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HomeMy WebLinkAbout10-15-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Estate of Burdene Schenck also known as CUMBERLAND COUNTY, PENNSYLVANIA File Number 21-10- ~ ~ L~ ,Deceased Social Security Number 204-26-7904 Doris Scheffey, Lori Clark and Patricia Vogl Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE `A' or `B' BELOW.) QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the last Will of the Decedent, dated 04/13/2010 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 app ica e, en ec c..a.; .n.c .a.; pe en e i e; uran e a sen ia; uran a moron a e Petitioner(s~ after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse I;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 76 years of age, died on 08/24/2010 at 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: 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 tree appropriate form to the undersigned: Signature Typed or printed name and residence Doris Scheffey 36 South 24th Street s Camp Hill, PA 17011 ( ~' ;~ ti ~ Lori Clark 118 North Fourth Street Lemoyne, PA 17043 ~-~` -- ` Gt Form RW-02 Rev. 10-93-2006 1,000,000.00 Patricia Vogl 307 E. Elmwood Avenue Mechanicsburg, PA 17055 copyright ~c) 2006 form software only The Lackner Group, Inc Page 1 of 2 ~~.~ ,'Y\~ i ... t ww~r-mac ~ c ~-v Hoc ~H~c~.~ Hrracn aaa-r~ona- sneers tr necessary. ~: Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal resiel~nce at .% I• 136 North Fourth Street, Lemoyne, Cumberland, PA 17043 ~=' (List street address, town/city, tcwnship, county. state, zip code) 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 tnaly administer the estate according to law. c ,... C Sworr, to or affirmed and subscribed v _ -~~ (`~-~~ before me this ~ ~~-- _~ day of t` ~ For ha Register J~~ u~ of Personal Representative Patricia Vogl File Number: 21-10- ~ ~ ~-~ 1.,~ Estate of Burdene Schenck ,Deceased Social Security Number: 204-26-7904 Date of Death: 08/24/2010 AND NOW, , in consideration of the foregoing Petition, satisfactory proof ~~~ having been presented before me, IT IS DECREED that Letters Testamentary ~;.~ ~-=~ are hereb y granted to Doris Scheffey, Lori Clark and Patricia Vogl ~'_ ,_ ,;~ ~-' _ in t+~above~'estatF# and that the instrument(s) dated 04/13/2010 ~' `-°- , r r~ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~ ,- -,~,,. .~.._ ~, c' ~~, FEES Letters ....................................... ..... $ ~k' ~ ~,~ ~` Short Certificate(s) .................... .... $ ~1 , , -~ C C> Renuncia tion(s) ........................ .... $ ` ~. ~ ~_ Lr TOTAL ................................. ... $ 7~~ ~~ ~ ~; ~ Signature of Perso I Representative o ffe ~,, Signature of Person al Represents ~ Lp~'$ ar ~, Register of ~F r'~~ ~ ~' ! Attorney Signature 1%'f Attorney Name: Michael L. Bangs Supreme Court I.D. Nc.: 41263 Address: 429 South 18th Street Camp Hill, PA 17011 Telephone: 717/730-7310 Form RW-OZ Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 •~~A~ REGISTRAR"S ERTII~IATfNV C)F EA~1~~ ~~'A~NING: 9t i~a illegai to du~licat~~ tP~i~ ~~.~y ~~)~ ai°~~~ta;~~:~t r~(~ ~F~atar~i ~y~,3 `tr rrr~ `~1 (~~ llf I`ll ~~"-..,, ~ g i `V~li ,r `~~` ~Z,1 ~. ,;4~ ~~"`'` ~` r p; rat `'~. ,' EtV~ ~~ `" ~_~~ `%.. - ii t"..o li~' ~l' :2 i',.' ilij t)?fl l.ll lt)ll ~1 ~.~[c~ ~._rl~L~)) I, ~, '(C'~_ tj~. ;.i ) +~.} r~, I ~ ,tt'I _ill~le ~ ~t;lflt•E11t.' i) w }~.'~ll~l i i .Iliti I`9i:dt ,I!' - ;~. „ tt,.;,1, }~i'L',ti~ti~:if~, i~1L' ~ril'H?~!~ ( ~Gr,~ .%~~ /~~,., ,AUG 2 2010 _~.~~, .,. -- -_P_ - --1 ~-8 0.3 ~ 4 ~~ ~~t'r'(,!~"Ili1t11 'tillil~i~, 3 REV 1112006 I PRINT IN RMANENT ACK INK r~-> :~ -.. r~~ c~ _.