HomeMy WebLinkAbout05-11-11PETITION FOR PROBATE AND GRANT OF LETTElZS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Inez M Myers _ ESTATE NO: 21-11- ~ -
also known as
ecease SS NO: 187-16-4651 -
Petitioner(s) who is/are 18 years of° age or older, apply(ies) for:
[X] A. Probate and Grant of Letters Testamentary or Administration c.t.a., d.b.n.c.t.a. (complete Part C also)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters Testaments -
under the last Will of the above-named Decedent dated: November 19, 2002 co is to -
First Codicil dated A ri129 2003 -
econ o ici at a --
(state re evenat circumstances, e.g. renunciation, ea o 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 insts-umeia(s) offered
for probate, was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divo,~~ce proceeding:
at the time of death wherein grounds for divorce had been established as defined in 23 Pa.C.S.A. §3323(8):
No Excei tions -
[ ] B. Grant of letters of Administration
(If applicab e enter: .n.; pen ente ite; urante sentia; urante .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 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(8), excpect as follows: -
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USE ADDITIONAL SHEETS IF NECESSARY ~__; _
THIS SECTION MUST BE COMPLETED: _' `' ~ :,, . -
Decedent was donciled at death in Cumberland County, Pennsylvania with his/her last principal residence at="-~_i y, ; ;:-:~:
56 East Willow Street, Carlisle, Penns lvania 17013 Carlisle Borou h
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ist street ress, town city, towns ip, county, state, zip co e) '~. '
Decedent then 99 years of age died 5/3/11 at 56 E. Willow St., Carlisle, PA
Estimated va;>ie of decedent's property at death:
(If domiciled. in Pa.)
(If not domiciled in Pa.)
f If~ not domiciled in Pa.)
Valae of real estate in Pennsylvania
situated ~ foli
250,000.00
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 a ro riate form to the undersi ned:
i nature or rant name an res~~ence
ar ene ea er
r ~4 ~ a ,~, . _ t ~9 ~ a 1 0 .~ i 40 Wedgewood Drive, Carlislez PA 17015 -
Page 1 of 2
OATH OF PERSONAL REPRESENTATIVE
COMMONWEATLH OF PENNSYLVANIA
COUNTY of CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and corn
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 subscrib d
before me this ~h x ~ _ " J
t~c,~ l
~' "~.,~.~~ a `~C~ I Gel
For the Register
Darlene Shezff~r
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File Number: ~ ~ - ~ ti
Estate Of Inez M. Myers
Social Security Number: 187-16-4651
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Deceased- ' - _
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Date of Death " `~~} ~~ J
Y 3~ ~~~-,
AND NOW ~ .` ~ ~ , 201 in consideration of the Petition, satisfactory proof
having been presented b ore me, IT IS DECREED that Letters Testamentary
are hereby granted to Darlene Sheaffer
in the above estate
and that the instrument(s) dated November 19, 2002
described in thte etition to be admitted to probate and filed of record as the las Will (and Codicil(s) of Decedent)
C~ CCU, i C: i i 1-j ~-~ ` .~ ~ -~ C U c:~~. C 1 f ~ ~~ ~ ~ ~~ C%
Register of Wills ~~,~ ~~ f t C~~`7;.,~~:~w ~-:1-~ ~;c>
FEES ~-
Signature ~-'J_
Attorney Name Robert G. Frey
Letters ~ 1(~ ~~
Short Certificates ~ ~ , ~~ Sup. Ct. I.D. No
Renunciation
~ ~ ~ j ~ - ~~,) Address:
~~~.C1~ ~k2 ~~U ~GZ
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~~ - C~-~1 Telephone:
TOTAL... ~~ ~ ~ , ~ j ~}
46397
5 South Hanover Street
Carlisle, Pennsylvania 17013
(717) 243-5838
Page 2 of 2
LOCAL REGISTRAR'S CERTIFICATIORI C-~' DEAT'~l
WARNING: It is illegal to duplicate this copy by photostat or photograph.:
Fee fc~r this certificate. `~(~.(1O
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See instructions and examples on reverse) STATE FILE NUMBER
433-024
2. Sez 3. Segal Security Number 4. Date of Death (Month, day, year)
1. Name of Decedent (Rrst, middle, last, suffix)
Female 187 - 16 - 4561 M:~3 2011
Inez M M ere
) Under 1 year Under 1 day 6. Date of Birth (Month, day, year) 7. Birthplace (Cky and state or to ' n country) 6a. Place of Death (Check only ono)
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ay
as
5. Age (
Hospital: Other.
