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HomeMy WebLinkAbout05-16-12PETITION FOR GRa~ OF LETTERS REGISTER OF 1~VILLS OF C~ (/ ~~ C{;/j COiINT~'. PEV~iS~"L~I~\I~ "i ~f 1 `„ C C.~ Cf (~5 ~ tC: ~: 1~ e=_,. ;; CI r;c;,0•.c, 1G~1 111 ..:ppCl.?i,.,..,t P..:'i~~i ..~ .. Opt: ~1.a1::"ZSp.,.;:~ _ ~ _.. . Decedr?n_t's Information Name: _ Cht:(!/~5 Z7/` a.'k'a: a,'k;'a: a/k'a: Date of Death: L1 Zv( Z Decedent was domicil~,d at death in (,, ym County, File :~o: - ~ ~ - ~r .~ _ j(__(~ ~'~ (Assigned by Register) Social Security No: Z- U~~ ~ ~ wU Age at death:~_ (sutte) with his/her last pnnctpal residence at ~0.~'1 Z J L ZZ /lilt; S5 ~~ L t. c/~~ ,/~c~= _~„; c5 .•-- ~/~ ~t,~ Lj,,ia--~(~fY ~ Street address, Post Office and Zip Code City, Township or Borough /' County Decedent died at ~t.~c.~~ z.5 Z2-~//lt:-~stuG, L,!~,: ICJ ~ fSLhu:~t, CS~'~''rJ (~v.M ht:'-~Gi~t, ~t ~~/~ Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: domiciled in Pennsylvania ............................ All personal property $ tr /] l~, UO(~ , t.1 G> I/'not domiciled in Pennsylvania ........................ Personal property in Pentsylvania $~ v ~~ ~_ "C , U p If not domiciled in Pennsylvania ........................ Personal property in County $ f~alue of real estate in Pennsylvania ......................................................... $ -- TOTAL ESTIMATED VALtiE.... $ 1 v ~:, c~ ~tJ: Jy Real estate in Pennsylvania situated at: (Attnch additional sheets, i/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 d/Z 7/~'~t/~' and Codicil(s) thereto dated State relevant circumstances (e.g. rentutciatian, death of executor, etc.) Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(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. ~NO EXCEPT[ONS ^ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) c.t.u., d. b. n., d.b.n.c.t.a., pendente lite, durante absentia, durmtte minoritctte If Administration, c.t.a. 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 a pending divorce proceeding wherein the grounds for divorce had been established as defined iii 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^NO EXCEPTIONS ^ EXCEPTIONS Form RW-t72 r-ev. 10/t 1iZ011 Page 1 of 2 Petitioner(s), after a propersearchhas/have ascertained that Decedent left no Vb ill .:nd was survived bythe following spouse (ifany) and heirs (attach additional sheets, i/necessary): Oath of Personal Representative CO~I~IO~WE-aLTH OF PE~VSYLVANIA } ss ~~~~r. ~, ; ~~ of __L~L/ml ~E~~~~ OfE.ci~i)~'S~:Only r.: I ::I I~~~Y ~ 6 F'4~i i~ ~ i, I t rn- r ' i ._ ~ ~'~ss t i'ii b ~ -!ill" \ ~ ! ~ I n - r `~ ~ J The Peti:ioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are tnie and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of die Decedent, the Petitioner(s) v Il well and truly administer the estate according to law. worn to cir affirmed ana, subscribed before ~'J / - ~ Date ~.`~ ,I ~,~ ZU l Z me t~ay cf lC kC' ,,~,(~~~ ~ - BY~ 4':. ~~~~,~. l l 1~ y~ Late ~ L):~te For the Re~iste.- L)a[e. BONDRequired:~YES ~NO FEES: Letters ....... . ( ~ ) Sltort Certificate(s)..... . ( )Renunciation(s)........ . ( ' )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ~~ , $- 14 )• -kl '` ~~'~ ....... ~~ ~- ~~~, Automation Fee ............... -~' ~. JCS Fee . .................... .l ° ~, TOTAL ..................... $. `-i ` ~C' To the Register of Wi(!s: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of ~ u `~.