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HomeMy WebLinkAbout05-04-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of C. ROBERT TODD File Number 21 09 ~ T °~3 also known as ,Deceased Social Security Number 204035940 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 successor Executors named in the last Will of the Decedent dated l O/7~04 and codicil(s) dated riOrie Ozella D. Todd, herewith files a Renunciation of her right to serve as Executrix and requests that the undersigned be appointed Executors as indicated in Item Nine of Will filed herewith. Continued on a Separate Page (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 (lfapplicable, 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 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.) Decedent, then 88 ears of age, died on 3~26~09 at Cumberland Crossings Retirement Community, 1 Lon>;sdorf V~ay Carlisle PA 17015 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 1,550,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 0.00 situated as follows: Wherefore, Petitioners) 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 ~ Charles R. Todd III 808-627-0302 95-270 Waikalani Drive A-301 Mililani HI 96789 William S. Todd 717-486-3812 1 Hill Street Mt. Holl S rin s PA 17065 Form RW-02 rev. 10.13.06 Page 1 of 2 Ic vmr~ctC tiv ALL c,;9~CS:) Attach aadtuona[ sheets tf necessary. y'. , Decedent was domiciled at death in Cumberland Counc~, Pennsylvania, with his /her last principal residence at ~.Ori>?SCIOrf Way Carlisle PA 17015 South Middleton Township (List street address, town/city, township, county, state, zip code) 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 before me the ~ day of ,Q~-.{- ~~ F r e Register Signature of Personal Representative n C~ -~ rv 0 ..o -rC --~,~"_ S -> {,, l ~ i ..' -1 ___ _' l_^ ^T[ File Number: . J ~._` ~~.1 '~ C. ROBERT TODD ~ ~ ~ ~ Estate of , Dec~as~ --i N ?~ Social Security Number: 204035940 Date of Death: 3/26/09 ~ r., AND NOW, ~ 2009 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Charles R. Todd, III and William S. Todd, Executors in the above estate and that the instrument(s) dated October 7, 2004 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES t ~ it e 'ster of Wills Letters ............................. $ Short Certificate(s) ........•.•. $ ~ Attorney Signature: Renunciation(s) .••...•....•.... $ , ~ ~ I $ Attorney Name: No V. Otto III •••• $ 27763 Supreme Court I.D. No.: .... $ .... $ Address: 10 East High Street "" $ Carlisle .... $ .... $ PA 17013 .... $ $ _ Telephone: 717-243-3341 TOTAL ............................. $ -~ Form RW-Ol rev. 1213.06 Page 2 of 2 .<<, ., ,. _ _ ~,.~ ~a3 LOCAL REGISTRAR'S CERTIFICATION OF DEAT~i WARNING: It is illegal to duplicate this copy by photostat ar photograph. Fee for Chis certificate, $6.00 This >is to certify that tl)<: information here given is correctly copied from an original Certificate of Death duly tiled wish Ina as Local 'Registrar The original certificate will be for~,>v~arded to tti(• State Vital Records Office for permanent filing. P ~. 5 2 5 6 9 8 4 '. ~~~ MA 3 coos Certification Number Local Registrar Date Issued !V O ~ O ~ - -`-'~ ~ I ~ ~ ~ 33a• (, ~ '-~ ,. - ~~r- ~- ~--; c ~ - _ _~ ~~ n N - ) _ -, ~* , H10S743 flEV 11/'200a TYPE r PagrT w PERMANEM BUCK INN JtI Q 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER 1. Nano d Dsmem (Wn. mdse, bn, sdfu) 2. Sez 3. Social Security Number -0. Deb d Deets (MOWN, day. per) 5 940 ~~~ti ~~ 2 v4 C. Robert Todd Male 204 - 03 - s. Age (tan BirMday) IAZkr t year Urdar 1 Oay S. Date a BIM (Monts, m , J 7. ' (Cfry and sole a ~ more) G. Piece of DaeM (Clbdc an ore) gg "b'"° °"° "°" k`""` August 25, 1920 Carlisle, PA "mp'rsb °ti~ Yrs. ^ Inpadenl ^ ER / OulpeGnt ^ DOA Niaebg Homo ^ Resitleree ^qmr ~ SpecOy: 8b. Cauny of DmM &. City, Born, Twp. of DeaM Btl. FadNy Name III nd Nemunm, gN• nreel end number) 9. Wes Decedanl d Hppenk Odgn? ~ NO ^ Yes 10. Race: Ameocnn tixr Bbck, While, sc. Cumberland S. Middleton Twp Cumberland Crossings ~~ ~ °i °~• (~MWhite p R ~) ts. Decedem's Uwel Kird d rroA d ew men d qle. Dona Hate relit 12. Wee Decedent ever in Ina 13. DecmenYS Lion (Specey mty higliesl gratle axnP letad• 14. Martel Satin: MarGd Never MarrieQ 15. Surviving Spo use (II wile, give maiden name) Kitl d WorF Kid o(Buairae! M U.S. Armed Foma7 Elementary /Secondary (412) College (1-4 or 5+) Widowe4 Divorced (Spervyy) Owner Clothing Mg. app ^p,o 2 Married Ozella Donsen - 16. DeceOenYS Madln9 Addns (SPmL city /lawn, smte, tp cGe) 1 Longsdorf Way Decedent's Did Decedent AaunRaefdarwe na.sne PA uv.ma „~.