Loading...
HomeMy WebLinkAbout02-17-12~ tcesez PETITION 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: LUCILE J. FOX File No: ~, - ~ ~ - CJ ~-~1 a/k/a: (Assigned by Register) a/k/a: alk/a: 5ocia15ecurity No: 492-26-2465 Date of Death: February 11 2012 Age at death: 92 Decedent was domiciled at death in CUMBERLAND County, P .NNSYLVANIA (State) with his/her last principal residence at 84 PLUM TREE CIRCLE NEWVILLE PA 17241 CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 84 PLUM TREE CIRCLE NEWVILLE 17241 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 $ 4,500,000.00 If not 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.... $ 4,500.000.00 Real estate in Pennsylvania situated at: N/A (Attach additional sheets, if 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) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated JUNE 10, 2011 and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death of executor, eta) r.-,~ r: n Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorc ~ not a par~'to a p~i divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and~~have ~ ild bgrp ~ adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. =? ~. r-- _ `-'' ;_~=; NO EXCEPTIONS Q EXCEPTIONS < ; ~-'~ ~ ~`` ~. , C.J --n _ :. --~ B. Petition for Grant of Letters of Administration (If applicable) ~~~ _- c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durante~ tia, dur~iate mir~bzit~ O If Administration, c.t.a. or db.n.c.t.a., enter date of Will in Section A above and complete list of heir ~n ~, 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.S. § 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 Relationshi Address JUDITH A. FOX DAUGHTER 1217 GREENVILLE LANE, SKANEATELES, NY 13152 Form RW-01 rev. 10/11/2011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } ss: } Official Use Only rCrr~~i•,;~i ~ ~ i, Petitioner(s) Printed Name Petidoner(s) Printed Address JUDITH A. FOX 1217 GREENVILLE LANE SKANEATELES ~~~F ~ , The 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 that, as Fersonal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate accordi/ng to law. Sworn to or affirmed and subscribed before Date a` / 7~/-~- me th' r~ day of Date BY~ ~ ~ Date For the Register- Date BOND Required: Q YES ~ NO FEES: Letters ...................... $~ - t v~LO ( 15) Short Certificate(s)...... ' ~Q ~. (~ (S ( )Renunciation(s)........ . { )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ......., Inheritance Tax Return ....... . Automation Fee ............... - (S JCS Fee . ................... . TOTAL ..................... $ 0.00 To the Register of Wills: Please enter my appearance by my signature below: Printed dame: JOHN D. KILLIAN Supre® a Court ID Number: 07080 Firm Name: KILLIAN & GEPHART Address: X18 PILAF. STRF.F,T, PO BOX 886 i HARRTSRTIR(7, PA 1710$_ORR6 Phone: (717)232-1851 Fax: (717)238-0592 Email: ~killian killianggnhart cam Form Rw-oz rev. 10/11/2011 Page 2 of 2 Oath of Personal Representative C MMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Printed ~C~v~i_'r-(_~~ ~ lr~~~~ ~'i'T" „+T"'~}T O fic4~11.__~ijJn "~~12 `~B 17 ~~ IQ~ 4 4 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correc a best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer state according to law. Sworn to or affirmed and subscribed before Date me this day of Date By: Date For the Register Date BONDRequired:QYES ~NO FEES: Letters ...................... $ ( )Short Certificate(s)..... . ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ........ Automation Fee .............. . JCS Fee . .................... TOTAL ..................... $,~®~ the Register ojWills: ,gse enter my appearance by my signature below: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of L ~' i ~ ,~o ~ o~ a/k/a: AND NOW,~Q h'(UC~ Vii" ) 7 ` (,~ of , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT I~ DECREED that Letters T,S~.