HomeMy WebLinkAbout01-13-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the
following and respectfully requests the grant of Letters in the appropriate form:
Decedent's Information
Name: Matilda M. Luther
a/k/a:
a/k/a:
a,'k/a:
Matilda Minnich Luther
Date of Death: 11/14/2011
Decedent was domiciled at death in Cumberland County,
File No: 21-12 - ~~~1
(Assigned by Register)
Social Security No: 184-05-5178
Age at Death: 94
PA
(State) with his/her last
principal residence at 100 Mt. Allen Drive, Mechanicsburg 17055 Upper Allen Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at Messiah Village Upper Allen Township Cumberland PA
Street address, Post Office and Zip Code City; Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ...................... All personal property $ 5.000.00
Ifnot domiciled in Pennsylvania ................ Personal property in Pennsylvania $
Ifnot domiciled in Pennsylvania ................ Personal property in County $
Value ofreal estate in Pennsylvania ................................................................... $ 20,000.00
^ TOTAL ESTIMATED VALUE $ 25,000.00
Real estate in Pennsylvania situated at 1/28 interest in Parcel No. 38-08-0569-016 Silver Spring Township Cumberland Cty
(Attach additional sheets, i/necessary.)
Street address, Post Office and Zip Code
City, Township or Borough
County
® A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) that helshelthey is/are the Executor(s) named in the Last Will o(the Decedent, dated 08!30/2004 and Codicil(s)
thereto dated
State relevant circumstances (e.g., renunciation, deaQh o/executor, etc.)
Except as follows: after the execution of the instrument(s) offered for probate, Decede t did not mar was not divorced, was not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined i~ 23 Pa. C.S. §~3323(g), and did not have a child born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an Inca acitated person.
® NO EXCEPTIONS ^ EXCEPTIONS
^ B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.J d.b.n., d.b.n.c.t.a., pedentelite, durance absentia. durente minoritate
If Administration, c.ta or d.b.n.c.ta.,
Except as follows: Decedent was not a party to pending divorce proceedin wherein t e grounds for divorce had been established as defined
in 23 Pa. C.S. § 3323 (g) and was neither the victim of a killing nor ever ad9udicated a incapacitated person.
® NO EXCEPTIONS ^ EXCEPTIONS i
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will andwas survived by the follow' spouse (if art~+) and heirs (attach
additional sheets, if necessary): ~ ,__,Tt
_: ~ _-
Name
Relationship ~~-
Address ~ ~- r" -
.
..-i ~..J -T~ ~ -
_"i .. r--'-_
.a:r L~ ~`
~'
Form RW-O2 rev. 10.11-2011 Copyright (c) 2011 forth software only The Lackner Group, Inc. Page 1 of 2
.1,..
Oath of Personal Representative ~~' offici2l sto y
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland } ; r• i ~ , ;
Petitioner(s) Printed Name Petitioner(s) Printed Address
Lois Ann Norris 6 Gunpowder Road ^; I' ~'r
~
Mechanicsburg, PA 17050 ~~~~~ ~
~ ~~. f ~ ~';
~
s. n,_ '~y 7-7725
•: i ~-
Susan E Lederer 5011 Locust Lane
Harrisburg, PA 17109
717/652-7323
~~~~~~~t a~w~-~~d~~~~~ swcar~s/ or amrmtsl me s>:a[ements 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, P ' ioneri(s) w'll wel nd truly administer the estate according to law.
.....
Sworn to or affirmed and ubscribed before Date /- I~ -/
me this ~ day of ~~ f ~ Date 1
By:
Date
For the Register
Date
BOND Required? ~ YES ~ NO
FEES:
Letters ...................................... .... $
( t )Short Certificate(s)...... ... _ ~ .,
( - )Renunciation(s) .......... .... 5
( )Codicil(s) ..................... ...
( )Affidavit(s) ................... ...
Bond ......................................... ....
Commission .............................. ....
Other ~ '~ ~ ~ ~
Automation Fee ......................... ...
JCS Fee .................................... ...
