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Home My WebLink About04-24-12PETITION 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: Verna L. Call and James O. Walmer Decedent's Information Name: Jean Elizabeth Walmer File No: 21-12 - ~~ ~ ~ ~ a/k/a: Jean O. Walmer (Assigned by Register) a/k/a: a/k/a: Social Security No: Date of Death: 04/07/2012 Age at Death: 88 Decedent was domiciled at death in Cumberland County, pA (State) with his/her last principal residence at 5225 Wilson Lane, Mechanicsburg 17055 Lower Allen Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Oaks Skilled Care Center at Bethany Village Mechanicsburg 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 $ 300.000.00 If not domiciled in Pennsylvania ................ Personal property in Pennsylvania $ if not domiciled in Pennsylvania ................ Personal property in County $ Value of real estate in Pennsylvania ................................................................... $ TOTAL ESTIMATED VALUE $ 300,000.00 Real estate in Pennsylvania situated at (Attach additional sheets, if necessary.) Street atltlress, Post Office and Zip Cade City, Township or Borough ® A. Petition for Probate and Grant of Letters Te 'm nt~n Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated 03/17/2011 thereto dated County and Codicil(s) State relevant circumstances (e.g., renunciatron, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not mar 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 Admini tration (If applicable) c. t. a., d.b.n., d. b. n. c. t. a., pedente lite, durante absentia. durante minoritate If Administration, c.La 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 proceedingg 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 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): Name Relationship Address n ~~~ . ,~, ._,-., r ~ ~: ~ ~ --. , ~ ~ _ ; T /~ _.i _.._ ~_ __ --{ ~ . , ~.r L.~ ~T ~.. Form RW OZ rev. 10.1 f-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Pa e 1 of 2 9 Uatn of Personal Representative i-..,,~orrrm~i~se My-;,,, . , COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland } ^ ` _ :~ ~ t ~ c Petitioner(s) Printed Name Petitioner(s) Printed Address Verna L. Call 3103 Kensington Ct. -~, ,~,~ C~~h~~ ~' Renfrew, PA 16053 . ` ORPh~~1'S C;~kJ~s'~ James O. Walmer 1225 Meadow Ln. •u ' ~~ r ' Harrisburg, PA 17113 Tr...- ~..a:a:~~~-i_ • • •• •...r .......a,-~.un~cu avca~ta) ~, a~~~~~~~~~~ ~~~C ,taremems to me roregotng rentlon are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) o~h~Decedent, P till ner(s),lwill well and truly administer the estate according to law. Sworn to or affirmed and subscribed before ~c±L Date me ttji~-~ day of •T"nt-~-r ~ ~ , ~~~ Date z4~ ! 2 By: ~ . ?r"i1 (~ 1 / ~') - f lg 0(!~ 1 (', ~1 \~';L~ Date r the Regrster Date BOND Required? ~ YES ^X NO To the Register of Wills: FEES: Letters . ......................................... ( 5 )Short Certificate(s)......... ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond .... ......................................... Commission .................................. Other Will Automation Fee ............................ JCS Fee ....................................... TOTAL ......................................... $ 310.00 20.00 15.00 5.00 23.50 $ 373.50 rreaae en~er my appearance py my signature below: Attorney Signature Printed Name: Marielle F Hazen, Esq. Supreme Court ID Number: 68003 Firm Name: Hazen Elder Law Address: 2000 Linglestown Road Suite 202 Harrisburg, PA 17110 Phone: 717-540-4332 Fax: 717-540-4313 E-mail: mhazen~hazenelderlaw.com DECREE OF THE REGISTER Date of Death: 04/07/2012 Social Security No: Estate of Jean Elizabeth Walmer File No: 21-12 •- (; L~ Mf a/k/a: Jean O. Walmer AND NOW, 1 ~:~(1~ ~ LI i r~ c,~(~~ J r~• , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Verna L. Call and James O. Walmer in the above estate and (if applicable) that the instrument(s) dated 03/17/2011 described in the Petition be admitted to probate and filed of record as the last Will (and Cpdicil(s)) of Decedent. Register of Wills Copyright (c) 2011 form software only The Lackner Group, Inc. ~-=~C f (I,I,tQ' ~~`'I.l Page2of2 -- t, „x ~~,. ,.. LOCAL REGISTRAR'S CERTIFICATION OF DEATIH WARNING: It is illegal to duplicate this copy by photostat or photograph, Fee for this certificate, $6.00 .~ -' --- Certification Number erodm b b4lnkt 'his is to certifti tha tl~le informatio^ Here given is ~orre~ctly copied frolt~ an original Certificate of Death duly filed with me as Local Registrar. Tie original certificate will be forwarded to the State Vital I~:ecords Office (i)r flc•rmanent filing. -~~- ~=~!02 - X11 `~~ Local Registrar C1ate issued COMMONWULTH OF PENNSYIVANM • pEPARTMFNT Of HEALTH • VITAL RECORDS CERTIFICATE OF DEATH a. uecepent's la{N H IFirtt, Mlddk, Vs SuNk) 1. Sex 3. SoGal Sacuriry Number A. Date of Death IMO/DaY/Yrl (Spell Mo) a ~ n iza e h 4Jalrne.r F aol-is-3da~ /} rrl 7, ~old- Sa. ABo-lax Blrthdry IYn) Sb. UMer 1 Year S<. UrMx 1 D B.Oat! of Birth IMO/wy/rearl (Spell Monthl Za. Blrthplau IC nd Sta a or ForelBn~ try) (~ A Months Oat's Hours Minutes " "b ~ u' s' R ma r~ h a~, 19 d y " vU 7b. elnnDl.ce kwntyl 2u. h iq Ba. Resbente IBtate or FarN{n Country) eb. Residence IStrex arW Number - IndWe Apt No.l 8c. Dk Decedent Live in a Towuhip) ~Jres,eeademlNedln Lower Allen tw 5aa5 y,1,1s~M LanC , p. g/d~ RatWence Ifounevl l.Um r n d Ba. R.aManc! aro CDd!) t 10 5 ^Np, dacedEnt Iknd wiMM Bmlts pf cinrooro. 9. Ever in US mea Earns) 30. MarlGl Status x Time x DeaM ^ MaMee Wlaowed 11. SurvMry Spouu's Name IIf w'ae {ive name prbr to first martl el ~ , H ^ Yes Np ^ Unknown ^ pNprcea ^ Never Martled ^ Unknown 12. father's Name IFlrrt, Mbdk, test, SuRla) 13. Mother's Name Prbr to First Marrla{e (first, M ek, 4stl a es Ver n ®hmi-l- no ar;an ~vel n eor e_ ' 1aa. Informant s Name ]Ab. Rektlpnship to Decedent 1k. Inlo t1 Mllllry Address l9trc t and Num r, Ciry, State. Zlp Code? am s o Walmer i p l ~ ~ a o . aa5 m uc s ow lane I at-7-Is uYg, pq n113 ............... ... !p at 3 . .....................................ssw.y .........................................,...............................................a~...~~.............................. Il Death Oaurted lna HOSpkal-. LJ MpaHent Ill Death Ouurrcd Somewhere Other Thana Haspltal. t~HOSpke facility ~~~~~~~~~~~~~~[~J~~Ottatlent's HOme~~~~~~ Emar{enq RmMOUtpxknt ^ Dead on Artlval Nunln{ Home/Lan -Term Grc Faclllry Omer ISpttify) ISb Fatllk N i ~ . y ame Il Hat 1 tkutbn, {lve rest aM number, 15c. City a T , Skte, na Zlp Code iSa. my of Death ~ KS AI +h Villa tYaC ianicslx~ ~ l~055 Irmbe~land 16a. Method of ONpositbn Burk) ^ Crcmat on IBb. Date of Olspultlon 16c. Platt of Dhposltlon (Name of umetery, crematory or other pixel , ^Removal NOm State ^OOnxbn l..Illbl aU~a ('~hurchvi I~ Ceme-~rl. '` Other (Sp Jly) ~,~ Z ikd. Locanon f aspoNHOn lclry or Town, sme. Ana npl lTa. sla Fwer serr;a unnsee w Parson b cnar {e of Interment 176. Lkense Number PR Sk 1 " ~ f 2 I I I i l l 3 FD 013 l Dy l- . s ~ ~. N.me Ana h~'te Add ira~nl FadMY /~ unai~- . 