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DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CU~~rID COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF CAROL M. KING A/K/A ,DECEASED
CAROL MINNISALE KING
No. 21-11-0222
PETITION FOR ADJUDICATION /
STATEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa. O.C.. Rule 6.9
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This form may be-used in all cases involving the Audit of the Account of a Decedent's Estate. If
space is insufficient, riders may be attached.. Attach the spouse's election, if any; the papers
required under items 8-19 inclusive; and any instrument pertinent to the adjudication.
INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: Robert R. Black
Supreme Court I.D. No.: 06267
Name of Law Firm: Landis & Black
Address: 36 South Hanover Street, Carlisle, PA 17013
Telephone: 717-243-3727
717-241-4829
Farnr OC-01 rev. IO.I3.OG
Page 1 of 10
Estate of Carol M. King a/k/a Carol Nlinnisale King ,Deceased
8. Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6.7 and 6.8 has been or will be
given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants
listed in item 10 below. In addition, notice of any questions requiring Adjudication as
discussed in item 14 below has been or will be given to all persons affected thereby.
A. If Notice has been given, attach a copy of the Notice as well as a list of the names
and addresses of the parties receiving such Notice. Attached
B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and
addresses of the parties receiving such Notice shall be submitted at the Audit
together with a statement executed by a Petitioner or counsel certifying that such
notice has been given.
C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated
persons), Notice of the Audit has been or will be given to the appropriate
representative on such party's behalf as required by Pa. O.C. Rule 5.2.
D. If any charitable interest is involved, Notice of the Audit has been or will also be
given to the Attorney General as required under Pa. O.C. Rule 5.5. In addition, the
Attorney General's clearance certificate (or proof of service of Notice and a copy
of such Notice) must be submitted herewith or at the Audit.
9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice or
knowledge, having or claiming any interest in the estate as beneficiaries under the Will or
Codicil(s) or as intestate heirs if there is a complete or partial intestacy:
A. State each party's relationship to the decedent and the nature of each party's
interests}:
Name and Address of Each Party in /nterest I Relationship and Comments, if any I Interes!
Con¢r~ornaealth of PA creditor estate recovery program
De artment of Public Welfar
P.~. Box 8486
Harrisburg, PA 17105-8486
CarolynKing Lippincott
38 Ashley Court
Glen Nulls, PA 19342
Form OC-0l rev. / 0.13.06
daughter
Page 4 of 10
Estate of Carol M. King a/k/a Carol Minnisale
Deceased
Name and Address of Each Party in Interest I Relationship and Comments, if any I /nterest
Nancy Leigh King
520 Nliltwood Road daughter
Greensboro, NC 27455
Michele King Hassinger
30 Couggar Lane dau hter
g
Newvilie PA 17241
Lloyd Joseph King son
798 Stanyan Street
San Francisco, CA 94117
Patricia King Haddad daughter
39 Runnemede Avenue
Lansdowne, PA 19050
B. Identify each party who is not sui juris (e.g., minors or incapacitated persons).
For each such party, give date of birth, the name of each Guardian and how each
Guardian was appointed. If no Guardian has been appointed, identify the next of
kin of such party, giving the name, address and relationship of each.
N/A
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for
this Audit (see Pa. O.C. Rule 12.4).
N/A
D. If distribution is to be made to the personal representative of a deceased party,
state date of death, date and place of grant of Letters and type of Letters granted.
N/A
Farm oc-ol rev. 1 D.13.06 Page 5 of 10
Estate of Carol M. Kinq a/k/a Carol Minnisale King ,Deceased
10. Other than the claim for the family exemption, list the names of all known claimants and
the amount of their claims and state whether each claim is admitted.
Name and Address ojEach Claimant Amount of Claim Claim Will Claim
Admitted? Be Paid In
Full?
see schedule of distribution entire Yes Yes
Estate Recovery Program es.ta,te ~No [~~,,, No
DYes Yes
No No
DYes ~ Yes
~No ~ No
DYes ~ Yes
~No ~ No
If the estate is insolvent, attach a schedule setting forth the order of preference under
20 Pa.C.S. § 3392 and the proposed payments.
11. Was family exemption claimed? ................................ DYes ~No
Was family exemption allowed? ................................ DYes ~No
Family exemption claimant's name and relationship:
Nome: ~it~~ Relationship:
Farm oc-oI rev. 10.13.06 Page 6 of l 0
Estate of ~~~~ p4, ; rn ~ rl'<T~-~~~~~ ~g~=~s~~e ~~ ,Deceased
12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate
Tax paid, the date(s) of payment(s), and the interest(s) upon which paid, are as follows:
Date
Payment
Interest
none due
13. On the date of death, was the decedent a fiduciary
(personal representative, trustee, guardian, agent under power
of attorney) or surety on the bond of a fiduciary? ................... Yes No
If yes, provide the name of the estate, indicate whether an account has been filed and
confirmed absolutely and all awards performed, or, in the alternative, how the
decedent's estate will be discharged for the decedent's fiduciary administration of the
estate.
