HomeMy WebLinkAbout09-06-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of /?o~3Et2.T' D ~Ro[!/l KE' ,Deceased ESTATE NO: 21- / / ' ~'~ ~
a/k/a:
a/k/a:
a/k/a:
SS NO: ?.~ 9- Z2 - 03 og
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
~,a.,~licable:
~A. Probate and Grant of Letters Testamentary or ~ Administration c.t.a., or d.b.n.c.t.a. co
and aver that Petitioner(s) is/are entitled to the aforementioned Letters %Stkm~tQ~ ( mplete Part C also)
the last Will of the above-named Decedent, dated Jant~.H / y, ~~r and y under
(State relevant circumstances, e.g. renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have achild-born or adopted after execution of the
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in
23 Pa. C.S.A. § 3323(g): ivo.dJ~
^ B. Grant of Letters of Administration
(If applicable, enter d.b.n., pendent life, durante absentia, durante 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 and complete list of ~ s
heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorc ~ ~ ~
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g), except as follows: ~ ~ H
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THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At _ ~f / 8 p/NE /t2o~8-D~ /ji T. ~foClY .SP~4//Ill'S. ~~- /Toe S
t~ireet aaaress wtth Yost Office and Zip Code, Municipality: Township, Borough, City)
Decedent, then _~j 9 years of age, died ~kS~ Z/, Zo// at `yhc_~y ~,y~ y.S~~O~
Estimated value of decedent's roe (M°nth, Day, Year of death) (C-ty and State where death occurred)
p p rty at death:
_If domiciled in PA All personal property $ / ooo. oD
_If not domiciled in PA Personal ro ~ ~~~~/
If not domiciled in PA p per' ttt Pennsylvania $
- Personal property in County $
_Value of Real Estate in Pennsylvania
Total Estimated Value $~ ooO.OO~ psh:,..l
Location of Real Estate in Pennsylvania: (Provide full address if possible.) /l~ ~~ ~,$J~~ G1/~t5 ~%I /r~ts~J
Name(s) & Mailing Address(es)
S
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court
OATH OF PERSONAL REPRESENTATIVE
Commonwealth of Pennsylvania ~ SS
County of Cumberland :
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DECREE OF PROBATE AND GRANT OF LETTERS
Estate of ~0,C3Q2T c~~RD/,//2/C~ ,Deceased File Number: 21- // _ ~ ~_~
AND NOW, this day of y ' ~ ', ~
~~ (~-~. -~1A-~~ ~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof ha~i g been presented before me, IT IS DECREED that Letters
Testamentary - of Administration are hereby granted to:
~ ~ i (If applicable, enter c.t.a., d.b.n., d..n.cta., etc.)
5~:.'. Y + ~ ll'-~ ~ ~ ~ ~ K-F' Cie ~~i ~ ~ 1' ~ ' 1, ~ ~'-
the above estate and that mstruments(s) dated 1 -- I`~ ~ 3 described in the petition be in
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
r
,~ ,
lenda Farner Strasbaugh, ~ - , y. i j ~~~~~ ~. „
Register of Wills ~ ~ ~>
i
FEES: Signature of Counsel Required to Enter A
ppearance
Letters ....................$ ~ C ,
Will ...................... --
Codicil(s) .................
(~) Short Certificates ~~ . "/
( )Renunciations.......
Bond ............................
Other .............................
.................................
Automation FEE......... 5.00
JCS FEE ................... 23.50
TOTAL ................$ ~~
Atty's Signature ~~~~~
PRINTED Name: ~iar/PS ~. S,h."ela~5 ~-
Supreme Court ID No.: 3$x/`3
Address: (D CfO~ser /COa ~/
/Y1ecl~~; c s~ H ry, ~.~ / 7D.S3
Phone: 7/7- 76~ - o~
Fax: 7/~ 7~S- 7573
Interim Form RW-02 revised 1226.10 by Cumberland County pending action by the Court
Page 2 of 2
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 according to law.