~ - ._.- ". - 1. , .+.) ..~_. w... -r r ` ~ "'C) - ~ -- ; __ , "' ...m... 'j t• i COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~~ CERTIFICATE OF DEATH (See Instructions and examples on reversal ,._._~ ~.. _ ...,...._.. 1. Name of Decedent (Flrst, middle, lest, suffix) ~ C~r1~Y1C~ 2. Sex Female 3. Sadel Security Number 204 _ 26 ~_ 7904 4. Date of Death (Month, day, year) Aug. 24, 201 0 5. Ape (Last Birthday) Under 1 r Under i des B. Date o1 Birth Month de , 7. Birth and state a cou 8a. Place d Death Check one 7 6 ~'t0"~ Sys f1011E Mhusee May 1 9 , 1 9 3 4 Chambersburg PA Hospital: Other: Yre. , ~ ,npetient ^ ER / Outpatlent ^ DOA ^ Nursing Horns ^ Residence ^ Other -Specify: fib. County of Death Bc. City, Bao, Twp, of Death Bd. FedlRy Name (II nor Instilullon, ghre street and ntxrtber) 9. Was Decedent of Hlspenk: Odgkt7 ~lo ^ Yes 10. Race: American Indan, Black, White, etc. Cumberland E. Pennsboro Select Specialty Hos (R yes, specify Cuban, Mexkan PuertoRl n t ) (Sp~yfy) p. , ca ,e c. bite 11. Decedents Usual Kind of work date d uri moat of world IHe. Do not state reti 12. Was Decedent ever in the 13. Decedents Educetbn (Specfy Doty highest grade completed) 14 Marital Status: Maried Never Married 16 Survivin S ouse (If if i id Kind of Work Kind of Business /Industry U.S. Amted F a c es? E~rt~ntary I Secondary (0.12) College (1.4 or S+p . , , ~dowed' Divo"xid (3peay) . g p w e, g ve ma en name) r - ~ ^ Yes (~No _I L W1dOWed 16. Decedents Mailing Address (Street, city /town, state, zip code) Decedents Did Decedent 1 3 6 N Fourth St Actual Residents 17a. State _PA Live in a 17c. ^ Yes, Decedent Lived in _ 7w p. . . L PA 17043 Townsh;p? D e~e~t~vedwlmin lGemoyne 17b.County Cumberland ,7d.~ ~ emo ne ua l City / Boro 16. Father's Name (First, mklde, last, sulfa) 19. Mother's Name (Flrst, middle, matron surname) Paul A. Alexander Lottie 20a. InfortnanYs Name (Type I Print) 20b. InforrttanYs Meiling Address (Sheet, Illy /town, stab, zip code) Lori A. Clark 118 N. 4th St. Lemoyne, PA 1'1043 21 a. Method of Dispsitbn t ^ Cremation ^ Donation 21b. Date of Dispositon (Month, day, year) 21c. Place of Disposltlon (Name of cemetery, crematory a other place) 21 d. Location (City! town, state, zip code) Burial ^ Removal fromSbta ~ w crlMnatlatAutltorized ^ r ^ ^ Aug. 27, 201 0 Woodlawn Mem. Gardens Harrisburg PA IExaminsrlCaorte/1 Yes Other- No , :. Sigrr~ure of u I Service Li~oygp~a person uch) ~ `~ _ ) 22b. Lktense Number 011248E 22c. Name and Address of FecNily M l W / ~ y I usse man FH&CS Inc. 324 Hummel Ave.Lemo ne PA Compote Rams 23e-c ortty when srtltying 23a. To the best knowledge, death occurred at the time, date and place stated. (Signature and title) 23b. License Number 230. Date Signed (Month day year) physkdart Is not aveiuMe at dme of death to , , certify cause d death. toms 24.28 must be computed by person 24. Time of Death 25. Date Pronounced Dead (Month, day, year) 26. Was Case Referred to Medical Examiner 1 Coroner for a Reason Other than Cremation or Donatlon7 who prortounces death. M ^ Yes ®No CAUSE OF DEATH (Sss Inst-uctlona and exampba) n Approtrkneb inurval: Item 27. Part I: Eller the chain of events -diseases, injuries, es compRstions -that drectly caused the deetlt. DO NOT enter terminal events such as cardiac arres4 ~ Onset to Death Part II: Enter other slgnfRsnt catdklans cattdtxfirv+ to deg(g, but not resulting in the underlying cause given in Part I. 28. Did Tobacco Use Contribute to Death ^ yes ^ probably respiratory arrest, or ventricuur flbd9a8on without showing the etlobgy. Ust~only