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HomeMy WebLinkAbout03-29-12PETITION 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 request(s) the grant of Letters in the appropriate form: Decedent's Information . f -, Name: Lois S. Collins File No: ~=___~_;~~ ~~~~ _ a/k/a: - (Assigned by Register) a/k/a: a/k/a: Social Security No: 209-12-8833 __ _ Date of Death: 3/9/2012 Age at death• 86___ ___ Decedent was domiciled at death in Cumberland County, Pennsylvania ___ (State) with his/her last principal residence at 1067 Nanroc Drive 17055 Mechanicsburg Upper Allen Cumberland _ Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 1067 Nanroc Drive 17055 Mechanicsburg Upper Allen 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 If not domiciled in Pennsylvania .............................Personal property in Pennsylvania Ifnot domiciled in Pennsylvania .............................Personal property in County Value of real estate in Pennsylvania ............................................................. . $ _ ~~4 ~ 00 . Q C~ $ _ TOTAL ESTIMATED VALUE.... $ _ ~ ll ~ . Ci ~"- _ Real estate in Pennsylvania situated at: (Attach 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 2/3/201__ __ and Codicil(s) thereto dated State relevant circumstances (eg. renunciation, death of executor, etc.) 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(g), and did not have a child born 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., pendente [ite, durance absentia, durante mrnoritate If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and com lete list eirs. `'' Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been esta~i~d as defirt~da ~~ -_ in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ! ~ Z ~~ `.a a ^ NO EXCEPTIONS ^ EXCEPTIONS T~ ~ ~ ~`~-' --~r',~--~` Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse~'ii~3~t~8nd heit~(attach additional sheets, if necessary): ~ ll )} _ 17 __ Name Relationship __ n ~ --. Address D~ ~ ~ _ . - ~=°' C. _ roan nw nz rep, ro-t r%zou Page 1 of 2 i ne rennoner(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) of the Deced~nt, the Petitioner(s) will well and truly ad mister the estate according to law. Sworn to r affirmed and subscrib d before ~i , , t t w '~` ~ ~ ;, ~ / , . ~ ~ , L tf met ~ dam of ' ' f C_ 6 L ~~~.-- -~--- ~ .- -Date ~-' " `i 1~-- i11~' •, , By: ~ t ~~lt t :, ' ~,~ ~r x t.',t/ ~~ 1 ~~;-~~y~ 1 --- Date =5-'~~"._~i'-101'S~ For the Register ~ ---- Date _-- _ Date _-_____ BOND Required: ^ YES ®" NO FEES: 1 Letters ....................... $ - ~~ ( ~' )Short Certificates(s) ...... `~~~ -~ ~ (r' ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Other 1, ` --- ......... -1 ~ . . ~~ Automation Fee ..... ......... f -~ ~ ~~ JCS Fee ....................... S.~ C' TOTAL ......................$ ~ ~ ~ S ~ ~C To the Register of Wills: Please enter my appearance by my signature below: -- ----~ Attorney Signature: // '''' _f- Printed Name: Theresa L. Shade Wix Esq. _ Supreme Court - !, ID Number: 43089 --- Firm Name: Wix, Wenger & Weidner ---- j Address: 4705 Duke Street __ ~ Harrisburg _ PA 17109 Phone: (717) 652-8455 n Fax: (717) 652-6290 ~~ ~~' - -- _ I, ~- = ' Email: tlsw2000@aol.com ,, ~? ~- - , r> - T~~ - ~ , A rn _ - - - ~.. _) ~,-~ ,;~ -r, DECREE OF THE REGISTER ~ ~ cJ ~~' _ . `-,_ Estate of Lois S. Collins~~ " `,~ ~--, File No: ~~ ` /,;1 .. ~.?~~5 ~ ~"~- ._. - - __ AND NOW, ~~ ~I~! -~'° 1~~,~ ~~ '.~~ ~(..~/; , in consideration of the foregoing Petition, satisfactory proof having been r sented before me, IT IS DECREED that Lettgr `~~ -C. i,) ~rr-1 ~ii_a~ t_ __ are hereby granted to D I C h~= ( jl'l f ~~ (" {'' (1 t'l C~ ____ - ~ - in the above estate and (if applicable) that the instrument(s) dated :~~ ` /~' described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s) j of Decedent. ~/ Register of Wil}5---' ~ ~~~~ ~ ~f.~1r1 ~)f l ~ F-brm RW-02 rev. ]0-f ]-2011 ~ ~°' ' '~ .'Page 2 of 2 Oath of Personal Representative ottt~~al vse only COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } ~'A 1't~t~,~I~ i~i(I~~~to c3~a~lECa#~ ~#~a~ ~.