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNfNG: It is illegal to duplicate this copy by photostat or photograph.
Fee fi>r this certi;~icate. $h.00
P 17727766
Certificu=_ion ti~ulnber
M106.144 REV 11Y2006
TYPE / PRINT IN
PERMANENT
BLACK INK
~~33-086
D 1. Noma a Da:edent (Rrsl, mime. ma, suffix)
v Robert
i
Z 5. (Lest Birthtle (lndx 1
~ Y)
~~
~ 89
Yrs.
~ a1. county a Deam
~ e
Cumberland
1-I~i:; is to crrtii~ that ,i3r inlil In.1,I .,t !;^m ~r~rrl i
:(~l~recliv ~(f~ird r.>rn ~u1 u)~i~irl ! {~t°r?iI.L~ur,~,f i)e:(t(
duly filed t.i(1? :~~~° .,'~ ~.c1c:+1 K .,(,:r [_i) , /11 is,i+?<)
certificate ei.!i I~)r«;sr-~Icd ,,, i~;k' S? )tc Vit<)
Rcc(>rds Ui~;iri~ ,) ;7ellntlr~ent li~r1~1
R~t~.!~,b~~u~ z-~/2~~~
LL~ral Rc~l~l;•ar ~`,~,:~ I~:~uL-d
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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
t _ 2. Sex 3. Socin Sxulily Number 4. Date a Dam (Mmm, day, Yaar)
_0 Rourke Male 209 _ 22 0308
6 Date of BMh (Mmm day y a l T Botha rr t ~ ~ 0 T ~~ 1 1
n Bnxs Nlnulae _ -__- _~.~." ,A.~~.,.•v~„eaui wreca array anal
November 18, 1921 Windber, pA Hoapiml: cg;,r
^ Inpetienl ^ ER / OnpeBent ^ DOA ^ Nursing Home Reaitlerlce ^gher ~ Specify;
Bc. Ciy, Bo Twp a Death Bd. Facairy Name (If rla kuthutbn, give street and number)
9. Wea Decedent a Hiepak Odgin7 ANC ^ Yes 10. Race: Amerken Intlien, Black, WIMe, etc
South Middleton 418 Pine Road (nyea,epealycuban, (soea'M
11. Decedents Usal a non KkM at work tlorie most of wo ' Nle. po riot state reliretl 12. Was Decedent ever in the
Ki /3. Decedent's Education ISpedry Dory hghest rode ce m Mexican, Pueno Rican, ale.) whit e
m
l
d
ntl a Work KiM a Bueness / Intlustry U.S. Amretl Forces?
Mili p
e
9
) 14. Memel Status: Married, Never Marred, 15. Surviving Spouse Itt wile, give maiden name)
Elementary / Sacendary (412) College (1-0 or 5+) Witlowed, Divorced (SPso/M
[)SArm Airborn 1^Yaa ^NO
~
' 12 widowed
i6. Decedat
s Mailing Atldress (Street, dry /town, smte. IiP code) Decedent's
918 Pine Rd. AaanReapencena.Smte
D~d
cedant
Pennsvl
vnnia
_
N,t. Holly Springs, PA 17065 nb.counry e~a
I
_
tic.®Yea,l3ecedentLNainS_ MirlAlatnn T
Cumberland nd.^Na,Decedeativeewahin `~
16. Earner's Name (Brat, midda, leaf, sufiz) Actual Umks a CW / Boo
'
Jack O°Rourke 19. Mother
s Name (Brat, mitlde, meitlen surname)
7elda Redpath
20e. Inlamanya Name (Type / Pnnq
Lori V. n'Rourke 206. mformanys Mnmg Address (area, cnY/loco, state zq coda)
418 Pine Rd. Mt. Holly Springs, PA17065
21a. Metlwtl a Dbpoation ~ Cremeaan ^ Dontion 216. Date of Dbpoation (Monet
tla
Pen
aarl 21 c
a
Y
~
^ Bunel ^ Removal from oafs I Was Cromatlon x Donation Aulhalzed
^ ~r'sPx+h~' ~ b
Medlen Ex
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/
8/25/ ,
,
.