ate cause on each line. r ^ N ^ IMMEDIATE CAUSE (FM 1 d c o Unknown a sease or ` ,A~ condtlort resuNi m death r 29. It Femau: _~ a. ^ Due to (or as a conseque oft: , $a~uanbelly tut catditions, R an , r leading ~ the t toted on Ifne a. b' ~ ~~ ~ y D~ ~~'~'^~~ ~ ` `~ ~~^ r - Not pregnant within past year ^ Pregnant at time of death Enter Bte UNDERLYING CAUSE Due to (or as a consequence of): -' ^ Nat r nent, but r peg p egnant wthin 42 days (disease a ktjury that inROted the t of death evenb resuPong m death) LAST. c' i ^ Due to (a as a consequence of): - Not pregnant, but pregnant 43 days to 1 year t d. r - before death ^ Unknown R pregnant wthin the past year 30a. Was an Autopsy Pertomred7 30b. Were Autopsy Flndkgs Available Prior to Campotion 31. Manner of Death 32a. Date of Injury (Month, day, year) 32b. Describe How Injury Occurred 32c. Place of Injury: Home, Fenn, Street, Fadory, o} Cause of Death4 Natural ^ Homicide Offis Buikfing, etc. (Specify) ~a ^ Yes qµ No ^ ~ ^ Yes ^ Aaa:ident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 32f. If Trensporlatbn Injury (SpecilyJ 32g. Location of injury (Street- city /town, state) ^ Suicide ^ Could Not be Determined M ^ Yes ^ No ^ Driver/Operates ^ Passenger ^ Pedestrian Other - Specyly: 33a. Certifier (check only one) CertNying physkon (Physician srtitying cause of death when another physician has ronounced death and co ut d It 23 33b. signature of Certlfie(i-. p mp e em ) To the best d my knowledge, deadt oceunred due to the auee(a) end manner ss stated _ _ _ _ _ _ _ "------------------------ ~ ~ Pronouncing and artlfyirg physkiart (Physican both prortouncirg death and certifying to cause of death) 33c.LicatseN r 33tl. Date Signed (Mon des , ear ) . To the bast d my knowledge, death occurred tl the time, date, end place, and due to the ause(s) and manner es sated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ Medial ExaminerlCaroner ~ O 3 ` ~ O _ ~ V ~ ~ 'Q On the beets of examinstion end / or fnvesdgatfon, in my opinion, death occurred et the time, date, and pua, sod due to the ease(s) end manner es stated.. ^ 34. Name and Address of Person Wfa Com pleted Cause of Death (Rem 27) Ty e / Piint RegistreYs Signature and District Number I y I / I ~ I / I ~ I ~C 36. Date led (Mon day, year ~ M ~U~~ ~ ~ 1 ~` P ~ ~ a6 .~~ ~ ous (~ ~ ~ ~ti~ a Disposition PermR No. 'V 7 Y ~ ~ a 1 1~ a 1~ ,..-.~ `.~ ~_a --Y- LAST WILL AND TESTAMENT ` ~ ~ ~ ' "' `~~ -, - s. _ BURDEIvE r.. SCHENCh' -:: ,;,~~E ,__ _ ~,_~ .,, -1 ?'i .....~ 1 I, BURDENS A. SCHENCK, of Lemoyne, Cumber~_a~:d Cou`nt~,v '~-``~ Pennsylvania, being of sound mend, memo~~~y and understanding, do make and publish this my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. ITEM I. I direct that all my just debts and funeral expenses be fully paid and satisfied. as soon as conveniently rr~ay be after my decease. ITEM II. I give the fol.lowi_ng cash gifts unto the following family members: (A) Ten Thousand ($10, 000.00) Dollars to rrly brother, D~:;nald Alexander, of Chambersburg, Pennsylvania, provided he survives my death. (Bl One Thousand ($Z, COU.00) Dollars to my nephew, Carl. B. Alexander, of Chambersburg, Pennsylvania, provided he survives my death. (C) Ore Thousand ($1., 000.00) Doalars tc my nephew, Clifford B. Alexander, cf_ Chambersburg, Pennsylvani:~, provided he survives my death. (D) One Thousand ($ l , 0 J 0 . G 0) Do11_ars to ray niece, Cathy Alexander, cf ~-~agerstcwr~, Maryland, provided she survives my death. I ITEM III. I gave the follow:inq cash gifts Ito the following individuals, who were friends of my daughter, 