HomeMy WebLinkAbout05-01-12PETITION 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) tht
following and respectfully requests the grant of Letters in the appropriate form:
Joan Fitzwater Jackson
Decedent's Information
Name: Carolyn MacAvoy
a/k/a: Carohm M. Fltaratrr
a/k/a: Carohm Yaris FMtwatar
e/k/a:
Date of Death: 03/2212012
File No: 21 -12 - Q~
(Assigned by Reg~ter)
3oclal Security No: 208-38-7948
Age at Death: 46
Decedent was domiciled at death in Cumberland County, PA (State) with hisnter last
prinGpal residence at 242 B North 38th Street, Camp Hill 17011 Hampden Township Cumberland
Street addreer, Post Oaks an0 Zip Code Clty, Tw,nehip or Borough County
Decedent died at 242 B North 36th Street, Camp Hill 17011 Hampden Township Cumberland PA
Street address, Posl Oaks and Zip Code City, 7ovmahip or Borough County ~ State
Estimate of value of decedent's property at death:
Hdomlc/lsd M Pennsylvania ........................ All personal property $ 9,000.00
Knot domiciled /n Pennsylvania ................. Personal properly in Pennsylvania $
I/not domlNNd /n Pennsylvania ................. Personal property in County $
Value o/real estate In Pennsylvania........... $
TOTAL ESTIMATED VALUES ~ 0
Real estate kr PennsyNaMa situetetl at
(Atlath atldlaonN sheets, H rwussery.)
Street address; Post Offlee ant nP Coda City, TownsNp or Boraph County
^X A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s) aver(s) that he/ahe/tltey islare fhe Executor(s) named In the feat Will of the Decedent, dated 11/01/2001 and Codicil(s)
thereto dated
Dscsderd dhroresd William MYcAvoy on 213112 6 resumed maiden name on 216/12. Alt. Executor, Scott C. Weaver, has ronounesd In favor
Dan ac n, s r r, on er s ng rerwun n or osn ac on.
(SfsEe mlevaM dreumatenoes, e.g., ranunalttbn, deaM olexecutor, att.)
Except as fdktwa: after the execution of the instrument(s) oRerad for probate, Decedent did not ma ,was not divorced, was not a rtv to a pending
divorce ing wherein the gprounds for divoroe had been established as deftned in 23 Pa. C.S. 3323(8), and did not have a ild m or
and Decedent was neither the Wctim of a killing nor ever adjudicated an incapacitated person. [^'1 -s
NO EXCEPTIONS ~X EXCEPTIONS Decedent divorced atYe- executlon of the instrument.
rv
^ B. Petition for Grant of Letters of Administration u+apputam.) ~ ~ n -c ` - `_'
c..a.; ..n.; ..n.c..a.; en uran ~ uran n r ;~_,
H AdminlsVation, c.ta or db.n.c.ta., eater date of WIII in Section A above and comoleta list of heire. rn ~ _
Except as follows: Decedent wee not a early to ding divorce proceeding wherein the grounds for divorce had been esteWished as defined O -n `%*E = - ~;
in 23 Pa. C.S. § 3323 (g) and was neither the ofr~6~'m of a kiling nor ever adjudicated an incapactated person. J p _ , :~ .,rt
~X NO EXCEPTIONS Q EXCEPTIONS ~ ~ ,.,_ ~? -~r-t
Petidoner(a , after a proper search has/have ascertained that Deaedat left no Will and was survived by the following spouse (if any) antl heirs (attach h
addlObna ts, if necessary):
Form RW-02 rev. tat t-zot t copydgm (c) 281+ form sortware Dory The Lackner Group, inc. Page + or z
vain v~ rersonai rcepresentatlve
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF } SS:
Cumberland } Official Use Only
Petitioner(s) Printed Name Petitioner(s) Printed Address
Joan Fitzwater Jackson 16 John Beal Drive
Garnet Valley, PA 19060
t ne rettctonerts) 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 a eden ,Petitioner(s) will well and truly administer the estate according to law.
Sworn to or ffirme ubscribed before ~ ~ ~ l DatejJ ~ ~ - ~~
me the d y ~ _ ;FLU ~~ Dale
i
Date
t e ester
Date
BOND Required? ~ Yes ~ No
FEES
Letters C-~}
~ ~
........................................
