HomeMy WebLinkAbout08-26-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of _
also known as
Donna M. Mountz
COUNTY, PENNSYLVANIA
File Number 21-- ~9 - Og~
,Deceased Social Security Number 196-50-8047
Carolyn Smith and Carl Smith
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE `A' or `B' BELOW )
~X A. Probate and Grant of Letters Testamentaryand aver that Petitioner(s) is/are the named in the
last Will of the Decedent, dated 10/26/2007 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 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
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and/was survived by the following spouse (if an(nd heirs(/f
Administration, c. t. a. or d. b. n. c. t. a., enter date of ill in Section A above and complete list of heirs.) ~ ~ ,~
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Name Relationship Residence ~ : , `t? ~ ~s_ ~~-s .~
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(c;un~rrt_t -t iiv aLL GASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at
3899 Spring Road, Shermans Dale, Middlesex Township, Cumberland, PA 17090
(List street address, town/city, township, county, state, zip code)
Decedent, then 46 years of age, died on 07/19/2009
at 3899 Spring Road, Shermans Dale, Cumberland County, PA
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 $
situated as follows:
250.00
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:
nature Typed or printed name and residence
Carolyn Smith 591 Oxford Road
Gardners, PA 17324
717/609-7068
Carl Smith 591 Oxford Road
Gardners, PA 17324
' 717/609-7068
Form KW-OZ Rev. 10.13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
} SS
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 Pegtitioner(s) and that, as personal representativ~,(s) ofihe Decedey~t, Petitioner(s) will well and truly '
administer the estate accordin to law. l/ y
Sworn to or affirmed and subscribed
~"~
before me this ` ~ day of
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For the Register
Signature of P p ntati a aroiy h ~ ~ ..~ -~- , , " ,
signature of Personal Representative Carl Smith ' ,; -b -x~ ' ` ~ ' ~' -'
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Signature of Personal Representative : ~ -~
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File Number: 21 __ ~ _ ~7
Estate of Donna M. Mountz ,Deceased
Social Security Number: 196-50-8047 (Date of Death: 07/19/2009
AND NOW, ~~ s~~ 1 , in consideration of the foregoing Petition, satisfactory proof
having been presented befo me, IT IS DECREED that Letters Testamentary
are hereby granted to Carolyn Smith and Carl Smith
in the above estate
and that the instrument(s) dated 10/26/2007
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
IS BOND REQUIRED? ~ Yes ~ No
ARE THERE ANY MINOR HEIRS? ~ Yes ~ No
FEES
Letters .......................................... $ ~(7 •~~
Short Certificate(s) ........................ $ ~.~ . (~
Renunciation(s) ............................. $
$ 1 C~ . ~;~
$
$
$
$
$
$
TOTAL .................................. $ ~ ~ . C~~
Attorney Signature:
Attorney Name:
Amy M. Moya `~
Supreme Court I.D. No.: 91402
Law Offices of Susan E. Lederer
Address: 5011 Locust Lane
Harrisburg, PA 17109
Telephone: 717/652-7323
Form RW OZ Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc.
Page 2 of 2
AMOUNT S
Last Will and Testament
of
Donna M. Mountz
I, Donna M. Mountz, a resident of Carlisle, Cumberland County, Pennsylvania,
revoke any prior wills and codicils made by me and declare this to be my Last Will and
Testament.
Article One
Family Information
I have one child, Debra Louann Mountz, born on February 14, 1996. ~ ~„ -~
All references to my children in my will are to this child. .iJ ~ f~'
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Article Two ~,.. ./ ~_~ wry.,
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Specific and General Gifts ,
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Section 2.01 Distribution of Tangible Personal Property
I give all my tangible personal property, together any insurance policies covering such
property and claims under such policies to my daughter, Debra Louann Mountz.
Section 2.02 Distribution of Motor Vehicles
I give any motor vehicles that I own at the time of my death to Carolyn Smith.
Section 2.03 Definition of Tangible Personal Property
For purposes of this Article, my tangible personal property shall include but not be
limited to my household furnishings, appliances and fixtures, works of art, motor
vehicles, pictures, collectibles, personal wearing apparel and jewelry, books, sporting
goods, and hobby paraphernalia.
