HomeMy WebLinkAbout02-22-12PETITION FOR GRANT OF LETTERS
REGISTER OF WII,LS OF CUMBERLAND COUNTY, PENNSYLVANLA
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: RODNEY L. CORNMAN File No• ~~ ~ J l ~ O~_~
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security No: 181-42-7829
Date of Death: 1/26/2012 Age at death• 61
Decedent was domiciled at death in CUMBERLAND County, PA (State) with his/her last
principal residence at 357 CROSSROAD SCHOOL 17241 WEST PENNSBORO TWP CUMBERLAND
Street address, Post Office and Zip Code City, Township or Borough Couaty
Decedent died at CAROLYN CROXTON HOSP 17110 HARRISBURG DAUPHIN PA
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
Ijdomiciled in Pennsylvania ................................All personal property $ 5.000.00
Ijnot domiciled in Pennsylvania .............................Personal property in Pennsylvania $
Ijnot domiciled in Pennsylvania .............................Personal property in County $
value ojrea[ estate in Penrisyh'ania ............................................................... $ 125.000.00
TOTAL ESTIMATED VALIUE.... $ 130.000.00
Real estate in Pennsylvania situatCd at:
(Anach additional sheets, ifnecessary.) 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 10/9/2007 and Codicil(s)
thereto dated
State relevant circumstances leg. renunciation, death of executor, erc.)
Except as follows: after the execution of the instrument(s) offered for probate Decedent did not many, 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 bom or
adopted; and Decedent was theither 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, durante minoritate
If Administration, Gtrt. or db.n.c.ta., 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.S. § 3323(g) and'was neither the victim of a killing nor ever adjudicated an incapacitated person.
^ NO EXCEPTIONS' ^ EXCEPTIONS
f..
Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse ~an~) and heirs~ttach
additional sheets, if necessary): ~ -v
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C7
Name Relationship Address ~ t~ r-Y',
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Form RW-02 rev. 10/1 //20/1 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND }
Official Use Only
Petitioner(s) Printed Name Petitioner(s) Printe~l~:Kddre~s`- i •~
SANDRA LEE CORNMAN 357 CROSSROAD SCHOOL ROAD
NEWVILLE PA 17241 CLERK OF
v
Ct)MR~l~!. ~~'~ C~ RA
The Petitioner(s) above-named svWear(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'I and that, as Persothal Representative(s) of the De a Petitioner(s) will w and inister the estate according to law.
Sworn to ffumed an s' bscribed bef re / ~/~G~i~ Date ~` ~i~-~Oj•2i
me this ay o - ~
Date
By' Date
For the Register Date
I
BOND Required: ^ YE$ ~ NO
FEES:
Lette~ ...................... $
( jj- )Short Certificates(s) ...... ,:~~
( )Renunciation(s) ......... .
( )Codicil(s) ............. .
( )Affidavit(s) ...... _ ..... .
Bond .........................
Commission ................... .
Other (/~) , 1 \ .... , , .. , 1 ~
Automation Fee ................ .
JCS Fee ........................
TOTAL ......................$ .3
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
~2z%/~
Printed Name: R. MARKTHOMAS. ESQUIRE
Supreme Court
ID Number: 41301
Firm Name: LAW OFFICE OF R. MARK THOMAS
Address: 101 S. MARKET STREET
MECHANICSBURG. PA 17055
Phone: 717-796-2100
Fax: 717-796-3600
Email: RMARKTHOMAS(p7GMAIL:COM
DECREE OF THE REGISTER
~- j
Estate of RODNEY L. CChRNMAN File No: ~ _ I ~ / ~ ~ ~ ~~
a/k/a: `-
AND NOW J ~ ~
in consideration of the foregoing Petition,
satisfactory pro ha ' g been p sen d before me, IT IS DECREED that Letters Testamentary
ar hereby granted to SANDRA LEE CORNMAN
in the above estate and (if applicable) that
the instrument(s) dated OCTOBER 9. 2007
described in the Petition be admitted to probate and filed ofrec~rd as the last Wi~l-l~(Iand Codicil(s)) of Deced/en~t. /
Form RW-02 rev. l0/11/2011
. Page 2 of 2
i
LOC~-~~'~'AfAR'S CERTIFICATION OF DEATH
WA ~i~3slt'•is~~tl~~to duplicate this copy by photostat oir photograph.