~]Ym,Depeaar,luvedin S. Middleton TWD. Twp. ? PA 17015 Carlisle ,7d.^Np, Decedent Uvad wehb ,Tb.Cany Cumberland T°w~""'° , Achral IirteLa d cm / Boo 1S. FarGr'a Name (Fen, mddb. lest, 19. MoMeYa Name (Find, ntltldle, maiden sarenle) Charles R. Tod Blanche Garland ZOa. Inldmard's Name (Type / Pdml William S. Todd 20b. InlormanYe Maliq Addme IStrm4 cly /town, emb, zip code! 1 Hill Street, Mt. Holly Springs, PA 17065 21 e. McUnd d Dwpossion I ^ gamesn ^ Dpretlon 27D. Dare d DkpcsNm (ksorwh, my, yeaz) 21c. Piece d Dwpoeitlon (Name of cemetery, aemalory a Diner place) 2ttl. Lacedon (Ciy llasn, sate, dp mde) ® Bann ^ IiemovnhomSlate I wmGrenWOnarDaletlonAutllaized April 1, 2009 estminster Cemete Carlisle, PA 17013 ^ Dtlw - SOad7 ~ W Medipl Ezeminer / CoroneR ^ Vea ^ No z2a. s~nanae a F Licesuw (a psmn ! 22b. ticeree NumOer z2c. Name and Addms d Facility Hof fman-Roth F'unera Homne & rematory, ne . - - 013144E 19 No h Hanover Street, Carlisle, PA 17013 Canglele bane 23et when cerilYbg pnyaidan b not evmede n tens d Beats a 23a. Ta Ue oast d my Muvbtlge, dNN acasm ar the tlne, mh antl Place Waled (Signedae entl isle) r 23b. Limree Number 23c. Data Signetl (MOmh, my, earl cersy aue.adeeM. `~,w-L.c.~ ~h~ ~NSG~:L UiaS('~ Y1~Ct~. e.l, :2 (v ~GJ - Ibms 24-28 mul G mngined by Person A rne d DeaM zs. D za. ab P mlouced Deed (Nam, day. year) w as Caas Rderree b Medical ezemirler / caorer br a Reason oMer man Cren,alion « Donation? 2B. ~ who praparostlmM. r ^ ~ ^1 dl3~ M. 'r'CLL I',~ n2-~ eZ O~ ( , -- { IaO Tae ^No CAUSE OF DEATH (See irelrucsfdm and anmplse) I Approzimab imrveE PM II: Ergs oMer ' 2s. Did TaGCm flee Cadridae b Deets? IMn?!. PN I: Eds the drh d avsea- dseesas, kl(uresa, a senWlindae-tlW deecsy carved the dints. DO NOT sole lemwld evenh altdl as eerdkc anent, r Onset b pmts ' but nd X009 b ~ IabadYilg fPU9a given in Pad I. Ym ^ Prebady reepealay man, a vsltrddar Ilblbaon wiend ehow elg Me etlobgy. flat ady are cause m each Ire. i ^ No ^ UMmwn IMMEDLITE CAUSE dseaeea mnditipn renm~g b "°S C D •~9~'~' ; ~. (~~~~u , ~ e-v-2- .~ a. ~ zs.1, FamNa~. ^ Due b (a as a ~ SepenYey fn carld0as, it any. p, ~ Nd pregrenl wilhb pan ymr ^ Prerpenl n sine d tlmM be~P a na wan Ines m Ida e. pup b (a es a aatsegance dl: Fnbr M U1IDERLYUIG CAUSE ^ Not pregnaa, Gd pregrreni wlhut 42 dap ~~dd~~~aa i~nad bvents rewatlnei p n EMI U1STU e c. d main . - Due to a as a ( mrwequence oil: Not M. but pregnpm 43 6t to 1 ^ Pe9na p Year d. tetra dmUl ^ Ud«nown d prsgreM vdhb die Pan ps 30a Wm n Amapsy 306. Were NMPSY FnSiga 31. Manner d Dash 32a. Date d Iryury (Monts. GY per) 326. DesWG How Injury pccuPed 32c. Place d b~uy:Hama. Feml, Swept. Factory, Parlmretl? Avelebb Prbr m OonPlalWn NBNrsO ^ Homiitle .. Office Buedng, eb. (SpMfy) d Came d DBeM? ~ ^ Vm (~ No • ^ yes ^ No '~dant ^ Pendng Nwesligelpn 32d. Tmle d lilprry 32e. Mjay at Work? 321. II Trareparletbn Iryury ~ ! 32g. Location d fnjry 13aes, dly / bwn, slelp) ~' ^ Sddde ^ Coda Nd G Dabrrriilsd ^ yap ^ No ^ DAVer / Opereta P ar ^Palastnm M OMer- Speclry: 33a. Cstifies IdieM nay orel • Certllyhsp ppNdn IPhyaoen ceraty+rq wee of tleeM when amlrbr ph siden has Prereenced tleaM and con lsed Item 23) 33b. Sigie al y V To BW God my l¢gwladpe,awM Oaurtad due fo tln mum(el and insert as ahhd_______________ __,lit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ V PmnaeKMp ant terlByNq phyeldarl IPMskran botll pmaurimg dints end mrdNiS b muse d dints) • To tlrs Gad mY knowMtl9a, death accurtad alit tinr.dna, end pace, and dm Mtlr aarue(al end mennsmsteted__________________ ^ 33c. 33d, S~tl day, per) /} 00 ( C~ - / ~~ • MMkN EteMror / Cararr ~ O ~ ~ ~ J ( `= i On Me bash d azamlMbn eM / a hwesllgalion, In my opinion, death amumed et dr IMlle, deb, end pace, eM tlue to gr reuse(s) end menrer as steted_ ^ 3p Name em Atltlress ni Person Who Cmpbletl Cause d Death (Item 2~7 Tyye / Pdnl 35. Registrar's APd Dist' r l~ l L I d l\ I n I .Date Fled (Mmlh, daY Ymr) Darryl GU19tWlte, - Carlisle PA 17015 Disposiibn Pennd Nc. I 1 _) L-'~I ~,7( C' F.