( ~) Short Certificate(s)....... .
.... $
...
( ~) Renunciation(s) ........... .... .~~
~--
( )Codicil(s) ...................... •
...
( )Affidavit(s) .................... ...
Bond ........................................... ...
Commission ................................ ...
Other ~, I ~ ~ ~~
Automation Fee ........................... ..
JCS Fee ................................. <
.....
TOTAL ......................................... ... <
.. $ ~~~.:~~
To the Register of Wills:
riease enter my appearance by my signature below:
Attorney Signature:
Printed Name: Debra K Wallet
Supreme Court
ID Number: 23989
Firm Name: Law Offices of Debra K. Wallet
Address: 24 North 32nd Street
Camp Hill, PA 17011
Phone: 71 717 3 7-1 3 00
Fax: 717/761-5319
E-mail: walletdeb@aol.com
DECREE OF THE REGISTER
Date of Death:
Social Security No:
Estate of Carolyn MacAvoy File No:
a/k/a: Carolyn M. Fitzwater, Carolyn Marie Fitzwater
AND NOW, ~~f21`_
satisfactory proof having been presented before me, IT IS DECREED that Letters
are hereby granted to Joan Fitzwater Jackson
03/2212012
206-38-7946
21-12 - L:~j~~
~(%/ /( , in consideration of the foregoing Petition,
Testamentary
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
11 /01 /2001
Register of Wills ~ --
Copyright (c) 2011 form software only The Lackner Group, Inc.
___ _
/a - oil/
LOCAL I~S~TI~~i CERTIFICATION OF DEATH
WARNING: i~ iiipTgal a i~~l~icate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 18161536
Certification Number
Type/Print In
Permanent #71-91 S
1/
•. 1 t
'`! i ~ ~1~Y "' ~ This is to certify that the information here given is
correctly copied from an original Certificate of Death
Ci~R~ duly filed with me as Local Registrar. The original
(~~N,S certificate will be forwazded to the State Vital
IX~q~~I ~~ Records Office for rmanent filing.
~~ M R 2 2012
~ ~ ~
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVANIA . OEFARTMENT OF NEALTN .VITAL RECOROs
f COTE GaI"ATC r\G l1 L~ATiJ
- - - - - [a[. File rv Vmber:
1. Dewtlam t Legal Name F nt, MI e, LK[, SuMx) 2. sex 3. Social Securlry NumMr 4. Dale of Deat Mo Day r) (Spa 1 Mo)
Carol M Fitzwater Female 206- - 6 March 22, 2012
Sa. A{e-LeK Birthday (Yn) Sb. Und r 1 Veer 3<. Under 1 Da 8. OKe Of BIRh (MO/Day ear) (Spell MontM1) >a. girt oleo (City and Eute or Forel[n Cpuncry)
Months D.yf Hel.ra MlnutK East Pennsbor Townshi
8 October 12 1963 >b. elrthplew (County) e.
JN. Rea) u Stall er FOrel{n Country .Mal ones (streK antl Number -Include Apt No.) 8<. Dld Decedent Uya In a Township?
HaIDp den
PaII i 1Y nia es
tl
d
Iw
tl
,
e<a
ent
e
In
two
.RK cote (county 242 B North 36th Street '
Cumberland Be. RKltlenu (Zip Cetle) 0 No, decedent Ilvad wtthln limits of clty/boro.
9. Ever In US Armed FOKeaT 10. Marital s<atui K Time o} peat Mewled Widowed 11. Sundyln{ spouse's Name (1}calla, {lye name prior M floe maMa{ej
Q Ws No ~ Unknown (~ DWOreatl O Newr Married ~ Unknow
12. Fet er's Name F rat, MI die, Lait, SVMx) 13. Ma[ er T Name Prior to Flrft Merrla{e (First, Middle, Laz<)
le zwatar Theodora Shaffer
iM. In rmant'a Name Sbb. Rala<lonship t0 Decedent 14c. Inigrman<'s MPllln{ Address (S<roK and Number. City, Sta<e, 21p Code)
a t ester Mothe 58 O Macaw Place LaLceland Fl, 33809
......... ........................ ace p as ... ~c,_ on_y one _.............................