~y.,~G r1 ~ ~~ are hereby granted to ~ ~~ ~ . ~G;~ m the above estate and (if applicable) that the instrument(s) dated described in the Petition be Fonn RW-02 rev. !0/ll/2011 File No: ~ ~ - ` ~ - C` ~ ~ to probate and riled of record as the [as[ w tti (ana t,oa[en(s~ ~ of uecec~n '' Register of W[lls ~- t ~(~CC-~tt,~~~~,~ ~~~ d ; - Page 2 of 2 H IOSB05 Rli.b' lU/I I i LOC Ef~~~~~R~R'S CERTIFICATION OF DEATH Il'.. ,.... i.. WARN ~lt~§ i~llega~ ~~ duplicate this copy by photostat or photograph. ~~~~~ ~ ~~ ~ 7 ~~~ ~~~ liy This is to certify thaC the. information here given is Fee for this certificate, $6.00 correctly copied from an original Certificate of Death ~~~~~ ~~ duly filed with mL j~ ~~ o: tl R~,gistraa-. The original ~~P~'~j•5 ~~~~~~. certificate will he fOv~la.(ded to the State Vital ~ikj~~F~( ~~~ ~~ ~~ Records Otfice fo( pejmanent tiling. FEB ~~ ~ ' 01Z P ~. 8 21 C? 8 7 7 _ ~~„~ --- --~- --~----- Certification Number Type/Print In Permanent L,i~cal Registrar f Date Issu(:d COMMONWEALTH OF PENNSYLVANIA . OEPARTM ENT OF HEALTH ~ VITAL RECORDS eERTIFICATE OF DEATH State File Number: :k Ink 2. Sex 3. Social Security Number 4. Date o[ Deatn {MO/~ayi trF {open ~v~.. 1 . Deceden<'s legal Nam¢ (First, Middle, Las<, Suffix) Lucile Fox emai 492-26-2465 ebruary 11 2012 (oty and state nr Foreign Country) l Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 'a. B Under 1 Vear Sc 6b 6 ~ i ~ Ha . . a. Age-Last Birthday (Vrs) 92 Months Days Hours Minutes August 15 1919 Zb. Birthplace (county) ` nce (State or Foreign Country) Sb. Residence (Street and Number -Include Apt Na.) 8c. Did Decedent live in a Township? R id S es e a. Penns lvania 84 Plum TrEe Clr_ ®Yes, decedent lived in WPC}_ PFa T<Tl cl-~ Yff twP- S d. Residence (County) Q No, decedent IlYed within limits of city/boro. Cumberl a n d Be. Residence (21p Code) 1 7 2 4 1 Marital Sta<us a[ Time of Death Q Married ~ Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) ? 10 9 . . Ever in US Armed Forces Q Yes ~ No Q Unknown Q Divorced Q Never Married Q V nknown l e, Last) 12. Father's Nam¢ (Firs<, Middle, La si, Suffix) 13. Mother's Name Prior to First Marriage (First, Midd Wilber L. Jeffrey Edith L. BaKer 14b. Relationship to Decedent ' 14c. Informan Mailing Address (Street and Number, CI St ,Zip e) t A~ ~ s~ n S O s Name 14a. Informant Paul J_ Fox son th St_ NW Ap L 1725 o ¢~ on y one .. ......... ........ ... ..- ......... ........---. ..---.- ..... . ..... .... .. . a~wy ital: U Hospice Facility (Decedent's Home h a Hos Th h O h c I ssww f Death Occurred in a Hospital: LJ Inpatient e p er a ere t lf Death Occurred Somew if ) S h Q Emergency Room/Outpatient Q Dead on Arrival y pec er ( Q Nursing Home/Long-Term Care Facility Ot Cou ty of D th 16d ~ o~ . 16b. Facility Name (If not institution, give street and number; . 15c. City or Town, State, d Zip Code beriand ille PA 17241 Cum N W 84 Plum Tree Circle ewv l osition Q Burial Q Cremation thod of Dis M 6 ace) 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other p p a. e 1 p Removal from state ~] Donacion 2/ 1 3/ 2 0 1 2 Humanity Gifts R e g i s t r y Other (Specify) d Zip) State or Town (Cit iti ¢ see o 11a. Signature of F n ral rvice LI r Person in Charge of Interment ~bL,Liceftip yuj;l~r L 1 D3LL3377 2 , , y on 16d. Location f Dispos Philadelphia PA 19105 .. .=~ ~- ~ E 1ZC. Name and Complete Address of Funeral Facility Ave wville PA 17241 i 3 n r Funeral Home Snc 15 Bi S r Decedent's Race -Check ONE OR MORE races to indicate what k xhe 20 Ch °~ . ec 18. Deceden<'s Education -Check the box that best describes the 19. Decedent of Hispanic Origin - nt the decedent considered himself or herrelf to be. h d d t- ece e e highest degree or level of school completed at the Hme of death. box chat best describes whether t " White Q Korean k h "N h e O ec < Q 8th grade or less is Spanish/Hispanic/Latino. C Q Black or African American Q Vietnamese anic/Latino anish/His i t S . p s no p Q No diploma, 9th - 12<h grade box if decedent Q American Indian or Alaska Native Q Other Asian i L ti c/ a np Q High school graduate or GED completed $] No, not Spanish/Hispan ano Q Asian Indian Q Native Hawaiian Chi i c can, Q Some college credit, but no tlegree Q Yes, Mexican, Mexican Amer Q Chinese Q Guamanian or Chamorro