~~ ~~ p~r~atrastat ~>~ ,~~., '. _ I'`;•( lilt (1j t;?lltc,l+.'. ~fi'lll 1i°t~ C''tt~f\ G7 i ~1 ~' ++V ,~ r i CLERK CF , ~.~~~,. ' '~ ,, QRPH,gN'~ COURT ' g°°~ "` ~~ ~~ ~_l ~~ ~~ , . __ P 18331439 ,~ .. a 1 ~: TYPe/Print In i I Permanent COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF HEALTH • VITAL RECORDS Black ink CERTIFICATE OF DEATH 1. Decedent's Legal Name (First, Middle, Last, Suffix) State Fiie Number: Lois S. Collins z. sex 3. 5oaal s.~~..~... .~..«__ 86 g a March 22, 1925 or Foreign Country) gb. Residence (Street and Number - Lia Include Apt No.j gc N) 1067 Nanroc Drive ~ se. Residence (Zip Code) 17055 Q Ves ® Np 10. Marital Status at Time of Oeafh 0 Married W Unknown ~ Divor d ce ~ Neve L2. Father's Name (First, Middle Last S ff r Married ~ Unknown , , u ix) Edward Newton Shaff 1 er .4a. Informant's Name Diane Miller 14b. Relationship to Decedent 1. .................. Daughter .............. __ _ Death occurred In a Hospital:...... 1 a. ace o e t Inpatient .................i.... .. ~ Em IT i~O ergency Room/Outpatient 56 F O yal : Deatl CCUrretl Somewh~ . acility Name (If not institution, give sire et a E numberi 10 O Nursing Home/LOn 67 Nanroc Drive lsc. city or Town, state, an 6a. Method of Disposition 0 Burial Machan iceberg ~ Removal from State ~,j Cremation 0 Donati 16b. Date of Disposition 0 Other (Sp i fY) 03 -12 - 2012 Harrisburg, PA 17109 Name and [pmnl.t. a.+w ____ _. ~.. Ves, decedent IlYed in Upper Allen twP. No, decedent lived within limits of to FI We aHOSpltsl: ~~ ~• ~~~ -III Mospice Facility ~ Deceden ~~~~~• tY L7 Other tc..-~~~.. is Home PA 17055 ~ ~o°^tv of I 6 PI f DI P itl (Name of cemetery, cremato er la Cremation Societyo£ Pennsyl ante "' ~ --..~....,^ - ecK the box that best describes the ighest tlegree or lev l f J one a LOWTI Rd . j;; 19 Decedent f H e o school completed at She time of death. o gth grade pr l o IS box that b t d O I l esa No diploma, 9th - 12th grade es escribes wh eth er the decedent is Spanish/Hispanic/Latino. Check the "NO" ® High school graduate or GED completed box If decedent (s not Spanish/Hispanic/Latino Some collage credit, but no tlegre a . O No, not Spanish/HlspaniULatinO ~ Associate degree (e.g. Aq, qS) Yes, Mexican, Mexican American Chican ~ Bachelor's tlegree (e.g. BA, AB, Bsj , o ~ Yes, Puerto Rican ~ Master's degree (e.g. MA, MS, MEng, MEtl, MSW, MBA ) ~ Yes, Cuban 0 Y Doctorate (e.g. PhD, EdD) or Professional degre a es, other Spanish/Hispanic/Latino . MD DDS DVM LLB JD (Specify) L. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate wh ® White h ~ Japanese Q Black or African American at t e tlecetlent considered himself or ~ Samoan ~ Korean Q American Indian or Alaska Native ~ Viet 0 Other Pacl£c Islander namese Q Asian Indian Q Other ASian ~ Don't Know/NOL Sure )~ Chinese Q Native Haw ii 0 Refused a an ~ Filipino Q Guamanian or Chamorro 0 Other (Specify) ED-013376-L to Indicate what e decedent considered himself or herself to be White . ~ Korean Black or African American Q Vietnam American Intllan or Alaska Native ese Q Other Asian Asian Intlian Chinese Q Native Hawaiian Flitpino ~ Guamanian or Chamorro Japanese O sampan Other (Specify) O Other PaclFlC Islander to be. 22a. Decedent's Usual Occu patlon - intlicaie tlone during most f o worki ng life. DO NOT U E RETIRED! Receptionist • . EMS 23a - 23d MVST BE COMPLETED 23a. Dale Pronouncetl Dead (Mo/Da BY PERSON WNO PRONOUNCES _ M~ Brenner & Sons C y r) OR ERTIFIES DEATH ` ~`,~ ` /J -•' 236. Sigy / / a of P s n Prono ur g Dea th Onl ( y when applicable) 2 ~~~^ T ! 3d. Date Signed (MO/Day/Vr) 24 Ti f C / '_ _ 23c. License Number . me o Death /~- ' / ` ~~~ Y _ it 25 ~J /~~ ~•7<-a' 0'ti"~ /,/~~ { /' ~~ /\ ~1~/,!