~FILES~DATAFILE~Estate PlanningW264.2.h.wi11.2004 LAST WILL AND TESTAMENT I, C. ROBERT TODD, of South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made. ITEM ONE I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all inheritance taxes shall be paid to the extent possible from the assets held or passing under ITEM SIX hereof as soon as practicable after my decease and as part of the administration of my estate. ITEM TWO In the event my wife shall predecease or fail to survive me by thirty (30) days, then I give such items of personalty as are itemized in a certain list attached hereto to the `~~ns nar>~d thereon, which list is signed and dated by me at the end thereof. i ~ . r•-- ITEM THREE ~' ``-_ .r- . ,~ ~s~. I bequeath any automobiles or motor vehicles I may own at my death, my p~x~~a~effe~s such household goods if any as maybe my individual property and not the property~y wife br owned j ointly by me with my wife, and other tangible personal property of like nature (not including cash or securities), together with any existing insurance thereon, to my wife, OZELLA D. TODD, providing she survives me by thirty (30) days. Should my wife predecease me or die on or before the thirtieth day following my death, I bequeath such tangible personal property and insurance thereon to such of my children as are living on the thirty-first day after my death, to be divided between or among them with due regard for their personal preferences in as nearly equal shares as practical and as they shall mutually agree. I direct that any of the foregoing articles not selected by such children or about which there is no agreement shall be sold at public or private sale by my personal representative(s), and I further direct that the net proceeds thereof shall be administered and distributed as a part of the residue of my estate. ITEM FOUR If my wife, OZELLA D. TODD, is living thirty (30) days after my death, then I give, devise Page 1 of 6 Pages [Initials] ~.~ J ._, ~ 5 ~.I; ,, _,~ k -> I _ __I .~ ~~ and bequeath all of my estate, both real and personal property, unto my said wife, absolutely. If my said wife does not so survive me, then I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal property, unto my Trustees to be held or distributed by such Trustees under ITEM SIX hereof. ITEM FIVE In the event my said wife shall disclaim all or any portion of any devise or bequest made to my wife under the foregoing ITEM FOUR, then the amount otherwise payable shall be held by my Trustees under ITEM SIX hereof. For purposes of the Trust established under ITEM SIX hereof, my said wife shall not be deemed to have predeceased me by virtue of my said wife's exercise of the right to disclaim set forth herein. ITEM SIX RESIDUARY AND DISCLAIMER TRUST My Trustees shall hold the assets received under ITEMS FOUR and FIVE hereof, if any, for the following purposes: A. My Trustees shall pay the net income, at least quarter-annually, to my wife, OZELLA D. TODD, for life. In addition, my Trustees, in my Trustees' sole discretion, may invade the principal of the Trust for the proper and adequate support of my said wife. B. In addition to the above provisions, my said wife shall have the power to direct my Trustee to pay to her or to apply out of the principal of this Trust in each year, including the year of my death, an amount not in excess of the greater of Five Thousand ($5,000.00) Dollars or five (5%) percent of the then aggregate value of the principal of this Trust. This power shall be noncumulative and may be exercised only by an instrument in writing signed by her and delivered to my Trustee within the first thirty (30) days of fiscal year of this Trust. C. Upon the death of my said wife, or upon my death if my wife shall not survive me by thirty (30) days, my Trustees shall distribute the principal of the Trust to my children, CHARLES R. TODD, III and WILLIAM S. TODD, in equal shares, absolutely. D. In the event that either of my said children shall fail to survive my wife and me, but shall leave issue surviving, then such deceased child's share shall be held by my Trustee and the net [Initials] Page 2 of 6 Pages ,p%/~ J/ income therefrom shall be used for the support, maintenance and education of the issue of such deceased child. My Trustee shall use as much of the principal as he shall deem desirable