HomeMy WebLinkAbout03-04-11M
i
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Samuel R. Glenn ,Deceased ESTATE NO: 21- ~ ~ ~ ~- ~~~~
a/k/a: Samuel Ryle Glenn "`°'
a/k/a:
a/k/a: SS NO:
183-12-3044
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 c.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 5/13/1980 and codicil(s) dated $/2/1991
Lois C. Glenn died July 9, 2002. Stephen R. Glenn, David C. Glenn and Patsy Trovato are renouncing as Executors
with this filing.
(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(g):_No Exceptions
^ B. Grant of Letters of Administration
iii appucab~e, 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 c.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(g), e~ept as follo_
,~ _ __,
Name Address Relat'~- to Decec~eiiai
~ ~ ~? '..L C7 ,~
x-.__ ~ ~ ,
<~r~
...
_
_ ; C -t'~
~..~
USE ~ ~ `~~
,~~
ADDiTIONAI, SHEETS IF NECESSARY ~ .~
{' J
THIS SECTION MUST BE COMPLETED: ~:~
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At Two Lebo Road, Carlisle, PA. (Penn Township)
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then 94 years of age, died 2/21/2011 at the principal residence.
(Month, Day, Year of death) (City and State where death occurred)
Estimated value of decedent's property at death:
_If domiciled in PA All personal property $ 80,000.00
_If not domiciled in PA Personal property in Pennsylvania $
_If not domiciled in PA Personal property in County $
_Value of Real Estate in Pennsylvania $ 20,000.00
Total Estimated Value $ 100,000.00
Location of Real Estate in Pennsylvania: (Provide full address if possible.) Two Lebo Road, Carlisle, PA 17013
Signature(s) Name(s) & Mailing Address(es)
~~~,~,. Margie Gardner
a/k/a Marjorie L. Gardner
7 Control Court, Baltimore, MD 21220
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
-~-=~ r-.,.~
.~c~ <
;1
r -,:-a
_ :;
.~ ,
__ ~~ ~=~
~: ;-T-r
~-7 ~
_~
i
Page 1 of 2
M
_-
0
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 me this ~ day of
_.~~,~ ~ r C f \ Q
.~
/~
s''L ~~
~'~~~
For the Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of Samuel R. Glenn a/k/a Samuel Ryle Glenn ,Deceased File Number: 21- ~ _ I `
AND NOW, this ~ ~ `day of j ~l~'l ("~ r C',~l ~ C~ ~ ~ , 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.)
Margie Gardner a/k/a Marjorie L. Gard er
the above estate and that instruments(s) dated ~ ~ ~' .2 ~ ~
admitted to probate and filed of record as the last Wi 1 and Codicil(s) of
described in the petition be
in
R ~i' 7 ~ f
I, n
Glenda Farner Strasbaugh, ,(~
Register of Wills ~~~~~~'~~~~~)~`~ i ~'~ ~~
FEES:
Letters ....................$
~2 ~d
Will ...................... _
I CS
Codicil(s) .............. . ~
(Cp) Short Certificates ~ ~(. r1U
(~) Renunciations....... _ 1 ~ . ~?~
Bond ............................
Other ............................
.................................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
~ ~~~
TOTAL ................ '~8:~6-'
Atty's Signature ~~
~` ~ ~~~ ~:"t ~°
PRINTED Name: Robert R. Black
Supreme Court ID No.: 6267
Address: 36 S. Hanover Street
Carlisle, PA 17013
Phone: 7172433727
Fax: 7172414829
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
Signature of Counsel Required to Enter Appearance
Page 2 of 2
lO5.R05 RF.V ((ll/0~~
LOCAL REGISTRAR'S CERTIFICATION OF DE~4-T'H
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $(~.Of) - ~~~ "'his is to certifw that the information here given is
,,~~~~'' `jH Of p
~,~~' y>~. -~~N,y= correctly copied from ~zn ori~~inal Certificate of Death
~~,,~`'~ ,~ ~`~~~ duly filed with me ~~~~ :Local Registrar. The original
~ ,_ ~, '~z; certificate will b~.~ forwarded tr> the State Vital
~ ~ a~ ~~ r !a 3 Records Office for permanent fling.