MM
uta
Munroe Deys Hour
1912 Carl isle , PA ^ Inpatient ^ ER /Outpatient ^ DOA ^ Nursing Home Residence ^Other-Specify:
Februar 1
,
g g Yrs.
Ci Boro Twp. of Death fid. Facility Name (If not irMilution, give sheet and number) 9. Was Decedent of Hlslxinic Origin? ~] No ^ 1'es 10. Race: American Indian, Black, WhNe, etc.
th Bc
f D
ISP~61
.
ea
6b. County o
(I( yes, specify Cuban,
White
• Cumberland Carlisle 56 East Willow Stree Mexican; Puerto Rican, etc.)
Decedent's Usual lion Kind of work done du ' most of Ifle. Do rtot state retired 12. Was Decedent ever in the 13. Decedent's Education (Spcuity Doty highest grade canpleted) 14. Wi n~~ p ` M~ ed~r~r Married, '15. SurvNing Spouse (If wife, give maiden name)
11
.
Kind of Work Kind of Business I IMuatry U.S. Amred Forces? Elementary / Secondary (0-12) College (1-4 or 5+)
Homemaker Own Home ^Yea [~No g _
16. Decedent's Maglrg Address (Street, city I town, stale, zip code) Decedents Did Decedent
17c. ^ Yes, Decedent Wed In __ T'NP
a
~
56 East Willow Street ~+~ Resdence 17a. State ~ To
wnsh
rp?
ivedwdnin
17d•~~
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C
t
Carlisle, PA 17013 e city/Boro
s
_
ar
17b.County Ct~ml~rland
o
uet
16. Father's Name (First, middle, last, suffix)
John B. Wallace 19. Mother's Name (First, middle, maiden sumeme)
Nora B. Weis -
Informant's Name (Type /Print)
20a 20b. Inlonnant's Mailing Address (Street, ctiry /town, state, zip code)
.
Darlene Shaeffer 40 Wedgewood Drives Carlisle, PA 17(J15
27a. Method of Dispositon ^ Cremation ^ Donation 21 b. Dale of Disposiion (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory a other place) 21 d. Location (City /town, state, zip code)
May 10, 2011 Westminster Cemetery Carlisle, PA 17013
'
•
~ Burial ^ Removal from State
waecrematfmorponetro
Medk:al Ez ororrer7 ^ Yes ^ No
b
y
^ Other - S ity:
• 22b. License Number 22c. Name and Address of Facility
22a. Sfgna f Funeral Service Licensee or ) Hof fman-Roth Fvnera 1 Home & Crematory
138504
_ ~
Complete Items 23ec en certityirg 23a. To the best of my knowledge, death occurred at the time, date and place stated. (Signaure and title) 23b. Ucense Number 23c. Date Signed (Month, day, year)
physk:ian L5 not ova' eat time of death 10
certify cause of deem.
Time of Death 25. Date Pronounced Dead (Month, day, year) 28. Was Case Referred to Medical Examiner / Gxoner for a Reason Other than Cremation or Donation?
24
~
.
Items 24-26 must be completed M' person
Yes ^ No
wfa proraurtces death. A rx . 1:00 P "^ Ma 5 2 011
CAUSE OF DEATH (See Inatruetlons and examples) r Approximate interval: Pert II: Enter other siwtlfkant conditions contributing to de;tlp,
iven in Fart I
cause
in
d
ri
i
i
th 26. Dld Tobacco Use Contribute to Death?