for said purposes. My Trustee shall distribute absolutely the principal of such share of such deceased child to the issue of such deceased child per stirpes as each shall attain the age of thirty (30) years. In the event that either of my children shall fail to survive my wife and me and not leave issue surviving, then such deceased child's share shall be added to the share of my other child as if originally a part thereof. ITEM SEVEN POWERS OF EXECUTRIX AND TRUSTEES In addition to the powers conferred by case law, by statute, and by other provisions hereof, my Executrix and Trustees, and their successors, shall have the following discretionary powers applicable to all property held by them which powers shall be effective without order of any court and shall exist until final distribution. A. To retain any property of any nature received by them for whatever period they shall deem advisable; B. To invest and reinvest all or any part of said property in such stocks, bonds, common trust funds, securities, accounts, certificates of deposit (including, but not limited to, stocks, bonds, common trust funds, securities, accounts or certificates of deposit of my Trustee) or other property, real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the property which a fiduciary may purchase; C. To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of any trust herein, without liability on the purchasers or lessees to see to the application of the proceeds, and to give options for these purchases without the obligation to repudiate them in favor of a higher offer; D. To execute and deliver any deeds, leases, assignments or other instruments as may be necessary to carry out the provisions of any trust hereunder; E. To borrow money, including the right to borrow money from any bank and to [Initials] Page 3 of 6 Pages ~i~ mortgage or pledge any asset of the estate as security; F. To assume continuance of the status of any beneficiary with regard to death, marriage, divorce, illness, incapacity and the like in the absence of information deemed reliable without liability for disbursements made on such assumption; G. To pay from the trust, or the income therefrom, all debts or claims against my estate, or any taxes or similar charges on my estate; H. To make any distribution hereunder either in kind or in money, or partially in kind and partially in money. Distribution in kind shall be made at the market value of the property distributed, and my Trustees, in my Trustees' absolute discretion, may cause the share distributed to any distributee to be composed of property similar to or different from that distributed to any other distributee; I. To exercise any subscription right in connection with any security held hereunder, to consent to or participate in any recapitalization, reorganization, consolidation or merger of any corporation, company or association, the securities of which may be held hereunder, to delegate authority with respect thereto, to deposit investments under agreements, to pay assessments, and generally to exercise all rights of investors; J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries of any trust hereunder; K. To continue in any partnership, joint venture, joint ownership or other business enterprise of which I am a part at the time of my death; L. To compromise claims; M. To continue for whatever period of time as they shall deem necessary any ownership as a tenant in common or as a partner, in real estate or other property and to act as I could have done had I been living; N. To lend money to my estate or to any trust created hereunder or to purchase from the estate or from any trust created hereunder, at the market value thereof at the time of purchase, any securities or other property tendered to them by my estate or any trust created hereunder at any time and from time to time within a period of nine (9) months after my death; [Initials] Page 4 of 6 Pages ~~~ O. In the event that any amounts are payable hereunder or under any trust created hereunder to a minor, or to a person otherwise under legal disability, or to a person not adjudicated to be an incapacitated person, but who, by reason of illness or mental or physical disability is, in the opinion of the fiduciary(ies) hereunder, unable to properly administer such amounts, such