'Deborah, who died in 1988, provided they survive my death: (A) Ten Thousand ($10,000.00) Dollars to Deborah Scarborough and Rick Scarborough, of Mesa, Arizona. (B) Ten Thousand ($10,000.00] Dollars to Janice Enders and Fred Enders, of Lemoyne, Pennsylvania. ITEM IV. I give unto tl~e following friends the following cash sums for the kindness and t:he friendship they have shown me over the years, provided they survive my death: (A) Ten Thousand ($10,000.00) Dollars to my friends, Dorsey Matson and Elaine Matson, of Middletown, Pe:nnsylvar:ia. (B) Ten Thousand ($10,000.00,1 Dollars to my friend, Jean Brubaker, of Lemoyne, Pennsylvania. (C) Twenty Thousand ( $20, OOC) . 00 ) Dollars 'to my friend, Charlotte Thomas, of Camp Hill, Pennsylvania. ITEM V. I give unto tree following individuals the following cash sums as a special thank: for their assistance over the years, previded they survive my death: ~ (A) Ten Thousand ($10,000.00) Dollars to Thomas White, of Wiconisco, Pennsylvania. (B) Five Thousand ($5,000.00) Dollars to Paul Scheffey, of Camp Hill, Pennsyl~Jania. 2 (C) Ten Thousand ( $10, 000.00 ) Dollar~~ to Thomas Scheffey, of Camp Hill, Pennsylvania. (D) Five Thousand ($5,000.00) Dollars to Lydia Scheffey, of Camp Hill, Pennsylvania. (E) Five Thousand ($5,000.00) Dollars to Julie Clark, of Lemoyne, Pennsylvania. (F) Five Thousand ($5, 000.00) DoII_ars to Brian Clark, .Jr., of Lemoyne, Pennsylvania. (G) Ten Thousand ($10,000.00;1 Dollars to Jennifer Clark, of Lemoyne, Pennsylvania. (H) Five Thousand ($5,000.00) Dollars to Jessica Clark, of Lemoyne, Pennsylvania. (I) Five Thousand ($5,000.00) Dollars to Jessica Brenizer of Middletown, Pennsylvar.~ia. ITEM VI. I give the follow_inq cash sums to the following pair of individuals who have helped and will ccr~tinue to help manage m.y care jointly, provided they survive my death: (A) Eighty Thousand ($80,000.GC) Dollars to Doris Scheffey and Joseph Scheffey, of Camp Hill, Pennsylvania. (B) Eighty Thousand ($80, 000.00) Dollars t:o Lori Clark and Brian Clark, Sr., of Lemoyne, Pennsylvania. ITEM VII. I give the following cash sums to the following i~idividual.s who ar_e willing to assist, if 3 'necessary, to help manage my care jointly, provided they survive my I~death: (A Sixty Thousand ( $ 60, 000 . OG } Dollars to Patti Vogl and Brian Vogl, of Mechanicsburg, Per.r~s~jlvania . (B) Thirty Thousand ($30,000.00) Dollars to Theresa Isenberg and Herbert Isenberg, of Camp Hill, Pennsylvania. (Ci Thirty Thousand ($3C,000.00) Dollars t~ Sherr_y Shatzer and Richard Shatzer, of Mechanicsburg, Perlns~~lvania. (D} Twenty Thousand ($20,000.00) Dollars to Joanne Mauger Herdrt~an, of Mechanicsburg, Penns~,~lvania. (E; T~~~enty Thousand ($20, G00. 00) Dollars to Kimberly Germany, of Wormleysburg, Pennsylvania. ITEM VIII. I give the followiinq cash sums to the following individuals wrio have been caring friends, provided they survive my death: (A) Although Janice Enders is a caring f riend, she is receiving a cash gift and is included in a prior provision of this V~~il.l. (B} Ten Thousand ($10,000.00) Dollars to Angel Tucker, of Elizabethtown, Pennsylvania. (C) Te.