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Home My WebLink About21-11-1103PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Elizabeth M. Gardosik also known as ,Deceased Social Security Number 198-20-6088 Andrew T. Gardosik Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or `8' BELOW:) ^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Ex@CUtor named in the last Will of the Decedent dated 02/07/2001 and codicil(s) dated Paul J. Gardosik, predeceased, having died January 25, 2005. Rita A. Morrison renounced her right to administer the estate in favor of Andrew T. Gardosik. See Renunctatton dated 09/30/2011 to be filed herewith. (State relevant circumstances, e.g., renunciation, death of executor, etc.) After the execution of the documents offered for probate: Decedent did not mar • was not divorced; 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 (g); did not have a child born or adopted; was not the victim of a killing; and was never adjudicated an incapacitated person, except as follows: B. Grant of Letters of Administration app ica e, en er: c..a.; .n.c..a.; pe en e i e; uran e a sen ~a; uran a moron a e 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 on 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 (g), except as follows: Name Relationshi Residence C7 - ~_ , M ~; ~= 1_ ;f-- (COMPLETE IN ALL CASES.) Attach additional sheets if necessary. -` ~- ---- _:~ - -r-. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residen~2 at ~-• =% 4814 Virginia Road, Hampden Township, Cumberland County, PA - (List street address, town/city, township, county, state, zip code) Decedent, then 85 years of age, died on 09/28/2011 at Emeritus at Creekview, Hampden Township, Cumberland Co., PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ 89,851.20 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 70,000.00 situated as follows: Hillsboro Road, Hooverville, PA ota , 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 appropriate form to the undersigned: Signature Typed or printed name and residence < ,~~~-^ ~ I Andrew T. Gardosik 88 Marbob Road sJ-~',~_ i Halifax, PA 17032 i...- Form File Number 21 - 11 - ~~j ~~ hcev. 72-26-2010 (interim form, pending action by the Court) Copyright (c) 2010 form software only The Lackner Group, Inc. Page 1 of 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland Oath of Personal Representative } SS The Petitioner(s) above-named swear(s) or affirm(s) 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. Sworn to or affirmed and subscribed /~ ~fgnarure or Persona/ Representative ~.'~jl-~~ And wT.Gardosik before me this -11_=_ day of ~ . ~.. I !'~_ ' ~ ~ Signature of Personal Representative ~~ `" - T7 Si nature of Personal Representative `3 For the egister 9 ~ , .- -'>rr, ~_ „ , ;C:~ ,, File Number: 21 - 11 - ~ ~ -~ _:---t '.. ~J D ~:~7 ~;. Estate of Elizabeth M. Gardosik r, Deceased Social Security Number: 198-20-6088 Date of Death: 09/28/2011 ~~ ~, AND NOW, _ ~ ` ~ ~ ~ ~ ~'C~~~~")F r" `~.(' i , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Andrew T. Gardosik and that the instruments dated in the above estate l) 02/07/2001 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES ett ers.. ................ .. . ......... , ~^,. .. $ .