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HomeMy WebLinkAbout03-20-12PETITION 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 requests the grant of Letters in the appropriate form: n~~~denYs Information ~ ^") ~ J~ Name: Mary E. Rynard File No: 21 o'S J a!k/a: (Assigned by Register) a!k/a: a/k/a: Social Security No: Date of Death: 02!28/2012 Age at Death: 80 Decedent was domiciled at death in Cumberland County, PA (State) with his/her last principal residence at 423 North Pitt Street, Carlisle 17013 Carlisle Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 423 North Pitt Street, Carlisle 17013 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: ff domiciled in Pennsylvania ...................... All personal property $ 200,000.00_ If not domiciled in Pennsylvania ................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ................ Personal property in County $ Value of real estate in Pennsylvania ................................................................... $ 50,000.00 ® TOTAL ESTIMATED VALUE $ 250,000.00 Real estate in Pennsylvania situated at 423 North Pitt Street, Carlisle 17013 Carlisle Cumberland (Attach additional sheets, Bnecessary.) 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) that he/she/they islare the Executor(s) named in the Last Will of the Decedent, dated 02/07!2012 and Codicil(s) thereto dated State relevant circumstances (e.g., renunaation, death of executor, efc.) 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(8), and did not have a child bom 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., pedente life, durance absentia. durante minontate 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.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 adudiceted 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): ." ~~ ~ -z7 Name Relationship Address r-r-t ~'" ~> t~ _, -j S° ~'r'3 '7 ~C i ~_ s`'T cw Form f2W-0Z rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Oath of Personal Representative - ~ ` ` '~-'f ~; »a only ~L..7.... I i ," ~ ~ ,, ~~ COMMONWEALTH OF PENNSYLVANIA } - ` y ``~f } SS: COUNTY OF Cumberland } ~`~ 7 ~'' Page 1 of 2 Petitioner(s) Printed Name Petitioner(s) Printed Address Joan M. Garcia-Cruz 96 Partridge Circle C~~~ ~F Carlisle, PA 17013 ©}~~~'~ CQ~~r /11 B intr.. ..._ Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } COUNTY OF Cumberland } SS: } ~, Petitioner(s) Printed Name Petitioner(s) Printed Address Joan M. Garcia-Cruz 96 Partridge Circle Carlisle, PA 17013 ~ .,, .- .. ~ i,. , ,Y L c~R~c of QR'~ couRr 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 Personal Representative(s) oft a Decedent, Petiti , er(s) will well nd truly administer the estate according to I Sworn to or affirmed a ubscrf'~d before '~/ ~ x `W) ~ F- vw r J'7 O ~.~ me thi ~ day f (/`L dC~~ ~ Date B Date Forte ister Date Date BOND Required? ~ YES ,~ NO FEES: ~~ rr ~~ Letters .......................................... $ ___c ~ L (_1 ( ~ )Short Certificate(s)......... _ _~~ ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond ............................................. Commission .................................. Other ~) ~ (~~ To the Register of Wills: Please enter my aoeea Bradley L Griffis Supreme Court ID Number: 34349 Firm Name: Griffis & Associates P.C. Address: 200 North Hanover Street below: Carlisle, PA 17013 Automation Fee... ~ Phone: 717-243-5551 ......................... JCS Fee ....................................... Fax: TOTAL ......................................... $ E-mail: bgriffie~griffielaw.com DECREE OF THE REGISTER Date of Death: 02/28/2012 Social Security No: 200-24-0798 Estate of _ Marv E. Rvnard a/k/a: File No: _ 21 1 pZ '~3Q AND NOW, r satisfactory proof ha ng been presented before me, IT IS DECREED that Letters ~ ~ in consideration of the foregoing Petition, Testamentary are hereby granted to Joan M. Garcia-Cruz in the above estate and (if applicable) that the instrument(s) dated described in the Petition lie admitted to probate and filed of record ast O~Oa/n OC Nei ( QI 9~icil(s1) of Deced t Form RW-02 rev. toil>no~> Ke9tster of Wile ~/ Copyright (c) 2011 forth so y e Lackner o Page 2 of 2 H 11'~~_F~IS RFV 19i11~ 1~ TRAR'S CERTIFICATION OF DEATH ~~1~ ~ , egal to duplicate this copy by photostat or photograph. of .