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Home My WebLink About05-08-12PETITION 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: Sandra LeAnna H. Bowman Decedent's Information Name: Thomas O. Hendry a/k/a: Thomas Owen Hen~t a/k/a: a!k/a: Date of Death: 04/28/2012 File No: 21 - 12 - `) ~ j (Assigned by Register) Social Security No: Age at Death: 92 Decedent was domiciled at death in Cumberland County, pA principal residence at 34 Llnda Drive, Mechanicsburg 17050 Silver Spring Township Street address, Post Office and Zip Code City, Township or Borough (State) with his/her last Cumberland County Decedent died at Harrisburg Hospital Harrisburg Dauphin 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 $ 40,000.00 If not domiciled in Pennsylvania ................. Personal property in Pennsylvania $ If not domiciled in Pennsylvania ................. Personal property in County $ Value of real estate in Pennsylvania........... $ 228,200.00 TOTAL ESTIMATED VALUE$ 268,200.00 Real estate in Pennsylvania situated at 34 Llnda Drive, Mechanicsburg 17050 Silver Spring Township Cumberland (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough ^X A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated thereto dated 09N4/2010 County 12/29/2009 and Codicil(s) (State mlevanf arcumstances, e.g., renunciation, death of executor, etc.) Except as follows: after the execution of the instruments offered for probate, Decedent did not ma ,was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce ha een established as defined in 23 Pa. C.S.$ 3323(8), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ^X NO EXCEPTIONS ^ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c..a.; ..n.; ..n.c..a.; pe en e f e; uran e a sen ra; uran a mfnonta e If Administration, c.t.a or d.b.n.c.t.a., enter date of Will in Section A above and comalete list of heirs. Except as follows: Decedent was not a party to pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323 (g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper search h,as/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach additionai sheets, if necessary): Name Relationship Address J ~ ~.. ~T-1 L.. ~ ]la• ~, ~ C `- c~ - ~ ~ 3 ~ ~ ".~ _ ._ ' i r - ~,i: _~ = ~ = c. -~ c..; Z, i L~3 Form RW-O2 rev. f0-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: CouNTY of Cumberland } '. bTticitll_Use~Ohly ' .' _ _?'.: ~ , Petitioner(s) Printed Name Petitioner(s) Printed Address ` ` Sandra LeAnna H. Bowman 3 Northfield Way Mechanicsburg, PA 17050 v~~~i~ ~r ORPN,~,r`~S ~-O;~RT t. ,~ ~ F~, 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 th Decedent, Petitioner(s) will well a truly administer the estate according to law. Sworn to or affirmed an ubscribed before ~ ~ ~ yc'~i i ~ Date (] me this ~ a f ~ ,~, Date /(~ Date By: Fo th egister ~ Date BOND Required? ~ Yes No FEES Letters ............................................ $ j ~~ ~ , ~'~; (~) Short Certificate(s).......... ( )Renunciation(s) ............... ( I )Codicil(s) ......................... I `'~ ~` C ( )Affidavit(s) ....................... Bond .............................................. Commission ................................... Other ~` ~ ~ l.'~ .~ C Automation Fee ............................. - ~ (, ~,' __. JCS Fee ......................................... -> .:_% ~, TOTAL ........................................... $ :_ .~ .