3~ E. ~I a i e , r~ n {Ch2ni4Sbur ~ 17v55 J ~ , IB. Cs EduaH ~ Uetit the boa Mat best aescHbu the 19. Decedent of Hlswnk OH{In -Check the z0. Dttetlent's Race -Cheri ONE OP MOPE raus to Indicate w hl h ~ _ _ { ut spree a level of school compkted at m! time of death. boa Hut best eeuHbes whether the decedem the dttaden[ consbered hlmsNf or herseH to be f . ^ Ith {ode or less Is SDanbhMlsDank/Latino Check the •NO" White ^ Korean ^NO abbma,9th-12th {rode bu Ndxedent't not Spanish/Hiswnv./latino. ^Bbck or Afrlun American ^Vktnamue Z ~.H4h school {rsduan or GEO Cpmplarcd ~NO, not Spansh/Hispanlc/laCno ^gmarlunlrMlan or Alaska Native ^Other ASlsn ~.,.~ ^ Some eoMa{e ttedN but rw d rae , g ^ Yas, Mexican, Merlon Amerkan, Ukarw ^ Atkn Indian ^ Native HawNlan ' - r ^ Assockn dHrea le.{. AA, AS) ^ Yet Puano Ri ~ , can ^ [hineu ^ Guamanian or Uampho ^ Badubr's da{rae la.{. BA, AB, BS) ^ Yet, Cubn ^ illi lno -~ '' p yrppan ^ Martels de{rae la.{. MA, MS, MEH, MEd, MSW, Megl ^ YM, other SpanHNNispank/Latino ^ lapaneu ^ Other Pacific blander ^DOCtpnte le.l~PhD, Ed0l or ProfefsbnN dHrce (Spmlyl ^Other lSpeclN) e . MD DDS DVM <LB 1D Zl. OecedenCt Slryle Rau SeN-Oas4nxbn-Chalk ONLY ONE to lntlkate whalthe decedent eonslaered himself or herself to be. Z2a.Otteaent's USUal OCavpatbn-IMlute type of work ~WHIk ^ IaparlH! ^ Samoan most o f w OrklH life. WNOT USE RETIRED. ^Blad or Ahkan Ameriun ^KOrcan ^Othar Pacific blaMer done e(urlH , -{ - AA l ^ AmeHUn IMlan er Alaska Native ^ Vktnameu ^ Don't Know/Npt Surc See re 1 •l. V ~" i ^ Allan Inalan ^ Other Asian ^ Re/uud 22b. Kind of Bu inass/In s d UStry ^ Uineu ^ NatWa Hawaiian ^ Other ISpttlhl ' 1 v E ^ FlIIpMO ^ Gwmmkn or Chamorto ~n ~ U.V Q ! , ~'~. ' ~ ITEMS 23a - MAST R COMPIFTED 23a. Dak Pronounced Dead Mo ay r) Z3b. 54naturc o Person Pronountln{ Duth Only when applkablel 23c. Lkenu Number BY PERSON WNO PRONOUNCES OR CERTIFIES O6ATN H'C!-l •.~Cl,>Z ~:1.,~. / z3e.Dxl synealMe/Dar/Yr) za.nm. pf Deatn ~'/y.L~'LLC:.~ F!, ~'..;:~LcnJ C ~~ ~ i .Y~ %1/ 7r Y :t , , . . •/) JI J. a. ~~~ -""h. ZS. Was MedWlExaminer or Corpner Cdntacted7 ^ Yes No CAUSE OF DEATH Apwoalmate 26. PaHL En[er theCMln of ewnts--d15lasu,InWHes, or compikatbns-that directly uused the tleatn. DO NDienter[erminal events suchas caralac arrest Inteml: rcspirxory arrest, or venbkvlarflbHlktbn withoutshowln{th e et b l gy. WNOT ABBREVIA T E.En[ero n ly o neuu u analine. Add addi[lonal lines ll nttesury ! Onsetb Death ff jj / ' / ~ ~s F / / / IMMEOMtE UUSE -------~--> a. ~ V R. L V ~ ~ Ear / I~,Q •L (Final dlseau or conaNlon a to Ior as a consequence o(I' rcsulHM In death) b n[~"~ir ' ^~~n~~ I_TI •. _ _ t ~~I D~ G • t V J r/ s I "//I ~J(7:/Fq ~ - SepuentlallY lHt coMltbns, DUS to( aconsaownceo as rt " If any, IsadlH b iha uuse 1 ~a ~ ~ s-'v ~' Ilsne on Ibe a. En[er the `a ) LM 7 1 l L ~ a= 2A-~ s r e UNDERLYING GUSF Due to for as a comevaenrc off ~ Itlkearc ar blury Mat F InlHated the event .esulHH d. ~ in deatAllASi. Due to for asaconsepuence pfl. t~ 26. Part ll. Enrcrother kl wndlC t to th but t ltl i h S no rcsu