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Home My WebLink About04-11-11PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of James A. Shotsberger also known as COUNTY, PENNSYLVANIA File Number 21 ~- f ~ -yS~ ,Deceased Social Security Number 196-38-2701 Justin A. Shotsberger Petitloner(s), who Is/are 18 years of age or older, apply(ies) for: (COMPLETE ;4' or '8' BELOW.•) ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the named in the last Will of the Decedent, dated 10/09/1997 and codicil(s) dated State relevant circumstances, e.g., renunciation, death of executor, etc_ Affer the execution of the documents offered for probate: Decedent did not marry; was not divorced; 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); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: ® B. Grant of Letters of Administration (Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pedente life; durente absentia; durante minontate) 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 on Section A above 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: See Attached. Name Relationship Residence Justin A. Shotsberger Son 286 Sleepy Hollow Road Mt. Lebanon, PA ~"' T,~ ,- .TT" r' _I yi ~ .,.~ '~ ~ Si _ .__l (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. C'7 CJ *i ~ ~ - -ri ~-- `"= C ~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principalr~'`s~nce at ~ . r'r'r 3943 Brookridge Drive, Mechanicsburg, Hampden Township, Cumberland, PA 17050 ~ tv ~ -ri (List street address, town/city, township, county, state, zip code) Decedent, then ~_ years of age, died on 03/23/2011 at Mechanicsburg, Hampden Township, Cumberland County PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania situated as follows: None All personal property Personal property in Pennsylvania Personal property in County 50.000.00 Wherefore Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Signature Typed or printed name and residence Justin A. Shotsberger 286 Sleepy Hollow Road Mt. Lebanon, PA 15228 (412)651-6658 Form RW-OY Rev. 12-26-2006 (interim form, pending action by the Court) Copyright (c) 2010 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS } The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. _,_..., Sworn to or affirmed and subscribed before me this ~ ~f ~ day of ~~~~ ~~_~ ..~~~~ i For~e~ egister Personal Representative Justin A. Shotsberger Signature of Personal Representative ,,,_._ -:.- . ~~ ~~ ^ ~e .~~, ,.,_., Signature of Personal Representative ~'°i ,~ r•n --- - : -r i L.~:'~ `...... ..~:4:~ .....~~ .~.~ +-'~J File Number: 21 ?' ~.'~% ~, v~ ~ Estate of James A. Shotsberger , Deceasecl Social Security Number: 196-38-2701 Date of Death: 03/23/2011 AND NOW, ~~ ~ ~ ~ ~ ~ ~ Q ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Of Administration r ~.~'f'r are hereby granted to JUStIn A. Shotsberaer in the above estate and that the instrument(s) dated 10/09/1997 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES Letters .......................................... $ ~ll L~ Short Certificate(s)...... Renunciation(s)......L"~.