~CF ~~• C-'~~ 1 ~- ~~ ~ ~~ , :. r t: t- (_ir~ a t ~ •~ C t__ ~ t t t ) ~;`~ ,~ { _ _ . .i _ Short Certificate(s)..........(6) $ ~~ ~")~\ Register of Wills ~ r. ~ ~ ,.__.. f Renunciation(s) .......................... .. $ Attorney Signature: ~~ ~ '~ ~"~/ ~r~ ' (~ $ _ ~ ~~ C`~} Attorney Name: Gr o M Kerwin Ct~ $ Supreme Court I.D. No.: 21222 $ Kerwin 8 Kerwin, LLP Address: 4245 State Route 209 $ Elizabethville, PA 17023 Telephone: 717/362-3215 TOTAL ................................... $ .~ =1~ • ~'~ Form RW-O2 Rev 10-13-2006 Copyr ight (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2 >cr^~/!~ 7 OCAL REGISTRAR'S CERTiFICATiON OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photocraph. Fec fcr .his e.~rt ticc,ie. S6.(i(i +"~p,~`HDrpF~;•~ TJtit i~. tt ~~ertl' Itrli e into uldii</n i,ere ~°i~cn r° ~Ltr)ectl~ cit, ` t /( I t ri ail) ; col I jte 1~ 1)e~i( ,~~ gt~ ~~ ~ dul_, til~~(ti Irlj ~ rr i~ 1 tI~ 11 F~L );tra The c I( ins i o z,~ ccl[ifie IEt ~~:1~ ,, 1~, I t.;tdetl lu th. 5latc 1'it~ u '~ FZceurd~ i)1'+~il, 1 t - . y,,,~;;._; . * i n 1~trlm=)s~ent ; llln~°. -- ------- P~;e~ ~ y~ DV.1r~- C erhTleatu~ I I ,!rnbei ~~T~ENT ~1F~~'" 'L t ~ -.~,. m~ - _ ~-- 1_.ocal I~~ ),u~:r _. I>, tl~ i>sucd n ,_.._ _ m __. r. ~J t...+ '.J -r-I =1 --- ~. .2:+ is •'~ C~ -'";'~ HI06-143 REV 11/2006 nPE / PRINT IN COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS PERMANENT BLACK INK CERTIFICATE OF DEATH (See instructions and examples on reverse) t. Name of Decedent (First, mgale, last, sunix) STATE FILE NUMBER E11Zabeth 2 Sex 3 social Seariry Number a Date of Deam (MOntn, eery, rear) Marie Gardosik Female 198 s. age (Last &rtlbaY) Untler 1 ar Untler t da B. Date of Birth (MOnm. da , ear 7. &rtn wx G and state IX lard n mph aa. Place pr Deam (check od ~ a 6088 Se t . 28 2011 Mamas DAYS Hors Mnutes g5 vrs. August 27, 1926 Central City, PA "ospaak omer ' 8b. Counry of Dealn Bc. city, Bono, Twp. of Deam ^ Inpapenl ^ ER / Outpatient ^ DOA Nursing Home ^ Residence ^ Oiner - gparafy. 8d. Facility Name (It ryl imtiluligl, gwe street arM numpar) 9. Was Decedent d Hispanic Origin? ~ ~ ^ Yaz t0. Race American Indan, Bla x, White, etc. Cumberland ~pden Ztap • FYnpsitus At Creekview Ig Yes. speciy cohort, ( t 1. Decedent's Usual Occ tron Kintl d work done tlun mast d workin tae. Do rot slate retiretl t2. Was Decedem ever .n me t3. DaredenYS Eduxtron Mexican, Puerto Poxn arc.) r.~Y., KiM d Work (SPeciy aNY ngmst grade completed) 14. Marital Status: Married, Never Hared, 15. Surmi $ ~L 11 to Kirdd Business/IMUStry U.S Armed Forces Elements /Seconds 0-72 Cd Wxbwed. Divorcetl n9 Pouse (If wife, give maiden name) Clerical Work Dru Store Co ^ Yes ®,~ " " ( ) ~ n-4 IX s.) /syec;ryi t6 DecetlenYS Mailing Atltlress(Street, city/town, slate, zip code) 12 Wld~d DecetlenYs 4814 Virginia Road actual Residence t7a State- PennSVlVania Did Decedem Live in a 17c. [~ Vas, Decedent Livetl in ~'"'""!