Q Asspclate degree (e.g. AA, AS) Q Yes, Puerto Rican Q FIII PIno Q Samoan C b u an Bachelor's degree (e.g. BA, AB, BS) Q Yes, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino Q Japanese Q Other Pacific Islander MEd MEng MA M5 (e d ' , , , , .g. egree Master s Q Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Q Other (Specify) . MD DDS DVM LLB lD decedent considered himself or herself io be. 22a. Decedent's Vsual Occupation -Indicate type of work h t [h a e 21. Decedent's Single Race Self-Designation -Check ONLY ONE to Indicate w done during most of working life. DO NOT USE RETIRED. White Q Japanese Q Samoan Q Black or African American Q Korean Q Other Pacific Islander T e a ehe r Q American Indian or Alaska Native Q Vietnamese Q Don't Know/NO[ Sure Kind of Business/Industry 226 . Q Asian Indian Q Other Asian Q Refused E d u c a t i o n if y) Q Chinese Q Native Hawaiian Q Other (Spec Q Filipino Q Guamanian or Chamorro 23d MVST BE COMPLETED 23a. Date Pronounced Oead (MO Day 23b. Signature of Person Pronouncing Death (Only when appllca ble) 23c. License Number S 23 a - ITEM BY PERSON WHO PRONOV NOES OR C ~ „ f< j ~, a V j ( CERTIFIES DEATH 23d. Date Signed (MO/Day/Yr) 24. Time of Death Q N .y ~ o 25. Was Medical Examiner or Coroner Contacted? Q Ves ~'; 3 Q CAUSE OF DEATH Approximate 26. Part 1. Enter the h i of events--diseases, injuries, or complications--that directly caused the death. 00 NOT enter terminal events such as ca rd lac a rest. Interval: Onset to Death l Ilnesrif necessa dditi dd ry ona a or ventricular fibrl llatlon without showing [he etiology. DO NOT ABBREVIATE. Enter only one cause on a line. A respiratory arrest , IMMEDIATE CAUSE -------- ----> a. ~~F~~A _ - uence of): onse l q Due to (or as a c (Final disease or rondition resulting in death) ~ /~~ G Ph~~.L ~ s ~ b. ~~~~~` _ Sequentially Ilst conditions, true to (or as a consequence of): If any, leading to the cause listed on Ilne a. Enter the f ): UNDERLYING CAUSE Due to (or as a consequence o o: (disease or Injury [Flat - Initiated the events resulting d. - in death) LAST. Due [o (or as a consequence of): S t C diti t Ib tl t d th but not resulting In the underlying cause given in Part I :_7. Was an autopsy performed? ifi er 1 26. Part 11. Enter o c h Q Ves C~-FVo g n - n _ 1 '1_g. Were utopsy findings available /V"'~ ~ f deathT to c plate the c o a ,--.~~ Q Ves L~ n+o ~ If Female: 29 30. Did Tobacco Use Contribu<e to Deaths 31. Manner of Death . p~NoL pregnant within pas[ year Q Yes Q Probably k B~1'Tural Q Homicide lnyesVgaV n Q Accident Q Pending eg j] Pregnant at time of death nant within 42 days of death bux re nant t nown ~O Q Un Ol o Q Sulcitle Q Could t be deter Ined ~ p g , preg Q No Q Not pregnant, but pregnant 43 days to 1 year before dea<h 32. Date of Injury (MO/Day/Yr) (Spell Month) Q Unknown if pregnan< within the past year 33. Time of Injury 34. Place of Injury (e.g. home, construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: Q Ves Q Driver/Operator Q Pedestrian Q No 0 Passenge Q Ocher (Specify) 39a. C r~iffier (Check only one): ing physician - To the best of my knowledge, death occurred tlue to the cause(s) and manner stated [~~ rtif y anne Pronouncing 8< Certifying physician - To the best of my knowledge, death occurred at the time, tlate, and place, and due to the cause(s) and m r statetl anne cause(s) and m r stated and due to the lace ce and h ti d d , , p me, a at t e Inyestigatlon, in my opinion, death occurre /o r d Q Medical Examiner/Coroner - n the basis of examination, an r / ~ a ) Signature of certifier: ~ ~---+ ~- '~ Tltie of certifier: ~ U License Number: [!' S O O ~ ~ /(, 39b. Name, Address and Zip Code of Person Completing Cause of Death (Item 26) Z 39c. Date Signed (MO/Day/Yr) /3 f / s- - i.J ~ o fF/Gi ~ c /7 D 40. Reglstra is Distric< Number 41. Regi tra is Signa[u re ay 42. Registr/a r File DatCe Mop} r _ _ ~ .~~~J ~ ~ J 1 Ot ~ ~ 43. Amendments ~ ~ Disposition Permit No. L J l~_~ L~ '~ ~ REV 07/2011 LAST WILL AND TESTAMENT OF LUCILE J . FOX r- ~ Q .a ~'I .:y7 ~j. y rr~ ~ ~,J ~, .