~ .............. $ ~ U ~~ ,~C^S $ ~ 3 ~~C ~(~~~Y1~1 Gl. ~~[,~~1 $ f~ - ~~~~ $ $ $ Register of Wills ~ .l fir, f~t/~C~~ V~-~f ~ `1 ,~'°~~ r Attorney Signature: ° ° ~,~ ~ . Attorney Name: James D. BO ar Supreme Court I.D. No.: .19475 Bogar & Hipp Law Offices Address: One West Main Street Shiremanstown, PA $ Telephone $ $ TOTAL ................................... $ I t~ ~ ~ ~~ (717) 737-8761 Form RW-02 Rev_ 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Pa e 2 of 2 9 Attachment The Executrix named under the Last Will and Testament of James A. Shotsberger, same being dated October 9, 1997, is Mary E. Shotsberger. At the time the Last Will and Testament of James A. Shotsberger was written, Mary E. Shotsberger was married to James A. Shotsberger. On October 19, 2010, a date subsequent to the Last Will and Testament of James A. Shotsberger, Mary E. Shotsberger and James A. Shotsberger became divorced. The Divorce Decree is filed at the Cumberland County Prothonotary's Office at Docket No. 2008-7527. Based on the above, Mary E. Shotsberger is both disqualified as a residuary beneficiary and as Executrix under the Last Will and Testament of James A. Shotsberger. See the Probate Estate and Fiduciary Code, 20 Pa.C.S.A. § 2507 (2). Maryann Snyder and Thomas C. Miller, named as alternate Executrix and alternate Executor, respectively, have renounced their rights to serve as Executrix and Executor. Justin A. Shotsberger, by virtue of the inability of Mary E. Shotsberger to receive a share as a residuary beneficiary, is the sole residuary beneficiary under the Last Will and Testament of James A. Shotsberger. Justin A. Shotsberger is the son and only child of James A. Shotsberger. As the sole surviving heir and residuary beneficiary, Justin A. Shotsberger is qualified to serve as the Personal Representative under the Last Will and Testament of James A. Shotsberger . See the Probate Estate and Fiduciary Code, 20 Pa.C.S.A. § 3155. 105.805 REV (01/07) 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 17296845 Certification Number This is to certify that the information 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 Office for permanent filing. / 3 ~ // Local Registrar Date Issued n.~ .- -- _._.. - ~t ~ ~ ~ ~' ~ a C7 O t_ :::, _ 3 ~ , 7 ~J -rr s~• ~ - , _ ~:~ i ~ a rv c~ p - ter M1p5.1N REV 11k00d TrPE / RvNr r PBIACK NN( i?32-495 1. NMn d D,a,aM IFM. n,ddlo. u,t,dyal James A x AP Iur e.YrM U'a` 1 un ,brr oy, Hpn 57 rn. m. coaMi a orb ea ay. Cumberland Ham 11.Drodro'o Mar drpk don Mora Ilbddwa, ~ Self 1 Rest 18. c,udrK, MiYgMar, (Soar. W / bwR rr,. ilp c« 3943 Brookridge Drive Mechani PA 170. 1e. Rrrf, rwr 1~ ntiaaL ~ °~ A. Shotsber 2oL vrnora', Nam, (TYW / ~) E. Sho er 2tL Mrlndd DiporlWn _ ^~ ~ u~ obg- z~ ~ //_ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS CORONER'S CERTIFICATE OF DEATH (Ses fnstruCtfons end examples on n3veme) STATE flLE NUMBER 2 Su 3. Sodr S,wiy Nunhor t. D,k d cerh (MuMti doy. Mg) _. . _ _ _ _ M~ i P 146 - 38 - 2701 16 1953 ^bp,ug, ^ER/owp.w, ^oa ^Ni„bpNan R,rama uodt«-3pwhr F,dny N,m, n •d ^, 9M rrw and nniar) e. Wr Daatdro d wpr,c odp:i? RNO ^ roo !o. bdn, ~ Wnr, .b. {II yr, epwp G16on, - - • - - . , ~ - --- M,tion. rwro RiaA,le.) 4a1]ite len EL Da nol WN .,, -•• •,",., --- 12 Wr Douord,rr In tlM -- - - - - - 13. D,ndrC, Edwlion (3potlly pYY ~ Pgb c«Mo~elA u. MrMr s1Nr Mrw. N`wr Mrbd, • DNalcod (SO„~Y) 1s s~,.:~:p sowr tM,a.. uN. mrar rmel d Sueirr I odwbY U.S. Mmod Fao„? Enxnrgy / S,~ry (Pt2) cpk9o I7 d «5«) Divorced 3urant ^~ ENO 12 or.drw, °tl °aoitl"" Hat-fpden T„p 17C. ®rM. Deubd liW,d in T41_4VlVallla ~ Pe rdllr R,rdrC, 17L SIMS - ? ~~'^ tlrylBuo QIlilberlaI]d t?d.