~ l'~ t ~~_~~-~ ~ I File No: ~~ ti I ) •- (_~ ~>~C / a/k/a: AND NOW, +„vim \~' i I , in consideration of the: foregoing Petition, satisfactory proof having en presented before me, IT IS DECREED that Letters ,-r . ~ ~~" t i`v,(~~~~~tlif are hereby granted to y~ ~> -}'f y~ ~ ~ i i ~ ~~, .~~_ ~ in the above estate and (if applicable) that the instrument(s) dated ~ (, ~ l ~ 5 ~ ~' ` described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.. r , Register of Wills --_ __- ~ ~ : ~ I ~ , ~ ~J' ,. Form R6~-Oi rev. I(lill.%?o// k t' 14_L(,1 ~., .i ~ i ~,.a i .r l~~ge~ 2 cif 2 11 „I< Vic r1 ~;,. ~.... - _ __. -_ __ r LOC;~Q::iG~E~t~~'~AR'S C~RTI~'~C;ATIC.~CV OF ~~~°~'~I WAR~If~tx; l,lt'is llegai'~o dupNicate this Gaily kay phatosat or ph~tog~a~a~ ~t iV P~112~ 5 Fee fbr this rertif~irute, ~fi.(1O .i~t't~ ~H l ~ ~ -,. 1 ( 1 I1~~~''~~'M Ct ~~~~'Y _ ,i ~ tj: ,~ o , t; ~~ ~u°~,~I=F~+~~~ co . ~A ~, v ~, * t,. -. e I i (i;~~~ (t)Oi, )tu( ~~~)~(r iti ~ r. ~ Dual i ~rtstiU u~ If l~t,ith .~ )1. t ,~, i.., ~ ,;1 1Z~ ~i~,trar ~1~~ ;rn~ final til ~~,, 1' 11~4(f t( i~~,; Ltitatc l'(~~(1 i-: I) i.- ' li r 1, .,' +il(nt, d P 1838c~~2 Ki ~ ~ ~~~'~~ ~PR~ ~ ~`~ -yl~°~ ~ 202 ~2 I~r~ --- - - _ _ ._. ..---- CertificadOn tian~hcr ~<.,,- ._ ...._ j~,e i?JCc ~,Clte(° Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS Permanent rP"C OT, r,~ w ~~ 1. Decedent's Legal Name (First, Middle, Last, Suffix) v• ... ~ r s s State File Nvnaber: 2. Sex 3. Social Security Number 4. pate of Death (MO/Day/Yr) (Spell Mo) Charles Zyki Male 201 - 16 - 7000 ~ ~ Sa. Age-Last Birthday (Yrs) Sb Under 1 Year S . c. Untler 1 Da 6. Date of elrth (MO/Day/Near) (Spell Month) 7a. Birthplace (City and Sta<~e o rei n C t g oun ry) Months Days Hours Minutes llnkn OW11~ 93 February 14 1 919 , 7b. Birthplace (cpgnty) unknown 8a. Residence (State or Foreign Country) 86. Residence (Street and Number-Include A t No ) H Did p . c. Decedent Live in a Township? Penns lvania 150 Kem ~1 ves, deeeaent n..ed In Swatara Bd. Residence (County) pton Avenue twp. Dail hin Se. Residence (Zip Code) 1 7 1 1 1 Q No, decedent Ilved within limits of city/boro. 9. Ever In US Armed ForcesZ 10. Marital Status at Time of Death ~ Married ~ Widowed 11 Survivin S ouse's N If . g p ame ( wife, given a prior to first mar iage) [] Yes [] No Unknown [] Divorced ~ Never Married ~ Unknown `Im r 12. Father's Name (First, Middle, Last, Suffix) ' 13. Mother s Name Prior to First Marriage (First, Middle, last) (unknown) (unknow ) n 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) Jeffrey N Yoffe G . Attorney 2 Lem~yne Drive, u i t e 1 00 , moyxle a .......-...--' .. IS ,,, s a_ v-a~e_o--Deac--- c ¢~ pn one ..................................--.... -........................................,........ If Death Occurred in a Hos Pitat: ~ In lent - """""" "'---~ ~-~-------- --~ - -------- ......... ... ... - - .~.. ... Pat If Dea<h Oc d ... .........e^ . curre Somewhere Other Than a Hospital: ~] Hospice Facility ~ Emergent Room Out Deced t s Home y / patient 0 Dead on Arrival e4 Nursing Home/Long-Term Care Facility Other (Specify) _ 15 b. Facility Name If not institution, lye street and tuber; • 15c. City or Town, State, and Zip Code 15 Count f D h M ~ ~ fi ~ y o eat S ~ i-1 V~ t..