HomeMy WebLinkAbout10-17-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVA
REGISTER OF WILLS NIA
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of MARY YOHN
a/k/a: MARY JANE YOHN ,Deceased ESTATE NO: 21- ~ I - ~ L' l~-
a/k/a:
a/k/a:
SS NO: 165-26-6491
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND ~~ ~~
applicable:
DA. Probate and Grant of Letters Testamentar or C as
and aver that Petitioner(s) is/are entitled to the aforemen~tionedlLettersoTestamenta b.n.c.t.a. (complete Part Ca[so)
the last Will of the above-named Decedent, dated 10/1/1990
See Renunciation of Decedent's Husband, John Yohn -- an d 1(s) dated 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 a child born or adopted after execution ofth
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, anti was n
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(8); of a
^ B. Grant of Letters of Administration
(If applicable, enter d.b.n., pendent lite, 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 e.t.a, or d.b.n.c.t.a., enter date of Will in Section A and com lete li
)teirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a entiin
proceeding wherein grounds for divorce had been established as provided in 23 Pa. ~, S ,~ p st of
p g divorce
Name § 3323(8), except as follows:
to
use t~nnrT-oNa>, sHFFTS tra
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THIS SECTION MUST BE COMPLETED: `~ ~ '•'
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Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her la
At 331 Sherwood Drive Middlesex Townshi Cumberland Count Carlisle PA 170 ~ ~ r~ >
st family or principal.,~esidertc~ ~,
(Street address with Post Office and Zip Code, Municipality: Township, Borough. City) 15 r", C,
Decedent, then 81 years of age, died 8/28/2011
at Carlisle, PA
Estimated value of decedent's property at death: (Month, Day, Year ofdeath)
(City and State where death occurred)
_Ifdomiciled in PA
_If not domiciled in PA Ali personal property
_If not domiciled in PA Personal property in Pennsylvania
_Value of Real Estate in Pennsylvania Personal property in County S
Total Estimated Value $
Location of Real Estate in Pennsylvania: (Provide full address if possible.) ~ 0.00
F__ ~R LITI_GATION PURPOSES ONLY
Sibnaturc(s)
Name(s) & 1~lailinb Address(es)
Interim Form RW-02 revised 1226.10 by
C" j~ IMary )o Churlick - 329 Sherwood Drive, Carlisle, PA 17015-9013
County pending action by the Court
Page I oft
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OATH OF PERSONAL REPRESENTATIVE
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Commonwealth of Pennsylvania ~~'~ ~ , ' `'-'
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County of Cumberland '-" `-'
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The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petitlon;~e true --~,
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal repre tative s ~.f ~ ~ ,
Decedent, Petitioner(s) will well and truly administer the estate according to law. ~ O `.~ the ~'= C~
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Sworn to or affirmed and subscribed
befor e this ~ r Ch a of ~ ~-~ ~-~~
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F e Register ----_
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of Mary Yohn a k/a Marv Jane Ynhr,
Deceased File Number: 21-_~_ C?
AND NOW, this r- th day of ' ~p ~~ ~~1
the reverse side hereon, sat sfactory proof v' g been presented before ~ le consideration of the Petition on
x Testamentar , IT IS DECREED that Letters
y - of Adminlstratlon
(If applicable, enter c.t.a., d. b. n., d.b.n.c.t.a„ ete.l are hereby granted to:
MARY )O CHURLICK
the above estate and that instruments(s) dated 10/1/1990 -------- -~ In
admitted to probate and filed of record as the last Will and odicil(s) of Deceden±Grcbed in the petition be
~ (~~' ~ 4
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Glenda Farner Strasbau h ~.r~ ~ /~{ C "~~
Register of Wills /_
FEES:
Letters ................ ....$ ~~
Will .................. ...... "~C7~
Codicil(s) ......... -
......
(~ Short Certificates • t• C
(~) Renunciations. ......
B nd ....................... ....
Other ...................... ..
.......
...........................
Automation FEE...... ......
