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Home My WebLink About01-06-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of Robert J. LaPorte a/k/a: a/k/a: a/k/a: Deceased ESTATE NO: 21- ~'~ - ~ C.P Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: D A. Probate and Grant of Letters Testamentary or ^Administration e.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the afot•ementioned Letters Testamentary under the last Will of the above-named Decedent, dated 7~,i2oos and codicil(s) dated Decedent's spouse, Mary Ann LaPorte, predeceased decedent, having died on October 6, 2009 (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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds far divorce had been established as defined in 23 Pa. C.S.A. § 3323(8): ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 d.h.n.c.t.a., enter date of Will in Section A and complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g~xcept as fows: C ,._~ ~,_ __ ~.O w.~. ;~; N9~nP ~.i.. ~.. - - ~ ~i ~ ~ - r y ` 14.~ ~.. N:a ....,..: var. ,~ut)rrtt)lVAL ~HN:M: t5 th' ~iN~t:rtiSAttY _~ ~~ j.....y.>} r ~~ tr3~ "~ i- ~ - ...t ..' .! t„/,~ "'i'"1 THIS SECTION MUST BE COMPLETED; Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 709 Dogwood Terrace, Boiling Springs, Monroe Townsfiip, Cumberland County, Pennsylvania, 17007 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 74 years of age, died 12/13/2010 at Monroe Township, Boiling Springs, PA (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA If not domiciled in PA If not domiciled in PA Value of Real Estate in Pennsylvania All personal property Personal property in Pennsylvania Personal property in County Total Estimated Value Location of Real Estate in Pennsylvania: (Provide full address if possible.) $ 700,000.00 $ 100,000.00 $ aoo,ooo.oo Signature(s) Name(s) & Mailing Address(es) Ann E. LaPorte ~~102 Forge Road, Boiling Springs, PA 17007 I SS NO: lntenm Norm KW-02 revised 12.26.10 by Cumberland County pending action by c!~e Court Page 1 of'' OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania SS County of Cumberland The Petitioner(s) herein named swear or affirm 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 mic this day of �� • ��`� k 1'7'1 For the Regrstcx co r7 Cr, c.� DECREE OF PROBATE AND GRANT OF LETTERS Estate of Robert J. LaPorte , Deceased.File Number: 21- - �( AND NOW, this U day of s) 2l,( )0 W in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters x Testamentary of Administration are hereby granted to: (If applicable,enter c.t.a.,d.b.n.,d.b.n.c.t.a.,etc.) Ann E. LaPorte in the above estate and that instruments(s) dated 7/1/2005 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. nacf on Abazb Q,crA Glenda Farner Strasbaugh, r CC 6 Gt1 d p Register of Wills FEES: Signature of Counsel Required to Enter Appearance Letters....................$ Will........................ 15 , (In Atty's Signature Codicil(s)... .............. �0� ( ) Short Certificates 6n PRINTED Name: Bradley L.Griffie ( )Renunciations....... Supreme Court ID No.: 34349 Bond ............................. Other............................. Address: 200 North Hanover Street ................................. ••••••I.••••••••••••••••••••••• — Carlisle, PA 17013 Automation FEE......... JCS FEE................... �� • JrC)_ Phone: (717)243-5551 Fax: (717)243-5063 TOTAL................$ 5-C Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 Rs S'. Yki\ H105.)305 RI3V ((11/071 LOCAL REGISTRAR'S CERTIFICATION OF DEATNi WARNING: It is illegal to duplicate this copy by photostat or photograph., Fee for this certificate, $6.00 rrry ~~~~~~~~~--. o'''' ESN OF p, Fy This is to certify that the information here given is tl i d fr i i l C tifi th f D gs__ ttta`~~~ ~° ~ ~ ~ ~ correc y cop om an or e g na er cate o ea duly filed with me as Local Registrar. The original ~(/ ~ - x certificate will Yee forwarded to the State Vital of a~3~' Ism: Records Of dice fo errnanent filing. ``\ * ~ ' ,~ ~ ~~'~` ~ P 17026412 ~~q'9l '-_' ~P~'y~tt e - ----- -. Mf NT OF - °~~~~ - - ',,,,l~„r!