`7 ~ t ,'`l ('~ -•_~ r e ~ ~ ~ . . ,...i .. f- ' r~i >~~ ~~~'~ "'t 7 I, LUCILE J. FOX, declare this to be my Last Will and Testament and hereby revoke all prior wills and codicils made by me. FIRST: My Executor shall pay from the residue of my estate all my debts, funeral and administration expenses and all estate, inheritance, succession and transfer taxes imposed by the United States or any state, territory or possession which shall become payable by reason of my death. It shall not be necessary to file any claims therefor, nor to have them allowed by any court. SECOND: I give such of my tangible personal property as is set forth in a separate, dated and unsigned letter of instruction, which I shall place with my Will, to the persons therein designated. If I have not LAST WILL AND TESTAMENT OF LUCILE J. FOX left a letter of instruction or for those articles not distributed under this letter of instruction, I direct that such items be distributed as equally as possible to my son, PAUL A. FOX, amu ,my daughter, JUDITH A. FOX, If there is any disagreement as to distribution, I direct my Executrix to make such distribution. The decision of my Executrix shall be final and binding. THIRD: (a) I hereby make the following bequests to the listed charitable institutions: (1) The sum of Forty Thousand ($40,000.00) Dollars to 6VIDING EYES FOR THE BLIND, INC., P.O. Box 709, Yorktown Heights, NY 10598-0709. -a- LAST WILL AND TESTAMENT OF LUCILE J. FOX (2) The sum of Forty Thousand ($40,000.00) Dollars to NATIONAL PARKS CONSERVATION ASSOCIATION, 777 6T" Street , NW, Suite 700, Washington, DC 20001-3723.. (3) The sum of Thirty Thousand ($30,000.00) Dollars to SMITHSONIAN INSTITUTION, Washington, DC. (4) The sum of Fifty Thousand ($50,000.00) Dollars to GREEN RIDGE VILLAGE FUND, Green Ridge Village, 210 Big Spring Rood, Newville, PA 17241-9486. (5) The sum of Fifty Thousand ($50,000.00) Dollars to HEIFER PROJECT INTERNATIONAL, P.O. Box 6021, Albert Lea, MD 56007. (6) The sum of Twenty Thousand ($20,000.00) Dollars to FIRST PRES6YTERIAN CHURCH, Elm Street, Wappinters Falls, NY 12590. -3- I.asT WILL AND TESTAMENT OF LUCILE J. FOX (7) The sum of Ten Thousand ($10,000.00) Dollars to BIG SPRING PRESBYTERIAN CHURCH, Corporation Street, Newville, PA 17241. (8) The sum of Thirty Thousand ($30,000.00) Dollars to PLANNED PARENTHOOD, 434 33"d Street ,New York, NY 10001. (9) The sum of Thirty Thousand ($30,000.00) Dollars to AVALON CEMETERY ASSOCIATION TRUST, Citizens Bank & Trust Company, P.O. Box 50, Ch i I I icothe, MO 64601. (10) The sum of Twenty-five Thousand ($25,000.00) Dollars to NW MISSOURI STATE UNIVERSITY, 800 University Drive, Maryville, MO 64468. (11) The sum of Forty Thousand ($40,000.00) Dollars to MASSACHUSETTS INSTITUTE OF TECHNOLOGY, Cambridge, MA. -4- LAST WILL AND TESTAMENT OF LUCILE J. FOX (b) I may make inter vivos gif is to one or more of the above named charities during my lifetime. To the extent I make such inter vivos gifts during my lifetime, the sum thereof shall be deducted from the total bequest made herein to that particular charity. FOURTH: I give and devise the residue of my estate, real, personal and mixed, of whatever kind and nature, and wherever situate at the time of my death, including any property over which I now have or hereafter acquire a power of appointment, as follows: (a) Two (2%) percent to my cousin, CHARLES E. BAYMILLER, his heirs and assigns forever, per stirpes. (b) Three (3%) percent to my brother, LARRY Q. JEFFREY, his heirs and assigns forever, per stirpes. -5- LAST WILL AND TESTAMENT OF LUCILE J. FOX © The remainder of my estate to my son, PAUL J. FOX, and my daughter, JUDITH A. FOX, in equal shares, or to the survivor if one of my children predeceases me. If both of my children predecease me, I give twenty (20%) percent of the remainder to my brother, LARRY Q. JEFFREY, his heirs and assigns forever, per stirpes, twenty (ZO%) percent of the remainder to my cousin, CHARLES E. BAYMILLER, his heirs and assigns forever, per stirpes, and the remainder of my estate to the charities named in Paragraph