... 5.00
JCS FEE ............... .... 23.50
TOTAL ` ~'
.............. _
.. $
Signature of Coin
-__~
Atty's Signature
to Enter~1CQ
PRINTED Na e: John R. Zon<
Supreme Cou D No.: 19632
Address:
Phone:
Fax:
lntenm Fonn RW-02 revised 1226. 10 by Cumberland County pending action by the Court
17 S. 2nd Street, 6th Floor
Harrisburg, PA 17101
(717)233-1000
(717)233-6740
Page 2 oft
LOCAL REGISTRAR'S CERTI~'ICATIO~ Z l l I l C I
WARNING: it is illegal to duplicate this co h ~ ®F IDEATI-I
pY Y photostat or phlatlagraph.
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HIOSt43 REV 112006
PERMANENT
TYPE /PRINT IN COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH .VITAL RECORDS
BLACK INN
CERTIFICATE OF DEATH
1. Name of Decedent (Fret mitltll9. teat sanixl (Sae instructions and examples on reverse)
Mary Jane Yohn 2. Sex STATE FILE NUMBER
Female 3 165 y Number 4 Date of Deem (Monet, da ~
6. Ace (Last ~nh~r) unmr, as wmr t as - 26 _ 6491 r. rear
6. Deb of BIM Mmm, da ,
81 "w"'re ~r% Hwxs Mmatea r 7 BiM ro ci andabbort coum August 28, 2011
January 7, 1930 She ~' Pbro of Death Chest all one
Yrs. rman9 Dale, PA Hospital:
66. Coumy or DeaM Other:
t • clans ~ City, Bwo, Twp. of Deem ^ Inpatient ^ ER / Outpatient ^ DOA ~~ii
S. Middleton Btl. Fatlliy Neme(H not insmulian, gNe slreelentlnumber) VY Nursing Home ^Reskbrwe
~•rp • ManorCare Health g. waa Decedent pl Hls ^ °"~' seedy.
SerV].CeS Panic ongm? ~ ^ vas to. Roca: American Ineian, Black, whit, ew.
11. Decetlenrs Usual lion Kind a work eons tlan nrosl awadn Ina. Do trot able talked 12. Was Decadent aver in me 13. DeroeenCS Etlucatbn S (II yes, sperdty Cuban, (9P~vM
Mexican, Puerto Rican, etc.J Whlte
Kntl of WoM Kind of Business/Industry U.S. Ambd Forces?
Ce~l_ (P%CdY Dory highest grade °ompbtetl) 14. Memel Status: Mametl, Never Married 76. Surviving Spouse (II woe, give maiden name)
Ji TruCk St0 Elementary / Secaxlary (p-12) c°Ma widowed, DNwned s
76. Deoetlenl's Mailing Address (Street, city! town, state, zip cotlel ^ Yes ~] No $ ge (1d a Sr) (patty) -
331 Sherwood Drive Decedents r d J W' l i y
Carlisle, PA AddalRasidance 17a.Stale PA Didoecedam
17015 __ uvama t?p.l~yea,DecedentLivedin Ml d1%aaaax
16. Fatness Name (First, midde, last, suttix) 170. Count' Cumberland TmansniP? Twp
I7d. ~] Nc, Decedent Lived withm
Frank Zeigler ,9. Homers Name jFirst middN, maiden aamame) Acbal Limes of
20a. Informant's Name City/Boro
rrype/Priori Dorothy Miller
Mary Jo ChurliCk zob. mmmlanra Marling Adera%a (surest, d !