Fee for this certificate, $6.00 s_~~2 ~~~ ~~ ~~ ~ (~ ~`~ This is to certify that the information here given is
correctly copied from an original Certificate of Death
C~.E~iK QF duly filed with me as Local Registrar. The original
/~ ~~yP~t~1~tCQ~J~T certificate will be forwarded to the State Vital
Ii~JM!~rri~_.A~i.? (;O PA Records Office for permanent filing.
P 18 210 4 81 ~~~eJ,~ ~~~ 2 s/zoiz
Certification l~fumber
~~
TYPe/Print In
Per ant
~_
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH VITAL RI°CORDS
rt ~Tat-a l+w ~~ ~•
1. Decedent's Legal Name (First, Middl ,Last, Suffix) "' ~ ^ • • • Stste Flle Number:
2
S
.
ax 3. Social Secu Hty Number 4. Date of Death (MO/Day/`/r) (Spell Mo)
Rodney Cornmarlj
Male 181-42-7829 January 26, 2012
Se
Age-Last Birthda
(Y
b
.
y
rs) S
. Under l Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Monthj 7s. Birthplac! (City and State or Forei
n C
t
g
oun
ry)
61 Months, Days Hours Minutes
Jan . 23 , 1951 7b. Birthplace (county)
8a. Residence (State or Foreign Count ) eb. Residence (Street and Number -Include Apt N .) Se. Did Decedent LNe In
T
7
a
owns Ip
PA 357 Crossroad School Rd _ QpYe:
de°eaent uved In
W Pen
*+
b
,
_
_
s
oro
Bd. Residence (ceunry) ~, tyyp_
Cumberland
Se. Residence (21p Code) 4 Q No, decedent Ilyed within Ilmns of
city/boro.
9. Ever In US Armed Forces? 3 Marital Status at Tme of Oeath Married 0 WI owe 11. Surviving Spoute's Name (If wife, glue name prior to first marriage)
Q Yes W Nn ~ Unknown ~'~
~ Divorced Q N
,
ever Married p Vnknewn - Sandra Lea Palueh
'
12. Father
s Name (First, Mitldle, Last, ufflx) 13. Mother's Name Prior to First Marriage (First, Middle, Last)
Charles Co>t'nman
Shirle Dunbar
14
t
'
~ a. In
erment
s Name 14b. jtelatlonship to Decedent 14c. I torment's Melling Address (Street and Number, Clty State, 1 Code)
Sandra Lee Co n 3Sr7 C
rnenal wife
rossroad Sch
l
d
~
P
t-
a oo
R
_, L
ewv
l1ef PA 1724
If Death Occurred In a Hospital: ~ Inpatient , .ec._on Y one .......... ... ...........,,.__.. _____._._.__
I if Desth Occurred Somewhere Other Than a Hos Ital: yr """""""""""""""""""""
P tJ HOS Ice Facill ••••••-••••••••"""•••••""-"•••"••""
p T
'
~
_
4 _
Y
Decedent
s Home
Emergency Room/Outpatllnt Dead on Arrival Nursing Home/LOn -Term Care Facility O[her 5
( pacify)
15 b
s . Facility Name (If not Institution, a street and number; lSc. City or Town, State, antl 21p Code
Carolyn Croxton S ane IiOSp1Ce lSd. County of Death
36a. Method of pisposition 0 B rial n 16b. Date of Disposition E36c. Place of Disposition (Name of cemetery, crematory, or other place)
p Removal tram stet` o Der;
Jan _ 30 , 20 Hof flejan-Roth Funeral Hoene & Crematory
Other (Specify
^
o
16d. Location of Disposltl (City or To. n, State, and Zip) 17a. 5 aturc of F ral
a
l
rv
harge o Interment 17 b. License Number
Carlisle, PA 1701T3
138504
17c. Name and Complete Address of F ner 1 Facility
°~ Hoffman-Roth Fun al Home & Cremato 219 North Hanover S r e Carlisle PA 17013
lg
Decedent's Edu
ti
Ch
k
r- .
ca
on -
ec
the b x that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Rsce -Check ONE OR MORE races to Indicate what
highes[ degree or level of school comp
ted at the tim
f d
h
e
e o
eat
. box that best describes whether The decedent th decedent considered himself or herself to be
~ 8th grade or Ills
.