H n t eunderlyln{cause {Nen In Panl l~ 27. Wasanautopry performed) ~ 1 Yes Np l t ~ 1 zB. Ware autopsy flrWb{s rvallable p to canpkte tHa uusa o(deathi v 19. If Femak: ^Yes No € 30. qd abxco Use Contribute to Death) 31 Manner of Death Not prc{nant wbhln past year ^Yes ^ PrpbablV r Na[unl ^ Homi id ~ c e p nt at time of deaM ^ No ~ Unknown '^ qultlent ^ Penel Ime H tb H {a s n Nx ^ pre{nant, but prgnant within e2 day of death ^ Sukiee ^ Coale not be determbed ^ Not prHwnq but prgnant a3 esys l01 year before aexh ;Z. Date of Injury IMO/Dry/yr) (Spell Month) ^ Unknown i/ pra{nant wkhin tfu put yeaz 33. Time of Injury 3 e. Place of Injury Ie.{. home; umemeHOn ske: Farm; uhod) 35. Locatbn of Injury (Street and Number, Clry, SMte, Zlp Cad!) 3 6.IMury at Wah 37. If TnmporUtlan lnlury, Specify: 38. Deudbe HOw lnlury OCCVrted: ^ Yu ^ DrNer/Operctor ^ Pedertrlan ^ No ^ Pxseryer ^ OMx(SpMly) 3 9 Nkr (Check oxy one): Hyln{ physkdan - TD Me but of my knowkd{a, daaM ox rred due to the causelsl and m r stated ^ Pronouncen{ B finHYIH physklan -Tp the bnt of my knowke{e, seam oaurree a[ the Hme, date, aM Wau and due to the uuulsl and manner stated ^ Medlul Eumin r/C h e r - On t e WHS of exambatbn, and/or Imest4atlon, in my opinbn, death occurrea at the Hme, date, and place, and tlue to the Hau ls) aM manner stated Q 54wturcxurtlNer: Tkk ofurtbbr: /VIh ~~l,-~~ Lkense Number: 3 9b. Name, Addrcx and L of boon Compkedry Guu of DeaM Ikem 25E ~ 39c, m SI{nad IMp/Day/Ytl ~ E ID l1 hvM~1 3 ~~ 1Mn~~t iQOO I (GI I • . 4 i ~~ , .~j „ f 0 Re{bba s N . ~ I ~ ler al. R s. 4nxurt 12. RHbtnr Fj Date Mo Dry r ~ l~"a ~ Kam. a . ,. H q ~~. 3. Amenaments (`. _ •Z ~ ~, _A; , ~,;:, ~,:. ~~ C~ t Y ~ ~=,:'1 - ; (rr'1 i'V t r- ~ ~' 1'f j ~_ • __ ~~ ...._ ti ( ~•7 ~ ~ •.. ~: OlspoHtlon Permit No. v •~~ ~ ~ ~ ~ MI05.1+3 REV OT/2011 LAST WILL AND TESTAMENT ` ~ c ~ ~ ~ '~=' ~~ -,_ ; _~ i ~ - r n -~. ~= : OF _ ~% m rv .. , .. -~ - ~.:. o~_.ra ' C,n ~., ~ ~_ , JEAN O WALMER "' ` ' ~=? -- . - - ~, _ . _ _ Ti ~~~ C., I, JEAN O. WALMER, now domiciled in Cumberland County, Pennsylvania, declare this to be my Last Will and Testament. I revoke all other wills and codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article II All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I give, devise and bequeath my tangible personal property in accordance with any memorandum I have handwritten or signed, located with my will or with my valuable papers and found within 30 days of the probate of my will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. To the extent no such memorandum is found, or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal property shall be added to my residuary estate and pass under Articles IV and V hereof. Article IV If my spouse, JAMES H. WALMER, survives me by one hundred seventy (170) days, I give, devise and bequeath to my spouse cash, securities or other property of my estate having a value equal to the amount, if any, that my spouse would be entitled to receive if he exercised his elective share rights as set forth in section 2201 et seq. of the Pennsylvania Probate, Estates and Fiduciaries Code (the "PEF Code"); provided, however, that this bequest shall be reduced to the extent my spouse has waived the right to elect under PEF Code section 2207 or forfeited the right to elect under PEF Code section 2208. In computing the amount of this