~ -'>(. To the Register of Wills: riease enter my appearance oy my signature oeiow: Attorney Signature ~b.V~- ~~ ~,t,~„~ 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: 7171737-1300 Fax: 7171761-5319 E-mail: walletdeb@aol.com DECREE OF THE REGISTER Date of Death: 04/28!2012 Social Security No: Estate of Thomas O. Hendry File No: 21 - 12 ~;,- a/k/a: Thomas Owen Hendry AND NOW, ~~~;'~ ~ ) t~ -~~- ~ 'el , , in consideration of the foregoing Petition, satisfactory proof having bee resented before me, IT IS DECREED that Letters Testamentary are hereby granted to Sandra LeAnna H. Bowman in the above estate and (if applicable) that the instrument(s) dated 12/29/2009 09/14/2010 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~~,~.~ t~lC1C't ~C~l'1=~t- ,~'_~~, r'-~~Ji~~ t (_.« t ~ Register of Wills Copyright (c) 2011 form software only The Lackner Group, Inc. Page 2 of 2 Lq~:;/~~ REGISTRAR"S ~:ERTI~'I~ATItJN q~= ~~E:`R WA~INING: !t is illegal to duplica~~e il~ir~ c:c~py ~~ l?hata<rtat ar p'~~eL-1tc.~c~!~~ [:ga t~c~ fin' thl~, c ~;iir:(t.. fir; ;~; . t( ,, r r i TI I. \ , ,> t u ,,(. , , ,,. ~~.~ ~ yr (.1~. ~ ' 7 l ill l K fair .~I. , • ~ ~ l ~ ~ r [ m ~ ~ r .ti. ._ j '~l . _ .L t ,, .'1111.. a ~ ,3 i - n , •. ..: ~ s ,} ~ t .<C• "'Ta`ws d fy - r. y/ a _ _ C~(: CIlt1[.tf,t ~I1 •llli r,..l Jd~ t '~• ... :. ~ ~ ~~ ~as~ ~e , ~~ T / II (~ ~ _ _ s) ~,1~ tt.' ,. 1, .r r : `i pe/vrint n COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL gECORDS . rFRTI[IfeT[ n[ nCATLJ 1. Decedent's Legal Name (First, Middle, Last, Suffix) Z. Sex 3. Social Security Number sate •rre N.mDa r~ of Death IMO/D r) ( pelt of Thanas Owen Hendry Male 439-3R-4891 Sa. Age-Last Birthday (Yrs) Sb. Under 3 Year Sc. Under 1 Da 6. Date of Binh lMq/Day/Yearl (Spell Month) ]a. Birthplace (Clrv an State Fprelgn Country) MpnthE Dan Hqpr Mln°tes Monroe ~ ou s , , iana 92 February 6, 1920 ]b. Bmnvla{<ICgpnrvl Ouachita Ba. Residenc<(State or Foreign Country) Bb. Residence (Street antl Number Include Apt ND.) &. Die Oecetlent Live rn a Towmhip] PP_r3r3s lvania 34 Linda Drive QS'Iv<a, eead<m lied rn Silver Snring twp. Bo. 0.esidence (COUnrvI - - Ctunberland ae. Resmen{e Rip spec) 1 7050 ^nv, de{ed<nt (Ned warm bmn, qr cg rogrq v 9 Ever in US Armed Fprcesi 30 Marital Status as Tlme o! Death ^ Married Widowed 11 Surviving Spouse's Name (If wile, give name prior to /irsl ma..lagel W Yes ^Np ^Unkngwn ^Dlvorcetl ^Never Marled ^Unknown 12. FatheYS Name (Fires, Middle, last, SuNix) Thomas A H d 13. Motnei s Name Drlor to Flrs[ Marriage (First, Middle, Last) . en ry Jessie Sullivan lea. Inlermant's Name 14b. Relationship to Decedent L S d 16c. Informant's Mailing Atldress (Street and Number, Clry, State, Zip Codel o G an ra . Bowman Daughter 3 Northfield Wa Mechanicsbur , PA 17050 - ....................................................... .................... ............... a li<atn o{{urrce in a Hosvuar. (roarer[ ..... .......is.., P a[g.o. D<at._ S_~5..."". _pnp .............................. a Deam oc{ '°' ............................... urr<tl spmewn<r<om<r rhan a Hpa I. v C}"o~«ae~2;'iiom~ ~""".. pica ~ Hospice Facllit ~ Emergency Room/OUtpatlent ^ Dead on Arrival F b ^ Nursing Mome/Long-Term Care Faculty Other (Specify) . lS acllRy Name(N rotinstkutbn, give street antl number; i6c. Cray Or sown, $Lls<, and Zip Code l6d. County of Oea[h Harrisbur Hos ital Harrisbur PA Dauphin 16 a. Method of Disposltlen ~ Burial %1 Cremaslon ]6b. Date of Disposition 36c. Place of Disposition (Name of cemetery, crematory pr other