THIRD (a) hereof in proportion to the bequests made therein, the principal to be held in perpetuity and the interest therefrom applied annually for the use of the charities.. -6- LAST WILL AND TESTAMENT OF LUCILE J. FOX FIFTH: I nominate, constitute and appoint JUDITH A. FOX, Executrix of this my Lnst Will and Testament, to serve without bond or security, and to make distribution of my estate in cash or in kind, or partly in cash and partly in kind, and in such manner as _he may determine. I authorize, empower and direct her to sell and convey, by good and sufficient deed, in fee simple estate, any and all of my real estate, at public or private sale, for such price or prices, upon such terms and conditions, as in her judgment is best for my estate, and to that end to sign, seal, execute, acknowledge and deliver all deeds or other instruments necessary therefor, as effectively as I could do if I were personally present. -~- LAST WILL AND TESTAMENT OF LUGTLE J. FOX In the event that JUDITH A. FOX does not survive me, or refuses to act as Executor or does not complete the duties of Executrix, then I nominate, constitute and appoint JOHN D. KILLIAN, as the alternate Executor, to serve without bond or security. My alternate Executor shall have all of the powers, privileges, duties and immunities granted to my Executrix as provided herein. In the event that JOHN D. KILLIAN does not survive me, or ref uses to act as Executor or does not complete the duties of Executor, then I nominate, constitute and appoint LINDA J. OLSEN, as the alternate Executrix, to serve without bond or security. My alternate Executrix shall have all of the powers, privileges, duties and immunities granted to my Executrix ns provided herein. -s- LAST WILL AND TESTAMENT OF LUCILE J. FOX SIXTH: No beneficiary shall have the power to anticipate, encumber or transfer his or her interest in my estate or any trust created herein in any manner other than by the valid exercise of a Power of Appointment. No part of any trust or my estate shall be liable for or charged with any debts, contracts, liabilities or torts of a benef iciary or subject to seizure or other process by any creditor of a beneficiary. IN WITNESS WHEREOF, I, LUCILE J. FOX, the Testatrix, have to this my Last Will and Testament, set my hand and seal this ~O' dny of ~v ^~ ~ , 2011. _~'~~;~---~-~ `` l ~/ c SEA L C LUCILE J. F -9- Signed, sealed, published and declared by the above named Testatrix, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix, and of each other. The preceding document consists of this and nine (9) other consecutively numbered typewritten pages. .~ -~~ -, ,~ 1 a.~L~ ti ~ h- residing at _ ~ ~ `~~~ ~ ~ ~.~~ ~ \ g ~ cam: ~ d ~ C. ~; I (o res~din at ~' ~ - ~~~ ~~ y,, ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA) ss. COUNTY OF DAUPHIN ) I, LUCILE J. FOX, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualif ied 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 expressed. Sworn to or affirmed a d acknowledged before me by LUCILE J. FOX, the Testatrix, this a of ~~ (.~~`~ , 2011. Y ,,,. Test~rix ~~.~ ~' - L,~1,~_ ;~ ~.,~- (SEAL) Notary PubI~C~OMMONWEALTH OF PENNSYLVANIA Notarial Seal 10 Went Pennsboros~ NCumbeAa WP•, My Commission E~ires Jan. 15, 2012 Member, Pennsv{~ania Association of Notaries LAST WILL AND TESTAMENT OF LUCILE J. FOX COMMONWEALTH OF PENNSYLVANIA) ss. COUNTY OF DAUPHIN ) ~:- r We, , t%_T~~ 1 ~ ~ / ~ ~ and L a (~u f~, ~~'~ . ~ ~ ~~ ~ .I,~- ~ ,the witnesses whose names are signed to the attached or foregoing instrument, being duly qualif ied 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 her f ree 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. Sworn to or affirmed and subscribed to before me by ls~1a~_~~~ h~ (-~~ and ~L~+ ~-u ~ W'1 i~3~ >^~ ~~ ~ , witnesses, this dny of , 2011. Witness ~ - Witness f'~ ,' ~C~~ ~~~- t.~ (SEAL) Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Vicki L Hopkins, Notary PubNc -11- Walt Pennsboro Twp., Cumberland C~ My Commission E~ires Jan. 15, 2012 Member, PennsWvania Assoriari~n of Notaries