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06-16-10
Name of Decedent: Date of Death: Will No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the follovu~ing beneficiaries of the above-captioned estate on _ C~ ~ l 5 ~ l O ame CERTIFICATION OF NOTICE UN1~RR RU1 E S.bfa) ~~~,d.. K. ~s6~~a~ Address Notice has now been given to all persons entitled thereto under Rule 5:6(a) except Date: lv Signature ~ . (~ ~ !,~-v~ ~ ~ U U ~~ Name ~r°~...- / v LJ Address ' ~;. ~- .. ry.. r Y t ~ 6io , ~ ~ l . _ ~,,,, ~ C ` + :' .,3 t: ~ . _.. ~~ ~/ p ~~J w ` ~ ~ ~ . Telephone ( ) '1 ` ~ L ~ 1 _ ~ fir 1..~ 1 I.L..: ~~~ °' ~:> ©~ Capacity:- Personal Representative cv Counsel for personal representative I~ 2~ I U .~--- c ~ v 4 ~ vAfhnin. No. NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF ADAMS, PENNSYLVANIA IN RE: ESTATE OF DAVID K. ALSBAUGH, DECEASED NO.21-10-0605 TO: Sharon A. Shenk 405 Kauffman St. Boiling Springs, PA 17007 Janice Cole 2960 Ramstein Rd., New Hartford, CT 06057 Please take notice of the death of decedent and the grant of letters to the personal representative named below. You may have a beneficial interest in the estate under the Last Will and Testament of David K. Alsbaugh, a copy of which is attached. Name of decedent: David K. Alsbaugh Last known address of decedent: 120 E. Loather St., Apt. B, Carlisle, PA 17013 Date of Death: May 16, 2010 Place of Death: Carlisle, PA County of Grant of Original Letters: Cumberland Decedent died testate. Name, address and phone number of all personal representatives: Sharon A. Shenk 405 Kauffman St. Boiling Springs, PA 17007 717-226-0037 Name, address and phone number of counsel: William P. Douglas, Esquire Douglas Law Office 43 W. South St. Carlisle, Pa. 17013 Phone: 717-243-1790 Additional information maybe obtained from the undersigned: Do las Law Office ~ ~ '' By W111iam P. Douglas, Esq „' 43 W. South St. Carlisle, Pa. 17013 717-243-1790 Dated: June 15, 2010 LAST WILL AND TESTAMENT ~ r~ c~_a r O ~ ~ L, , ~ .. - y~-,_~ Q~ I, David K. Alsbaugh, of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing, memory and understanding, declare the following to be my last will and testament, hereby revoking any and all wills herE~tofore made by me. Item I.I direct my executrix hereinafter named to pay all, my just debts and funeral expenses. Item II. I direct that I be cremated, and I have made arrangements through the Pennsylvania Cremation Society, of which my Executrix is aware. Item III. I direct that all of my property, both real and personal, be sold at public or private sale, and the proceeds distributed as follows: a. One-half of the residue to lung research, and preferably an organization close to Carlisle, so that the funds can be used locally. b. This remaining one-half shall be divided equally between cancer and aids research, once again to an organization close to Carlisle, so that the funds can be used locally. Item IV. I nominate, constitute and appoint Sharon Ann Shenk to serve as my executrix. In the event she is unable to serve, I appoint Janice L. Cole, _ . ~ , _ ~u.~~,c~ = ~b. _. ~,~_ ,.. __ - as substitute executrix, and I direct that either of them be permitted to serve without bond. IN WITNESS WHEREOF, I have hereunto set my hand and seal this r~'~ day of ~ _ r , 2005. ~.,k~ of David K. Alsbaugh Signed, sealed, published and declared by the above named testator, as and for his last will anal testament, who at hys request, in his presence, in our presence, a~1d in the presence of each other have hereunto subscribed our names as attesting witnesses: ~~~/yam'' ~~/'~ ;.: LL' l' ...~'~" / .1 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND .> ,, , ~. We ~ `~ and ~ '~ ~ %~~~~°' == whose names are ~ A' signed to the attached or fo going instrument, being duly qualified according to law, do depose and say that e were present and saw testator sign and execute the instrument as his last will, and that he signed willingly and that he executed it as his free and voluntary act for the purposes therein contained, that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge, the testator was at that time 18 or more years of age, of sound. mind and ~ar~der no cans ai.nt or un ue irlfl ence. 7/ / ~/ .~j/// ad{/G/_ G~ Sworn to and subscribed be re m this ~ O d of T± ( ,2005 ! ~ '~• ri n^ ~.- _.: , COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, David K. Alsbaugh, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~ CZtM. A' David K. Alsbaugh Sworn to and subscribe~h b me this the ?..-~ day of ~' ~ 1 , 2005. Notary ~~ .,- ,,