place) E ^ R<mpy,l rrom store ^ Denxmn , 1 2012 H lli C Y anx[sp<{lry) , o nger Crematory 7 16d. locstion pl DisposlHon ICiry or Town, State, and tip) Mt Holl S i 1]a. Signa[u neral Service Uc or Person in Charge o/Interment ~° p ~Ge 1]b. License Number ~ ~ . y pr ngs, PA C FD-138630 I~j F 1)r:. Name and Complete Address of Funeral Faculty 3 x 1 z k t P W b PA 17055 -...7 ' r ° 18. Decedent s Education -Check the box that best dexribes th< 19. Decedent of Hispanic Origin -Check the Z0. Decedent's Race ~ Check ONE OR MOPE rxes to Indicate what - highest tletrce or level of uheol completed at the Hme of death. boxthat best tlescribes whether the decedent the decedent conzidered himself or herself to be -- . [] Bth grade or less is Spanish/H'spanic/eat no. Cheri the 'Np' g1 Wh-te ^ Korean ~ f ~ ` . . , Q NO diploma, 9th 12th grade boa Ii decetlen['s nql Spanish/Hlspanlc/Latino. ~ Black or Afr can Amei can ~ V'etnameu ~ []High school graduateor GEO Completed ~Np, not SDansh/Hisvanlc/latinD ^Amercan nd an or Alaska Natve ^Other AS an _ [] Some college credk, but no degree ^ Yes, Mexican, Mexican American, Chicane ~ Asian Indian ~ Native Hawaiian [] Associate tlegrce (e.l. M, AS) ^ Yes, Puerto Rican ~ Chinese ~ Guamanian or ChamemT. r ' ~ [] Bachelor s tlegree (e.g. BA, A8, BS) ~ vet, Cuban ^ Filipino ^ Samoan ' ' [] Mart</s degre<Ie.g. MA, MS, MEng, MEd, MS W, MBA( ~ Yes, other Spanish/Hlipanlc/Latino ~ Japanese ^ Other Pacl/IC (seances Docrorate (e.g. PhD, EED)or Prplesslpnal degree ISpeciNl ^ Oth S " er ( pecity)_ 1~ . MD ODS DVM, lLB 1D 21. Decedent's Single Race Sell-Designation ~ Check ONLY ONE to Indicate what the decedent considered himself or herzell to be. 21a. Decedent's Usual Occupation -Indicate type of work ® While ^ sapanese ~ Samoan tlone during most of working life. DO NOT USE RETIRED. [] Black or Arrican American ~ Korean ' ^ Other pace/ rc Islander Superintendent [] American Intlian pr Alaska Native ~ Vie[nam ' ¢Se ~ Don 1 Knew/NOI Sure [] Asian Intlian ^ Other Asian ^ Refused Z3b. Kind of Business/Industry [] Chinese ~ Natve Nawaltan ~ Other ISpeciry) []Hlipino []GuamanianerChamprro Construction ITEM223a ~ 23d MUST BE COMPLETED Zia. h Pronounced d ( a Oay rl Z36. Signature of Person Pronouncing Death (Only when applicable) 23<. license Numher BV PFR90N WHO PRONOUNCES OR / ~ _ CEgTIF130EATN / / / / 13tl 51 n M / / . e o 8 r Ze. me of Deat / r /l ~A'= C_x. a-cla ~=-{ G.F ~~C: K SJ ]5 Was Meditore Examiner er Coroner Contacted] ^ yes No CAUSE OF DEATH 26. Pan 1. Enter [he {harn of events- tliseases, inlurles, or cpmplkanons~-[Isar d~rectl Approxlmas¢ Y caused the death. 00 NOT enter [ermrnal ev rats such as cardiac arrest nterval' e . respiratory arrest, or ven[ncWar flbrllla[lon without sh o wing the <tiol°BV GO NOT ABBREVIATE Ent r only D e ne [ause pn a Ilne Odd atldltlonal Imes If necessary ~ Onset to Death f / 1 ' i 11.1MEDIATE CAUSE ---~~~----> a. V ~L ~•!!_l!-~''i r" +-s E~/'s yl(' h l'.tis '~~ p~mal msease or coneition Due m (pr as a rpnsevuenre orP ---_ ' -- - . l rcsplting In eeathl b_ f~ -~ ~ E"L'C~ L _ ~ L o'1 1 Sequentially Ilse conditions, Due so (or as a consepuen<e of)~ '- i/any, leatling tp the [ause n:xee on line a. Emer the '~)p S~.E~L ~-r `~~le:.a I ( ~/\ ~L(1 (JCS. 'JI ~t-~ ~ I vT ( y UNDERLYING GUSE t - Due peer asacpnsevuence olT t ~-~- ---- . (diseaseorinjurythas _ r [sated the events resulting d. in deamllur. Duerolpr aaa conuquenc<eD: ~ - [~ Ili. Pert II. Enter other EianlRCant conditions t Ib tl t d am but not resulting In the underlying cause given in Part I Z]. Was an autopsy erfo etl] E ^ Yes No Ze. Were autopsy Rndl available to complete the cause of death? ~ ^ Yes ^ No Z9. 