(-• .t .,.~ ... ',~~. I~ Fee for this certificate, $Q ~~~ ~~ ~~ (~: ~ ~ This i , to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original (~,(~~( Q~ certificate will be forwarded to the State Vital ~IS COURT Records Office for permanent filing. P 18 2112 6~6~~ ~~ ~'~ ~ PA ,y,~,~ MAR 1 012 ~~ ~ Certification Number Typ</Print In Permanent 6 ~~ l.. S CMG L L ---~. - ocal Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS ~`COT~C~f"ATC AC AF ATL.1 lack Ink 1 - ----- - --- . Decedent's legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Ma E. R and £emal - - S a. Age-Last Birthday (Yrs) 9b. Under L Vear Sc. Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and State or Foreign Country) • 80 yr8_ Months Days Hours Minutes April 30r 1931 7b. Birthplace (County) 8a. Residence (State or Foreign Country) 86. Residence (Street and Number -Include Apt No.) 8c. Oid Decedent Live in a Township? Pennsylvania 423 N. Pitt Street OYes, decedent lived in _ t~^'P- 8d. Residence (County) Cumberland Se. Residence (Zip Code) 1 013 ®NO, decedent lived within limits of Carlisle city/born. Ever in US Armed Forces? 10. Mar 9 ital Status a[ Time of Death ~ Married ® Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) . Q Ves ® Nq ~ Unknown ~ Di vorced ~ Never Married ~ Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mo[h¢r's Name Prior to First Iarriage (First, Middle, Last) Thomas E. Yingst Ada E_ Mul3ana 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) N ' o ame 14a. Informant s Jodi Rynard Dau titer 62 E. Penn St_ Carlisle P G ec pn qne _ t awe o eat Y .................................... .._ ... ... ......... ..... ....... _...... ..... ar~w+ .. ... ... ........ ... ailen[ cif Death Occurred Somewhere Other Than a Hospital: C] Hospice Facility ~ Decedent's Home In l H it d c I ° p osp a : u in a f Death Occurre Q Emergency Room/Outpatient Q Dead on Arrival Q Nursing Home/Long-Term Care Facility O'[her (Specify) • °e° 15c. City or Town, state, and Zip Code 16d. County of Death 19b. Facllliy Name (If not Institution, give street and number', 6 Partrid a Circle Ca lisle P Cumberland 16a. Method of Disposition ~ Burial Q Cremation 16b. Date of Disposition 36c. Place of Disposition (Name of cemetery, crematory, or other place) -~p Removal from Slate O Dpnatlgn March 5 , 201 Cumberland Val ley Memorial Gardens otn¢r (sP«IrY) and Zlp) State or Town ition (Cit f Di o i 17a. Sign of Fune 15 C ceftsee or Person in Charge of Interment 17b. License Number Z , , y on o sp s 16d. Locat 138504 y~ Carlisle, PA 17013 E 37c. Name and Complete Address of Funeral Facility 3 Ho££man-Roth Fun H t d h ' icate w a s Race -Check ONE OR MORE races [o in Decedent's Education -Check the box that best describes the 19. Decedent of His pa nlc Origin -Check the 20. Decedent 18 . highest degree or level of school completed at the time of death. box that best describes whether the decedent the deced en[ considered himself or herself to be. ~ 8th grade or less is Spanish/Hispanic/Latino. Check the "NO' ~ White ~ Korean ® No diploma, 9th - 12th grade box If decedent is not Spanish/Hispanic/Latino. Q Black or African American ~ VI¢tnamese ~ High school graduate or GED completed [~ No, no[ spanish/Hispa nlc/Latino Q American Indian or Alaska Native ~ Other Asian Chicano ~ Asian Indian 0 Native Hawaiian i an i A mer c , can 0 Some college credit, but no degree Q( Ves, Mexican, Mex ~ Guamanian or Chamorro Q Assgciate degree (e.g. AA, AS) O Yes, Puerto Rican ~ Chinese n S amoa ~ Bachelor's degree (e.g. BA, AB, BS) Q Ves, Cuban O FIII PIno Q ~ Other PaciFlc Islander ~ Master's degree (e.g. MA, M5, MEng, MEd, MSW, MBA) ~ Ves, other Spanish/Hispanic/Latino ~ Ja pan¢se ~ Doctorate (e.g. PhD, EdD) or Professional degre¢ (specify) ~ Other (Specify) .MD DOS DVM LLB,JD Decedent's Single Race Self-Designation -Check ONLY ONE [o indicate what the decedent considered himself or herself to be. 22a. Decedent's Vsual Occupation - Indicate type o/ work 21 . White ~ Japanese ~ Samoan done during most of working Ilfe. DO NOT USE RETIRED. ~ Black or African American Q Korean ~ Other Pacific Islander Cleaning ~ American Indian or Alaska Native ~ Vietnames¢ ~ Don't Know/Not Sure ~ Asian Indian ~ Other Asian ~ Refused 226. Kind of Business/Ind usiry ' iOVt . Chinese ~ Native Hawaiian ~ Other (Specify) County C ~ Filipino ~ Guamanian or Chamorro ITEMS 23a - 23d MVST BE COMPLETED 23a. Date Pronounced Dead Mo Day Yr 236. Signature of Person Pronouncing Death (On y when applicable) 23c. License Number BY PERSON WHO PRONOUNCES OR E.