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HomeMy WebLinkAbout02-15-11} Estate of a/k/a: a~`k/a: a/k/a: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Evelyn F. Hoover ~ r~ ,Deceased ESTATE NO: 21- <o~ C.' ~ - C.%~~' ~ (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate} Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: ~ 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 aforementioned Letters Testamentary __ under the last Will of the above-named Decedent, dated 12/5/2001 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 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 for divorce had been established as defined in 23 Pa. C.S.A. § 3323(8): ^ B. Grant of Letters of Administration 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.b.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(8), except as follows:- Name 1/5/2011 at (Month, Day, Year of death ) 4ddress =' : Z7 "'r~ T r !=_~ +~^~'i r ~ ` ~~ ~p"S t;st~~ ;aul>'1Tlon:~t., sr1rH.TS 11~ >\iF:c>!.ss.alt~ SS NO: 193-12-8307 ~' ~T3 .--, `_ _ ~ . ; ~ ~; ~ -,`.t {, ..i -~ THIS SECTION MUST BE COMPLETED: ?> `,,~ ~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence `~ At 13 Mount Rock Road, Newville, West Pennsboro Township, Cumberland County, Pennsylvania __ (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 93 years of age, died 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 Lstate in Pennsylvania 13 Mount Rock Road, Newville, PA (City and State where death occurred) All personal property Personal property in Pennsylvania Personal property in County R r1a ti _`-~~ ~to Decedeif` C7 t _''~ t 40,000.00 $ 150,000.00 Total Estimated Value $ 190,000.00 Location of Real Estate in Pennsylvania: (Provide full address if possible.) 13 MOUnt ROCk Road, NewVl{le, Pennsylvania Signature(s) Name(s) & Mailing Address(es) ,~ _.~~~~ ~_~~ Robert L. Hoover, Jr. 1 FiF, C'In r I an . Ynrk_ PA 174 '~ Intcrini Form RW-U2 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of w 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 aff rmed and subscribed before me this ~_ ~ ~:") day of ~ ~ ~ --z~~ -----.- C C~ ~ :__ Cx~ For the Register ,';; ~ ~,r~ ~_ . ,- _~ DECREE OF PROBATE AND GRANT OF LETTERS -=' =~ -~=``~ ,T.:~ ,~-- Estate of ~ _ ~ ~~'~ j Evelyn F. Hoover ,Deceased File Number: 21- ~ (~ (~ (_~ ~,,~~- _~, _j ~:~ ..~ ::"~ r ~.. ~'~ ~ _.:.~ AND NOW, this~_ day of }'~ '~ (~,, r=-?L4 1 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been `pr sented before me, IT IS DECREED that Letters ,~ Testamentary of Administration _ are hereby granted to: (If applicable, enter e.t.a., d.b.n., d.b.n.c.t.a., etc.} F) the above estate and that instruments(s) dated described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Signature of Counsel Required to Enter Appearance FEES: Letters ....................$ ~~~~ (~ .(~~`, Will ....................... ~ ~~ C;; ~,,~ Codicil(s) .............. . ( ~) Short Certificates .~ C-~r~ ( )Renunciations....... Bond ............................ Other ............................. Automation FEE......... ~:9A 3CS FEE ................... 3~:~9 .~\~ I ,~ ~ ~:~ ~fJ TOTAL ................ $ n ~ , !' i ,~~ ~~ ... tir.~ _ ~~ Glenda Farner Strasbau h, ~~;~ .L ~'~ r {~ ~:~?~ ,-~ ~ c_"~C > g c. c~_~~-I-1 - ~- Register of Wills -~~ Atty's Signature ~ PRINTED adley L. Gri fie, Esquire Supreme Court ID No.: 34349 Address: 200 North Hanover Street Carlisle, PA 17013 Phone: (717) 243-5551 __ Fax: (717)243-5063 Interim Form RVI'-02 reeised 1?.26.10 by Cumberland County pending action by the Court Page 2 of I~`~~ iU~ 1:1~\ u~l!ri L.~~'AL REGISTRAR'S ~~,~:a~1h~~~~l~ ~` ,~~'~- 'd~1s~~NING: It is illegal to duplicatl~~ ~~~~5 (°:1~(,a~r ~ ~~~~c-t~)~a~ ~~~~ ~~i~~a~cp,~~.I~~,. _~ _ -171.1.4.3_ ~_ ~ t~~Ci"t3~lt'illtt111 ~'`.(fl;l}~t,- H706.143 REY 11/1006 TYPE /PRINT IN PERMANENT BLACK INK ~I !`) 0 w v LL 0 ,rr~ ,; ttt. ~~ !