Page 1 of 14
Section 2.04 Incidental Expenses of Tangible Personal Property
My Executor shall pay, as an administration expense, the reasonable expenses of storing,
packing, insuring, transporting and otherwise caring for my tangible personal property
until actual delivery of each article of property to the appropriate beneficiary.
Section 2.05 Custodial Accounts Held Under the Pennsylvania Uniform
Transfer to Minor's Act
I appoint Amanda Rena Garland as the alternate custodian for all custodial accounts that I
hold for my daughter's benefit at the time of my death. If Amanda Rena Garland is for
any reason unable to serve as alternate custodian, then I appoint Lonnie Garland, Sr. and
Nancy Garland, or the survivor of them, as alternate custodian for all custodial accounts
that I hold at the time of my death.
Article Three
My Residuary Estate
Section 3.01 Definition of My Residuary Estate
All the remainder of my estate, including property referred to above that is not effectively
disposed of, shall be referred to in my will as my "residuary. estate."
Section 3.02 Disposition of My Residuary Estate
My residuary estate shall be distributed to my daughter, Debra Louann Mountz, in
accordance with the provisions of Article Six, Section 6.03.
Article Four
Remote Contingent Distribution
If, at any time, there is no person or entity qualified to receive final distribution of my
probate or trust estate or any part of it, then the portion of my probate or trust estate with
respect to which the failure of qualified recipients has occurred shall be distributed to
those persons who would inherit it had I then died intestate owning the property, as
determined and in the proportions provided by the laws of the Commonwealth of
Pennsylvania then in effect.
Page 2 of 14
Article Five
Designation of Fiduciaries
Section 5.01 Executor
I name Carolyn and Carl Smith as my Executors. If both of them are for any reason
unable to serve, then I name Amanda Rena Garland as my Executor.
Section 5.02 Guardian
I name as guardian of each child of mine for whom appointment of guardian becomes
necessary the individual or individuals designated in a separate writing signed by me in
the presence of two witnesses.
If no separate writing .naming a guardian exists, I name Amanda Rena Garland as
guardian. If Amanda Rena Garland is unable to serve, then I appoint Lonnie Garland, Sr.
and Nancy Garland, or the survivor of them, as guardian.
Article Six
General Administrative Provisions
The provisions of this Article apply to my probate estate.
Section 6.01 No Bond
No Fiduciary shall be required to furnish any bond for the faithful performance of the
Fiduciary's duties. If a bond is required by any law or rule of court, no surety shall be
required on such bond.
Section 6.02 Fiduciary Compensation
An individual serving as my Fiduciary shall be entitled to fair and reasonable
compensation for the services rendered as a fiduciary. A corporate fiduciary shall be
compensated by agreement with an individual Fiduciary or, in the absence of an
individual Fiduciary or in the absence of an agreement, in accordance with the corporate
fiduciary's published schedule of fees in effect at the time the services are rendered.
In addition to receiving compensation, my Fiduciary may be reimbursed for reasonable
costs and expenses incurred in carrying out its duties under my will.
Page 3 of 14
Section 6.03 Determination of Principal and Income
The Pennsylvania Uniform Principal and Income Act shall govern beneficiaries' rights
among themselves in matters concerning principal and income. If the Pennsylvania
Uniform Principal and Income Act contains no provision concerning a particular item,
my Fiduciary shall determine in a fair, equitable and practical manner what shall be
credited, charged, and apportioned between principal and income.
Section 6.04 Spendthrift Trust Provision
This will, and all Trusts created hereunder, are intended to qualify as Spendthrift Trusts.
In addition, all interests in this will, or in any Trust hereunder, are intended for the
personal protection and welfare of Grantor's named beneficiaries, and no beneficiary
shall be allowed to voluntarily or involuntarily assign or anticipate his or her interest in
the income or principal of this will or any Trust hereunder, and no beneficiary's creditors,
nor a spouse or former spouse of any beneficiary, shall be allowed to attach or otherwise
reach any such interest before, actual payment to the beneficiary.