I tole oecuri~ain a Nea ta: ~t"in ......._ ..........................
W peHen< 1} Death Occurretl Somewhere Otlhwr Thsn a Hospital: ~( FlOSplw Fac111N ~ Dewdent's Home
[me an ROO/n/OYt atlant paw on Arrlyel NuriM Nome/bn{-Term Gre F4GIIH Other (s eel
SSb. Facility Name (N nK IMthutlon, {bra atnet and number, lSc. City or Town, stab, antl Zlp Code SSd. County o Opt
242 B North 36th Street Cam Hill PA 17011 Cumberland
~, 18a. MKh K DbpeahlOn lal Gfama(iOn
u 18b. Dab qT OHposl<lon 16c. Place M Disposi[lon Name of cemKery, crematory, er ether place)
O DonKlgn
Q Remoyel from Sbb
Oth.rs
March 24,201
EYaneCrematory
1 . Laa<lOn W DbPwhlOn CM or own. Stale, end Zlp) 1>a. si{natures o F al Ice LI • see or Person in CM1er{e OT Intermen< 1> .Cleanse Number
3cheafferotown PA 17088 FS 012 849 L
1>c. Noma and COmpNla Adtlrefi of Fumrel Facility
ha re C Znc. PO Box 431 New Cum arland PA 17070-0431
1{. Dacatlant'a Education -Cheek <he bm [het bas[ deferlbea the 19. Dewtlant of Hlapanlc Orl{In -Check the 20. Oecetlent'z Raw -check ONE OR MORE races i0 Indlute what
hl{heK tle{rae or level o},chpol complKed a<the time W tleath. box [hK bas[ tlaxrlbea whether the dawdenl [he decedent consltlered hlmaeli Or herself <O tHe
-
.
~ {th {rode w leaf
Is Spanish/Hlspanlc/Latlno. Check <M1e ^NO" Whites ~ Korean
~ No diploma, 9th - 12M {rode box If deotlent If not spanHh/Hlapanlc/Latino. [lack or AfFlCen American 0 Vletnamase
O HI{h aOhp01 {redYate er GED cempleted ®NO, not Spanlzh/Nlapanlc/Le<In0 Q American Indian Or Alaska Natlye Q O<hK Alan
~ Some eOlle{e eretll[, bu< n0 tle{raa 0 Yes, Mexlean, Mexican American, Chicano Q Aalan Intllan ~ Native Hawallan
AaaeGab tle{ree (e.f- AA, 45) Q Vef, PueRO Rlun
Cuban ~ Chinese Guamanian Or Chemorro
® {Khalor's tle{I!a (a.{. BA, A8, 94) Q Yaa
,
~ FIIIPinP ~ semoen
Q Master's de{rN (a.{. MA, MS, MEn[, MEtl, MSW, MBA) O Yea, Other Spanlah/Hispanic/LaHno 0 Japanese 0 Other Paclflc lalentler
O Doctoreb (e.F PhD, Ed D) or Prm}asslOnel tle{roe (Speelly) Q Other (Speclty)
e. . MD D WM Ll0 JD
21. Decadent s sin{ a Races saM-OKI{nKlen -Check ONLY ONE to Indicate what the decedent considered himaeli or herself ie be. 22e. Dewdent'z Usual Ottupatlon -Indicate Npe Of work
Whlb 0 JPPenesa Q Samoan done tluFlna mos<ot working IIb. 00 NOT USE RETIRED.