ce
Y
Diapoeitlm (Name al cemetery, o1eneroY a Deter f~) 21tl. Loratlon (Gry /lawn, stale. nP mda)
2011 H
lli
a w y
am
lwx
COrorlx7 ®Ya^Na
o
nger Crematory Mt. Holly Springs
PA
22a tae a F
l
< unera
Lk:ensee (a person acting as such) 22b. Licerae Nwnber ,
22c. Nartre and Atlmess a Fedliry
~ ~ '~"- 011589E
Com
l
t
It ollingerFH&Cremator Mt
Holl S
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p
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n s PA17065
em 23ac only was 23a. Tome bat a my klonetlge, deem axurted at me time, date and place stated. (Sigreture and title)
.
pnyakien b not eveimble et time a tlaetll to 23b. License Nunbar
'
cant cause d deem. 23c. Dale S
Igned (Month, day. year)
~ Hero 2428 must De ampleletl by person 24. Time of Deem 25. Date PraMlurlcetl Dead (Mash, day, year)
'"t'°p°"N'nres°"~"' Aprx. 4:00 A. M. August 21 28. Was Casa Referetl to Medical Examiner / Coroner for a Reason Omar man Cremetlon or Donetim?
2011
Q
,
~
Ya ^No
CAUSE OF DEATH (See Instruglons end exampbs) r Approximate mlenn: Pan IL Emer ame simif tit cartltl tin
Item 27. Pen I: Enter me chain d evenm - Oisases, iryudes, or canplkatione - inn direxly caused me deelh. W NOT ante terminal evenm such as ramlac anon, I ~ to-~~ 28. Did Tobacco Use G>fttridae p peam7
respirerory xren, a vatlicumr fpnsation winwm showing me etiology Lie Day one cause on each Brie
Onset m Deem but rwt reeumng m me uamrl
m
caus
N
. y
g
e g
x m Pan I. ^ Yes ^ prabebry
IMMEDIATE CAUBE (FpW tlbease a
condsbn resulUrgbde~m) ,~ e. Probable Myocardial Infarction ^ ~ ^ ~k~
Due to (a as a consequence all: Remote MI ze nFemab:
sequegieW lbl aarwgaor,s. if amy, n. Atherosclerotic Coroner Arter
to cause listed on tine e. ^ Na pregnant wimin past year
Disease r
^
Enter UNDERLYING CAUSE Oue to (a as a consequence of). Pregnant n dine of deem
~
~ebeu a osWU gryin"etleteM~j aLAS ~
gv c ^ Nat Pregnant. but pregnant wAhin 12 days
Due to (or as a coneequeraxr oQ: of deem
d. r ^
but pregant /3 days 101 year
datll
30a. Was an Autopsy 30b. Were ANapsy Findkgs 31. Manner of Dam 32a. Dale a In' ^ Unkrpwn ti prepynl wimm me past year
Perlametl? Aalmae Pmr to Compbaen N7 (MOmh, day, Year) 326. Desalba flew Injury Onarrled
a Cause a Dath? ~Nalurel ^ Hamidde 32c. Pence of Irpxy: Fiane, Farm, area, Fe
Once &slailg, etc. (SpecttyJ ~~
~~..,,//
^ Yes ~Nm ^ Yes ^ No ^ Accldenl ^ Pending Investigation 32d. Time a Inlu7
TTTT~~~ 32e. Iryury at Wark? 321. Ii Trensponalian Injury (Spaclty/ 32g. Localbn a Injury (areal cnY /fawn
slate)
^ 3uiade ^ Count Na ha Defe~mined ,
^ Ves ^ Na ^ Dover / Operola ^ passenger ^Pedastnan
33s. Cenifier (tlrech only anal M
Omx~Spedy:
' Cennylrg phyekYn (Physidan
To 1M bat n m ~nnn CBUSe a deem rdren enaher physiaan has fxoriwxed deem erW canpleted tien 23)
Y Imowmdge, dMh oaurtsd dus to tM caussls) ant mama
l
t 33b. mre antl Tole
.
u s
s
a4 , _ _ _ _.
