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HomeMy WebLinkAbout09-03-09 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Dorothy L. Stambaugh also known as Dorothy M. Stambaugh . Deceased COUNTY, PENNSYLVANIA File Number ~ ~ ~V / C/ 0 ~/, Social Security Number 189-18-5561 Diane E Swinehart and Dou las C Swinehart Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) rv ®/ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the Executors last Will of the Decedent dated January 29, 2007 and codicil(s) dated '~_;~amed in thG -' ~• T-t'I 1 i (State relevant circumstances, e.g., renunciation, death of executor, etc.) -- `f~''` - Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution a#~ sttvment~ offered:- . ~ ~- for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~~ _v ~ , t:~l ® B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; duranteabsentia; duranteminoritate) 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.) (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at Golden Living Center, 770 Poplar Church Road, Camp Hill, PA 17011 (List street address, town city, township, county, state, zip code) Decedent, then 86 years of age, died on July I5, 2009 at Golden Living Center, 770 Poplar Church Road, Camp Hill, PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 7,000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as fo Diane E. Swinehart, 125 York Street, Wellsville, PA 17365 Form RW-02 rev. 10.13.06 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 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 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 oLlL~.L_ F the Regtster J'ignature of Persona! Kepresentanve ~ c C `"' ..c~ F~*' Signature of Personal Representative ._:,j ~ ~ f ~ _,1 ~ r ._ --~ Z ~ M -J ~ C- ~;, 021 ~ ~ ~1' ~ (~ ~~~ ~ .~' ` ;~ File Number: ~ "~ ._._ Estate of Dorothy L. Stambaugh ,Deceased ~' i~ - -`_~ Social Security DN~umber: 189-18-5561 Date of Death: ~' J rJ '~ AND NOW, s ~ra~l..d/~ ~ , t~ Oo9 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Diane E. Swinehart and Dour:las C. Swinehart in the above estate and that the instrument(s) dated January 29, 2007 described in the Petition be admitted to probate and filed of record as the last Wil] (and Codicil(s)) of Decedent FEES Letters ............... $ • ~~ Short Certificate(s) ........ $ Renunciation(s) .......... $ ~~ll ... $ ... $-s.LtS~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $~_8.9f) Supreme Court I.D. No.; 41301 Address: 101 South Market Street Mechanicsburg, PA 17055 Telephone: 717-796-2100 Form RW-02 rev. 10.13.06 Page 2 of 2 Attorney Name: R. Mark Thomas, Esquire IUS.ROS REV (01!O71 - Cr ~- ~'~' ~ ~ ~ / LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 1~6Q~36 Certification Number This is to certify that tie information here given is correctly copied from an original Certificate of Death duly filed with me as Local Reg strar. The original certificate will be forwarded to the State Vital Records Office for perrllanent filing. L~~e.~ ~~b~~ JUL/ i 7/7(109 Local Registrar Date Issued r`> C~ q::-, L:. cp _:, ~~ c~ ~ ~ ~ ~ i - , ~_~ I) t> C,, I I-1.~ i r LJ 1, l.~l . _~,. I _ n -y , -` c~t H105-113 REV 11/20W TYPE / PRggT IN PEPMANENy BUCK INK 3 ~~ .~ ~\ \1 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) CTATF FII F NI IEIRFR 1. Noma ol0ecedenl (Firer midA•, IBR, sulfa) 2. Sea 3. Social Secumy Numbx /. Deb d Deets (Mmlh, de , ) Dorothy L. Stambaugh Female 189 _ 18_ 5561 July 15, ~~09 5. Age (Last &ralmy) llrltler 1 Urltler 1 6. Deb d BYth Mordh, 7. Bits C arld stets a hwR coon Be. Place of Dean' CMCk one ~"° °"° "°"' M~'a` Jan 14, 1923 Carlisle, PA Hospital: Other: g6 ^ ^ ^ ^ ® ^ Omer - Spedly Nurskg Hama Re&daww ER / Oulpegent DOA InpaMm Yre Bh. Danry d DwM Bc. Clry, tbro, Twp. al Daeth Bd. FecRly Name III rrot IretlWtlm, gh'• Rreel eM number) B. Wes Decedent d Hkpank Origin? [~ No ^ Yes 10. Race: Amariwn Irden, Black, White, etc. Cumberland E. Pennsboro Twp. Golden Livia Center g (q Wa sDecn/ aM^• Rk P ( White Mesicen, uarb en, ak.) 11. Deaded's UwR eon IOIM d work done mat d qfa. Do nd Rah retl 12. Was Deatlad ear R tle 13. OBCeOenYa Edaxtlon (Speedy mry higleat grade anlD leteO) 14. Mahal Sohn: Married, Newx Mmbd, ~ 15. 