z,a /Mepll~d°rDi%pnartion 329 Sherwood `°w" %bla.=ipe~eaj
l6 Burial ; ^Crernaaon ^13onatlon 21 b.DeteolDi 1Ve, Carlisle, PA 17015
^ Removal trait Sble l Wae CremetltM or sposeion (Monet, tler• Yeerl 21c. Place or Dbpoeilpn (Name of camel
^ txner- t by Medbal Exsmlrter/l„e ornOMetl Sept. 2, 2011 Westminster M ery'cremetoryaothm plaro) z1d. Locanon (city/town, elate, zip cotle)
_ zza. a aFaneralsarxiceL ^Yee^N° emorial Gardens
^ cereonacenga%aur7q 220.LicensaNUmOa Carlisle, PA 17013
` - (.GC ~~` ~ 22c. Name eM AdMess of Faciliy Ho fman-Roth
eeems23econywhencerti 013144E Funeral Home & Crematory
WtYsicbn is cwt available et lime of d as nglo 23a. To the best of my knowledge, death occurred al me time, Bate eM 219 Alorth Hanover Street
roroy cause of eeab. 2 Ithaca stated. fsignatae and Ede) Carlisle, PA 17013
Uem~.kn2C3C ~ 23b. License Number 23c. Dab Si
Items 24-28 must be oxrpleled b 24. Time a Death (r~ •• 9n%d (Month, tlay, Year)
woo Pronounces death. Y persm 23. Dale Pronounced Deed (Month, d N v.tL ~ y
I ~ ay, Yearl ~ ~ c'Zi $ (( I
A M. 8/28/2011 ~. waa teas Rerarred to Meenal Examiner / coroner br a Reason Omar than aematiw, or
Item 27. Pan I: Enter dw cha I CAUSE OF DEATH (See Inatructlons and examples) ^ Ves [~ryo Donatwn?
respkal ~~ -diseases, injuries, a mmplidatgns - That dxedy caused the deem. DO NOT enter terminal events such es cardiac arrest,
Dry arrest, or vemriCUlar fibrillation wnhoul stowing me etiology. Lkt any one cause on each Ilne. l Appro"mote interval: Pan II: Enter other ale, fica 1 ~,
IcMonMdE'h~m TE~A~SE fF'w~' disease a Driest 1° Death but cwt resultm --~"'--`-t9-`Jp->Lh 26. Did Tobacco Use Contribute to paalh?
see ` 9 m the underlyirg cause given n Part I. ^ Vas ^ Pwbabry
un --~ a ~ ~ ~ 14 C.[ {~4 ! (" L ~(~(/t-P ^ No ~lnkmwm
tbllIyy kst oondiliaro, it any. ~ l l ~~ nC II 29 II F
rig to the Wuse listed on Ina a. b. -__
Enter 6t~e UNDERLYING CAUSE Due le (°r as a cones uarroa 1: l-y'NOl Preg,anl wimn past Year
resw"iary alal nmated me a °) _
d°9 in deaml LAST. -~___-- ^ Pregrbnl at time of Oeam
c. Due ro for as a con%quence op: ~ ^ Not pregnant but pregnant wimp 4z days
a. ; ~_ adeam
--~'- ^ Not pregnant, ba
30a. Wa6 an AuwpsY 30b. Were Autopsy Rodin t Pragrlant 13 tleYS w 1 year
Pedormed? g% 31. Maurer or Death l galore deem
Available Prior tc CanPletron ~/ 32e. Data of Inlury (Monet, ea Y. Year) 3ffi. Deacriba How Inlury Occurred ^ Unknown it Pregnant wimp me
of Cause of Death? LJ Natural ^ Homwida pest year
32c. Plaro a Injury: Home, Fenn, Street, Factory,
^ Yes No ^ yes ^ No ^ Accidem ^ paMirg Invesdgatim 32e. Time of Injury Onipe Builtling, etc. (Spent')
32e. Injury at Work? 321. II Trensportador Injury ($pen(yf
^ Suicide ^ Could Not be Determined 32g. L°Calgn of injury (Street, city /town, slate)
$La. CerO6er Ichack any wry) M. ^ Yes ^ No ^ Deter/Operalnr ^ Passenger ^ Pedeshian
^ Other- $pepjy-
• Certitying physlelan lPnysrian catitying cause of Oealh when aMdwr physician has pronounced seam and comet led Item 23
To the be9t of my knpvbdge tlMth occurred due to the esu ~~ Sign tl Title of Certirbr