Yes Praba
^ ^ a1'
Item 27. Part I: Enter the chain of events -diseases, injuries, or complications -that directly caused the death. DO NOT enter terminal events such as cardiac arrest, r Onset to Death .
g
g
e un
e
y
n
but not result
ng k
^ U
N
respiratory arest, or ventricular fibrillation without showing the elblogy. List only one cause on each line. ~ n
nown
o
^
IMMEDIATE CAUSE Rnal disease or r
rddionresultin in~eath)
ocardial Infarction r
M
Remote MI - 29. If Female:
nant wihin past year
^ Not
re
_~
co
g a r
y
Due to (or as a consequence of): r g
p
^ Pregnantattimeoldeath
ertensive Cardiovascular Disease ~
d
diti
H
eny, b.
orta,
yp
sequentiailyliatcon
r
leafing to a cause lsted on line a. ^ Not pregnant, but pregnant within 42 days
Due to (or as a consequence of):
Enter the UNDERLYING CAUSE r
r
that initiated the
disease or inju of death
t
1
43 d
ry
(
c.
events resulting in deaM) LASL ' year
ays
o
^ Not pregnant, but pregnant
Due to (or as a consequence of): ~
• d. , before death
^ Unknown if pregnant within the past year
30a. Was an Autopsy 30b. Were Autopsy Findings 31. Manner of Death 32a. Date of Injury (Month, ley, year) 32b. Desaibe How Injury Occurred 32c. Place of Injury: Home, Farm, Street, Factory,
Office Building, etc. (Specify)
Performed? Available Prior to Completion
Natural ^ Homicide
of Cause of Death? Accident ^ Pending Investigetbn 32d. Time of Injury 32e. Injury at Work? ~ 32f. M Trensportation Injury (Specify) 32g. Location of Injury (Street, I town, state)
^ Yes No ^ Yes ^ No
^ Yes ^ Ne ^ Driver /Operator ^ Passenger P ~~
^ Suicide ^ Could Not be Determined M
33a. Certifier (check Dory one) 33b. Signature and Tdle Ced'rfier
• CeRMying phyakian (Physician certifying cause of death when aratfrer physician has pronounced death and completed Item 23)
_ _ _ _ _ _ _ _ _ _' - - -' - -' - - - - ^
rrod due to the cause(s) and manner es rdated
Mh
d
d
l ~ ~ C o r o n e r
_ _ _ _ _ _ _ _ _ _ _
xcu
e
ge,
e
To the bast of my know
e of death)
i
t
d
tif
M 33c. License Number 33c1. Date Signed (Month, day, year)
o caus
an
cer
y
ng
• Prawuncing and cerlfying phyaktan (Physician both pronouncing dea
_ _ ^
tated
d
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
manner as s
To the best of my knowledge, death occurred at the time, date, and place, and due to tfre cause(s) an May 5 ~ 2 011
• Medical Examiner I Coroner
On the baala of examinetlon and I rx inveatigatbn, In my opinion, death occurred al the time, date, and place, and due to the cause(s) and manner as stated_
34. Name and Address of Person Who Completed Cause of Death (ttem 2i) Type /Print
Todd C. Eckenrode, Coroner
--~
35.Registrar'sS tt~a~nd~Di~st"'~N~tr§r ~ ~ I ~ I I ( I d I 36. Date Filed (Month, day, year) 6375 Basehore Rd. , Suite ~~1
,~
Disposition Pernlt No. ~ ~ (~~ ~o ~ ~ b~`?-
LAST WILL AND TESTAMENT
OF
INEZ M. MYERS
I, INEZ M. MYERS, widow, of 56 East Willow Street in the Borough of Carlisle,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this as and for my Last Will and Testament,
hereby revoking and making void any and all Wills by me at any time heretofore made.
1. I direct my hereinafter named Executor or Executrix to pay all of my just debts and
funeral expenses as soon after my death as may be found convenient to do so. I direct that all
inheritance, transfer, succession, estate and death taxes which may be payable on account of my
death, including interest and penalties thereon, shall be paid from the residue of my estate regardless
of whether the assets upon which such taxes are based are included in my probate estate.
2. All of the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath as follows:
a. One-third (1 /3) to Grace United Methodist Church, Pomfret and West Streets,
Carlisle, Pennsylvania, to be used for such purpose or purposes as the Board of said Church shall
deem best;
b. One-third (1/3) to the Carlisle Citadel of The Salvation Army, Pomfret and Bedford
Streets, Carlisle, Pennsylvania, to be used by it for its various programs in the Borough of Carlisle
and in Central Cumberland County, Pennsylvania, as its Board shall deem best;
c. One-third (1/3) to the Humane Society of Harrisburg Area, Inc., for such purposes
as its Board shall deem best in connection with its operation of its West Shore Shelter located at the
intersection of Sinclair and Eppley Roads, Mechanicsburg, Pennsylvania.