5urviNrlg SPo lne (II wib, 9Nw maUm reme) KXM Wak ~ laldd llndlogy U.S. Ametl Fon:es7 Elemedary! SecoMary (D12) (td a &) WHO•wd~ DKarced Ispea hl Wid d ier Key Punc Carpet g ^ yea ~ ~ 1 owe 18. IleatlalYe Moping Adareea (~. cqY / born, Reb, zip coda) Deadenrs pA Did Deadem Live in a 17c Decedent Lived kl Twp ^ Yes A WM P M 17 t St 125 York St. PA 17365 Wellsville . . , c es ence a a e Uved witlJn Wellsville York T°"w`et"P~ 17d Q ,70 C , . any A lxn d aryy8oa 1B. Fetlefs Name (First mitlMe, lest, suns) John Henry Leffler iB. Moans Noma (Fast, midde, maiden aumame) Mae Blosser 20e. IMormenYS Name (Type l Print) Diane Swi nehar t 206. InhammYS Mailkq Atldreas (SUeet dry / tam, Rele, zip aria) 125 York St., Wellsville, PA 17365 21 e. Mdled d DieDaigm ^ Cremenan ^ Dm~ 21 b. Date d gspallim (Mats. day, Year) 21 c. Plea of Olspoaltkn gJalre of amelery, crematory or otlla pMa) 21tl. Laaem (Cqy/town, state, zip cotle) ® &•iel ^ RelnaRgomatate i waCmrlMbltarponatlmAuneHUd July 22 2009 Letort Cemetery artiste, PA 17013 ^ Oger. I by IbdkM ExemhterlCarorel'! ^ Ves^ No , Ym. licawee(aperecnactlrlga8aum) 22b.lkereeNumBer 22c.NemearMAddresadFedlly o man- of unera ome rematory, nc. ~_ ~- ~ _~-- 138425 219 N. Hanover St., Carlisle, PA 17013 ' 23ec ady when arOryklg . To Ne bast d my krewbdpe, death oanlrred et the 6me, ride end dace Rated. (Signature and qMl 23b. Lkeree Number zec. Date Sigetl (MOmh, day, year) ptryRden 6 M oreMde R tlm• d death b ~ ~ ~ N jJ . / /V ~ ~ n / / L d`` RN' 3 ( /~ Q ~~ ( / ~ ' ~ U mdy aIR. d death. ~ UGC /S _ (! r u „l Mme 2426 mot M canpld•d Dy parem 2/. Tana of Deets 25. Dale Dead IMOmh, daY Year) 26. Woe Casa RRemtl b MadcR Fxamker / Comer M a Ogler nom Cremation or Daegm7 wte pmm•rm deatl~ / r .~ Q ,1_y M' ~ ~ ~ ~ v ~ ~ ^ va No CAUSE OF DEATH (Sas Ineeructlona entl a DNa) r AppwimeM kdwval: Pert II: Eder atler ~ 2B. Did Tdeao Ua Coldltlde b Daem9 Irerrl 27. Pen I: Emer the fbdD-f.g190m- dwssec, iyudes, a conpfkretbre ~ qua dsactN celeed ale daeM. W NOT eder lemirel events such es ar6x emeat DnsR b Death h b hue not resultlnp R the uMedying roue. gNen in Ped I. ^ y PraMbly respkabry arreR, a venukuhr axlllatlon orphan alwwirlp I a eMbgy. Lill anty ale cause m each I e. No ^ Urlkmwn M/YEdATE CAl18E IFYW 3eeese a ravlgm reeuNrgm ) _~ a. T/)L~n; ~~O'Yt ~ 29. q F Nd enl witlin re l ast ear Due b (a es a oft: j~ n /. I ~ ~ p g p y ^ Pregrrem el 6M d death Seguerlmly kR carrdbore, d any, b. C /!/ lL (/L/h.Lis A ~Y~~/>s+!/r i - -! 4/~ ~ ^ IaeBm b tle twee esbtl an Nne a Dus ro la m e mrmeglence oQ. l 5ner Ee UNDERLYNG CAUSE Nd pregnant but DreTSnt wghn 12 days d deagl (daesee a Yqury tlet keMletl qe F d a lg N UST c' ^ Nd t l 113 tl t 1 ri ssa s resu rq ea . ) Duo b (a u a c•re•Penc• dt: pregnan . prgen eys o year l belae death d. ^ lhllmown q preplan) wNMn IM Peel War 77e. WY an AWpey 30b. Were Autgey Flaiga 31. d DeaM 32a. Dale d In)ISy (Mash, day. year) 92b. Daw:dM How k(aY Ocamtl 92c. Pkae d Injury: Horne, Fenn. Slreal Factory, Perlarned7 AveiYhM Prior b Carnefion d twee d Daetll7 Iberral ^ HaNOde ~• w~q• ab. /~y! ^ Y N ^ Y N ^ A a1tlW ^ Penliq klsaetlpetlon ~. Tkre d burry 32a. Inury R Work? 321. II Trarupaletlon Injury IShedrY/ 32g. l.oragon d kyury IStrM mY l sown. Rob) ea o ee o ^ Suidtla ^ CouU Nd M Oerertrlketl ^ ~ ^ Yea ^ Drlwr/Dpereb ^ PeaNgar ^ Padealren M Olhar- SpeoYy: 33a. CertlOer (aedc oNy ore) tin erd Tale d r • Cerwykg phyakdan (Physkdw cerwyirg ease d deRh wren aemer phyeken has pmealad death erltl aarpbtetl Ibin 23) Totna MRdmy blowNdge deaN Oaurretl du~bthe owmyal old menneru