^aen McChalliCSb PA 17050 rib. county Cti>rntwrl anri Townshrp7 rwp. rid. ^ No, Decetlem wed wimm 78. Father's Name (First, mitltlle, Wsl sumxj Actual Limits d 19. MotlreYS Name (Post. middle, rtygen surname) City/ 8oro Jose 1 z0a. mromynrs Name (Type /Pant) Elizabeth Fa ld ~~ ~ 20b. Informant's MarWg Atldress (Sheet. IXy / Wwn, syte, zip xtla) _ zta.lyM~~drwdoroisposilan ^pamatbn ^Dwytian 2tb.Daleof 88 ~~ Road Halifax PA 17032 q,/ Burial ^ Removal from State Disposition (MOnm, day. Year) 21 c. PWx d Disposition (Name d cemetery, cremaWry or Omer pace _ ^ Omer ~ S ~ Was Crematgn a DanaBon Authodzetl ) 27tl. Location (City/town, state, rip code) pry Medical Pxaminer/cproner. ^ ves^ Np October 5, 2011 Indiantown Gap National Cemet 22a. Sigmture F ~xma (f _ adkg as such) 22b. License Number ely AIll'1V111e r PA Q _ ~ zz<. Narita and Address d Faddy $ Market Plaza Way FD-138630 Mal zzi Funeral Halle compyy ~ <pny wryn xrtilyirg rda. ro ma peu d mY Imowledge, seam «c,„,ad at me lima. sale stelae s Me~laniCS PA 17055 ~ sedan i avaiWde at time d des .pax (5naa+re and tine) ~ ~~ N;zrder Wiry cause d dadx ~r~-~.~ ~ - 23c.~~DYYate Signee (Martin, say. rear( Norm 20.26 mull be compleletl W person 24. Tare d Deam '~ ~ ~ ~ ~~- "I i y' _ 1 i 26. Dale l Dead (MOnm, eery, year) ~-U I who pruyurlcas main. 26. Was Case R fa~rted,w Medical er /Coroner for a Reason Omer man Cremation a Domtan? (~ , f+M. ,,, ., ~ _: ~ ~ a~ 1~ ^ vas e JQ Np Item 27. Pan I: Ener dry chain d even = CAUSE OF DEATH (See instructions an ezamplea) ' __~ -tlisases, Irryuries, or canpkytiom . mat tic ~ Approximate interVeb Part II: Enter odyr a~~, t mrvalian 'mil resp2tory arrest, or ventricular lihdnatbn wtltput slwsw ~' ceased me deem. DO NOT sorer taimnal evmts such as raraac ana=l Onset ro Deam ~ ~ l ~ m 28. Did Tobacco Use Contribute to Deam? ?} rig hie etiokgy. List only one cause on each line. but not resullxg n me uMadying x se given in Pan I. ^,-Y,es/ ^ Pmbaby d IMMEDIATE CAUSE Fatal tlisease or IJd No ^ Unkrxzvn condition resWtirg in ~eam) ~ a. /I ~-~~ ~•!~~ / //.'9 yl ~ 11-~~•.. ~ ,/ i_ 29 I~f-F~le: Due m (or a cansequa dl: y Ll NIX pregnant witlpn Sequa UaIN list cmtlitiom, n arty, b Past rear . ~ IeaMq ro the cause lisletl an Noe a. ,~ Enter Bte UNDERLYING CAUSE Due to (or az a consaquartce oq: / A-r~ ^ Pregmnt at fxm d deem (eve~n~res°am""yin mom°i'ASf a c. ^ Nm pregnant witmin a2 tlays n9 ) pegnant. but Duero (w az a cavsequenx op: pf deem "~ d. ^ Nd pregmnl bd pregnant 43 days to 1 year ~-~! ~ before death +~ 30a. Wes an Autopsy 30b. Were Autopsy Flndngs 31. M~jher d Death r ^ Unknown it Y ~ Performed? Avanade Prior ro Completion ,-,( 32a. Date d Injury (Martin, tlaY. Marl 32b. Describe How Injury Occumetl Pregmm within the past ear 7 of Cause d Deam? Cl NaNral ^ ryprpj~ 32c. Place of Irqury: Home Farm, Street Factory, omx BdMirg, etc lsPe~hl ^ vas [~ Np ^ vas ^ ~ ^ Accident ^ PeMkg mvestigabpn 32tl. Tine pf mjary 32e. Injury at WorN? 321. n rransporytion Ivry lsPedM ^ suicitle ^ Diner/ 329. Lacatpn o! injury IStreel city /town, spry) ^ CoWa Nd be OMermined M ^ Ya ^ No Dperayr ^ Passetger ^ Petlest ale. Cerefyr (check sty one) Omer- SPecr~ry: To the b si wrmyyn (k9>, dul~~~ e a °~ ~b~pe"„d1pn'a` Pnystaan nos pmnouncetl deem and parapeted Nam 23) srenalu<a ayxme a cannier _J ae(s)ana manxras syta____ ~ Pmmoendn9 and xmfymg pnyskMn (Physician coin _____________________________ ~ a(nn 'fs)J~~yv,a i To the twat d lay PrIXbuncrng deem antl certifying m cause d daaml 33c. Ucen Number ur rM' xdedge, dam occurred at tM tlme, ate, and tax, dry due W the ruse(s) and manner es stated_ _ _ _ _ _ _ ^ 33d. Date Signetl (Mxm, day, Year) ° Medical Examiner/Cwpar P _ _ a o On the pals ofexaminatbn aM /« invasli9adon, rn my opinion, dam occurred M try rime, day and pax aria tla t° the ause(a) and mariner as aytea_ ^ / ~ JQ 6 1 ~ r / L ~ ~ /) O ~c 34.