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HomeMy WebLinkAbout01-17-12PETITION 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 request(s) the grant of Letters in the appropriate form: Decedent's Information Name: William H. Sheaffer a/k/a: a/k/a: a/k/a: Date of Death: /13/12 File No: 21- :~ "~ (~, ~- U``fJZp ~ (Assigned by Register) Social Security No: 179-12-3961 Age at death: 87 Decedent was domiciled at death in Cumberland County, PA (State) with his/her last principal residence at 770 South Hanover Street Carlisle Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 770 South Hanover Street Carlisle Cumberland PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: IfdamiciledinPennsylvania ................................ All personal property $ 300,000.00 Ijnot domiciled in Pennsylvania ............................. Personal property in Pennsylvania $ If not domiciled in Pennsylvania ............................. Personal property in County $ Value of real estate in Pennsylvania .......................... .................................... $ TOTAL ESTIMATED VALUE.... $ 300,000.00 Real estate in Pennsylvania situated at: (Attach additional sheets, ijnecessary.J 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) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated 10/15/97 and Codicil(s) thereto dated Januar; 8, 2001 Co-Executor. Linda M. Burns has renounced her right to serve State relevant circumstances (e.g. renunciation, death ojexecutor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 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 incapacitated person. ® NO EXCEPTIONS ^ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d. b. n., d. b. n. c. t. a., pendente life, durante absentia, durance minorttate If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.5. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ EXCEPTIONS 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 (attach additional sheets, if necessary): Name Relationship Address '=- 1 .' Form RW-02 rev. JO/I1i2011 Page 1 Of 2 .,/'. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Official Use Only Petitioner(s) Printed Name Petitioner(s~ Printed ~1 ress " ~ °" `~ Vicki L. Steedle 19 Glen Alpine Road Phoenix "- - MD 21131 ,!; Tf>a Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and tbst, as Pesonal Representative(s) of the Deced ' t, t Pet' oner(s well and t ly administer the estate according to law. Sworn to or affirmed and subscribed bef~r~e~ ~1rC~ ~• ~~~.~~- tne this day of ~ , ~U~ ~ ~ t ~- Date Date By: ' -~ ~l~l,i 1,4 D;~~,Cil ~ Date For the Register Date BOND Required: ^ YES ®NO To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters ....................... $ ~~ L "~ ( ~ )Short Certificates(s) ...... ~' (-` ( 1 )Renunciation(s) .......... ~ ~)G ( 1 )Codicil(s) .............. iJ ~ cJU ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Other ......... _ Automation Fee ................ . JCS Fee ....................... TOTAL ......................$ ~~ U L' ~3 ~C ~~~. jG~ Attorney Signature: J~ Printed Name: Seth T. Moseb Supreme Court ID Number: 203046 Firm Name: Manson Law Offices Address: 10 East High Street Carlisle PA 17013 Phone: (717) 243-3341 Fax; (717) 243-1850 Email: smosebey(a~,martsonlaw.com DECREE OF THE REGISTER Estate of William H. Sheaffer File No: 21- ~L ~ ~ - C%~%'~--~ ~-~ a/k/a: AND NOW,_,~~:i`1 L(. ~~ 1~.4 ~ 7 2012 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT I5 DECREED that Letters Testamentary are hereby granted to Vicki L. Steedle in the above estate and (if applicable) that the instrument(s) dated October 15, 1997 and January 8, 2001 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. Form RW-02 rev. 10/11/2011 f I l~` ~ ~ l..~i ~ ~ ~ ~,~. Register of Wills d- ~7~~'CCI~-k, i ~ C 1 l age 2 of 2 L,AL REGISTRAR'S CERTIFICATION OF DEATH 1~(ARNING: It is illegal to duplicate this copy by photostat or photograph. ~~ Fee for this,,certi~~c~t~ $~€j,QO~ ~i ~i~l=~j i '~: (-, nt~.i t~t~i "-t-~~ Q~PHr~•' P~~'~`8f ~ 10 i~J1 d -~ V O Certification Number Type/Print In Per ent This is to certify' tf~at the information here given is correctly copied from err original Certificate of Death duly filed with me as Local Registrar. The original certificate will he forwarded to the State Vital Records Office for permanent tiling. ~~ttiaye. ~~~'~esu~~De..