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HomeMy WebLinkAbout03-17-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Robert W. Henning File Number ~ ~ - I y ' ~ a~o~P also known as Deceased Social Security Number 199-16-1361 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 Executrix named in the last Will of the Decedent dated April 9, 1980 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 (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durance absentia; durance 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, e.t.a. or db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) n ~ r--- . -._ ~ `..., '"` r -, c (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 ~ ~j 114 Carol Street. New Cumberland. Cumberland County. PA 17070 (List street address, tow-dcity, township, county, state, zip code) Decedent, then 84 years of age, died on 06/08/2009 at Holy Spirit Hospital Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 13,300.00 (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 follows: 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: Si store T d or Tinted name and residence ' ~ Helen S. Henning 114 Carol Street, New Cumberland, PA 17070 Form RW-02 rev. 10.13.06 Page 1 of 2 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 beforle,me the ! ~t~" day of 1t9..rC.~- Cpl O _~~ For the Register rv C7 ~' Stgnature of Personal Representative * = ~ ; }~~ ,- ' -; .n~C7 ~ ~. Signature of Persona! Representative : ~ ~ .,J `. ; , : =. j Signature of Personal Representative - ` ~ = - ~-T ' • ' -`. cx~ File Number: Estate of Robert W. Henning ,Deceased Social Security Number: 199-16-1361 Date of Death:06/08/2009 AND NOW, -__~' ~ _. 1 ~ . ~,, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Helen S. Henning in the above estate and that the instrument(s) dated Apri19, 1980 described in the Petition be admitted to probate and filed of record as the last Will (an~Codicil(s)) ofjl)pcedent. _ FEES Letters ............... $ 60.00 Short Certificate(s) ........ $ 12.00 Renunciation(s) .......... $ ~t~. ... $ IS• C:~t7 Jcs ~ ... $a3 ~sz~ Pv~~~ ~+- ern ... $ 5- ov ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~IS.~ Attorney Signature: Attorney Name: Virginia H. Supreme Court I.D. No.: 200356 Address: 2000 Linglestown Rd Suite 106 Harrisburg, PA 17110 Telephone: 717-657-7770 Form RW-02 rev. 10.13.06 Page 2 of 2 105.gOS REV (01107) Fee for this certificate, $6.00 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. JU 0 9 009 istr ate Issued P 15476051 Certification Number ly~~re a~ ~r COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS CERTIFICAtlE OF DEATH /~ l J tti ~ , S"' O F;=, '- ~ f ~~ _~ r ~ t; ~''~ ~ ,_ ~ f'i'1 r` f ~'' . ", P ` . ~ ~ :D to r_ --" , (See InetrllCtlons an examp ee on reverse) FT1TF FII F Nl1MRER t. Nems d OetaderN (Fast, ndMe, lee4 edPor) 2 Sr 3. Soda SecrBY Nunbar 4. Der d Daelh (Month, mY, Yrr) Robert W. Henning male 199 - 16 - 1361 June 8 2009 5. Aq (Latl BHMay) lAerr 1 IAarr 1 8. Der d Bam Mash, 7. & did err a Ba Place d Deets arle Mormm Days Han MreM HoeptUl: OIMn 84 vrs. September 24,1924 Philadelphia, PA ®IrlpetleN ^ERloaroeb.m ^DI)A ^Naaing Ham ^ReddNKe ^Omer specBy: BD. Could d Drm Bc. Ciry, Baro, Twp. d Drm Bd. FacNly Norm (II not krmuXOn, give eoed and number) 9. Wr Deaden) d 1MP•^m OrigM? ®~ ^ Yr 10. Race: American mdmn, Black. Whit, etc. ( ~ Ism Cumberland E. Pennsboro 1b7p. Holy Spirit Hospital dana ~,ek;.) Al white 11. DsadNa'a U,IW IOntl d wok e ar mod d W. Do nd err t2. Wr Oecedenl aver r IM 13. DeuderlYe Edreetbn ISpedy aiy t grade aKrlp bWfl te. Memel Srla: Monied, Never Married, 15, Survivkg Spo use (If vote, 9He meimn name) amdWak KinddBlmkrrllmudry U.S. Amrtl Faun? Ernrrrry I