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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 betters as specified below, and in
support thereof aver(s) the following and respectfully request(s) the grant of Letters iri the appropriate form:
Decedent's Information
Name: ~=/or~rtCr' z~ y4w~e~
a/k/a:
a/k/a:
a/k/a:
Date of Death: 01/25/2012
File No• C/ ~ ~ - ~ o~ - ~ ~ I
(Assigned by Register)
Social Security No:
Age at death•g4
Decedent was domiciled at death in .Cumberland County, Pennsylvania (state) with his/her last
principal residence at 804 Lancelot Avenue 17055 [I~pgrAllen Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 1444 West South Street 1701'i 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:
If domiciled in Pennsylvania ............................ All personal properly $
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 VALLrE.... $_ 13,000.00
Real estate in Pennsylvania situated at:
(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 January ~, 2005 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. E7 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.
~10 EXCEPTIONS ~ EXCEPTIONS
Q B. Petition for Grant of Letters of Administration (If applicable)
c.t.a., d.b.n., d.b.n.c.t.a., pendente lite, durance absentia, durante minoritate
If Administration, c.t.a. or db.n.c.~a., 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 1'or 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 Wiil and was survived by th.e following sp~~if any) at ">~'eirs
additional sheets, if necessary): _ ~ -~
'~~C_? ~
:
Name Relationshi ~ ~
Address t= ° ~ C,J ~
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Form RW-02 rev. l0/11/2011 Page 1 Of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND
Official Use O~nlCy
~~ ~
Petitioner(s) Printed Name Petitioner(s) Printed Ad e
Kim Denise Parent a/k/a Kim Y. Paren[ .~
804 Lancelot Avenue Mechanicsbur PA 17 ~j N~,~~S Chi»r
CUM(~FR`. Ar ~ ~ ;~
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) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed an subscribed before (~ ~ p4.E.ea~~ Date y 3 2D!
.~
me th' day , ~~ Date
By. Date
r t e Register Date
BOND Required: ~ YES NO
FEES:
Letters ...................... $ ~l~
(_~ )Short Certificate(s)...... ~ ~'
( ~.-) Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other ........ ! ~
Automation Fee ............... ~ ~
JCS Fee . .................... -
TOTAL ..................... $
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signature:
. ~ ~'.
Printed Name: Andrew C. Sheely
Supreme Court
ID Number: 62469
Firm Name: Andrew C. Sheely, Attorney at Law
Address: 127 South Market Street
P.O. Box 95
Mechanicsburg, PA 17055
Phone: 717-697-7050
Fax: 717-697-7065
Email: andrewc.sheely@verizon.net
13'x.
DECREE OF THE REGISTER
Estate of ~/~,~r-~n~ P. Z , ~/G c~~ ~ ~" File Nor~~~ ~ ~~ f
a/k/a:
n .,
AND NO l.X, ~ , in consideration of the foregoing Petition,
satisfactory pro h ing been presented before me, IT IS DEC ED that Letters Testamentary
are hereby granted toKim Denise Parent. a/k/a Kim Y. Parent
in the above ester and (if applicable) that
the instrument(s) dated January 7.2005
described in the Petition be admitted to probate and filed
Form RW-02 rev. 10/11/20/1
the 1f~st ~1Vi11(and Codici~~)~ of
Page 2 of 2
V ~~
H l(15_gp5 RED 19; 1! I
LOCAL ~,, IT)~'~~F~S CERTIFICATION OF DEATH
WARNING~t;~~l:'it~e~~al fidf':th~licate this copy by photostat or photograph.
~,.,, _ . U
~~
Fee for this certificate, $6.00 ~~~2 ApR _3 A~ ~~' This is to certify that the information here given is
correctly copied from an original Certificate of Death
C~~R~ ~~ ~ duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
O~P~f~ v~UR' R~~~Office for ermanent filing.
Cl1MRFRl ANA C~ ' j?1 ai2d JA Z 6 011
P 16160042_
Certification Nramber
Type/Print In
Permanent
R
a
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_y1
Local P.egistrar Date Issued
COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH .VITAL RECORDS
CATV
lack In k -- _ - -- - -- - - -
Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo)
2
.
1. Decedent's Legal Name (First, Middle, Last, Suffix)
Florence Zenke Yaw er Female 059 - 22 - 1763 Januar 25 2012
t Birthday (Vrs) Sb. Under 1 Vear Sc. Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and Sbte or Foreign Country)
A
L
S
ge-
as
a.
