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Home My WebLink About03-17-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA • REGISTER OF WII.LS PETITION FOR PROBATE AND GRANT OF LETTERS h ~~ Estate of Theodore A. Tristan, M. D. ,Deceased ESTATE NO: 21- bII' C~=~-'l a/k/a: a/k/a: a/k/a: SS NO: 088-18-0434 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 c.t.a., or d.b.n.c.t.a. (comRlgte Part C Also) .~, and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testamentary -- O gBder i;_ - , j the last Will of the above-Iiamed Decedent, dated 9/24/2003 and codicil(s) dated rv~ ~-~'-; ;', r ~ ~ ~ ', _~~~ (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 e~~on of the~~ _ C~ instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person}a-~>~~ was nova `n O party to a pending divorce proceeding at the time of death wherein grounds for divorce had been establi8~ed as defin~l' in ~" 23 Pa. C.S.A. § 3323(g): ^ B. Grant of Letters of Administration (If applicable, eater d.b.a, pendent life, dur5ate absentia, dursate miaoritate) C. Petitioner(s), after a proper seazch, 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), except as follows:- THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 353 North 28th Street, Borough of Camp Hill, Pennsylvania 17011 (Street address with Post Office and Zip Code, Municipality: Townshiq Borough, City) Decedent, then 13ti 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 $ f0 OoD . - Personal property in Pennsylvania $ Personal property in County $ $ Total Estimated Value $ SO . DD 0.00 -~ Location of Real Estate in Pennsylvania: (Provide full address if possible.) ; Signature(s) Name(s) & Mailia¢ Address(es) ~~ ~ Faith B. Tristan-353 North 28th Street, Camp Hill, PA 17011 ' David S. Tristan-159 Stoney Run Road, Dillsburg, PA 17019 Katharine E. Tristan-2180 Yale Avenue, Camp Hill, PA 17011 years of age, died 2/28/2011 at Harrisburg, Susq Twp, Dauphin County, PA (Month, Day, Yeaz of death) (City and State when; death occurred) ~~ / William E. Miller, Jr.-1822 Market Street, Camp Hill, PA 17011~ge r of 2 ~' O R- :.~ -r ; ~-, -~ ~ :~ Z C7 ."..a OATH OF PERSONAL REPRESENTATIVE -~~-~~,~_,~ ....r Commonwealth of Pennsylvania SS r-7 ~ c ~ ~ ~ `T`~ County of Cumberland a . ~„ 0 c=" -n 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 accordin>; to law. Sworn to or affirmed and subscribed th1S the Registel•• of Faith B. Tristan DECREE OF PROBATE AND GRANT OF LETTERS Estate of THEODORE A. TRISTAN, M. D. L ,,.Deceased File Number: 21-_6k:~-~~ AND NOW, this day of `~t~'CS-~ / ~Q~I , 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: (!f applieabk, enter e.ta, d0.u, db.nata., etc.) Faith 6. Tristan, David S. Tristan, Katharine E. Tristan and, William E. Miller, Jr. in the above estate and that instruments(s) dated a/za/zoo3 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of D edent. len Farner Strasbaugh, ~ )q / ~~'/ Register of Wills ~V FEES: Letters .................... Will ...................... a $ I ~ . .. ~ C9> Codicil(s) ............... ( (~ Short Certificates .. (~) Renunciations.... ... Bond ..........:................ .. Other ............................. ................................. ................................. Automation FEE......... JCS FEE ................... ~- TOTAL ........:....... $ Signature of Couaset Required to Enter Appearance Atty's Signature PRINTED Name: William E. Miller, Jr., Esquire Supreme Court ID No.: 07220 Address: 1822. Market Street Camp HIII, PA 1701E .Phone: p17) 737-9210 Fax: (717)737-9215 Interim Form RW-02 revised.12.26.10 by Cumberland County pending actionby the Court ~ Page Z of 2 William E. Miller Jr. HI05.8U5 REV (01 N7) /%- a.3~/ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 P 17244268 Certification Number This is to certify that the infomlation here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original. certificate will be forwarded to the State Vital Records O i e f ermanent filing. Local Registrar Date Issued COMMONWEaLTM OF. PENNSYtYANIA • DEPMTAAENT OP MEALTM . YRAL RECORDS _ .CERTIFICATE OF DEATH ___, ~~ n ,~ ^ ,.. z~•. A O -.. - 1 ~_ (? ~~ ., c-, _ ~~ =:~ ~ ~~ , z ~~ r y ~ _. -J , ,, ~ Cj~-~ -:" _._ r ~~~ : ~n 0 zsr ssiar sr+Fw raer •ara plrn M•riir 1 1. rrrrmrJr.arr.ur rar 1 Male 088 -18 - 0434 February 28, 201 0 ore therton Tristan 4 Flan r 0,r S. A9, (la aiMq) IFlla 1 t9,Yr 1 l D,r r N 7. rr rrr ~ ODaf Yraa Gri IM liver October 5, 1924 Mexico ^b,wr ^auowrw ^oa »i+vwr ^~Ye ^0"r' 86 rr. e.cawrdDwn ruq.eaaTwduln 9t Frayr,rl9rlbraral.p~,MrrrninM +.vaFacw.