,~
P 17115 3 7 5 q ~-~ - D
-- - ==
... ~ 9rME o~ ~~,,~'''~ - ~`` z~ '% FED 21 11
Cert~f~catwn Number T ,~ •~~~~-~
l..escal Re~,~istrar ~~ ~ Date Iced
r~ -
( .'.3 .... .- (-T r
_ ,_ ("" C
,- -
:~ .~:
•, ,~
,J_~~ _.
...~
_;r-~ - :.
e:_. ' « ~-
vF
V/ 4:.
4
os-u3 REV tt/zoor COMWIONWEALTH OF PENNSYWANIA • DEPARTAIIENT OF HEALTH • VITAL RECORDS
TYPE / PRINT W
. CERTIFlCATE OF DEATH •
(See Instructions and axampies on reverse) sT~~ ~ NUIu~ER .
1. tram. d Otcadat (FrN, a~d~M. wt, auq~ t t3ss i sadat oaaary Numbs `Oar d Dsam (Month, drys r•a!
Samuel R. Glenn Male - - 3044 Februa 21, 2011
~• ~ (~ ~+r1 lJndr ~ eider 1 8. oar d Berm (wpDt. 7. BYYippoa aM star a Et_ Prn d Oeah ~ ar
Iroialw Drya tlom YiYaa ~~ OIIIaP
94 r~ July 23, 1916 Cummingstown, PA -
Orwwmt CIeR/
eb. Gsiawy a oath ee. GA. epa TwP. a ooh ee. Fariy Nrna p na barntla~ aa.,r.a.ro maa6t' 4 vlra owamt as -r~e o~,ld,e O ~ Nom. ®R.rda,n ~ouw- spry:
Ctut~berland Dickinson Twp. 2 Lebo Road, Carlisle ars.~P.dyca,e.t, ~ ~'~' 1° ~ ''""~~"~''•"~
w,dem, Puarb `~"'`~ White
n. oaaaMr~t Ua,tl w wpb done iaa a Ma. Ds rot wr tz. tree Dsasdrd arsr b rr 1~ osesdaty Educate fsp.dh aiy bra 0~ mmplard) ~~ weri Sttbrc wra.e, New wore, t6. w Spaaw p wilaa, da• mddm nmr)
lace d wpk and d B~sYnas / bdirty u8. Mnrd FoioaT gr,rrn,y / ~,r lo-~~ Carsps (1~4 a b+) W~••4 Olwiad (Sparay)
rk Car Mf t~Yat p,~ Widowed
- te. oaa.daNY wwr ~ddna:I~a. alt / bwn, tmr. zlp ma.~ .,
'2 Lebo Road AiarlRaaMnoa resat PA °ur"bot;drM „Q®y~~~b Dickinson
Carlisle , PA 17015 17d Carry Cumberland ~+Pr na. ^ Ns. Daaeaa tied wrhtn ~
14 Famsra Nam. (Ra4 midtra, r4 aur6~ 1Y. wrrra liim (qat, midlrs, mddm array Araol omit a ay / eom
Lutitia Goodhart .
