HomeMy WebLinkAbout06-15-11PETITION FOR PROBATE AND
GRANT OF LETTERS
REGISTER OF WILLS OF C-~ks ~~~~.J/
COUNTY, PENNSYLV~A
Estate of ~-~,.C=r1/ a, ~~ L~
also known as File Number ,~ ~ ~ ~ ~ (~~'~
Deceased Social Security Number ~~ G •- ?~ ._ / (o / 9
PPYttinnArfc.\ ..L_ __i_
___ _._.,,,,, .,,,,, ,„QiC , a years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
!J A. Probate and Grant of Letters estamenta and av
last Will of the Decedent dated /I ~j t /9/ ~ er that Petttioner(s) is /axe the ~fL~Gv r-/Li ~
and codicil(s) dated ,v~,¢ named in the
(J'tate relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not many, was not divorced, and did not have a child born or ad
for probate, was not the victim of a killing and was never adjudicated an incapacitated erson: opted after execution of the instrument(s) offered
P
B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; db.n.c.t.a.; pendente life; durante absentia; durante minoritnte)
.Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survi
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list o hei
ved by the following spouse (if any) and heirs: (If
f rs.)
Name
._. ~y~
i~f ~~
(COMPLETE INALL CASES.) Attach additional sheets if necessary. ~, ~~ 1
Dece~ent was domiciled at death in ~vK/bcSrt.L.,q.1. ~ ~ ='
c'~')f-s~~ ~ j~ LEA ~ / ~ County, Pennsylvania with his /her last principal rese at ~ • ~~ Q
(List street address, town/city, township, county, state, zip code) ~h ~ ~'~' L ~''~ ~
P,u d'"
D~eced3ri, t~ n ~.~ years of age, died on Z ~~ll t a Q G A
L ?bc~Sif~v' t '`~T7f i`'y (/r C<<16F'~
L.cih 3 trt C a ,~ c1
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA) All personal property
Personal roe $ ~C~C7c? . ~
(If not domiciled in PA) P P rty in Pennsylvania $
Value of real estate in Pennsylvania Personal property in County
=::
situated as follows: $
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this P '
undersigned: et~tion and the
grant of Letters in the appropriate form to
~.a
~d or printed namr an~i ro •a
C --- ~.uiuclltfV~GI
Form RW-02 rev. 10.!3.06
Sh~~4.d ~ ~ /~ 1~
Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVA~
SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affirm(s) that the statement '
the knowledge and belief of Petitioner(s) and that, as personal r re sin the foregoing petition are true and correct to the best of
ep sentative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
~~
Sworn to or affirmed and subscribed
before me the ~ ~ ~`~_ day of
~11LY l ~ ' sc~ r.L_
For the Register
. ~ c~
Signature of Personal
Signature ofPersonnl Representative
~'ignature of Personal Representative
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File Number: ~ ~ - ~, ~ _ ~ ~ ~ `{ •.
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Estate of ~`?~
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Deceased
~.
Social Security Number:_ ~ (D ~4 - a) ~ l l D 1 q
Date of Death: + ~
,AND NOW, (/~ ~~ `~
having been presented before me, IT IS DECREED that Letters . ~ consideration of the foregoing Petition, satisfactory proof
are hereby granted to ~~ ~" h~ ~h-~1' R J
and~that the instrument(s) dated ~ ~ -- ((- ~C`Cl ~ in the above estate
described in the petition be admitted to probate and filed of record as the last Will
(and Codicrl(s)) of Decedent
FEES
Letters ........ . , _ $ ~~ t~
Short Certificate(s) ~~.. , , . $ . G-~
Renunciation(s) ~.) . , , , . , $ ~~ .