^ ~ 0 1m.coady t,dl~ Mr 19. MdIrY Nrr IR4 nioa,. mrtlr,prrngf Hilda M. Schell er ~.,danrirW.nbiprdaw(sraetdy/bwn.rrAdpp+dal PA 17050 3943 Bzookridge Dr. Mechanicsburg, nrm ^ ~~ 210. Dar d D'sparoon (MaM, dry. Mgt 21c. Rea d DipaEat INrg d am,MY• pommy «odw pYa) 210. lnraVat Icnr I lorA rr, by ad,l bn«oatrwn Aaotaiad ^ 3/31 /2011 of Heaven Cemetery Queen McMurray, PA15317 /c««gn ,~ NO ^,., zza toga, NaaEOr z2c. N,ar rd roar, d padnr Neill Ftuferal Home Inc 17011 ~ FD 013239 L 1 3401 Market St. Ca[~ Hill, P z3n. Uorw Nannet 23a o.r Sped (Mart psX Mgt camp abm ,<a~lyrM araytip ol zm.wn,e.admr pnrNdpo,dwnaannadr Mhr, are.nd p,«,ura lspmr a pnrw,n wrrr.rrraa..ng ary ddb WrCw Rrandb Marw Exrolnal Cotagr 26 broRrmOtltg tlgnCmrlbna DaWbn? o 2~T,ndOWE 25.OW Pran,odcrdlMp'pt. M.Mg) . ~ ^~ IWn2~-28 mtM 0o aonHrod p/pg,a rta piaiagbr oor0. Unknown P. M• March 25, 2011 OrToaaxo Ur Carbr b eoYt? 23 CAUSE OF DEATH (Sao nMWetlona ana axaaglaa) ooNm.wmrirrrgwdtrnra,a,n.r +d~'aurdn,arn , iorvat ~ arrrooern Par n: EM arw odnalgwuwbn,prgyrvp~vYg~bvm~ . ^O ^ . raz?.p,dr. Enrrg~d.DU~m-dwn,.Mpg.gr^a~pg- ny,rpy ana.«wgorv Wdldm WMUelnwYp dr rlabPr. Ur aiy ar arpmeoon hr. ro ^ zp. r crtrL " w,'n~X'i ~ Carbon Monoxide Poisoning ^ Npn~~p~rMg L ornlarraaaraVaanasa): ^ Rgwrrrdr,n w «MYa..+ry. o. ~ ^ Nd gapra. hrpptra rEradoM 6b `E L GriU '~ Edr~D11WE~ifM~6 Dw ro (« r, aon~Pg~ dl: 1 d d,li ^ Np p,V~.6utpNr4/3 hMbtyw ~ p y y ~d,rf)1AST. c Grog d,oN 0tg b (« r • mnaaogca dl: ^ ln„ term lpnpnw rai~,v pw Mg d. r dl 32c Plo« d nay: Nan, Frm, girt Focbry, dOL wr,nAdopal aon. w,«Ampy cYtatq, 3t Mwr a orm 32L cre d biRY (nbnd~, M• Mg) ~b~ Di°°' "p' ~"'"!' 0`gnitl Intentional Inhalation oa« arano..b. 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IrCKOdea~COYOn rl pad ~ 1 ~ , .OraRbotMpr4dry,Mg) 6375 Basehore Rd. , Suite #1 i5 ~. ,sgr,agr rimbg ~ I ,~! / I ~ I Me ha CCSro yogi orpwlbn Permn No. !^-.J Gs5 " ~`~ ~) 7 n LAST WILL AND TESTAMENT ~~~ =~ = '-:art . - -: _ _ ~ OF nO-" ~ ! JAMES A. SHOTSBERGER ~ ~ ~.•~ O ~ r\.~ I, JAMES A. SHOTSBERGER, of Hampden Township, Cumber- land County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore. made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, unto my wife, MARY E. SHOTSBERGER, provided she survives me by sixty (60) days. SECOND: Should my wife, MARY E. SHOTSBERGER, prede- cease me or die on or before the sixty-first (61st) day following my death, I devise and bequeath all the rest, residue and remain- der of my estate of whatever nature and wherever situate, includ- ing any property over which I hold power of appointment and together with any insurance policies thereon, to my son, JUSTIN A. SHOTSBERGER. THIRD: Should JUSTIN A. SHOTSBERGER not have attained the age of twenty-three (23) years at the time for distribution to him, I give, devise and bequeath the share of JUSTIN A. SHOTSBERGER to my hereinafter named Trustee or Trustees, IN TRUST, to.hold, manage, invest and reinvest the share so received, and to use and apply from time to time such portion of income and principal for the said child's education (including college, trade school or other similar training or education), support and welfare as my Trustee or Trustees, in their sole discretion, deem advisable. My Trustee or Trustees may make the payments for the support and maintenance of my child directly to said child or to my Guardian or Guardians, as hereinafter named, as required. Any payments made by my Trustee or Trustees pursuant hereto shall be made without further responsibility to the said child, my Guardian or Guardians, or to any person taking care of my child. The Trustee or Trustees, in exercising their discretionary authority with respect to the payment of income or principal of the within Trust to my child, shall take into consideration any income or other resources available to my child from sources outside this Trust. In addition, my hereinafter named Trustee or Trustees shall have the right, in their sole discretion, to