11 Female: o 30. Dld tobacco Use Contribute [o Death] 31 ner n/peach ^ Not pregnant wkhln past year ~ Y P es ^ robably Natural ~ Homicltle Pregnan[at time of death [] No ~ unknown A{cider[ Pendin Invest) flora ~ Not pregnant, but pregnant within d] den of tlea[h ~ B 8a p Suicide ~ Could rapt be determined Not pregnant, but pregnant d3 days to 1 year before deatM1 3Z. Daxe of Inlury IMO/Day/Yr) (Spell Month) ^ Unknown If pregnant wlMin the past year 33. Time of injury 3 d. Place of Injury (e.g. home; cons[ructlon site; farm; schooR 35. Location of Injury (Street and Number, City, St te, 21p C°tlel 3 6.Injury at Work 3). Il ttansportatlon injury, Speciry: 3B. Dexribe HOw Injury OCCUrred. ^ Yes ^ Driver/Operator ~ Pedesnlan ] No ~ Passenger ~ OMer (Specilyl __ 3 9a. Certifier (Check only one): ^ Certilying phyiician - To ire best of my knowledge, death occurred due [o [he cauu(s and manner stated ^ Prpnounclry & CertlNing physician -TO the best of my knowledge, death Occu~red at the Nme, date, antl place, and due to the cause(s) and manner stated ^ M di l E i e ca xam ner/Coroner- the bash of ex i Non, antl/ar Inve/sJI~N n, rn my opinion, d at the time, date, and place, and duet th 1 tat<tl /L~~ ~ SIBna eof certifies. ~L'`"`' t3ganoiltle otreniHec._ _ Lice se NU a [Y/sue u n 3 , ddr ssa (p e<f Person o p g uo Q llt e 26) 39<. Da Signed Mo/ rl N ~ 1 0. Registrar's DisMn Number dl. e8 trars Slgnature 1, e trar Flle Date (MO Day r) /~ c~ r - a, I J, a-%/ I~ H-H : a ~ C ~ ' ~ d . , 1_< u ~ _ o--c Le. i : u~ti l 30 ~ C I J. 3. Amendments ' ~ - ~~ J r -s / ~ f ~ 1 r 3 , -l_ . ! •' T[ ~ _ _ ~~ _ Tt ~~ `r~, o ~~'~ Dispgamlpn P<rmn No.. 0693679 HLOSad3 -- -- _ R6v DVZD1, .~, --,., f~C~ ( > > ®~' _ m -~ .._ J.. ~ ` _., ' L _~ ~~ •. _. C ~ i - t7 I, THOMAS O. HENDRY, of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this to be my Last Will and Testament and hereby revoke all other Wills and Codicils, ~~~~', ~ if any, that I have made. FIRST: It is my wish, and I direct, that after my death my body be cremated and that a suitable burial of my ashes be made at the convenience of my Executrix. SECOND: I give and bequeath to the individuals whose names are set forth in the Schedule attached to this, my Last Will and Testament, the res ective le acies described on the p g ~ said Schedule. I have signed this Schedule in the margin for purposes of identification. Should any of these individuals fail to survive me by thirty (30) days or should said erson for .~ p ~`~~~ any reason be unable, or otherwise refuse, to accept the gift, then that gift shall become a part J of my residuary estate. THIRD: I give, devise, and bequeath my real property and the furniture contained therein at 34 Linda Drive to my daughter, SANDRA LEANNA H. BOWMAN, and my son- in-law, C. GRAINGER BOWMAN, both of Mechanicsburg, Pennsylvania, so long as at least one of them shall survive me by thirty (30) days. Should my daughter, Sandra, and her husband fail to survive me by thirty (30) days, but be represented by children then living, these children shall take this real estate and furniture, per stirpes. Any unequal distribution of my worldly possessions should not be construed as a difference in my love and affection. To the contrary, I love and