[lack Pr Afrlun Amarlun ~ Koneen Q Other Paclflc Islander
Q American Intllan or Alaska Native ~ VlKnamase Q Don'! Knew/NO[ sure Nur e s
Asian Intllan Q Other Asian Q Re}uietl 226. Kind of {ualness/Industry
~ Chinese ~ NaUVa Hawallan ~ Other (SPeclty)
Q Flllpine Q Guamanian Or Chamono
Nura3ng
RV /ER{ON WHO eRONOUNt:[f OR 3a. Deb renounce ea o ay r 3 {nature o arson Proneuncln{ peat n y w en app ca a 23c. tense Num r
eeRTri{s TN rch 22 2012
23tl. DKe {ned (MO/Day 24. Tme o/ DeKh
A rOX. 1:U0 A. 25. Waa Madlwl EZaminar or Coroner COnbc[edT Yai NO
CAUSE OF UEATN
Aeorowimab
28. Par[ 1. Enter Me chain of esnnH-diseases, inJuriK, or compllcatlons--that directly caused the tleKh. DO NOT enbr terminal events such as eertllac arrest
Interval:
~
reaplra[Ory amas4 Or yanRi<uler flbrlllatlon whheut ahewln{ <he etlolo{y. DO NOT ABBREVIATE. Enter only one uuse on a Ilna. Add adtlklOnal Ilnes I} necessary Onset to OPKh
IMMEDIATE CAUSE -----------> a. __C8rbon Monoxide Poieonino ~
(Floe ei.aas. or wndttien o.e to (Pr a a conaaqu.n<. Pn:
refYl<In{ In death)
b
Sequanga8y Ibt centll[lOna,
DYe <o (or ea a censegwnce of):
IT env, leedln{ co the cause
Ilstetl on Ilna a. Enbr the c.
YND[RLYING GU{E Due to (or ea •censequence
of1.
(disease Or ln)ury <hK
Initiated the wants reaultln[ d.
Pi
O In death) LAST. DVa <o (or as a mnsequence ef): i
y~
® 28. hN 11. Enter M er bY< net rezultin{ In tM1e underiyln{ cause {IVen In Part 1 2>. au[opsY1P rI rmldT
^
i Yaa No
'~'
$$$ 19. Wew autdpry flntlln a available
LO comOlate the worse pT deethT
$
a Yes No
29. I} Female: 30. DId Tobacco Ufe Con<rlbute to Death> 31. Mannar of Death
6£ 0 Npt Pre{nant wtthln Past Year 0 Yez Q Probably Q Natural ~ Homlcltle
r ~ Pre{nent at [Imo e} tleHh
Not Pre{nanL bVt Pre{none within 42 tlaYi Of deatn ~ NO ~ Ynknown ~ ACCldent Q Pendln{ Inveatl[a<lOn
suicide ~ CoVltl ne<be de[erminetl
~ NOt pro{nant, but pre{none a3 days [o i year before death 32. Dace o} Injury (Me Day/Yr) (spell Mont )
~ Unknown If pre{nant within the Paa[ War 33. Time of Injury
Marc11 22, 2012-
1,
ma
34. Platy pT In ury e.{. o conitrvctlen site: hrm: acN001) 39. Loca[lon of Injury (Scree[ antl Number, Clty, State, 21p coda)
Home
242 B North 36th Street, Camp Hi11, PA 17011
3{. InJVry a< Work 37. I} TrenspeKaflen InJury, sootily: 36. Des<Hbe Hew Injury Occurred:
g vea
NO O Dreyer/Operabr O Pea.Krian
P Zntent ional Snhalat iom o£ Auto Exhaust Fume9
P~ Q
a,nan[ar O OMer (SPeCHYI
39a. GKlfler CMek enH one):
~ Grtilyln{ phyileian - TO <he bast O/ my knowledge, tluN urwtl tlue to the cause(,) antl manner. seabd
Pronouneln{ S GrtHyln{ phyilclan -TO the best of my k letl{e; death ecurred et tM1e time, dab, and place, and due <O the ouzels) end manner stated
Medical Enaminer/COron - the b sli O
l
yeat
[atlon, In my Oplnlon, deKh occurred et Me <ime, drta, and place, antl due <O [he causa(a) end manner elated
sl{nature of wrtlflar: - Title of wrtlflerChief De V11CY COrOneTLiwnsa Number:
39b. Name, Addrais and Zlp Code o} Parton Gmpleting buae W paKh (Item 26) 63 75 B8Et e1lOrB R08d , stlita 39c DKe 41{ne0 (MO/Day/Yr)
Matthew 5. Stoners Chief Deputy Coroner 1 O O
ch 23 2012
e{ Krar s s<r ct Num er 41. ylKrar a { ti 4
e`~re~e one O ay
i-~i~ 3
43
Amentlmen4 Q
.