Is Spanish/Hlspanl4Latlno. Cheek the "NO" White Korean
0 No diploma, 9th - 12th grade box If decedent Is not Spanish/His
anic/L
ti
®
p
a
no.
Black or African American ~ Vietnamese
Nigh school graduate or GED corr~'pleted ~ No, not Spanish/Hispanic/Latino
A
0
merican Indian or Alaska Naive ~ Other Asian
Q Some college credit, but no degree ~ Yes, Mexican, Mexican American, Chlca no 0 Allan Indi
an Q Native Hawallan
~ Associate degree (e.g. AA, q5) Q Ves, Puerto Rican
Ch
~ Bachelor's degree (e.g. BA, AB, B j ~
inese 0 Guamanian or Chamorro
~ Yes, Cuban FIII i
~ Master's de
r
(
MA
M
~
p °O Q S
~
g
ee
e.g.
,
amoan
5, M
ng, MEd, MSW, MBA) ~ Yes, other Spanish/Hlspanl4Latino
Ja
~ panese ~ O
h
~
t
Doctorate (e. PhD, EdD
er Paclflc Islander
g. ) or Prof$sslonal degree (S
ecif
)
p
y
Q Other (Specify)
. MD DDS DVM LL JD
21. Decedent's Single Race Self-Designgtlon -Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 22a. Decedent's Vsusl Occupation -Indicate t
Whi[e ~ Ja
e of w
an
k
yp
p
or
ese ~ Samoan
i done during most of working Ilfe. p0 NOT USE RETIRED.
~ Black or African American Q Korean Q Other Pa
ifi
I
l
d
c
c
s
an
er
Q American Indian or Alaska Native ~ Vietnamese Q Don't Know/Not Sure Fork Life Operator
~ Asian Indian ~ Other Asian Q Refused
22b. Kind of Business/Industry
Q Chinese ~ Native Hawallan Q Other (Specify) Warehous
FII
e
0
i Pino ~ Guamanian or Chamorro
ITEMS 23a - 23 MUST RE COM LETE 23a. Date Pronounce Dead Mo Day 3 . Signature o Person roneuncing Death On y w en applies a 23c. License Num e
By PERSON WNO PRONOUNCES OR '.
r
CERTFIES DEATN ~ j ~~
23 .Date Slgnad (MO/Day/Yr) 2 ! / Deat
o
. ~ T Ig
J it
~
Q
J 25. Was Medical Examiner or Coroner Contacted? ~ Yes No
CAUSE OF DEATH
6. Part 1. Enter the chain of events-Ldlseases, Inju Mes, or complleatlons-that dlrectl Approximate
y caused the death. DO NOT enter terminal events such as grdiac arrest
respirato
arrest
[
I
l
~
ry
,
, or ven
ricu
ar
nterval:
flbrillation without showing th
e etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add adtlhionsl lines If ne
O
cessary
nset to Death
(
IMMEDIATE CAUCE ------------> SEPSJS 1 .
~~~
(Final disease or ondition Due to (o as a conse
uence
f)
!
r
q
o
:
resulting In death)
Ete1 f N
+
E
~
V f
T/r2
R E+~A[~
b.
Zj T~.411.$
Sequentially list conditlons, Dua to (o
r as a con
f
sequ nee o
e
):
If any, leading I:o the cause
r
listed on line a. Enter the c. _ G J<O yNA-G E/t L ~/1~J ~ fL s yam
( YLS
UNDERLYING
/
(;RUSE Due to (or sequence of):
(disease or Injury that as a con
F~
? initlatad the events resulting d.