14. A. Describe in detail any questions requiring adjudication and state the position of the
Petitioner(s) as to each question:
none
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. ~] Yes ~ No
15. If Petitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed
or attached, provide a copy of the assignment, renunciation, disclaimer or attachment,
together with any relevant supporting documentation.
none
Form OC-DI rev. 10.13.06 Page 7 of 10
Estate of Carol M. Kinq a/k/a Carol Minnisale Kinq ,Deceased
16. Had the decedent been adjudicated an incapacitated person? .......... ~ Yes ~ No
If yes, attach a copy of the Order if available; otherwise state the Court, term, number,
date, and name of Hearing Judge.
17. A. List or attach a separate list of additional receipts and disbursements since the closing
date of the Account.
see account. all receipts and disbursements listed.
B. Has notice of the additional receipts and disbursements been
given to the parties identified in Paragraph 9 above? ............. ~ Yes No
18. If a reserve is requested, state amount and purpose.
Amount: ~5M _ M
Purpose: C10Sing and filing releases
If a reserve is requested for counsel fees, has notice of the
amount of fees to be paid from the reserve been given to the
parties in interest? ........................................ Yes ~ No
If so, attach a copy of the notice. see copy of account
19. Is the Court being asked to direct
the filing of a Schedule of Distribution? .......................... Yes ~No
As to real estate only? ........................................ DYes ~No
Form OC-01 rev. 10.13.Ob Page 8 of 10
Estate of _ Carol M. Kira a/k/a Carol Minnisale Kin ,Deceased
Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled
and suggest(s) that the distributive shares of income and principal (residuary shares being stated
in proportions, not amounts) are as foliows:
A. Income:
Proposed Distributee(s)
B. Principal:
Proposed Distributee(s)
see schedule of distribution
AmoundProportion
Amount/Proporrion
Submitted By:
(A[l petitioners must sign.
Add additional lines if necessary):
Form OC-O f rev. i o. ts. 06 Page 9 of 10
Name of Petitioner:
Estate of Carol M. King a/k/a Carol Minnisale King ,Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.}
The undersigned hereby verifies * [that he/she Is title
of the above-named name ojcorpomtion andj that the facts set
forth in the foregoing Petition for Adjudication /Statement of Proposed Distribution which are
within the personal knowledge of the Petitioner are true, and as to facts based on the information
of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false
statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 (relating to unsworn
falsification to authorities).
* Corporate petitioners must complete bracketed inform
Certification of Counsel
The undersigned counsel hereby certifies that the foregoing Petition for Adjudication)
Statement of Proposed Distribution is a true and accurate reproduction of the form Petition
authorized by the Supreme Court, and that no changes to the form have been made beyond the
responses herein.
Signature of Counsel for Petitioner
- Robert R. Black
Fom oc-or rev. I0.13.06 Page 10 of 10
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
vlz:
March 11 March 18 and March 25 2011
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
isa Marie Coyne, ditor
SWORN TO AND SUBSCRIBED before me this
25 of March, 2011
Kia~, Carol M. a/k/a Carol Minia-
sale Kia~, decd.
Late of South Middleton Town-
ship.
Executrix: Michele King Hass-
inger c/o Landis Ss Black, 36
South Hanover Street, Carlisle, PA
17013.
Attorney: Robert R. Black, Es-
quire.
Notary
NOTARIAL SEAL
DEBORAH A COLLlNS
Notary Public
CARLISLE BOROUGH, CUMBERLAND COUNTY
My Commission Expires Apr 28, 2014
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Jackie Cox, Retail Sales Manager, of The Sentinel, of the County and State aforesaid,
being duly sworn, deposes and says that THE SENTINEL, a newspaper of general
circulation in the Borough of Carlisle, County and State aforesaid, was established
December 13,1881, since which date THE SENTINEL has been regularly issued in said
County, and that the printed notice or publication attached hereto is exactly the same as
was printed and published in the regular editions and issues of
THE SENTINEL on the following day(s):
March 10, March 17 and March 24 2011
COPY OF NOTICE OF PUBLICATION
1 , ~STA1'1r tiOtICE _
~ 11~F Qn<t~aat~;~~ q~, t
~ K r~ ~Wh rteila d~bunty,
Ail p®TSOns kno~nq~h~~ ip ~ ~ y~ tp, E i' uk1N miake
payment imrti dfa ~+d'thtise havfri~ ci8im~ ~r~il4'tti9m for
seplement to:
MiCttQils aCGgQ.iitigstridpr, Ex~-cutrFz
'~CJo Lertdi3 ~,~ck
36 South H8~'over Street
Carlisle, PA 17013
Rdt'R't l}iack: Attorney
Affiant further deposes that he/she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement as
to time, place and character of publication
a true.