Months Days Hours Minutes
December 18 1927 7b.BlrthPlace(000nty) Cook
84
8a. Residence (State or Foreign Cpuntry) 8b. Residence (Street and Number -Include Apt No.) 8c. Dld Decedent Live in a Township? Upper A11en tw
p,
Penns lvania 804 Lancelot Avenue 43Yes, decedent levee ln_
Sd. Residence (County)
Cumberland 8e. Residence (Zip Code) 17055 QNO, decedent lived within limits of city/bor
Marital Status a[ Time of Death Q Married j$~ Widowed 11. Surviving Spouse's IJame (If wife, give name prior to Frst marriage)
l 30
d F
.
orces
9. Ever in US Arme
Q Yes ~ No Q Unknown Q Divorced Q Never Married Q Unknown
Middle, Last, Suffix)
Father's Name (First
12 13. Mother's Name Prior to First Narriage (First, Middle, Last)
,
.
Herbert Julius Zenke Florence Elizabeth Sommer
Relationship to Decedent 14c. Informant's Malling Address (:Street and Number, City, State, Zip Codej
14b
'
.
s Name
14a. Informant
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W~ ... ...... ... ........
.......................................... ~............ ..........._.... ......._..............i............a:... ace..... sat... .. ee on Y one ..._ ... .... ......... ... ... ......... .... ....... ....... .....
atient ~If Death Occurred Somewhere Other Than a Hospital: LJ Hospice Facility 1J Decedent's Hpme
In
it
l
3 p
: l.,_I
a
If Death Occurred In a Hosp
tient Q Dead on ArAVaI ® Nursing Home/Long-Term Cara Facility Other (Specify)
/O
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u
pa
Q Emergency Room
glue street and number; •35c. City or Town, State, and Zlp Code 15d. County of Death
(If not Institution
ili
N
~ ,
ame
lSb. Fac
ty
ial Home Carlisle PA 17013 Cumberland
dd M
emor
Sarah A. To
16a. Method of Disposltlon Q Burial ~ Cremation 16b. Date of Disposltlon 16c. Place of Dlsposltlon (Name of cemetery, crematory, or other place)
26
Q Removal from State Q Donation Jan2aO1y
, EV 8n9 CrE!iR8t0ry
22
Other (Specify)
nsee or Person In Charge of Interment 176. License Number
l S
i
Li
f F
erv
ce
ce
ra
16d. Location of Disposition (City or Town, State, and Zip) 17a. 51 o
Schaefferstown, PA 17088 FD 012 848 L
Y
g 17c. Name and Complete Address of Funeral Facility
New Cumberland, PA 17070
Box 431
P
O
Inc
FH & CS
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,
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.
.
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,
emore
Part
Education -Check the box that best describes the 39. Decedent of Hispanic Origin -Check the 20. Decedent's Rac! -Check ONE OR MORE races to Indicate what
t'
d
. en
s
16. Dece
ree or level pf school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be.
t de
hi
h
F- g
g
es
Q Bth grade or less Is Spanish/Hispanic/Latino. Check the "NO" ~ White Q Korean
Q No diploma, 9th - 12th grade box If decedent Is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese
A
i
h
er
an
s
Q High school graduate or GED completed ~ No, not Spanish/Hispanic/Latino Q Amerlcain Indian or Alaska Native Q Ot
ii
n
H
ti
ve
awa
a
Q Some college credit, but no degree Q Yes, Mexican, Mexican American, Chicano Q Asian Indian Q Na
Chamorro
i
an or
Q Associate degree (e.g. AA, AS) Q Yes, Puerto Rican Q Chinese Q Guaman
Bachelor's degree (e.g. BA, AB, BS) Q Ves, Cuban Q Filipino Q Samoan
Q Other Pacific Islander
Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spa Wish/Hispanic/Latino Q Japanese
Q Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) _ Q Other ('_:peclfy)
. MD DDS DVM LLB JD
le Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work
Sin
d
t'
g
en
s
21. Dece
Q White Q Japanese Q Samoan don! during most of working Ilfe. 00 NOT USE RETIRED.
Q Black or African American Q Korean Q Other Pacific Islander ClE! r1C
Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure
d 226. Kind of Business/Industry
f
R
e
use
Q Asian Indian Q Other Asian Q
Q Chinese Q Native Hawaiian Q Other (5 pacify)
Rentals
Q Filipino Q Guamanian or Chamorro
ITEMS 2ga - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (Mo Day r) 23 . SI Person Pronouncing Dea'[h Oniy when app Ica lej 23c. License Number
BY PERSON WHO PRONOUNCES OR S. ` ..