bequest, it shall be assumed that my spouse has elected under PEF Code section 2204(c) to retain all beneficial interests in property that he would otherwise be required to disclaim if he exercised his elective share rights. Provided my spouse survives me for one hundred seventy (170) days and he has not waived or forfeited his elective share rights, it is my intention, that as a result of my death, he receive property having a value equal to (but not more than) that which he would receive if he were to exercise his elective share rights. My Executor shall have the sole discretion to select the assets which shall constitute this bequest. If my spouse does not survive me by one hundred seventy (170) days, or in the event my spouse (or his legal representative) disclaims any portion of this bequest, this bequest, or the disclaimed portion thereof, shall be distributed as part of my residuary estate. This bequest shall be distributed, in trust, to my hereinafter-named Trustee to be held, administered and distributed as follows: 2 A. To expend and apply so much of the net income and so much of the principal of the Trust as the Trustee shall consider advisable for the support, health, and care of JAMES H. WALMER, for the remainder of his lifetime. B. In the event of JAMES H. WALMER's death, the trust shall terminate, and the remaining principal and accumulated income of the trust shall be distributed in equal shares outright to my children, VERNA L. CALL, of Renfrew, Pennsylvania, and JAMES O. WALMER, of Harrisburg, Pennsylvania, per stirpes. C. No beneficiary or remainderman of this Trust shall have any right to alienate, encumber, or hypothecate his interest in the principal or income of the Trust in any manner, nor shall any interest be subject to claims of his creditors or liable to attachment, execution, or other processes of law. D. I hereby appoint my children, VERNA L. CALL and JAMES O. WALMER, as Co-Trustees of any Trust(s) created in this Will for the benefit of my spouse. E. In order to carry out the purposes of the Trust established by this Will for the benefit of JAMES H. WALMER, the Trustee, in addition to all other powers granted by this Will or by law, shall have the following powers over the Trust estate, subject to any limitations specified elsewhere in this Will: (a) to retain in the form received and/or to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein; (b) to manage real estate; (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification; (d) to exercise any option or right arising from the ownership of investments; 3 (e) to compromise claims without court approval and without consent of any beneficiary; (fl to file fiduciary/income tax returns and pay the tax due for any year for which such a return is required; (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property; (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Trustee; to pay from the trust reasonable compensation for all their services; (i) to conduct alone or with others, any business in which I am engaged in or have an interest in at the time of my death; and (j) to receive reasonable compensation for services performed and to receive reimbursement for any expenses incurred administering the trust. Article V All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to be equally divided between my children, VERNA L. CALL and JAMES