~JWOrn
~,~
and subscribed before me this
My commission expires:
NOTARIAL SEAL
BAMBI ANN HECKENDORN
Notary Public
CARLISLE BOROUGH. CUMBERLAND CNTY
fiv{y Commission Expires Jan 27, 2014
Notary Public
IN RE: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NAME OF CAROL M. KING,
Deceased ORPHAN'S COURT DIVISION
NO. #21- I 1-0222
NOTICE OF FILING ACCOUNT AND
SCHEDULE OF PROPOSED DISTRIBUTION
NOTICE IS HEREBY GIVEN that Michele King Hassinger, Executrix of the Last Will
and Testament of Cazol M. King, Deceased, has this date filed the First and Final Account and
Schedule of Proposed Distribution in the above-captioned estate in the Office of the Register of
Wills in and for Cumberland County, Pennsylvania, where the same are filed as public records
and may be inspected. Enclosed herewith is a copy of the said Account and Schedule of
Proposed Distribution.
YOU ARE FURTHER NOTIFIED that any exceptions or objections to said Account or
Schedule must be filed in writing at the Office of the Register of Wills aforesaid prior to the
confirmation of said Account, scheduled as set forth below.
UNLESS written exceptions or objections are filed prior thereto, said Account and
Schedule will be presented to the above-captioned Court in Courtroom No. 1 of the Cumberland
County Courthouse, Carlisle, Pennsylvania, at 9:30 A.M., prevailing time on Tuesday, March 6,
2012, at which time said Account will be confirmed and distribution ordered in accordance with
the Schedule of Proposed Distribution.
LANDIS & BLACK
Date of Notice: f ~~ ~~
TO:
Karin L. Tyler, Claims Investigation Agent
Commonwealth of Pennsylvania
Department of Public Welfare
Bureau of Program Integrity
Division of Third Party Liability
Estate Recovery Program
P.O. Box 8486
Harrisburg, PA 17105-8486
,~
By: }(
Robert .Black
Attorney for the Estate of
Carol M. King
Carolyn King Lippincott
38 Ashley Court
Glen Mills, PA 19342
Nancy Leigh King
520 Miltwood Road
Greensboro, NC 27455
Lloyd Joseph King
798 Stanyan Street
San Francisco, CA 94117
Michele King Hassinger
30 Cougar Lane
Newville, PA 17241
Patricia King Haddad
39 Runnemede Avenue
Lansdowne, PA 19050
IN RE: IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF CAROL M. KING
a/k/a CAROL MINNISALE KING
Deceased ORPHANS' COURT DIVISION ~ ~_
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NO. 21 -11-0222
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FIRST AND FINAL ACCOUNT OF MICHELE KING HASSINGEId~
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EXECUTRIX OF THE
~~
ESTATE OF CAROL M. KING a/Wa CAROL MINNISALE KING
--+
~
LATE OF SOUTH MIDDLETON TOWNSHIP,
CUMBERLAND COUNTY, PENNSYLVANIA
Date of Death: February 7, 2011
Letters Testamentary Granted: February 18, 2011
Letters Advertised:
Sentinel - March 10, 17 and 24, 2011
Cumberland Law Journal - March 11, 18 and 25, 2011
Account Stated as Final
SUMMARY & INDEX
PRINCIPAL PAGE
Recei is 2 146,556.34
Conversions Gain or Loss 2 0.00
Less Disbursements 2 -14,345.84
Balance Before Distributions 2 132,210.50
Advancements to Beneficiaries 2 0.00
Princi al Balance Remainin 2 132,210.50
INCOME
Recei is 3 0.00
Less Disbursements 3 -0.00
Income Balance Remainin 0.00
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COMBINED BALANCE REMAINING 132 210.50
RECEIPTS OF PRINCIPAL
2011
2/18 PNC Bank- close checking account #5140186575 142,727.39
3/25 Dickinson College -medical payment 740.00
4/6 Cumberland Crossings -balance 2,294.95
5!5 U.S. Government -income tax refund 794.00
Total Receipts of Principal 146,556.34
2011
DISBURSEMENTS OF PRINCIPAL
2/15 Register of Wills -probate Will and Short Certificate 323.50
3!1 Cumberland Law Journal -advertise Letters Testamentary 75.00
3/25 Klinger and Associates -prepare IRS and PA income tax return 160.00
415 The Sentinel -advertise Letters Testamentary 176.92
5/11 Register of Wills -file inventory 15.00
7/25 Register of Wills -file PA income tax return 15.00
Reserved:
Ewing Brothers Funeral Home -funeral bill 2,062.87
Michele King Hassinger -executrix commission 5,000.00
Drakon Lutheran Social Ministries -final bill 1,017.55