... $ ~-~
... $
... $
... $
...$
... $
... $
TOTAL .............. $ ~~ 0.00
Form RW-02 rev. 10.13.06
Attorney Name: ~ E~~c i n7 ~ ~L t' ~. ~ el
Supreme Court I.D. No.: ~ ~ ~ y
Address: Stu' ~ ~ iT1tt ~ S ~ ,
P~.6~.~ c~vy
Telephone: C`7 t '7~ 2 3 ~, , 1 ~, ~~--
Page 2 of 2
1O5.RO5 RFV rnirn„ - _ -
LOCAL REGISTRAR'S CERTIFICATION OF DE~-TH
WARNING: It is illegal to duplicate this copy by photostat or photograpll~„
Fee for this certificate, $6.00
P 17244426
Certification N~Imber
°S''~ p~ "~ COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE . PR81T w
Peu`i~: CERTIFICATE OF DEATH
/~~ In:tnuMlnna •n~ ~r•~nnl•• ..n .~..~~~~~
'his ~s to certify that khe information here given is
orrectly copied fro11~ an original Certificate of Death
my filed with me as Local Registrar. The original
ertificate will he fOrw~>rded to the State Vital
ecords OfFice loo ~;rmanent filing.
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,_ocal Regish-ar~~ C Ira~~ ue
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RENUNCIATION ~7
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REGISTER OF WILLS .~.~ .,~
CUMBERLAND COUNTY
PENNSYLVANIA ~~
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Estate of Helen B. Hill a/k/a Helen Baker Hill
Deceased
I, Christopher B. Hill , 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
Nancy S. Hill (Richwine)
,2L~_~
(Date
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
,...
(Signature)
~~~
2110 Fairview ~e~ue.
(Street Address)
Allentown, PA 18104
(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 renunciation for the
purposes stated within on this ,~.V day
of M~ , _ Kati
OUr1
Notary P lic
My Commission Expires: ~C~"~-~~ 3 ~ ~ 020 ~ 3
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEAlTN ~ ~,~
NOTARIAL SEAL
~ pN ~ 1~.LENtOMl~13; LE1~GFi Gn
COMMISSION EXPIRES O~pg~ 31, 2013
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RENUNCIATION ~ ~ ~~
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REGISTER OF WILLS
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----
CUMBERLAND COUNTY, PENNSYLVANIA ~~
~~~~'~' ~ w..~-~
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Estate of Helen B. Hill a/k/a Helen Baker Hill
daughter
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Nancy S. Hill (Richwine)
i
~~ ~' ~/'
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Deceased
I, Meredith L. Hill (Poole) , in my capacity/relationship as
(Print Name)
3026 Logan Street
(Street Address)
Camp Hill, PA 17011
(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 renunciation for the
pure e stated within on this ~ ~ da
of y
Notary Public-
My Commission Expires: ` ~ ~ ` ~~
~S'~.~(~~~~I~ap.~~1VgN'~tl~f~ial qualified to
a expira ion o otary's Commission.)
~N A
Sl1SAN J: MILLER, Notary Public
Camp Hill Boro, Cumberland County
My Commission Expires September 19, 2013
Form RW-06 rev. 10.13.06
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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Estate of Helen B. Hill a/k/a Helen Baker Hill
Deceased
Harold B. Hill, through my Substitute Agent Nancy S.
1, Hill (Richwine) under Durable Power of Attorney , in my capacity/relationship as
(Print Name) dated 11 11 91
spouse of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Nancy S. Hill (Richwine)
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this _ ~ day
eputy for Register of Wills
r
f~
(Signature ancy 1 lc wine , gent
for Ha old B. Hill
8 Shady Roa
(Street Address)
Camp Hill, PA 17011
(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 renunciation for the
purposes stated within on this day
of
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.)