If any beneficiary shall become the subject of a judgment or court order, then during the
period in which such judgment or court order remains in effect, such beneficiary shall
only be permitted to receive distributions from any Trust created for the benefit of such
beneficiary at the discretion of the Trustees. This limitation as to the right of a
beneficiary to receive a distribution shall apply notwithstanding any provisions within the
trust for such beneficiary which authorize distributions for the health, education, support
or maintenance of such beneficiary. In addition, if any beneficiary shall become the
subject of a judgment or court order, and such beneficiary is only entitled to discretionary
distributions from a Trust created for their benefit, it shall not be an abuse of discretion
by the Trustees to withhold distributions to such beneficiary while such judgment or
court order is in effect.
If the Trustees determine that a beneficiary would not benefit as greatly from any outright
distribution of Trust income or principal because of the availability of the distribution to
the beneficiary's creditors, the Trustees shall instead expend those amounts for the
benefit of the beneficiary. This direction is intended to enable -the Trustees to give the
beneficiary the maximum possible benefit and enjoyment of all of the Trust income and
principal to which the beneficiary is entitled.
Nothing contained in this Section shall restrict in any way the exercise of any power of
appointment granted in this agreement.
Section 6.05 Distributions to Incapacitated Persons and Persons Under
Twenty-Five Years of Age
If my Fiduciary is directed to distribute any share of my probate estate or trust principal
to a beneficiary who is in the opinion of my Fiduciary, under any form of incapacity that
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renders the beneficiary unable to administer distributions properly when the distribution
is to be made, and if no other trust is then to be held under my will for the beneficiary's
primary benefit, my Fiduciary may, as Trustee, in my Fiduciary's discretion, continue to
hold the beneficiary's share as a separate trust until the beneficiary reaches or overcomes
the incapacity. When the beneficiary overcomes the incapacity, my Fiduciary shall
distribute the beneficiary's trust to him or her, outright free of trust.
While any trust is being held under this Section, the Trustee shall pay to the beneficiary
for whom the trust is held such amounts of the net income and principal as the fiduciary
determines to be necessary or advisable for the beneficiary's health, education,
maintenance and support.
Upon the death of the beneficiary before that time, .the Trustee shall distribute the trust,
including any accrued and undistributed income, to the beneficiary's then living
descendants, per stirpes, or, if none, to my then living descendants, per stirpes. If I have
no then living descendants the property shall be distributed under the provisions of
Article Four entitled "Remote Contingent Distribution."
If my Personal Representative is directed to distribute any share of my probate estate to
my daughter, Debra Louann Mountz, my Personal Representative may distribute said
share to Amanda Rena Garland, acting as custodian, until age 25, under the Pennsylvania
Uniform Transfer to Minor's Act. If Amanda Rena Garland is for any reason unable to
serve as custodian, I appoint Lonnie Garland, Sr. and Nancy Garland, or the survivor of
them, as successor/alternate custodian(s).
Section 6.06 Representative of a Beneficiary
The guardian of the person of a beneficiary may act for such beneficiary for all purposes
under my will or may receive information on behalf of such beneficiary.
Section 6.07 Distributions to Beneficiaries
Whenever my will authorizes or directs my Fiduciary to make a distribution of net
income or principal to a beneficiary, my Fiduciary may apply for the benefit of the
beneficiary any property that otherwise could be distributed directly to the beneficiary.
My Fiduciary shall have no responsibility to inquire into the beneficiary's ultimate
disposition of the distributed property unless specifically directed otherwise by my will.
My Fiduciary may make distributions in cash or in kind, or partly in each, in proportions
and at values determined by my Fiduciary. My Fiduciary may allocate undivided
interests in specific assets to a beneficiary or trust in any proportion or manner that my
Fiduciary determines, even though the property allocated to one beneficiary may be
different from that allocated to another beneficiary.
Page5ofl4
My Fiduciary may make these determinations without regard to the income tax attributes
of the property and without the consent of any beneficiary.
