HomeMy WebLinkAbout06-23-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C U M B E R L A ~,~ COUNTY, PENNSYLVANIA
Estate of HAMILTON ~ • HENRY File Number ~ ( b y ' V ~! ~ 0
also known as HAMILTON MILFORD HENRY
,Deceased Social Security Number 0 4 9- 2 4 -19 8 5
SHERRI L• MILLER
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
0 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the E X E C U T jj I X named in the
last Will of the Decedent dated ~./ 2 2 / 2 0 0 4 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 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: (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.)
Decedent, then 77 years of age, died on 6/6/2010 at 408 HUNTINGTON AVE
ENOLA PA 17025
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 18, 500.00
(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:
Signature Typed or printed name and residence
~-~- ~ SHERRI L• MILLER 625 MOUNTAIN ROAD
P 7
Page 1 of 2
Form RW-02 rev. 10.13.06
__.,
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(COMPLETEINALL CASES:) Attach additional sheets if necessary. ~ -~"-i `r=.
to > .'"_/
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at ~.$_='
HUNTINGTON AVE• ENOLA PA 17025 EAST PENNSBORO TOWNSHIP
(List street address, town/ciry, township, county, state, zip code)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF SUMBERLAND
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 C~~IJL'bJ~ ~ ~ . ~'"~~l
Signature of Personal Representative
before n°.e the -~ da'y of
S~,~i~! Yom. ~ =• 5~L_ Signature of Personal Representative ~ c=,
-e r----,
Forte gister Signature of Personal Representative ~ -? _
File Number: ~~ -~
C? = , ~
Estate of HAMILTON M - HENRY ,Deceased
Social Security Number: 0 4 9- 2 4 -19 8 5 Date of Death: 6/ 6/ 2 010
AND NOW, ~~ ~-~ ~ 3 , 2 010 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters T E S T A M E N T A R Y
are hereby granted to S H E R R I L. M I L L E R
in the above estate
and that the instrument(s) dated MARCH 2 2, 2 0 0 4
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................. $ ~~
Short Certificate(s) •••••••••••• $ ~, ~
Ren ~nciation(s) •••••••••••••••• $
~t
.... $
CS $ avs~
.... $
.... $
.... $
.... $
.... $
TOTAL ............................. $ O~~ .60
Supreme Court LD. No.: 70241
Address: 2331 MARKET STREET
PA 17011
Telephone: 717 - 7 6 3 -13 8 3
Form RW-02 rev. 10.13.06 Page 2 of 2
Attorney Name: SUSAN H. CONFAIR
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograp~.
fee tit, th1~ ~~rti~ICatL, `~ti.OU
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\\Ntserver\SConfair\WPWin\WILLS\HenryH Will.wpd
March 22, 2004
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LAST WILL AND TESTAMENT ~===o ~'
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HENRY < ~~''-r;
HAMILTON M -`~
.
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I, HAMILTON M. HENRY, of Enola, Cumberland County, Pennsylvania, being of sound a d
disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and
Testament, hereby revoking any and all prior Wills and Codicils thereto by me at anytime heretofore made.
1. FAMILY.
1.1 Identification of Family. I declare that I am married to VIVIAN M. HENRY and that there
are three (3) children of this marriage whose names are SHERRI L. MILLER, MICHAEL
R. HENRY and JIMMY H. HENRY.
1.2 Definition of Family Terms. As used in this Will, the term "my spouse" shall mean only
VIVIAN M. HENRY. As used in this Will, the terms "my child" or "my children" refers
to all my natural children and adopted children. As used in this Will, the term "issue" refers
to all lineal descendants of the indicated person of all generations, with the relationship of
parent and child at each generation determined by the definition of "child/children" set forth
in this paragraph.
2. PAYMENT OF BURIAL EXPENSES AND DEBTS. I authorize my executor to pay all the
expenses of (1) a funeral or memorial service; (2) the internment of my remains, including the costs
of a gravesite, if necessary; and (3) the installation and inscription of a suitable marker at, and
perpetual care of, the gravesite. I further direct my executor to pay all of my debts that my executor
in his or her sole discretion may allow as claims against my estate.