' pr°^°a^clrgendoedNro9PhYablen(Physoan6oth __________________________ ^ ~ Droner
wala.lang dam ens aertirylrg ro cause a seam)
o io the ben of my k'nowmtlga, aam oceumd n tM time, fleet, aIM 33c. txeroe Number
Medcal Examhler/Coax pma,eM dNrotlN Caae(q and mennxuamtM__________________ ^ 33tl. Dam agnea (Monet. my year)
w On the buffs n enmirunan ant / or Imatlgslron, in my apmron, deem occurred n the nine, date, eM place, eM da ro rile cause(s) oral menror ae smled_ ~ AllguS t 2 3 , 2 011
39
N
d A
~
35. Regiaoar's 9J~agp\aL~ntl Di
1 .
ame Ap
~rgu ~.mpgyalgcCq~ylad a (Item z1) Type / Pram
O Q C enro~'e, ~oroner
. Dne Bled (Monet, daY, Yarf
6375 B
h
r~ A"t . \ O,I.C.I\k1LyJlk' ~ I I I ,-1 I -I I ~ I ase
ore Rd., Suite l/1
f Mechanicsbur Pa. 17050
Disposhpn Pemat No. l_J~ , "T l 7
IZI~.COIZL~I~;ll OI~I~IC1~, Of~
RI~,GIS"PI~;R <)I~ ~~IIJ,ti
2011 SEPT G
cL~~ius c~l~
LAST WILL AND TESTAMENT c~x>>i ~,~~rs cc~uiz~r
(Pour-Over Will) cu~tl3i~at~.,~~n cc~uii'i~,>>:~
OF
ROBERT O'ROURKE
IDENTITY
I, ROBERT O'ROURKE, residing in the County of Cumberland, Commonwealth of
Pennsylvania, being of sound mind and memory, and not acting under duress or undue influence of any
person whomsoever, hereby declare this to be my Last Will and Testament, and I do hereby revoke all
other former Wills and Codicils to Wills heretofore made by me. My Social Security Number is 209-22-
0308.
All reference made herein to "spouse or my spouse" refers to the person to whom I am currently
married, namely, VIVIAN M. O'ROURKE. By the ensuing provisions of this Will, it is my intention to
dispose of my interest in our property; I do not intend to dispose of anything belonging to my wife or to
put her to any election.
I have the following children: Lori V. O'Rourke, born October 26, 1960; Janet M. Feister, born
October 7, 1951; Mickey S. Rankin, born February 26, 1954; and Jack R. O'Rourke, born October 10,
1957.
DEBTS, TAXES AND ADMINISTRATION EXPENSES
I have provided for the payment of all my debts, expenses of administration of property wherever
situated passing under this Will or otherwise, and estate, inheritance, transfer, and succession taxes, other
than any tax on ageneration-skipping transfer that is not a liability of my Estate (including interest and
penalties, if any) that become due by reason of my death, under THE ROBERT O'ROURKE AND
VIVIAN M. O'ROURKE REVOCABLE LNING TRUST executed on even date herewith (the
"Revocable Trust"), or if my spouse predeceases me, under the Survivor's Trust created by the said
Revocable Trust. If the Revocable Trust assets should be insufficient for these purposes, my Executor
shall pay any unpaid items from the residue of my Estate passing under this Will, without any
apportionment or reimbursement. In the alternative, my Executor may demand in a writing addressed to
the Trustee of the Trust an amount necessary to pay all or part of these items, plus claims, pecuniary
legacies, and family allowances by court order.