/~ . az Metlical Examine r Coroner Contacted? O ves f-- CAUSE OF DEATH 26. Part 1. Enter the chain of ~ --tl iseas I Np es, njuries, or complications--that direct) respi ra[ory arrest, or Yentrlcutar fibrillation Ith Y caused the death DO NOT a . enter term out showing the etiolo w gY. DO NOT ABBREVIATE Ent l `PProximate inal a ents such a ardiac arrest y s c . er on IMMEDIATE CAUSE / Y one cause o _______________> a / Interval: n a Tine. Atld adtlitlonal Ilnes if necessa O . /If L7/IOa~S~ '/~~'1~-! /;f (Final disease or condition ' --! ~ ry nset to Death resulting in death) imbue to (ar as a consequence of): A N~ b. Sequentially list conditions, If any, leading to the Cause Due to (or as a consequence of): listed on line a. EnTer Lhe c UNDERLYING CAUSE W (tlisease or Injury [hat Due to (or as a consequence of): F nitiatetl the events resulting d in tleath)LAST. u Due to (or as a consequence of): 26 . Part 11. Enter o[her~g ~flcant con,i t' i tb ti c but not resulting in the under) In ~ Y g cause given in Part I • 27. Waz an autops rt Y Pe o rmetlT ~+ a -. ~ Yes ra No $' 29. If Female: 28. Were auto PsY findings available t Not 30 r D i d T b o complete [he cause of deathT . p O egnant within past year acco Use Contribute to Death? s r ~ a P ~ Yes Np 31 Ma ~ O regnant at time of death Yes O Probably N . nner of Death ]'N ot pregnant, but pregnant within 42 days of death NO ~ Unknown atural ~ Homicide ~- ~ Not pregnant, but pregnant 43 days fo 3 year before death 0 gccident O Pending Investigation S \ Q Unknown if 32. Dale of Injury (MO/Day/Vr) (Spell Month) pregnant within the past year ~ uicide ~ Could not be determined 34. Place of Injury (e.g. home; construction site; far h 33. Time of Injury m; sc ool) 35. Location of Injury (Street antl Number, City, State, Zip Cotle) 36. Injury at Work 3]. If Transportati Q Yes on In u pecify: j ry. S 38. Describe How Injury Occurred: Q Driver/Operator Q Pedestri ~ NO an ~ Passenger Q Other (Specs fy) ~. 39a. Certifier^Check o nly one): Cert ilyi g physician - To the best of my knowletl d i ge, eath occurred due [o the Ouse Pro ouncing ffi Certifying physician - To the best of my knowl tl (s) and manner stated ~ V e Metlical Examiner/COr h occurred at the time, date, antl place, antl tlue to t antl/ ge dcat On the basis of examination h l ~ , /, zt Batton, in my opinion, death occurretl at the time Signature of certifie tl e cause(s) and m at t e , r: ~Q n.I ^~ Ti e, and place, and tlue to the ause (s) tl net st t d tle of certifier: /s'I .LJ. 396. Name, Atltlress and Zip Code of Person Completing Cause of Death (It a e /~ ~ Ucense Numbar: ©2 ~S• . em 26) _ t ~yV 40. Registrar's District Number 77~ fiX~T A/L~ ~ ~ ~f /9R°~//(/G7(/.i/ 39c. Date Signed (MO/Day/Yr) u~ '$' ~~ 02 ~ 41. Registrar 5 Signet /1 • ~ ~ 7 3 Z Z O~ ~ . 42 . 0 43. Amendments ( ~ . Registrar Flle Dafe (MO Day r) ~ ~ ~ ~~ Disposition Permit No._$CJ 'T ~ J ~ j ~ HIOS-143 REV 07/2011 LAST WILL AND TESTAMENT ~~ ~_,~ _ ~ ~~~' } ~t T 'Gn :J ` , l}~ J O F ~ ~ T %- ., r.a . ~~~ ~ ~ _ LOTS S. COLLINS ;w,~ ~~ ___ _ .; : , . ~7 .G' _ -T't F.:,. I, Lois S. Collins, presently residing in Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils previously made by me. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by my Executor out of the property passing under this Will, which is not specifically devised or bequeathed, as an expense and cost of administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor even though such tax was paid on proceeds of insurance or other property not passing under this Will. If the assets not specifically devised or bequeathed are not adequate for the payment of all such taxes, then the recipients of the property specifically devised and bequeathed shall each pay a pro rata portion of any such tax based upon the valuation of the property received by each such recipient as finally determined for Federal Estate Tax purposes, or if no such determination is made, then for applicable State Inheritance Tax purposes. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property subject to all such powers of appointment shall be included in my estate. ITEM III: I hereby give, devise and bequeath my estate, whether real, personal or mixed, of whatsoever nature or kind and wherever located as follows: a) Twenty-five percent (25%) of my estate I give, devise and bequeath unto my daughter, Diane L. Miller; b) Twenty-five percent (25%) of my estate I give, devise and bequeath unto my son, Neal W. Collins; c) Twelve and one-half percent (12'/2%) of my estate I give, devise and bequeath unto my granddaughter, Katana L. Miller; Page 1 of 5 d) Twelve and one-half percent (12'/2%) of my estate I give, devise and bequeath unto my granddaughter, Karina L. Miller; e) Twelve and one-half percent (12 '/2%) of my estate I give, devise and bequeath unto my granddaughter, Kyra M. Collins; and f) Twelve and one-half percent (12'/2%) of my estate I give, devise and bequeath unto my granddaughter, Baby Collins, who is expected to be born in April 2010. ITEM IV: Regarding any and all property I bequeath unto my grandchildren who have not attained the age of thirty (30), I hereby give, devise and bequeath said property, whether real, personal or mixed, of whatsoever nature or kind and wherever located, unto my Trustees to be used for the benefit of said grandchildren, in trust, and to be administered in accordance with the provisions set forth herein. a) I hereby appoint my daughter, Diane L. Miller, as Trustee for her children, Katana L. Miller Herman and Karina L. Miller. b) I hereby appoint my son, Neal W. Collins, as Trustee for his child, Kyra M. Collins and any other children fathered by Neal who are beneficiaries under my Will. c) It is my intention that a separate account be maintained for the property bequeathed to each beneficiary. d) The Trustees shall have, hold, manage, invest and reinvest the principal of the trust for the benefit of each beneficiary, and during the continued existence of the trust, pay to or for each beneficiary's benefit, in not less frequent than quarterly installments, so much of the net income of said trust as, in the sole discretion of the Trustees, may be necessary to maintain the beneficiary in the proper station in life, including proper support, maintenance, medical, hospital, nursing and nursing home care; any unused income shall be accumulated. e) In the event that a beneficiary should desire to continue their education once they graduate from high school, my Trustees shall use any unpaid accumulated income and the principal of the trust to pay any and all bills to continue said education. These expenses may include, but are not limited to, tuition charges of any college, university, post-graduate school or trade school. In addition, the Trustees shall use the income and principal of the trust to pay all reasonable and necessary expenses for room and board, books and supplies, and travel expenses. PAGE 2 OF 5 PAGES f) In the event that any beneficiary does not wish to continue their education upon their graduation from high school, or in the event that they do not graduate from high school, my Trustees, in their sole discretion, may continue to use the income from the trust for the maintenance of said beneficiary. g) Upon the thirtieth (30th) birthday of each beneficiary, my Trustees shall pay to them all remaining unused income and all of the principal remaining in the trust. h) If, at the establishment of said trust, a beneficiary has already attained an age at which a distribution would have been made, the portion which would have been distributed at such prior age shall be paid to them immediately. i) No part of the income or principal of the property held under the trust established hereunder shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to her actual receipt thereof. The Trustees shall pay over the net income and the principal to the parties herein designated, as their interest may appear, without regard to any attempted anticipation (except as specifically provided in this Will), pledging or assignment by any beneficiary under a trust, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. ITEM V: In addition to such other powers as my Executor may be granted by law, or under previous portions of this Will, they shall have the following powers: a) To retain investments I may have at my death so long as my Executor may deem it advisable to my estate or to do so. b) To vary investments, when deemed desirable by my Executor, then to invest in such