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HomeMy WebLinkAbout05-18-12Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: Marjorie W. Mowery a/k/a: Marjorie Williams Mowery a/k/a: a/kla: Date of Death: May 8 2012 File No: ~ ._ -,~ 1 - 1,~-~ ` t- ~~ (Assigned by Register) Social Security No: Age at death: 87 Decedent was domiciled at death in Cumberland County, pPnnsylvania (State) with his/her last principal residence at 210 Big Spring Road Newville PA 17241 Borough of Newville Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 210 Bid St)r1nQ Road Newville PA 17241 Boroueh of Newville 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 Pentrsylvania ............................ All personal property $ 270,000.00 !f not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsy!vania ........................ Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ 0.00 TOTAL ESTIMATED VALUE.... $ 270,000.00 Real estate in Pennsylvania situated at: N/A (Aaach additional sheers, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated August 29, 2002 and Codicil(s) thereto dated N/A _ _ State relevant circumstances (e.g. renunciation, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 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 EXCEPTIONS ~ EXCEPTIONS ® B. Petition for Grant of Letters of Administration (If applicable) c. t. a., d. b. n., d.b.n.c.t.a., pendente rite, durante absentia, durante minoritate If Administration, c.t.a. ord.h.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 in 23 Pa. C.S. § 3323(8) 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 Relationshi Address '" r ~C, --"- - :J i t -~ - ) _,,,~ _ ~~„ r- •. ., } 7 r ~ `J .. ~ r - ~ _..a ~~ [`-~ t • ~./1 t~ 'T,' «'~ Fornr Rw-nz ,-w. roituznu Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF Cumberland ;;;::/'OftJcial tls,e On~v"~~:: ~~, ' ~;: ~i' ~ -~;.Y i 3 ~'r'~ ~;~ 2. Petitioner(s) Printed Name Petitioner(s) Printed Address ~~ Brent M. Mower 7414 Geor etown Court McLean VA 22102 C }'ttJ`t~,, a ; ~ ~'^ ,, Ann E. Mower .! 1 ~ . Y'._1 J~...r 2456 140th Avenue, Carlisle, IA 50047 The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of t}ie knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and s,F~bscribed before `~-~~~ ~. Date ~-' ,~l ~ 2~) 2 me this ~, day of j~. ~C l~.t. I ~ ~_~ ~ rt,,>~en ,~ Date -`~ ~ t ~ ~:2,c ~:L.. By: i~ 1 I, ~ ; ` ~ Tl l~ ~~~ ` ~ Date =T For the Register Date BOND Required: ®YES ~ NO FEES: Letters ...................... $ 310.00 ( 4) Short Certificate(s)...... 16.00 ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission .................. __ Other Will ........ 15.00 To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature i C L~ Printed Name: Elyse E. Rogers Supreme Court ID Number: 41274 Firm Name: Saidis, Sullivan & Rogers Address: 635 No h 1 h S r t, Suite 400 T.Pmnyn~, PA 17043 Automation Fee ............... 5.00 JCS Fee . .................... 23.50 TOTAL ..................... $ 369.50 Phone: 717-612-5801 Fax: 717-612-5805 Email: PrngQrc~ccr-attnrnPyccnm DECREE OF THE REGISTER Estate of Mariorie W. Mowery File No: ~~~ ~ _ ~ ~- L ~ )~'~ L~ a/k/a: Mariorie Williams Mowery AND NOW, '~._ `~-~l L,_ ~) I ~ \ , '~ I ~, in consideration of the foregoing Petition, satisfactory proof having bee presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Brent M. Mowery and Ann E. Mowery in the above estate and (if applicable) that the instrument(s) dated August 29 2002 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of :Decedent. tI t( !cI ,~i i ( ~ Register of Wi~ls ,+ ~t' ~ ~ ~ ~ (~ I,~_ ~ ~ . ~~.j% fir. ~i""~~ Form RW-02 rev. l0i I1/1011 Page Of 2 W A~2Np;',It~,is ill~e~l $~ dupi~cat~ tft~~ ca~~~~~ {~v,r t~9ar~toslr~ t ~.,r ~~~'I{~"i~{r~ `-j~~~ "~~ i`~;~ Y ~ 8 ~~i ~ ,, ~i „l,l l i ~; }-I i. . ( , Fee for this certiti~~ate. ~n.~)i: d :. ~ , v , ,l 'y' ~~ a ~ '~ ' ~ ~J x it r ~ ~( : , ~ °d ~ ~~ ,;'{{ l CUMBF~LAND CO.. PA „ _`,; , ,.~ ,Y~ - _ Certiticatirln ti{Im=,c.~ _ ~ f?