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HomeMy WebLinkAbout05-25-12Reset 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 firm: Decedent's Information Name: JANE W.LONG a!k/a: a/k/a: a/k/a: Date of Death: MAY 17. 2012 File No: ,l ~ - ` ~ - `~>`~, 'v' ~ i~ _ (Assigned by Register) Social Security No: Age at death: 85 __ Decedent was domiciled at death in CUMBERLAND County, pENNSYLVANIA (State) with his/her last principal residence at 160 W. PARK STREET, CARL[SLE 17013 BOROUGH OF CARLISLE CUMBERLAND COUNTY Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 160 W. PARK ST. CARLISLE, PA 17013 BOROUGH OF CARLISLE CUMBERLA.Nll CY., 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 it: Penttsyh~ania ............................ All personal property $ __850,000.00 If not domiciled in Pennsylvania . ....................... Personal property in Pennsylvania $ __ If not domiciled in Pet:rtsylvanla ........................ Personal property in County $ _ Value of real estate in PennsVlvania ......................................................... $ 15O,0(1~.0~ TOTAL ESTIMATED VALUE.... $ 1 000,000.00 Real estate in Pennsylvania situated at: 160 W. PARK STREET, CARLISLE 17013 BOROUGH OF CARLISLE;_CUMBERLAND (Attach additional sheets, ifnecersari.l 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 MAY 12, 2003 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(g), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS •~ EXCEPTIONS B. Petition for Grant of Letters of Administration (If applicable) c.t.a., d.b.n., d. b. n. c. t. a., pendente life, clurante absentia, durante minoritate 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 in 23 Pa. C.S. ~~ 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. NO EXCEPTIONS Q EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (ifany) and heirs (attach additional sheets, ifnecessarv): Name Relationshi Address n ~~; -r ~. rn -~' ~: - ~, ~ - ~, ~ . c-/ _, i ~ f n Form RW-02 rev. l0/11 20! l ~ T _~ - ~ ~, ~..._ .--7 ~'' ~ r/ '~ Page I of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } SS: 1 ac1aI,IJ,~c O~IY "~•- - ,; i ,~: ~!' C~ _ ~~ ... _ __,~ `i~~~~~~~ C'J '~: ~~ i! Petitioner(s) Printed Name Petitioner(s) Printed Address ~ ~~~ MARY E. LONG 140 W. PARK STREET CARLISLE PA 17013 ~'r' 'r'l`~ 4~ '~-'u',Ji=1~ ~7_ k ~.. The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of I:he knowledge and belief of Petitioner(s) and that, as Personal Representative(s) ofthe Decedent, the Petitioner(s) will well and truly administer the estate according to law. ._ _ / Sworn to or affirmed and subscribed before ~ "~- ~ "~ 2 C' '-" Date `~(Z~ 1~~1~ me this~~`; ~ day of bt~_t~L ~ .~~ I:~ Date __ By•, ~ ~ ~ ~ V ~ ~ l ~~ ~ L `~~j ~~ ~ Date _ For the Register Date BOND Required: Q YES Q NO FEES: Letters ...................... $ ~ `~ ' r, ~ ~ ( 10) Short Certificate(s)...... ll( , (~ ( )Renunciation(s)........ . ( )Codicil(s) . ........... . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ... . ~y~' i < < ....... ; t. Automation Fee ........ ....... I JCS Fee . ............. ....... =, , TOTAL .............. ....... $ ~ ~ ~ `~ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: ~' ~--~ Printed Name: THOMAS E. FLOWER Supreme Court _ iD Number: 83993 Firm Name: FLOWER LAW, LLC Address: __ 10 W. HIGH ST _ CARI.ISI.F. PA 17013 Phone: 717-243-5513 Fax: 717-241-4021 _ Email: Tt7M FI nWFR-I AW CnM __ DECREE OF THE REGISTER Estate of JANE W.LONG File No: -` ~ - ~ ~a' ~ _ ' ~ ~ ~ ;~ a/k/a: AND NOW ~,.' ~ ..~ 1 , 1 , ;,~_, in consideration of the foregoing Petition, satisfactory proof having' en presented before me, IT IS DECREED that Letters %' ~t~{ ; i4 ; ; ~~; are hereby granted to _~.' L_. (%) ICS ~ ~ the above estate and (if applicable) that the instrument(s) dated --~ ' ` ~ ~ " . " `~ described in the Petition be Form RW-02 rev. l0/11.20/1 to probate and filed of record as the last Will (and Codicil(s)) of L)ecedent. Register of Wills f ~ P~e 2 of 2 LOC~~~:'!I~EC1r~~AR'S ~EI~°~`1~~4~~J~~'~"it:~~ '~ "~rv~~~"~,, WVIA~NF~tG: It ~s ilF~g@! to duphic~tr~ th~~ r:i,~.ry (~~'~r y~~~~<~~lt~=Ar;~t ~.