~;_~~~ ~ ~ l~l ~~i(~~`'- d rid}O)-Il)~)U(lT1 h(I~' ,'I~~i~ I,ti ~- ' - ° ,g ~~,, t~p~4v H 'd' t r:. I~~ ~ ~.v r_~,°. ! ~ rjr t,i l dll ~ 4`flltfC, ! I k' OI 1)~tit~l 1~t ~i ~ ~ ~ y ~ y { j 1 ~ ~t1 ~ `i~ ~t t ii',Ed f~~t'tirlti~l~)I~_ ~t~l' I.li l~rli~lll i , ~~ ~ ~ ~ i , , it ,,~) ~ ,~- t.,;.lt'cl tt~l )h'° ~l~jtr \~'it,(1 0 ~ ' . } tea. :: C.~l ?~ '7 l f i 3~ ( < <*3i[ ~)~(;~~}. ` ` Ofd" .. ,-~?~!.; ~i 1~ .ti''. ,_ \ ~ ~o~, __ ~"? - r ~ 9q ti1 fNT 0~ ~.. ... , ! t~V ~,___ ~__ t~~~ ~__ _---- ~' 211 ~ f 1, +2lt~ ~°,',i-l~C~ 1^- ...'t ~ s:~-x ; ~-° _.~ _ 1 l ~~ '~ ''~ l . T ~ ; :~ .:-.:, ~ ' I .... .~»:.~ ~......1 ~V ~~ -.. ~7 .ti,,,«. I COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ~T.r~ ~„ ~ ,,,,,,ono 1. Name of Decedent (Prat, middle, last, suffix) 2. Sex 3. Soaef Secudty Number 4. Date of Death (Month, day, year) Evelyn F. Hoover female 193 -12 -8307 Januar 5, 2011 5. Age (last Birthday) Under i r Under 1 da 6. Date of Birth Month, da , r 7. Birth C' and state or tor si coon Ba. Place of Death Check on one 9 ~ Yrs Months Deys Haura Mirxees 12 / 5 / 1917 Cumber 1 a n d Count Hospital: InpatierN ^ ER /Outpatient ^ DOA Other: ~y ^ Nursing Hare [~ Residence ^ omer - Spectity: 6b. Counry of Death &. City, Boro, Two of Death 6d. Facility Name (If not institution, give street and number) 9. Was Decadent of Hiapartic Odgin? ~ No ^ Yes . 10. Race: Anrerican Indan, Bladc, White, etc. • Cumberland West Pennsboro 13 Mt. Rock Road (lfyea,speciycuban, (specil~ Mexican, Puerto Rican, sta.) whit e 11. Decedent's Usual Occu lion Kind of work d one du ' most of world life. Do rat state retired 12. Was Decedent ever in the 13. Deoedent's Education (Spedty Doty highest grade corttp leted) 14. Mandl Status: Manied, Never Marred 15. Surviving Spo use (It wge give maiden name) Kind of Work Kind of Business/Irdushy U.S. Amred Farcesl Elementary /Secondary (0-12) College (1-4 or 5+) , Widowed' Divorced (Specify) , Teacher Education ^Yes C}~' No 12 4 widowed 16. Decedent's Mailing Address (Street, city /town, state, zip code) 13 M t . Rock Road Decedents Did Decedent Actual Rasidertce 17a. State P A live in a , 7c, Yes, Decedent lived in _ W e S t Pennsboro Twp. Newville, PA 17 41 • ~ Township? l'i d 17d. No, Decedent Lived within ,7b.coun r ry Lti m h e r l d .. Actual Limits of - City / Boro 1 B. Fathers Name (First, middle, last, suffix) 19. Mother's Name (Flrs6 middle, maiden surname) Clifford 0. Fickes Alma Palm 20a. Informant's Name (Type 1 Print) Robert L. Hoover 20b. InfomienYs Mailing Address (Street, city !town, state, zq code) 1660 Clover Lane York, PA 17403 21e. Method of Qispositan r ~ Crematbn ^ Donation • 21b. Date of Dispositan (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place) 21d. Location (City/town, state, zip code) ^ Burial ^ Rertgval Irom slate fi b ss Cremation a oonatwn Autlarlmd 1/ 6/ 2 011 H o 11 fi n g e r Crematory N[ t. H o 11 y Springs P A ^ Other - S y Madleal Examiner! Coroner't ~ Yes ^ No • 1 ! 0 ( 5 ~ 22a. Sgna 1 F ref Serv' Licensee (o person acting es such) ~' 22b. License Nwnber 22c. Name and Address of FarJiity Egger F u n e r a 1 Home I n. c . ~ FD 13895 L ~ 4 Complete Noma 23ac Doty when cerNfying . To the of my knowledge, death at Nme, date and ar stated. (Signature and title) 23b. License Number 23c. Date Signed (Month, day, year) physican Is not evaNabb at time of death 1 ~rofy use of dear. ~ ~n ~.3 58~ ~ S ~.DG~ Items 24.26 must be completed by persm t d 24. Ti of eth ~-) I 25. Prawtxtced Dead (Month, day, year) 26. Was Case Refenad to Medical Examiner /Coroner Por eason Other emation or Donation? . w w prawunces eath. X . O s ~' M. ^ Yes ~ CAUSE OF DEATH (See Instructio end examples r Approximate Interval: Pan II: Enter other lilgrtiflCant condiNats amtributlna to dgggt, 28. Did Tobacco Use Contribute to Death? Item 27. Pan I: Erder the chain of events - dseases, injuries, a cornplicatlons - that directty caused the ath. DO NOT ante final events such as cardiac arrest, i Onset to Death respiratory angst or ventricular fibril{ation