+aworsavlT w yr +awoslu.ilmrr~sarr.s N rr. r.ih Glen l White Daophin Susquehanna Tvp. arolyn Croxton Slane Residence r,~n.lrwir,al rwd•ah Era r4 Y,. »llrl 14. Wr Diaiira •r b r li OriCnl'F ECFalin 19,iai/ «lY ll~ir Per rirlirrl lA Mar 9a,a: Mww, arr pans,. 13. 4WMwq 9,ar P rY. M nlaral lain) vra.,0. DNrc.a ISFa.hl ll. . u.x bra F«or+ , wrrwai awaerrailba,q Ewwrr 8,rrrry lDln Coi,9i lt~«5.1 5+ Married Emil Faith Burrell Radiolo iet ristan Associate yr ^r, oiiorwri r9. aawr.rw.7+dr.lanFl.we,rn wr, nOrril -ennsylvania_ _ ~l.b. 17e err 0a~egl UlMb T'~ eri ~~.rbi ln 353 North 28th Streat . . r,irhrrland raiww, "'~~ ' "a'""`ramo Hill Boro q,ra Camp 8111, PA 17011 r la~,q, ar9rrrar) aill Nry fir f Y I l , . , a i 14 i9911f,IWrliK s0l. bLa~) 19. Katharine Atherton Russell Jose Maria Tristan ?m rrgw',iiiY9 Arlrl139ir• r/~ bin. r. aDaerN 20,. YliaiO(i ilea, Rlp 1 W,Y 353 North 28th Street, Cam 8111, PA 17011 Emil Faith Tristan ~lcrar ^mrr zwDr.aD.9rrrDlrnoir.rin zmM.rcicrrltrr•irrFwF.rrlFwrrrFr~ zwl.ar.ua~w..rwmrea xuarawdDr9od9r PA 17109 Rarrisburg ~ , ^ a.r ^ Wrrr9rSYr l,w,~lrrrro..r.wr,,.r Cremation Society of PA T (f~rr^ - a - ao ~ ~ t 1 ww iylbar9rr~, ~,. lrrar MbasrFr(y Auer Cremation Services of Pennsylvania ~ ma M ro ~~ y, o . , lrr tcrw lw yr+r aaa9»~) ap, ~ ~ ~ FD-013376-L .4100 Joneatovn Road, Harriabur , PA 17109 t..9wl ay.ar zaTer •auarimwrr rrr.rrrrpwraals'o••y~•riw, zs./u//w~~r~wnsr~/r~~'~] zx.arsow ~.//~a(]1r(.. /IiYpr I,MMYWllwirirlb ` '~/ /i ~ C IV S'r 73r7~ ~ '-+' !J I II~~• /~ rlyrrrw V M Wr Cii, Deland Eirrr 1 Caiaaf 4 . WYin Ollr 9r fririr s Darn Dar. a.Dlr Qlar. u . rrl4rlaa»rai,pirgFrar + , ^ yr ~ a . 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X r,ltlarar Mmrr Cagr~bd~Ca~rar Irr111Tpi1M1 ~,~t,K~ r.1~~~~ °;~G. x. r~~ Dar Frd . ~ N. ~~ ~ / _ a Dr9wrr Mrlb. vvv~+vv S ~~ ~.~r LAST WILL AND TESTAMENT OF THEODORE A. TRISTAN. M.D. I, THEODORE A. TRISTAN, M.D., of the Borough of Camp Hill, Cumberland County, Pennsylvania, do hereby make this my Last Will and Testament, revoking any former Wills and Codicils made by me. FIRST: I am married to Faith 6. Tristan, and all references to my wife in this Will are to her. I have four children, all of whom are adults: Karen A. T. Edwards, David S. Tristan, Katharine E. Tristan and Theodore J. Tristan. These and any other children born to or adopted by my wife and me are described in this Will as "my children," or as "a child of mine." Any person born to or adopted by a child of mine is described in this Will as "my issue." Provided, however, no adopted person shall benefit hereunder unless the order or decree of adoption is entered before such adopted person attains the age of twenty-one (21) years. SECOND: I give my tangible personal property and all casualty insurance that I am carrying on said tangible personal property to my wife, or, if she does not survive me, I give such property to such of my children who are living at my death, to be divided equitably among or between them as they may determine, or, if they are unable to agree, as my Executor shall determine, after considering the wishes of such children. I have complete confidence that my wife, my children or my Executor will honor any written instructions that I may leave with regard to said tangible personal property. Any such property not so distributed shall be sold, and the proceeds added to my residuary estate to pass as hereafter described. THIRD: If my wife shall survive me, I bequeath to my Trustee, hereinafter ,- , named, IN TRUST NEVERTHELESS, cash, securities or other property