DlapeflHOn Permi<NO. U c(J ~~ / cJ
H105-143
REVD>/2011
_, _.~. ~.. _._.-_-_,-.-.. T~ ~. ..,,~, _~ __. _ _ _ _ _
I _ _ _
~,
,,.
•
LAST WILL AND TESTAMENT
OF
CAROLYNMAC AVOY
~a - ~~~
I, Carolyn Mac Avoy, of Carlisle, PA., revoke my former Wills and Codicils and declare this to be
my Last W>71 and Testan-ent.
ARTICLE I
PAYMENT OF DEBTS AND EXPENSES
I direct that my just debts, funeral expenses and expenses of last illness be first paid from my
estate.
• ARTICLE II
DISPOSITION OF PROPERTY
A. Residuary Estate. I direct that my residuary estate be distributed to my spouse, William F.
Mac Avoy. If my spouse does not survive ~, my residuary estate shall be distributed to my
Trustee, to be retained, managed and distributed under the provisions of Article III (Trust for
Children).
ARTICLE III
TRUST FOR CHILDREN
A. Purpose. The primary purpose of this Trust is to provide for the health, support,
mainteneace, and education of my children:
Jonathan Mac Avoy
Rachael Mac Avoy ~
~~
w~~~ ~
y, m
,~
k:
~~~ ~ ~.
Al
• ^^
•J~~ ~ i
L~
G., %
CJ
•
The provisions of this Trust also provide for the distribution of my residuary estate. If the
Trustee is tbe beneficiary of a~ life insurance policy on my life, any pension plan or any other
contract, the proceeds of such policy, plan or contract shall be treated by my Trustee as though
received as a part of my residuary estate.
B. Use and Distribution. The Trustee, in the Trustee's unrestricted discretion, and regardless
of the existence of other funds available for these purposes, shall pay or apply as much of the trust
income and/or principal in such amounts and from time to time as the Trustee may determine for
the benefit of my children In making such payments or applications, the Trustee shall not be
required to treat all children alike or equally, but shall take nrto consideration their respective
Heads. The Trustee's exercise of discretion with respect to such payments or applications shall be
binding on all parties concerned. When all of my living children have attained the age of 20 years
or when the last of my children dies, whichever slsall occur first, the remaining assets of tins Trust
shall be divided into as many equal shares as there are (i) children of mine who survive to the time
of this division, and (ii) children of mine who predecease the time of this division leaving children
(my "grandchildren") who survive to such time, and final distribution of such shares shall be made
as follows.
1. Each child shall immediately receive one-third of his or her share.
2. Upon attaining age 30 years, each child shall receive one-half of his or her remaining
share.
3. Upon attaining age 35 years, each child shall receive all of his or her remaining share.
Distributions to grandchildren, in the case of a deceased child (see Death of a Child
section following), shall be made when such grandchild attains the same age(s) as required
for my child(ren).
Prior to each child (or grandchild) receiving the final distribution of his or her share, tbe
Trustee shall have the sole discretion to make advancements to such beneficiary, from that
beneficiary's own share, based upon the same guidelines aheady provided in this section
(Use and Distribution).
•
C. Deoth of a Child. If a child of mine dies prior to the time provided in Paragraph lII(B) (Use
and Distribution) for final distribution or prior to receiving all of his or her remaining trust share,
the share (or remaining share) to which such deceased child would have been entitled had such
child survived shall be distributed in equal shares to the children of such deceased child (my
"Grandchildren") who are living at the time for such (fitll or partial) distribution as scheduled in
Paragraph lII(B) (Use and Distribution), by right of representation. If a child of mine so dies
without any surviving children, such share shall be distributed in equal shares to my other
children, or to their respective descendants by right of representation. If ~ child of mine survives
to age 20 years, upon the death of the last of my children, the Trustee shall distribute the
remaining mast assets in equal shares to the surviving descendants of mY children If no child of
mine survives to age ZO years, and if none of my children have surviving descendants, the Trustee
shall distribute the remaining trust assets in the manner set forth in Paragraph III(D) (No
Surviving Descendants). Upon the death of a child of mine under the circumstances contemplated
by this Paragraph III(C), the Trustee, in the Trustee's discretion, may pay the expenses of last
illness, funeral, std related expenses of such deceased child from trust assets.