3. DISPOSITION OF TANGIBLE PERSONAL PROPERTY.
3.1 Disposition to Spouse. I give all of my tangible personal property of every kind and
description, including, but not limited to, books, pictures, clothing, articles of household or
personal use or adornment, household furnishings and effects, and automotive vehicles and
their accessories, but excluding any money, evidences of indebtedness, documents of title,
and securities and property used in connection with the operation of any trade or business,
to my spouse.
3.2 Alternative Disposition. If my spouse does not survive me by more than sixty (60) days
after the date of my death, and any of my children survive me, I direct my executor to divide
my tangible personal property into two parts. The first part shall contain all items that my
executor determines, to be of no present or future value or use to my children. The second
part shall contain the balance of the property. My executor shall dispose of the first part by
Hamilton M. Henry
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sale, abandonment, destruction, or gift to any charity or person. The proceeds of any sale
shall be added to my residuary estate. All property in the second part I give to my children
who survive me, in substantially equal shares, to be divided among them as they shall agree.
If any child is a minor, the guardian of the person appointed for that child must agree to the
division. If no agreement is reached within (60) days after my death, all property in the
second part shall be divided among all my children in such manner as my executor shall
direct. The decision of my executor shall be conclusive and binding on all persons interested
in my estate.
Any item of personalty passing to a minor under this Section 3.2 may be delivered to the
minor or to any person to hold for the minor, as my Executor thinks advisable, and the
receipt by any such persons, including the minor, shall constitute a full and complete
discharge to my Executor.
4. DISPOSITION OF RESIDUARY ESTATE.
4.1 Disposition to Spouse. All of the rest, residue and remainder of the property that I own at
the time of my death, both real and personal, and of every kind and description, wherever
situated, to which I may be legally or equitably entitled at the time of my death (my
"residuary estate"), I give outright and absolutely to my spouse, if she survives me.
4.2 In the event my spouse is not living on the sixtieth (60) day after the date of my death, I leave
all the rest, residue and remainder of the property that I own at the time of my death, both
real and personal, and of every kind and description, wherever situate, to which I may be
legally or equitably entitled at the time of my death (my "residuary estate") in equal shares
to my children, PROVIDED THAT, if any of my children shall predecease me leaving issue
who survive me, then I leave the share of that deceased child to his or her issue, who survive
me, per stirpes; PROVIDED, however, that if such grandchild shall then be under the age
of twenty-five (25), my trustee shall hold that grandchild's share in a separate trust for the
benefit of that grandchild, to be administered and distributed as provided in Article 4.3 of
this Will. In the event that all of my children shall predecease me and none leave issue who
survive me, then I leave the remainder of my estate to:
4.3 Trust for Grandchildren. In the event any of my grandchildren who are entitled to a share
pursuant to Section 4.2 above are under the age of twenty-five (25) years, his or her share
shall beheld IN TRUST. My Trustee shall invest and manage any such share as a separate
trust and make distribution as follows:
i. Until such grandchild shall reach the age oftwenty-one (21), my trustee shall
pay to or apply for the benefit of that grandchild so much of the net income
of the trust as my trustee shall deem necessary or advisable to provide for that
,~ l
2 Hamilton M. Henry
\\Ntserver\SConfair\WPWin\WILLS\HenryH Will.wpd
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grandchild's support, maintenance, health and education (including higher or
special education). My trustee shall accumulate any income not so
distributed and shall add the same to principal at least annually.
ii. After that grandchild reaches the age of twenty-one (21) and until that child
shall reach age twenty-five (25), my trustee shall pay to or apply for the
benefit of such grandchild all of the net income of the trust in quarterly or
more frequent installments.