i~ihe amount _, ::r~ specified below, to be known as the "Bypass Trust." ~; ~}r, (1) The bequest shall be $1,000,000, subject, however ~v'~' -~ 'c_' rte, c ~ _ Paragraphs (2) and (3) below. ~ =-'~ - ~ - ---- _. _ _ . .. ~rJ L~ ~~ ~~ Last WIII and Testament of Theodore A. Tristan, M.o. Page 1 of 9 (2) The bequest shall increase or decrease, based upon the availabil- ity of my federal unified credit for estate and gift taxes and the maximum allowable federal estate tax credit for state death taxes (but only to the extent that the use of such state death tax credit does not increase the death tax payable to any state), whether due to statutory changes, lifetime gifts in excess of the federal unified estate and gift tax exemption-equivalent amounts, or any other transfer which affects the availability of my federal credits aforesaid. (3) The bequest shall decrease, even to zero, if necessary to reduce federal estate tax payable as a result of my death to zero (excluding, however, any federal estate tax due as a result of an excess retirement accumulation under Section 4980A of the Internal Revenue Code of 1986, as amended, or such similar section as may then be in effect), considering that my intention is to fund the Bypass Trust by using my available federal unified credit for estate and gift taxes and my federal estate tax credit for state death taxes and to eliminate federal estate tax on the balance of my federal taxable estate by using the federal estate tax unlimited marital deduction. FOURTH: I give, devise and bequeath the rest, residue and remainder of my estate, real and personal, to my wife. Should she not survive me, I give, devise and bequeath such rest, residue and remainder to my Trustee, hereinafter named, IN TRUST NEVERTHELESS, to be held, administered and distributed for all purposes as part of the Bypass Trust. FIFTH: The Bypass Trust shall be held, administered and distributed as follows: (1) My Trustee shall pay to or apply for the benefit of any one or more of my wife, my children and my issue, until division into shares pursuant to Paragraph (4), all of the net income from the Bypass Trust in convenient installments in such shares and proportions as my Trustee in its sole discretion shall determine primarily for the medical care, education, support and maintenance in reasonable comfort of my wife, children and issue, taking into consideration to the extent my Last Will and Testament of Theodore A. Tristan, M.D. Page 2 of 9 Trustee deems advisable, any other income or resources of my wife, children and issue known to my Trustee, considering that my wife is the primary object of my bounty. (2) Prior to division into shares pursuant to Paragraph (4), my Trustee may pay to or apply for the benefit of any one or more of my wife, children and issue such sums from the principal of the Bypass Trust in such shares and proportions as in its sole discretion shall be necessary or advisable from time to time for the medical care, education, support and maintenance in reasonable comfort of my wife, children and issue, taking into consideration to the extent my Trustee deems advisable, any other income or resources of my wife, children and issue known to my Trustee, considering that my wife is the primary object of my bounty. Any payment or applica- tion of benefits for a beneficiary pursuant to this Paragraph shall be charged against this Trust as a whole rather than against the ultimate distributive share of such benefi- ciary to whom or for whose benefit the payment is made. (3) My wife shall have a special power to appoint all or any portion of the Bypass Trust during her lifetime by written document, delivered to my Trustee, referring expressly to this Article, or by Will, validly executed and attested referring expressly to this Article, among such other person or persons hereinafter named or described, absolutely or in trust, as she may indicate. This special power of appoint- ment is exercisable only in favor of a child of mine as described in this Will or to the issue of any such child. My