take into consideration the primary responsibility of the beneficiary's surviving parent to provide such education. It is my will and intention that the foregoing discretionary provision for education shall be supplementary to the parent's primary responsibility. LASTLY. I nominate, constitute and appoint my wife, MARY JANE CHIPRIANO, to be the Executrix of this, my Last Will and 'Testament, but if for any reason she should fail to qualify as such Executrix or cease so to serve, then and in that event, I nominate, constitute and appoint my daughter, namely, NANCY M. CARLSON, to be the Executrix hereof, each and both to serve without bond or other security as a condition of qualification hereunder. IN WITNESS WHEREOF, I, JOHN L. CHIPRIANO, have hereunto set my hand and seal to this, my Last Will and Testament which consists of three l3) typewritten pages to each of which I have affixed my signature this ~~ t`i day of G G i o ~~ r~` ~'z- A. D . , One Thousand Nine Hundred Ninety-eight (1998). ~v''1 ~ ~ f ~~ - r,..-~..--~:,_..~ ( SEAL ) ~1John L. Chipriano LAW OFFICES SNELBAKEi R, BRENNEMAN & SPARE The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testator, was on the date thereof signed, sealed, published and declared by JOHN L. CHIPRIANO, the Testator therein named, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in t presence of each other, have subscribed our names as witnes es ereto. i °~~~ ~~~ ~T~~~~~ -3- COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, JOHN L. CHIPRIANO, RICHARD C. SNELBAKER and CHRISTINE M. WHITE, the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the best of his or her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Subscribed, sworn to and acknowledged before me by JOHN L. CHIPRIANO, the Testator, and subscribed and sworn to before me by RICHARD C. SNELBAKER and CHRISTINE M. WHITE, witnesses, this ~~ day o f ~~~~-~f~~,t/,~ , 19 9 8 . Notary Public LAW OFFI C':S SNELBAKEE R, BRENNEMAN & SPARE ldotan8{ 88~t! P8{~ie J. Thomson, Notary Pubilic [~~eeteas~lc~uuurgg ~'©, Cumlaertau~d C f~ny CommissGon Expires Dec. 31, i59$ ;^E~~rl. i~"rn F~~ay, : 4r a~?a';~%t tf P~E"F` r f/!J Witness N c~ ~1 ~ -~~~ '' ~~ / ~ _.i _ 1, J I.7 - ~ ~ ~~ ~ r _' i~ ` ~` POWER OF ATTORNEY ~-"~ % `~ i ~ - ; ~ ~ -----------------------------------------z'-- --- i --~ -.~ MARY JANE CHIPRIANO TO RONALD J. CHIPRIANO ~ KNOW ALL MEN BY THESE PRESENTS, that I, MARY JANE CHIPRIANO, of the Township of Monroe, Cumberland County, Pennsylvania, have made, constituted and appointed and by these presents do make, constitute and appoint RONALD J. CHIPRIANO, my true and lawful attorney, for me and in my name, place and stead: 1. To draw checks or make withdrawals against my accounts in any bank, trust company, savings association, savings and loan association, credit union or other financial institution for all or any part now or hereaf±er deposited, of the money standina to my credit on the books thereof. 2. To endorse notes, checks, drafts and bills of exchange which may require my endorsement for deposits as cash or for collection. 3. To ask, demand, sue for and receive all sums of money and securities now due or which may become due and payable to me in any manner whatsoever, and upon receipt of the same to sign, seal, execute and deliver all necessary acquittances and discharges therefor. 4. To manage, let and demise any real estate now belonging or which hereafter may belong to me. 5. LAW OFFIC CS S NELBAKER. BRENNEMAN & SPARE To grant, bargain, sell and convey in fee simple by deed of .General or special Warranty, for such price or prices, upon such .terms and conditions, and to such person or persons as he may see fit, all or any part of the real estate which I now own or may own at any future time wherever situate. 6. To sell, either at public or private sale, or exchange all or any parts of my personal property, wheresoever located, for such consideration and upon such terms as he shall see fit, and to execute and deliver good and sufficient bills of sale or other instruments for the conveyance or transfer of the same, with such covenants of warrar,cy as he shall see fit. ~. To sell, assign and transfer any stock, bonds, loans or other securities now standing or that may hereafter stand in my name on the books of any and all corporations, national, state, municipal or private; also to represent me and in my behalf to vote and act for me at all meetings connected with any company in which I may own stock or bonds or be interested in any way whatever; to collect receipt for all interest and dividends on loans, stocks or other securities, now or hereafter belonging to me. 8. To receive the principal and interest due on any judgments, bonds, mortgages or other obligations given to me by any person or persons, natural or artificial, who have heretofore or shall hereafter secure the payment of the same by any judgment, bond, mortgage or other obligation, and said