In death) LAST
,
a7 . Due to (or as a consequence of):
s 26. Pert 11. Enter ocher nifl I o i but not resulting In the underlying cause given In Part I 27
W
.
as an autopsy perFOrmltlT
O No
O
~" 28. Were
autoPS flnd
Y gs available
to complete the cause of death?
29. I( Female: 30
Yes No
Did Tob
U
.
acco
se Contribute to Death?
0 Not pregnant within past yea 31. Manner of Death
O Yes 0 Probabl
y ~ Natural ~ Homicide
~ Pregnant at time of death
~ No
U
k
~ n
®
nown ~ Attident 0 Pending Investiptlon
~ Not pregnant, but pregnant within 42 days of death
~ ut pregnant 43 ~dayz to 1 year before deaf[ 32. Date of Injury (Mo/Day/Yr) (Spell Month) C• Suicide ~ Could not be determined
g
l
Q Vnknow
n
if pre
gnant within thrk past year 33. Time of Injury
34. Place of Injury (e.g. home; construct on site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code)
36. Injury aY Work 37. If Transports ion Injury, Speelfy: 38. Describe How Injury Occurred:
Q Yes ~ Driver/Operador 0 Pedestrian
0 No 0 Passenger 0 Other (Speclly)
39a. Clrtifler (Check only one):
® Certifying physicbn - To She best df my knowledge, death o red due to the cause(s) and manner stated
Q Pronouncing >O Certifying
h
sician
T
th
b
p
y
-
o
e
est of my knowledge, death occurred at the Time, date, and place, and due to the cause(s) and manner stated
~ Medical Examiner/GO[O - th
ml Ion, and/or Investigation, in my opinion, death occurrctl at the time, date, and place, and due to the cause(s) and manner stated
signature of certMer. ~Gu Title of certifier: /['ID Li
N
~~1 DL/3 ~
~
cense
umber:
/
-/77
39b. Names, Address and Zip of Pe on Completing Cause of Death (Item 26)
39c. Date Slgnad (MO/Day/Yr)
/1-11 A Lo r'I rJ 00 IJNI/ RStT !Zr-/6 NEI'L.L/aG p~ /70 iC3 Ol
~
'
/
L4
40. Registrar
s District Number 41. Registrar
y
~
~
tu
rc
e
- 42. Reg stray FI !Date Mo Day
-`^
~
~
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43. Amendments
Disposition Permit No._ _ ~ ~ G ~ ~ .y p~
H105-143
REV 07/2011
LAST WII~I~ AND T~ STAM~NT
o~
RODN~Y ~. CO
KNOW ALL MEN BY THESE PRESENTS, that I ,Rodney L. Cornman, o~ 357
Crossroad School Road, Newville, Cumberland County, Pennsylvania, being in good health and o~
sound and disposing memory, do Hereby malie, declare, and publish t.~is as my Last Will and
Testament, hereby!., revolting all ~ormer Wills and Codicils heretofore made by me.
FIRST: I'direet that all my just debts and expenses o~ my last illness and ~uneral expenses
shall be paid by myt Executrix, hereinafter named, ~rom my estate as soon a~ter my decease as shall
be ~ound convenieht.
SECOND:
(a) I give personal guts o~ the items listed and to the individuals named on the Listing o~
Personal Gi{ts attached to this Will.
(b) I give, devise, and bequeath all the rest, residue, and remainder o~ my estate, whether real,
personal or mixed, o~ any nature whatsoever and wherever situated, including any lapsed or void
legacy, to Sandra'' Lee Clarltson, 357 Crossroad School Road, Newville, Cumberland County,
Pennsylvania, i~ sloe survives me by ninety (90) days. ~,
(c) I~ Sandra Lee Clarltson, predeceases me or is not living on the ninety-~irst day a~ter my n
death, then I give ithe rest, residue, and remainder o~ my property whether real, personal, or mixed,
to Jenni~er L. Se~ultz, 522 North Pitt Street, Carlisle, Pennsylvania. I~ Jenni~er. L. Schultz
predeceases me, of is otherwise unable to receive, I give the rest, residue, and remainder o~ my
propertywhether real, personal, or mixed, to Ray C. Cornman, 429 Crossroad School Road, Carlisle,
Pennsylvania.