cherish both of my daughters equally. FOURTH: I give, devise, and bequeath all the rest, residue, and remainder of my Estate, of whatever nature and wherever situate, to my daughter, LINDA LEE MYERS, of Mechanicsburg, Pennsylvania, so long as she shall survive me by thirty (30) days. Should my t. ~ daughter fail to survive me b thirt 30 da s but be re r Y Y ( ) y , p esented by children then hvmg, -,,~ these children shall take, per stirpes, the share to which my daughter would have been entitled ~` if then living. FIFTH: All interests of any beneficiary in the income or principal of this Estate, while undistributed and in the possession of my Executrix, even though vested and ~,, ,. ~J distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to `~~ ,~ pledge, assignment, conveyance, or anticipation. SIXTH: All inheritance, estate, and succession taxes (including interest and any penalties thereon) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate, without apportionment or right of reimbursement from any person. In the event that a substantial portion, as determined in the sole and absolute judgment and discretion of my Executrix, of the non-probate assets such as an annuity or mutual funds are directed to be paid to a beneficiary or beneficiaries, so that the taxes referred to herein would be; paid out of the probate residue passing to the beneficiary or beneficiaries of this will (whether or not the same as the beneficiary or beneficiaries under the non-probate assets), my Executrix, in the Executrix's sole and absolute judgment and discretion, shall have the right to allocate the full or partial payment of the taxes to the beneficiary or beneficiaries of ~~ ,,~~ ~`,!` ~~\; r\ ~~.~ S the non-probate assets. SEVENTH: In addition to all rights and powers conferred by law, I authorize and empower my Executrix and her successors, in her absolute discretion and without necessity of obtaining court approval: A. To buy investments at a premium or discount. B. To hold property unregistered or in the name of a nominee. C. To give proxies, both ministerial and discretionary. D. To compromise claims. E. To join any merger, consolidation, reorganization, voting trust plan, or any other concerted action of security holders and to delegate discretionary duties with respect thereto. F. To lend to, and buy from, my estate. G. To borrow and to pledge real and personal property as security therefor. H. To sell at public or private sale for cash or credit or partly for each, to exchange, or to lease for any period of time, any real or personal property, and to give options for sales, exchanges, or leases. I. To exercise any option permitted by law which she believes to be advantageous from the viewpoint of overall tax reductions, including, without limitation of the foregoing, power and authority to claim administration or other expenses either as income tax deductions or inheritance or estate tax deductions, without regard to whether they were paid from principal or income and without requiring adjustments between principal and income for any resulting effect on income or estate taxes, and a deduction of such expenses for income tax purposes shall be given effect in computing the respective shares of all persons interested in my estate set forth herein, even though the effect is to increase the share of one beneficiary or class of beneficiaries hereunder at the expense of another; and to make such adjustments, if