judgment, bond, mortgage or other abligatian shall heretofore or may hereafter be entered of record in tnevffice of t;7e Prothonoi:ary or of the Recorder of speeds and Mortgages or of the Clerk of Courts in and for any '.County in the State of Pennsylvania, as well as in and for any other County of any State in the United States of America; and on the receipt of said principal, interest and costs due on said judgment, bond, mortgage or other obligation, appear for me and in my name acknowledge and enter satisfaction in whole or in part by instrument in writing or on the margin of the record of said judgment or mortgage, or to assign the same by instrument in writing or on the margin thereof to any person or persons paying to my said attorney-in-fact the interest or principal due thereof and thereon; and also by instrument in writing or on the margin of the record thereof or otherwise, to release from the lien of any judgment, mortgage or other lien standing in my name as above described, with or without consideration, any portion of the premises described or bound by said mortgage, judgment or other .lien; to extend due dates of judgments and mortgages and other liens of record, and to postpone liens thereof to others, on the record thereof or by instrument in writing. 9. To at,er. and e;~cer ary and air safe aeposit boxes rented by 'me at any banking institution, and to deposit articles therein and to remove articles therefrom. la. LqW OFFICES SNtLBAKER~ BRENNEMAN & SPARE To authorize medical and surgical procedures. -2- 11. To authorize my admission to a medical, nursing, residential or similar facility, and to enter into agreements for my care. 12. To do and perform generally all mat~:ers and things, transact all business, make, execute, acknowledge acid deliver all contracts, deeds, writings, assurances and instruments which may be requisite or proper to effectuate any matter or thing appertaining or belonging to me. With the same powers, and to all intents and purposes with the same validity as I could if personally present; hereby ratifying and confirming whatsoever my said attorney shall and may do, by virtue hereof. This power of attorney shall not be affected by the disability or incompetency of the principal; it being my intention that the authority conferred hereby on my attorney-in- fact shall be exercisable notwithstanding my subsequent disability or incompetency. IN WITNESS WHEREOF, I have hereunto set my hand and se 1 and her~;b~,y si ni y my intention to be legally bound, this ~'~ day of '~ ~~ Nineteen hundred and ninety-eight (1998). ! ~~'®/~t Fr ~ 'G~!!~~"~ ~ ~G~ ~~ ~ ~ ~ l.~'~ . SEAL) 'y Jane riano COMMONWEALTH OF PENNSYLVANIA } SS. ~ COUNTY OF CCSMBERLAND r~ On this, the ~`~ day of ~ fC%~r~t%f1 1998 , •------~.~ j'- Notary Public My Commission Expires: LAW OFFIC Es $NEL6AKER. BRENNEMAN & SPARE before me, a Notary Public in and for the aforesaid County and Commonwealth, personally appeared MARY SANE CHIPRIANO, known to me (or satisfactorily proven} to be the person whose name is subscribed to the foregoing Power of Attorney, and acknowledged that she executed the same of her own volition and free will, and .for the purposes therein contained. WITNESS my hand and official seal the day and year aforesaid. ~~ _.~ _r~ `.~ ~ _ _ L t f-r'-i .. RENUNCIATION - ~' ``' _ ' <, . _ ; -:-, ~; __ -Y, REGISTER OF WILLS =~ -- ~~`~ CUMBERLAND COUNTY, PENNSYLVANIA Estate of John L. Chipriano ,Deceased 1 Nancy M. Carlson , in my capacity/relationship as (Print Name) daughter and named Executrix of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Ronald J. Chipriano ~- 11-G (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of _ Deputy for Register of Wills Torm 2W=06 rev. 10.!3.06 '; (sign ture)~ Na y M. Carlson 274 East 24th Street (Street Address) Idaho Falls, Idaho 83404 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified tha± he or she executed the renurcia±ien for the purposes stated within on this ~ day of l~ a ~ c ~ , _ CMG%_~_. ~vc~v~u~ ~ ~~ Notary Public My Commission Expires: ~~~ - ~~ - ~ ~ i ~- (Signature and Seal of Notary ur other official qualified to administer oaths. Show date of expiration of Notary's Commission.) .~~ ~; ~;:: 1lrlnlmlu~~ r".] C.7 c~ _~~ ' ~ ~ _ r7 . :.~ i - .. v~ ~ S RENUNCIATION ;~ ~~' ~ _ , -' %<~:, -n REGISTER OF WILLS =+ _~ CUMBERLAND COUNTY, PENNSYLVANIA "~ ~ Estate of John L. Chipriano, also known as John Louis Chipriano ,Deceased I, Mary Jane Chipriano , in my capacity/relationship as (Print Name) surviving spouse and named executrix of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Ronald J. Chipriano (Date) (Street PAR ~ f~r'./rr~ ,err 6'~ «s~~r~.f ~/~ lra Executed in Register's Office Sworn to or affirmed d subscribed before e this _day of TG~ U ~ ~ ~' Deputy for Regist of Wills r 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 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.) Farm RW-06 rev. 10.13.06