Form RW-06 rev. 10.13.06
DURABLE GENERAL POWER OF ATTORNEY
HAROLD B. HILL
TO
MY SPOUSE, B, ~~,
Law Office
1~ARSgALI, ~ DRIBR
303 Allegheny Street
Jersey Shore, Pennsylvania 17740
717-398-7603
DURABLE GENERAL POWER OF ATTORNEY
I, HAROLD 8. HILL, social security number 143-
16-9424, currently residing at 733 Market Street, Mifflinburg,
Pennsylvania 17844, hereby appoint my spouse, H$LEN B. HILL, who
currently resides at the same address, as.,my agent with full power
and authority to do everything necessary in exercising any of the
powers herein granted as fully as I might or could do if personally
present, and I hereby ratify all that my agent shall lawfully do
or cause to be done by virtue of this power of attorney and the
powerB herein granted. My agent shall have the power to act for
me as follows:
1. GSNBRAL GRANT OF POWER. My agent shall have the
general, power to exercise or perform any act, power, duty, right
or obligation whatsoever that I now have or may hereinafter
acquire, relating to any person, matter, transaction or property,
real or personal, tangible or intangible, now owned or hereafter
acquired by me, including, without limitation, the following
specifically enumerated powers:
(a) PO~TSRS OF SALE, ASSIGN~pT, TRANSFER, COLLECTION, AND
P19-Y1~NT. To sell, assign, transfer, forgive, request, demand, sue
for, recover, collect, receive, hold and take any other action that
I myself might take with regard to all sums of money, debts, dues,
commercial paper, checks, drafts, accounts, deposits, legacies,
bequests, devises, notes, interests, stock certificates, bonds,
dividends, certificates of deposit, .annuities, pension, profit
sharing, retirement, social security, insurance and other
contractual benefits and proceeds, all documents of. title, all
property, real or personal, tangible or intangible property and
property rights, and demands, whatsoever, liquidated or
unliquidated, now or ,hereafter owned by, or due, owing, payable or
belonging to me or in which I have or may hereafter acquire an
interest; to have, use, and take all lawful means and equitable
and legal remedies and proceedings in my name for the collection
and recovery thereof, and to adjust, sell, compromise and agree for
the same, and to execute and deliver for me, on my behalf, and in
my name, all endorsements, releases, receipts, or other sufficient
discharges for the same;
(b) POWER TO ACQIIIRB AND SRLL. To acquire, purchase,
exchange, grant options to sell, sell, assign, transfer, and convey
all real or personal property, tangible or intangible, or interests
therein, on such terms and conditions as my agent shall deem
proper;
(c1 MANAGB~T POASRS. To maintain, repair, improve,
invest, manage, insure, rent, lease, encumber, and in any manner
deal with any real or personal property, tangible or intangible,
or any interest therein, that I now own or may hereinafter acquire,
in my name and for my benefit, upon such terms and conditions as
my agent shall deem proper;
(d) BANKING POWERS. To make, receive and endorse checks
and drafts, make deposits and withdraw funds, acquire and redeem
certificates of deposit, in banks, savings and loan associations
and other institutions, execute or release mortgages, assignments
or other security agreements as may be necessary or proper ire the
exercise of the rights and powers herein granted;
(e ) 1~OTOR VBHICLSS . To apply for a Certificate of Title
upon, and endorse and transfer title thereto, for any automobile,
truck, pickup, van, motorcycle or other motor vehicle and to
represent in such transfer assignment that the title to said motor
vehicle is free and clear of all liens and encumbrances except
those specifically set forth in such transfer assignment;
(f j BIISIN$SS INTSRBSTS. To conduct or participate in any
lawful business of whatever nature for me and in my name; execute
partnership agreements and amendments thereto; incorporate,
reorganize, merge, consolidate, recapitalize, sell, liquidate, or
dissolve any business; elect or employ officers, directors and
agents; carry out the provisions of any agreement for the sale of
any business interest or the stock therein; and exercise voting
rights with respect to stock, either in person or by proxy, and
exercise stock options;
(g) TAX POpBRS. To represent me in all tax matters and
to prepare, sign and file all federal, state and/or local income,
gift and other tax returns of all kinds, for any perit~d of time,
including joint returns, claims for refunds, requests for
extensions of time, petitions to the tax court or other courts
regarding tax matters, and any and all other tax related documents.