TOTAL ...................................... ... $ 1 1 ~ . ~
To the Register of Wl/s:
riease enter my appearance by my signature below:
ttorney Signa ure:
Print Named Amy . Moya
Supreme Court
ID Number: 91402
Firm Name:
Address: 5011 Locust Lane
Harrisburg, PA 17109
Phone: 717!652-7323
Fax:
E-mail: Amyt~Lederertaw.com
DECREE OF THE REGISTER
Date of Death: 11/14/2011
Social Security No: 184-05-5178
Estate of Matilda M. Luther File No: 21-12 -[~ 1
a/k/a: Matilda Minnich Luther
AND NOW, 1 ~-- _ , in consideration of the foregoing Petition,
satisfactory proof vi bee prese ed before me, IT IS DECREED that Letters Testalnentarv
are hereby granted to Lois n Norris and Susan E Lederer
in the above estate and (if applicable) that the instrument(s) dated ~ ~ 08!30!2004
described in the Petition be admitted to probate and filed of record th I _st V~ill (an opicil(s)) of De ent
R~glster of W Its ~ ~~ ~ ~~
Form RW-02 reg. 1al~rzotl Copyright (c) 2011 form so r only The Lackner Group, Inc.
Page 2 of 2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat olr photograph.
Fee aor this certificate, $6.00
P 17646130
Certification Number
1 »~ -
- ~ (.. -
_" -
_- - .,..
lC_,_; Tt _ ..
-°~-- - r~
~.
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent fili(~g.
l~t~:~. ~ .- ~a~',.. 1I ~ !~ ~ ~ f
Local Registrar Date Issued
N10Sts3 REV naaatl COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE) PRINT IN
Pauc.NwN"T CERTIFICATE OF DEATH
(See inetructinnw wnd erwrYrnlnr nn ,.ww,wea
~~
`~
rvUMtlGX
1. Nara. a Dsdars tFa0. mma, 4et alb) x. Sec a ~. Ssnrrsy Numoer ~. Dar d Darn Iwmn, my. ran
Female 1''84 - 05 -51 78 November 1 4, 201 1
5. Me Itaa BOaiaaYl Ungar 1 year UMa 1 & Dab d Birtlr (horse, 7. Bseplacs (~ arN eww a M. Pbd t>osb ICOerk oml
rwrw 0•ra rrdm satyr
lldaset ~, Otlrr.
94 YR March 6, 191 7 New Kingston PA ^,np, ^ER,owp.a.n ^DOe ~~+apngtlona pRsatlr,d ^py,ar_yyedp,
Bb
C
.
raery d OeaN &. City. Bono. 7wp. d OeaN EG
Fa
e
Oy Nsriw iq nol iruld
fio
a, P
+f
traat aM msr4sr) '. 9. Was DsuOaN d FGgonc Onpn7 ~lo ^ Yes 10. Raa: Mwricsn n6sM1 BYd
YMN
etc
~^
((
~~
.
A1 /n
.
~
Cum er and Upper Allen Twp (sPeaM
\
f
Y Y l~ S S I^t'
t Y ~ v i I~ Q ~ IlW
P
i
fO
.
xrl.
uarlo
s
cin. Hc.)
white
11
D
'
'
.
sdOas
s Marl d wM Dar mou tl
. 01s. Dsnd asN 12. Wsa Dedaad srwr h Ns 13. DxstlrN'e Eaudson (SP•cal' «Yy NVws19MS sal la. sbrlrl Srba: Asarie0, Ibv« slsrtisa, 15. Srirvivbp Spouse IM rdb. giro nriasn rrnrl
IOtl d WM lGna d Budrma 1 Ybwhy U.S. Nmoa F«ca? Ebrmnlary I Semrber
Wi0ows0, Oirorda ISOedM
(trl2) Cdb
y
ge (iJ « 5+1
Homemaker Own Home ^Ya ~° 12 ' Widowed
,s lb,"1'em.'>,oraael oenae~a Penns
l~~Alp~en Drive Adwllbeiaence ,Tasty ylvania ~b° ;e0B1" „~<~,
~
ripper Allen
a
~b
T~
Mechanicsbur PA 17055 ' T°""`nip?
