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HomeMy WebLinkAbout06-24-09Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Lillian M. Lesher No. ~ ~ G c~ C/ ~~ ~i3 also known as ,Deceased Social Security No. 192-14-0799 late of Silver Spring Township, Cumberland County, Pennsylvania Petitioner, who is 18 years of age or older applies for: COMPLETE "A" OR "B" BELOW:) ® A. Probate and Grant of Letters and avers that Petitioner is the executor named in the Last Will of the Decedent, dated August 12, 1980 and codicil dated N/A Decedent's spouse, Paul S. Lesher, predeceased her on February 8, 1987. 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 incompetent: ^ 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 that Decedent left no Will and was survived by the following spouse (if any) and heirs: r Name Relationship Residence ~ ~ ~ `° =~~~ { ._ ;,~ ~1r ~~ ,~. ~~ 1t '~ ~. ' ~~ •. ~, (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 29 West Carlisle Pike, New Kingstown, Silver Spring Township, Cumberland County Pennsylvania 17072 (list street, number and municipality) Decedent, then 86 years of age, died June 17, 2009, at Church of God Nursing Home, North Middleton Township, Cumberland County, Pennsylvania (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ................................................................................ $500,000.00 (If not domiciled in PA) Personal property in Pennsylvania ............................................ $ (If not domiciled in PA) Personal property in County ...................................................... $ Value of real estate in Pennsylvania ................................................................................................... $ 50,000.00 Total ..................................................................................................................................... $550,000.00 Real Estate situated as follows: Perry County. PA ~' i ~-.~~ _.._,7 i Wherefore, Petitioner respectfully requests the probate of the last Will and Codicil(s) presented with this Petition and the rant of letters in the a ro riate form to the undersi ned: ~ ~ ~ ~gna re Typed or printed name and residence Alan P. Lesher 322 North Baltimore Avenue, Mt. Holly Springs, PA 17065 Form RW-1 Page 1 of 2 (Dauphin County -Rev. 9/92) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate accordir}~ to law. ~ ( ~ Sworn to and affirmed and subscribed before me this {~ ~~~ day of ~~ ~,;# i" ~. , 2009. Estate of also known as Social Security No 192-14-0799 Date of Death June 17, 2009 AND NOW, ~ ~ k, ~`~ ! i I~, ~ ~ ~~r, ~- , 2009, in consideration of the Petition on the reverse side reon, satisfactory proof having been presented before me, IT IS DECREED that Letters ®Testamentary l_.I of Administration (c.t.a.; d.b.n.c.t.; pendente life; durante absentia; durante minoritate) are hereby granted to Alan P. Lesher in the above estate and that the instrument(s), if any, dated August 12, 1980 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. ~ r FEES ~ ~ ~~~;~.: 1 "' ~,. ~ 5c- ~ c )cam .... $ `~C: ~ Re ~ ~~o ~` Letters ......:....:...: ~........... gister of ills r- . __ ~ :~~ ~ Short Certificate(s)............ $ .z L~ Renunciation ........................ 7......~:- P.:~.......... Extra Pages ( ) .................. Codicil ............... .............. JCP Fee ...:~...~ -i~+,~a............ Inventory & Tax Forms ........ Other .................................... TOTAL...... ?r ~, '- ra -- ~ ~ as >"_ . v ~~ .~; r~ ~_ _ ,, t DECREE OF REGISTER ~ N ;- ~~; Lillian M. Lesher, Deceased No. 1 ~' .> $ ~s - $ $ / _~ '" $ Attorney: $ I.D. No.: $ j d ~- ~ Address: Telephone: DATE FILED Peter J. Ressler, Esquire 06844 3401 North Front Street Harrisburg, PA 17110-0950 717-232-5000 6 ~l T Form RW-1 Page 2 of 2 (Dauphin County -Rev. 9/92) 516526v1 los_sm kE~ lul/oil LOCAL REGISTRAR'S CERTIFICATION OF aEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 1 Yy ~~' ~~ ~ ~ ~: Certification Number This is to cert~f~~ Ihat the infurn)atiu~l here ~i~~en i correctly cop~e~_I from an ~~riginal Certificate of Dead duly filed with (tie as Lord Re~~i~trar. The ori~~ina certificate ~~-ill he forwarded to the State Vital Records Off~icc i~yr permanent fihn~. L ~~~"~.c.