~me and Atltress d P9rspn WIp Completetl Cause d Dam (Item 27) Typa /Pmt yq N re i~ '] .Dale ilea lMOreh. say ~'•,,'eiLN~ ~ rahr'te L~ i~tiJ cr iz~1~ i ~i1~ 1~i ~ {~,~~r~5 i~ ~f~~%~1~~ /fir`: va M e:~crn ;v~r. ~ %,.~ ~ e 5 Disposition Parma No. 0599638 -z-, _~~ LAST WILL AND TESTAMENT = ~- ,~~; - (Pour-Over Will) ~ > - ELIZABETH M. GARDOSIK - -; __ --, __ IDENTITY s ~---; ~~ ~, `-~~' ' I, ELIZABETH M. GARDOSIK, 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 198-20-6088. All reference made herein to "spouse or my spouse" refers to the person to whom I am currently married, namely, PAUL J. GARDOSIK. 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 husband or to put him to any election. I have the following children: RITA A. MORRISON born SEPTEMBER 20, 1952 and currently residing in WORMLESYBURG, PA and MICHAEL J. GARDOSIK born JULY 3, 1954 and currently residing in ANAHEIM, CA and PAUL G. GARDOSIK born OCTOBER 21, 1958 and currently residing in HARRISBURG, PA and DAVID R. GARDOSIK born JANUARY 19, 1960 and currently residing in MECHANICSBURG, PA and ANDREW T. GARDOSIK born DECEMBER 29,1960 and currently residing in CAMP HII.L, PA and SANDRA M. GARDOSIK born MAY 13, 1962 and currently residing in HARRISBURG, PA. 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 PAUL J. GARDOSIK AND ELIZABETH M. GARDOSIK REVOCABLE LIVING 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." POUR-OVER WILLS ~ ~~~ ~~~ Page 1 (Testator/Testatrix) 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 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 ofcompetent 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 beheld, 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 PAUL J. GARDOSIK 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 RITA A. MORRISON to serve without bond as my Independent Executor. In the event the second 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 ANDREW T. GARDOSIK 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 POUR-OVER WILLS ~ ~" ~`J Page 2 ~ ~ ~~~ (Testator/Testatrix) 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 ofthis 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 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 ofthis 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 ofthis 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 ofthis my Will that said Beneficiary predeceased me. f ~ ~~~'' ELIZA TH M. G ~~~~ ARDOSIK Testatrix POUR-OVER WILLS - ~~ ly~`` j' Page 3 (Testator/Testatrix) This instrument consists of 5 typewritten pages, including the Attestation Clause, Self-Proving Clause, signature of Witnesses, and acknowledgment ofofficer. I have signed my name at the bottom of each of theme preceding pages. This instrument is being signed by me on this / ;~=-,c3~c"t!