Section 6.08 Ancillary Administration
In the event ancillary administration shall be required or desired and my domiciliary
Executor is unable or unwilling to act as an ancillary fiduciary, my domiciliary Executor
shall have the power to designate, compensate, and remove the ancillary fiduciary. The
ancillary fiduciary may either be a natural person or a corporation. My domiciliary
Executor may delegate to such ancillary fiduciary such powers granted to my original
Executor as my Executor may deem proper, including the right to serve without bond or
surety on bond. The net proceeds of the ancillary estate shall be paid over to the
domiciliary Executor.
Article Seven
Powers of My Fiduciaries
Section 7.01 Grant of Powers
My Fiduciaries may perform every act reasonably necessary to administer my estate and
any trust established under my will. Specifically, my Fiduciaries may exercise the
following powers:
They may hold, retain, invest, reinvest and manage real or personal
property, including interests in any form of business entity including but
not limited to, limited partnerships and limited liability companies, and
policies of life, health and disability insurance, without diversification as
to kind, amount or risk of non-productivity and without limitation by
statute or rule of law.
They may partition, sell, exchange, grant, convey, deliver, assign, transfer,
lease, option, mortgage, pledge, abandon, borrow, loan, contract, distribute
in cash or kind or partly in each at fair market value on the date of
distribution, without requiring pro rata distribution of specific assets and
without requiring pro rata allocation of the tax bases of such assets.
They may hold in nominee form, continue businesses, carry out
agreements, and deal with themselves, other Fiduciaries and business
organizations in which my fiduciaries may have an interest.
They may establish reserves, release powers, and abandon, settle or
contest claims.
Page 6 of 14
They may employ attorneys, accountants, custodians of the trust assets,
and other agents or assistants as deemed advisable to act with or without
discretionary powers and compensate them and pay their expenses from
income or principal or both.
Section 7.02 Fiduciaries' Powers Act
In addition to all of the above powers, my fiduciaries may, without prior authority from
any court, exercise all powers conferred by my will or by common law or by any
fiduciary powers act or other statute of the Commonwealth of Pennsylvania or any other
jurisdiction whose law applies to my will. My Executor shall have absolute discretion in
exercising these powers. Except as specifically limited by my will, these powers shall
extend to all property held by my fiduciaries until the actual distribution of the property.
Section 7.03 Alternative Distribution Methods
My Fiduciary may make any payment provided for under my will or under the terms of
any trust established under my will as follows:
Directly to the beneficiary;
In any form allowed by applicable state law for gifts or transfers to minors
or persons under a disability;
To the beneficiary's guardian, conservator, agent under a durable power of
attorney or caregiver for the benefit of the beneficiary; or
By direct payment of the beneficiary's expenses, made in a manner
consistent with the proper exercise of the fiduciary's duties hereunder. A
receipt by the recipient for any such distribution shall fully discharge my
Fiduciary.
Article Eight
Provisions for Payment of Debts, Expenses and Taxes
Section 8.01 Payment of Debts and Expenses
I direct that all my legally enforceable debts, secured and unsecured, be paid as soon as
practicable after by death.
Page 7 of 14
Section 8.02 No Apportionment
Except as otherwise provided in this Article or elsewhere in my will, my Executor shall
provide for payment of all estate, inheritance and succession taxes payable by reason of
my death ("death taxes") taxes from my residuary estate as an administrative expense
without apportionment and shall not seek contribution toward or recovery of any death
tax payments from any individual.
Section 8.03 Tax Elections
In exercising any permitted elections regarding taxes, my fiduciaries may make such
decisions as they deem to be appropriate in all the circumstances and my fiduciaries shall
be under no duty to make any compensatory adjustment as a consequence of any such
election. My Executor may also pay such taxes or interest and deal with any tax refunds,
interest, or credits as it shall deem necessary or advisable in the interest of my estate.
Article Nine
Definitions and General Provisions
Section 9.01 Definitions
For purposes of my will, the following definitions shall apply:
(a) Adopted and Afterborn Persons
A legally adopted person in any generation and his or her descendants,
including adopted descendants, shall have the same rights and be treated in
the same manner under my will as natural children of the adopting parent,
provided such person is legally adopted prior to attaining the age of 18
years. A person shall be deemed to be legally adopted if the adoption was
legal in the jurisdiction in which it occurred at the time that it occurred.