any, between beneficiaries with respect thereto as she shall deem appropriate in view of the nature of the transaction and the amounts involved. J. To distribute in cash or in kind or partly in each. ~, K. To employ agents, legal counsel, brokers, and assistants, and to pay their °` ~` ~! fees and expenses as she may deem necessar or advisable to carr out the r ' `~ Y y p ovisions of this Will or any Trust. The powers granted hereunder shall be exercisable with respect to all real and personal ~l ,1 property, including, but not limited to, income and principal held for minors or disabled beneficiaries at any time, until the actual distribution of all property. All powers, authorities ~~ and discretion granted here shall be in addition to those granted by law and shall be exercisable v ~ without leave of court. However, nothing herein shall be interpreted or construed to encourage, authorize, empower, or permit the Executrix to act or cause anyone to act in a manner contrary to or inconsistent with accepted standards of portfolio diversification and risk management. EIGHTH: I nominate, constitute, and appoint my daughter, SANDRA LEANNA H. BOWMAN, of Mechanicsburg, Pennsylvania, as Executrix of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability of my daughter to act for whatever reason in this capacity, then I nominate, constitute, and appoint my son-in- law, C. GRAINGER BOWMAN, of Mechanicsburg, Pennsylvania, as Executor of this, my Last Will and Testament. I direct that no representative named above shall be required to post security for the faithful performance of his/her duties in any jurisdiction insofar as I am able by law to relieve him/her of such obligation. Any of my representatives shall be entitled to reasonable compensation fo:r the performance of the duties set forth here. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~ ~ da of Y THOMAS O. HENDRY SIGNED, PUBLISHED, and DECLARED by the Testator, THOMAS O. HENDRY, December, 2009, on this, the fifth of five typewritten pages. I have also signed the left-hand margin of the first four of these pages and the attached Schedule for purposes of identification only . as his Last Will and Testament, in the presence of us, who at his request, in his presence, and in the presence oil each other, have hereunto subscribed our names as witnesses. f _/~ ~ ~ ~ i ~ c-l.=-t ~ ..~ `~,, ~ ~.. ~1 Msb aii,~, /,.,,.~ ~-. y-ti~uu..l, psi ~ ,~ s ~os-~` _~, ~ h ~~®~~~ ®s J~~~~~~ ~, ~ a. My Hammond Organ to my daughter, SANDRA LEANNA H. BOWMAN, of Mechanicsburg, Pennsylvania. b. My tools to the husband of my granddaughter, PETER GOODRICH, of Colmar, ~+ Pennsylvania. ' c. Any shares of Metropolitan Life Stock which I own at the time of my death to my ,,, `~ daughter, SANDRA LEANNA H. BOWMAN, or should she fail to survive me by ~ \~ thirty (30) days, to my son-in-law, C. GRAINGER BOWMAN, of Mechanicsburg, Pennsylvania. AFFIDAVIT Commonwealth of Pennsylvania County of Cumberland We, Debra K. Wallet and _ ~eb~~~ ~" f~~ l~~ ,the witnesses whose names are signed to the attached instrument, being duly qualified according to law, depose and say that we were present and saw the Testator, THOMAS O. HENDRY, sign and execute the instrument as his Last Will and Testament; that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that, to the best of our knowledge, the Testator was at that time 18 years of age or older, of sound mind, and under no constraint or undue influence. ~y-~, ~ trJ~lA.,t Sworn or affirmed to and subscribed to before me by _~~,n^ ~ _ l; ~~rti J (Q ~ and _ t~~b~~-~. 