(hj SAFB DRPOSIT BOXBS. To have access at any time or
times to any safe deposit box rented by me individually or jointly,
wheresoever located, and to remove all or any part of the contents
thereof, and to surrender or relinquish said safe deposit box; any
institution in which any such safe deposit box may be located shall
not incur any liability to me or my estate as a result of
permitting my agent to exercise this power;
(ij EMPIrOY1~NT OF ADVISORS. To employ accountants,
investment advisors, lawyers, physicians, dentists, and others and
to compensate them;
(j) F'OWBRS AS DBFINSD BY SBCTION 5603 OF THE P$NNSYLVANIA
PBF CODE SBCTIOI~S 5602 AND 5603. To have all of the f ollowing
powers as they are currently defined in Chapter 56, Section 5603
of the Pennsylvania Probate, Estates, and Fiduciaries Code (20 Pa.
C.S. Sec. 5603):
1. To make unlimited gifts, PROVIDED, HOWEVER, that if
my agent is other than my spouse, the agent shall
be authorized to make unlimited gifts only with the
consent of a majority of my children, NANCY S. HILL,
CHRISTOPHER B. HILL, and MEREDITH L. HILL;
2
2. To create a trust for my benefit;
3. To make additions to an existing trust for my
benefit;
4. To claim an elective share of-the estate of a
deceased spouse;
5. To disclaim any interest ~in property;
6. To renounce fiduciary positions; ,
7. To withdraw and receive the income or corpus of a
trust.
2. INTBRPRBTATION AND GOVBRNING LAW. This instrument is
to be construed and interpreted as a general durable power of
attorney. The enumeration of specific powers herein is not limited
to, nor does it, limit or restrict the eneral
granted to my agent. g Powers herein
This instrument is executed and delivered in
the ~omm~onwealth of Pennsylvania, and the laws of the
Commonwealth of Pennsylvania shall govern all questions as to the
validity of this power and the construction of its provisions.
3 • THIRD-PARTY RBLIANCB. Third. parties ~paay rely upon the
representation of my agent as to all matters related to any power
granted to my agents, and no person who may act in reliance upon
the representation of my agents or the authority granted to my
agent shall ~.ncur any liability to me or my estate as a result of
permitting my agent to exercise any power. '
4. DISABILITY OF PRINCIPAL. This General Power of
Attorney shall not be affected by my subsequent disability or
incompetency.
5 - PHO~1'000PIBS. I direct that photocopies of this power
shall have the same force and effect as the original.
6- 8FF$CTI~TS DATE. This power of attorney shall become
effective immediately upon its execution by me.
7. APPOI~11'1~NT AS FIDUCIARY.
appoint my agent, H$LBN B. HILL, or any substitute o gents then
serving hereunder, to serve as my guardian, conservator, or similar
fiduciary, if a court of competent jurisdiction, after proper
findings, proposes to make such an appointment. If my nomination
is not authorized by law, I strongly urge such court to appoint
this person as my guardian, conservator, or similar fiduciary.
8. SUBSTIT[J'1B AGRNT. If HSLBN B. HILL ceases to act as
my agent due to death, incapacity, or resignation, or for any other
reason, I appoint my daughter, NANCY S. HILL, as my attorney in
fact and agent with full power and authority as specified herein.
If my daughter, NANCY S. HILL, is unable or ceases to act as my
3
. ,
agent for any reason, I appoint my son, CHRISTOPHER B. HILL, and
my daughter, MEREDITH L.. HILL, to act together as my co-agents.
If either of my alternate co-agents is unable to serve, the
remaining co-agent shall serve as my sole agent for all purposes
hereunder. Any person shall accept as true a statement by my
lawyer, JEFFREY A. MARSHAT.T., whose current business addres is 303
Allegheny Street, Jersey Shore, Pennsylvania 17740, to the effect
that my original agent or any alternate agent is unable to act or
to continue to act as my agent due to death, incapacity,
resignation, or for any other reason. I hereby release my said
lawyer, JEFFREY A. MARS$ALL, from any liability to me or my estate
for making any representation in regard to the inability of any
person to act as my agent due~~to death, incapacity, resignation,
or for any other reason, and I further release all third parties
from any such liability for relying upon the representation of my
said attorney.