Landis & Black, attorney's fees 5,000.00
Closing and filing releases 500.00
Total Disbursements of Principal 14,345.84
2
RECEIPTS OF INCOME
2011
Total Receipts of Income 0.00
DISBURSEMENTS OF INCOME
2011
None
Total Disbursements of Income
ADVANCEMENTS TO BENEFICIARIES
2011
0.00
Total Advancements to Beneficiaries 0.00
IN RE:
ESTATE OF CAROL M. KING
a/k/a CAROL MINNISALE KING
Deceased
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21 -11-0222
SCHEDULE OF PROPOSED DISTRIBUTION
Combined Balance for Distribution
Remaining as per First and Final Account 132,210.50
TO: Commonwealth of Pennsylvania 132,210.50
Department of Public Welfare
Bureau of Program Integrity
Division of Third Party Liability
Estate Recovery Program
P.O. Box 8486
Harrisburg, PA 17105-8486
TOTAL BALANCE FOR DISTRIBUTION 132,210.50
NOTE: The entire distribution is being made to the Estate Recovery Program on account
of funds paid for the care of Carol M. King a/k/a Carol Minnisale King.
MICHELE KING HASSINGER, Executorix under the Last Will and Testament of
CAROL M. KING, deceased, hereby declares under penalties of perjury that she has fully and
faithfully discharged the duties of her office; that the foregoing First and Final Account is true
and correct and fully discloses all significant transactions occurring during the accounting period;
that all known claims against the estate have been paid in full; that the first complete
advertisement of the grant of letters was more than four months from the date the account was
filed; that, to her knowledge, there are no claims now outstanding against the Estate; and that all
taxes presently due from the estate have been paid. She understands that false statements herein
are made subject to the penalties of 18 Pa. C.S.A. 4904 relating ~o unsworn falsification to
authorities. //
~'\ ~ / ,y'
MI~'HELE KIIVd.'r HA
LA5T WILL AND TESTAMENT
OF
CAROL M. KING
I, CAROL M. KING, of the Borough of Carlisle, Cumberland County, Pennsylvania,
declare this to be my Last Will, hereby revoking all prior wills and codicils.
FUNERAL EXPENSES
FIRST: I direct the payment of my funeral expenses, including my gravemarker, as soon
as maybe convenient after my death.
PAYMENT OF DEATH TAXES
SECOND: I direct that all taxes that may be assessed in consequence of my death, of
whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of administration of my estate.
BEQUESTS
THIRD: I give my grandfather's clock to my daughter, Michele King Hassinger, and if
she shall not survive me, then this gift shall lapse and be distributed as a part of my residuary
estate.
DISTRIBUTION OF PERSONAL PROPERTY
FOURTH: All my personal effects, clothing, furniture, furnishings, jewelry, automobiles,
other tangible personal property of every kind, and insurance thereon, I give to husband, John L.
King if he survives me for a period of thirty (30) days. If my husband, John L. King, shall not so
survive me, then I give the same in equal shares to my children who do survive me for a period of
thirty (30) days, to be divided among them as they may agree or, if they are unable to agree, as
my executor may decide. The share of any minor child shall be selected and held by my executor
for delivery to such child at termination of minority or, in the discretion of my executor, maybe
delivered either to the minor or to another to hold for the minor during minority and the receipt of
the minor or such other person shall be a complete discharge of my executor. Any items not so
disposed of shall be sold by my executor and the proceeds added to my residuary estate.
DISTRIBUTION OF RESIDUE
FIFTH: I give the rest of my estate to my husband, John L. King, providing he shall
survive me for a period of thirty (30) days. If he shall not so survive me, I give the rest of my
s~~t .
initials
estate, per stirpes, to my issue who survive me for a period of thirty (30) days.
PROTECTION OF BENEFICIARIES
(Spendthrift Provision)
SIXTH: No interest in income or principal shall be assignable by a beneficiary or
available to anyone having a claim against a beneficiary before actual payment to the beneficiary.