-!9 G t~ acs ~v 2G- 'P ~ 1'1 05 C~ J m r - 16a. Method of Disposition ~ Burial ~ Cremation 166. Date of Disposition 16c. Place of Dlsposit on (Name of cemet € ery, crematory, or other place) ~ Removal from State 0 Donation Other (Specify) April 24, 2012 Evans Crematory ~ 16d. Location of Disposition (City or Town, State, and 21p) SZa. ture ral Service Licensee or Person in Charge of Inte SZb a rment . License Number SchaePferstown, PA 17088 E FD 01'1_ 848 L 1ZC N d 8 . ame an Complete Address of Funeral Facility ---_ Parthemore FH & CS, lnc_ P.O. Box 431, New Cumberland PA 17070 18 ' m , . Decedent s Education -Check [he box that best describes the 19. Decedent of Hispanic Origin -Check the 20 Decedent's R Ch h ~ . ace - eck ONE OR MORE races <o Indicate what ighest tlegree or level of school completed at the time of death. box that best describes whether the decede t h n t e decedent considered himself or herself to be. ~ 8th grade or less is Spanish His / panic/Latino. Check the "NO" White ~ Korean Q No ^Iploma, 9th - 12th grade box If decedent is not Spanls h/Hispanic/Latino. ~ Black or African American 0 Vietnamese ~ High school graduate or GED completed ~' ryo not S l h , pan s /Hispanic/Latino ~ American Indian or Alaska Native ~ Other gsian 0 Some college credit, but no degree ~ Yes Mexican Mexi A , , can merican, Chicano ~ Asian intlian ~ Native Hawaiian Associate degree (e. g. AA, AS) Q Yes Puerto Rican , ~ Bachelor's degree (e.g. BA, AB, BS) ~ Yes Cuban Q Chinese 0 Guamanian or Chamorro , Q Samoan ~ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Ves, other 5 Q Filip lno panish/Hispanic/Latin o Q lapa nese Q Other Pacific Islander 0 Doctorate (e.g. PhD, Ed D) or Professional tlegree (Specify) ~ Other (Specify) . MD ODS DVM LLB JD __- 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be 22 D ' . a. ecedent s Usual Occupation - Indica a type of work Q White 0 Japanese 0 Samoan t done duri ~ Black or African American ~ Korean ~ Other Pacific Islander ng most of working life. DO NOT USE RETIRED. Q American Indian or Alaska Native 0 Vietnamese Q Oon't Know/Not Sure (urIkR OWZl) tllan ~ Other Asian ~ gefused ~ Chinese 22b. Kind of Business:/Industry Q Native Hawaiian ~ Other (Specify) p Fmpi^° p Ggamanianorcnamprro eel Manufacturing ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO/Day/Yr) 23b. Signature pf Person Pronouncing Death (Onl applicable? 23 r_. License Number BY PERSON WHO PRONOUNCES OR ~ ~ ~ ~ f ( n CERTIFIES DEATH ( / ` i~ ~ ~ ~~~ ~~~ 23d. Date SI ed (MO/Day/ ) 24. of Death ~ ~ y~/~ /t i 25. Was Medical Examine or Cor n[actedZ ye ly o CAUSE OF DEATH - _ 26. Part I. Enter the chain of events--diseases, injuries, or tom plicatlons--[hat dire tl Approximate c y caused the death DO NOT . enter terminal events such as cardiac arrest Interval: respiratory arrest, or ventricular fl br{I lat i o n w ith out showing t he etiology- DO NOT AeBRE VIATE Ent l . er on y one cause on a line. Add additional Tines if necessary Onset to peach ~ y y J / o ~ - l ' IMMEDIATE CAUSE - ------------> a- / ~ ~ ~lL~ (~ G ~ ~ ~ ~ i1 (Final di 'Y/ /~:VX sease or condition __- _ Due to (or as a co nseq ue nc resulting in tleath) ~ / ' / ,tom S b. /J~/ `Q/t~~ aC~ ~ ( -( ~/~~ ~ Sequentially list conditions, D J S L < i -- --- ue ,. _ o (o as a COrtsequ of): if any, leading to the cause ~~~~i- ~ , ence J q,tetl pn line a E t h - r A . n er t e S ~ C~~ ~ /~~_~y y UNDERLYING CAUSE ~ 5 Due to (or as a consequence of): -- -- ~ - - (disease or injury that ' F Inltiatetl the a nts resulting d, - e In death) I.AST. Due to (o as a consequence °f): ------ ---- S 26. Part II. Enter other significant cgnd'ti t Ib tl t d [h but not resulting in