iii. I authorize my trustee to pay or apply principal of the trust, at any time, to or
for the benefit of such grandchild, even to the point of exhausting trust
principal, in such amounts as my trustee, in its absolute discretion, deems
necessary or advisable to provide for the support, maintenance, education and
health of such grandchild. For example, but not by way of limitation, my
trustee may pay or apply trust principal, in my trustee's absolute discretion,
for basic maintenance and support; elementary or secondary education; post-
secondary technical or vocational training; college, postgraduate, and
professional study; and assistance in connection with marriage, acquisition
and furnishing of a home, and commencing a business or profession. In
determining the amount of principal to be disbursed, my trustee shall take
into consideration any other resources available to such grandchild.
iv. Upon such grandchild reaching age twenty-one (21), one-half of the trust
principal shall be distributed to such grandchild by my trustee.
v. Upon such grandchild reaching age twenty-five (25), the trust for such
grandchild shall terminate and my trustee shall distribute to such grandchild
all of the trust assets remaining on hand.
vi. If a grandchild dies before reaching age of twenty-five (25), and is survived
by issue, my trustee shall distribute the trust principal to such deceased
grandchild's then living issue, per stirpes.
vii. If a grandchild dies before reaching age twenty-five (25), and is not survived
by issue, my trustee shall distribute the trust of that child in equal shares to
my issue, or in the event an issue is not living, then to that deceased issue's
then living children, per stirpes.
viii. If at any time my Trustee in it's discretion determines that the size of such
beneficiary's trust share does not warrant holding such share in trust, my
Trustee may, in full discharge of it's duties herein, without formal court
accounting, pay the remaining principal and income to the Guardian of the
person of such beneficiary who is a minor or may deposit it in an interest
bearing or investment account in the name of such beneficiary, payable to the
3 Hamilton M. Henry ---~
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beneficiary upon obtaining the age of twenty-five (25), and upon such
payment or deposit the Trustee shall be relieved of all liability in connection
with such fund.
4.4 Trustee's Judgment Final. The judgment of the trustee as to the amount of payments or
applications of principal or income pursuant to this Article shall be final and conclusive on
all persons interested, or who may become interested, in the trust estate. On making any
payments or applications of principal, the trustee shall be fully released and discharged from
all further liability or accountability.
4.5 Spendthrift Provisions. No beneficiary of this trust shall have any right or power to sell,
assign, convey, mortgage, pledge, anticipate, hypothecate, or otherwise dispose of any right,
title, or interest that the beneficiary may acquire in the income or principal of the trust estate
until the income or principal has actually been paid over to the beneficiary by the trustee.
Nor shall the income or principal of the trust estate, or any part of it, or any interest of any
beneficiary under this Will be liable for, or to any extent subj ect to, any debts of any kind or
nature incurred or contracted by any beneficiary, either before or after my death. Any right
granted to a beneficiary to receive or withdraw assets of the trust estate, either principal or
income, for the beneficiary's own use and benefit shall not be available for the satisfaction
of any claims of the creditors of the beneficiary. Any right of receipt or withdrawal shall be
suspended and may not be exercised by any beneficiary on the filing of a proceeding in
bankruptcy in which the beneficiary is debtor. The suspension shall be continued during
bankruptcy proceedings and shall be restored only after the entry of a final order of discharge
of the beneficiary as debtor.
4.6 Rule Against Perpetuities. If any provision of this Will should be void on account of the
rule against perpetuities or any other rule of law pertaining to such trusts, then the trust
herein provided shall continue in force for the full period permitted by law and on the day
prior to the expiration of such full period, my trustee shall make distribution of any
remainder of the trust estate to the persons herein named who would be entitled to take
distribution upon termination of the trust.
4.7 Joining of Trusts. If at the termination of any trust created under this Will any part of the
trust principal is to be distributed to a person who shall then be the beneficiary of any other
trust created under this Will, I direct that such person's part of the trust principal be added
to his or her trust, to be administered and distributed as an integral part thereof.
5. POWERS OF ADMINISTRATION.
5.1 Grant of Powers. My executor, in the administration of my estate, and my trustee, in the
administration of the trust under this Will, (my "fiduciaries") shall have the powers and
authorities set forth in this Article 5. These powers and authorities maybe exercised by my
executor and trustee in their sole and absolute discretion, without the permission or order of
any court. These powers shall be supplementary to those conferred by law, including, but
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4 Hamilton M. He ~~
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\\NtserverASConfair\WPWin\WILLS\HenryH Will.wpd
March 22, 2004
not limited to, those set forth in Title 20, Chapter 33, of the Pennsylvania Consolidated
Statutes.