~JA 1 5012 Local Registrar Date Issued COMMONWEALTH OF PEN NSVLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS f"CalT^La/"'ATC n -- - - - - - - -- ' - " - State Flle Number: 1: Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4 D t f D h . a e o eat (MO/Day/yr) (Spa 1 Mo) William H_ Shaeffer al 179 ' e -12-396 1 Jan• 13 20"12 Sa A e-Last elrthda (Yr ) 56 d . g y s . Vn er 1 Vear Sc. Under 1 Da 6. Date of Birth (MO/Day/Vear) (Spell Month) ] gfirth C1ty d to or F i Cou~Lt . Months Days Hours Minutes 1GIL .1Y0~1.y '~prf n~s °I ~ 8 7 , yE] Nov _ 9 1 9 2 4 , ]b. Birthplace (cp.,nty] Cum eriand 8 R d a. esi ence (State or Foreign Country) Bb. Resltlence (Street and Number -Include Apt No.) 8c. Did Decedent Live In a Township? Penns lvania 770 S. Hanover $t QYes, decadent lived in • twp Hd. ResidgDU (Cqun~ty~ 1 a n d lt~~ Ill L7 Se. Residence (Zip Code) 1 7 () 1 3 ~No, decedent Ilyad within limits of ~~r 1 i S 1 e city/boro- 9. Ever in US Armed Forces? 30. Marital Status et Tlma of Death Q Married Widowed 11. Surviving Spouse's Name (If wife give name rior to fir [ i , p e marr age) ($Ves Q No Q Vnknown Q Divorced Q Never Marrietl Q Unknow 12. Father's Name (Firs[, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (Firs[, Middle, Last) Harvey Shaeffer Lillie Warner 14a. Informant's Name 146 Relailonshi t D d ' ~ . p o eca ent 14c. Informant s Mailing Address (Street and Number, City, State, Zip Code) Vicki Steedle d h e - au tea Al in R h y S c If Death Occurred in a Hos Ital: .................."-- --... ----........-.--......---.-...-..-.. ..........-..........-.........---- P 1~ In tlen[ plf Death Occurred Somewhere Other Than a Hospital: I~HOSpice Facility D d ' H g ece ent s ome Q EmeBency Room/OUtpatlent Dead on Arrival Nursing Home/long-Term Care Facility Ocher (Specify) 6 • o 15 . Facility Name (If not InsHtutlon, give street and number; lSC. City or Town, State, and Zip Code 1Sd. County of Death Chapel Point t .~ e a Carlisl Carlisle PA '170'13 Cumberlan 16a. Method of Disposition Burial Q Cremation 16b. Data of Disposltlon 16c. Place of Disposition (Name of cemetery, crematory, or other place) $ Q Removal fro` pee ~ Q Donatlpn J 1 i ) an _ other s y p g 7, 2 0 2 M t Ho 11 $ r i n s 16d. Location of Disposltlon (City or Town, States, and Zlp) 3]a. Signature of Funeral Service Licensee or Person In Charge of Interment 1]b. License Number Mt _ Ho11y Springs , PA 1 70 5 ~; a.~ 01 1 589E 1]c. Nama and Complete Address of Funeral Facility 'm' 18. Decedent's Education -Check the box [ha[ best describes the 19. Decedent of Hlspantc Origin -Check [he 20. Dece ant sRace -Check NE OR MORE races to Indicate wh t a highest degree r legal of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be . Q 8th grade or less Is Spanish/Hlspantc/Latino. Check the "NO" White Q Korean Q N di l o p oma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese f'High school graduate or GED completed No, not Spanish/Hispanic/Latinp Q A i I d mer can n ian or Alaska Natlva Q Other Asian Q Some collage credit, but no degree Q Ves, Mexican, Mexican American, Chicano 0 Asian Indian Q Native Hawaiian Q Associate d egree (e.g. AA, AS) Q Ves, Puerto Rican (] Chinese Guamanian or Chamorro Q Bachelor's degree (e.g. BA, AB, BS) Q Ves C b O , u an Q Filipino Samoan Q Master s degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Ves, other Spanish/Hlspanic/La[Ino 0 Japanese Q Other Pacific Islander ~ Ooc[orate (e.g. PhD, Ed D) or Professional degree S if ( Pec y) Q Other (SPeclfy) . MD DDS DVM LLB JD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicates what the decadent considered himself or herself to be. 22a. Decedent's Usual Occupatlo -Indicate type of work ®(White (] Japanese Q Samoan done during most of working Ilfen DO NOT USE RETIRED. Q Black or African American Q Korean Q Other P lfl I l d ac c s an er Q American lndlan or Alaska Native QVlatnamesa Q Don't Know/NOt SUre Plant Manager Q Chinesedlan Q Other Asian Q Refused 22b. Kintl of Business/Industry Q QNativeHawailan QOther(Specity) Manufacturin O FIII i g P no Q Guamanian or Chamorro ITEMS 23a - 29 MUST BE COMPLETED 23a. Date Pronounced Dead Mo Day r) 23b. Signa[ f Person Pronouncing Death On y w en app ice e) 23c License Num e BY PERSON WHO PRONOV NOES OR r . r~ CERTIFIES DEATH (,AIJV i~(1 13'"tc' 012. . 