~~ ~ Esc ~kj=.~ Fc~c ;l~r thf, _ertifi-ate 56.itt1 , , ~~ ~{~~ LJ ~'~ C+~ ~! ~ ~' ,. _ ~ ~ , ~'t h' )~'~~ ,,: , ~ I 1 , l ~~,~ ~. s .~, ti! ; .r ~ ,r h,r 1 ai ,1 ~ t +1i' i 3~ ~,•',~ ;~ ~ ~ ~ i' l 1 , _ CUMBERLAND CO.. PA ~ ~ ~ ~;,: ,t,, P 1848775 `~~`~ ,.. ._._._. ... ( ~,r I 15 ~ ~ .. .. ~ __ R _ Certification tiiLmt'1.'. -- - ; },.; ~).,,, ~ ~;i.^.i Type/Print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS PermanenC 5~ Y 1. Decedent's Legal Name (Firs[, Middle, Last, Suffix) r. ~ State File Number: 2. Sex 3. Social Se<u ri[y Number 4. mate of Death (Mo/Day/Vr) (Spell Mo) W Lon 507-28-3798 6a. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) Za Birth lace (Cit d S . p y an tate or Foreign Country) Months Days Hours Minutes Oclx3ha NE 85 June 22 , 1926 Zb. Birthplace (County) 8a. ReslPd eF~nce (State or Foreign Country) gt~, g~~iden~e (Street a d Nu ber -Include Apt No.) 8c. Ofd Decedent Live In a Township? 1 e W P r ~V _ a e St _ Qyes, decedent lived In Bd. Residence (County) - -_- wp. Cumberland S R id e. es ence (Zip Code) 3 ~j No, decedent lived within limits of ~aY~ i c~ A city/boro 9 E i V . . ver n AS j~ med Forces? 10. Marital Status at Time of Death 0 Married 0 Widowed 11. Surviving Spouse's Name (If wife iv , g en a prior to flrsT marriage) Q Yes ® No Q Vnknown ~ pivorced ~ Never Married ~ Unknown am 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First Middle l a st) , , . Carl Weinhardt Ma Be 11 We11s 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number City State Zip Code) M o G , , , a Lon dau titer 140 W_ Park Street, Carlisle, PA 17013 c .......................................................... ...... ..............................,...o .. lh_OP a~e_.~ Deat...C e If Death Occurred In a Hospital: ~ Inpatient - -,_c on y one _ .... If " ... .........e .. ~ eat ccurre omewhere Oth r Tha a Hospital: I_I H e F lity Emer Pic Deced nt'S Home Q g¢ncy Room/OUtpatle nt Q pead on Arrival aa2 _ ~ Nursing Home/Long T Care Facility Othe (Sp ify) _ 15 b. Facility Name (If not Institution give street and number; , 15c City or Town, Stale, and Zip Gode 1Sd County of Death 160 W_ Park St_ Carlisle PA 17013 Cumberland 16a. Method of Disposition 0 Burial Cremation 166 Date of Dis o iti . p s on 16c. Place of Disposition (Name of cemetery, crematory, or other place) p Removal from State p Dpnatlpn Ma 19 , 2012 Hof fman-Roth Funeral Home & Crematory omer (speclfY) Y v 16d. Location of Disposition (City or Town, State, and Zi P) 12a. Signa of Funeral Servl Licensee or Pers Interment 126. License Number Carlisle, PA 17013 0 138504 1JC. Name and Com plate Address of Funeral Facility -_ Hoffman-Roth Funeral Home & Cremato 219 North Hanover Street Ca li l ' m r s 16. Decedent e, PA 17013 s Education -Check the box chat best describes the 19. Decedent of Hispanic Origin -Check the 20 Decedent's R ~ . ace -Check ONE OR MORE ra o Indicate what highest degree or level of school completed at the time of death. box that best describes whether the decedent [he d d t ece ent considered himself or herself to be. ~ 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" White ~ K ~ No di l 9th p orean oma, - 12th grade box if decedent is not Spanish/Hispanic/Latino. Black or African American ~ Hi h h l ~ g sc oo Q Vietnamese graduate or GED tom leted P ~ No, not Spanish/Hispanic/Latino ~ American Indian or Alaska N [r S a ~ ve ~ Other Asian ome college credit, but no degree 0 Yes, Mexican, Mexican American Chicano ~ Asia I di , n n an ~ Native Hawaiian Q Associate degree (e.g. AA, AS) Q Ves, Puerto Rican • J Bachelor's degree (e.g. BA, AB, BS) ~ Ves Cuban ~ Chinese 0 Guamanian or Chamorro , ~ Fill Pino 0 ~ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ~ Ves, other Spanish/Hispanic/Latino ~ Ja r panese Oihe Pacific Islander ~ Doctorate (e.g. PhD, Edp) or Professional degree S O ( pecify) Q Other (Specify) . MD DDS DVM LLB, JD -_- 21. Decedent's Single Race Self-Design atlon -Check ONLY ONE [o indicate what the decedent considered himself or herself to be 22a D d ' . . ece ent s Usual Occupation - Indicate type of work White 0 Japanese ~ Samoan done during most of working life. DO NOT USE RETIRED. Q Black or African American 0 Korean Q Other Pacific Islander Real tOr Q American Indian or Alaska Native Q Vietnamese ~ Don't Know/Not Sure 0 Asian Indian ~ Other Asian 0 Refused 22b_ Kind of Business;;%Industry ~ Chinese ~ Native Hawaiian ~ Other (Specify) p FIbPI^° ~ Guamanian or ChH mprro Real Estate ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced D ead (MO/Day Vr) 23 b. Signature of Person Pr i BV / onounc n Death (Only when a Ilea ble) 23 c. License Number PERSON WHO PRONOVNCES OR // 7 // CERTIFIES DEATH S~ 7~ ~--0 23d. Date Sign~ d (~t o/Day/ r) 24 Time of De th ~ YI` ` / . a ~~ ^/ / + / ~ 7 2 ~ ~ ~ L To ~ / /" - ~ 25. Was Medical Exa Iner or Coroner Contacted? Q \'es N O CAUSE OF DEATH 26. Part 1. Enter the chain of events--diseases, injuries, or complications--that direct) Approximate s irato y caused the death. DO NOT enter terminal events such a ardia re a re t t p ry c arres r s Interval: , or ventricular fib rilla[lon with out showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line Add additi l li ^ . ona ne . If necessary Onset to Death IMMEDIATE CAUSE --------- - --~> a. L "~' \~ 7 1/Y\ Q.~ `` \ C G (Final disease or condition Due o (or t as a con -'-- - sequence of): resulting in death) b. Sequentially list conditions, Due to (or a ------- s a con - sequence of): If any, leading to the cause Ilsted on line a. Enter the U NDERLVING CAUSE pue to (or as a consequence of): ---- (disease or InJury that - vitiated the a nts resulting d. e in death) LAST. Due to (or as a consequence of): --- - S 26. Part 11. Enter other significant cpndition t Ib tl t d th but not resulting in the underlying cause given in Part I 27. Was an a tops y performed? ~ Ves ~ No 26. Were autopsy Flndings avalla ble _ y to complete the cause of death? s ' 29. If Fem~1~`~ 30. Did Tobacco Use Contribute to Death? 0 Ves ~ No 31 Man gr e f f D o . n r o o eath pregna n[ within past year ~ Yes ~ Probably P l °~ ~ ~ra regnant at time of death [~ Homicide 0 Noi pregnant, but pregnant within 42 da --~ ~ Unknown Accident Ys of death [~ Pending Investigation ~ Not pregnant, but pre 0 Suicide (] Could not be determined gnant 43 days [0 1 year before tleath 32 pale of Inju (M /D . ry O ay/Yr) (Spell Month) ~ Unknown if pregnant within the past year 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of InJury (Street and Numbe Cit r, y, State, Zip Code) 36. InJury at Work 32. If Tra nspgrtation Injury, Specify: 38. Describe How InJury Occurred: --~ Q Yes ~ Driver/Operator ~ Pedestrian Q No 0 Passenger Q Other (Specify) 39a. Certifier (Check only one): ___ ~fying physician - To the best of my knowledge, death occurred due to the cause(s) and manner slated P i ronounc ng ffi Ce reifying physician - To the best of my knowledge, death occurred at [he time, date, and place, and due to the c se(s) and manne Q Medical Examine /C t t d r s r a e `ron On the basis of examination, and/or Investigation, in my opinion, death Pc ed at the time, date and place and due to th c , , e ca u s e(s) and manner stated ~~ Slgnatu re of certifier: Ti l ~~ `/ t ^ ~ e of certifier: - License Numbe r:~ I/ O Z~ 7 ~e ~Z, 39b. Name, Address and ZAP Code of Person Completing Cause of Death (Item 26) 39c. pate Signed ( o/Day/Yr) GL=S~-iZ l+L.-...~..~\r.-e«l-_ zz~ V ~\a...