5.2 Retention of Assets. My fiduciaries shall have the power to retain any or all property of my
estate or trust, however received and acquired, for so long as they deem appropriate. This
power maybe exercised even though the property may not be of the type authorized bylaw
for investment, and even though the retention may leave a disproportionately large amount
of the value of my estate invested in one type of property.
5.3 Transfer of Assets. My fiduciaries shall have the power to sell, transfer, and convey any
property, of whatever nature, including real property, and wherever situated, that I may own
at the time of my death, or that may come into my estate or into the trust corpus at or after
my death. The sale, transfer, or conveyance may be by public or private sale, at such time,
on such terms and conditions, including selling price and credit, in such manner, and for any
reason that my fiduciaries deem appropriate, including, but not limited to, the purpose of
obtaining net proceeds to be distributed to my residuary beneficiaries.
5.4 Investment. My fiduciaries shall have the power to invest and reinvest any property in my
estate or in the trust corpus in preferred and common stocks, bonds, notes, common trust
funds (including any managed by any corporate fiduciary), interests in investments, trusts,
mutual funds, leases, mortgages on property wherever located, and, generally, in anyproperty
and in proportions ofproperty as my fiduciaries deem advisable, even though the investments
are not of the character or proportions authorized by applicable law for the investment of the
funds.
5.5 Power to Borrow. My fiduciaries shall have the power to borrow money for any purpose,
for any periods of time, and on any terms and conditions as they deem advisable (including
the power to borrow from any corporate fiduciary), and to pledge, mortgage, or otherwise
encumber any property in my estate or in the trust corpus to secure repayment of any loan,
as well as the power to renew existing loans either as maker or endorser.
5.6 Power to Hold Property in Nominee Form. My fiduciaries shall have the power to hold
any property in the name of a nominee or in bearer form.
5.7 Distribution in Cash or in Kind. My fiduciaries shall have the power to make distributions
in cash or in kind, or partly in cash, in divided or undivided interests, as amended, or other
applicable law, and to determine which assets shall be sold and which shall be distributed
in kind, without notice to or consent by any beneficiary.
5.8 Distribution to Minors and Persons Under Disability. My fiduciaries shall have the
power to make distributions or payments to or for the benefit of any beneficiary who is a
minor, an incompetent, or who in the fiduciaries' judgment is incapacitated. The
distributions or payments shall be made in any one or more of the following ways: (1)
directly to the beneficiary; (2) directly to the creditor in paymen 9f the debts o 'expenses of
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the beneficiary; (3) to the guardian of the person or estate of the beneficiary; (4) to any
custodial parent of a minor beneficiary; (5) to a custodian for the beneficiary under any law
related to gifts to minors, including to my fiduciaries in that capacity; or (6) to any other
person who shall have the care and custody of the person of the beneficiary. There shall be
no duty to see to the application of funds so paid, provided due care was exercised in the
selection of the person to whom the funds were paid, and the receipt of the person shall be
full acquittance of the fiduciaries.
5.9 Continuation or Liquidation of Business. My fiduciaries shall have the power to continue
or to permit the continuation of any business, incorporated or unincorporated, in which I may
have any interest at the time of my death for any period of time, or to liquidate the business
on any terms as they deem appropriate. This power includes, but is not limited to (1) the
power to invest additional sums in any business, even to the extent that my estate or the trust
corpus may be invested largely or entirely in the business, without liability for any loss
resulting from lack of diversification; (2) the power to act as or to select other persons to act
as directors, officers, or employees of any business, to be compensated without regard to
being a fiduciary under this Will; and (3) the power to make any other arrangements in regard
to any business as my fiduciaries shall deem proper.