1- ~~C I (~ ~ witnesses, this ~ ~t ~~` day of ~~~~ m b~~- , 2009. ~~~ ~~ ~ n Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Mary M. Loper, Notary Public Camp HMI Boro, Cumberland County My Commissiw- E~q~ires Oct 27, 2011 Member, Pennsylvania Association of Notaries ACKNOWLEDGMENT Commonwealth of Pennsylvania County of Cumberland I, THOMAS O. HENDRY, Testator, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ;~~ ~-~.~~ ~ Vic; _~,~ ~~~ THOMAS O. HENDRY Sworn or affirmed to and subscribed before me by THOMAS O. HENDRY, the Testator, this o'i~l~ day of ~~m~s-- , 2009. r^ ~~- ~~ otary Publ COMMONWEALTH OF PENNSYLVANIA Noharial Seal Mary M. Loper. Nohary Public Camp HiN Born, Curnbefiand Courriy My Ca'nmission E~ires Od 27.2011 Member, Pennsylvania Association of Notaries 1. I am ratifying my existing will prepared by attorney Debra Wallet and signed by me on December 29, 2009, and witnessed by Robert Wallet and notarized. 2. Any writing signed by me on September St", 2010 regarding the disposition of my ashes and regarding any other aspect of any estate administration and property bequests is revoked. 3. any other writing signed by me except my December 29, 20G9 will regarding my estate administration and property bequests is also re~~oked. c Date _~ rf , ~~' ___- Witness Witness ~ ~r~~~e,,d,e/ ,,~--.t~~rz.~ ~.v i17~ l~riu-G~--~~N ~$'urri d ,~t/,.z ~ ~l~~w /~cr~,/u//~/,Flil~lLEG ,r~li~; ~~~Q~tf~ ~-~ _ O ; ~ ~ -~ , ~,~ '~T ~ - (R'1 ~~ p ~ ") ~J ~~ 'tJ _ _ ~'. l.~s ~ r`.., ~ l . CommonVVea th of Pennsylvania County of ~~ . -~ . • the I ~ ~~ . of ~ ' ~- 3~~- ~ 20 l c=~ before • Qn this, , -, ~ ~•~ the undersigned officer, me ~ ~-~ ~ ~ ~ ~,_. personally ap eared ~' - ' wn to me or satisfac• torily proven) to be the person _ whose Kno C _.__ name _ ~ subscribed ~Co the within Instrument, and acknowledged that ~ executed the same for the purposes therein contained. - . • In witness whereof, I hereunto set my hand And official seals. - . No Pu is •, COMMONWEALTHyNSYLVANIA • Notarial Seal Mary J. Goutfer, Not~'ti Public Carroll Twp., (=~~sg (-.- •~,,nty My CommlfflG-'i Expires Ncv. 1 i, 2011 - • ~ -- pennsytvanla association of Notaries ,~c r `' .'. i' ~ ril l "" V t f ~ ~ ~ ~ C. O NTH OF SUBSCRIBING ~VITNESS(ES j CLERK, Cr QRPNAfv'S :;Qi.)Fr Estate of J ~-ow-1bS n Ht~~~ ,Deceased Qi 1L~ No'~'s~ Q.~D To~ IJA~G.A~tATO , (each) a subscribing witness to (Print Name/s) the O 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 her /his presence and in the presence of each other. (Signature) (Signa - SmN A~t~% I?~. (.yY3 ~At~ia~t ~,-~f , Skr2 soy (Street Address) (Street Address) `Mc ciw~n ~sb ~+g ~~ 1~yso (City, State, ZipJ Executed in Register's Office Sworn to or affirmed and subscribed before me this of REGISTER OF WILLS C'~,.~*~ Ia~lit.. COUNTY, PENNSYLVANL~ day ,., , De~pu:_~ for Re~r:~ter of ~ti ~._s (City, State, Zip) Executed out of Register's Offece Sworn to or affirmed and subscribed before me this C?~~'~' day of /`~~ ~ ,~ac~ - ~- '.~c v Fu~'i, ~~ '~'•,~ Co~~~;T:i~si~~r. E~spires: ~j u ~~ ~£ti . ~ a t i_Signa:.ire and :,ea`. e..`N^:ar: e- other o`'ria cia:afiec [o adminster oaths. Sh~~,r gate o: exruauo;; of \otar}''s Ccmmissioc.j NOTE: To be taken b}' Gf6cer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notar.zarion- ~ o 3 ~ v _ ~~d~ ~ ~ zi i~~~ ~~~ ~~ ~ ~~ Forst RW-03 rev. 10.13-06