' PronounN se(e) alto manner u sated_ _ _ _ ) ~
o To Hy Met ~e°d °•rerYtrN phyewlan (Physician hour pwtwawing Beam and rodiying to ceusa a deem) e - - - - - - - - - - - - - CC'A12i1 ,/'~ {,(c~
myk=rowletlge, deadl axurred at the sure, date, and place, and due to tM uu -----_--- 33c.1 `~- -~~~~ r vtZ%~
~ kletlkal Examiner/Caorler se(e) antl manner es ablad_ _ _ _ _ - ^ umber
o On tM beebof exeminetbn end/ainvestlyatlon,i ---'-------- 33tl.D b6ignetl Month, day, year)
n my opinbn, tleaM occurred et the Ilme, date. antl ~~~ -~~ 3 ~ 3 a-- ~ ~~~`~
36. Regiarefs eantl D' Place, and tlue to the cause(s)sndmenner a%eMerL, ^
34. Name antl Adda~ of Person Wno Canpletetl Ceuee of Deam (Item 27) Typo /print
~ - r /,~F"'l cif
~~~°'''`-~*'~- I~ La I~~ I I IG I Data Filed(Monlh,deY.Yeer) 12~ ~"r'~ `e'`~ Michael J. McLaughlin
Disposition Permit No. _ ~ 1(~-y ri I U `i-v+
RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
21-11-~~r~;~~
Estate of MARY YOHN, A/K/A MARY JANE YOHN
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______ , Deceased
I, JOHN YOHN, by my Attorne -in-Fact, MARY JO CHURLICK
SURVIVING SPOUSEI~~nJe~ , in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issue
MARY JO CHURLICK d to
OCTOBER 17, 201 l
(Dale)
Executed in Register's Office
Sworn to or affirmed and subscribed
befor~~e is
o f -~~ y ~~ ~~ y
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eputy for Register o ~ ills
C~ ~L ,
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(Signature) ~
. ~O'~ c t~ -~'~i~ri Of~iV
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(Street Addrers)
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(City, State. Z, p) ~
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 ___ da
of_ y
Notary Public
My Commission Expires:
(signature and Seal of Notary or other ofticial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rer. 10.13.06
POWER OF ATTORNEY
***'~'`NOTICE**'~**
THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON
YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY,
WHICH MAY INCLUDE POWERS TO SELL OR OTHERWISE DISPOSE OF ANY REAL
OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL
BY YOU.
THIS POWER OF ATTORNEY DOES NOT IMPOSE A DUTY ON YOUR AGENT
TO EXERCISE GRANTED POWERS, BUT WHEN POWERS ARE EXERCISED, YOUR
AGENT MUST USE DUE CARE TO ACT FOR YOUR BENEFIT IN ACCORDANCE WITH
THIS POWER OF ATTORNEY.
YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE THROUGHOUT
YOUR LIFETIME, EVEN AFTER YOU BECOME INCAPACITATED, UNLESS YOU
EXPRESSLY LIMIT THE DURATION OF THESE POWERS OR YOU REVOKE THESE
POWERS OR A COURT ACTING ON YOUR BEHALF TERMINATES YOUR AGENT'S
AUTHORITY.
YOUR AGENT MUST KEEP YOUR FUNDS SEPARATE FROM YOUR AGENT'S
FUNDS.
A COURT MAY TAKE AWAY POWERS OF YOUR AGENT IF IT FINDS YOUR
AGENT IS NOT ACTING PROPERLY.
THE POWERS AND DUTIES OF AN AGENT UNDER A POWER OF ATTORNEY
ARE EXPLAINED MORE FULLY IN 20 PA.C.S. CH. 56.
IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT
UNDERSTAND, YOU SHOULD ASK A LAWYER OF YOUR OWN CHOOSING TO
EXPLAIN IT TO YOU.