sMM ~ ~~ ~ ~ . , _________________________________ • PRrpalChlg wltl wrtllYing phytlclen (Plryakkn both Dmlwndng tleetll and CBrwylllg b WIOB d deaN) To ma MM dm tmoare a asetll occaredRmenm. dare rM lea alts duerotneauae(a)rq manner ea ahtM ^ a3c. License Number 33d. iglad (Mdltn, day,'ye~alq ''Sy A ` ! y g , , , p , ------------------ • MadkN EVamlar/coroner A ( . } ) i L / _/~ ~ v "` On its Maki d awnkrtbn aM / a Irlrutlytkn• In my oplnbn, deem aaarrrod Y its tlrre, dab, antl plea, antl due ro 1M ausNa) and msnrer p shed. ^ 3/. Name eM Adrkeee d Priam Who Complebtl Cause d Death (gern 27) Type / Prbt 3sRepagara ,adola' I I l 1 I(1 I ~ ~ ~ ~(,~ieitlByW,r) James R. Harty, MD l PA 17036 PO B 168 H ~ ( a a~,cl ~ e,r, umme stown, ox , Dispagbn PamR No. ~-_~J~~` O~~ ~ ~~ c~~ ~ ~ r7 C7 c- LAST WILL AND TESTAMENT c`~~ ~ , ; OF ~ -~~ r~ ~~_~~ _~ DOROTHY M. STAMBAUGH ~ ~ ~ ~ : ~ ~--, , c_..;. . -- -, ~,, :$: I, DOROTHY M. STAMBAUGH, a resident of Wellsville, York County,l'e~nsylvg~ia, do publish and declare this to be my Last Will and Testament, hereby revoking all offer prior vscills and codicils made by me. ~'' FIRST: Familyground and Appointment of Executor. (A) Family and Background Information. I am a widow. I have one child, DIANE E. SWINEHART, and she will be referred to as "my child" or "my daughter" throughout this Will. (B) Appointment of Executor and Trustee. I appoint my daughter, DIANE E. SWINEHART, and my son-in-law, DOUGLAS C. SWINEHART, to act jointly only as my Executors. If either of them predeceases me, becomes incapacitated, resigns or does not complete the duties of Executor, then the remaining one of them shall act individually as my Executor. The aforenamed persons are all hereinafter referred to collectively as "Executor", and they shall serve without bond and without being required to account to any court. The Executor shall serve as Trustee of any trusts created under this Will. When acting as Trustee, the Executor shall have such powers as are otherwise granted under this Will to the Executor. SECOND: Funeral and Last Illness Expenses; Taxes. (A) Expenses of Funeral and Last Illness. I direct my Executor to pay my funeral expenses and the expenses of my last illness from my estate. (B) Taxes. I direct my Executor to pay any and all estate, inheritance, succession, legacy, transfer and other death taxes or duties, by whatever name called, including any and all interest and penalties thereon, imposed under the laws of any jurisdiction by reason of my death, upon or with respect to any and all property included in my gross estate for the purpose of such taxes, whether such property passes under or outside of this Will, out of my residuary estate, without being prorated or apportioned among or charged against the respective devisees, legatees, beneficiaries, transferees or other recipients of any such property or charged against any property passing or which may have passed to any of them. The Executor shall not be entitled to reimbursement for any portion of any such taxes from any such person. THIRD: Tangible Personal Property. Except for those items enumerated in the Letter of Instruction, I bequeath all my tangible personal property, including but not limited to clothing, jewelry, furniture, household furnishings, household goods, personal effects, motor vehicles and all other similar articles which I own, and the insurance thereon, to my daughter, DIANE E. ~, LAST WILL AND TESTAMENT OF DOROTHY M. STAMBAUGH PAGE 2 SWINEHART, and if she does not survive me, then to my daughter's issue to be divided among them as they may select in as nearly equal shares, per stirpes, as is practical. Tangible personal property shall not include: (1) any and all property used by me in any business, (2) cash on hand or on deposit in banks, (3) stock or securities, (4) any type of evidence of indebtedness and (5) any life, health or