23d Date Slgnad (Mp/Da /Y ) JCl 2 71 A~ - ~~~ 2' I~~~~ 7 ~LC"" ~ / . y r 24, Times of Death j(J L ~ ~ 1 - 11 j~.~M 'r.01 "G. ~0 'Sd ~f M 25. Was Medical Examiner or Coroner Contacted? Q Yes No CAlJSE OF DEATH Approxla ate 26. Part 1- Enter the chain of events--diseases, InJurles, or complications--that tlirectly caused the death. DO NOT enter terminal agents such as cardiac a est I t 1 r n arv : respiratory arrest, pr ventricular flbrlllatlon without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional Iines if necessa On t t O h ry se o eat IMMEDIATE CAUSE ---------------> a. ~ ~ Ira s N 'D I ~~ (Final disease or condition Due to (or as a consequence of): resulting in death) b. Sequentially list conditions, Due to (or as a consequence of): H any, leading fo the cause listed on Ilne a. Enter the UNDERLYING CAVSE Due to (or as a consequence of): (disease or InJury that F Initiated the events resulting d. In death) LAST. Oue to (or as a consequence of): s 26. Part 11- Enter other i Ifi t dltl t fib tl t d th but not resulVng In the underlying cause given In PaK 1 27. Was an autopsy per/ormedT `i Vas O No m 28. Ware autopsy findings avaiia le tp complete the cause of deathT 9t O Ves Q No 29. If Female: 3 d 0. Dl Tobacco Use Contribute to DeathT 31. Manner of Death Q Not pregnant within past year s Q a ° ' ow~ ,~ Natural Q Homicide Q Pregnant a[ time of death 0 No Unk ~ rb Q Accitlent Q Pending Investigation Q Not pregnant, but pregnant within 4Z days of death I- Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In Q Suicide Q Could not be determined Jury (MO/Day/Yr) (Spell Month) Q Unknown if pregnant within the past year 33. Time of InJury 34. Place of InJury (e.g. home; cons[ruc[lon site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Coda) 36. Injury at Work 3]. If Transportation Injury, SpeciTy: 36. Describe How Injury Occurred: Q Yes Q Drlvar/Operator p Pedestrian (] No Q Passenger ~ Other (Specify) 39a. Certifier (Check only one): Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner s[atetl Q Pronouncing ffi Certifying physician - To the best of my knowledge, death ocwrratl at the time, tlate, antl plan, and due to the cause(s) and man r stated Q M di l E e ca xaminer/Coron r - On the basis of examination, and/or Investigation, in my opinion, death occurred at the lime, data, and place, and due to the cause(s) and m er stated Signature of certifier: t~"~ Title of certifier: License Number: Y*la d I L Z Y ((~ 39b_ Name, Address and Zip Coda of Parson Completing Cause of Death (Item 26) 39c. Data Signed (MO/Day/Yr] G c o.' ~ P . ~j r xr.gcvr+~ O n -n.'D 1'1 tax (J~ ~` ~,c ~t ~-r °'z . ~ a.. 1 17015 X12 ~ y, 40. Registrar's District Number 41 Re istra . g 42. Registrar Flle Date Mo Day r 43. Amendments R ~ a~ 8 _~ DlsposlVOn Permit No- C7 ~n~ 1 InrX H 105-143 REV 0]/2011 Estate of WILLIAM H. SHEAFFER ,Deceased 1, LINDA M. BURNS , in my capacity/relationship as (Print Name) DAUGHTER of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to VICKI L. STEEDLE , ~oate~ T Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills (Signature) 13119 MOORPARK STREET, APT. 5 (Street Address) SHERMAN OAKS CA 91423 (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunci ti for the pur J~oses stated within on this ) ~ day of t11, ~ ,~- . Notary Public 1 ~ My Commission Expires: 1 I (~I I ~ ~ ~ ~f (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALIIi OF PENNSYLVANIA Form RW-06 rev. 10.13.06 Notarial Seal Melissa A. Sdtolly, Notary Public South Middleton Twp., Cumberland County My Commission Expires Jan. 19, 2014 Member. Pennsylvania Association of Notaries F:\FILESIDATAFILE\ WILLS\6106-H. WIL LAST WILL AND TESTAMENT I, WILLIAM H. SHEAFFER, of South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or C~licils by ire made. .; ~ - _ ITEM ONE ~ -'; I direct that all my just debts, funeral expenses, testamentary expenses and a1~-ritance taxes shall be paid to the extent possible from the assets held or passing under ITEl~,F~VE hefebf 1. %j as soon as practicable