wNfwtN showing the etiolo y Ust Doty ate cause on each Nrte but not resulting in the undenying cause given in Pan I. ^ Yes yn' Prabebly , g . . r ~ r QrgO ^ Unkrwwn IMMEDIATE CAUSE IFnal disease or ~A ~~ condNion resulNrg in death) _~ a. ~• ,4,,xy~ ~ H ~ ~y~~~` ~ ~~ ~"!i 2B. If F f i h Due to (a as a consequence ol~ r o pregnant w t in past year Nat coMNions, N erry, b. i b cause Nsted on line a. -- Pregnant at dme of deeM ^ Enter UNDERLYING CAUSE Due to (or as a consequence oq: ~ (disease a in(ury that initiated the r events resulting m death) UST. c• ~ Na pregnant, but pregnant wihin 42 days of death ^ Due to (or as a consequence oq: Not pregnam, Dot pregnan143 days to t year r ~ d' i - before death ^ Unknown it pegnaM within Me past year 30e. Was an Autopsy ' 30b. Were Autopsy Fmdkgs 31. Manner eth 32a. Dale of Injury (Month, day, year) 32b. Descrthe How Injury Occurred 32c. Place of injury'. Home, Farm, Street, Factory, Performed ! Available Prior to Completion aturel ^ Ho id k Office BWkfing, etc. (Speciy) of Cause of Death? m ; e ^ Yes o ^ Yes ^ ~ ^ Accident ^ Pending Investigation 32d. Time of Injury 32e. Injury at Work? 32f. If Trensportatbn Injury (SpealfyJ 32g. Location of injury (Sheet, city /town, state) ^ Suicide ^ Couk! Not be Detemnned ^ Yas ^ No ^ Orlver /Operator Passenger ^ Pedesbi M ^ Other -Specify: 33a. Certifier (check any one) • CertHying physkfen (Phyeirtian cenifyin cause of death when another h sic h d d th l t t d 33b. Sign and T e rtif g p y an as pronounce ea an comp e ed I em 23) To the best of my Imowbdge, detdfi occurred due to the cause(s) and menrrer es stated _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j ~ I • ' • Pronouncing and certHying physician Ph ' ' ( ysxxan both pronounang death and cenirying to cause of deadt) c. Lice a Nu{ er 33d. Date Si reed (M th, day, year) To the hest of my lawwdedga, death occurred at the time, date, and place, and due to the cause(s) and manner as sated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • Medcal Exemhter/Coroner ! ~ f , j/I~J fl L `. ` ~ ~ 2,<, I On the basis m examination and 1 or inveatlgadon, In my opinion, death occurred at the dme, date, and placo, and due to the cause(s) and manner as ateted_ ^ 34. Name and Address of Person Who Completed Cause of Death (Item 27) Type (Prirt 35. Registrara~~re and DIg~ r r I I I : ~ I I i I C I ~ ~ ~ 36. Date Filed (Month, day, year) : r/ ~i~'Y~ ~~'/f ' ;' _, . ~ b@. L~lc`xye k~ •c ~ I u:, ~ ~a V~ S ~ . ~1 t ~+ Disposition PennN No. t 1 j I~ ~ 1r~st 3~i11 ttni- (7~ r~t~ment OF EVELYN F. HOOVER ~_ _ --r ~,.! f t" ~' ~;i f'rt >_~ `_ -~ .`f> ~~. `=~ t `' `~ .,:,. I, EVELYN F. HOOVER, of 13 Mount Rock Road, Newville, 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. 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 time of my death, I authorize my Executor/Executrix, in his, her or its sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose. GRIFFIE & ASSOCIATES Ada e ~lYo~~~Aw 200 NORTH HANOVER STREET g CARLISLE, PENNSYLVANIA 77013 CHAMBERSBURG PENNSYLVANIA ~,. { :.~ ~~ ~~ °~4+^ sf 1 ~.., ,._~ _W.~ A •~ `~..~ .~ ~~~ . f . _ :, . ~=~ _ r%~ ~~~:_.~ F,'~ ~~, SECOND I give, devise and bequeath TWENTY (20%) Percent of my entire estate of whatsoever nature and wheresoever situate at the time of my death to my grandchildren and great-grandchildren, to be divided in equal shares to each of them who survive me by sixty (60) days. THIRD I give, devise and bequeath the rest, reside and remainder of my estate of whatsoever nature and wheresoever situate, together with all insurance proceeds thereon, in equal shares to my children, ROBERT L. HOOVER, JR. and JII.,L H. SHUMAN, 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 Executor/Executrix, including the decision to sell the property at public or private sale and distribute the proceeds therefrom as provided hereinafter, shall be final and conclusive on all parties. 