+e ~Z.~~r Sr 28 s ZQ 1'Z CERTIFIES DEATH 23d. Date Signed (Mn/Day/Yr) 24. Time of Death 8 ~ QQ gJR 25. Was Medical Examiner or Coroner Contra Red? Q Ves No CAUSE OF DEATH Approximate Enter the h I f t --diseases, Injuries, or com pllcatigns--that directly caused the death. DO NOT enter terminal events such as cardiac arrest. Interval: Part 1 26 . . Add additional lines If necessary Onset to Death l n e . g the etiology. DO NOT ABBREVIATE. Enter only one cause on a I i n respiratory arrest, or ventricular fibrillation without show }~,~ // `•~~ ~ [ ~ + rll~~~~~ - ~~ °1 ~~~^ L. `~~ `c IMMEDIATE CAUSE ---------- ----> a. (Final disease or condition D e to (or as a quenc of): res~mng in a¢acn) ~--~.~ ~~ ~~~ S ~ ~C~ b. Sequentially list conditions, Du wo or as a c ns quence of): o ~ C G-+1 if any, leading [o the cause / ~ ` I. C~ ~ `~ Y~ - listed on Ilne a. Enter the l V T UNOERLYING CAVSE Due to (or as a consequence oT7: (disease or Injury that - initiated the events resulting d. c in death) LAST. Due to (or as a consequence of): j Enter other I Ifi t d'tions contributive to death but not resulting In the underlying cause given In Part I 27. Was autopsy pertormed7 P [ II 26 , _ ar . . Q Ves ~9V 28. Were utopsy Flndings vailabie to co plete the c f death? a [ZNo ~ Yes a 29. If Female: 30. Did Tobacco Use Contribute [o Death? 31. Ma~of Death l ~ Homicide r ~~ r E q~l o~t pregnant within pass year ~es ~ Probably Q^ Y u a [~ Investi ation Pendin t id ~ 0 Pregnant at Hme of death but pregnant within 42 days of death re nant Not _ 1.11~V ~ Unknown g g Q ~ Acc en Q Suicide ~ Could not be determined m g , ~ p ear before death s to 1 t 43 d b 32. Date of Injury (MO/Day/Yr) (Spell Month) ~ y ut pregnan ay ~ Not pregnant, ~ Unknown if pregnant within She pas[ yeas 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 a[ Work 37. If Transportation Injury, Specify: 36. Describe How Injury Occurred: 0 Yes ~ Driver/Operator ~ Pedestrian ~ No ~ Passenger ~ Other (Specify) 39a. Cyst fler (Check only one): death occurred due to the cause(s) and manner stated e f k l d ~ , my now e g rtlfying physician - To the best o nn¢ ~ Pronouncing R Certifying physician - the best of my knowledge, death occurred ac the time, dale, and place, and due to the cause(s) and ma r stated an ~ Medical Examiner/COro is of ¢xaminatlon, and/or Investigation, in my opinion, death oCCU: ~t the time, date, and place, and due to the cause(s) and m ner stated L Yr - 1 Ucense Number: ~~~-~~ Y6 ~~- Signature of certifier: TIlle of ceKiFler: I 39b N rtjt~Address a d ZI C de of P son Comple Cause of De (,Item 26) / ~!~) ~ (~1L /"_ 2 S-{~ 39c. Da signed (MO/Day/Yr) Car/fY/~ /°A- /70/S `1- tiU 40. Registra District Num er 1. Reg s ,signature J 42. R glstrar Fil Dace Mo Day Yr) ' i ~.d Cp ~./-~~o - Feb. a8 oz.o ~~ i 43.Amendments ~ ~,„^ fs~ " ~( ~mC i-caeL _• other-[cJcr~u~h~i-s homes not en~rnA~.-~~ sho B ~// /2 GS'/y~ Disposition Permit No. ~ / ~ O ~ / , REV 07/2011 LAST taI LL AND TE5TAMENT OF MARY E. RYNARD I, MARY E. RYNARD, of 423 North Pitt Street, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my Executor hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. I direct my Executor to pay all inheritance, estate, succession and legacy taxes, to which my estate or the transfer of any property hereunder may be subject, and to charge such taxes as part of the expenses of the administration of my estate, being deducted and paid from the residue of my estate and not to be deducted in any manner from any specific bequests made herein. However, my Executor need not accelerate and pay those unmatured obligations which, in his, her or its C3 opinion, it might be proper and more advantageous to retain or renew and pay as t~ ~~ t ~ f'" ~~x ~a~ . ~ D -ro GRIFFIE & ASSOCIATES Attorneys At Law 200 N. Hanover Street Page 1 of 9 Carlisle, PA 17013 r .a C ~"_ i ,`` !