SecaMery (0-12) College ltd a 5~) WiUand ~^~ /SP•~yh'1 Division Manor er Communications ®rr ^NO 12 4 Married Helen Cullen Stoker 16. Deadme's Mairq Addlre Ism cKY / ta•^, err, rip at0e) Decedem'a dd Decadent 17c ^y,,~,,,,~„ Two 3lde Pennsylvania AmualReeimrlce ra 114 Carol Street , . , In? tt Cumberland nd. ®oe edwgmn New Cumberland New Cumberland, PA 17070 U~ a t76.camn Gryl~ro 18. FetlWs Norm IFlret, nYtlds, rek slat)) 19. Mother's Name (FM, Mrtle, nlerml Narrrrrl Harry Doren Henning Virginia Smith 20a. IMOmm~rs Name (Type 1 PrM) 20b. Inlarnenre Mdap Addroae ISa••t, cer 1 tam. ern, z4 ado) Helen S. Hennin 114 Carol Street New Cumberland PA 17070 21a. Memod d Oiapodeon I ®p,nl,oyl ^ Daumn 21D. Date a DNpaBlat IMam, der, Year) 21c. Place a DNpaltlon (Name d anrlery, aemerory a odly plea) 21a l.a:alla ICBy/tam, state, rap ado) ^ Burl ^ FrmovdhanSer i WrCmmUalaDasMlalAumodrd June 9, 2009 Evans Crematory Schaefferstown, PA 17088 ^ fly, I by Yldkd EererrrlCorarR Yr^ No 22a la perea aunp r etch) 22h. lkrme Number 22c. Name end Address d FatllBy ~ a~~ FD O12 848 L Parthemore FH & CS, Inc., P.O. Box 431, New Cumberland, PA 17070 Canprr eenr 23ec wlrll aMlyitg 23a. To me beat d my krlowledga, deem acurled et me dme, der end pre data. ISgneNre and mr) 23b. tkxnr Number 23c. Dar sigma (Momh, day, year) phyddn m nd eveWrr d Bit d mom b ardV twee d dots). Irnm 2e48 ~ a arprekd by a~ 21. trot d Deem i, 25. Dar P~ro~~o)~soe~OrDud (Mm ay, year) 26. Was Case Retarnosfd to Medal Exemkrr !Coroner 1« a Beeson Omer ttrn Cremation a Donekon7 ^ wM prorlaaces aem. / f T / { ~1 /'1 M. F' V V /V L Q ~-V ~ vea 1l1 No CAUSE OF DEATH (gem Imtruetloea and aumpN•) I Approver Mend: PeA II: Ems omor ' 2B. Did dmca Use Cadribde to Deem? Irrrl 27. Per) I: Elnm me - o5reer, iryum0. a usrpkntlar ~ tlld dMdh/ surd dr deem. DO NOT error temleW events suds ee uMrc arrest. I Onset m Deem h li bd nol rrWXng in the uKbdyklg uur gluon a Pad I. ^ Vas ^ P ae on eac n e . rry aned. a vemriaAer B6riladm widrW dwMlg dr amb{p. Lrt mly ar a mpM r i ^ No Unknown (~FF ~ ~ ~ ~ ~ /~~ D a i ~ 29. II Femer: ~Q~;/l/FYA,W s~IW ! ~ unlBm rrdBrlg r deem) ~ e. I ^ Nd r nant wdhin est ear Dam (a r a p p y eg ^ Pregrrm at tlrm a roam ~^, Q ~ ; b' D Ula ~ ~ ' ^ I aurMed on r ie a Erax UOERLYND CAU8E Due m (a r s aneaglrence op: I Not pregant. do pregnenl wbh vl 12 mya d death (daas a Huv tlrt inielM er I c~ l 43 m t ^ N ; evade rrllWry in mWl) LABT. IYa b la 86 8 arlrglranCe 0~: I ol pragnem. Dul pregnen yea, n r mton arm d ^ Unkmrm N pregnem water me pest year . 3a. Wr an Aurpay 30D. Were Aumpey FYdkly 31. Manner d Deem 32a. Der d kl)uly gAmm, mY, Y••rl 32b. Deacr3e Now IMay Ocarrro0 . 32c. Sheek Factory, ~ %~ F PMOmrd7 AveAebr Prbr r CanpMbn d Coma d Drm? ~ Ndurel ^ Fiorrlldde ~ N/ Olfice Bakrlg, d ^ ® ^ ^ ^ Aaident ^ Pemrlg Inwd'petlm ~. Tmr d Injury 32e. WurY d Work? 321. H TremparYOn IIQury lsP•aNl 32g. LOymbell of inpry (Saee1, coy! rovm, dare) Yr No Yes No ^ Suidtle ^ Cold Nd m Detelmllyd ^ Yr ^ No ^ DnwrlOparela ^ PeerngM ^ PemeldM M, ~. 930. CartlBer Idrdl arlYy om) 336. 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C/' ~ '~C ~ ~ ~ ~ ~ ~ f C,} p ~ ' / 4' ~7 1 ~~ ~ ~ / L' / i ( ~ F~ Diapodaon Permit No. k•--r ~ ~ Z-) C7 Z ~~~.t ~~.~ ~x~.dr C~.e,~~~r~.er~~ OF ROBERT W. HENNING I, ROBERT W. HENNING, of 114 Carol Street, New Cumberland, 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, HELEN S. HENNING, all my household furniture and furnishings, 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 bequest to my children of my marriage to HELEN S. HENNING, 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 division and its decision shall be final. My Executor shall represent any minor child in any division of such property and shall deliver to the person standing in the place of a parent to such minor, without bond, such portion 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 estat~!''