Provided, however, any beneficiary may assign any part or all of the beneficiary's interest in my
estate to any one or more of my descendants or to any one or more of the beneficiary's
descendants.
MINORS AND INCAPACITATED BENEFICIARIES
SEVENTH: If any income or principal shall be payable to any person who shall be a
minor or who shall be incapacitated for any reason, my executor as trustee shall hold such income
and principal during minority or incapacity and shall be entitled to apply such income and principal
to the health, maintenance, support and education of such person during minority or incapacity
without the appointment of any guardian or committee or any authority of court. My executor as
trustee shall be entitled to make direct application hereunder or to make application by payment of
income and principal to the parent or other person in charge of such minor or incapacitated
person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act.
Any remaining income and principal to which such person shall be entitled shall be distributed to
such person upon the termination of minority or incapacity. My executor as trustee shall have the
same powers as my executor.
POWERS OF EXECUTOR
EIGHTH: I confer upon my executor the right to sell or otherwise convert any real or
personal property at public or private sale, at such time or times, in such manner, and for such
price or prices, and on such terms and conditions as my executor shall determine, and to execute
and deliver good and sufficient conveyances, assignments and transfers of the property, without
liability of any purchaser for the application of any consideration; to borrow money and to secure
its payment by mortgage of real or personal property, pledge of investments, or otherwise,
without liability on the part of the lenders to see to the application thereof; to retain any
investments at discretion; to invest and reinvest at discretion, without restriction to so-called
"legal investments"; to make distribution in cash or in kind; to allocate and distribute different
kinds or disproportionate shares of property or undivided interests in property among
beneficiaries, in cash or in kind, or partly in each; and to do all other acts and things necessary or
appropriate in the management, administration and distribution of my estate.
4 ~~~ ~
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initials
APPOINTMENT OF GUARDIAN OF ESTATES OF MINORS
NINTH: I appoint my executor as guardian of the estates of minors with power to hold
all property payable by law to a guardian appointed by my will and to use it for the minor's health,
maintenance, support and education, either directly or by payment to any person selected by my
executor to disburse it whose receipt shall be a complete acquittance. Guardian may, in discharge
of all the guardian's duties, pay any minor's share deemed impractical of administration to the
parent or other person in charge of the minor or to his or her guardian or to a custodian for the
minor under the Uniform Transfers to Minors Act. My executor as guardian shall have the same
powers as my executor.
APPOINTMENT OF EXECUTOR/RIX
TENTH: I appoint my husband, John L. King, Executor of my will. If John L. King is
unable or unwilling to qualify as Executor or having qualified is unable or unwilling to act, I then
appoint my daughter, Michele King Hassinger, as Executrix hereof.
WAIVER OF BOND
ELEVENTH: I direct that no fiduciary hereunder shall be required to furnish bond in any
jurisdiction, and if any bond is necessary, no surety shall be required.
INTERCHANGEABILITY OF LANGUAGE
TWELFTH: Words used in the singular may be read to include the plural or the plural
may be read as the singular. Similarly, the masculine form may be read to include the feminine
and neuter; the feminine maybe read to include the masculine and neuter; and the neuter may be
read to include the masculine and feminine.
HEADINGS
THIRTEENTH: The headings used on the various paragraphs of this will are included
for convenience only and shall have no legal significance.
I have signed this will this day of ~ ~ ~~ ~~ 1999.
_ ~~~
~y ~
~ ~I ~ ~~ ~
Caro] ing estatrix ~
~~
Witness
Witness
~•
ACKNOWLEDGMENT and AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
1
I, Carol M. King, the Testatrix in, and ~ ~~
and ~~Q }~,~ l3- • I~"~~-~~~~~ ,the witnesses to the last will, the
attached or foregoing instrument, who have signed the instrument, having been duly qualified
according to law do depose and say:
(a} that I, the Testatrix, do hereby acknowledge that I signed and executed the
instrument as my last will, that I signed it willingly and as my free and voluntary act for the
purposes therein expressed; and
(b) that we, the witnesses, were present and saw the Testatrix sign and execute
the instrument as her last will, that she signed it willingly and executed it as her free and
voluntary act for the purposes therein expressed; that each of us 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.
`~ / ~J
Testatrix, Carol M.
~~~
Witness
Witness
.~ ~. ~)
Notary Public ~ i
Notarial Sea{
Susan K. Guyer, Notary Public -.
Carlisle t3oro, Cumberland County
My Commission Expires Sept. 4, 2003 -• _
Member; Pennsy~vHrriei. Assoclaiion of Notaries