after my decease and as part of the administration of my estate. ~ - ` ` ITEM TWO In the event my wife, FLETA D. SHEAFFER, shall predecease or fail to survive me by thirty (30) days, then I give such items of personalty as are itemized in a certain list attached hereto to the persons named thereon, which list is signed and dated by me at the end thereof. ITEM THREE If my said wife, FLETA D. SHEAFFER, is living thirty (30) days after my death, then I give, devise and bequeath all of my estate, both real and personal property, unto my said wife, FLETA D. SHEAFFER, absolutely. If my said wife does not so survive me, then I give, devise and bequeath all of my estate, both real and personal property, unto my Trustees to be held or distributed by such Trustees under ITEM FIVE, C., hereof. ITEM FOUR In the event my said wife, FLETA D. SHEAFFER, shall disclaim all or any portion of any devise or bequest made to my said wife under the foregoing ITEM THREE, then the amount otherwise payable shall be held by my Trustee(s) under ITEM FIVE hereof. For purposes of the Trust established under ITEM FIVE hereof, my said wife shall not be deemed to have predeceased me by virtue of my said wife's exercise of the right to disclaim set forth herein. ITEM FIVE RESIDUARY AND DISCLAIMER TRUST My Trustee(s) shall hold the assets received under ITEMS THREE and FOUR hereof, if any, ,! I~~~r W.H.S. Page 1 of 7 Pages for the following purposes: A. My Trustee(s) shall pay the net income, at least quarter-annually, to my wife, FLETA D. SHEAFFER, for life. In addition, my Trustee(s) in their sole discretion, may invade the principal of the Trust for the proper and adequate support of my said wife, FLETA D. SHEAFFER. B. My Trustee(s) shall further pay to my said wife, FLETA D. SHEAFFER, annually, such sum from the principal of the Trust as my said wife may request in writing, provided, however, that said sum may not exceed the greater of Five Thousand Dollars ($5,000.00) or five percent (5%) of the aggregate value, at the time of said request, of the principal of the Trust hereunder. C. Upon the death of my said wife, FLETA D. SHEAFFER, my Trustees shall distribute the principal and any undistributed income, as follows: 1. The sum of Fifly Thousand Dollars ($50,000.00) shall be paid to MT. ZION UNITED METHODIST CHURCH, 420 Park Drive, Calrisle, Pennsylvania; 2. The remaining principal and interest shall be distributed to my daughters, VICKI L. STEEDLE and LINDA M. BURNS, in equal shares, absolutely. ITEM SIX POWERS OF EXECUTRIX AND TRUSTEE In addition to the powers conferred by case law, by statute, and by other provisions hereof, my Executrix and Trustee and their successors, shall have the following discretionary powers applicable to all property held by them which powers shall be effective without order of any court and shall exist until final distribution: A. To retain any property of any nature received by them for whatever period they shall deem advisable; B. To invest and reinvest all or any part of said property in such stocks, bonds, common trust funds, securities, accounts, certificates of deposit (including, but not limited to, stocks, bonds, common trust funds, securities, accounts or certificates of deposit of the Trustee) or other property, real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the property which a fiduciary may purchase; C. To sell, transfer, exchange or otherwise dispose of, any part of said property, for cash `1~,,~~t'l1' W.H.S. Page 2 of 7 Pages or on terms, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of any trust herein, without liability on the purchasers or lessees to see to the application of the proceeds, and to give options for these purchases without the obligation to repudiate them in favor of a higher offer; D. To execute and deliver any deeds, leases, assignments or other instruments as may be necessary to carry out the provisions of any trust hereunder; E. To borrow money, including the right to borrow money from any bank and to mortgage or pledge any asset of the estate as security; F. To assume continuance of the status of any beneficiary with regard to death, marriage, divorce, illness, incapacity and the like in the absence of information