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IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DONALD W. BAUMBACH, SR.,
ORPHANS' COURT DIVISION
DECEASED NO. 21-11-~- I ~ 1~
DISCLAIMER AND RENUNCIATION
I, Jonathan Guy Baumbach, hereby exercise the rights granted to me in Chapter 62 of the
Probate, Estates and Fiduciaries Code (the "PEF Code"), and I hereby disclaim and renounce any
interest to which I may be entitled under the Fifth paragraph of the Last Will and Testament of
Donald W. Baumbach, Sr., dated February 8, 2005, and probated at the above number, and under
applicable law to the following asset:
One-third interest in real estate located at Lot #7, Hill Island, Dauphin County, Pennsylvania,
known as Tax Parcel No. 34-036-107-000-0000.
IN WITNESS WHEREOF, intending to be legally bound hereby and intending that this
Disclaimer and Renunciation shall be filed of record in the Office of the Clerk of the Orphans' Court
Division of the Court of Common Pleas of Cumberland County, Pennsylvania, as provided in
Section 6204 of the PEF Code, I have hereunto set my hand and seal this 15 day of February,
2012.
g
J athan Guy Baumbach
COMMONWEALTH OF PENNSYLVANIA )
ss.
COUNTY OF CUMBERLAND )
On this, the 15~'` day of February, 2012, before me, a notary public, personally appeared
Jonathan Guy Baumbach, known to me to be the person whose name is subscribed to the within
instrument, and acknowledged that he executed the same for the purposes therein contained.
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Notarial Seal
~~ - Anjanette S. Appleby, Notary °ublic
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