9. 170.Coudy Cumberland naC7NO,D«.mmudawlw,
rwrr I;aaa a cy / tbm
Ifl FaNeYS PYme (Fist mi0de, Int annul 19. AloUSfs Nams (Pir, made, swim)
Luther S. Minnich Mar aret olf
2Da OUomrra's Nord RYM / Padl 20b. 0s«rrwfa AYip Aa6ess ( riy r bcm, etYS, s4 cotlel
r
z1a Meald d O'rydNwr ~
i ^ Ganrlbn ^ Darrlbn 2b. Deb d poposam IsbdA M• rein 21c I'hd d 0"uppsRprt INrm d . «rooton «drr ptanl 21a taabn (Gtr / bin, sws, m cede)
Brw ^ Rsmovsllran3de w
c
a
r.nrrbn«D«rtimAwv,ead Nov. 26 201 Lon
^ -sp.drr 0y2mEawawrDetorrr? ^Yea^rb , gsdorf', Cemetery Mechanicsburgy p A
zaSgiWedFunerrswrldticereel«pwsm asuc0) z2e.LicawNurOSr 22cNrdrbAaseadFrwlOy ~ Market Plaza Way
~
~
FD-011667E Malpezzi Funeral H'me Mechanicsburg, ?~, 17055
CrsrpW Yer 23st My wrAlyiiq
plyavnsra arsis0btl ~ aealhb 23a To NB Dsa d my brWsd{p, r1aN rv arsd et tlr 1br, OsN and pYd aslsd. (Sgrulws srd db) 23b. License Number
27c.DW
Sigrd IM«eh. my, yarl
rrrOydua d asYr.
pspr 2aR6 nice y oy~N,b 0Y ~~,
tyro pmwas aesLL 21. Time d DsaN
I
Z 25. Deb Prenorrrd Dsaa (ts0rsh. my, y.an 28. Was Caw Relama b Meartl Eaam'rw / Gagner 1a a Reason Otlrr Nan Cferrwl1011 « Drrsam?
S M.
Z I i- I ~- Zo 1 ^Ya ^No
CAUSE OF DEATH (see hrerudlona en0 eaamPlp) , Apgeamn IMSrvsl:
4rn 27. Pan l: beer tlr m1RFLe1s~- wsassa. sr}aYS, a carpbsbrr -Ntl 6iedly rausstl tlr aaaN. W NDT rW 4nsnsl wwss Ten a onisc anW Pml It Beer eNx ~ ~ 29 Db Tdwaw Ira CaeiNw b DeaN?
, Qrt b OasN
rB,llably rwa, a vMerialM INrlLnolr wnhoU SMwy IIr •0cbpy. lir My ene dire m eec0 ir. but not
ramp a ar undaybp uw Von in PN 1.
^ Yea ^ PrcOWy
^ ~
xS.XFSmW.
Dub(«a•
dnaegdrre d): ~'~~ 2a pregws wil0in Wa year
r
111 dri6aern, n arry,
b prw bls0dinea 0' ; /mar ~"
^PnVrddsmedmah
Fwr IIIIInERlYn16 DAIISE Ddb (or a a coneeWwcs d).
^ Nd pregrrs, 0U praprM wilco e2
Diw m (a u a dnaprnd dl.
^ Nd DrePWS. W pregrd /3 mys b I year
rt
~ 0dae rwN
^ lMSrbwn A prepnws aiMSn efe post year
3h. ISla n Arsopay 300. WawAdopsy Fsrmgs 31. slrarM d OasN 32a DW d girl' (MwO, my, yeen 320. aovihs lbw ~1' Dalnro
P
rwbnrtl7 AvsxWr PnerbCnnpYOd r-~(~a ^NOnigas
d Csues d OaN7 `~ ~~~;~~BreM FSCtaY.
^ Yr ~b ^ Ya ^ ab ^ ICdr1 ^ Panmp ImMlpaann 32d. TsM d ONory 32a. bNl'r Wrns? 921. N Twmpomeon 0yn fSpmrY/ 32q. tod0on d bjury (S1ree1, dtY /lam, mrl
^ SrJtle ^ Colltl Nd a DalalmYletl M ^ Yes ^ NO ^ Drwar / Dperaar ^ Purger ^PedarYb
Osur ~ SPanry: ~.