~~eL;, /"mil deduction effective g~:11~~ Li d}~~O:~Z Page 1 r.-~•~~~ ~~-~<<.,~T,, under the Internal Revenue Code to reduce Federal estate tax. 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, AELEN S. HENNING survives me, I direct that my Trustees, hereinafter named; hold; IN TRDST 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 deductions 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 the power to appoint all or any part or parts of the principal of this Trust to herself, her estate or any other person or persons. This power shall be exercisable by her alone and in all events by specific reference thereto in her Will, or by delivery at any time or times during her lifetime of a written direction to my Trustees who shall there- upon make payment as she directs. My Trustee shall pay to her personal representatives from any unappointed principal the difference between all taxes, interest and penalties which they must pay by reason of her death and those which would be payable by them if such unappointed principal were not taxable in her estate and shall add the balance of such unappointed principal to my residuary Trust. i~ Page 2 FOURTH: I give and devise the residue of my estate, real and personal, to my Trustee hereinafter named, IN TRUST; as followss (a) The net income therefrom shall be paid to my spouse, HELEN S. HENNING, for life. (b) Upon the death of the survivor of myself and my spouse, the income shall be paid to or accumulated for a class composed of my mother-in-law, HELEN C. STORER and my children from my marriage to HELEN S. HENNING in equal or unequal amounts over a period of time until my youngest child from my marriage to HELEN S. HENNING attains the age of twenty-three (23) years, or until my mother-in-law dies, whichever is the later event to occur. Upon the death of my said mother-in-law, or upon my youngest child from my marriage to HELEN S. HENNING attaining the age of twenty-three (23) whichever last occurs, the principal and accumulated income shall be divided into three (3) equal shares. Thereaf tern (i) One share shall be further divided into three equal parts, each part to constitute one-ninth (1/9) of the total principal held hereunder. One such part shall be paid to each of my living children from my previous marriage to RIITH J. HENNING and one part shall be paid, per stirpes, to the living issue of each of my deceased children from my previous marriage to RIITH J. HENNING. (ii) One share constituting one-third (1/3) of the total principal hereunder shall be paid, per stirpes to the living issue of each of my deceased children from my marriage to my spouse, HELEN S. HENNING. Page 3 ,. (iii) The net income from one share constituting one- third (1/3) of the total principal hereunder shall be paid to each of my living children from my marriage to HELEN S. HENNING, for life, provided however; that each such child shall have the right to withdraw one-half (1/2) of his or her share of the principal when he or she shall attain the age of twenty-five (25) years and the remaining one-half (1/2) of his or her share when he or she shall attain the age of thirty (30) years. The rights of withdrawal may be e$ercised from time to time in whole or in part and the said rights of withdrawal shall be cumulative. (iv) Upon the death of any of my children born of my marriage to HELEN S. HENNING, who survive the survivor of my said spouse, my aforesaid mother-in-law and myself, the principal from which he or she received income shall be paid to his or her