zoo. naonnrrs Naar Rypt / Penq
Marjorie Gardner Control Ct Baltic ore,~MD 21220
- zt.. wtnoo d otspotipm ^ cnmaron ^ Dpmroo ztk oar a orv~ P~+K daX r^1 ~ Ptra a onpotrm (Ntnr a aaarriy, aamttry a ahr P~1 zta, laaarm
~ ~ Bull ^ Reuwnd lnsn gar Mtn Qwaatlon a Oomtlss Aulhahsd- lay / b~ ear, aP •~)
^ omr-sp•~r• bywAcalErwir/opa,wy ^~p~,,o Feb. 24, 2011 Cumberland Valley Memorial
_ Carlisle, PA 17013
2L, d Swim (a pram ad'nr n
" ~ ~ ~ 013144E zzzNmradwda~ar~r Hoffman-Roth Funeral Home & Crematory
Irar29reprywhan z9. y/p~~e~.,,ya,,~,~,ce,~,,ta~r~.~d,,,,,~riiear,,,r„~Q~~,~ie/~/ ~~~~~ Street Carlisle, PA 17013
i as araitw a im d dah b //~%~7/L! / / ~C /~-~V 1,~171~~ 29b. Lloaw Number
_ twm 24.28 aonplalad by paaaa 24.'1bn d Daam 26. ore Pasaurad Oasd ~ `~ ~ ~~ ~ L" {~ °Z' I ;~ U ~
~ ~~ dtaY- ~~ ~ (~rR dsK Yw) Zd Yyn Caw Rarame b waa E~anirr I Caiarr b s Ronan OBw Cnmaisn a Daaimt
p~ ~. February 21, 2011 Dyn ®,~
cnuste OF DEATH (s.. 6atnrcuoeua asd aamplss) , ~ bitrtt Pal m Err err
Iwo r/. Pad t Ear n. - . ~,, a ~amr -r,a a>,aay airae r» can. Do NOTanrr tmnnW awaNt aaii n Dodos meal, t era b ostm 24 DW Tu6aow lha Canr~bas b Otsmr
ntpYatay ama, a wniio4tr itmLron wimoul ahaaiq rr atlalopr, tit sap am aua m ~ ins , but a waiYq b h mtdniyYp autt pMm b Pad L ^ Yet ^ Pababy
s midNion °'°'- ,-3' a , ~.1~-QCs ~ p ~Ip t ~'~v" ~ ~+ 1. V.~ , /~~ ~ 1l~ ^ UNuwwn
Om b (a n a arwquarr:a olS. 2 , --~- 14 1 1 "~~/ _ ^- ~~ ~~ " 20. N FMtrlc
SaqumY+ry rst cawi~font' i any p [` •~.(~ r ~ ` C~../ ~ ~ P~ wWn PM year
badYr b IM~~y~~~ a Om b (a ac a miaagarca aQ; ~ ~.~. Prpwil al ima d deMA
~) I.ASG~ °- ~ ~ ^ Not DrP~. nW p~gwM wrAh 4z dtya
aaan
Dui b (a n a caurgmnoa dk ~
• d. - o ~ ba
ww!w 43 day, b t yar.
~' ~~~ eon. A Vbr~Peor 31. Wrr~ a Dan ~ ore a Y~Jurr lYpth. M4 r~1 alb. onci6a New ray oaam.e ~ Unlao~Io,~aaw~r p~.arat wmn en paq rpr
3 a Caa. a oatrr Nahrd ^ r+pnldda ~ Oa~ot Biidtiq, ~ ~' ~x
- O Yn [[~ p rrm ^ No ^ ~+ ^ P•^d^r n ~+. Tem. a n~Fry ~.. tnFry aware ret. r Tantpsnaroa r,Far (s~.a~7 saN. tanrm a Mw lswa4 qtr! boa, wr)
r ^ sutsda p cp,w Na a odaainsd ^yw p tro O alw/opoata ^ Paragr QPadatlm
a. ~-
39a. Canisr (diedc any ar) ~'
To Pam l C°'srMw a,n a arm wirn ananar ,~ ~ ~ sv~• and a
•ql biowNere, daA aoaurrad due r mt eauaa(s) and awaaK a ar~ ~n.d ----- ,
Proaaa~crwmacwrlNyY~ywrysk~(p~babplala.ri>DeenhadcawyrgbWlreadatfh) -~------------------ ~
- To ur boa a un rrwNdgt. dear" accord a er tbr, der, andpea, ad dw b tlramt(s) and mamr m sfarA---- -- --- ~ ttemts Number 39d. Dw
• YadkslEtamNir/Cpprr -------
on Brbade d sasdnMfan and / a bresp r my apwp4 aab oatistse a ar tear, daa, and Pre. one due m or amap) na arr.. aLlae.. ^ .- a ~ 1 ~I -~- ~.'- ~L Zo
zt. Nmr rd Am.at d Pasm Mnr
~. ~ , eel s~~ Pa ~To i
. a P.mi. No. _ V v'Y' ~ lf~ I
~~
~.._ ~s
C~ v-,
~~...~ ~ I~,i,
- - ~:.--
a„p„
, ;
.~:x:
i. i ~ ! - ' i
~.~ ~ -va
't:: ,
LAW OFFICES
LANDIS & BLACK
CARLISLE, PENNSYLVANIA
LAST WILL AND TESTAI~!IFNT
OF
SAI~~[TEL R. GLENN
n
cr,_; I, SAMUEL R. GLENN, of Penn Township, R.D. 5, Box 405-A, Carlisle,