wife shall have no power to appoint the principal of this fund or income accumulated thereon to herself, her estate, to her creditors, or to the creditors of her estate. My Trustee may rely upon an attested Will probated in any state that otherwise meets the requirements of this Paragraph. (4) In default of the exercise of such power of appointment by my wife, or insofar as any part of the Bypass Trust shall not be effectively appointed, then upon the death of my wife, or upon my death if my wife did not survive me, the entire remaining principal of the Bypass Trust, or the part of such trust not effectively ap- pointed, shall be divided into four (4) equal separate shares so as to provide one (1) share for each then-living child of mine and one (1) share for each deceased child of -r' Last Will and Testament of Theodore A. Tristan, M.~. Page 3 of 9 mine who shall leave issue then living. The share provided for a living child of mine shall be distributed outright to such child. The share provided for a deceased child of mine who shall leave issue then living shall be distributed per stirpes to such issue. (5) If at the time of my death, or at any later time prior to final distribu- tion hereunder, my wife, my children, and all my issue are deceased and no other disposition of the property is directed by this Trust, then and in that event only, the then-remaining property of this Trust, together with any undistributed income, shall be divided into two (2) equal shares and paid over and distributed as follows: (a) One share shall be further divided into aone-fourth (1/4) share and athree-fourths (3/4) share. The one-fourth (1/4) share shall be paid to the children of my sister, Mary Julia Sanger, of Dallas, Texas, in equal shares, or to the survivor. The three-fourths (3/4) share shall be paid to the children of my brother, Michael Peter Tristan, in equal shares, or to the survivors or survivor. I intend to include as the children of my brother entitled to receive this share only those three (3) children adopted during his first marriage, the three children born to him during his second marriage and Lisa Yaram, daughter of his second wife. (b) The other share shall be further divided into aone-fourth (1/4) share and athree-fourths (3/4) share. The one-fourth (1/4) share shall be paid to Kathryn Bartholomew, the daughter of my deceased sister-in-law, Lola Bartholomew. The three-fourths (3/4) share shall be paid to the then-living children of my deceased sister-in-law, Marguerite Davis, in equal shares. SIXTH: If any share hereunder becomes distributable to a beneficiary who has not attained the age of twenty-five (25) years, then such share shall immediately vest in such beneficiary, but notwithstanding the provisions herein, my Trustee shall retain possession of such share intrust for such beneficiary until such beneficiary attains the age of twenty-five (25) years, using so much of the net income and principal of such share as my Trustee deems necessary to provide for the proper medical care, educa- tion, support and maintenance in reasonable comfort of such beneficiary, taking into consideration to the extent my Trustee deems advisable any other income or resources ~~J Last Will and Testament of Theodora A. Tristan, M.o. Page 4 of 9 of such beneficiary or his or her parents known to my Trustee. Any income not so paid or applied shall be accumulated and added to principal. Such beneficiary's share shall be paid over and distributed to such beneficiary upon attaining the age of twenty-five (25) years. If a beneficiary should die before the complete distribution of his or her share, then the undistributed principal and accumulated income from his or her share shall be paid to his or her issue, or in default thereof to his or her executors or administrators. I recommend that my Trustee consider distributing all income from such share to such further beneficiaries when such beneficiaries attain the age of twenty-one (21) years. My Trustee shall have with respect to each share so retained all the