surviving issue, per stirpes or in default of such issue, shall be added to their brother's or sister's share, as the case may be, to be paid over or held in trust for said brother or sister as part of the share from which they receive income or to be paid over to the issue of said deceased brother or sister. (v) If no issue of my children born of my marriage to HELEN S. HENNING, survive the survivor of my said spouse, my afore- said mother-in-law 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 spouses 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 Page 4 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 may use any other principal for the benefit of my spouse, my mother-in-law and my issue of my marriage to HELEN S. HENNING, as Trustee deems necessarys (a) To meet the expense of any accident, illness or other emergency befalling any of themf (b) For maintenance, support and educationf (c) To pay funeral expenses, including the cost of a grave marker and perpetual care of the grave. 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 my mother-in-law and my issue 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. Page 5 '~- 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 educa- tion, 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. 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. Taxes on future interest may be prepaid. (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. NINTHS 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 dis- charge 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 haws the following discretionary powers applicable to all real and personal property held by them, effective without court order and until actual distributions Page 6 ~~ N (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, recapi- talization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agree- ments and pay assessments= and generally to exercise all rights of investors; (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 consider- ation, 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 bene- ficiary is entitled directly for his or her comfort, maintenance and support should they deem such beneficiary incapable of receiving the same by reason of age, illness or any infirmity or incapacity; Page 7 or to pay the same to such person as they select to disburse it, whose receipt shall be a complete acquittance therefor, without the inter- vention of any guardians (h) To borrow money, including the right to borrow from any corporate fiduciary acting hereunder, and mortgage or pledge as securitys (i) To hold investments in the name of a nominees (j) To distribute in cash or kind or partly in each at valuations fixed by them] (k) To assume continuance of the status of any bene- ficiary with reference to marriage, divorce, illness, incapacity or other change in the absence of information deemed relliable without liability for disbursements made on such assumptions (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 dte 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 and Page 8 (n) 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 hereunder as a result of my participation in a qualified pension, profit- sharing, HR-10 or IRA plan as defined by the Internal Revenue Code, shall be used in any manner to pay the taxes attributable 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. TWELFTHz No fiduciary who is a beneficiary of my residuary trust created in Item FOIIRTH hereof shall partici- pate 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. THIRTEENTHz In the absence of contrary proof, my spouse shall be deemed for purposes of this Will to have survived me. Any other 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; If