~'J ~ ': r7 x ~ ~-. .... ~: :'~ `~ C _ ., 100 Lincoln Way East, Suite D Chambersburg, PA 17201 become due and payable. I have prepaid the Cumberland Valley Memorial Gardens for interment. However, if I do not own a grave marker at the time of my death, I authorize my Executor/Executrix, in his, her or its sole discretion, to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose. SECOND In the event that I own more than one cemetery plot in my name at Cumberland Valley Memorial Gardens, or at any other cemetery or Memorial Gardens, it is my desire that the cemetery plot not used for my interment shall pass to my great-grandsom TAZHOM KAMEIL EUGENE DAMS. In the event my great-grandson should predecease me or die on or before the 60th day following my death, and I should still maintain ownership of more than one cemetery plot, the remaining cemetery plot after my internment shall pass through the residue of my Estate. THIRD I give, devise and bequeath my entire estate of whatever nature and wheresoever situate, together with all insurance proceeds thereon, to the following individuals in the following shares as hereinafter set forth: (A) FIVE (5%) PERCENT of my net estate to my great-grandson, TAZHON KAMEIL EUGENE DAMS, per stirpes; GRIFFIE 8~ ASSOCIATES Attorneys At Law 200 N. Hanover Street IOU Lincoln Way East, Suite D Carlisle, PA 17013 Page 2 of 9 Chambersburg, PA 17201 (B) FIVE (5%) PERCENT of my net estate to my grandson, AARON C. BEIDEL; in the event my grandson, AARON C. BEIDEL should predecease me or die on or before the 60th day following my death, then his share of my Estate which he would otherwise have received shall pass through the residue of my Estate; (C) TEN (10%) PERCENT of my net estate to be shared equally among my grandchildren, who are the children of my late daughter, JEAN LOUISE FRALISH, my said grandchildren being LEANN SUTTON, ADAM FRALISH, CHRISTIAN FRALISH and AARON BEIDEL, per capita; (D) THIRTY-SEVEN AND ONE-HALF (37.5%) PERCENT of my net estate W FOURTH Any devise or distribution under this Last Will and Testament which is payable to any beneficiary who may be under twenty-one (21) years of age or, in the judgment of my GRIFFIE & ASSOCIATES Attorneys At Law to my daughter, JODI L. RYNARD. In the event my daughter, Jodi L. Rynard, would predecease me or die on or before the sixtieth (60th) day following my death, her share of my estate shall pass in equal shares to my grandchildren, SHAQUILLE DAMS and TANEISHA DAMS, and my great-grandson, TAZHON KAMEIL EUGENE DAMS; (E) FORTY-TWO AND ONE-HALF (42.5%) PERCENT of my net estate to my daughter, JOAN M. GARCIA-CRUZ, per stirpes. 200 N. Hanover Street Carlisle, PA 17013 Page 3 of 9 I00 Lincoln Way East, Suite D Chambersburg, PA 17201 Executor/Executrix, mentally disabled, shall be held in a separate trust by my Executor/Executrix as trustee until such beneficiary reaches twenty-one (21) years of age or during such period of disability. During the term of any trust created pursuant to this Paragraph, the Trustee is authorized to expend and apply so much of the net income and principal of each such trust as the Trustee shall consider advisable for the health, maintenance, support, and education (including college education, undergraduate and graduate) of each such beneficiary until he or she attains twenty-one (21) years of age, or until all such amounts are paid out of trust. I direct that no Trustee shall be required to give or post bond for the faithful performance of the Trustee's duties in this or any other jurisdiction. FIFTH I grant my Executor/Executrix the following powers in addition to and not in limitation of such powers as my Executor/Executrix shall hold by law: (a) To retain all property received including the stock of any corporate fiduciary acting hereunder, provided such property remains productive. (b) To join in any corporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors, including but not limited to, the voting of shares. (c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate held or owned by my estate. GRIFFIE & ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 4 of 9 Chambersburg, PA 17201 (d) To operate any business that I may own at my death. (e) To invest any funds of my estate in any stocks, bonds, notes or other securities or property, real or personal, without regard to the principle of diversification or any other statute or general rule of law in his, her or it:s absolute discretion, it being my intention to give my Executor/Executrix the broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible, at any time forming a part of my estate in any manner and on such terms and conditions as my Executor/Executrix shall see fit in his, her or its absolute discretion. (g) To borrow money for the payment of taxes or for any other proper purposes in the administration of my estate, and to mortgage or pledge estate assets as security. (h) To compromise claims without court approval including, but not limited to, any controversies with the United States of America or the Commonwealth of Pennsylvania concerning estate and inheritance taxes on any interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon any division or distribution of my estate. (j) To undertake any and all acts deemed necessary and proper by my Executor/Executrix for the proper, advantageous and prompt management of the settlement of my estate. GRIFFIE & ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 5 of 9 Chambersburg, PA 17201 (k) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as to him, her or it may seem best and to execute and deliver all instruments and to do all acts which he, she or it deems necessary or proper to carry out the purposes of this, my Last Will and Testament. SIXTH No interest of any beneficiary of my estate, either in income or in principal, shall be subject to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have the power in any manner to charge or encumber his interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my Executor/Executrix for the liability of such beneficiary. SEVENTH I nominate, constitute and appoint my daughter, JOAN M. GARCIA-CRUZ, as Executrix of this my Last Will and Testament. In the event my daughter is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my grandson, NICOLAS S. GARCIA-CRUZ, as Executor of this my Last Will and Testament. I direct that my Ex:ecutor/Executrix shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. GRIFFIE & ASSOCL4TES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 6 of 9 Chambersburg, PA 17201 EIGHTH I hereby declare it to be my expressed desire that my Executor/Executrix employ the law firm of Griffie & Associates, of Carlisle, Pennsylvania, for legal advice and assistance regarding this my last Will and Testament, they having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF; I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of nine (9) typewritten pages, the first six (6) of which %~'+' bear my signature on the side margin, for purpose of identification, this 7 day of ~c b ~ ~c a.~- ~, 2012. WI ~' MARY . RYN ~' ~~.-s. GRIFFIE & ASSOCL4TES Attorneys At Law 200 N. Hanover Street IOU Lincoln Way East, Suite D Carlisle, PA 17013 Page 7 of 9 Chambersburg, PA 17201 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: . SS. COUNTY OF CUMBERLAND I, MARY E. RYNARD, the Testatrix 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 and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. MARY E. RYN Sworn or affirmed and acknowledged before me by the Testatrix this ~! `~ day of ~ r r , 2012. ~= ~° .~ tow~r~atat ~.M.~iwM~i-~1•+~1r a,,,,,,~w~.a~..'-~a GRIFFIE & ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 8 of 9 Chambersburg, PA 17201 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: . SS. COUNTY OF CUMBERLAND /~, WE, dr~,~ ~ cr, L- ~r ~-~'~-P and ~ S~~ , the witnesses whose names are attached to the foregoing document, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed and subscril and ~, I1_ hen ~..1 I~SS~' ~t1 d IOIMIML~ M~IIMRMwM~ ersr.e^.rao~~o~l~ wca~aow.+.~-~ Not Public GRIFFIE & ASSOCIATES Attorneys At Law 1200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 9 of 9 Chambersburg, PA 17201