~~, JU 1 9 2009 '` ~___L____ Local Re~iis±rar I?a(e issued C7 FV G~"•A C .n `x-~ ) - L- ' C i p C ~ l :__ ~ CTt ..- , t`J r . ~ : ~ ~ ~ C~ J ~ ~: J ~... ~ • ~ Q .~.~ H105-143 REV 1112006 TYPE / PRINL IN PERMANENT BLACK INN v COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructlons and examples on reverse) sTnrc Fn r:.~~ ~a.o~o ~~ ~ ~; ~i /t `~ ~ ~~ ~ ~. ~.a~ - ~~ Ires~, mwre. ws~, sumxl _-- - ~- / `r / v 2. Sex 3. Social Security Number 4. Date of Death (Month, day, year) Lillian Mae Lesher Female 192 -14 _ 0799 June 17, 2009 5. Age (fast Birthday) Under 1 ear Untler 1 day 6. Date of Binh (Monti, day, year) 7. Bidhplace (Cdy and dale or foreign country) be. Place of Deam (Chazk only one) 86 M°"'"' ga" "°'"' Mme'" Sept. 15, 1922 New Kensington, pA Hosplml: Diner Yrs ^ Inpatlenl ^ ER /Outpatient ^ DOA g] Nursi~ Home ^ Resitlence Bh. Court of Death ^Other. Specify. N &. City, Boro, Twp. of Deam Btl. Fadlity Name QI not insalulion, give strcel aM number) 9. Was Dacetlenl of Hlspank: Odgin? No Ves i ' Cumberland N. Middleton 1t~p Church of God Nursing Home of vas. apaafy caber, ~ ^ 1d. Race: Amenran Iran, Black, Whae, etc. l Mexican, Puerto Rican, etc.) (~r~ 11. Decedent's Usual Occu albs Kind of work done dun most of waldn Ida. Da not dale retired 12. Was Decedent aver in the 13. Decedent's Education White (Specity only highest grede competetl) 14. Marital Slalus: Marred, Never Marred, 15. Surviving Spouse (tt wife, give maiden name) KiM of Work P - oLOUSiness /Industry U.S. Armed Forces? Elementary / Secrondary (0-12) College (1-4 or 5+) WNowed, Dlvomed (Speciryl . C C 1 ^Vas [ENO 2+ W1dOWed 76. Decedent's Mailing Atltlress (Street dry /town, state, zip cotle) Decedent's Did Decetlenl Im 29 West Carl isle Pike Actual Residence 17a. Slate PA Live in a 17c. LnI yes, Decetlenl rived in 1 ~ V 4 ~ n Township? 9 Twp. New Kingstown, PA 17072 ,7b. cppnty Cumberland ,7d. ^ Np, Depemnuivatlwnnin Actual Limits of City / Born 1B. Fethei s Name (First, middle, last, suffix) 19. Momer's Name (first, mitltlle, maiden sumeme) Charles Jacobus Amelia Helmi 20a. Informant's Name (Type / Pfinl) ZOb. InlormanYS Mailing Address Street, d / rown, slate, Zip code) Lynn E. Brown 201 Casey i'.n, ~heridan, AR 72150 27a. Method of Disposition ^ Cremation ^ Donation 21b. Date of Dispositlon (Norm, day, year) 21c. Place of DisposAion (Name pl cemetery, crematory or other place) 21tl. Location (City I rown, state, zip code) ^ fl Banal ^ Removal from State ;Was Cremation or Donatlon AuNOdzed June 20 2009 Letort Cemete PA 17013 d~ ~Speclly j byMedicelExaminer/COrorter. ^Yes^No 7 ry Carlisle, 22a. gn re of Funeral Service Licensee N71 parson acting as suchj 226. L;xense Numher 22c. Name and Atldress of Facility \~-•7T `1,~. I 013144E Hoffman-Roth Funeral Home & Crematory, Inc Complete s 23ac onty when cedihp'ng 23e. To Pre best of my N occurtad al the tlme, dale and pace slated (Sgnature and Olle) physkian i not available at lime of tlealh to 23b.pLicense Number 23c. Date Sigrredp(MOnth, day, year)~^ certify ww of tlealh r'[.~C/d~C_ ,!/ Qil't. ~ /~ /J / 6 3 ~ -7 3 '- t/ L(h c_ / 7 a~~G~cl aems 24-26 must be completed by person 24. Time of Death 25. Date Prorwurxed Dead (Month, tlay, year) 26. Was Case Relerted to Medical Examiner! Coroner for a Reason Other man Cremation or Donation? who pronounces death. 7 J1 /C~ M. G °C V !D [c N 'C~ ~ CJ !~ ~ ^Yes [~Als CAUSE OF DEATH (See instructlons and examples) ~ Apprpximate interval: Pen II: Enter Diner signaksnf cnn&tlom confr n' t death, 26. Did Tobacco Use Conln6ute ro Death? Item 27. Pan I: Enter the grain of events - tliseases, injures, or cemplkalions - that tliredly caused the Beam. DO NOT enter terminal events sucfi as cardiac artesl, Ansel ro Deam but not rasuttin me uMed respiratory artesL or ventricWar fibnllakpn without slsrwirg me ekology. Usl only orre reuse on eaM lure. gin ying cause given in Pan L ^Yes ^ Probefay MIMEDIATE CAUSE Final disease or ^ Nc ^ Unknown cendition resulting in ~eam) ~ ~ U. ~~~}~. \ ~ ~N_ ~ (~ a ~ ~ 1 v ~ 29. If Female: Due to (or as a consequence op. ^ Nol pregnant within past year Sequentiallyy list condilians, g any, 6 ^ Pregnant at tlme of death lee6rg to dre cause lisletl on lure a. Due to (or as a cans Enter the UNDERLYING CAUSE