I HAVE READ OR HAD EXPLAINED TO ME THIS NOTICE AND I UNDERSTAND
ITS CONTENTS
~ W. Yohn RINCIPAL)
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POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that I, John W. Yohn, of Cumberland
County, have made, constituted and appointed, and by these presents, do make,
constitute and appoint Mary Jo Churlick of Cumberland County, Pennsylvania, my true
and lawful agent for me, and in my name and on my behalf generally to do and pertorm
all matters and things, transact all business, make, execute and acknowledge all
contracts, orders, deeds, writings, assurances and instruments which may be requisite
or proper to effectuate any matter or thing appertaining or belonging to me, with the
same powers, and to all intents and purposes with the same validity as I could, if
personally present; hereby ratifying and confirming whatsoever my said agent shall and
may do, by virtue hereof. In addition, my agent shall have the following powers as set
forth in 20 Pa C.S.A. Section 5603:
A) Power to make gifts. My agent may be limited to making gifts to persons,
including my agent, in an amount no greater than the amount permitted
on an annual basis by the IRS, currently $10,000.00 per individual, so as
not to impact on my unified gift and estate tax credit. This limitation shall
not apply if my agent determines that the unified gift and estate tax credit
does not apply or is negligible.
B) Power to create a trust.
C) Power to make additions to an existing trust.
D) Power to claim an elective share.
E) Power to disclaim any interest in property.
F) Power to renounce fiduciary position.
G) Power to withdraw and receive.
H) Power to authorize admission to medical facility and power to authorize
medical procedures.
I) Power to authorize medical and surgical procedures.
J) Power to engage in real property transactions.
K) Power to engage in tangible personal property transactions.
L) Power to engage in stock, bond and other securities transactions.
M) Power to engage in commodity and option transactions.
N) Power to engage in banking and financial transactions.
O) Power to borrow money.
P) Power to enter safe deposit boxes.
Q) Power to engage in insurance transactions.
R) Power to engage in retirement plan transactions.
S) Power to handle interests in estates and trusts.
T) Power to pursue claims and litigation.
U) Power to receive government benefits.
V) Power to pursue tax matter.
Said powers as set forth in the statute are incorporated herein by reference.
BEING mindful that my affairs be properly managed notwithstanding any future
disability, this Power of Attorney shall not be affected by my disability. In the event of
my disability, my said agent shall have all of the powers as set forth above.
IN WITNESS WHEREOF, I, the above-named principal have hereunto set my
`~ _..
hand and seal this -~`~ day of ~.~ t~-~. , 2010.
WITNESS:
~- ~
John W. Yoh', (SEAL)
Principal
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
On this, the ~~ ~Q-t~ day of ~-- '}Lr/
undersigned officer, personally appeared Jo n W. Yohn, known to mebtof be the pehson
whose name is subscribed to the within instrument and acknowledged that he signed
same for the purposes therein stated.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
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von~r~lotvt:~~s~~~,~ ~:.;~;~~~,vs~°~v~rv-~
~ CVo~rial seat
J~nifer v. Lin;,"say, Mo~ry p~~
I Carlisle Born, c;~mbe<tar~
taer, Penns,~~•'~rr
_=;c,,ci7tf;;naF otarle~
AGENT ACKNOWLEDGMENT
I, Mary Jo Churlick, have read the attached power of attorney and am the person
identified as the agent for the principal. I hereby acknowledge that in the absence of a
specific provision to the contrary in the Power of Attorney or in 20 Pa.C.S. when I act as
agent:
I shall exercise the powers for the benefit of the principal.
I shall keep the assets of the principal separate from my assets.
I shall exercise reasonable caution and prudence.
I shall keep a full and accurate record of all actions, receipts and disbursements
on behalf of the principal.
IN WITNESS I~EREOF, I the above-named agent have hereunto set my hand
and seal this 2 .~ day of ~ ~~~,,~
2010.
WITNESS:
~'"" ~~ (SEAL)
ry Jo Churlick
Agent
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
f,~ ,_ , 1.
On this, the _c~~j~ ~ day of ~~~/~"t.t.!
undersigned officer, personal) a r , 2010, before me, the
person whose name is subscribedpo the w th n~ st ument and acknowledo ~e the
signed same for the purposes therein stated. 9 that she
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
COMWioNV1~E~L~"i~ o~ PENNS~LV~.i~Ci~
N;,~~ial Seal
Jennifer S. Lindsay, Notary Pubti.^.
cadisle Borg. C,>unbertarxi County
6 +hAy Ctxn-~si<u"-~ ices Nov. 2J, 2t?1~'i f
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~d,em~er, F~t;r;s-~.a; ua ,.~..ocittaR of Natar!Rs
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LAST WILL AND TESTAMENT -~'` "':~
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MARY YOHN ~ -',
I~ MARY YOHN, ~nberland County, Pennsylvania, being of sound and
'~ disposing mind, memory and understanding, do her
eby make, publish and declare
ii this as and for my Last Will and Testament, hereby revoking all other wills
and codicils heretofore made by me.
i FIRST
j
I direct the payment of my debts and the expenses of my last
!I
illness and funeral froQn my estate as soon after my death as convenientl
I.