5.10 Employment of Agents. My fiduciaries shall have the power to employ and pay the
compensation of any and all attorneys, agents, custodians, attorneys-in-fact, experts,
investment counsel, accountants, bookkeepers, or other agents or providers of services as my
fiduciaries deem advisable in the administration of my estate.
5.11 Commissions. My fiduciaries shall have the power to take reasonable commissions on
account at any time during the administration of my estate or of the trust without the approval
of any beneficiary or of the court, but subj ect to allowance or disallowance on the settlement
of the final accounts of my fiduciaries.
5.12 Third Party Reliance. No person or corporation dealing with my executor shall be required
to see to the application of any property paid or delivered to my executor, or to inquire into
either the authority of my executor to enter into any transaction or the expediency or
propriety of any transaction entered into by my executor.
6. PAYMENT OF DEATH TAXES.
6.1 Payment of Estate Taxes. I direct that all federal and Pennsylvania estate taxes payable as
a result of taxes assessed on property passing under this Will shall be paid from my residuary
estate as a part of the expenses of the administration of the estate.
6.2 Inheritance Tax. I direct that the Pennsylvania inheritance taxes payable as a result of my
death, limited to taxes assessed on property passing under this Will, shall be paid out of my
residuary estate and shall not be deducted or collected from any beneficiary under this Will
or other transferee.
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7. APPOINTMENT OF TRUSTEE.
7.1 Appointment. I name, constitute, and appoint SHERRI L. MILLER as the trustee of any
trust under Article 4 of this Will. If the trustee shall not serve as trustee for any reason or
shall cease to serve as trustee for any reason, then her successor trustee shall be MICHAEL
R. HENRY
7.2 Resignation of Trustee. Any individual trustee may resign from the position of trustee by
executing a written resignation and delivering it to the successor trustee. The date of the
delivery of the resignation shall be the effective date of the resignation. No court action or
other proceeding shall be necessary for the resignation of an individual trustee.
7.3 Disqualification of Trustee. A person shall be disqualified from acting as a trustee (1) if
found by a court of competent jurisdiction to be incompetent; or (2) if, on receipt of a written
request from an adult beneficiary, guardian or a successor trustee of the trust for a written
certification from a qualified physician that upon examination the physician finds the person
mentally or physically capable of properly handling his business affairs, the person does not
obtain a written certification within thirty days after receipt of the request.
7.4 No Bond Re uq fired. No bond shall be required of any trustee or successor trustee named in
this Will.
7.5 Rights of Successor Trustee. Every title, estate, right, authority and discretion vested in or
conferred on any initial trustee under this Will shall likewise become and be vested in and
maybe exercised by any successor trustee.
7.6 Trustee's Fees: My trustee shall be entitled to a reasonable and customary fee for serving
in said capacity.
8. EXECUTOR.
8.1 Appointment. I name, constitute, and appoint SHERRI L. MILLER as executor of my
estate. If my spouse shall not survive me, shall not serve as executor for any reason, or shall
cease to serve as executor for any reason after appointment, MICHAEL R. HENRY shall
act as executor in her place.
8.2 Bond Not Required. None of the individuals named in Section 8.1 shall be required to
furnish a bond for the faithful performance of his or her duties as executor.
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9. PRESUMPTION IN CASE OF SIMULTANEOUS DEATH.
For the purposes of this Will, in determining whether a person has survived me or another person,
(1) my spouse shall be deemed to have survived me unless it unmistakably appears by proof that she
predeceased me; and (2) in all other cases, a person shall not be deemed to have survived me or
another person if he or she dies within sixty (60) days of my death or of the death of the other person.
10. LIABILITY OF TRUSTEE AND EXECUTOR.
My executor and trustee shall not at any time be liable for mistake of law or of fact, or both law and
fact, or errors of judgment, nor for any loss coming to any beneficiary under this Will, or to any other
persons, except through actual fraud or willful misconduct on the part of the executor or trustee. My
executor or trustee may, from time to time, consult with counsel with respect to the meaning,
construction, and operation of this Will, particularly with respect to the appointments, allocations,
and disbursements, and may act on the advice of counsel in all matters without incurring liability on
account of his or her actions.