~ T'ho~sar~d ($10, 000.00) Dollars to Tracy Pitts and Mario Pitts, of Harrisburq, Pennsylvania. (D) Ten Tr~ousand ($10,000.GG) Dollars to Debra Mihalaki and Michael Mihalaki, of ~lechani csburg, Pennsylvania . a (E) Ten Thousand ($10, 000.00) Dollars to Tammy ~ Schreffler of Lemoyne, Pennsylvania. (F)Fifty Thousand ($50,000.00) Dollars to the Reverend Harold Fox, whe is currently serving as pastor of= the Lutheran church in Steelton. ITEM IX. I give the following cash gifts to the following charitable organizations: (A) Ten Thousand ($10,000.00) Dollars to the Presbyterian Church of Middletown, Pennsylvania, in memory of Floyd and Sara Schenck, son, Ronal Schenck, ar~d Burdene A. Schenck, his wife, and granddaughter, Deborah Schenck. (B? Ten Thousand ($10,000.00) Dollars try the Humane Society of Harrisburg, Grayson Road, Harrisburg, F'e:nnsylvania, in memory of Floyd and Sara Schenck, son, Ronal Schenck, and Burdene A. Schenck, his wife, and granddaughter, Deborah Schenck. ITEM X. With respect to the cash gifts made to female beneficiaries in Items II, III, IV, V, ~i'I and VII, said gifts shall include their husbands, as identified, provided, however, that they are married and living together at: the time of my death. In the event the husband of ar~y of those female beneficiaries designated herein shall be separated from ~~is wife or divorced from his wife at the time of my death, said gift shall 5 lapse as to the husband and shall only be payable to the female beneficiary. ITEM XI. I give such items of tangible .personal property and such additional cash gifts so designated by me through a memorandum of personal gifts created by me, in my own ;handwriting, which will be attached to this Last Will and Testament and considcr~d a part h~r~of. In the event no such handwritten memorandum of personal gifts is attached to this Last Will and Testament, it shall be conclusively presumed that r~o such gifts were intended. ITEM XII. I give all of the rest, residue and .remainder of my estate equally among the foliowi~.g charitable institutions ire memory of Ronal Schenck, Burdene Schenck ar~d Ue'oorah Schenck, their daughter: (A) The Holy Spirit Hospital for the benefit of i.ts medical. intensive care unit. (B) Pinnacle Health Systems for the benefit of the cardiac unit of the Harrisburg Hospital. (C} The Holy Spirit Hospital for the benefit of the heart center. (D} Hershey ~~ledi cal Center for the benefit of the cardiac unit i. r. honor of Dr. Water Poe. 6 ITEM XIII. Ire addition to the powers 'I, conferred by law, I authorize my Executor, in absolute discretion: ~ A. To retain in the form received, and to sE~11. either at !I public or private sale any real or personal property. B. To manage real estate. C. To invest and z?ir~vest only in forms of property defined as legal investments accordir:g to the laws of the Commonwealth of Pennsylvania. D. To exercise any optional rights arising from ownership of investments. E. To compromise claims without court approval, and without- the consent of any beneficiary. ITEM XIV. It .is hereby directed that my Ex.ecutcrs, hereinafter named, shall pay a11. inheritance, state, succession and legacy taxes to which my estate or the transfer of any property hereunder may be subject ar~d to charge such tax as part of the administration, payable out: of my residuary estate. ITEM XV. I nominate, constitute and appoint Doris Scheffey, Lori Clark and Patti Vogel as co- Executrixes of this my Last Wiil and Testarr~ent. If Dc~r.is Scheffey, Lori Clark and Patti Vogel, ~r any one or all of them accept the position as co-Executrixes, their compensation shall be limited to the amounts specifically gifted to them as contained in the provisions of thi s L :st 'vJill an;~ Testament with reimbursement for ~~ reasonable and necessary expenses in the administration of the estate. No personal representative or fiduciary appointed herein shall be required to post bond or give any security. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 'l~~da of 2010. Y n.. , ~EAL ) BURDENS A. SCHENCK 8 The preceding instrument, consisting of this, anal eight other typewritten pages, was on the date thereof signed, published and declared by BURDENS A. SCHENCK, the Testatrix therein named, as and for her Last Will, in the presence of us, who at her .request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto. ~h~+r~n.. ~ n„u.,r+ m Residing at 3631 North Front Street ~~ Residing at ~~ v 1 ~~ , ~ ~kt~.tl ~1~ l~~ COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN The Testatrix and the witnesses whose names are subscribed to the foregoing instrument, being first duly sworn <~nd qualified according to law, do hereby acknowledge and declare to the .;undersigned authority that the Testatrix signed and executed the instrument as her last Will in the presence of the witnesses, tY~iat Ishe signed willingly or willingly directed another to sign for her, .,,that she executed it as her free ar~d voluntary act for_ the purposes ii therein expressed, that each of the witnesses, in the presence and 'hearing of the Testatrix, signed the Will_ as witnesses, and that to the nest of trieir knowledge, the Testatrix was at that time ':eighteen years of age or older, of sound- mind and under no 'constraint or undue influence. Testatrix -- T~itness ~ ~~_~ /. ~ ~ 'tness Sworn to, subscribed and acknowledged before me by the above named Testatrix and witnesses this / 3-f-1, __ day of ~~R ~L. , 2010. / " _ 4~ ( SEAL ) tart' Public 03-3 I j 5120'7 ~-~t~~+A~+NWEpL1`~! d~ F~ENNS'~LVANI~ ~.__..Y._, Notarial Ssa! Nancy L. 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I~~K~a~ ~.•~are - ~3~o~ec~s ~~b,~ r~a~vlel-f -~oSf"orca ~oY'ol Ca ~ ! t°_ C r ~ 0 of Tits ~I i.( l~ e ~ ` ~e (! 1~6 K P ~ e ~ ~s 1 BUr~d~~rr~: ;~. ~~~~,~.r~~k 13fi ~. ltlt ~tr•<~~~t Lemoyr~c°, l.~~e:nra~yt~~~irti<i ~ (0<~3 ~~. F~ ~ I 1 /~ ~o~~C s ~~ ~ ~ ' r ho5 r~a ( ~r o ,~~ a~~,~ /,bra ~ f ~ U~~ ~ M h6~ ~~ 1JUI'C1C_'t1L ;~. +~C~l~~lli'~c 13~i i~~. tr~z ~t~~~,~,t ~, ~ITt0~21.~~ ~ f,"11116~'~~'t~I'lli'3 ~ 1" ~~~a~l ~ P y ~ ~j~f v ~a c-~c o05~e_ trl or'~~'~ ~~ /~/ ~ ~a-r' a K ~i e l ~~T; T~t 1 S /!~~`vd eS ~p j Lou~~~'~~ ~rn~. ~~~ b r e's ~c~ol-r.~~ ~3~~ ~~'~ovL d n `/3 r-~~K~~ 1i5~ ~vL ~. y C. ~ o ~ 5 ~' ~ S e-7 6 I'"' .,~. ,Yl ~ e C ~..5 , 1 /_ a 6 ~ e-~. /'T , ~ ~- I a K ~. ~ C~~~~~ ©~' a ~ W Z-~ ! ~ ~°--- ice' ~~~. v~ ~~ ~ fo~.ti ~ ~a +~ ~ ~ e ~ is ,e._ ~~ o ~ a Yc. ~ ~a r j~1ewr , ~~k-~~ \`'~ ~~ ~ c"" ~~ Burd~~a,~ ;~. ~c~trc~n<~~ 13~i ~T. l:~i~~ .7ta-~~t:~t Lemo}~nc°, ~er}aa~~~l~~~arii~r ~ r t~t~3 ~ ~~ ~'/ ' ~ti /~~~ ~ Le.~~ov11c~ ~'~ n~~:;~~~~ ~~r,,- ! ~ 0-x:3 ~~ /rte-~~~ ~~~ ~.~_Q_ OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Burdene Schenck --• t j`~ (Print Name) Deceased and ~ CJ,~t. ~ /' ~/ oti l~ (~. ~ (Print Name) (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- acquainted with Burdene Schenck and am/are familiar with the handwriting and signature of the decedent, and that the signature of Burdene schenck to the foregoing instrument purporting to be the Last Will and Testamen Codici ~ f Burdene Schenck ~~ ` n s . ~~'\ (Signature) r~ i~ 3~ ~ ~ ~ (Street Tess) ^ .cam-=~' ~~~-; ~ l o J,j ~ 7 ~l (City. State, Zip) J ExecutP~ in f?egisfer's Office Svvorr. to cr affirmed and subscribed ,~ bef~~ol1''re me this 't~. _day ofd ~ . ~ ~ ~, ~ r _, ,, Deputy for register ofi b'Vills is in his/her own proper handwriting. ~• ~ , r'` ~ ~ t~ (~ _ V (Signature) ••- y `~ (Street Address) ~ ~~ ~ ~ (City, State, Zip-) /1 ~J ~~, ~~m.~. -~ .P ~., F ~ `4 _ ~~ ' --~ ~ -.~ ~ ~8 - - ~~ _, ._ . ~.: .~- _~ _, -~~ Form RW-04 Rev. 10-13-2006 Copyright (c) 2006 form software only The LacKner Group; Inc.