O. WALMER. If either of my children fails to survive me by thirty (30) days, but leaves descendants who survive me by thirty (30) days, those descendants shall receive, per stirpes, the share the child would have received had he or she survived me by thirty (30) days. The share of any deceased child who does not have living issue shall be distributed to my remaining child, per stirpes. Article VI It is my intent that all life insurance, annuities, individual retirement accounts and any other assets in which I may designate a beneficiary will pass to the beneficiary that I have named 4 and will not be controlled by the provisions of this Will. It is also my intent that any assets I own jointly with another with rights of survivorship or a presumed right to survivorship which such joint ownership was created before or after this Will, will pass to the surviving joint owner and will not be controlled by the provisions of this Will. Article VII I nominate, constitute and appoint my children, VERNA L. CALL and JAMES O. WALMER, as Co-Executors of my Last Will and Testament. I direct that my Co-Executors be permitted to serve without bond. In addition to those powers granted by law, I grant them power to distribute in cash or in kind, in like or in unlike shares, and to file any qualified disclaimer I could have filed if living. My Co-Executors shall receive reasonable compensation for services rendered to my estate. Article VIII In addition to the powers conferred by law, I authorize my Co-Executors in their absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (f) to file any federal income tax return for any year for which I have not filed such return prior to my death, 5 (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Co-Executors, and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death, (j) to disclaim, in whole or in part, any property or interest therein which passed to me or which was created for my benefit, for any reason in the discretion of my Co-Executors, and (k) to receive reasonable compensation in accordance with the standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, JEAN O. WALMER, hereby set my hand to this my Last Will and Testament, on ~~R ~~ ~~ , 2011, at Harrisburg, Pennsylvania. JT~ O. WALMER In our presence, the above-named JEAN O. WALMER signed this and declared this to be her Last Will and Testament and now at her request, in her presence, and in the presence of each other, we sign as witnesses. Name ~ ~ ~-- ~"' .~.C -Cy Address i~u .gut «.. 7 ~°__._•_7____._ n . t ••ri ~ ~ ' ~ ,a ~ ~' 6 I, JEAN O. WALMER, Testatrix, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and Acknowledged before me by JEAN O. WALMER, the Testatrix on n' 1c'i~c~ ~ ~~] , 2011. r ~ ,, o a Pub is ---- ~. JE O. WALMER COMMONWl~JILTH OF PENNSYLVANIA Notarial Seal Marielle F. Hazen, Notary Public Susquehanna Twp., Dauphin County My Commission Expires Sept. 23, 2414 We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute this instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and Subscribed to before me by l~ nra~ I ~ L. ~~~ ~~~ ~-~ Id and U!~' L~ n ~~- ~ u~i E~' ~-+J ~1 witnesses, on i-~s; r cti ~ l ~ , 2011. ;/ Not y Pubhc~ _ _. COMMO QNN~1fLVANL4 Notarial Seal Marielle F. Hazen, Notary Public Susquehanna Twp., Dauphin County My Commission Expires Sept. 23, 2014 /~ ~-~~ Witness ~ ,~ /~ ,ry ~ Wit(ra'ess 7