3. I hereby nominate, constitute and appoint DARLENE SHEAFFER of 40 Wedgewood
Drive, Carlisle, Pennsylvania, as Executrix of this my Last Will and Testament, but should she
predecease me or fail to qualify or cease serving as such, then in such event I nominate, constitute
and appoint PNC Bank and its successors, 4242 Carlisle Pike, Camp Hill, Pennsylvania 17011, as
alternate or successor Executor, and I further direct that neither of them shall be required to post
anv bond to sec~jre the faith.fi~l pPrf~?-ma.nce of her cr its dunes ~:: ±I:.e Co:rr:-ion ~~~,alt'r~ . of
Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF, I hereur~o set my hand and seal to this my Last Will and
Testament written on one (1) page, this ~' q day of November, 2002.
(SEAL)
Inez M ye
Signed, sealed, published and declared by INEZ M. MYERS, the Testatrix above-named, as
and for her Last Will and Testament, in our presence, who, in hex presence, at her request, and in the
presence of each other, have hereunto subscribed our names as attesting witnesses.
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Inez M. Myers , DF;cE;ased
Robert M. Frey and Trisha A. Liess , (each) a subsribing witness to
the [X] Will [] Codicil presented herewith, (each) being. duly qualified according to law, depose(s)
say(s) that she / he /they was /were present and saw the above Testator / Tesatrix sign thf: same
and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the pre f eacY~ other.
t a r ,•
(Signature) (Signature)
5 South Hanover Street
(Street Address)
5 South Hanover Street _
(Street Address)
Carlilsle, PA 17013
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of , 20
Carlilsle, PA 17013 _
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and `ubscribed
before me this / ~ da.y
_~~---
~_
Deputy for Register of Wills Notary Public
My Commission Expirees:
(Signature and Seal of Notary or other offical ~~ualified to
administer oaths. Show date of expiration of Not:ary'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.
~roF ~vrrsnwNU-
tror~w.s~u.
~aaorc.~c co~,~rpr-
My Carrunissina E~ires .kr+e ~ zo„
FIRST CODICIL TO LAST WILL AND TESTAMENT OF
INEZ M. MYERS DATED NOVEMBER 19 2002
I, INEZ M. MYERS, widow, of 56 East Willow Street in the Borough of Carllisle,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory
and understanding, do hereby make, publish and declare this as and for a First
Codicil to my Last Will and Testament dated November 19, 2002, as follo~nrs:
1. I give and bequeath all of my household goods and furnishings and
tangible personal property generally in equal shares to my nephew, EUGENE
HENRY of 1760 Raleigh Court, E-28-A, Ocean, NJ 07712-2603, my nephE~w,
JACK HENRY, of 471 Freehold Street, Oakhurst, NJ 07755, and my niece,
DARLENE SHEAFFER, of 40 Wedgewood Drive, Carlisle, PA 17013, to bE~
divided equally among them as they may agree, but should they fail to agree
then as my hereinafter named Executrix shall determine.
2. I give and bequeath the sum of $1,000.00 to my nephew, EUGENE
HENRY, 1760 Raleigh Court, E-28-A, Ocean, NJ 07712-2603.
3. I give and bequeath the sum of $1,000.00 to my nephew, JACK
HENRY, of 471 Freehold Street, Oakhurst, NJ 07755.
Except as herein above provided, I hereby ratify and affirm the provisions
of my Last Will and Testament dated November 19, 2002.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this
First Codicil to my said Last Will and Testament written on one (1) page
this ~ `~ day of April, 2003.
SEAL)
Inez M. ers
Signed, sealed, published and declared, by INEZ M. MYERS the Testatrix above
named, as and for her Last Will and Testament, in our presence, who, in her
presence, at her request, and in the presence of each other, have hereunto
subscribed our names as attesting witnesses.
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Inez M. Myers ,Deceased
Robert G. Frey and
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were we.
acquainted with Inez M. Myers and am/are familiar with the handwriting and signature of the
decedent, and that the signature of _
to the foregoing instrument purporting to be the First Codicil dated Apri129, 2003
Inez M. Myers is in his/her own proper handwriting.