purchase and pay for out of the principal, as well as income, such insurance policies as will provide for the minor's medical care. Any income or principal not so applied shall be dis- tributed to JUSTIN A. SHOTSBERGER when he attains the age of twenty-three (23) years. In the event JUSTIN A. SHOTSBERGER dies prior to the termination of this Trust, his interest in the Trust shall cease with any income and principal being divided evenly between or among his issue per stirpes by representation. FOURTH: In addition to all powers granted to them by law and by other provisions of this Wi11, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including 2 stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. (J) To make immediate payment for the support and maintenance of my child to said child directly or to his Guardian or Guardians as are deemed to be in the best interest of said child. FIFTH: I nominate and appoint my wife's sister, MARYANN SNYDER, as Trustee of the hereinabove described trust. In the event of the death, resignation or inability to serve for any reason whatsoever of the said MARYANN SNYDER, I nominate and appoint my wife's brother, THOMAS C. MILLER, as Trustee of the hereinabove described trust. I direct that my Trustee shall serve without bond and shall receive fair and reasonable compensation. 3 SI$TH: Should my wife, MARY E. SHOTSBERGER, predecease me, I nominate and appoint MARYANN SNYDER, as Guardian of the person of my minor child. In the event of the death, resignation or inability to serve for any reason whatsoever of the said MARYANN SNYDER, I nominate 'and appoint THOMAS C. MILLER, as Guardian of the person of my minor child. BEVENTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. EIGHTH: I nominate and appoint my wife, MARY E. SHOTSBERGER, Executrix of this, my Last Will and Testament.. In the event of the death, resignation or inability to serve for any reason whatsoever of the said MARY E. SHOTSBERGER, I nominate and appoint MARYANN SNYDER, Executrix of this, my Last Will and Testament. In the further event of the death, resignation or inability to serve for any reason whatsoever of the said MARYANN SNYDER, I nominate and appoint THOMAS C. MILLER, Executor of this, my Last Will and Testament. I direct that my Executrix or Executor, Trustee or Trustees, Guardian or Guardians, as the case may be, and their successors, shall not.be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ ~- day of (~(~1v ~1.P.c-~. 19 9 7 . (SEAL) A. S OTSBE R 4 Signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. /U'70 .j/',GU-lA~t.X1~GCrr~c~ ~t~.a~-~~i~ l Q, ''-. Address / °~ ~ ~~ ~~ 4 A i7 Sl [~e-mo~,~a~r e~rtr:l4 _tYl~~dt.~.t-ov~1,Ha>>orJ Address 5 r._ , r`_'...- ~ 1~'C7 3~ 'T> rr-, ~`7 r'; > i-~ `,~ T te-- :'X7 - ra r RENUNCIATYON o c ~'~' ~ ~=- A ~,~ `-~ -'n REGISTER OF WII..LS ~_ CUMBERLAND COUNTY, PENNSYLVANIA Estate of James A. Shotsberter -- ------ --- ----- -- Deceased. I, Maryann Snyder . in my capacitylrelationship as (Pro~[Nar~ named Alternate Executrix of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully rec~est that Letters be issued to Justin A. !~) 5676 Willow Terrace Drive (sb+aer~,) Bethel Park, PA 15142 lam. ~ ~I Executed in Register's O,~iee Sworn to or affirmed and sr~cn'bed before me this ~ ~ day of .