PERSONAL AND HOUSEHOLD EFFECTS
It is my intent that all my personal and household effects were transferred to the Revocable Trust
as a result of the Declaration of Intent signed this date. If there are any questions regarding the ownership
or disposition of these assets, it is my desire that such assets pour into the Revocable Trust, signed by me
this date in accordance with the provisions of the section titled "Residue of Estate."
RESIDUE OF ESTATE
I give, devise and bequeath all the rest, residue and remainder of my property of every kind and
description (including lapsed legacies and devices), wherever situated and whether acquired before or
after the execution of this Will, to the Trustee under that certain Trust executed by me on the same date of
the execution of this Will. The Trustee shall add the property bequeathed and devised by this item to the
POUR-OVER WILLS
Page 1 ~~
Testator
corpus of the above described Trust and shall hold, administer and distribute said property in accordance
with the provisions of the said Trust, including any amendments thereto made before my death.
If for any reason the said Trust shall not be in existence at the time of death, or if for any reason a
court of competent jurisdiction shall declare the foregoing testamentary disposition to the Trustee under
said Trust as it exists at the time of my death to be invalid, then I give all of my Estate including the
residue and remainder thereof to that person who would have been the Trustee under the Trust, as
Trustee, and to their substitutes and successors under the Trust, described herein above, to be held,
managed, invested, reinvested and distributed by the Trustee upon the terms and conditions pertaining to
the period beginning with the date of my death as are constituted in the Trust as at present constituted
giving effect to amendments, if any, hereafter made and for that purpose I do hereby incorporate such
Trust by reference into this my Will.
EXECUTOR
I hereby nominate and appoint Vivian M. O'Rourke as my Independent Executor of this, my Last
Will and Testament, to serve without bond.
In the event the first named Executor shall predecease me or is unable or unwilling to act as my
Executor for any reasons whatsoever, then and in that event, I hereby nominate and appoint Lori V.
O'Rourke to serve without bond as my Independent Executor.
Whenever the word "Executor" or any modifying or substituted pronoun therefore is used in this
my Will, such words and respective pronouns shall be held and taken to include both the singular and the
plural, the masculine, feminine and neuter gender thereof, and shall apply equally to the Executor named
herein and to any successor to substitute Executor acting hereunder, and such successor or substitute
Executor shall possess all the rights, powers, duties, authority, and responsibility conferred upon the
Executor originally named herein.
EXECUTOR POWERS
By way of Illustration and not of limitation and in addition to any inherent, implied or statutory
powers granted to executors generally, my Executor is specifically authorized and empowered with
respect to any property, real or personal, at any time held under any provision of this my Will: to allot,
allocate between principal and income, assign, borrow, buy, care for, collect, compromise claims, contract
with respect to, continue any business of mine, convert, deal with, dispose of, enter into, exchange, hold,
improve, incorporate any business of mine, invest, lease, manage, mortgage, grant and exercise options
with respect to, take possession of, pledge, receive, release, repair, sell, sue for, make distributions in cash
or in kind of partly in each without regard to the income tax basis of such asset and in general, exercise all
of the powers in the management of my Estate which any individual could exercise in the management of
similar property owned in its own right upon such terms and conditions as to my Executor may seem best,
and execute and deliver any and all instruments and do all acts which my Executor may deem proper or
necessary to carry out the purpose of this my Will, without being limited in any way by the specific grants
or power made, and without the necessity of a court order.
My Executor shall have absolute discretion, but shall not be required, to make adjustments in the
rights of any Beneficiaries, or among the principal and income accounts to compensate for the
consequences of any tax decision or election, or of any investment or administrative decision, that my
executor believes has had the effect, directly or indirectly, of preferring one Beneficiary or group of
Beneficiaries over others. In determining the Federal Estate and Income Tax liabilities of my Estate, my
Executor shall have discretion to select the valuation date and to determine whether any or all of the
POUR-OVER WILLS
Page 2 (y/~,~
Testator
allowable administration expenses in my Estate shall be used as Federal Estate Tax deductions or as
Federal Income Tax deductions and shall have the discretion to file a joint income tax return with my
spouse.