D. No Suviving Descendants. If my children and all of my descendants fail to survive my
• death, or if all of my children fail to attain age 20 years and are not survived by children or
descendants, the remaining trust assets shall be distributed to the following beneficiaries in the
percentages as shown:
100.00% to the persons who would have been entitled to the assets of my estate under the laws of
PA. if I had died Intestate.
E. Protection of Beneficiaries. The interest of any beneficiary under this Trust shall not be
subject to asspgtunent, anticipation, claims of creditors, or seizure by legal process. If the Trustee
believes that the interest of arty beneficiary is threatened to be diverted in airy manner from the
purposes of this Trust, tbe Trustee shall withhold the it~ome and principal from distribution, and
shall apply payment in the Trustee's discretion in such manner as the Trustee believes shall
contribute to the health, support, maintenance, and education of the beneficiaries. When the
Trustee is satisfied that such diversion is no longer effective or threatened, the Trustee may
resume the distributions of income and principal authorized.
F. Nomination of Trustee. I nominate Scott C. Weaver, of Harrisburg, Pa., as the Trustee,
without bond.
L_J
Page 3 of 9
ARTICLE IV
NOMINATION OF EXECUTOR
I nominate William F. Mac Avoy, of Carlisle, Pa, as the Executor, without bond. If such person
or entity does not serve for any reavoq I nominate Scott Weaver, of Harrisburg, Pa, to be the
Executor, without bond.
ARTICLE V
EXECUTOR AND TRUSTEE POWERS
My Executor, with respect to my estate, and my Trustee with respect to my trust, in addition to
other powers and authority granted by law or necessary or appropriate for proper administration,
shall have the following rights, powers, a~ authority without order of court and without notice
to airyone.
1. Receive Assets. To receive, hod, maintain, administer, collect, invest and re-invest
the estate and trust assets, and collect and apply the income, profits, and principal of the
estate and trust in accordance with the terms of this ~.
2. Receive Additional Assets. To receive additional assets from other sources,
including assets received under the Wills of other persons.
3. Standard of Caere. To acquire, invest, reinvest, exchange, retaiq sell, and manage
estate and trust assets, exercising the judgment and care, under the circumstances then
prevailing, that persons of prudence, discretion and intelligence exercise in the
management of their own a>Iairs, not in regard to speculation but in regard to the
permanent disposition of their fiords, considering the probable income as well as the
probable safety of their capital. Within the limitations of that standard, the Executor and
Trustee are authorized to acquire and retain every kind of property, real, Personal or
mixed, and every kind of investment, specifically including, but not by way of limitation,
bonds, debentures and other corporate obligations, and stocks, preferred or common, that
persons of prudence, discretion and intelligence acquire or retain for their own account,
even though not otherwise a legal investment for trust funds under the laws and statutes of
Pape 4 of 9
•
13. Duration of Powers. To continue to exercise the powers provided in this Article
notvwithstandn~g the termination of the trust until all the assets of the trust have been
distributed.
ARTICLE VI
MISCELLANEOUS PROVISIONS
A. Paragraph Titles and Gender. The titles given to the paragraphs of this Will are inserted
for reference purposes only and are not to be considered as forming a part of this Will in
interpreting its provisions. All words used in this Will in airy gender shall extend to and include
all genders and in numbers when the context or facts so require, atxl any pronouns shall be taken
to refer to the person or persons intended regardless of gender or number.
B. Thirty Day Survival Requirement. For the purposes of determining the appropriate
distributions under this Will, no person or organization shall be deemed to have survived me,
• unless such person or entity is also surviving on the thirtieth day after the date of my death,
C. Beneficiary Disputes. If a~ bequest requires that tbe bequest be distributed between or
among two or more beneficiaries, the specific items of property comprising the respective shares
shall be determined by such beneficiaries if they can agree, and if not, by my Executor.
stir
1N WITNESS WHEREOF, I have subscribed my name below, this ~ day of
~--_. 200 \ .