the underlying cause given in Part I ~ 2Z. Was an autopsy performed? [] Yes No m 23. Were av<opsy findings available a to co plete <he ca of death? u o 29. If Female: 30. Did Tobacco Use Contribute to DeathZ 0 Yes Q No ~ Not pregnant within past year 31. M r of Death Ves ~ Probabl ~ m y ~ Pregnant at time of death O tural [~ Homicide ~ No[ pregnant, but pregnant within 42 days of tleatF No Unknown ~ Accident [] Pending Investigation '- ~ Not pregnant, but pr¢gna nt 43 da ~ Suicide [~ Could not be determined ys t° 1 year before death 32. pate of Injury (MO/pay/V r) (S ell Mo th p n ) Q Unknown If pregnant within the past year 33. Time of Injury 34. Place of Injury le.g_ home; construction si e; farm; school) 35. Location of Injury (Street and Numb Cit er, y, State, Zip Code) 36. Injury at Work 37. If Tra nsportatlon Injury, Specify: 36. pescribe How Injury Occurred: _--~ Q Yes ~ Driver/Operator ~ pedestrian No Q Passenger ~ Other (Specify) 39a. Certifier (Check only one): rtifying physician - To the best of my knowledge, death occurred due to the cause(s) antl manner t t d s a e O ounE P o ci ng physician - T the best of my knowledge, death occur ed at the time, tlate, d place and tlue to the , c e(s) and manner fed xa r o - n the b sis of exa Hatt and/or investigation, in my ppin ion, ath occurred at the time date and place and d ¢u , , , ue to the cause(s) and toted a Title of ce rtifler: Ucense Nu mt~/1/}/ (~/~.f"~ .~~ ~~ ~ i~ V T Z - V ` -+ 3 r) /p ay /y 9b. Name, Addr and 21~ pletinH (~]'~~ ~ /~ / ~((~~r~/2~> ,, 39c. pate S i grie ` th ( d ~ O'•.r/ nl7 ~s ~( e+rG~ - iV ~fV` ~~/(~ `--v16 /r / 4 0. Registra s District Number 41. Reglstra is Si re ~/ _~ ~/ 42.R egis tr a r Da /File te (MOT Day/Yr) 4 / _ ry ~ ~ f 3.Amendments 7 r-/' /~y~/1 ITEM # ~'3, S~ ~,~ ~i-~1c= ~1'~3 r llo - ~ SD -L'~ ' f Z - oir ~ ~ s r / , . ~ZC~S,n. J /~ SHOULD READ ~ N 2~. irlt.s_~,,~y~ it C t.f- _ /6 _/.j L .-~ O __ - l%'C Disposition Permit No. ~~ '-f t J'-Y ~2 p H305-143 - REV 07/2011 LAST WILL AND TESTAMENT OF CHARLES ZYKI I, CHARLES ZYKI, formerly known as Charles Zyk, presently of Swatara Township, Dauphin County, Pennsylvania, 17110, being of sound mind, memory and understanding, do make and publish this, my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. ', ITEM I: I direct that all myjust debts, funeral expenses and inheritance taxes which rriay become due as a result of my death, be fully paid and satisfied as soon as conveniently may be after my decease. ~' ITEM II: I give, devise and bequeath unto my friend, NORMAN M. YOFFE, twenty (20%) percent of the rest, residue and remainder of my estate of every nature and wherever situate, provided that he survives me by thirty (30) days after the date of my death. In the event my friend, NORMAN M. YOFFE, predeceases "; me or dies on or before the thirtieth (30`h) day following the date of my death, I give, devise and bequeath his ~i share, equally, to my other residual beneficiaries or the survivors of them as hereinafter provided. it ITEM III: I give, devise and bequeath all of the rest, residue and remainder of my estate of every I! nature and wherever situate, to the following individuals, or the survivor of them, in equal shares: A. To my brother, LEONARD C. ZYKI of 13 Cross Hollow, Greenville, SC 29607; B. To my niece, PRISCILLA (ZYKI) HALL, 9062 Bayshore Drive, MI 40837; C. To my nephew, JOSEPH ZYKI, Roanoke, VA; C~v> ::; l._L1 .__. C'„ o. ~.