33e. Carefier (drok ady arl
• D•mnYOq pOytlcYn (POysitzn annlb0 dde d rWN wMn andMr gygdon trs prarrsea meN orb catpble0 gam ZL) 73b. Sgmurs Tlk d Gnfrr
~_~
To 1N 1ps1 d my YrpsAstlpq eaw0 ocaand err b era arw(s) tM nwuw a suYd_ _ _ _ __ _ _ _ _ _ _ _ _ _ _
rrs d awNl _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
A°n°uriq rre dnnYOW pMabisn (PIMan•n 0oN gonoiarip rbW w,e osrtll
i
b
•
y
q
c
To tlr lraMdary lowrbane, mdh aearndwtlr tlma,mb,rW pYd, one arbtlr crrNq snamwwr Wlad______________ ___I]
• Yaieol Esarriw/taarr 33c. Lipaw Nu ba
//~~'/
U (. ~. n
~. ~Y3/
On tlw W W d snnirMbn am! « Nratlpetbn, N my apinlon, mW ocarrea st tlr tlnr. dab, sne pled, uM ad b tlr cause(s) rla Tamer a aMS~ ^ I.i~ L ~~
U S~ ~` / 3 f / ''/
( 'f
3<. NrMW sudPenew Wlp dslsay ~lTypo/Pm1
~. s ' rid [ w •d LJ
- ` 1. I ~ I 1 I ~ i ,l I ~I c~ Fbd (wwm. ar, yr~?I . /CTO /Y1 x`- ~LQ/t ~,1L.
GspoaOen Parmil Nw v O 7 J 7 V .D /~ivcxis-~-O 'll c.~. -1 . - - - -
Last Will and Testament
of
Matilda M. Luther
I, Matilda M. Luther, a resident of Cumberland C unty, Pennsylvania, revoke any
prior wills and codicils made by me and declare this to be~my Last Will and Testament.
Article One
Distribution of My Property
Section 1.01 Pour-Over to My Living Trust
All of my probate estate, excluding any property over hick I might have a power of
appointment, and after payment of expenses and taxes hich arf; paid pursuant to this
will, I give to the Trustee of the Matilda M. Luther Liv'ng Trust dated October 2, 1996
and any amendment thereto executed prior to this will, t be added to the property of that
trust and direct that the Trustee administer the property a~ provided in the trust agreement
and any amendments prior to my death. ',
Section 1.02 Alternate Disposition
If the trust referred to in Section 1.01 is not in effect ~ my death or if for any other
reason the pour-over cannot be accomplished, I specific, ly and completely incorporate
the terms of the trust into this will by reference. In such a situation, I direct my personal
representative to establish a trust in accordance with the provisions of such trust and give
the remainder of my estate, excluding any property over which I :might have a power of
appointment, to the Trustee of said trust to be administered as provided in the trust
agreement.
~_
C C~ CJ
1
(:
-'-`=-111
~ ~,_~
'i'I
C7 .~_+
;:>
p...,]
_. ~ _.
L..~ _
.._.,. ~~ ~._.J
.~
t ".
Page 1 of 9
Article Two
Designation and Succession bf Fiduciaries
Section 2.01 Personal Representative
I nominate Patrick E. Bell and Lois Ann Norris a/k/a Lois M.:~lorris as my personal
representative. If Patrick E. Bell and Lois Ann Norris a/k/a Lois M. Norris fails or ceases
to act as my personal representative, Inominate the following as my successor personal
representatives in the order named:
In the event that Patrick E. Bell is unable to serve, Susan E. Lederer to
serve in his place and stead; and
In the event that Lois Ann Norris a/k/a Lois M. Norris is unable to serve,
Jack Norris to serve in her place and stead
Article Three
Powers of Fiduciaries
Section 3.01 Grant
My personal representative may perform every act reasonably necessary to administer my
estate and any trust established under my will.
Specifically, my personal representative may exercise the following powers: hold, retain,
invest, reinvest, sell, and manage real or personal property, including interests in any
form of business entity including, but not limited to, limited partnerships and limited
liability companies, and policies of life, health and disability insurance, without
diversification as to kind, amount or risk of non-productivity and without limitation by
statute or rule of law. My personal representative may partition,, sell, exchange, grant,
convey, deliver, assign, transfer, lease, option, mortgage, pledge, abandon, borrow, loan
and contract. My personal representative may distribute the assets of my estate in cash or
kind or partly in each at fair market value on the date of distribution, without requiring
pro rata distribution of specific assets and without requiring pro rata allocation of the tax
bases of such assets. My personal representative may hold in nominee form, continue
businesses, carry out agreements, deal with itself, other fiduciaries and business
organizations in which my personal representative may have an interest. It may establish
reserves, release powers, and abandon, settle or contest claims. It may employ attorneys,
accountants, custodians of the trust assets, and other agents or assistants as deemed
advisable to act with or without discretionary powers and compensate them and pay their
expenses from income or principal or both.