Avoy
We, the undersigned, la;reby certify that the above instmm~ent, which consists of
pages, including the page(s) which contain the witness signatures, was signed in our sight and
presence by (the "Testator"), who declared this
instrument to be his/her Last Will and Testament and we, at the Testator's request and in the
Testator's sight and presence, arxi in the sight and presence of each other, do hereby subscribe our
•
Page 6 of 9
•
nags and addresses as witnesses on the date shown above.
Witness Signature:
Witness Name: I
Witness Address: ~ ,j~
Wit~ss Signature: ~~ O ~~.(/I/LCQ
• Witness Name: V C~ ~ ~ U ~7 C.~rr~ ~
Wihiess Address: ~~ /` .
,~1 v i ~
Page 7 of 9
•
AFFIDAVIT
STATE OF
COUNTY OF
Before ~, the undersigned, on this day personally appeared Cazolyn Mac Avoy,
~~
known to me to be the Testator and the
witnesses, respectively, whose names aze signed to the foregoing instrument. All of these persons
were Srst duly sworn lry me. Carolyn Mac Avoy, the Testator, declared to me and to the
witnesses, in my presence, that the foregoing instrument is the Testator's Will and that the
Testator willingly signed and executed such instrument (or expressly directed another person to
sign the instrument for the Testator in the Testator's presence) in the presence of the witnesses, as
the Testator's free and vohurtary act for the purposes expressed in the instrument. Each of the
witnesses declared in the presence and hearing of the Testator that the foregoing instrument was
executed and acknowledged by the Testator as the Testator's Will in their presence and that they,
• in the Testator's presence, hearing and sight and at the Testator's request, and in the presence of
each other, did subscn'be their names to the instrument as attesting witnesses on the date of the
instrument. The Testator, at the time of the execution of such instrument, was of full age, of
sound mind, and the witnesses were sixteen yeazs of age or older and otherwise competent to be
witnesses.
a.~
Carolyn Avoy, Testator
F.
Witness
r1
L
Page 8 of 9
•
Subscnbed, sworn to and acknowledged before me by Carolyn Mae Avoy, the Testator; and
subscribed and sworn before me by and
witnesses, this day of
. 19
Notary Public, or other officer authorized to take and
certify acknowledgements and administer oaths
r~
L J
Page 9 of 9
la-5`1
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Carolyn MacAvoy alk/a Carolyn M. Fitzwater ,Deceased
Sally J. Currie (each) a subscribing witness to
(armr Narra~~
the ^x Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in his /her presence and in the presence of each other.
(Slprmmrel
rsrreerndwesa~
rcar, seeds, ual
Executed in Register's Office
Swom#o or affirmed and subscribed
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(Sgnature) $81ty J. a
398 Adams Road
(Strew nddress/
Carlisle, PA 17013
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Executed out of Register's Office
Swom to or affirmed and subscribed
before me this day ~ ~ ~ rn
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Notary Public
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My Commission Expires: ~~ =~ -
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(Sgnelure end ae~ of Notary or other olfkial quelabd to
administer oaths. Straw dent a etyiration a Notary. ~ - ~
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NOTE: To betaken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Fam RW-03 aev. ~ar32ooa coar+shr (off saoa roan sonwara onry me ~admer croup, ins.
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Carolyn MacAvoy alk/a Carolyn M. Fitzwater ,Deceased
Joan Fitzwater Jackson
and
(v~ar nbnais)
(Friar Nanx/a)
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with Carolyn MacAvoy a/kla Carolyn M. Fitzwater and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Carolyn MacAvoy alas Carolyn M. Fitzwater
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
Carolyn MacAvoy alk/a Carolyn M. Fitzwater is in his/her own proper handwriting.
(~ ) Joan F ater Jackso
16 John Beal Drive
(snaar aaa~a)
Garnet Valley, PA 18060
(City, Stare, Lp)
Executed In Register's Orrf/ce
Swom to or affirmed and subscribed
(Sgnature)
(s~rearauareas)
(Crty, Stare, Ztp)
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Fam RW-04 Rev. rarszooe copyright (c) zaae roan software ony ms Ledmer c~,p; ine.