_,--
,,-
(Sig ature)
5 South Hanover Street
(Street Address)
Carlisle, PA 17013
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ~ ~ ~C~ il~
,.
s ~ .~
,•
eputy for Register o ills
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(Signature)
(Street Address)
(City, State, Zip)
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
---------------------------------
Estate of Inez M. Myers ,Decreased
Robert M. Frey , (each) a subsribing witness to
the [ ]Will [x] Codicil dated April 29, 2003 presented herewith, (each) being duly qualified accordi
to law, depose(s) andsay(s) that she / he /they was /were present and saw the above Testator / Tesal
sign the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
C.a'''~-L.=t..3 ~ 1
(Signature) (Signature)
5 South Hanover Street
(Street Address)
Carlilsle, PA 17013
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of , 20
5 South Hanover Street
(Street Address)
Carlilsle, PA 17013 _
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed anc~`subscribed
before me this ~ ~ da,y
,~`
Deputy for Register of Wills Notary Public
My Commission Expirees:
(Signature and Seal of Notary or other offical 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,
SECOND CODICIL TO LAST WILL AND TESTAMENT OF
INEZ M. MYERS DATED NOVEMBER 19. 2002
I, INEZ M. MYERS, widow, of 56 East Willow Street in the Borough of Carlisle,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory
and understanding, do hereby make, publish and declare this as and for a
Second Codicil to my Last Will and Testament dated November 19, 2002, as
follows:
1. I give and bequeath the sum of $10,000.00 to my friends Daniel
Sheaffer and Darlene Sheaffer, husband and wife, as tenants by the entirety, of
40 Wedgewood Drive, Carlisle, PA 17013.
Except as herein above provided, !hereby ratify and affirm the
provisions of my Last Will and Testament dated November 19, 2002, and i:he
provisions of my First Codicil to my said Last Will and Testament, which First
Codicil is dated April 29, 2003.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this
Second Codicil to my said Last Will and Testament, and First Codicil thereto,
written on one (1) page this ~ ~,,~-day of May 2003.
EAL)
Inez M yers
Signed, sealed, published and declared, by INEZ M. MYERS the Testatrix above
named, as and for a Second Codicil to her Last Will and Testament and First
Codicil thereto, in our presence, who, in her presence, at her request, and in the
presence of each other, have hereunto subscribed our names as attesting
witnesses.
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Inez M. Myers ,Deceased
Robert M. Frey , (each) a subsribing witness to
the [ ]Will [x] Codicil dated May 28, 2003 presented herewith, (each) being duly qualified accordi:
to law, depose(s) andsay(s) that she / he /they was /were present and saw the above Testator / Tesal
sign the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
(Signature)
5 South Hanover Street
(Street Address)
Carlilsle, PA 17013
(City, State, Zip)
Executed in Register's Office
(Signature)
5 South Hanover Street
(Street Address)
Carlilsle, PA 17013
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this day
of , 20
Deputy for Register of Wills
Sworn to or affirmed ~ subscribed.
before me this ~ day
of V~ -- , 20 l~_~_
.~
Notary Public
My Commission Expirees:
(Signature and Seal of Notary or other offical 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.
~~+~~~sr~v~wu-
NOTARW. SEJ1L
#OBERT G. FREY, Mot~y PubNe
8orou~h of Cerlisla. Cumberland Cquty p-~
My Commission Exgres June ! 2014
OATH OFNON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Inez M. Myers ,Deceased
Robert G. Frey and
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they wa.s /were we
acquainted with Inez M. Myers and am/are familiar with the handwriting and signature of the
decedent, and that the signature of _
to the foregoing instrument purporting to be the Second Codicil dated May 28, 2003
Inez M. Myers is in his/her own proper handwriting.
(Signature)
5 South Hanover Street
(Street Address)
Carlisle, PA 17013
(City, State, Zip)
Executed in Register's Office
Sworn to or affirm~c~ and subscribed
before me this- day ~"~~
of ~.' , , 266 ~~
(Signature)
(Street Address)
(City, State, Zip)
~i ~° :~ '~
Deputy for Register o ills