CERTIFIES DEATH
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23d. Dat! Signed (MO/Day/Yr) 24. Time of Death
~ Q ~ 25. Was Medical Examiner or Coroner Contacted? ~ Ves Q No
CAUSE OF DEATH Approximate
Enter the chain of events--diseases, injuries, or compllcatipns--that directly caused the death. DO NOT enter terminal events such as cardiac arrest, Interval:
Part 1
26
.
.
or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines If necessary Onset to Death
iratory arrest
res
,
p
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D
IMMEDIATE CAUSE --------------> a. L-~ f
(Final disease or condition Due to (or as a consequence of):
resulting In death)
b.
Sequentially list conditions, Due to (or as a consequence of):
if any, leading to the cause
listed on Ilne a. Enter the
UNDERLYING UUSE Du! to (or as a consequence pf):
(disease or Injury that
G Initiated the events resulting d.
con
in death) LAST. Due to (or as a sequence of):
~ 26. Part 11. Enter other i IFlC t dlti t ib tl t d th but not resulting In the underlying cause given in Part I 27. Was a autopsy performed?
g ~ ^~^_ `u Q Yes No
- ~r~-` 26. Wer! utopsy findings available
a
to complete the taus! of death?
Q Yes No
29. If Female: 30. Dld Tobacco Use Conirlbute to Death? 31. Manner of Death
2
E ~ Not pregnant within past year Q Yes Q Probably ~ Natural Q Homicide
S Q Pregnant at time of death ~ No Q Unknown Q Accident Q Pending Investigation
~' but pregnant within 42 days of death
Not pregnant Q Sulelde Q Could not be determined
,
Q
ear before death
s to 1
nt 43 da
b 32. Date of Injury (MO/Day/Vr) (Spell Month)
y
y
ut pregna
Q Not pregnant,
Q Unknown if pregnant 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: 36. Describe How Injury Occurred:
Q Yes Q Driver/Operator Q Pedestrian
Q No Q Passenger Q Other (Specify)
39a. Certifier (Check only one):
j$Certifying physician - To the bast of my knowledge, death o curved due <o the reuse(s) and manner stated
Q Pronouncing ffi Certifying physician - To She best of my knowledge, death occurred at the time, date, and place, and due to She cause(s) and manner stated
examinatlon, and/or Investigation, in my opinion, death occurred at the ti nfe, date, and place, and due to the au (s) and manner stated
On the ba
Q Medical Examiner/COro
Nti.D o / VZ MlL
~
~
Signature of certifier: ~ ~^^~'~ L~ Title of certifier: License Number:
39b. Name, Address and Zlp C de of Person Com plating Caus 1 Death (Item Z6)
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- 39c. Date gned /Day/Vr)
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GGosy~ P. ~~`bhJwF.. J~ $
ly
40. Registrars District Num er
~
re
41. Registrar 5 5 4 egistrar FI Dete o Day r
o2i - e~ i ~ / aL a /z
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43. Amendments
>~/
Dlsposltlon Permit No. OL9r1~ Z S I REV 07/2011
~+ ~ '• a +'r I C'
~'~F?2 ~4FR -3 A~ !~~ 27
CLERK OF
ORFt~aN~s CO~~RT RENUNCIATION
CtIAaRF~~i ~~~,J ~ ~^,(1 PA
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVA]VIA
Estate of Florence Z. Yaw>;er ,Deceased
I, Richard Lee Yawner , in my capacity/relationship as
(Print Name)
tnn of the above Decedent:, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Kim Denise Parent
.~ - ~y - ~z
(Date)
Executed in Reguter's Office
Swom to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form KW-06 rev. 10.13.06
~~~ ~~~~
(Signature) ,
2353 North Avenue
(Street Address)
Scotch Plains, N3 CY7Cr7b
(City, State, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
pure stated within on this /yam day
My
Public
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expvation of Notary's Commission.)