(bj Descendants
The term "descendants" shall include a person's lineal descendants of all
generations.
(c) Education
The term "education" is intended to be an ascertainable standard in
accordance with Section 2041 and Section 2514 of the Internal Revenue
Code and shall include, but not be limited to:
Page 8 of 14
Enrollment at private elementary, junior and senior high
school including boarding school;
Undergraduate and graduate study in any field at a college
or university;
Specialized, vocational or professional training or
instruction at any institution, including private instruction;
and
Any other curriculum or activity that my Trustee may deem
useful for developing the abilities and interests of a
beneficiary including, without limitation, athletic training,
musical instruction, theatrical training, the arts and travel.
The term. "education" shall also :nclude distributions made by my Trustee
for expenses such as tuition, room and board, fees, books and supplies,
tutoring and transportation and a reasonable allowance for living expenses.
(d) Fiduciary
My "Fiduciary" or "Fiduciaries" shall refer to my Executor and my
Trustee, or if they are different persons, either of them. My "Executor"
shall include any executor, ancillary executor, administrator, or ancillary
administrator, whether local or foreign and whether of all or part of my
estate, multiple Executors, and their successors.
(e) Incapacity
Except as otherwise provided in my will, a person shall be deemed
incapacitated in any one of the following circumstances.
(1) The Opinion of Two Licensed Physicians
An individual shall be deemed incapacitated whenever, in
the opinion of two licensed physicians, the individual is
unable to effectively manage his or her property or
financial affairs, whether as a result of age, illness, use of
prescription medications, drugs or other substances, or any
other cause.
An individual shall be deemed restored to capacity
whenever the individual's personal or attending physician
provides a written opinion that the individual is able to
effectively manage his or her property and financial affairs.
Page 9 of 14
(2) Court Determination
An individual shall be deemed incapacitated if a court of
competent jurisdiction has declared the individual to be
disabled, incompetent or legally incapacitated.
(3) Detention, Disappearance or Absence
An individual shall be deemed incapacitated whenever he
or she cannot effectively manage his or her property or
financial affairs due to the individual's unexplained
disappearance or absence for more than 30 days, or
whenever he or she is detained under duress.
An individual's disappearance or absence or detention
under duress may be established by an affidavit of any
fiduciary. The affidavit shall describe the circumstances of
an individual's detention under duress, or disappearance or
absence and may always be relied upon by any third party
dealing in good faith with my fiduciary in reliance upon the
affidavit.
An individual's disappearance or absence or detention
under duress may be established by an affidavit of my
executor.
(fl Internal Revenue Code
References to the "Internal Revenue Code" or to its provisions are to the
Internal Revenue Code of 1986, as amended from time to time, and the
corresponding Treasury Regulations, if any. References to the "Treasury
Regulations," are to the Treasury Regulations under the Internal Revenue
Code in effect from time to time. If a particular provision of the Internal
Revenue Code is renumbered, or the Internal Revenue Code is superseded
by a subsequent federal tax law, any reference shall be deemed to be made
to the renumbered provision or to the corresponding provision of the
subsequent law, unless to do so would clearly be contrary to my intent as
expressed in my will. The same rule shall apply to references to the
Treasury Regulations.
(g) Legal Representative
As used in my will, the term "legal representative" means a person's
guardian, conservator, personal representative, executor, administrator,
Trustee, or any other person or entity personally representing a person or
the person's estate.
Page 10 of 14
(h) Per Stirpes
Whenever a distribution is to be made to a person's descendants per
stirpes, the distribution shall be divided into as many shares as there are
then living children of such person and deceased children of such person
who left then living descendants. Each then living child shall receive one
share and the share of each deceased child shall be divided among such
child's then living descendants in the same manner.
(i) Shall and May
Unless otherwise specifically provided in my will or by the context in
which used, I use the word "shall" in my will to command, direct or
require, and the word "may" to allow or permit, but not require. In the
context of my Trustee, when I use the word "may" I intend that my
Trustee may act in its sole and absolute discretion unless otherwise stated
by in my will.