IN yTITAESS WHHRBOF, I have hereunto signed my name and
seal this 11th day of November, 1991.
HAR07,D B. HT7•T•
I __ KAREN M. CRUST declare that the person whp signed
or acknowledged this document entitled General Durable Power of
Attorney is personally known to me to be HAROLD B. HILL (the
"grantor"j, that the grantor signed or acknowledged this General
Durable Power of Attorney in my presence, that the grantor appears
to be of sound mind and under no duress, fraud or undue influence,
that I am not related to or a beneficiary. of the grantor, and that
I am not the person appointed as agent by this document.
Witness
215 8fah Street
Street Address ~~
Jersev Shore, PA 17740 _
City, State, Zip Code
4
COMMONWEALTH OF PENNSYLVANIA :
COUNTY OF LYCOMING ~ SS
..
On this, the llth day of November, 1991, before me, a
Notary Public, the undersigned officer, personally appeared HAROLD
8. HILL, (known to me or satisfactorily proven) to be the person
whose name is subscribed to the witha.n instrument and acknowledged
the execution of the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and notarial
seal.
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~ ~~~~ Exp~res~7.1994
My Commiss~.on Expires
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LAST WILL AND TESTAMENT
OF
HELEN B. HII,L
Law Office
MARSHALL & DRIER
303 Allegheny Street
Jersey Shore, Pennsylvania 17740
717-398-7603
MAST WILL AND TESTAMENT
OF
HELEN B. HILL
I, HELEN B. HILL, currently residing at 733 Market
Street, Mifflinburg, Union County, Pennsylvania 17844, declare that
this is my Will and I revoke all other Wills and codicils which I
have made.
ARTICLE 1
FAMILY
1.01. IDENTIFICATION OF MY FAMILY. I declare that I am married
to HAROLD B. HILL ("my spouse") and that I have three children:
NANCY S. HILL, CHRISTOPHER B. HILL, and MEREDITH L. HILL.
References in this will to my "spouse" shall mean only HAROLD B.
HILL, and references to my children shall mean only the children
described as such in this Article 1.01.
ARTICLE 2
PAYMENT OF DEBTS AND TAXES
2.01. PAYMENT OF DEBTS. I direct my executor to pay all of the
expenses of (1) a funeral or memorial service; (2) the interment
of my remains, including the costs of a gravesite, if necessary,
and (3) the installation and inscription of a suitable marker at,
and perpetual care of , the gravesite. I further direct my executor
to pay all of my debts that my executor in the executor's sole
discretion may allow as claims against my estate.
2.02. PAYMENT OF TAXES. Except as otherwise may be provided
in my spouse's will or trust, or in any other trust, all federal,
state and other death taxes payable because of my death on the
property forming my gross estate for tax purposes, whether or not
it passes under this will, shall be paid out of the principal of
my probate estate so that the burden falls on my residuary estate,
and none of those taxes shall be charged against any beneficiary.
The provision concerning payment of taxes shall not apply to
generation-skipping taxes and any property over which I have a
general power of appointment for federal estate purposes.
ARTICLE 3
DISPOSITION OF RESIDUARY ESTATE
3.01. DISPOSITION TO TRUST. All of the rest, residue and
remainder of the property that I own at the time of my death, both
real and personal, and of every kind and description, wherever
situated, to which I may be legally or equitably entitled at the
time of my death (my "residuary estate"), I give to the trustee
acting at the time of my death under the trust executed by me on
the same date as the date of execution of this will, by myself and
my spouse as Settlors and known as the H.B. HILL FAMILY TRUST. My
residuary estate shall be added to such trust and administered and
distributed under the provisions thereof, including any amendments
made pursuant to its. terms prior to my death. The receipt of the
trustee under the Trust Agreement shall be a full acquittance and
discharge to my executor for the property so distributed. On
distribution to the trustee, the administration of my estate shall
cease with respect to the assets passing to the trustee, and the
trustee shall not be subject to the control of the court in which
my will is probated.