deemed reliable without liability for disbursements made on such assumption; G. To pay from the trust, or the income therefrom, all debts or claims against my estate, or any taxes or similar charges on my estate; H. To make any distribution hereunder either in kind or in money, or partially in kind and partially in money. Distribution in kind shall be made at the market value of the property distributed, and my Trustee(s), in their absolute discretion, may cause the share distributed to any distributee to be composed of property similar to or different from that distributed to any other distributee; I. To exercise any subscription right in connection with any security held hereunder, to consent to or participate in any recapitalization, reorganization, consolidation or merger of any corporation, company or association, the securities of which may be held hereunder, to delegate authority with respect thereto, to deposit investments under agreements, to pay assessments, and generally to exercise all rights of investors; J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries of any trust hereunder; K. To continue in any partnership, joint venture, joint ownership or other business enterprise of which I am a part at the time of my death; L. To compromise claims; ~~J W.H.S. Page 3 of 7 Pages M. To continue for whatever period of time as they shall deem necessary any ownership as a tenant in common or as a partner, in real estate or other property and to act as I could have done had I been living; N. To lend money to my estate or to any trust created hereunder or to purchase from the estate or from any trust created hereunder, at the market value thereof at the time of purchase, any securities or other property tendered to them by my estate or any trust created hereunder at any time and from time to time within a period of nine (9) months after my death; O. In the event that any amounts are payable hereunder or under any trust created hereunder to a minor, or to a person otherwise under legal disability, or to a person not adjudicated to be an incapacitated person, but who, by reason of illness or mental or physical disability is, in the opinion of fiduciary(ies) hereunder, unable to properly administer such amounts, such amounts may be paid by the fiduciary(ies) hereunder in his, her or their sole discretion in any of the following ways as he, she or they may deem best: 1. Directly to such beneficiary; 2. To a legally appointed guardian of such beneficiary for the benefit of such beneficiary; 3. To a person having custody of such beneficiary for the benefit of such beneficiary; 4. By the fiduciary(ies) hereunder using such amounts directly to the benefit of such beneficiary. Evidence of the application or payment of an amount in such a manner shall be a full and complete discharge of the fiduciary(ies) hereunder to the extent of such payment or application. This paragraph shall be applicable to payments of income as well as principal. P. To employ agents, attorneys and proxies and to delegate to them such power as my personal representative(s) and Trustee(s) consider desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; Q. To conduct an inventory of any safe deposit box necessary to the administration of my estate. W. .S. Page 4 of 7 Pages R. To do all other acts in their judgment necessary or desirable for the proper management, investment and distribution of my Estate. ITEM SEVEN PROTECTIVE PROVISIONS All income or principal held for the use and benefit of any trust hereunder shall not be in any way or manner subject to anticipation, assignment, pledge, sale or transfer, nor shall any such interest, while in the possession of my Trustee(s), be liable for or subject to the debts, contracts, obligations, liabilities or torts of any beneficiary, or to attachments, executions or sequestrations under process of law. ITEM EIGHT APPOINTMENT OF EXECUTRIX AND TRUSTEE I nominate, canstitute and appoint my wife, FLETA D. SHEAFFER, as Executrix of my estate. In the event that my said wife shall predecease me or fail to act as Executrix, then I appoint my daughters, VICKI L. STEEDLE and LINDA M. BURNS, as Executrices of my estate. I nominate, constitute and appoint my said