_(i . ,(E,°.1 Type/Print In COMMONWEALTH OF PENNSYLVANIA ~ OEPARTM ENT OF HEALTH ~ VITAL RECORDS Permanent B CERTIFICATE OF DEATH State Flle Number: 9 a V lack Ink Sex 3. Social Security Number 4. Date of Death (MO/Oay/Yr) (Spell Mo) 2 1 . . Decedent's Legal Name (First, Midtlle, Last, Suffx) Marjorie Williams Mowery Female 478-20-3671 May 8, 2012 S e-Last Birthtlay (Yrs) Sb. Under 1 Vear Sc. V odor 1 Da 6. Date of Birth (MO/Day/Yaar) (Spell Month) Ja. Birthplace (City antl State or Foreign Country) A a g . Months Days Hours Minutes W 87 June 22, 1924 Jb. Birthplace (county) B a. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) 8c. Did Decedent Llye in a TownshiDT Penns lean is 210 Big Spring Road OYe:, decedent lived In __ T`^'p- a d. Residence (county) Newvil le decedent Ilyed within limits of city/boro. ®No 9 Cumberland . Ever in VS Armed ForcesT 10. Mar , Se. Resltlence (2Ip Code) 17241 ital Status at Time of Death Q Married Widowed 11. Surviving Spouse's Name (If wife, give name prior to Tlrst marriage) ~ Ves ® No ~ Unknown Q Di vorced ~ Never Married ~ Unknown 1 2. Father's Name (FIrsT, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Las<) Rev. Canon Frederic G. Williams Dorothy Ityitchell nt's Name 14b. Relationship to Decedent 4 I f 14c. Informant's Malting Address (Street and Number, City, :irate, Zip Code) s n orma 1 a. Brent Mowery Son 7414 Georgetown Court, McLean, VA 22102 o b " r """'-"""""""""""""""-"-""'"-"---~~~~~~~~-~~~~wt~~t. ~~~~~~ ~-~-~~~~~~~~~~--~~~~~~~~~-~~~~{ i T _ ace o eat _ ac on-y one .. .... .... ....... ... -.. ......... ... ....... ..... If Death Occurred Somewhere Other Than a Hospital: ~~ ~~~'~~HOSPice Facillry ~~~[~ Decedent's Home~~~~~~~ ¢_ I ° en f Death Occurred In a Hospital: u Inpat Q Emergency Room/OutpaSlent ~ Deatl on Arrival • ® Nursing Home/Long-Term Cara Facility Other (Specify) SSb. Faclll[y Nama (If not Inailtu[len, give street •ntl number; 15c. City or Town, State, and 21p Gotla 15tl. County of Death ~ Greenrid a Villa a Newville PA 17241 Cumberland L 16a. Method of Dlspositlon Q Burial ® Cremaflon i6b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) p Removal from state p Donation 2012 Cremation Society of Pennsylvania May 11 Other (Specify) and Zip) State ositlon (City or Town Location of Dls 16d , 1Ja. Signature of Funera a Licensee or Person In Charge of Interment SJb. License Number i , , p . FI)-013376-L ~ Harrisburg, PA 17109 $$$ ''' 1J<. Name and Complete Address Of Funeral Facility Auer Cremation Services of Pennsylvania Inc. 4100 Jonestown Road Harriabur PA 17109 °~ Decedent's Etluca[lOn -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Chick ONE OR MORE races to indicate what IB . ree or level of school completed at the time of death. box that best describes whether the decedent the tlecedent conslderetl himself Or herself to be. t de hi h g g es de or less Is Spanish/Hispanic/Latino. Check the "NO" ® White ~ Korean r 8th ~ g a de box if decedent Is not Spanish/Hispanic/Latino. Q Black or African American Q Vfetna mete h 12th gra - ~ No diploma, 9T raduate or GED completed ®No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native ~ Other Asian h l Hi h g Q g sc oo ree O Yes, Mexican, Mexican American, Chicano O Asian Indian Q Natlye Hawaiian but no de credlT ll S g , ome co ege Q Ian or Cha Morro AS) 0 Ves, Puerto Rican Q Chinese O AA ( d , egree e.g. Associate Samoan BS) ~ Ves, Cuban ~ Filipino ~ AB BA ' d ( h l , , or s egree e.g. ® Bac e Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Yes, other Spanish/Hispanic/Latino Q Japanese ~ Other Paclflc Islander Ooctorste (e.g. PhD, Edo) or Professional degree (Specify) ~ Other (Specify) _ . MD DOS DVM LLB JD ate what the decedent considered himself or herself <o be. 22a. Decedent's Usual O<:cupailon -Indicate type of work di NLY ONE i i ' o n c s Single Rate Self-DeslgnaHOn -Check O 21. Decedent an tlone during most of working Ilfe. DO NOT USE RETIRED. S amo ® White Q J•Panese Q ~ Black or African American ~ Korean Q Other Paclflc Islander Nurse ~ American Indian or Alaska Natlye ~ Vietnamese ~ Don't Know/Not Sure Kind of Business/Inclustry 22b . Q Asian Indian ~ Other Asian ~ Refused Q Chinese O Natlye Hawallan O Other (specify) Medicine ~ Filipino Q Guamanian or Chamorro ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dea Mo Day r) 23b. Signature of Person Pronouncing Deat (Only hen appllca blel 23c. License Number BY PERSON WNO PRONOUNCES OR C~ ~1 ~l Y~ sl