~"'' Certification Nurnher R Local Rem istrar ~~ Dued ~ ,- ~. -; te _ ~ r -- ~~ m ~ r ..~.. . COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • IOS 113 REV 11:2006 VITAL RECORDS 'A ~~~~ ~~ 'Tt .....R. PERMANENTN CERTIFICATE OF DEATH BLACK INK (See Instructions and examples on roverss) RTATF FILE NUaAeER O i U 0 0 t Name d Deceoeru (First, mrddte, lass. wlfixl ~ O ~ ~ ~~ ~~~ 2 Sex ~ 3 SocW~~ N ~~ -~~ a. DaN d D@aM~ ~ . ysrr) ~' O 5 Ag. ILasl &nnday) LxW@r t year under t day 6.Oate d t3icat ( .Year) 7. Bireptace ICIry and Star a >a cotadryl W Pt.ce d D.atn (chat only Dint Mawr OaYS Wars Mrxeee tioiplul: Otlw: 7 4 rr5. February 12 , 19 3 6 Bay City , M I ^ InpNiard O ER (a+tpad.M ^ DOA ^ Nwsag Ham ®Reaiaaraa Darr - svadr: BD Candy of Oeam Bc Cdy. Born. Twp. d Dsam Bd. Fadiry Name (R nd inftMUlidn. glw sDaet and rwrtlberl 9. Waa DeadaM d wsp~ origin? ~] No ^ Yes 10. Rxt: Artw+oan YtQan. 8ddt, whir, t*. y ( Cumberland Monroe Twp. White d.eta.) 709 Dogwood Terrace w, tl Deteaents Usual Occupatxm IK~nd d worx d om our most d wortr Nfe. Do not stab reload! t2. Was Oeudant ewr in the t3. OeceWnCS Ed,cauon (Speuty only nxghaal grads comprtedl ta. ManWl Status: Horned. Wver OAarrwd. 15. Sunivmg Spouse (H wife, giw maden name) Divorced (Spenfy) Widowed Krna dl WarA 14r1d of Busimu: MquWy U.S. Armed Farces? Elementary f Secondary (0-12) CoDege il-e «5+) . d Wid e ions! Director .S. Government ~]re: ^~ 12 4 owe • 16. Decedents Male+g Address (street, uly: town. sun. zip coda) Decsdard's ~ ~ Monroe Pennsylvania livana Deced«dt.wean ~• T•a ®rea t?c 709 Dogwood Terrace ' . . AcIWIResidente 57a9ur 7owmtwp. t7d. ^ Decedn%LtvW wsttin Cumberland Boiling Springs, PA 17007 ~ Cltr/Bole t?D.cotxlry t6. Fadter's taanw tFust. rledala. Ian. suttixl 19 Aloorr's Wine (First. nadda, ntadlal sumarm) John LaPorte Fidelis Du uis 20a. Irdonnara's Name (Type r Pnntl 20b. IMormants MaiWy Adoreae (SDeN. dry /town. sure. zp code! Anne LaPorte 102 Forge Road, Boiling S rin s, PA 17007 21 a trletnod of Draposttan ~] Crematan ^ Donatan 21 D. Dale d Drsposltwn (Malth. day, !earl 2 tc. Plan d Dislxxulan INartr d centerry. crematory a Diner place) ltd LaraDOn (City I teen, stoma, tlp mds) ^ t3urw ^ taenwvatrromsute wpCteatafi011«DartiostAYMlorized~f Cremation Society of PA Harrisburg, PA 17109 ^ ~, . ~,y ; M Medieai Examwrr / Cororrr? ~(J re5 ^ No 12 -17 - 2 010 .' ~, srgetat ~,FuneralSenr@L,censee,aparsonactalgasfyCh) rte.llCWlpNumD« zzD NanwanOAgaressaFxmry Auer Cremation Services of Pennsylvania . ~ ~ FD-013376-L 4100 Jonestown Road, Harrisburg, PA 17109 23at any cerety@g 23a. To ale best d my Wwwbag@. dead! occurred at tM tam. dau and puce sated. {Sigrutwe and tlDei 23D. License NtxrlWr 23c. DaM Sigrrd IMtorWl. day, year) prlysruan u not avadetd~ at Dnr d seam to ureFy cause d seam. nwma 2a-26 man W canpsua DY pers«I 2e ram d Dead) CY _ z5. Dan Pronounces o.ea (-Aonm. say. rex) ze was Case Rekrreo w trwdical E:amawr i cororwr I« a Reason ah« trwn Cr«naeon «DonMOM. • wro prarartc@a d.am M .. )~c ~ . ~ . ~; I ~ `• ~ _ r ` r ~ , 1 ®'4.a ^ No r Approximate ~nl@rval: CAUSE Of DEATH (SN Inatruetlons and axamplaa) t h t Pan N: Enter a1Mr iven n Pan I rl a cause O IW ld 28.OW Taeacco Ua@ CaMtOW to DaalA? ^ Vas ^ PreDaWy wc arres as eara . t tDruet to Dean tram 27 Pan P Enure ttr etlaa5 d ewnts - dseases. x>N+ms, or rnrrpeeauar -that daetaty causal Vr aam. DO NOT order temlaw events suc f@SgraWry YreSl, d1 vantrlGJdr hbnyae0rl wahout Shdwalg die eWlugy. 1151 dny orw comae on each IIr1e. r 1 . y g ing .n e g Dom nd reSU w ^ No ^ Urtlu+awl ~ A ~ t ~Fmsl TErex~ng~Ein Qoamissease « r a ~ 24. N Farnar: ear ^ Nd ra iarll wM rt -.'