` ANQ4LA BLNAC~UISTA ~~
NOTARY PUBLIC
STATE OF NEW JERSEY
IIl1Y COMMISSION EXPIRES AUG. 10, 2015
I.D.# 2180333
Reset Form
1~ J~` _ . } li~ i
~.'~~~ ~rR -3 AH {0~ 27
y
RENUNCIATION
CLER'~ C~ REGISTER OF WILLS
pRPFiAN'~ C~Ji!1,iT
CUt~FiF~ ~,~~~ r.„1. pp, CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Florence Z. Yawger ,Deceased
I, Pam Annette Butler , in. my capacity/relationship as
(Print Name)
s1aL titer of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Kim Denise Parent
~1~~1~a~
(DafC)
(SignatiereJ
31 Wells East Drive
(Street Address)
Hilton Head Island, SC 29926
(Cary. stare. 7.ip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Executed out of Register's Office
Before the undersignf;d personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~ ~ day
f / ~
rG' l G~
Nota Public
My Commission Expires: y/ Z! ~ ~ c7/
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-OG rev. /0.!3.06
o~i~~~H~
t,Z.~~
LAST WILL AND TESTAMENT
OF
FLORENCE Z. YAWGER
Prepared By:
LAW OFFICES
FERRENE & ASSOCIATES, P.A.
75 Pope Avenue
Hilton Head Island, S.C. 29928
(803) 785-5184
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LAST WILL AND TESTAMENT
OF
FLORENCE Z. YAWGER
~ ~ ~f~i^1 r ~~~i /C
rC+~`t ~~R -3 Ali l0= 4
I, FLORENCE Z. YAWGER the undersigned TESTATRIX hereb declare that I am a
e ~is as and to
resident of Hilton Head Island, South Carolina and do hereby make, publi h a~ r UFO
be my Last Will and Testament, hereby revoking any and all former Wi~ } jt ~ `~ PA
ARTICLE A. I authorize my Personal Representative to pay from the residue of my estate all
of my debts as allowed in the administration of my estate, the expenses of my last illness and funeral,
all of the expenses of the administration of my estate including a reasonable fee for my Personal
Representatives and without contribution or reimbursement from any person, all inheritance, legacy or
estate taxes, including collateral taxes on property passing by this Will.
ARTICLE B. My immediate family consists of the following persons:
KIM DENISE PARENT DAUGHTER
PAM ANNETTE BUTLER DAUGHTER
RICHARD LEE YAWGER SON
and except as listed, I have no deceased children with lineal descendants surviving them.
ARTICLE C. I give to my beloved daughter, PAM ANNETTE BUTLER ,the real property,
with improvements thereon, known as Unit 9102 Newport Horizontal Property Regime, Hilton Head
Island, Beaufort County, South Carolina to be hers absolutely, if she shall siuvive me. If she shall not
survive me by thirty days, then I give the real property to the children of PAM ANNETTE BUTLER,
(DAVID EVERETT BUTLER, II, DANIELLE LAUREN BUTLER, KATELYN LEE BUTLER) in
equal shares, share and share alike per stirpes.
ARTICLED. The rest and residue of my property, both real and personal, if any, I give to my
children in equal shares, share and share alike per stirpes. Should one of my children not survive me,
then his or her share should be divided equally between his or her child or children surviving at the time
of my death.
ARTICLE E. If any share or property hereunder becomes distributable to a beneficiary who
has not attained the age of twenty-one (21) years or if any real property shall, be devised to a person who
has not attained the age of twenty-one (21) years at the date of my death, then such share or property
shall immediately vest in such beneficiary, but notwithstanding the provisions herein, my Personal
Representative acting as Trustee shall retain possession of such share or property in trust for such
beneficiary until such beneficiary attains theage oftwenty-one (21), using so much of the net income
and principal of such share or property as my Personal Representative deems necessary to provide for
the proper support, medical care, and education of such beneficiary, taking into consideration to the
extent my Personal Representative deems advisable any other income or re;sources of such beneficiary
or his or her parents known to my Personal Representative. Any income not so paid or applied shall be
FERRENE & ASSOCIATES, PA
75 POPE AVENUE, HII,TON HEAD ISLAND, SC 29928-4709 1
Telephone: 843/785-5184 Fax: 843/842-3326
" accumulated and added to principal. Such benefinia ~'smshare a ~vP n te-ane (2~1 or if he or she
distributed and conveyed to such beneficiary upo g ~ y
shall sooner die, to his or her Personal Representatives or administrators. Whenever my Personal
Representative determines it appropriate to pay any money for the benefit of a beneficiary for whom a
trust is created hereunder, then such amounts shall be paid out by my Perso Y 1 Representative inn s ( h
of the following ways as my Personal Representative deems best: (1) directl to such benefic 2)
to the legally appointed guardian of such beneficiary; (3) to some relative or friend for the care,
support, and education of such beneficiary; or, (4) by my Personal Representative using such
amounts directly for such beneficiary's care, support, and education. My Personal Representative
as Trustee shall have with respect to each share or property so retained all the powers and discretion
conferred upon it as Personal Representative.