my spouse predeceases me, I appoint my sister and brother-in-law; VIRGINIA M. GROTHEN and CARL E. GROTHEN, or the survivor of them, guardian of the person of my minor children. In the event either of them cannot act, my Page 9 spouse's cousin and his wife; WILLIAM CULLEN and INEZ CIILLEN; or the survivor of them, shall act in their place. FIFTEENTH: If my spouse survives me, she shall have the option to replace any corporate trustee acting hereunder, with a new corporate trustee with trust powers under the banking laws of the state in which she resides; to act as substitute Trustee. Such selection shall be accomplished by my spouse giving written notice to the present corporate trustee. SIRTEERTH: I appoint my spouse, HELEN S. HENNING; as Executrix (hereinabove referred to as Executor) of; and my spouse, HELEN S. HENNING and COMMONWEALTH NATIONAL BANK, Harrisburg, Pennsylvania; Trustee under this my Will. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. SEVENTEENTH: My Corporate Trustee shall receive compensation for the performance of its functions hereunder in accordance with its Schedule of Fees in effect from time to time during the priod over which its services are performed. IN WITNESS WHEREOF; I have hereunto set my hand and seal this ~ day of ~ ; 19~; to this and the preceding nine (9) pages, and I have also placed my initials on each preceding page for better identification and greater security. (SEAL) O E T E SIGNED; SEALED; PUBLISHED and DECLARED by the above- named Testator; ROBERT W. AENNING; as and for his Last Will and Testament, in the presence of us who at his request, in his presence and in the presence of each other, have hereunto subscribed our 'i names as witnessess tr~~~a ~ ~ Q,~_ Residing at qo w. r u~a ~~- L-o~ ~,~ r~ Q~ ~~o ~r ~~z~,X%~J~-'niue.4~'' Residing at ~~~ ~yrt~ ,~, OATH OF SUBSCRIBING WITNESS REGISTER OF WILLS Cumberland COUNTY, PENNSYLVANIA Robert W. Henning Estate of Peter J. Ressler Deceased a subscribing witness to the ®Will ©Codicil(s) presented herewith, being duly qualified according to law, deposes and says that he was present and saw the above ®Testator Testatrix sign the same and that he signed the same and that he signed as a witness at the request of the ®Testator ®Testatrix in ~ her ®his presence and in the presence of each other. rv Signature~~~~ ~~ ~ ~~~ Q U ~~--cw~-a- /2~- . Street Address n c~'.O o _~: `' z: ~: :: - r ' ~: ~ ~ 3 ~~ l ri :.~ k i_ < -7 - . ~ - .-r~, n - c37 ~ ~Y1 ~ cl-1-RrJ ~ c.5 ~~~ ~ ~ 'U S"~ City, State, Zip Executed in Register's Offue Sworn to or affirmed and subscribed before me this _____'_ day of Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~ day of 20 Deputy for Register of Wills l , 20 / 0 ~ ~n 9.~ Cti„~ ~ ' cam... ~ ~ ~ ~ N6fary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA Notarial Seal Joan E. Brothers, Notary Public Susquehanna Twp., Dauphin County Cgnmi~lpn rM Wb,12 2014 M~mb~r, PennNNmN Awod~tlon Of Notnrla OATH OF NON-SUBSCRIBING WITNESS REGISTER OF WILLS Estate of ~~aI~,~!'1(~ COUNTY, PENNSYLVANIA Deceased being duly qualified according to law, deposes and says that she was well-acquainted with ~+ and is familiar with the handwriting and signature of the decedent, and that the s gnature of to the fore oing instrument purporting to be the L t Will and Te ent Codicil of ' is in his her own proper handwriting. n ~ O Signature i J '-gyp !~~ ~ rn- - - r t _ ~ i :~~ _; ~~ ~ ~~~°/rJlf~ ~l~• _ c_~ ,' Street Address -~, -~-+ ~a ,~~'~a~~~ ?D ~~ i t St Zi ty, p a e, Executed in Register's Office Sworn to or afFirmed and subscribed before me this / 7~ _ day of uty or Re 'ster of Wills N a C~ -~-i ~ ~ `; ' ~ ,_ . a~ _~µ' ~ -f, :- :~ =e i:1C? ~ ~} c.:.3