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I~EN~IN~IAtIC~N
~c,~s'r~ a~ Mnus c~ cwweEtu.i-~ cou~mr, ~NwsnvnNU-
Estate of Cie MaeAvr~ also known ss Fltx~litabr . Deceaseld
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in my rheAatior~elj "_~
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Exaeu~ of tllte above Oeca<isnt. y ron~in~e the nit to
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admtnisber the Estate of the D~cedant and r+esPscl~+py roquat that Legs be issued to
.loan FII~a1a-JalcMaon
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Exrc~drd M ttspWar7s OtNca
swum to a etlkmed and sut~scxibed
betoro me -~ day
of
tar Rapistxw of t
sc,m RYKOf ww ra ~}aoa
Exaculad out of Rr~bfw's o/flce
setae the undarsipnad personany the
executlnp this n>lnundadon .nd d
a she exeatad the ranunci~n to h,e
purposes stated wxhtn ~ tt,ts ~_dsry
of A P+~ ~ c.._. a o i a
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pAy Commission Expires.
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Gopr~Tt (a12Cee wm.Ml... aerr Tv lruir ~. u~c
COMMONWEALTH OF PENNSYLVANIA
I Notarid Seal
Dawn E. Eppinper, Notary Public
Fiat Hanover Twp., Dauphin County
My Commisalan Explros May 9, 2012 f
Member, PennsyNanfa Association of Notaries
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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Carolyn MacAvoy a/k/a Carolyn M. Fitzwater ~" "~
Estate of ~ . Deceas~ti
I, Charles W. Fitzwater , in my capacity/relationship as
(Print Name)
Father
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Joan Fitzwater Jackson
3/26/2012 ~1~R.~o ~jx ~
(Date) (Signatwe)
5870 Macaw Place
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
(Street Address)
Lakeland, FL 33809
(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
purposes stated within on this ~ day
of '1'~nr'c,~ ~Ol~
Notary Public
My Commission Expires: I~W~ I S, Cpl ~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expvation of Notary's Commission.)
aolM~on TM of Pe
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RENUNCIATION
REGISTER OF WILLS
cUrtBExLArtn COUNTY, PENNSYLVANIA
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~'ill2i~~Y-i i,P~ I~ 4,
CLERK OF
ORPHAN`S COURT
(XJMBTRi_ AND CO_ PA
Estate of Carolyn MacAvoy a/k/a Carolyn M. Fitzwater .Deceased
I, Theodora S. Fitzwater , in my capacity/relationship as
(Print Name)
Mother
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Joan Fitzwater Jackson
3/26/2012
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
Form RW-06 rev. 10.73.06
(Signature)
5870 Macaw Place
(Street Address)
Lakeland, FL 33809
(City, State, Zip)
Executed out oJRegister's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~(n~' day
of f~Y1Urr}~ a01 ~
a ~ C~~
Notary Public
My Commission Expires: I~lpyn~s- I~~ ~~S
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
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REGI~'tER Q~ WILL; t~
RENUNGIATiC}N
t,,,UMEiERt.ANCf
=;47.i~~Y-I Cet I~~
CtaUFI~"Y, P~E~I~~~LVANtA
ORPHAN'S COURT.
CUMt~I gt ANu CO , PA
t9€ ~ all01~#1 Ytl~t i1~01t3iCIWt1 ~Mt l01yC! F~2SAt~tltt "~
Kattt4eert M~ta"phy _ ~ cr°~ ~city~ret~aU€~a~taEg~ e
<e
sister
of ttae eve 1~ec:~,tent, rsaereb~ res~tra the ratat tt~
~imtraiAt~r t6~ae S of tits :..:rat rui rep tty st that. tTetters ire tta
.ks~nn f~wtrtN .lsck'son
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Muted irr Re~~eta~`s ter
tc~ car affirm erscE ~utcibe
t~etc>re the
ad ~ ...~.._....
trx Register cat Wit
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arr
Caitl~IRt, J4~;
~za~u8ed nu# o/ Regrat~r's Uf~ce
8~tre t#ae ar wig altty a red the
pparty ext~ra~ ttai~ r~trttsrrsa;aetit~rt a rhf
tttet t>e or ex the renura~ tcrr ttae