3.02. ALTERNATE DISPOSITION IF TRUST NOT IN EFFECT. If for any
reason the trust described in Paragraph 3.01 of this Article is not
in existence at the time of my death, or if for any reason a court
of competent jurisdiction declares this testamentary transfer to
the trustee of the trust to be invalid, I direct that my residuary
estate shall be held, managed, invested, and reinvested in exactly
the same manner described in the trust, giving, if the court
allows, effect to all then existing amendments of the trust, and
managed by the same trustee or any successor trustee named in the
Trust Agreement. Thus, for these purposes I incorporate the
aforesaid Trust Agreement by reference into this Will. If the
court does not allow that Trust Agreement to be incorporated into
this will with future amendments, it shall be incorporated in its
form as existing on the date of this Will without regard to any
further amendments.
ARTICLE 4
FIDUCIARIES
4.01. EXECUTOR. I appoint my spouse, HAROLD B. HILL, to be
executor of my estate. In the event that my spouse is unable or
unwilling to act or continue as executor, for any reason
whatsoever, then I direct that my children, NANCY S. HILL,
CHRISTOPHER B. HILL, and MEREDITH L. HILL, shall serve as successor
co-executors. If any my said children should be unable or
unwilling to act or continue as co-executor for any reason
whatsoever, the remaining co-executors shall have full power and
authority to act without the requirement for the appointment of an
additional co-executor.
4.02. TRUSTEE. I name the Trustees specified in the trust
described in Paragraph 3.01 of this will to be trustees of any
trust created under this will.
4.03. WAIVER OF BOND. None of the fiduciaries specified in
this Article 4 shall be required to furnish bond for the faithful
performance of duties.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
11th day of November, 1991.
ice.,,. g. ~~
HBLSN B. HIIJ,
2
Signed, sealed, published and declared by the above-named
HELEN B. HILL (the "Testator") as and for the Testator's last will
in the presence of us and each of us, who, at the Testator's
request and in the Testator's presence and in the presence of each
other, have hereunto subscribed our names as witnesses thereto the
day and year last above written.
residing at 119 Arch Street
_ Jersey Shore, PA 17740
~~
residing at 215 High Street
Jersev Shore, PA 17740
3
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF LYCOMING
SS
I, HELEN B. HILL, Testator whose name is signed to the
foregoing instrument, having been duly qualified according to law,
do hereby acknowledge that I signed and executed the instrument as
my Last Will; that I signed it willingly; and that I signed it as
my free and voluntary act for the purposes therein expressed.
Sworn to and subscribed
before me by HELEN B. HILL,
the Testator this 11th day
of November , 1991.
COUNTY OF LYCOMING
1~ g.- ~Q~
~~ B. H~~,
Nciar:a` Seat
Gloria Marano Kizis Notary Public
Jersey Shore Boro Lycomin~ County
My Commission Expires Ap: ~t 7 1994
SS
We, CAROLYN J. THOMAS and KAREN M. CRUST , the
witnesses whose names are signed to the foregoing instrument, being
duly qualified according to law, do depose and say that we were
present and saw Testator sign and execute the instrument as her
Last Will; that she signed willingly and that she executed it as
her free and voluntary act for the purpose therein expressed; that
each of us in the hearing and sight of the Testator signed the Will
as witnesses; and that to the best of our knowledge the Testator
was at that time 18 or more years of age; of sound mind and under
no constraint or undue influence.
Sworn to and subscribed
before me by CAROLYN J.
THOMAS and KAREN M.
CRUST witnesses, this
11th day of November
1991.
Notary Public
Nctanal Seal
Goria Marano Kizis Notary Public
Jersey Shore t3oro. Lycoming County
My Commission Expires April 7 1994
4
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COMMONWEALTH OF PENNSYLVANIA