powers and discretions had with respect to the trusts created herein generally. SEVENTH: If any beneficiary and I should die under such circumstances as would render it doubtful whether the beneficiary or I died first, then it shall be conclu- sively presumed for the purposes of this my Will that the beneficiary predeceased me; provided, however, that if my wife shall die with me as aforesaid, I direct that my wife shall be conclusively presumed to have survived me. EIGHTH: (1) I name my wife, Faith B. Tristan, my son, David S. Tristan, my daughters, Karen A. T. Edwards and Katharine E. Tristan, and William E. Miller, Jr., as my Co-Executors and Co-Trustees. I direct that my Co-Executors and Co-Trustees, and their substitutes and successors, herein referred to as my Executor and my Trustee, regardless of number or gender, serve without bond in any jurisdiction in which called upon to act. (2) In the event that one or more of my wife, Faith B. Tristan, my son, David S. Tristan, or my daughters, Karen A. T. Edwards and Katharine E. Tristan, is unable or unwilling to so serve, either as Co-Executor or Co-Trustee herein, then I name as substitute and successor, my son, Theodore J. Tristan. In this regard, it is my desire that, if at all possible, there be at least two family members serving with William E. Miller, Jr. as Co-Executors and Co-Trustees. In the event that William E. Miller, Jr. is unable or unwilling to serve in either capacity, then an attorney designated by the ~T Last Will and Testament of Theodore A. Tristan, M.~. Page 5 of 9 law firm with which he was last associated shall serve as substitute or successor Co- Executor and/or Co-Trustee for William E. Miller, Jr. (3) The situs of any trusts created by this Will shall be Cumberland County, Pennsylvania, but it may be transferred to the situs of such successor or substitute Trustee by designation in a written instrument filed with the court having jurisdiction over the probate of my estate or the administration of any trust, whichever is applicable, signed by or on behalf of my Trustee. (4) For services as Executor and Trustee, my Executor and Trustee shall receive reasonable compensation. NINTH: I give to any Executor and to any Trustee named in this Will or any Codicil hereto or to any successor or substitute Executor or Trustee all of the powers enumerated in this Will and all of the powers applicable by law to fiduciaries in the Commonwealth of Pennsylvania and in particular through the Pennsylvania Probate, Estates and Fiduciaries Code, as effective and as in effect on the date of my death, during the administration and until the completion of the distribution of my estate, and until the termination of all trusts created in this Will or any Codicil hereto and until the completion of the distribution of the assets of such trusts. I direct that all such powers shall be construed in the broadest possible manner and shall be exercisable without court authorization. TENTH: No person who at any time is acting as a co-trustee (if any) hereunder shall have any power or obligation to participate in or to exercise any discretionary authority that I have given to my Trustee to pay principal or income to such person, or for his or her benefit or in relief of his or her legal obligations. Such discretionary authority shall be exercised solely by the disinterested co-trustees. ELEVENTH: No interest of any beneficiary under this Will, any Codicil hereto, or any trust created herein, shall be subject to anticipation or to voluntary or involuntary alienation. TWELFTH: All estate, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all ~i r~ Last Wfll and Testament of Theodore A. Tristan, M.o. Page 6 of 9 property comprising my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid out of the residue of my estate, as if such taxes were expenses of administration, without apportionment or right of reimburse- ment. I authorize my Executor and Trustee to pay all such taxes at such time or times as deemed advisable. IN WITNESS WHEREOF, I have set my hand