wife, FLETA D. SHEAFFER, as Trustee of any trust created hereunder. In the event that my said wife shall fail or be unwilling to continue to act as Trustee, then I appoint my daughters, VICKI L. STEEDLE and LINDA M. BURNS, as Trustees of any trust created hereunder. ITEM NINE WAIVER OF BOND I direct that neither my Executrix(rices) nor my Trustees} shall be required to file any bond in any jurisdiction to secure the faithful performance of their duties, nor shall they be required to obtain any order or approval of any court for the exercise of any power or discretion set forth in this Will. IN WITNESS WHEREOF I have hereunto set my hand and seal this 1 `~ ~ h day of ~1 C~,n , 199 ~, /~ ` ;~ ~-GC:G'~~~ ~/`~~ ,Z~-(SEAL) William H. Sheaffer ~ SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and Page 5 of 7 Pages for his Last Will and Testament, in the presence of us, who at his request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testator and of each other. /~ , ,~ ''~ ~ f i'/~ ~~~~ ~t (~/~i .`'G~~ ~~~ Page 6 of 7 Pages COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND I, William H. Sheaffer, Testator, 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; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ,, '~ ; ,~ William H. Sheaffer //% _ Sworn or affirmed to and acknowledged before me by William H. Sheaffer, the Testator, this 1~ ~ day of 199`/. C~rr~ne i ~9yt ~ Noiary Public C ~ ~ roc ~, i umberi~ ~ Cc~.~nty ~r i ,on ~. " uy 27, ~~ ss~ Notary Pub11C COMMONWEALTH OF PENNSYLVANIA ) . SS. COUNTY OF CUMBERLAND We, ~~ 1 ~ ~ ~-rr~ F- /~ l - r-~ v71 Ce..~._ rU t C-B~_a ~e~ ~.. }~^}-1 ~ ~. S ~ 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 William H. Sheaffer, the Testator, sign and execute the instrument as his Last Will; that the Testator signed willingly and that the Testator executed it as his free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the Testator, signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no //f~ constraint or undue influence. Address ~~ '~ ~~ ~` Address `- Y ~ -~l, Sworn or affirmed to and subscribed before me this ~s day of , 199 E Notarial Seal f Notary PUbIiC t Carrine !_. At~ysrs, Natary Pi,blic ~ ~ Car'isie Coro. Ct!mberiarid Ceu.~ty PI~y ~~cri,~ssion ~xpirves f4~ay 27, i9S9 ~ Page 7 of 7 Pages ~ , „ F.\FILES\DATAFILE\WILLS\6106-h.codicil CODICIL I, WILLIAM H. SHEAFFER, of South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be a Codicil to my Last Will and Testament dated October 15, 1997. 1. Paragraph C of Item Five of my Last Will and Testament is hereby deleted and replaced with the following: C. Upon the death of my said wife, FLETA D. SHEAFFER, my Trustees shall distribute the remaining principal and interest, in equal shares, unto my daughters, VICKI L. STEEDLE and LINDA M. BURNS, absolutely. 2. In all other respects, I ratify and affirm my said Last Will and Testament dated October 15, 1997. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~ day of 2001. ,~-,%~, l%, .~~lG ' G`~ SEAL) William H. Sheaffer SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and for a Codicil to his Last Will and Testament dated October 15, 1997, in the presence of us, who at his request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testat r • d of each other. i ~~~ .. -'_-rte, . _ ... -i-. ~.. ~ ~ -.. --~ ~. lam. _.. ..:.... I~ r„~ ... ~_~ ~..1,~ ,. ... ~,.. r ,. (,.. t. . Page 1 of 2 Pages ate, ~ COMMONWEALTH OF PENNSYLVANIA ) . SS. COUNTY OF CUMBERLAND ) We, William H. Sheaffer, MARIL /9 • ~bN~ /N6EiZ ,and /'y),c~RCi,4 `/. ~mP/-a ~ , the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as a Codicil to his last Will dated October 15, 1997, and that the Testator has signed willingly, and that the Testator executed it as his 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 Codicil as a witness and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Subscribed, sworn to and acknowledged before me by William H. Sheaffer, the Testator, and subscribed and sworn to before me by ~f},2K {~• ~~rV~-L rl/C~E~. and {~}'1 ~',2@{~ Y ~ m p ~ ,the witnesses, this ~~ day of , 2001. Notary Public NOTARIAL SEpAL~y CORRiNE L. M`lEm~~~- Public Cargale moo. Cu ply Comtrtis"sfon Fzpires Ma 27 2003 Page 2 of 2 Pages