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07-18-11
RENUNCIATION REGISTER OF WII,LS CUMBERLAND COUNTY, PENNSYLVANIA Estate of SI~RLEY BENNETT LOTZ a/k/a SHIIZLEY ANNE BENNETT LOTZ __, Deceased (No. 2010-1196) I, ~~ i ~-~, ,j r'Vt.~=J ~ 0 ~ , as ~! i c:$ ~1~~3 i y~ ,for MID PENI'1 BANK, named Alternate Executor pursuant to Paragraph X, Last Will and Testament of Shirley Bennett Lotz, dated May 26, 2010, hereby renounce the right to administer the Estate of Shirley Bennett Lotz, DE;cerased. ~~ WITNESS my hand this day of J Ups 2011. Mid Penn Bank: ~_ © Cif ~~~'' = ~, ~ VAN ~ t~~ ~~ ~ y~-t y~ ~ ~~ ~, ; .. G~ __ -- ~ cc ` _. ~ Name: . ~.~ a L..~> ~ : _~:~ c~.~ ~ ~ ~~~ ,~ i--~.. i- ~ Title: t ~ ~- [ .~x::, ~ ~~>" - ~~~~~' ~ 349 Union Street Millersburg, PA 17061 Executed in Register's Office Executed out of Register's Office SWORN to and subscribed before me this day of , 2011. Deputy for Register of Wills COMMONWEALTH OF PENNSYLVANIA: COUNTY OF DAUPHIN: Before the undersigned personally appeared the party executing this Renunciation and certified that he/she executed the Renunciation for the purposes stated within on this ~"~ day of ~~,-~~ , 2011. Notary Public My Commission Expires: ~MMC~NW~1L~"H ~ i~NNS LVANiA Not~arlal Seal Jared M. Leonard, Notary Pubik Middle Paxton 1'wp., Dauphin County My Commission Expires April 9, 2014 Member, Pennsylvania Associai:lon of Notaries ~~