. . Dw to (or as a consagwriW dl i Sapueneafy asl cad~bons, d arty, p r p y p Q ^ Prgwlt at lino d tlarlt . W41rg w Ihe~Y xMIG CAUSE a One to (w as a cons@gtwnc@ d): 1 ^ ~ p~E ~ ~M ~ ~ ~ d daaBl pfaeap a rSI+rY thru die ' c ' f awns resurorg n seam) LAST. • Due to (w as a consegtrnce oq: ' r ^ Not prprtara. Dal prapwM a1 days r 1 yw pNps Oaert • d, t ^ UrYulOSm / prgtrlt taltn b PaM yar 30a. Was an Autopsy 300 Were AulopSy FnWatgs 31. Mararr d Dsam 327.Oats d Irytxy IAbnm. day. year) 32b DescrlW Mow Irqury Occurred 32c. Pus d Nyury. Harr. Farm, StaaaL Faclay; Olfoa &~q' ~ (~~ Perfoma;d? AvadaDk Pnor to Gomptetan of Cause d Deam? ®~m ^ H01"~ ^ Yes ~ ^ Yes ~ No ^ ,t,ccdant ^ p~,n„@,y~yy, rta. ran. d merry 32e Irqury al Nlak? 32f H Transpaution Nywy (Spenyt 32g. t.acaDm d kytey IStr@et. dry / mwn. stwl ^ Sua:de ^ Gould Not W 081ermard ^ No ^ '(es ^ p~ ~ Op,gtor ^ p,,ier,ger ^Petleslnan M Omer ~ SpecrlY: 33a Cerufwr ~cnecx any one! 39o S~gnatwe and Tine d Candwr • CMifymg phyarcian IPnysKien ceNly~ng cause u1 osam When araJln@r pnysx:wn Was pronowxea doom and comp~@taM Item 231 To the Wst of my knowledge. death occwrod dw to Va coup(s) art0 manner as ststed_ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ® , ~ ~ ~ 7 " ~ (~ ~~.JJJ • Pronouncing end ceniryuy physician ~ Pnysswn Dom prorwrrxang deem and rerofyry to cause d dean) d m ntor a• shled ^ u d d t tl )3c ~.cense Nurtroer ! 33d. Date 9gned ihionm, day. ywl ~ / f _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ o r cauae(a- an e s. en w To ttw Wet of my knowedge, dpth occurred at tM time. dNe, and p Il l E I C M _ ~ 0 ~ 1 ~ L ~ ~ i ` ` ~ ~ ' O / 1 ««rr ca xamrrrr • e On IW Drib of examinaUOn and I « inveatigo opinio^, Mato occwred st tM time, dar, and puce, and due to tfN ante(s) and menWr as aLted_ ^ ~ Name and Address of Person ~(1J.h~o Ccr^o/ietea/Caus@ of Oea>n Item 27{ Typ@ PrMt . T r ( I .. 1 ~ ~ ~, ^. ah}S:fi/ i ' itu and str. ~C'~ ~ a~ ~ d4 76 Dar@ F iw ~MOnm lay. ,@arl L t l.. ^1.~ ~ cJ~ Y ~ 1 ~Vy1(i Pal} ~ / V E~ 3 ~ 4K7 ~ U W~ ! 0\ . U5tS5U3U Orspos,tan Permit Nd. __ :~ - 5<, LAST WILL AND OF TESTAME.~V'~' ~~ ~~~ ~~ a'_~ ~""~ ti. ~~ y ~ :-;.~ ~~? =-~ ROBERT J. LAPORTE I, ROBERT J. LAPORTE, of 709 Dogwood Terrace, Boiling Springs, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my Executor hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate, including all taxes that may be assessed in consequence of my death, as soon after my death as is reasonably' possible from the proceeds and assets of my estate prior to any other distributions. I direct my Executor to pay all inheritance, estate, succession and legacy taxes, to which my estate or the transfer of any property hereunder may be subject, and to charge such taxes as part of the expenses of the administration of my estate. However, my Executor need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the ~~ .~ ~~ ~w r~ time of my death, I authorize my Executor/Executrix, in his, her or its sole discretion, to GRIFFIE 8~ ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 1 of 9 Chambersburg, PA 17201 ~~T~~~ -i r~.'. y..L.~ }'~'.~ =- ~.7-i ~: m~ r ~~ purchase a burial plot and to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose. SECOND I give, devise and bequeath my entire estate of whatever nature and wheresoever situate, together with all insurance proceeds thereon, to my beloved spouse, MARY ANN LA.PORTE, providing that she survives me by sixty (60) days. THIRD Should my spouse, Mary Ann LaPorte, predecease me or die on or before the sixtieth (60) day following my death, then I give, devise and bequeath the rest, reside and remainder of my estate together with all insurance proceeds thereon of whatsoever nature and wheresoever situate in equal shares to my children, SUSAN M. LA.PORTE aad ANN E. LA.PORTE, who survive me by sixty (60) days, per stirpes. I direct my Executor/Executrix to divide among such beneficiaries all personal property of a sentimental or family nature (excluding cash, stocks, bonds and the like), including but not limited to jewelry, household goods, antiques, furniture and memorabilia, in accordance with a separate memorandum which I may place with my Will or deposit with my attorney. In the absence of such disposition by