;~_ gland County, Pennsylvania, declare this to be my Last Will and revoke any
'~.~ or Codicil previously made by me.
r. .. ~ ,
--'~'~r~`~ ITEM I: I direct that all my just debts, funeral expenses and ad-
U ~ ~a:.~ ---~-----
m.~tration expenses, including my grave marker, shall be paid from the assets
o estate as soon as practicable after my decease.
ITEM II: I devise and bequeath the residue of mY estate, of every
nature an~c wherever situate, to my wife, Lois C. Glenn, providing she shall sur-
vive me by thirty (30) days.
ITEM III: Should my wife, Lois C. Glenn, predecease me or die on or
before t e~i tFiirtieth day following my death, I devise and bequeath the residue
of mY estate, of every nature and wherever situate, to my issue, per stirpes,
living on the thirty-first day following my death.
ITEM IV: I direct that all taxes that may be assessed in consequence
of my deati~F, of whatever nature and by whatever. jurisdiction imposed, shall be
paid from my residuary estate as a part of the expense of the administration of
my estate.
ITEM V: I nominate and appoint Farmers Trust Company, Carlisle, Penn
sylvania; trustee of the share and of any property of any beneficiary who may be
a minor. The income and/or principal of said trust may be accumulated or e~:-
pended for the maintenance, education and support of such beneficiary as my
Trustee, in its discretion, may determine; and my Trustee, in the expenditure of
income and/or principal for such purposes, may, in its discretion, apply the
same directly without the intervention of a guardian or pay the same to any
person having the care or control of said beneficiary or with whom the benefi-
ciary resides, w~_thout duty on the part of the Trustee to supervise or inquire
into application of the funds by any person to whom any payment is so made. The
balance of such income and/or principal shall be paid to such beneficiary upon
reaching majority, or to such beneficiary's estate in the event of death prior
thereto.
ITEM VI: I appoint my wife, Lois C. Glenn, Executrix of this, my
Last Will. Should mY wife, Lois C. Glenn, fail to qualify or cease to act as
Executrix, I appoint Stephen R. Glenn and David C. Glenn, or the survivor
thereof, of Baltimore, Maryland, Executors of this, my Last Will.
ITEM VII: I direct that my Executrix or Trustee, or their successors,
shall note required to give bond for the faithful performance of their duties
in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~~
day of ,~~ 1980 • -~7+4 ~G N ~~/t' S 1'a~ T~ y ~"/~ a vj~T~
~ ,~~s~ ~ s ~ ~ c~ r~ ~s ~~~
SEAL)
,,¢ ~,-~ ~ , ~ ~ g ~Zf
~~`'~~~ Samuel R. Glenn
The preceding instrument, consisting of this one typewritten page identified by
the signature of the Testator, Samuel R. Glenn, was on the day and date thereof
signed, published and declared by Samuel R. Glenn, the Testator therein named,
as and for his Last Will, in the presence of us, who, at his request, in his
presence and in the presence of each other, have subscribed our names as wit-
nesses thereto.