1 L INTERPRETATION.
11.1 Will Not Contractual. My spouse and I are executing Wills at approximately the same
time, in which each of us is the primary beneficiary of the Will of the other. These Wills are
not being executed pursuant to any contract to make a Will or any contract not to revoke a
Will. The Will of each of us is revocable at any time, whether before or after the death of
the other spouse, at the sole discretion of the spouse making the Will.
11.2 Successors of Fiduciaries. All pronouns referring to an executor or trustee and the terms
"executor" and "trustee" shall be construed to mean any person acting as my executor, co-
executor, co-trustee, trustee, or administrator, as the case maybe.
11.3 Number and Gender. If required by the context of this Will, singular language shall be
construed as plural, plural language shall be construed as singular, and the gender of personal
pronouns shall be construed as either masculine, feminine, or neuter.
11.4 Headings. All headings used in this Will to describe the contents of each article, paragraph,
or other division are provided for convenience only and shall not be construed to be a part
of this Will.
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11.5 Governing Law. This Will shall be construed in conformity with the law of the
Commonwealth of Pennsylvania.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, consisting of nine (9) typewritten pages, the first eight (8) o~which bear my signature in the
margin for the purpose of identification, this .~~ day of Y~6~.J~ l- , 2004.
V v~
HAMILTON M. HEN ,
Signed, sealed, published and declared by the above-named Testator, HAMILTON M. HENRY,
as and for his Last Will and Testament, in the sight and presence of us, who, at his request, in his sight and
presence and in the s' t and presence of each other, have hereunto subscribed our names as witnesses.
Witness Address
~~-~~~~ ~~{ ~U ~ ~
Witness
Address
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COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND
I, HAMILTON M. HENRY, THE TESTATOR, WHOSE NAME IS SIGNED TO THE FOREGOING
INSTRUMENT, HAVING BEEN DULY QUALIFIED ACCORDING TO LAW, DO HEREBY ACKNOWLEDGE
THAT I SIGNED AND EXECUTED THE INSTRUMENT AS MY LAST WILL AND TESTAMENT; THAT I
SIGNED IT WILLINGLY; AND THAT I SIGNED IT AS MY FREE AND VOLUNTARY ACT FOR THE
PURPOSES THEREIN EXPRESSED.
SWORN OR AFFIRMED TO AND ACKNOWLEDG D BEFORE ME BY HAMILTON M. HENRY,
THE TESTATOR THIS ~. `Z DAY OF , 2004.
NOTARIAL SEAL.
CASSANDRA T. ROSENBAUM, Notary Public
Camp Hill Boro, Cumberland County
My Commission Expires December 4, 2004
i~ ~t
~A NRY, TESTATOR
~_~
NOTARY PUBLIC
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
WITNESSES WHOSE NAMES ARE SIGNED TO
AND f ~~a~ S -~ ~~ ~:~ THE
THE FOREGOING INSTRUMENT, BEING DULY
QUALIFIED ACCORDING TO LAW, DEPOSE AND SAY THAT WE WERE PRESENT AND SAW THE
AFORESAID TESTATOR SIGN AND EXECUTE THE INSTRUMENT AS HIS LAST WILL AND TESTAMENT;
THAT HE SIGNED WILLINGLY AND THAT HE EXECUTED IT AS HIS FREE AND VOLUNTARY ACT FOR
THE PURPOSES THEREIN EXPRESSED; 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 THE TIME EIGHTEEN (18) OR MORE YEARS OF AGE, OF SOUND MIND AND
UNDER NO CONSTRAINT OR UNDUE INFLUENCE.
SWORN OR AFFIRMED TO AND SUBSCRIBED TO BEFORE ME, THIS ~=~ DAY OF
~~.~ , 2004. /,
NOTARIAL SEAL
CASSANDRA T. RO5ENBAUM, Notary Public
Camp Hill Boro, Cumberland County
My Commission Expires December 4, 2004
SS
~.
~~
Q.~d.~ ~ , ~L,ZC:~~I~,.~G~~.___--
NOTARY PUBLIC
10