If either ofthe devisees listed in paragraph (c) predeceases me, the share that would otherwise
be distributed to tat predeceased devisee shall be distributed to his or her issue, der stirpes. ;_._,
n ~.-~
.-- ~,
THIRD: X hereby nominate, constitute, and appoint Sandra Lee. Clarltson, ;~ ecutrp-''ro~
~,
~ ~~-~-'
~ ~
this my Last Will and Testament. If my Executrix ails to serve, or for any reason ~~ ont~xe --~~~
`_ :. {_~;
to serve, I then ap~noint Jenni~er L. Schultz to serve as Executrix. ~ 07 ~' ~'`' `-~ = ' `"
~
1 D --, ~' a
c,.
FOURTH: I direct that my Executrix, or her successor, shall not be required to ~urnish
any bond or other security ~or the ~aithf ui performance o~ her duties, notwithstanding any provisions
o~ law to the contrary.
FIFTH: 1tirly Executrix shall leave, in addition to tine powers and authority con~erred upon
her by law, the follpwing additional powers and authority:
1. To gi~t,~ sell at public or private sale, exchange, lease, mortgage, or pledge any property,
real or personal, constituting a portion o~ this estate, at any time, and upon such terms and
conditions as she shall deem wise.
2. To invest any money at any time in such bonds, stoclzs, notes, real estate, mortgages, life
insurance, annuities, or other securities, or such property, real or personal, as she shall deem wise,
without being limi~ed by any statute or rule o~ law regarding investments by the Executrix.
3. To retaiin, without incurring any lial,ility, as investments, any property owned by me at
the time o~ my dealth, as long as she deems it wise, and even though such property is not the hind o~
property she wouldjpurchase as an investment, and even though to retain such property might violate
sound diversi~icatibn principles.
4. To cause any security or other property which may at any time constitute a portion o~ my
estate to be issued, I,held, or registered in her own name, or in the name o~ a. nominee, or in such ~orm
that title will pass by delivery.
5. To content to the reorganization, consolidation, readjustment o~ the ~inancial structure,
or sale o~ the asses o~ any corporation or other organization, the securities o~ which constitute a
portion o~ my estate, and to talxe any action with re~erence to such securities which, in the opinion
o~ my Executrix, ''is necessary to obtain the bene{it of any such reorganization, consolidation,
readjustment or sae; to exercise any conversion privilege or subscription right given to her as the
owner of any securities constituting a portion o~ my estate; to accept and hold as a portion o~ my
estate securities re$ulting ~rom any reorganization, consolidation, readjustment, sale, conversion, or
subscription.
6. To pay ~ costs, taxes, charges and expenses in connection with the administration o~ my
estate.
7. To detlermine what is "Income" and what is "Principal" hereunder, and her decision
thereon shall be ~al; and to purchase securities at a premium or discount, and to apply or charge
said premium or discount against income or principal as she may determine.
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8. To gi~t, trans~er, sell, exchange, partition, lease, mortgage, pledge, give options upon, or
otherwise dispose o~ any property at any time held by her, at public or private sale, or otherwise.
9. To borrow money ~rom any person, ~irm or corporation, ~or the purpose o~ protecting and
preserving or imprcQving my estate or to execute promissory notes or other obligations ~or amounts
so borrowed. '
10. To e~ploy legal counsel, accountants, brolzers, investment advisors, custodians,
managers, and otheer agents and employees and to pay them reasonable compensation out o~ my
estate or out o~ an}~ ~und held hereunder to which said compensation is attributable.
11. To dp all other acts in her judgment necessary or desirable ~or the proper and
advantageous management, investment, and distribution o~ my estate.
SIXTH: I'', direct that all trans~er and inheritance taxes, state or ~ederal, assessed because o~
my death, whether ~he ~unda, property, or insurance proceeds to which such taxes are attributable pass
under this Will or riot, shall be paid out o~ my residuary estate just as if they were my debts and none
of those taxes shall ~e charged against any beneficiary; that my Executrix pay, or provide ~or payment
o~ all such taxes at ,such time or times, and in such manner as my Executrix deems best.