t=^?Q'"J - ~- O<Y ~ ~~~/ J J `°1 O CERTIFIES DEATH 23d Da =51g ed (Mp1D ~r) 24. Tim f _ ~ZF/ 25. W s M al Examiner or Coroner Con[actedT ~ Yes Q--No CAUSE OF DE H Approximate 26. Part 1. Enter the cha'n of events--tliseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as ca rd lac arrest, Interval: Onset to Death cessa l li if ne ry nes. TE. Enter only one cause on a line. Atltl additiona B B R EVI A respiratory arrest, or ventricular Rbrlllailon without showing the etiology. DO NOT A ~ l ' , ~ ~` ~ ~ ~\ ~ ` J ~- { ' Cp4 ~ "`~"-"'^' IMMEDIATE CAVSE ----~---------> a. ~ U (Final disease or condition Due to (or as a consequence of): resulting in death) __-_ b. Sequentially Iasi conditions, Due to (or as a consequence of): if any, Ieatling To the cause listed on line a. Enter the ---- UNDERLYING UUSE Due to (or az a consequence Of): W (disease or injury [haT --- Ini[latetl the events resulting d. a in tleath) LAST. Du< Go (Or as a consequent of): j Part 11. Enter other If' t tl~ti onf ributina to death but not resulting in the underlying cause given In Part 1 2J. \Nas an autopsy performetlT 26 t S . Ves ~ o 28. \Nere autopsy finding vailable ~ [O c mplete the taus of death? a O ~ No O Ves 29. If Female: ast year nant within N t 30. Did Tobacco Use Contribute [o Oea[h7 Q Ves ~ Probably 31. Manner of Death Natural C~ Homtc{tle ~' p g o preg ~ Pregnant at time of death nant wlThln 42 tlays of death nant but re N re t ~ No Unknown ~ Accident ~~ Pentling Investigation ~ Suicide C~ Could not be tleterminetl 1- p g Q g , o p ~ Noi pregnant, but pregnant 43 tlays to 1 year before death 32. Date of Injury (MO/Day/V r) (Spell Month) ~ Unknown If pregnanT within the past year ~ ~ q' ~ / -Z 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location p1 Injury (Street antl Number, Clty, State, Zlp COtle) 36. Injury at Work 37, if TFansporta[lon Injury, Specify: 38. Describe Haw Injury Occurred: ~ Yes ~ Driver/Operator ~ Pedestrian { p No 0 Passenger ~ Other (Specify) 39a. Certifier (Check only one): ertifying Physician - To the besT of my knowledge, tleath occurred due to the cause(s) and manner stated ~ Pronouncing 8 Certifying p sician - To the best of my knowledge, death Oc<urretl at the time, date, antl place, antl due to the cause(s) and manner statetl Anne occurred ai the time, date, and place, and due to the cause(s) and m r stated h Q Medical Examiner/Coroner the basis of exa minatlon, and/or Investigation, in my opinion, deat p ~ Signature of certifier: Title of certifier: / j - ~ __ License Number: ~J C~ ~ ~ ~ L 39b. Name, Address and Zlp f Person Completing Cause of Death (Item 26) 39c. Date Signed (MO/Day/Yr) ~ ~ Dr. Guiatwite, O Bi S ring Villa a Newville PA 17241 ' ~L j Registrar's District Number 40 41. Registrar's Signature 42. Reglsl:ra~Flie Date (MO Day Yr) . - _ ~ 43. AmentlmenTs 5 Disposition Perm It No. -~C~ T~ b~~ 2 _ REV OJ/2011 J~~,~~ V' V'~Il~ll ~,III1Qll ~~~~~.~lY~CLIIIII~ OF p MARJORIE W. MOWERY ~' ,~ Y-- ~> > ~J r.. I, MARJORIE W. MOWERY, of Newville, Cumberland County] ''"; -~ -~ Pennsylvania, do make, publish and declare this to be my Last Will and Z`esE'ament, hereby revoking all Wills and Codicils by me heretofore made. ITEM I: I direct that all inheritance and. estate taxes becoming due by reason of my death, whether payable by my estate or by any recipient of any property, shall be paid by the Executor out of the residue of my estate, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this 'Will. ITEM II: I direct the Executor to pay the expenses of my last illness and funeral expenses from the residue of my estate as an expense and cost of administration of my estate. ITEM III: I may leave a written list in my safe deposit box or elsewhere disposing of certain items of my tangible personal property. The Executor shall dispose of items of my personal property as specified in the written list. If no written list is found in my safe deposit box or elsewhere and properly identified by the Executor within thirty (30) days after the probate of my Will, it shall be presumed that there is no list; any subsequently discovered list shall be ignored. ~... ~: :r,l _ i't ~.