accident insurance policies. Notwithstanding any other provisions in this Article THIRD, I may leave a separate, dated and unsigned Letter of Instruction, which I shall place with this Will, containing directions as to the ultimate disposition of certain items of my tangible personal property, and such Letter of Instruction shall determine the distribution of such items. If there is any disagreement as to distribution, I direct my Executor to make such distribution, and the decision of my Executor shall be final and binding. Any items not selected or any items which my Executor considers unsuitable for my beneficiaries maybe distributed or sold in the sole discretion of my Executor, and if sold, the net proceeds therefrom shall be added to the residue of my estate. Any such article allocated to a minor may, as my Executor deems advisable, either be delivered to the minor or to any person to safeguard on behalf of the minor. The reasonable costs of protecting, appraising, packing, storing, shipping, cleaning, delivering and insuring all items distributed in this Article THIRD shall be paid as expenses of administering my estate. FOURTH: [This article has been intentionally left blank.] FIFTH: Residuary Estate. (A) I give, devise and bequeath all the rest, residue and remainder of my estate, of every kind and character, real, personal and mixed, tangible and intangible, and wherever situated, including any lapsed or renounced legacies, devises or residuary bequests and any property over which I may have a power of appointment, as follows: (1) FIVE PERCENT (5%) to ORCHARD SPRINGS FELLOWSHIP OF THE ASSEMBLIES OF GOD, Aspers, Pennsylvania; and (2) NINETY-FIVE PERCENT (95%) to be divided as follows: (a) ONE-THIRD (1/3) to my daughter, DIANE E. SWINEHART, or if she does not survive me, then to my son-in-law, DOUGLAS C. SWINEHART; LAST WILL AND TESTAMENT OF DOROTHY M. STAMBAUGH PAGE 3 (b) ONE-THIRD (1 /3) to my granddaughter, LISA M. FREAS, or if she does not survive me, then to her children in equal shares, per stirpes; and (c) ONE-THIRD (1 /3) in equal shares to the children of my granddaughter, SHANNON E. LECKEY. (B) Whenever the Executor is directed to distribute any estate property to a beneficiary who is less than twenty-five (25) years old, the Executor shall hold such property in separate trust for the beneficiaryuntil he/she becomes twenty-five (25) years old, and in the meantime the Executor shall use such part of the income and principal of the separate trust as the Executor deems necessary to provide for the proper health, maintenance, support and education of the beneficiary. If the beneficiary dies before becoming twenty-five (25) years old, the property then remaining in separate trust shall be distributed to the beneficiary's issue in equal shares, per stirpes, subject to the terms of this paragraph. (C) Prior to final distribution ofmy estate, the Executor, in the Executor's discretion, may make partial distributions to one or more beneficiaries or trusts. As a consequence, the executorship and any trusts created under this Will may exist contemporaneously. A distribution may be made subject to any indebtedness or liability of my estate. SIXTH: Spendthrift Provision. No beneficiary shall have the power to anticipate, encumber or transfer his interest in the estate in any manner other than by the valid exercise of a power of appointment. No part of the estate shall be liable for or charged with any debts, contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. SEVENTH: Powers of Executor. In addition to such powers and duties as may have been granted elsewhere in this Will or by law, but subject to any limitations stated elsewhere in this Will, the Executor shall have and exercise exclusive management and control of the estate and shall be vested with the following specific powers and discretion: (A) In the management, care