200 N. Hanover Street Carlisle, PA 17013 GRIFFIE dlc ASSOCIATES Attorneys At Law Page 2 of 8 38 N. Main Street Chambersburg, PA 17201 ~~ y FOURTH Any devise or distribution under this Last Will and Testament which is payable to any beneficiary who may be under 21 years of age or, in the judgment of my ExecutorlExecutrix, mentally disabled, shall be held in a separate trust by my ExecutorlExecutrix as trustee until such beneficiary reaches 21 years of age or during such period of disability. 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 21 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 I grant my Executor/Executrix the following powers in addition to and not in limitation of such powers as my Executor/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 rights 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. GRIFFIE d~ ASSOCIATES Attorneys At Law 200 N. Hanover Street Page 3 of 8 38 N. Main Street Carlisle, PA 17013 Chambersburg, PA 17201 Z~ ~~ (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 Executor/Executrix the broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. (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 Executor/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. (i) To undertake any and all acts deemed necessary and proper by my Executor/Executrix for the proper, advantageous and prompt management of the settlement of my estate. 200 N. Hanover Street Carlisle, PA 17013 GRIFFIE Bc ASSOCIATES Attorneys At Law Page 4 of 8 38 N. Main Street Chambersburg, PA 17201 ~~ ~~ (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. SIXTH 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 m 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 Executor/Executrix for the liability of such beneficiary. SEVENTH I nominate, constitute and appoint my son, ROBERT L. HOOVER, JR., as Executor of this my Last Will and Testament. In the event my son is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my daughter, JII.,L H. SHUMAN, as Executrix of this my Last Will and Testament. I direct that my Executor/Executrix 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. 200 N. Hanover Street Carlisle, PA 17013 GRIFFIE 8c ASSOCIATES Attorneys At Law Page 5 of 8 38 N. Main Street Chambersburg, PA 17201 z l~ `l9 EIGHTH 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 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 eight (8) typewritten pages, the first five (5) of which bear my signature on the side margin, for purpose of identification, this ~ ~-~~ day of ~, x ~ ~1 ~ ;,~ , 2001. WITNESS: r~ ~~ ,~ ~ G~ ~. EVELY F. HOOVER ....~ . _.~ d 200 N. Hanover Street Carlisle, PA 17013 GRIFFIE ~ ASSOCIATES Attorneys At Law Page 6 of 8 38 N. Main Street Chambersburg, PA 17201 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF CUMBERLAND I, EVELYN F. HOOVER, the Testatrix 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. r ~' _ •~ ~ ' E LYN F. HOOVER Sworn or affirmed and acknowledged before me by EVELYN F. HOOVER the Testatrix this ~~- day of ~,~~~~~,.,~,(~~..~ , 2001. ~,T... ~~~.-- ~d--Gi „ G4.7 ~ r ~~ Notarial Seal Robin ,~. Goshorn, Notary Public Carlisle Boro. C.;~~mberland County 1Ny Commissirr= i=mires Apr. 17, 2003 200 N. Hanover Street Carlisle, PA 17013 GRIFFIE & ASSOCIATES Attorneys At Law Page 7 of 8 38 N. Main Street Chambersburg, PA 17201 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF CUMBERLAND ~, ~ ~,~V '~> i~. ~ , ~,,,~ ~1 VV~G~, V~ 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 Testatrix sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Last Will. and Testament as witnesses and that to the best of our knowledge the Testatrix 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 ~ _ ~ 2001. Notary Publi Notarial Seal Robin J. Uoshom, Notary Public Carlisle Boro. Gramberland County My Commissior7 expires Apr. 17, 2003 GRIFFIE ~c ASSOCIATES Attorneys At Law 200 N. Hanover Street Page 8 of 8 38 N. Main Street Carlisle, PA 17013 Chambersburg, PA 17201