.
~<-
_ _, -T--
-- - _ _ _ _ _ -
-----T-
~ ~ ,
4 w r!
_ )
s
r YF
r
{
~ 1
._
i
.,,
,.
4
I
.. - ~
b'
~ ~-
_ i ._ ~..
r
. F ,. ,.
'. ,
~.
`'
i( ...
.' ! 1/
~ `~ i ~ ~
_ _
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND
COUNTY, PENNSYLVANIA
t7 -=- . 7~
.-
.r __... _ ~, R--~--~
__
_
+~
~ _.,:
't
^-~
~
f
y'
iV 1 1
\~ ~ L
~
._t
7
h ~
r..
~
,.~
-.,_
- -,-_-,
=
-
,- ,
y
~ .~
.
_ rte:: ~,
~.
Estate of Samuel R. Glenn a/k/a Samuel Ryle Glenn ,Deceased
I, ~ TE P~~ ~ ~ ~~.~n~r1
(Print Name) , in my capacity/relationship as
~~~~~ ~~ of the above Decedent, hereby renounce the ri ht to
g
administer the Estate of the Decedent and respectfully request that Letters be issued to
RG~~ G~~~nr~ ~ ~Ii~~~ ~~~~~~~E ~ ~i4R~iu~~~.
~ ~~ ~G~/
(Date)
(Signature)
~ 7o s P~-E s r ~
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciatio~f r the
purpo s stated within on this ~ ~S _ `-y' day
of 1 l$ ~ `t~.,.D l l
~~~~~
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTARIAL SEAL
R06ERT R BLACK
Nohry Public
CARLISLE BORO., CUMBERLAND COUNTY
My Commission Expires Sep 28.2013
.:a
.,._. .~
f i ~ ;`~ ~;7 .s;.7 7 -L7
RENUNCIATION
`-~
` ~_, ~ ,
~=~
~
~,
:-, _
~: : ,
REGISTER OF WILLS __
F::)
~ :~ " ~' .__ __.
~ : ,, ~ ~-- ,
` ° ~ ~
~l. ~_.~
~
-~
CUMBERLAND '~
'`
;'
COUNTY, PENNSYLVANIA
Estate of Samuel R. Glenn a/k/a Samuel Ryle Glenn
Deceased
I, ~ I ~ o
~~rC~A(-r ~"/ex
in my capacitylrelationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
1_~ ~' Cz~E Ct14~'f)nl~Gi~ ~} jlel h~~~~~c ~E L. 6:~~r~nl~~n
`2 .~
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
..
~~
( nature)
(Street Address)
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciatio r the
purpos s st ed within on this day
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's C'ommission.)
NOTARIAL SEAL
R08ERT R 81ACK
Notawry- Public
CARLISLE 80R0., CUMBERLAND COUNTY
My Commission Expire: Sip 28, 2019
z•..•.
~~ ,~ ~~
~-~; ; rte.
..fit =-C7 t/~+~, '~: ~~y , , 1 (` ;.
RENUNCIATION .. ~ ~:f, ~~.; .~_ _ ,. ,
~.... 1
:.i l
._
'_~.-? ~ - ~._ .J
~ z ~, ,........~
REGISTER OF WILLS ~~ ~
~,~~.~ ~~
~~ ~~ : ,
CUMBERLAND COUNTY, PENNSYLVANIA M
~ I - i ~ - o~~'B~
Estate of .Samuel R. Glenn a/k/a Samuel Ryle Glenn
, Deceased
(Print Name) , in my capacity/relationship as
~ ~~ of the above Decedent, hereb ren
y ounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~4~P6iE ~r4ROnlE~ ~K/,~ RAE G ~~P,~,~ ,
~ ~ ~~/
(Date)
....~~~ ~
(Signature)
(Street Address)
l!i
(City, State, Zip) '
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form R W-06 rev. 10.13.06
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciatio or the
purposes stated within on this d
of ~~~~; r~'// ay
~ __~dL,,L(~.