~. ~, f_ .: ~~~ ~, t -, -_ ,-~-, ~~J ~~ Page 1 ~61_l--C..k- ITEM IV: If I die before my husband, ROBERT L. MOWERY, I give to him all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment which are not set forth on the list referenced in ITEM III and all policies of insurance thereon. If I do not die before my husband, I make this gift to my children living at the time of my death, to be divided among them as they shall agree. If my children are unable to agree, the Executor shall divide this property among my children in as nearly equal portions as the Executor, in the discretion of the Executor, deems practical, having; due regard to the personal preferences of my children. ITEM V: I give the residue of my estate, not disposed of in the preceding portions of this Will, to my husband, ROBER'T' L. MOWERY, if he survives me. If he does not survive me, I give the residue to my children, ANN E. MOWERY, BRENT M. MOWERY, KATHRYN L. LOHR', and ROSS S. MOWERY, in equal shares. If any of my children is not living at my death, the share of my deceased child shall be paid to his or her then living issue, per stirpes. ITEM V: In addition to the powers granted at law, the Executor shall possess the following powers, exercisable without court approval and in a fiduciary capacity only: (a) To retain any investments I have at my death, includixig specifically those consisting of stock of any bank even if I have named that bank as the Executor. (b) To vary investments and to invest in bonds, stocks, notes, real estate mortgages or other securities or in other property, real o~° Page 2 ~ ~ personal, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. (c) In order to divide the principal of my estate or make distributions, the Executor is authorized to distribute personal property and real property partly or wholly in kind, and to allocate specific assets among beneficiaries so long as the total market value of each share is not affected by the division, distribution or allocation in kind. The Executor is authorized to make, join in and consummate partitions of lands, voluntarily or involuntarily, including giving of mutual deeds, or other obligations, with as wide powers as an individual owner in fee simple. (d) To sell either at public or private sale any or all real or personal property severally or in conjunction with other persons, acid to consummate sale(s) by deed(s) or other instrument(s) to the purchaser(s), conveying a fee simple title. No purchaser shall be obligated to see to the application of the purchase money or to make inquiry into the validity of any sale. The Executor is authorized to make, execute, acknowledge and deliver deeds, assignments, options or other writings as necessary or convenient to carry out the powers conferred upon the Executor. (e) To mortgage real estate, and to make leases of real estate. (f) To borrow money from any person, including the Executor, to pay indebtedness of mine or of my estate, expenses of Page 3 ~l~ administration or inheritance, legacy, estate and other taxes, and t.o assign and pledge assets of my estate. (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate. (h) To make distributions of income and of principal to the proper beneficiaries, during the administration of my estate, with or without court order, in such manner and in such amounts as my Executor deems prudent and appropriate. (i) To vote shares of stock which form a part of my estate., and to exercise all the powers incident to the ownership of stock. (j) To unite with other owners of property similar to property in my estate to carry out any plans for the reorganization of any company whose securities form a part of my estate. (k) To disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under a third-party beneficiary contract. (1) To prepare, execute and file tax returns of any type required by applicable law, and to make all tax elections authorized. by law. Page 4 ~~.U!