bonds, stocks, notes, real estate mortgages, or other securities, or in such other property, real or personal, as they shall deem wise, without being restricted to so-called "legal investments". c) In order to effect a division of the principal of my estate or of any trust or for any other purpose, including any final distribution, my Executor is authorized to make said divisions or distributions of the personalty and realty partly or wholly in kind. If such division or distribution is made in kind, said assets are required to be divided or distributed at their respective values on the date or dates of their division or distribution. PAGE 3 OF 5 PAGES d) To sell either at public or private sale and upon such terms and conditions as the Executor may deem advantageous to the estate, any or all real or personal estate or interest therein owned by the estate or in conjunction with other persons or acquired after my death by my Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trusts and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable, in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in my Will. e) To mortgage real estate, and to make leases of real estate. f) To borrow money from any party, to pay indebtedness of mine or of my estate, expenses of administration or inheritance, legacy, estate and other taxes. g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate. My Executor shall pay the expenses of my last illness and all funeral expenses. h) To vote any shares of stock which form a part of the estate, and to otherwise exercise all the powers incident to the ownership of such stock. i) In the discretion of my Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the estate. ITEM VI: Any person who shall have died at the same time as Testatrix, or in a common disaster with her, or under such circumstances that it is difficult or impossible to determine who died first, or who shall have died less than thirty (30) days after the death of Testatrix, shall be deemed to have predeceased her. ITEM VII: I hereby nominate, constitute and appoint my daughter, Diane L. Miller, and my son, Neal W. Collins, as Co-Executors of this my Last Will and PAGE 4 OF 5 PAGES Testament. My Co-Executors are specifically relieved from the duty or obligation of the filing of any bond or bonds in this or any other jurisdiction. ITEM VIII: Where appropriate throughout this my Last Will and Testament, all references herein to the singular or the masculine shall include the plural or the feminine, respectively. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, consisting of this page and the preceding four (4) pages , this 3~ day of ~~~`~-~ "~ 2010. Loi S. Collins We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. ~~ (SEAL) Residing at L ~ ~d ~`~ A l r ~ i ~/' `~ ~ V v , - `~ (SEAL) Residing L'e ~(~ 0 ~~~ v~ ~yc~~ i ~rr, s bu.rU d'~.~1 ! ~~l l SEAL) Residing at PAGE 5 OF 5 PAGES ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, Lois S. Collins, 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 that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by Lois S. Collins, the Testatrix, this 3~- day of Fi,bru,w~~ , 2010. Lois S. Collins Testatrix Notary Pub Ic My Commission EXpIreS. COMMONWEAI_Tti O~ PENNSYLVANIA NOTARIAL SEAL AFFIDAVIT GAYE CRIST, Notary Public City of Harrisburg, Dauphin County My Commission Expires Apnl 18, 2013 COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF DAUPHIN and ,the witnesses whose names are signed to the attached or foregoing instrument, 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; that the Testatrix signed willingly and 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 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. -~ , n ~~worn to or a firmed and subscribed to before me by J~_, , ~~~ ~~ and ,witnesses, this 3 ~ day of ~~~~ry 2010. tJ , Witness ~~ ~~~ ~ ~~.~, r~'~ Witness Witness Notary Pu is My Commission Expires COMMUNNGEALl'I-i OI~ PENNSYLVANIA NOTARIAL SEAL GAYE CRIST, Notary Public City of Harrisburg, Dauphin County My Commission Expires April 18, 2013 j