~~ ~,,;' -- ; .> ,__ a- --~, _~_- :,..;~- --. v D. My nephew, LEONARD ZYKI, JR., 15041 County Line Road, Odessa, FL 33556; E. My niece, DIANE C. ZYKI, Hyannis, MA. ITEM IV: In addition to the powers conferred by law, I authorize my Executor in his absolute ~. CZ n discretion: A. To retain in the form received, and to sell either at public or privz~te sale any real ', or personal property. ', B. To manage real estate. C. To invest and reinvest only in forms of property defined as legal investments according to the laws of the Commonwealth of Pennsylvania. D. To exercise any optional rights arising from ownership of investments. E. To compromise claims without court approval, and without consent of any beneficiary. ITEM V: No interest of any beneficiary under this Will or any Codicil hereto shall be subject to anticipation or voluntary or involuntary alienation, and the personal receipt of such beneficiary shall be the sufficient and only discharge my Executor unless otherwise provided herein. ITEM VI: I hereby nominate, NORMAN M. YOFFE, to be and act as Executor of this, my Last Will and j Testament. In the event NORMAN M. YOFFE, predeceases me or otherwise fails to qualify as Executor, I I appoint, JEFFREY N. YOFFE, ESQUIRE, to be and act as Executor of this my last Will and Testament. No bond u ~I shall be required by my Executor in Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this c~ ~ _ day of ~- ' J ~~ , 1999. ~~. CHARLES ZYKI, formerly known as Charles Zyk G~ 2 CZ i '. '~~ The preceding instrument consisting of this and two (2) other typewritten pages, was on the date thereof signed, published and declared by CHARLES ZYKI, formerly known as Charles Zyk, Testator therein named, as j and for his Last Will, in the presence of us, who at his request, in his presence and in the presence of each I other, have subscribed our names and witnesses hereto. i r ~ ~ '', ~' 4058/99-596 3 q . ~' 7' r t i ~ -~ S~ l_1~ CZ OATH OF NON-SUB SCRIBING WITNESS(ES) Cumberland REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of Charles Zyki ,Deceased Jeffrey N. Yoffe and being duly qualified according to law, depose(s) and say(s) that he w,~s well- acquainted with Charles Zyki and am. familiar with the handwriting and signature of the decedent, and that the signature of Charles Zyki to the foregoing instrument purporting to be the Last Will and Testament, of Charles Zyki is in his, own proper handwriting. r ~. (Signatur Jeffrey N. Yoffie 2 Lemoyne Drive, Suite 100 (Street Address) Lemoyne, PA 17043 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this fir) day y ~~ 1~ l l t .l 1 ,~L~L ' t `~ `~ Deputy for Register of Wills n r:; ~ c ~ ~~ ~~ ~~~ ~ ~ ~~ f"i ~ -< -.~ `. D `` , CT1 - ~ .. ~~ ,.~, _ , _J ~, ~_ Y cJ ~ ``n C7" (Srgnature) (Street Address) (Crry, State, Zrp) Form RW-04 rev. /0.!3.06 OATH OF SUBSCRIBING WITNESS(ES) ~?~~~ .~... ~~ i-f i ~ _ i REGISTER OF WILLS ~ ~.: - Cumberland COUNTY, PENNSYLVANIA LJ ~ ~ ~~ _ ~ l Estate of Charles Zyki Catherine Lattuea ~~ ~: ~ ~ . ...c -.. --1r. ....... -C..._ ._ f ~'; ., ~ `-~ O c: --f~ Deceased a subscribing witness to (Print Name/s) the ~ Will ~ Codicil(s) presented herewith, being duly qualified according to law, depose(s) and say(s) that she was present and saw the above Testator sign the same and that he signed the same and that she signed as a witness at the request of the Testator in his presence and in the presence of each other. ~~)) ,, (Signatro~e~ Catherine Lattuca 352 Eddington Avenue (Street Address) Harrisburg, PA 17111 (City, Stnle, Zip) Executed in Register's Offrce Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills (Signanrre) (Street Address) (Ci(v, Stare, ZipJ Executed out of Register's Office Sworn to or affirmed and subscribed I ~ t/ before me this l "1 day D4otary Public My Commission Expires: (Signature and Seal of Notary or other ofTic~al qualified to administer oaths. Show date ofexpirauon of Notary s Commission.) NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Fornr R4i'-Oj rev. 10.I3.oG COMMONWEA~TM ©F PENNSYLVANIA Notarial Seal Jeffrey N. Yoffe, Notary PubNc East Pennsboro Twp., Cumberland County MY Commbfaion F.uphes Oct. 2~, 2012 Member, Pennsylvania Associatlon of Notaries , 1 ~s_ c~ v t~~ - ~_T s _. _) ` ~_, , ~_ L~ I, Charles Zyki, hereby make this Codicil to my Last Will. and Testament dated October 27, 1999. 1. "Item III" as presently appearing shall be re-designated to read "Item III(1)" 2. The devise in III (1) (A) to Lenoard C. Zyki is hereby deleted as he has predeceased me on November 11, 1999. 3. A paragraph Item III(2)(a) and (b) are to be added to my aforesaid Will, to read as follows: "(a) Anything hereinabove to the contrary notwiths tanding, if any of the individuals named in Item III(1)(A through E as above) are deceased at the time of my death, or cannot be located, then I dir ect that my cousin Nancy Marino, of 10 Middle Road, ".e:aark - - Dela~.lare; 19?11-5141 ; hP suhstituted as a devisee for that deceased person or one who cannot be located (or for one o :E them if there is more than one such deceased or un-locatable person). (b) Any aforesaid devisee, or substituted devisee. (in the case of Nancy Marino) shall be deeme d to be un-locatable if my personal representative cannot located him or her (as the case may be), 1) after making reasonable efforts to do so for a period of one year aft er my death and personal representative's appointment, whichever is the latest to occur, and 2) until final Court approval of an Order of Distribution pertaining to my estate, whicheve~:r is the later to occur [as between (b)(1) and (b) (2)]. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~ day of ~, X84-. ~~~. ~~~ ~' ~~ ~ - a. TESTATOR C.' ~ ,- '~'= (SEAL) . ~t - __._ ~`"Lr CHARLES ZYKI ~ _ ~ (t Ki: ~l_ ~; - C~i L7 U WIT S ED: ~ ~~ ADDRESS b ~C t1y ~. -y`r,~~ ,., , l~~// ~1~--~~ / / ' ADDRESS ~1 ~6~ s~- S~l~ l ~J~r COMMONWEALTH OF PENNSYLVANIA: §§ COUNTY OF Charles Zyki, the Testator, along with the above named witnesses, whose names are signed to the foregoing instrument., being first duly sworn, each hereby declares to the undersigned authority that the Testator signed and executed the above Codicil in they presence of the witnesses and that he had signed willingly, and that hey executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of. the Testator, signed the above Codicil and that to the best of their knowledge the Testator was at the time eighteen years of age Or older, of sound mind and under no constraint or undue influence. Subscribed, sworn to and acknowledged before me by Charles Zyki the Tagta.rr~r; and subscribed and sworn to before me by the above witnesses, this ~g~"` day of ~, Su n e , 2~--r :~ ~'.~ NOTARY PUB IC My Commission Expires: 'Mira ,~>~~c~v NOTARUIL SEAL LYDU1 R DAMS Notary Public SWATARA 1MIP QAUPHIN COUNTY MY Commisaion Exphes Jon 27. 2010 zyki\codicil i