amounts may be paid by the fiduciary(ies) hereunder in his, her or their sole discretion in any of the following ways as he, she or they may deem best: 1. Directly to such beneficiary; 2. To a legally appointed guardian of such beneficiary for the benefit of such beneficiary; 3. To a person having custody of such beneficiary for the benefit of such beneficiary; 4. By the fiduciary(ies) hereunder using such amounts directly to the benefit of such beneficiary. Evidence of the application of payment of an amount in such a manner shall be a full and complete discharge of the fiduciary(ies) hereunder to the extent of such payment or application. This paragraph shall be applicable to payments of income as well as principal. P. To employ agents, attorneys and proxies and to delegate to them such power as my personal representative and Trustees consider desirable and to pay reasonable compensation for such services as maybe rendered by such agents, attorneys and proxies; Q. To conduct an inventory of any safe deposit box necessary to the administration of my estate. R. To do all other acts in their judgment necessary or desirable for the proper management, investment and distribution of my Estate. ITEM EIGHT PROTECTNE PROVISIONS All income or principal held for the use and benefit of the beneficiaries of any trust hereunder shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor shall any such interest, while in the possession of my Trustees, be liable for or subject to the debts, [Initials] Page 5 of 6 Pages contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or sequestrations under process of law. ITEM NINE APPOINTMENT OF EXECUTRIX AND TRUSTEES I nominate, constitute and appoint my wife, OZELLA D. TODD, as Executrix of my estate. In the event she shall predecease me or fail to act as Executrix, then I appoint my sons, CHARLES R. TODD, III and WILLIAM S. TODD, or the survivor, as co-Executors of my estate. I nominate, constitute and appoint my wife, OZELLA D. TODD, and my sons, CHARLES R. TODD, III and WILLIAM S. TODD, or the survivor, as Trustees of any trust created hereunder. ITEM TEN WAIVER OF BOND I direct that neither my Executrix nor my Trustees, or their successors, shall be required to file any bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be required to obtain any order or approval of any court for the exercise of any power or discretion set forth in this Will. IN WITNESS WHEREOF I have hereunto set my hand and seal this ~'L~ day of C. Robert Todd SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testator and of each other. Q~ Page 6 of b Pages COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. We, C. Robert Todd, No V. Otto III, and VaL~ U2~~d~ /~ ~ .~~eke~ ,the Testator and the witnesses, respectively, whose names are signe to the 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 that the Testator has signed willingly, and that the Testator 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 hest of hislher knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. C. obert Todd, Testator Witness f.Z, it s Subscribed, sworn to and acknowledged before me by C. Robert Todd, the Testator, and subscribed and sworn to before me by No V. Otto III and_ T~t/2~1~ /~. ~Q<,,~~r- ,the witnesses, this 7~day of ~~ ~~ti , Z~~Y . _ Notary Public NOTARIAL SEAL VICTORIA L. OTTO, NOTARY PUBLIC MY COMMBSSIO~ EXP{RESROEC. 2 ~ 006 Page 7 of 6 Pages RENUNCIATION ~' rv ~ ~© -~ . , _ - ~ ~ , ` - c7 ; ~ REGISTER OF WILLS ' rn _ ' ~ CUMBERLAND COUNTY, PENNSYLVANIA - ~ ~ , _ ~ c. ~~~ ,, ,-~c~ -;-, ~ _ _, , _~ N i tL~ Estate of C • ROBERT TODD ,Deceased I, O Z E L L A D T O D D , in my capacity/relationship as (Print Name) Executor of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to CHARLES R TODD, III and WILLIAM S• TODD (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , ~~ ~ . ~~c~ (Signatur 1 Longsdorf Way (Street Address) Carlisle, PA 17015 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renuncia ion for the purpos stated within on this ~~`, day Deputy for Register of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other off administer oaths. Show date of expiration ~MONWEALTH OF PENNSYLVtuvtt NOTARIAL SEAL Corrine L. Myers, Notary Public 'arlisle Borough, Cumberland County it1,4~1R~ expires Mav 27, 2011 Form RW-06 rev. 10.13.06