and disposition of the estate, the Executor shall have the power to do all things and to execute such instruments as may be deemed necessary or proper, including the following powers, all of which may be exercised without order of or report to any court: ~, ~ ~, LAST WILL AND TESTAMENT OF DOROTHY M. STAMBAUGH PAGE 4 (1) To sell, exchange or otherwise dispose of any property at any time held or acquired hereunder, at public or private sale, for cash or on terms, without advertisement. (2) To invest all monies in such stocks, bonds, securities, mortgages, notes, choses in action, real estate or improvements thereon, and any other property as the Executor may deem best, without regard to any law now or hereafter enforced limiting investments of fiduciaries. (3) To retain for investment any property deposited with the Executor. (4) To vote in person or by proxy any corporate stock or other security and to agree to or take any other action in regard to any reorganization, merger, consolidation, liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other security. (5) To use attorneys, real estate brokers, accountants and other agents if such employment is deemed necessary or desirable, and to pay reasonable compensation for their services. (6) To compromise, settle or adjust any claim or demand by or against the estate and to agree to any rescission or modification of any contract or agreement affecting the estate. (7) To renew any indebtedness, as well as to borrow money, and to secure the same by mortgaging, pledging or conveying any property of the estate, including the power to borrow from the Executor at a reasonable rate of interest. (B) Except as otherwise provided in this Will, in making distributions from the estate to or for the benefit of any minor or other person under a legal disability, the Executor need not require the appointment of a guardian but shall be authorized to pay or deliver the same to the custodian of such person, to pay or deliver the same to such person without the intervention of a guardian, to pay or deliver the same to a legal guardian of such person if one has already been appointed, or to use the same for the benefit of such person. (C) In the disbursement of the estate and any division into separate shares, the Executor shall be authorized to make the distribution and division in money or in kind, or both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution ~ ~ ~~- LAST WILL AND TESTAMENT OF DOROTHY M. STAMBAUGH PAGE 5 and division made and the values established by the Executor shall be binding and conclusive on all persons taking hereunder. (D) The Executor shall be authorized to lend or borrow, including the right to lend to or borrow from my estate at an adequate rate of interest and with adequate security, and upon such terms and conditions as the Executor shall deem fair and equitable. (E) The Executor shall have discretion to disclaim on my behalf any interest, in whole or in part, in property passing (i) by intestate or testate succession, (ii) by inter vivos transfer, (iii) by joint tenancy or tenancy by the entirety, (iv) from any life insurance policies, annuities or other accounts having designated beneficiaries, "pay on death" beneficiaries or "transfer on death" beneficiaries, (v) under any trust, and (vi) from any other source. The Executor shall be authorized to execute an appropriate writing and to perform all acts necessary to make a qualified disclaimer as defined by the Internal Revenue Code and regulations. EIGHTH: Rights and Liabilities of Executor. No bond or other security shall be required of any Executor. This instrument shall always be construed in favor of the validity of any act or omission by the Executor, and the Executor shall not be liable for any act or omission except in the case of gross negligence, bad faith or fraud. Specifically, in assessing the propriety of