- s-~ Cam r/1 ( C , , , 0-. / B'/ `Z a0. Registrar's District Number 41. Registrar's S re 42. Registrar File Date (MO Day Yr a - - a t L~~~ , ~1 ~q a,o ~a. 43. Amendments Disposition Permit No. O ~1 J ~~~ / H105-143 - REV 02/2011 LAST WILL AND TESTAMENT OF JANE W. LONG I, Jane W. Long, of Carlisle, Pennsylvania, revokes my former Wills and Codicils and declare this to be my LastC'~ Will and Testament . ~~% 'v - , ;~-` t~;i -: _---- 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. Tangible Personal Property. Subject to the proceeding provisions of this Will, I direct that all of my jewelry, clothing, personal items, furniture, household furnishings, automobile(s), and other items of tangible personal property be distributed to my daughter, Mary E. Long, 330 Merwin Avenue, B7, Milford, Connecticut 06460. In the event that my daughter does not survive me, my tangible personal property shall be added to my residuary estate. B. Residuary Estate. I direct that my residuary estate be distributed to my trustee, to be retained, managed and distributed under the provisions of Article III (Family Trust). ARTICLE III FAMILY TRUST A. Purpose. The primary purpose of this Trust is to provide for the health, support and maintenance of my children Ronald R. Long Mary E. Long The provisions of this Trust also provide for the distribution of my residuary estate. If the Trustee is the beneficiary of any life insurance policy on my life, any pension plan or any other contract, the proceeds of such policy, plan or contract shall be Page ~ of 8 pages ~,~.~ JWL treated by my Trustee as though received as 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 as much of the trust income in equal amounts and from time to time as the Trustee may determine for the benefit of my children. In making such payment:s or applications, the Trustee shall be required to treat al]_ children alike and equal. The Trustee's exercise of discretion with respect to such payments or applications shall be binding on all parties concerned. When t:he last of my children dies, final distribution shall be made as follows: The remaining trust assets shall be distributed to my surviving grandchildren by right of representation, and each grandchild shall receive their share upon the last of my grandchildren attaining the age of 25 and this Trust shall then. terminate. C. Death of Children. In the E. Long, predeceases my son daughter's share of the est principal of the trust. In Ronald. R. Long, predeceases my son's share of the trust daughter. event that my daughter, Mary Ronald R. Long, my ate shall be applied to the the event that my son my daughter Mary E. Long, income shall be paid to my D. No Surviving Descendants. If my children and all of my descendants fail to survive my death, the remaining trust assets shall be distributed to the following beneficiaries in equal shares upon the last of them. attaining the age of 25: My sister Joan Dickson's legitimate grandchildren E. Protection of Beneficiaries. The interest of any beneficiary under this Trust shall not be subject to assignment, anticipation, claims of creditors, or seizure by legal process. If the Trustee believes that the interest of any beneficiary is threatened to be diverted in any manner from the purposes of this Trust, the Trustee shall withhold the income 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 and Page ~, of 8 pages ~~' ,; " WL maintenance, 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 as authorized. F. Nomination of Trustee. I nominate Mary E. Long, of Milford, Connecticut, to serve as Trustee without bond. If Mary E. Long cannot serve as Trustee for any reason, I nominate Ronald R. Long of Laury Station, Pennsylvania to serve as Trustee without bond. ARTICLE IV NOMINATION OF EXECUTOR I nominate Mary E. Long of Milford, Connecticut, as my Executor, without bond. If Mary E. Long cannot serve as Executor for any reason, I nominate Ronald R. Long of Laury Station., Pennsylvania, to be 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, and authority without order of court and without notice to anyone. 