/1 (m) To allocate administrative expenses to income or to principal, as the Executor deems appropriate. However, no allocation to income shall be made if the effect of the allocation is to cause a reduction in the amount of any estate tax marital deduction or estate tax charitable deduction. (n) To employ custodians of property, investment or business advisors, accountants and attorneys as the Executor deems appropriate, and to compensate these persons from assets of my estate, without affecting the compensation to which the Executor is entitled. (o) To make any adjustment to basis authorized by law, including, but not limited to increasing the basis of any property included in my estate, whether or not passing under this Will, by allocating any amount by which the bases of assets may be increased. The Executor shall be under no duty and shall not be required to allocate basis increase exclusively, primarily, or at all to assets which pass as part of my probate estate as opposed to other property for which a basis adjustment is allowable. The Executor shall allocate basis increase equitably among those beneficiaries receiving property as a result of my death, but shall not be liable to any person, nor subject to removal or surcharge, for any reasonable allocation of basis increase. (p) To do all other acts in the Executor's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate. In the exercise of judgment, I request the Executor to seek the counsel of my accountant, RAI~MOND C. KELLER. Page 5 ~~~%/lf ITEM VI: Any person who has died at they same time as I have, or in a common disaster with me, or under such circumstances that the order of our deaths cannot be established by proof, or within thirty (31)) days of my death, shall be deemed to have predeceased me. ITEM VII: If a beneficiary under the age of t.wenty- five (25) years is entitled to receive assets under this Will, my oldest surviving child shall receive those assets as Custodian for the beneficiary under the Pennsylvania Uniform Transfers to Minors Act. The Custodian may receive and administer all assets authorized by law, and shall have full authority as provided in the Pennsylvania Uniform Transfers to Minors Act to use assets in the manner the Custodian deems advisable for the best interests of the beneficiary. I also designate my oldest surviving child as successor Custodian of any property for which I am custodian under any Uniform Gifts to Minors Act or Uniform Transfers to Minors Act. ITEM VIII: I appoint my husband, ROBER'T' L. MOWERY to be the Executor. In the event of his death, inability or refusal to serve, I appoint my son, BRENT M. MOWERY, and my daughter, ANN E. MOWERY, to be the Executors. The Executor is specifically relieved from the obligation of filing bond or entering security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding five (5) pages, at the end of each page of which I have also set my initials for greater security and better identification this ~ i day of , 20 ~'Z _(SEAL) M~RIE W. MOWERY We, the undersigned, hereby certify that the foregoing Will vas signed, sealed, published and declared by the above-named Testatrix as and for h.er Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. ~~ ~ s ~ ~'c~r-{l EAL) Residing at ~` i~ ~~ '~.- (SEAL) Residing at ~~ S . ~.c 1. ~I'~ ~~ ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF ~~~~~~ ) I, MARJORIE W. MOWERY, Testatrix, whose name is signed to the attached or foregoing 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. ~~~f'~~'~(SEAL) MARJORIE W. MOWERY ~ Sworn to and subscribed before me this 35 day of ~~.~q~A-~- , 20a Z Notary Public My Commission Expires (SEAL) NOTARIAL SEAL PATRICIA D. OLYARNIK, Notary Public Hampden Twp., Cumberland County M Commission Expires August 27, 20(}5 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF ~..~~~-~^"~~~`~'~"'`~ ) C J e ~ ~_ ~" We, ~~,r/n~~c /~- ~c/l i~ G/ and ~ , the Witnesses whose names are signed to the attached or for going instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix, MARJORIE W. MOWERY, sign and execute the instrument as her Last Will and Testament; that Testatrix signed willingly and that she executed said Will as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as Witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Witness Witn s Sworn to and subscribed before me this ~S day of `,.,\ l ~~~~ ~~~ Notary Public ~ My Commission Expires: NOTARIAL SEAT (SEAL) PH~ICIA D. OLYARNIK, Notary Public Aden TwP•, Cumberland County My Commission Expires August 27, 2005 ~a--~._._..r..