Page 2 of 9
Section 3.02 Powers Granted by State Law
In addition to all of the above powers, my personal representative may exercise all
powers granted under applicable state law as set forth in Pennsylvania Probate, Estates
and Fiduciaries Code, as amended after the date of my will. I incorporate such Code as it
exists today by reference and make it a part of my will.
Section 3.03 Distribution Alternatives
My personal representative may make any payments under my will.:
Directly to the beneficiary;
In any form allowed by applicable state law for gifts or transfers to minors
or persons under disability;
To the beneficiary's guardian, conservator, or caregiver for the benefit of
the beneficiazy; or
By direct payment of the beneficiary's expenses.
A receipt by the recipient for any such distribution, if such distribution is made in a
manner consistent with the proper exercise of my fiduciazies' duties hereunder, shall fully
discharge my fiduciaries.
Article Four
Administrative Provisions
Section 4.01 Court Proceedings
If any trust is established under my will that trust shall be administered in a timely and
efficient manner consistent with its terms, free of active judicial intervention and without
order, approval or other action by any court. It shall be subject only to the jurisdiction of
a court being invoked by the trustees or other interested .parties oi• as otherwise provided
by law.
Section 4.02 No Bond
I direct that no fiduciary shall be required to give any bond in any jurisdiction, and if,
notwithstanding this direction, any bond is required by any law, statute, or rule of court,
no sureties be required.
Page 3 of 9
Section 4.03 Compensation
Any fiduciary under this instrument shall be entitled to reasonable compensation
commensurate with services actually performed and to be reimbursed for expenses
properly incurred.
Section 4.04 Ancillary Fiduciary
In the event ancillary administration shall be required or desired and my domiciliary
personal representative is unable or unwilling to act as an ancillary fiduciary, my
domiciliary personal representative shall have the power to designate, compensate, and
remove the ancillary fiduciary. The ancillary fiduciary may either be a natural person or
a corporation. My domiciliary personal representative may delegate to such ancillary
fiduciary such powers granted to my original personal representative as my personal
representative may deem proper, including the right to serve without bond or surety on
bond. The net proceeds of the ancillary estate shall be paid over to the domiciliary
personal representative.
Article Five
Tax Provisions
Section 5.01 Death Taxes and Payment of Expenses
The trustee of the trust referred to in this will is authorized to pay my funeral and burial
expenses, claims against my estate, and expenses of estate administration. Accordingly, I
direct my personal representative to consult with the trustee to determine the preferable
source for payment of such amounts and which, if any, should be requested from the
trust.
I direct my personal representative to follow any instructions cont~~ined in the Matilda M.
Luther Living Trust in making any tax election, including, but not limited to, the
allocation of my GST Exemption. I direct that the taxes imposed by reason of my death
upon property passing under and outside my will be apportioned and paid in the manner
provided in the Matilda M. Luther Living Trust, and I incorporate: the tax apportionment
provisions of the Matilda M. Luther Living Trust as part of my will.
In no event shall any of such taxes be allocated to or paid from property which is not
included in my gross estate for federal estate tax purposes or which qualifies for the
federal estate tax charitable deductions.
Page 4 of 9
Section 5.02 Tax and Administrative Elections
My personal representative may exercise any available elections under any applicable
income, inheritance, estate, succession, or gift tax law. This authority specifically
includes the power to select any alternate valuation date for death tax purposes and the
power to determine whether any or all of the administration expenses of my estate are to
be used as estate tax deductions or as income tax deductions, and no compensating
adjustments need be made between income and principal as a result of such
determinations unless my personal representative shall determine otherwise, in the
discretion of my personal representative, or unless required by law.
My personal representative shall not be liable to any beneficiary of my estate for tax
consequences occasioned by reason of the exercise or non-exercisf; of any such elections
or by reason of the allocation and distribution of property in kind in full or partial
satisfaction of any beneficiary's interest in my estate.
Article Six
General Provisions
Section 6.01 Applicable Law
The validity and construction of my will shall be determined by the laws of Pennsylvania.