1. Receive Assets. To receive, hold, 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 instrument. 2. Receive Additional Assets. To receive additional assets from other sources, including assets received under the Wills of other people. 3. Standard of Care. To acquire, invest, re-invest, exchange, retain, sell and manage estate and trust assets, exercising the judgment and care, under the circumstances then prevailing, that a person of prudence, discretion and intelligence exercise in the management of his own affairs, not in regard to speculation but in regard to the permanent disposition of his funds, considering the probable income as well .~ Page ,,~ o f 8 page s ,~,~,.,,~~ ~y' "" L - as the probable safety of their capital. Within the limits of that standard, the Executor and the 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 a person of prudence, discretion and intelligence acquire or retain for his own account, even though not otherwise a legal investment for trust funds under the laws and statutes of the United States or the state under which this instrument is administered. 4. Retain Assets. To retain any asset, including uninvested cash or original investments, regardless of whether it is of the kind authorized by this instrument for. investment and whether it leaves a disproportionately large part of the estate or trust invested in one type of property, for as long as the Executor or the Trustee deems advisable. 5. Dispose of or Encumber Assets. To sell, option, mortgage, pledge, lease or convey real or personal property, publicly or privately, upon such terms anal conditions as may appear to be proper, and to execute all. instruments necessary to effect such authority. 6. Settle Claims. To compromise, settle or abandon claims in favor of or against the estate or trust. 7. Manage Property. To manage real and personal property, borrow money, exercise options, buy insurance, and register securities as may appear to be proper. 8. Allocate Between Principal and Income. To make allocations or changes and credits as between principal and. income as in the sole discretion of the Executor or Trustee may appear proper. 9. Employ Professional Assistance. To employ and compensate counsel, accountants, certified financial planners or other persons deemed necessary for proper administration and to delegate authority when such delegation is advantageous to the estate or trust. 10. Distribute Property, To make division or distribution in money or kind, or partly in either, at value to be Page ~ of 8 pages ~ ~ WL determined by the Executor or Trustee, and the judgment of either in such respect shall be binding on. all interested parties. 11. Enter Contracts. To bind the estate or trust. by contracts or agreements without assuming individual. liability for such contracts. 12. Exercise Stock ownership Rights. To vote, execute proxies to vote, join in or oppose any plans for reorganization, and exercise any other rights incident to the ownership of any stocks, bonds, or other properties of the estate or trust. 13. Dur.ati.on of Powers. To continue to exercise the powers provided in this Article notwithstanding the termination of the trust until all the assets of th.e trust have been distributed. 14. Hold Trust Assets as a single Fund. To hold the assets of the trust, shares, or portion of the trust created by this instrument as a single fund for joint investment and management, without the need for physical segregation, dividing the income proportionately among them. Segregation of the various trust shares need only be made on the books of the Trustee for accounting purposes. 