~;~ ,, ~ G ~- day of ATTESTATION CLAUSE The Testatrix whose name appears above declared to us, the undersigned, that the foregoing instrument was her Last Will and Testament, and she requested us to act as witnesses to such instrument and to her signature thereon. The Testatrix thereupon signed such instrument in our presence. At the Testatrix's request, the undersigned then subscribed our names to the instrument in our own handwriting in the presence ofthe Testatrix. The undersigned hereby declare, in the presence of each of us, that we believe the Testatrix 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 Testatrix. WITNESSES: / /. (Printed Name of Witness) ADDRESSES: 7 ~/ -~~.~ .:~`~ ~ ~~-~~,~-x'2,1.: (Printed Name of Witness) POUR-OVER WILLS ~' /~~ Page 4 (Testator/Testatrix) COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SELF-PROVING CLAUSE BEFORE ME, the undersigned authority, on this day personally appeared ELIZABETH M. GARDOSIK, ~Nt?' !~ ~/ ~ ~ H,,, ~j ~ ,~ ~fjd C~~ 6g i,E~e-= ~ . L3rn~'c-~° r ~ ,known to me to be the Testatrix and the witnesses, respectively, whose names are subscribed to the foregoing instrument in their respective capacities, and all of them being by me duly sworn, ELIZABETH M. GARDOSIK, Testatrix, declared to me and to the Witnesses, in my presence, that the instrument is her Will and that she had willingly made and executed it as her 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 Testatrix, that the Testatrix had declared to them that the instrument is her Will and that she 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 Testatrix, and at her request and that she 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. ~~ ~' % ,, ELIZA TH M. GARDOSIK Testatrix Wltnes / / (Printed Name of Witness) /'` ~ ~ ~- ~L,tl-.csL.~.~ JS f ~ ~X ! ti Witness (Printed Name of Witness) SUBSCRIBED AND ACKNOWLEDGED before me by ELIZABETH M. GARDOSIK, Testatrix, and subscribed and sworn to before me by _~,,~~, ,~,1„ L ~~~-/~'i~i%~ L~~B~=~i~,witnesses,thisthe ~'~ -- - day of ,1,~~,;~~.:4 ~ ~ , v~~k~/. N HUGH S. GOLOFIN COMMISSIONER OF DEEDS ComnwnwooNA of ~w-~tYlvania ~I Commbalp~ Explros Sept. 16, 2004 POUR-OVER WILLS Page 5 Pennsy (Testator/Testatrix) RENUNCIATION REGISTER OF WILLS OF Estate of _ Elizabeth M. Gardosik .CUMBERLAND COUNTY, PENNSYLVANIA Deceased i' Rita A. Morrison in my capacity/relationship as (Print Name) daughter of the above Decedent, hereby bounce the.ri ht to administer the Estate of the Decedent and respectfully request that Letters be issued to ~ ~ g }`' ,~:-> - Andrew T. Gardosik - - ;-rl _._ r, ~,~ (- ~ ` _ __~ 09/30/~Q11 ~ r~~, ~~'>~ :-, (Dare) ~, (Signature) Rita A. Morrison 1724 Hillsboro Road (Street Address) Hooversville, PA 15963-8400 (City, State, Z/pJ Executed in Register's Office Sworn to or affirmed and subscribed Executed out of Register's Office before me this_.______day Before the undersigned personal) a dthe party executing this renunciation and ert f of • C e l that he or she executed the rent~r~c~~tion for the ur o p p ses stated within on this day of SEPTEMBER 2011 Deputy for Register of Wills ~ ~ v N otary 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. to•is-zoos Copyright (c) 2006 form software only The Lackner Group, Inc. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Beatrice Marie Kerwin, Notary Public Washington Twp., Dauphin County My Comrnission Expires July 25, 2014 Member °s~n^-svlvania t~ssociation of Notaries