any investment, the overall performance of the entire estate shall be taken into account. The Executor shall be entitled to receive reasonable compensation for services actually rendered to my estate and reimbursement of reasonable expenses actually incurred on behalf of my estate. NINTH: Tax Elections. In determining the estate, inheritance and income tax liability relating to my estate, the Executor's decision as to all available tax elections shall be conclusive on all concerned. In accordance with Internal Revenue Code §2632(a) (or its successor provisions) and without regard to whether a federal estate tax return is actually filed, the Executor shall allocate so much of the federal Generation Skipping Transfer (GST) exemption amount as will fully exempt any generation skipping transfer which may occur under this Will. TENTH: Definitions and General Provisions. (A) Survival. Any beneficiary who dies within sixty (60) days after my death shall be considered not to have survived me. ~~ ~, LAST WILL AND TESTAMENT OF DOROTHY M. STAMBAUGH PAGE 6 (B) Other terms. The use of any gender includes the other gender, and the use of either the singular or the plural includes the other. (C) Ca tions. The captions set forth in this Will at the beginning of the various divisions hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their construction and application. (D) Powers of Appointment. By this Will, I exercise any powers of appointment which I possess at the time of my death. (E) Issue. In making a distribution to the issue of any person, the property to be distributed shall be divided into as many shares as there are living children of the person and deceased children of the person who left children who are then-living. Each living child shall take one share, and the share of each deceased child shall be divided among histhen-living descendants in the same manner. A posthumous child shall be considered as living at the death of his parent. IN WITNESS WHEREOF, I, DOROTHY M. STAMBAUGH, the Testatrix, have to this my Last Will and Testament, typewritten on seven (7) pages, including the Acknowledgment and Affidavit, set my hand and seal this 29"' day of January, 2007. DOROTHY M. AMBAUGH Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix, and in the presence of each other. Each of us further declares that he believes the Testatrix to be of sound mind and memory. The preceding instrument consists of this and six (6) other consecutively numbered typewritten pages including the Acknowledgment and Affidavit. ~%~ i~~~~t ~ 9 residing at Mechanicsburg, Pennsylvania Mark E. Halbruner, Witness residing at Boiling Springs, Pennsylvania Carol L. Frankland, Witness ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND The Testatrix and the witnesses whose names are signed and subscribed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby acknowledge, depose and say to the undersigned authority, that the Testatrix signed and executed the instrument as her Last Will in the presence of the witnesses; that she signed it willingly or willingly directed another to sign it for her; that she executed it as her free and voluntary act for the purposes therein expressed; that each of the witnesses were present and saw the Testatrix sign and execute the instrument as her Last Will; that each subscribing witness in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of their knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Dorothy M. Stamba' , Testatnx Mark E. Halbruner, fitness Carol L. Frankland, Witness Sworn to or affirmed, subscribed to, and acknowledged, before me by the above-named Testatrix and witnesses, this 29`'' day of January, 2007. ~~ /~ l ~ ,~° Notary Public .i~. i'v'~VV t;IyLI It vA' !~}.I`I~1J r L~''i :.~ Notarial Seal Traci 1,. Sepkovic, Notary Public LeMoyne Boro, Cumberland County r~":~,~ Ccanmission Expires Mat. 1&, ~dQt3 '_- ---{ -