ARTICLE F. I appoint my three children, KIM DENISE PARENT, PAM ANNETTE
BUTLER, and RICHARD LEE YAWGER as my Personal Co-Representatives to execute this, my
Last Will and Testament as the Personal Representative thereof, but if any one of such Personal Co-
Representatives shall be unable or unwilling to serve in that capacity, it shall be acceptable for any one
of them or two of them to serve as my Personal Representative and they shall act without bond and
without the intervention of any court to the extent that such bond and court intervention in any process
may be waived by me under the laws of the State of South Carolina. My Personal Representative(s) shall
have full power to sell, convey and encumber, without notice or conflrmatio~n, any assets of my estate,
real, personal or mixed, at such prices and terms as to either may seem just; to advance funds and
borrow money, secured or unsecured from any source, including any source with which my said Personal
Representative may have any business affiliation; to mortgage or pledge estate property; to select any
part of the estate in satisfaction of any partition or distribution hereunder, i.n kind, in money or both.
Such powers may be exercised whether or not necessary for the administration of my estate, provided
however that in all events, the same shall be reasonably exercised, and provided further that any funds
advanced to or funds borrow hall be adva ced or bol owed only upon reason b eecomm ecial terms.ive
has any business affiliation s
ARTICLE G. All references to children and descendants shall include adopted children. Unless
some other meaning and intent is apparent from the context, the plurals include the singular and vice
versa, and masculine, feminine and neuter words are interchangeable. By intent and not by mistake or
inadvertence, I make no provisions except as herein provided, for any of may children, whether named
herein or hereafter born or adopted, not for the descendants of any child who does not survive me.
I, FLORENCE Z. YAWGER, the TESTATRIX, sign my name to this instrument this 7th
day of January, 2005, and being first duly sworn, do hereby declare to the undersigned authority that
I sign and execute this instrument as my last will and that I sign it willingly (or willingly direct another
to sign forme), that I execute it as my free and voluntary act for the purposes therein expressed, and that
I am eighteen years of age or older, of sound mind, and under no constraint or undue influence.
~- -°rv
FLORENCE Z. Y R
FERRENE & ASSOCIATES, PA
75 POPE AVENUE, HII,TON HEAD ISLAND, SC 29928-4709 2
Telephone: 8431785-5184 Fax: 8431842-3326
. We, Otto W. Ferrene, Jr. And Amy Inglis ,the witnesses, sign our names to this instrument,
bein first duly sworn, and do hereby declare to the undersigned authori or~villine directs another to
g
executes this instrument as HER last will and that SHE signs It wllhngly g this
sign for HER) and that each of us, in the~ri seand that to the best of ourEknow edge the TTESTATRIX
will as witness to the TESTATRIX s sig g,
is eighteen years of age or older, of sound mind, and under no constraint or endue influence.
STATE OF SOUTH CAROLINA j
COUNTY OF BEAUFORT ~
Subscribed, sworn to and acknowledged before me by FLORENCE Z. YAWGER, the
TESTATRIX and subscribed and sworn to before me by Otto W. Ferrene, Jr. and Amy Inglis
witnesses, this 7th day of January, 2005•
~--J
otary Public for South Carolina
My Commission Expires:2/28/2011
`~' FERREA~'
OTARY "~
PUBLIC
~o , `mot
\GtN CAR~~~
FERRENE & ASSOCIATES, PA
75 POPE AVENUE, HII,TON READ ISLAND, SC 29928-4709
Telephone: 8431785-5184 Fax: 843/842-3326
3
NOTES
rovided for the convenience of the TESTATRIX only. Any entry upon these
(These Note pages are p p y ro Should the
pages is not binding upon the Personal Representative as to the dis osition of .an p perty
TESTATRIX wish to insure dispositions in accordancntacte any Notes which, might be made, a forma
d as soon as possible for the appropriate
Will change is required and our Firm should be co
changes).
FERRENE & ASSOCIATES, PA
75 POPE AVENUE, HILTON HEAD ISLAND, SC 29928-4709 4
Telephone: 8431785-5184 Fax: 8431842-3326