15. Compensation. No individual trustee who is a beneficiary of any trust under this document shall receive compensation. 16. Methods of Distribution. To make payments to or for the benefit of any beneficiary (specifically including any beneficiary under any legal disability) in any of the following ways: (a) directly to the beneficiary; (b) directly for the maintenance, welfare and education of the beneficiary; (c) to the legal or natural guardian of the beneficiary; or (d) to anyone who at the time shall have custody and care of the person of the beneficiary. The Executor or Trustee shall not be obliged to see the application of the funds sa paid, but the receipt of the person to whom the funds were paid shall be full acquittance of the Executor or Trustee. c Page tj of 8 pages ~~'~ WL ' _ I _ ARTICLE VI MISCELLANEOUS PROVISIONS A. Paragraph Titles and Gender. The titles given to t:he 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 any gender shall extend to and include all genders and in numbers when the cor.~text or facts so require, and 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 they 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. Spouse. I currently am not married to anyone. D. Children. The names of my children are Ronald R. Long Mary E. Long E. Beneficiary Disputes. If any bequest requires that the 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. IN WI~NESS WHEREOF, I have subscribed my name below, this ~ of May 2003. ~~ 'Vane W. Long We the undersigned, hereby c~rtify that the above instrument, which consists of seven pages, including the page(s) which contain the witness signatures, was signed in our sight and presence by Jane W. Long (the "Testatrix") who declared this instrument to be her Last Will and ~.. Page (~ of 8 pages ~ -f~ !' W L Testament and we, at the Testatrix's request and in the Testatrix's sight and presence, and in the sight and presence of each other, do hereby subscribe our names and addresses as witnesses on the date shown above. Witness Signature (,(. ~ ~,~..~ Name ' Jacqueline M. erney City, State Boiling Springs, PA 17007 ~ ~ Witness Signature ~~~1~, ~' ~~L Name Valerie F. Gsell City, State Boiling Springs, PA 17007 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . I, Jane W. Long, the 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, that I signed it willingly and as my free and voluntary act for the purposes expressed in the instrument. Testatrix Signature 7 ;' ane W. Long t. i Subscribed, sworn to and acknowled~d before me by Jane W. Long, the Testatrix, this /c~, day of May, 2003. . taoSARla~. s~al_ KATHL~13 ~. S~IAULIS. Notary Public Carlisle Boro, Cumberland County Nly Commisseon Expires pec.?2.200a Page ~ of 8 pages ~ ~~ ~ ~ ~ -~l~G~~~ No ary Public . ~ ~ f * ,r AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, Jacqueline M. Verney and Valerie F. Gsell, the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix Jane W. Long signed and executed the instrument as her Last Will and Testament and that she signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of her witnesses, in the presence and the hearing of the Testatrix signed the Last Will and Testament as witnesses and that to the best of their knowledge the Testatrix was at that time eighteen (18} years of age or older, of sound mind and under no constraint or undue influence. WITNESS " ka,,, residing at Boiling Springs, PA '~ ~ ~~~ 7 17 0 0 7 WITNESS ~_ ~~~ ~'~-~~ ~~~,1-~?.t.(_„ residing at Boiling Springs, PA 17007 Subscribed, sworn to and acknowledged before me by Jac ueline M. Verne and Valerie F. Gsell, the witnesses, this i„~ ~ day of May, 2003. j ~~' No ary Public fd>aTARdAI SEAL KA7HLEE~ ;~, SIiAULIS, Rlotary Public GarEisle 8oro, Cumberland CowttY My Commission Expire$ Dec.22, ~3 t Y' Page ~ of 8 pages ~-~ 1