memorandum, I direct that the said tangible personal property be divided between my residual beneficiaries with due regard for their personal preferences in as nearly equal shares as practical, with the value of such dispositions being credited to the share of each respective recipient. If the said beneficiaries do not agree to the division of the personal property provided for hereunder, the decision of my ExecutorlExecutrix, including the decision to sell the property at GRIFFIE 8c ASSOCIATES Attorneys At Law 2D0 N. Hanover Street Page 2 of 9 100 Lincoln Way East, Suite D Carlisle, PA 17013 Chambersburg, PA 17201 public or private sale and distribute the proceeds therefrom as provided hereinafter, shall be final and conclusive on all parties. FOURTH Any devise or distribution under this Last Will and Testament which is payable to any beneficiary who may be under twenty-five (25) years of age or, in the judgment of my Executrix, mentally disabled, shall be held in a separate trust by my Executrix as trustee until such beneficiary reaches twenty-five (25) years of age or during such period of disability. In the case of a beneficiary under twenty-five (25) years of age, the Trustee may distribute up to one-half (1 /2) of the then remaining principal and accumulated income on the request of the said beneficiary, at or after attaining twenty-three (23) years of age; and up to the entire remaining balance of principal and accumulated interest at or after attaining twenty-five (25) years of age. During the term of any trust created pursuant to this Paragraph, the Trustee is authorized to expend and apply so much of the net income and principal of each such trust as the Trustee shall consider advisable for the health, maintenance, support, and education (including college education, undergraduate and graduate) of each such beneficiary until he or she attains twenty-five (25) years of age, or until all such amounts are paid out of trust. I direct that no Trustee shall be required to give or post bond for the faithful performance of the Trustee's duties in this or any other jurisdiction. FIFTH If my spouse does not survive me and it is necessary to appoint a Guardian for one or more of my beneficiaries, then I nominate;-.,.constitute and appoint my daughter, SUSAN M. LAPORTE, as Guardia~x~` of the person and property of each of my GRIFE 8z ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 3 of 9 Chambersburg, PA 17201 beneficiaries who require a Guardian. I direct that no Guardian shall be required to give or post bond for the faithful performance of the Guardian's duties in this or any other jurisdiction. SIXTH I grant my Executrix the following powers in addition to and not in limitation of such powers as my Executrix shall hold by law: (a) To retain all property received including the stock of any corporate fiduciary acting hereunder, provided such property remains productive. (b) To join in any corporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all nghts of investors, including but not limited to, the voting of shares. (c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate held or owned by my estate. (d) To operate any business that I may own at my death. (e) To invest any funds of my estate in any stocks, bonds, notes or other securities or property, real or personal, without regard to the principle of diversification or any other statute or general rule of law in his, her or its absolute discretion, it being my intention to give my Executrix the broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. 