equence oq. ^ Np y (disease or injury that Indialetl me c pregnant, but pregnant wdhin 42 da s evenrs resulting in deem) LAST. of deem Due to (or as a mnsequence oQ. ^ Not pregnant, but pregnant 43 days to 7 year d. belare deem ^ Unknown if pregnant wimin the past year 30a. Was an Autopry 3W. Were Autopsy Fintlings 31. Manner of Deam 32a. Dale o11Mury (MOnm, day, year) 32b. Describe Haw Injury Occurred 32c. Plaza of In u Home, Farm, Street, Factory, Penomred? Available Prbr to Completion j ry: a canoe m Deam? Natural ^ Homiode Oilice Building, 61c. (Specify) ^ Yes f71 No ^Yes ^ No ^ Acadenl ^ PerM'm9lmestigation 32tl. Tina of Injury 32e, Injury at Work? 321. If Trenspodalion Inlury (SpeNN) 32g. Location of Inryry (Street, city! town, shte) "C ^ Sukitla ^ Could Nol be Datertni~etl M ^ Ves ^ No ^ Dm'el / Operelor en r ^p,'dBStnan Omer -Specify; 33a. Garbler (check only one) 33b. Signalu a 'ter • Lertitying physician (Physician cenirying cause pf tleath when another physician has prorwunced deem and completed Item 23) / ) . L~ To me heat of my knowledge, death occurred due to the cause(s) and manner x etated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _'r~i ~ L/ • Pronouncing and cenlrying physician (Physician bpm prowuncing deem erN cenilying to cause of death) K-D• 33c. L' umber 33d. Dare Signed Month, day, yearj Ta the best Of my knowledge, death occurred at the tlme, date, and place, and due to the cause(s) and manner as stakd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ _ L • Medical Examirrer/Coroner ~~ ~ ~(, ~- ~ F (~~~C Q On the basis of examination and / or investigation, in my opinion, beats occurred at the time, date, and place, and due to the cause(s) and manner as staied_ ^ C' t 34. Name and Atltlress of Person Who Canpktetl Cause of Deam (Item 27) type I Print -Regislrar'sS t apdDistr~ym~~C 36 Dale Filed (Month, day, year) Darryl Guistwite, D.O. ~~ ~t-- ~\KIt~~I..~ I~,I ~ I ~ I ~ I O I 56 Ashton St. , Carlisle, PA 17013 Disposition Permit No. \)__) ~,• I ~~ pl {~ /~ ~ r ~~st mill end (Z~esx~ment OF LILLIAN M. LESHER N ch :.~ ~- ~ `-:. .~ JCS f r i r-i1 = T) „- ,~-" LfJ =~ .4~ "--~ .- ~~ I, LILLIAN M. LESHER, of Silver Spring Township, Cumberland County, Pennsylvania, declare this to be my last Will, hereby revoking all prior wills and codicils. FIRST: The expenses of my last illness and funeral shall be paid from my estate. SECOND: I hereby give and bequeath, absolutely and in fee simple, to my spouse, PAUL S. LESHER, all my household furniture and furnishing, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment, provided that if my spouse dies before the thirtieth (30th) day following the day of my death, this gift shall lapse or be divested and I make said be- quest to my issue, per stirpes, living at the time of my death, to be divided among them as they shall agree. If they cannot agree for any reason, my Executor shall make the decision and its decision shall be final. My Executor shall represent any minor child in any divi- sion of such property and shall deliver to the person standing in the place of a parent to such minor, without bond, such por- tion of the minor's share as my Executor, after considering the minor's wishes, deems appropriate and shall sell the balance and pay the proceeds to my Trustees to be retained for the minor under Item SIXTH hereof. THIRD: The gift to my spouse in this Item is intended to give my estate the marital deduction effective under the Internal Revenue Code to reduce Federal estate tax. -~ .. 1 ~. ..,~ Page 1 ._ ~ .-~' Any provisions in this Will which conflict with or fail of this intention shall be so reconciled or amplified as to accomplish this objective. If my spouse, PAUL S. LESHER, survives me, I direct that my Trustees, hereinafter named, hold, IN TRUST, an amount free of all taxes equal to the maximum marital deduction allowable to my estate for Federal estate tax purposes, reduced by the aggre- gate marital deduction allowable for Federal estate tax purposes for other property or interests that pass or shall have passed to my spouse otherwise than under this clause and that qualify for the said marital deduction; and further reduced by an amount, if any, needed to increase my taxable estate to the largest amount that