Section 6.02 Contest Provision
If, after receiving a copy of this paragraph, any person shall in any manner, directly or
indirectly, attempt to contest or oppose the validity of my will or my living trust,
including any amendments thereto, or commences, continues or prosecutes any legal
proceedings to set my will or living trust aside, then such person shall forfeit his or her
share, cease to have any right or interest in my property, and shall for the purposes of my
will be deemed to have predeceased me.
This Section shall not apply so as to cause a forfeiture of any distribution otherwise
qualifying for the federal estate tax charitable deduction.
Section 6.03 Construction
Unless the context requires otherwise, words denoting the singul~~r may be construed as
denoting the plural. Words of the plural may be construed as denoting the singular.
Words of one gender may be construed as denoting another gender, if appropriate.
Page 5 of 9
Section 6.04 Headings and Titles
The headings and paragraph titles are for reference only.
Section 6.05 Internal Revenue Code, IRC or Code
References to the Internal Revenue Code, the IRC or the Code shall refer to the Internal
Revenue Code of the United States. References to specific sections of the Code shall be
to any sections of like or similar import that replace the specific sections as a result of
changes to the Internal Revenue Code made after the date of my will.
Section 6.06 Other Definitions
Except as otherwise provided in my will, terms shall be as defined in the Pennsylvania
Probate Code as amended after the date of my will and after my death.
Section 6.07 Survivorship
For purposes of this will, any beneficiary shall be deemed to have predeceased me if such
beneficiary dies within 30 days after the date of my death.
Section 6.08 Severability
If any part of this instrument shall be adjudicated to be void or invalid, the remaining
provisions not specifically so adjudicated shall remain in full force and effect.
I, Matilda M. Lut er, having signed this Will in the presence of S~v-t~ A•'1Z~.:~S.
and ! 'n who attested it at my request on this day,
.4~~-~ 3 ~ , 2004 at Harrisburg, Pennsylvania, decl~~re this to be my Last
Will and Testament.
t~U~~
Matilda M. Luther, Testatrix
Page 6 of 9
The above and foregoing Will of Matilda M. Luther was declared by Matilda M. Luther
in our view and presence to be her Will and was signed and subscribed by the said
Matilda M. Luther in our view and presence and at her request. and in the view and
presence of Matilda M. Luther and in the view and presence of each other, we, the
undersigned, witnessed and attested the due execution of the Will of Matilda M. Luther
on this day, .J~ ..~ s 3~ , 2004.
/1-~- residing at
~~
~; A.. r siding at
~~.
~~~ ~ ~R~~~ ~~ ~ c~
7~ / 7~/~
19 aFf~ rt ~t~-o oS-~ f~l '}~~
Page 7 of 9
PENNSYLVANIA SELF AUTHENTICATING AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
I, Matilda M. Luther, the testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will; and that I signed it willingly and as
my free and voluntary act for the purposes therein expres$ed.
Sworn to or affirmed and acknowledged before me by Matilda M. Luther, the testatrix,
this day, ~ ~ ~-~+r 30 , 2004.
~~
Matilda M. Luther, Testatrix
Notar Public
COM NWEALTI-I OF PENNSYLVANIA
Notarial Seal
Am M. Mopa, Notary public
Lower Paxton Twp., Da hin County
MY mmission Expires Jan. 29 2068
Member, Pennsylvania Association of~Notar~s
Page 8 of 9
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF DAUPHIN )
We, 5 ~-~ ~ A .'2~-Y-ea~d ~~ i ~cny l .~ka?C~vn, the witnesses whose names are
signed to the attached or foregoing instrument, being duly qualified according to law, do
depose and say that we were present and saw the testatrix sign and execute the instrument
as her Last Will; that the testatrix signed willingly and executed it as his free and
voluntary act for the purposes therein expressed; that each subscribing witness in the
hearing and sight of the testatrix signed the will as a witness; and. that to the best of our
knowledge the testatrix was at that time 18 or more years of age, of sound mind, and
under no constraint or undue influence.
G?' --
Witness
Wit es
~'
Not Public
COM NWEALTH OF PENNSYLVANIA
Notarial Seal
Amy M. Moya, Notary Public
Lower Paxton Twp., Daupphin Countyty
My Commission Expires Ju-. 29, 206>i
Member, Pennsylvania Association of Notaries
Page 9 of 9