~' Y ~Y
I be done.
!I Further, in this connection I authorize
I ~ my personal
representative to expend funds from estate in such amount as
~' my personal
li representative shall consider necessary and desir
it able for the purchase,
jl erection and inscription of a suitable marker for my grave.
;j
j
SECOND
I give, devise, and bequeath my entire estate, real, personal or
,,
j mixed wherever situate unto ml beloved ?;us: a:~d, JO?~*j YOI'~V, should he sum-give
i
~! me by a period of thirty (30) days. Should my husband predecease me or fail
i to survive me by thirty (30) days, then I give, devise and bequeath all the
~ rest, residue and remainder of my estate, to my children as follows:
i
A• One fourth (1/4) to be divided equally among my daughter
Judy Meyers and such of her children as survive me.
B. One fourth (1/4) to be divided equally among my daughter
Betsy Roush and such of her children as survive me.
C. One fourth (1/4) to be divided equally among my daughter
I
Mary Jo Churlick and such of her children as survive me.
D. One fourth (1/4) to be divided equally among my daughter
Juanita Cauffman and such of her children as survive me.
THIRD
I nominate, constitute and appoint: my husband, JOHN YOHN, as
Executor of this my Last Will and Testament. Should my husband predecease me,
fail to qualify, or cease to act as Executor, I appoint MARY JO CHURLICK as
Executors of this my Last Will and Testament. I relieve my personal
representative from the necessity of posting security in connection with his
duties as such in any jurisdiction in which he may be called upon to act
insofar as I am able by law to do so. I direct my Executor to make available
for possession any and all property that a child may have stored at my home as
soon after my death as possible.
FOURTH
In addition to the powers conferred by law, I authorize my
Executor in his absolute discretion:
A. To retain in the form received, and to sell either at public
or private sale any real or personal property.
B. To manage real estate.
C. To invest and reinvest in all forms of property without being
confined to legal investments, and without regard to the principal of
diversification.
D. To exercise any option or rights arising from ownership of
investments.
E. To compromise claims without court approval, and without the
consent of any beneficiary.
', IN WITNESS WHEREOF, I have hereunto set my hand and seal to this,
my Last Will and Testament, consisting of three (3) typewritten pages, the
first two (2) pages which bear my signature in the margin for the purpose of
identification, this the ~_f day of v/1c~~~~'~~ 1990.
~, ,.~a~. ~-~~ ` + /.,_ (SEAL)
Signed, sealed, published and declared by the above named
testatrix MARY YOHN, as and for her Last Will and Testament, in the presence
of us, who, at her request, in her sight and presence, and in the sight and
presence of each other, have hereunto subscribed our names as witnesses.
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CC~NWEALTH OF PENNSYLUANLA:
COUNTY OF CUMBERLAND
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- We, MARY YOHI~T, ~f "I i~~ (.r~_ ~, ~ ~ ~` ~~~ and ~ ~~ ~ '~~ ,~ -k_~ --
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' ~ ~ ~ ~~ ~' `~'~"~ ` ,the testatrix and the witnesses, respectively, whose
names are signed to the attached or foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the testatrix
signed and executed the instrument of her Last Will, and that she signed
willingly and that she executed as her free and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the presence and hearing
of the testator, signed the Will as witnesses, and that to the best of their
knowledge, the testatrix was at the time eighteen (18) years of age or older,
of sound mind and under no constraint or undue influence.
Sworn to and subscribed before me
this / ,, ~~I day of ; \/ ~ l ,i
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1990.
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