after allowing for the unified credit and any other credits available to my estate, will result in no Federal estate tax, and pay the net income therefrom not less frequently than quarterly to my spouse for life. My spouse shall have power to appoint all or any part or parts of the principal of this Trust to himself, his estate or any other person or persons. This power shall be exercisable by him alone and in all events by specific reference thereto in his Will, or by delivery at any time or times during his lifetime of a written direction to my Trustees who shall thereupon make payment as he directs. My Trustee shall pay to his personal representatives from any unappointed principal the difference between all taxes, interest and penalties which they must pay by reason of his death and those which would be payable by them if such unappointed principal were not taxable in his estate and shall add the balance of such unappointed principal to my residuary Trust. Page 2 FOURTH: I give and devise the residue of my estate, real and personal, to my Trustee hereinafter named, IN TRUST, as follows: (a) The net income therefrom shall be paid to my spouse, PAUL S. LESHER, for life. (b) Upon the death of the survivor of myself and my spouse, the principal shall be divided into as many equal shares as there are children of mine then living and children then dead, leaving issue then living. Thereafter: (i) One share shall be paid, per stirpes, to the living issue of each of my deceased children. (ii) The net income from one share shall be paid to each of my living children for life, provided however, that each such child shall have the right to withdraw one-third (1/3) of his or her share of the principal when he or she shall attain the age of twenty-five (25) years; one-third (1/3) of his or her share when he or she shall attain the age of thirty (30) years; and the remaining one-third (1/3) when he or she shall attain the age of thirty-five (35) years. The rights of withdrawal may be exercised from time to time in whole or in part and the said rights of with- drawal shall be cumulative. (iii) Upon the death of each of my children who survive the survivor of my said spouse and myself, the share of principal from which he received income shall be paid to his surviving issue, per stirpes, or in default of such issue, shall Page 3 be divided among my remaining children and the then living issue of my deceased children, per stirpes, to be held in trust for my remaining children as part of the share from which they receive income and to be paid over to the issue of deceased children. (iv) If no issue of my children survive the survivor of my said spouse and myself, the remaining undistributed principal and accumulated income shall be divided into two equal shares and one share shall be paid to my heirs who would be entitled thereto under the Intestate Laws of Pennsylvania in effect at the death of the survivor of myself and my spouse; and the other share shall be paid to my spouse's heirs who would be entitled thereto under the Intestate Laws of Pennsylvania in effect at the death of the survivor of myself and my spouse as if my spouse had then died Intestate. FIFTH: Trustee may use principal of the trust under Item THIRD hereof (marital deduction trust) only for the benefit of my spouse. With the foregoing exception my Trustee other than my spouse may use any other principal for the benefit of my spouse and issue as that Trustee deems necessary: (a) To meet the expense of any accident, illness or other emergency befalling any of them; (b) For maintenance, support, and education; (c) To pay funeral expenses, including the cost of a grave marker and perpetual care of the grave. ~ ~.