and seal on this my Last Will and Testament this.Z~~ay of s',a~o,lwwb~r~; 2003. ~'`-"~ t~.a~a (SEAL) THEODORE A. TRISTAN, M.D. ATTESTATION CLAUSE. We the undersigned, hereby certify that the forego- ing Will was signed, sealed, published and declared by the above-named Testator as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testator was of sound and disposing mind and memory. Address: Address: Last WIII and Testament of Theo~ra A. Tristan, nn.c. Page 7 of 9 SELF-PROVING AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . SS. I, THEODORE A. TRISTAN, M.D., the Testator, whose name is signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that I signed and executed the instrument as my Last Will and that I signed willingly, and that I signed it as my free and voluntary act for the purposes therein expressed on this theA"~~day of ~~,~~Q.(11,(,(Qil, , 2003. a ~ ~,~.; ~-,r~ THEODORE A. TRISTAN, M.D. Subscribed, sworn to, and acknowledged before me by THEODORE A. TRIS- TAN, the Testator, this a'tf~~ day of 5~~, 2003. ~a ~~~J Notary Public NOTARIAL SEAL MARJORIE L. JOHN60N, Public Camp Hill 8oro., CumbeAarN County M Commission res April 15, 21107 Last WIII and Testament of Theodore A. Tristan, M.~. Page 8 of 9 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . SS. We, the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw THEODORE A. TRISTAN, M.D., sign and execute the instru- ment 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 THEODORE A. TRISTAN, M.D., signed the Last Will and Testa- ment as witnesses; and that, to the best of our knowledge, THEODORE A. TRIS- TAN, M.D., was at the time no less than eighteen (18) years of age, of sound mind, and under no constraint or undue influence. Witness Subscribed, sworn to, and acknowledged before me by~~((~~ ~• ~ ~~;~^ t',~,, and ~Ned~tck.t. l-~,ta~~,~ the witnesses, this~+'~~ day of ~,,Q.~r~,t~ , 2003. ~a~~ Notary Public NOiARIAI SEAL MARJORIE L. JOHNSON, N~Public Carte Hiq Sao., Cumberland M CortatMSSiOn 15, 7 Last Will and Testament of Theodore A. Tristan, M.o. Page 9 of 9 I l-,3~ l _ _ ;1 r ...n-,n. _i,- F r c ~,,,, ~ c r ~;,' _ ~.!11 i fire ~ ~ ill ..~' J RENUNCIATION CLERK CF, o~P~F,~ ~s ca~l~T REGISTER OF WILLS ~ CIIPJIBt~t.~°`~~~ ~~ PA CUMBERLAND COUNTY, PENNSYLVANIA Estate of THEODORE A. TRISTAN, M.D. Deceased I, KAREN T. EDWARDS , in my capacity/relationship as (Print Name) Daughter of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Faith B. Tristan, David S. Tristan, Katharine E. Tristan and William E. Mllle~, Jr. (Date) (Stgnattve) . (StreetAddress) (Gty, Stare, Zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the before me this day party executing this renunciation and certified °f that he or she executed the renunciation for the purposed stated w'thin on this ra- day of ~./L,QJ~.0 l r Deputy for Register of Wills Notary Public ~- My Commission Expires: ~// Sla 6 ~ / (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) c°wuu"°M"v~_, ~ snvwu- FormRw-oe rev. x0.13.06 NOTARIAL SEAL HRARJORiE L. JOHNSON, Notary Pubic Camp Hill Boro., Cumberland County M Commission ' es '1,15, 2011 //- ~~% ,,ir 1i1~~7. ~~I_:"1J '4`i ~ ("~~,~ ~ ~ ~"i'y J~ UJ RENUNCIATION REGISTER OF WILLS CUMBERLAND Estate of THEODORE A. TRISTAN, M. D. Deceased I, Theodore J. Tristan , in my capacity/relationship as (Print Name) son of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Faith B. Tristan, David S. Tristan, Katharine E. Tristan and ~j~~ F/NU.;c6i~, tea,, 3 / (Dare) Executed in Register's Dice Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 CLERK OF ORPHF~N'S COURT GUMSr~?L,MI~? CO. PA COUNTY, PENNSYLVANIA (Signature) 2050 Cheshire Road (StreetAddress) .~ '" Binghamton, NY 13903-3108 (city, stare, z;p) Executed out of ~ltgister's Office Before the undersigned personally appeared the party executing this renun 'at nand certified that he or she executed t re ciati n for the purpose ed wi in nthi / day of ~da ~ ~.t/ Notary Public l ~ My Commission Expires: ~7~a'fi~j~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission J .-- ~/~~%