200 N. Hanover Street Carlisle, PA 17013 GRIFFIE & ASSOCIATES Attorneys At Law Page 4 of 9 100 Lincoln Way East, Suite D Chambersburg, PA 17201 (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible, at any time forming a part of my estate in any manner and on such terms and conditions as my Executrix shall see fit in his, her or its absolute discretion. (g) To borrow money for the payment of taxes or for any other proper purposes in the administration of my estate, and to mortgage or pledge estate assets as security. (h) To compromise claims without court approval including, but not limited to, any controversies with the United States of America or the Commonwealth of Pennsylvania concerning estate and inheritance taxes on any interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon any division or distribution of my estate. (j) To undertake any and all acts deemed necessary and proper by my Executrix for the proper, advantageous and prompt management of the settlement of my estate. (k) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as to him, her or it may seem best and to execute and deliver all instruments and to do all acts which he, she or it deems necessary or proper to carry out the purposes of this, my Last Will and Testament. 200 N. Hanover Street Carlisle, PA 17013 GRIFFIE d~c ASSOCIATES Attorneys At Law Page 5 of 9 100 Lincoln Way East, Suite D Chambersburg, PA 17201 SEVENTH No interest of any beneficiary of my estate, either in income or in principal, shall be subject to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have the power in any manner to charge or encumber his interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my ExecutorlExecutrix for the liability of such beneficiary. EIGHTH I nominate, constitute and appoint my spouse, MARY ANN LAPORTE, as Executrix of this my Last Will and Testament. In the event my spouse is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my daughter, ANN E. LAPORTE, as Executrix of this my Last Will and Testament. In the event Anne E. LaPorte is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my daughter, SUSAN M. LAPORTE, as Executrix of this my Last Will and Testament. I direct that my ExecutorlExecutrix shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. NINTH I hereby declare it to be my expressed desire that my ExecutorlExecutrix employ the law firm of Griffie & Associates, of Carlisle, Pennsylvania, for legal advice and assistance regarding this my last Will and Testament, they having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the GRIFFIE ~ ASSOCIATES Attorneys At Law 200 N. Hanover Street Page 6 of 9 100 Lincoln T~'ay East, Suite ~ Carlisle, PA 17013 Chambersburg, PA 17201 probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. 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 six (6) of which ~..i-- bear my signature on the side margin, for purpose of identification, this / day of , 2005. WITNESS: Gi/1 C 200 N. Hanover Street Carlisle, PA 17013 BER J.LAPORTE GPIFFIE ~ ASSOCIATES Attorneys At Law Page 7 of 9 100 Lincoln Way East, Suite D Chambersburg, PA 17201 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF CUMBERLAND I, ROBERT J. LAPORTE, the Testator 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 and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ROBERT .LAPORTE Sworn or affirmed and acknowled ed before me b the Testator this ~ ~~ g Y day of `~ , 2005. ,~ ~-~~ l11~TARtAL SfAI 1.6QSHQRN, NOTARY PUBLIC ~ARb_ CUMBERLAND COUNTI' GRIFFIE & ASSOCL9 TES Attorneys At Law 200 N. Hanover Street Page $ of 9 100 Lincoln N'ay East, Suite D Carlisle, PA 17013 Chambersburg, PA 17201 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA.: SS. COUNTY OF CUMBERLAND WE, 1~ and ~~~~~ ~.,- ~.~~~~~ , the witnesses whose names are attached to the foregoing document, being duly qualified according to law, do depose and say that we were present and saw the 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 subscribing witness in the hearing and sight of the Testator signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed and subscribed and ~ this ~~ day of ~~ ~,; ., G Notary Public NOTARIAL SEAL ROBIN 1. GOSHORN, NOTARY PUBLIC CARLISLE BORO., CUMBERLAND COUNIY MY COMMISSION EXPIRES APRIL I7 2007 200 N. Hanover Street Carlisle, PA 17013 GPIFFIE ~ ASSOCIATES Attorneys At Law Page 9 of 9 l00 Lincoln Way East, Suite D Chambersburg, PA 17201