` Page 4 Any principal used for the benefit of my issue shall be charged as an advancement from his or her family's share of the trust. Notwithstanding the foregoing, the power to consume, invade or appropriate property for the benefit of my spouse and children shall be limited by ascertainable standard relating to health, education, support or maintenance within the meaning of subparagraph (a) of Section 2041 (b) (1) of the Internal Revenue Code of 1954 or any similar provision which may be in effect at the time of my death so that such power will not constitute a general power of appointment. SIXTH: I appoint my Trustee as Guardian to hold for minors all property payable by law to a guardian appointed by my Will and use the same for the minor's maintenance and education, either directly or by payment to any person selected to disburse it whose receipt shall be a complete acquittance therefor. All unexpended income and principal shall be paid to the minor at majority. SEVENTH: No provision of this Will is intended to exercise any power of appointment, including any power of appointment granted me under my spouse's Will. EIGHTH: (a) All taxes, interest and penalties thereon payable by reason of my death with respect to property comprising my gross estate, whether or not passing under this Will, shall be paid from the principal of my residuary estate, provided however, that funds of my Trust created herein may be used to pay taxes, interest and penalties attributed to such trust assets. Taxes on future interests may be prepaid. Page 5 %% (b) All debts I owe at my death and all expenses attributable to the administration of my estate, shall be paid from the principal of my residuary estate. NINTH: No interest of any beneficiary under this Will or any codicil hereto shall be subject to antici- pation or voluntary or involuntary alienation, and the personal receipt of such beneficiary shall be the sufficient and only discharge of my Executor and Trustee unless otherwise provided herein. TENTH: In addition to powers given them by law, my Executor and Trustee and their successors and any guardian acting hereunder shall have the following discretionary powers applicable to all real and personal property held by them, effective without court order and until actual distribution: (a) To retain all property received by them including the stock of any corporate fiduciary acting hereunder, provided such property remains productive; (b) To invest in all forms of property without restriction to investments authorized to fiduciaries, so long as such investments are productive; (c) To join in any incorporation, partnership, re- capitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors; Page 6 .,'~. (d) To compromise controversies; (e) To exchange or sell for cash, property or credit, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of the trusts hereunder, without liability on the purchasers or lessees to see to application of the consideration, and to give options for these purposes without obligation to repudiate them in favor of a higher offer; (f) With respect to my residuary trust under Item FOURTH hereof, to allocate items of receipt or disbursement between income and principal as they deem equitable regardless of the character given such items by law; (g) To apply income or principal to which any beneficiary is entitled directly for his or her maintenance and support should they deem such beneficiary incapable of receiving the same by reason of age, illness or any infirmity or incapacity, or to pay the same to such person as they select to disburse it, whose receipt shall be a complete acquittance therefor, without the intervention of any guardian; (h) To borrow money, including the right to borrow from any corporate fiduciary acting hereunder, and mortgage or pledge as security; (i) To hold investments in the name of a nominee; (j) To distribute in cash or kind or partly in each at valuations fixed by them; ~_ Page 7 (k) To assume continuance of the status of any beneficiary with reference to marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable without liabil- ity for disbursements made on such assumption; (1) To elect to value my gross estate for Federal estate tax purposes as of the date of my death or as of the alternate valuation date as allowed for such purposes, and to claim as income tax deductions expenses that would otherwise qualify as estate tax deductions; (m) Except to the extent necessary in order that the trust under Item THIRD hereof qualify for the marital deduction allowable under the Internal Revenue Code, it shall not be necessary to segregate investments as belonging to a particular trust or share therein and all interests may be held in undivided form in a single fund from which proportionate