Q) Other Definitions
Except as otherwise provided in my will, terms shall be as defined in the
Pennsylvania Probate, Estates and Fiduciaries Code as amended after the
date of my will and after my death.
Section 9.02 Survivorship Presumption
If any beneficiary shall be living at my death, but die within 30 days thereafter, then such
beneficiary shall be deemed to have predeceased me for all purposes of my will.
Section 9.03 General Provisions
The following general provisions and rules of construction shall apply to my will:
(a) Singular and Plural; Gender
Unless the context requires otherwise, words denoting the singular may be
construed as plural and words of the plural may be construed as denoting
the singular. Words of one gender may be construed as denoting another
gender as is appropriate within the context. The word "or" when used in a
list of more than two items may function as both a conjunction and a
disjunction as the context requires or permits.
Page 11 of 14
(b) Headings of Articles, Sections, and Subsections
The headings of Articles, Sections, and subsections used within my will
are included solely for the convenience and reference of the reader. They
shall have no significance in the interpretation or construction of my will.
(c) Governing State Law
My will shall be governed, construed and administered according to the
laws of the Commonwealth of Pennsylvania as from time to time
amended. Questions of administration of any trust established under my
will shall be determined by the laws of the situs of administration of such
trust.
(d) Notices
Unless otherwise stated, whenever my will calls for notice, the notice shall
be in writing and shall be personally delivered with proof of delivery, or
mailed postage prepaid by certified mail, return receipt requested, to the
last known address of the party requiring notice. Notice shall be effective
on the date personally delivered or on the date of the return receipt. If a
party giving notice does not receive the return receipt but has proof that he
or she mailed the notice, notice shall be effective on the date it would
normally have been received via certified mail. If notice is required to be
given to a minor or incapacitated individual, notice shall be given to the
parent or legal representative of the minor or incapacitated individual.
(e) Severability
The invalidity or unenforceability of any provision of my will shall not
affect the validity or enforceability of any other provision of my will. If a
court of competent jurisdiction determines that any provision is invalid,
the remaining provisions of my will shall be interpreted and construed as
if any invalid provision had never been included in my will.
D~~trla ~I. Mauntz, having signed this Wili in the presence of
~ ~ G and ~~ o-1s ;~~ ~.,(+s,c~N who attested it at my
request on this day, ~~ , 2007 at Harrisburg, Pennsylvania, declare this
to be my Last Will and Testament.
Donna M. Mountz, Testa '
Page 12 of 14
The above and foregoing Will of Donna M. Mountz was declared by Donna M. Mountz
in our view and presence to be her Will and was signed and subscribed by the said Donna
M. Mountz in our view and presence and at her request and in the view and presence of
Donna M. Mountz and in the view and presence of each other, we, the undersigned,
witnessed and attested the due execution of the Will of Donna M. Mountz on this day,
~.Pi a-Sp , 2007.
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Page 13 of 14
PENNSYLVANIA SELF-PROVING AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
ss:
COUNTY OF DAUPHIN )
We, DONNA M. MOUNTZ, ~~ ~ ~ ~p ~ and
~ S ~o~C~c.~"st~ ,the testatrix and the witnesses, respectively, whose
names are subscribed to the foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the testatrix signed and executed the instrument
as her Will and that she had signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed, and that each of the witnesses, in the
presence and hearing of the testatrix, signed the Will as witness and that to the best of
each such witness's knowledge the testatrix 'vas at that time eighteen (18) or more years
of age, of sound mind, and under no constraint or undue influence.
rt au
DONNA M. MOUNTZ
Witne s
Witness
Subscribed, sworn to and acknowledged before me by ONNA M. MOUNTZ, the
testatrix, and subscribed and sworn to before me by ~ . I"Y'v
and ~ ~ i s ~ p(~er ~- ~ ,~~ ,witnesses, this ay of
C~'~~-e_/ , 2007.
of y Public
COMMt7NWEALTH (JF_PENNSYLVANIA
Notarial Seal
.lacqueline M. Mindeck, Notary Public
Lower Paxton Twp., Dauphin County
My Commission Expires Jct. 25, 2010
Member, Pennsylvania Association of Notaries
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