~, ~ I 1 Fxecuted out ofReglster's O,~ice Before the undersigned personally appeared the party executing this renunciation and certified that he ecuted the reauucistion~r the ~rithin on this (o ` day Deputy far .Register of Wills Fw7n RfY-db nev 10.13.06 Notary P~lic My Comanission Expires: -~ - 2'3 ' ~ / (Si~aaae and Seal o~'Notary or otLar official gnalified m admdniaox oqt~, Shaw dam of m~piaKian orf Nomys Camaniasioa.) --,_` comet. h-~t (7F i"tNIV~ Maure Notarial Seal i'`tb South c~ Wd1e"~hefe, Notary public ly Co mmassicri p. Alle9henY Coun e"' Pen_ nSVly~ Expr-~;lulY?3 201 of RENUNCIATION p _~ ~.. ~~ ~ ~ ~? ~~ REGISTER OF WILLS ~ ;; rn `~ cn ~ `~ n Q 3 `~~' xA - .j CUMBERLAND COUNTY, PENNSYLVANIA ~~ ~" ~ --~ -~ ;._ ~ ~~ ti ~~ ~ C._` Tl f James A. Shotsberger t t E ,Deceased e o a s I, Thomas C. Miller , in my capacity/relationship as (Print Name) named Alternate Executor of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Justin A. Shotsberger (Date) (Si afore) 203 Canter Wood Drive .(Street Address) Venetian, PA 15367 (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 RW-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 renunciatiq~ for the purpo es stated within on this ~ ~1 day of .t~DYi ~ , ~a ~ ~ Notary Public ' My Commission Expires: (~ / a~l ( ~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) ;~)fr~r;JiVW`r=Fev; F-? i~F i~'~'vi~sYL~J~;i'~iE.-t i Notarial Seal ~ Kaaren ~i. Naponic, Notary Pce±?iic tdit. Labanon Twp., Allegheny i;ounty ~_My Commission Expires ,lone 23, ?.012 i ~4ember, r?ennsyfv~! ~i~ ,~ssa~.datioti of l`Jvi~rie- r - .:> ..... ; ` Z? yZ 1 ?1 Z C ~7 7 OATH OF SUBSCRIBING WITNESS(ES) ~~~ - ~_~~ `-~' _ REGISTER OF WILLS ~ ~,' c~ ~-~ `T' CUMBERLAND COUNTY, PENNSYLVANIA ~'' ~ : ~' Estate of James A. Shotsberger ,Deceased Jeffrey Dukes , (each) a subscribing witness to (Print Name/s) the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they the Testator /Testatrix signed the same and that she / he /they..., ,signed as a witness at the request of presence and in the presence of each other. (sign ) in her /his (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills 1394 Overlook Road (Street Address) Middletown, PA 17057 (City, State, Zip) Executed out of Register's Office Sworn to or affirmedra~nd subscribed before me this f day of ~ , a ~ ~ ~ ary Public My Commission Expires: / /- a 'a _ ~ 6 1 a' (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) NOTE: To be taken b Officer authorized to administer oaths. Please have present the original t time of notarization. Y °~~~ '~~F PENNSYWANIA Noteuial Seel Catherine M. Galena, Notary Public Form RW-03 rev. 10.13.06 City of Henisburp, Dauphin County My Comrtlisfbn ExpNss Nov. 22, 2012 Member, Pen aria Asaodadon of Notaries NG WITNESS ES) OATH OF SUBSCRIBI ~ ,~° -» ~, ,~ :~. --~ ~-F' ~ ,., _, -_. ~~~rn ~ ~s ~ - - ~~ : l : t~:: REGISTER OF WILLS . ;~ ~..3 ~~ ~a ^; - CUMBERLAND COUNTY, PENNSYLVANIA ~ ~ ~ a ~ = c- ~ _ . v t,~a `~ c..r Estate of James A. Shotsberger Judy K. Sigler (Print Name/s) the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualifie say(s) that she / he /they was /were present and saw the above and that she / he /they signed the same and that she / he /they Deceased (each) a subscribing witness to d according to law, depose(s) and Testator /Testatrix sign the same signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. (Signa ) (Signature) 1070 Riverview Road (Street Address) (Street Address) Dauphin, PA 17018 (City, State, Zip) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~~~ .day of AD ri ~ ao, r of Deputy for Register of Wills ~• 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.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Form RW-03 rev. 10.13.06 BETH B. LENGEL, NOTARY PUBLIC SHIREMANSTOWN BORO., CUMBERLAND COUNTY MY COMMISSION EXPIRES DEC. 12, 2011