distributions are made based on current reappraisals; (n) To merge any similar trust established by my spouse where the terms of the same are identical; and (o) To undertake any and all acts deemed necessary and proper by it for the proper and advantageous management of any trust and the settlement of my estate. ELEVENTH: No amounts of money or property exempt from Federal estate tax and received by any Trustee here- under as a result of my participation in a qualified pension, ., ,. Page 8 'r' profit-sharing, HR-10 or IRA plan as defined by the Internal Revenue Code, shall be used in any manner to pay the taxes attri- butable to my death, or any of my debts or administration expenses incurred in administering my estate. Further, such proceeds shall be allocated to my residuary trust under Item FOURTH. TWELFTH: No fiduciary who is a bene- ficiary of my residuary trust created in Item FOURTH hereof shall participate in the exercise of any discretionary power to use the principal thereof for the benefit of any person or to apportion or allocate items of charge or credit between principal and income of such trust. THIRTEENTH: Any beneficiary hereunder who dies at the same time as me, within ten (10) days of me, or under circumstances wherein it shall be difficult or impossible to determine who died first shall be presumed to have predeceased me. FOURTEENTH: I appoint my spouse, PAUL S. LESHER, as Executor of and my said spouse and my son, ALAN P. LESHER, as Trustees under this my Will. In the event that my spouse cannot act as Executor or Trustee for any reason, I appoint my said son, ALAN P. LESHER, to act as Executor and sole Trustee in his place. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this /~ tl°_. day of ~.~ '~`" , 1980, to this and the preceding Page 9 f ~~/ nine (9) pages, and I have also placed my initials on each preceding page for better identification and greater security. _; ,`~ ~~" ..~.t~ /%'~~ ._. .. (SEAL) LILLIAN M. LESHER SIGNED, SEALED, PUBLISHED and DECLARED by the above- named Testatrix, LILLIAN M. LESHER, 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, have hereunto subscribed our names as witnesses: ~ ~~ K-~ ,~'.~ Residing at ~ ~ (/l ~ ,~~'p~ ~..~.~ ~'~' _~~ _- t ~~,N ,;'~ ~ ~~- Residing at ~~- `~~ f- r ~< OATH OF SUBSCRIBING WITNESS REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of LILLIAN M. LESHER ,Deceased Peter J. Ressler (Print Name/s) the ®Will ^Codicil presented herewith, says that she / he /they was /were same and that she / he /they signed the request of the Testator /Testatrix in a subscribing witness to being duly qualified according to law, deposes and present and saw the above Testator /Testatrix sign the same and that she / he /they signed as a witness at the her /his presence and in the presence of each other. n i~ (Signature) 3401 N. Front Street, PO Box 5950 (Street Address) Harrisburg, PA 17110-0950 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed ~ 1.~_ before me this cX' day .g 1 ,~1~~ ;: j ~2 ,f Deputy f `Registe of 'ills (Signature) (Street Address) (City, Stare, Zip) n ~.> ~-~ ~-- _a O ~~ ,`~ ' ~ - ' ic~ ., r- ~ .: : _.. v, ~ , i ,c-- r ; ' ~ ~ r r. N .... NOTE: To be taken by Officer authorized to administer oaths. Please have present the original copy of instrument(s) at time of notazization. 516533v1 Form RW-03 rev. !0.13.06 OATH OF NON-SUBSCRIBING WITNESS REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA Estate of LILLIAN M. LESHER ,Deceased Alan P. Lesher and (each) being duly qualified according to law, deposes and says that she / he /they was /were well- acquainted with Lillian M. Lesher and am/are familiar with the handwriting and signature of the decedent, and that the signature of Lillian M. Lesher to the foregoing instrument purporting to be the Last Will and Testament /Codicil of Lillian M. Lesher is in his /her own proper handwriting. (Signature) 322 N. Baltimore Avenue (Street Address) Mt. Holly Springs, PA 17065 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this ;~ '7 day _~_ _ ,~ ..,.. , ,--. '~ ~ ~; ~~ ~ ~ Deputy or Regist of Wills (Signature) (Street Address) (City, State, Zip) c7 ~= C~ ~~ - ~ c._ ~ z -i- n 'z> r- --- ~ ~ c - ~ .r ~ ,,, ~ . r~ ~-' . . tV 516535v1 Form RW-04 rev. 10.13.06