SPECIFIC OMISSIONS
I have intentionally omitted any and all persons and entities from this, my Last Will and
Testament, except those persons and entities specifically named herein. If any person or entity shall
challenge any term or condition of this Will, or of the Living Trust to which I have made reference in the
sections "Household and Personal Effects" and "Residue of Estate," then, to that person or entity, I give
and bequeath the sum of only one dollar ($1.00) only in lieu and in place of any other benefit, grant,
bequest or interest which that person or interest may have in my Estate or the Living Trust and its Estate.
SIMULTANEOUS DEATH
If my spouse and I should die under circumstances such that the order of our deaths cannot be
determined, then it shall be conclusively presumed for the purpose of this Will that my spouse survived
me.
If any other Beneficiary should not survive me for sixty (60) days, then it shall be conclusively
presumed for the purpose of this my Will that said Beneficiary predeceased me.
OBERT O'ROURKE
Testator
POUR-OVER WILLS
Page 3
This instrument consists of 5 typewritten pages, including the Attestation Clause, Self-Proving
Clause, signature of Witnesses, and aclrnowledgment of officer. I have signed my name at the bottom of
each of the preceding pages. This instrument is being signed by me on this ~~ day of
..T,4/Y. , ~•
ATTESTATION CLAUSE
The Testator whose name appears above declared to us, the undersigned, that the foregoing
instrument was his Last Will and Testament, and he requested us to act as witnesses to such instrument
and to his signature thereon. The Testator thereupon signed such instrument in our presence. At the
Testator's request, the undersigned then subscribed our names to the instrument in our own handwriting
in the presence of the Testator. The undersigned hereby declare, in the presence of each of us, that we
believe the Testator to be of sound and disposing mind and memory.
Signed by us on the same day and year as this Last Will and Testament was signed by the
Testator.
WITNESSES:
L
0
(Printed Name of Witness)
ADDRESSES:
o / 4! S
City, State, Zip
K ~^J
e c9 ~ • I ~ G/P d~
(Printed Name of Witness) City, State, Zip
POUR-OVER WILLS
Page 4
Testator
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SELF-PROVING CLAUSE
BEFORE E, the undersigned authority, on this day ersonally appeared ROBERT O'ROURKE,
-' and Co^L /rf ,known to me to be the
Testator and the witnesse ,respectively, whose names are subscribed o the foregoing instrument in their
respective capacities, and all of them being by me duly sworn, ROBERT O'ROURKE, Testator, declared
to me and to the witnesses, in my presence, that the instrument is his Will and that he had willingly made
and executed it as his free act and deed for the purposes therein expressed; and the Witnesses, each on his
or her oath, stated to me in the presence and hearing of the Testator, that the Testator had declared to them
that the instrument is his Will and that he executed the same as such and wanted each of them to sign it as
a witness; and upon their oaths, each witness stated further that he did the same as a witness in the
presence of the Testator, and at his request and that he was at that time eighteen (18) years of age or over
and was of sound mind, and that each of the witnesses was then at least fourteen (14) years of age.
~ ~~~
OBERT O'ROURKE
Testator
Wi ss l
~ ~» i~
(Printed Name of Witness)
~tness
M, Be~~;nde~
(Printed Name of Witness)
SUBSCRIBED AND ACKNOWLEDGED before me by ROBERT O'ROURKE, Testator, and
subscribed and swo t°~ before me by ~~~ r~ ~ !~1~ E/Z and
GDI~<*<*7TJ~ ~• ~~~/79 Es/Z witnesses, this the day of
J ,~.
V
Notary Publi , Co wealth of Pennsylvania
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het?n.~ ~ ;~._ ,tr,es~,~ ~iiJlic
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POUR-OVER WILLS
Page 5