G~.~.,
Not ry Pub is
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTARIAL SEAL
ROBERT A BLACK
CMLISLE 80Rpotry Public
AAy Commia~lon Ex Mrea SeANO COUNTY
p p 28. 2013
OATH OF SUBSCRIBING WITNESS(ES)
(~ REGISTER OF WILLS
~ ~ ~ ~N~ COUNTY, PENNSYLVANIA
~~I - ~ ~ -- o ,~
Estate of
of ~( -A~K~t~ =~Iu~L
_,
~. ; f _ ~
~~ j~ ~.3 ~ '
.
_
.i
r'? ~~ „~
~
., %'~ _.
~,
~~ --~ _-~>
~~~~ D
eceased
~ `~ C ~f < ~ 11I~4L ~~ ~~/l~-~4,~1/ each
(Print Name/s) ~ ( ) a subscr>bmg witness to
the Will ~ Codicil(s) presented herewith, (each) being duly qualified accordin to 1
g aw, deposers}-and
say(.~,lthat shg7`he /they vas-/ were present and saw the above Testator /~~~ta~ri~ sign the same
and that lie /they signed the same and that ~~/they signed as a witness at the re uest of
q
the Testator / t~i~ in -der-/his presence and in the presence of each nthPr
~.
(Si ature)
S ~~/~ ~ ~~
i-
(Street Address)
~~
~ s~~
(City, State, Zip)
Executed in Register's Office
Sworn to or affirned aid subscribed
before r-~e this ____~ day
of lu ~,~ ; ~ ~1
Deputy for Register of `+1Vills
Executed out of Register's Office
Sworn to or affirmed andsubscribed
before me this r-~"~ day
of ~ ~ ~~'~' ~2l~ l/ .
Notary ublic
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RW-03 rev. 10.13.06 NOTARIAL SEAL
ROBERT R BLACK
Notary Public
CARLISLE BORO., CUMBERLAND COUNTY
My Commission Expires Sep 28, 2013
~.,., ~~~ ~auuie~~/
l~.~i--E 17~j .~
(City, State, Zip)
rx~ --~,
OATH OF NON-SUBSCRIBING WITNESS ES ~ ~,~.-- ~~~
~~ ~ ~ c~
,~.~..~
;~ .
..
~__ _~.-,
. ~, ,..
,.
_ _ .~ _,;~
- ~._
;- ,~ .. .
,~,.~ REGISTER OF WILLS ~, ~ ~~: ~ -~~
-~ ._
COUNTY, PENNSYLVANIA ~~? ~~~~ ~-}'
C._
Estate of ~'~VIG-ice
C L ~~~ ~~~~ ,Deceased
~v~ a c. ~c,~K~J ~~i~ r ~ ~ ,
and
(each) being duly qualified according to law, depose{-and say(~j that
-~~ /they was /were well-
acquainted with ~'fL~/V~
and a~/are familiar
with the handwriting and signature of the decedent, and that the signature of ~~~1lil~L ,~ ~S~jl/~/
to the foregoing instrument purporting to be the T_.a.ct ; ~ L e. d T,~R!!on
t/Codicil of _ ~11~1Lt~ /P L'n~N
is in his/her-own proper handwriting.
' nature~~
~ S~ Li4~l~ s~ ~~i vE
(Street Address)
(rte d
( ity, State, Zip)
j
/ ;
~i1~~~L
(Signature)
(~ 5,~~,~/d~~ ~ S7--
(Street A dress)
(City, State, Zip)
Executed in Register's Office
Sworl~. to or affirmEd and subscribed
before nee this
day
of t ~e.'~ r~ 1 a ~
r---
Deputy for Register of Wills
Form RW-04 rev. 10.13.06