SEVENT~-I: All questions as to the validity o~ this, my Last Will., or the administration o~
the Will shall be governed by the laws o~ the Commonwealth o~ Pennsylvania.
EIGHTH If Sandra Lee Clarizson and I shall die simultaneously or under circumstances
which maize it di~i~ult to determine which o~ us died ~irst, I direct that Sandra Lee Clarizson, shall
be determined to hJave predeceased me, and I direct ~urther that the provisions o~ this Will shall be
construed upon that assumption irrespective o~ any provisions o~ law establishing a contrary
presumption or rejquiring survivorship ~or a ~ixed period as a condition o~ talzing property by
inheritance.
1VINTH: ~xcept as otherwise provided in this Will, I have intentionallyailed to provide ~or
any other relatives ~r other persons, whether claiming to be an heir of mine or not. Inso~ar as I have
la.iled to provide inl this Will for any of my issue now living or later born or adopted, such failure is
intentional and not occasioned by accident or mistalze.
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IN WI1"N~SS WHEREOF, I, Rodney L. Cornman, the Testator to this, my Last Will
and Testament, typewritten on our (4) sheets o~ paper which I have identi{ied in the margin o~ each
page by my signature, hereunto set my hand and seal this 9th day o~ October, 2007.
1"
Rodney L. Cornman
The preceding instrument consisting of our (4) typewritten pages, each identi{ied by the
signature o~ the Testator, Rodney L. Cornman, was on this day and date signed, published, and
declared by him, tl~e Testator therein named, as and ~or his Last Will, in the presence o~ us, who at
his request, in his p'~resence, and in the presence o~ each other have subscribed our names as witnesses.
COMMONWEA~.TH OF PENNSYLVANIA )
S5:
COUNTY OF CjTMBERLAND )
I, Rodney ',L. Cornman, Testator, whose name is signed to the attached or ~oregoing
instrument, havin~ been duly quah{ied according to law, do hereby aclxnowledge that I signed and
executed the instru~µnent as my Last Will on the 9th day o~ October, 2007;. that I signed it willingly;
and that I signed i~ as my ~ree and voluntary act ~or the purposes therein expressed.
~~~Jx~~ ey. ~ C~Qt~r~~,
Rodney L. Cornman
,~
~~
~U
4
Sworn or a~irmed to and aclenowledged before me, by Rodney L. Cornman, the Testator, this
9th day o~ Octobe>~, 2007 .
c
Notary Public
COMMONWEALTH OF P~tVNSYLVANIA
Notarial Seal
Niven J. Baird, Notary Public
Carlisle Boro, Cumberland County
My Commission Kxpires Nov. 2, 2010
Member, Pennsvh,~ania Ar~;,~~Y^ron of Notaries
COMMONWEA$.TH OF PENNSYLVANIA )
SS:
COUNTY OF CUMBERLAND )
We, the witnnesses whose names are signed to the attacked or ~oregoing instrument, being duly
quali~ied accordingl, to law, do depose and say that we were present and saw Rodney L. Cornman sign
and execute the instrument as a codicil to leis Last Will; that lie signed willingly and that he executed
it as his ;free and vdluntary act ~or the purposes therein expressed; that each o~ us in the hearing and
sight o~ Rodney L.'~,Cornman signed the codicil as witnesses; and that, to the beat o~ our 12nowledge,
Rodney L. Cornmi~n was at the time eighteen (18) or more years o~ age, o~ sound mind, and under
no constraint or undue in~luence.
Sworn or a{~irmedl,to and subscribed to before me by the
above-named witnesses, this 9th day o~ October, 2007.
Notary Public
5 COMMONWEALTn Ur rciVivSYLVANIA
Notarial Seal
Nivert J. Bairn, Notary Public
Cariislo Boro, Cumberland County
MY Commission Expires Nov. 2, 2010
Member, Pennsylvania Association of Notaries