HomeMy WebLinkAbout06-26-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
File No: 21-12 - ~; t_ ~ i
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 requests the grant of Letters in the appropriate form:
Michael P. McCulloh and Maureen M. Hollmeyer
Decedent's Information
Name: Merlin L. McCulloh
a!k!a
a!k!a
a/k!a
Date of Death: 06!2012012
COUNTY, PENNSYLVANIA
(Assigned by Register)
Social Security No
Age at Death:
91
Decedent was domiciled at death in Cumberland County, pA (State) with his/her last
principal residence at 2 Kensington Square, Mechanicsburg 17050 Hampden Cumberland
Street address, Post Office and Zip Code City, Township or Borough County
Decedent died at 100 Mt. Allen Drive, Mechanicsburg, PA 17055 Upper Allen Twp 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 Pennsylvania ...................... All personal property $ 280,000.00
Ifnot domiciled in Pennsylvania ................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania ................ Personal property in County
Value ofreal estate in Pennsylvania ................................................................... $ 150,000.00
TOTAL ESTIMATED VALUE $ 430,000.00
Real estate in Pennsylvania situated at 2 Kensington Square, Mechanicsburg 17050 Hampden Cumberland
(Attach additional sheets, it necessary.)
Street address, Post Office and Zip Code
City, Township or Borough
County
® A. Petition for Probate and Grant of Letters Testamentan
Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated 05/24/2011 and Codicil(s)
thereto dated
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., pedente iite, durante absentia. durante minoritate
If Administration, c.t.a ord.b.n.c.t.a., enter date of Will in Section A above and comolete lis of heirs.
Except as follows: Decedent was not a party to pending divorce proceedin 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 ad9udicated 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 Relationship Address `~ _~
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Oath of Personal Re resentative
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COMMONWEALTH OF PENNSYLVANIA }
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COUNTY OF Cumberland } ~ ' ,a!r~~a~u~Q~~~-~,-,
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Petitioner(s) Printed Name Petitioner(s) Printed Address
Michael P. McCulloh 524 Lamp Post Lane
Camp Hill, PA 17011
Maureen M. Hollmeyer 1017 Smokewood Drive
Apex, NC 27502 I r{ A
I he Netitioner(s) above-nametl 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 the Decedent, Petitio er s ~ well and truly administer the estate according to; law.
Sworn to or affirmed and subscribed before , f ~ ~~~ Date ~ ~~ '.~~
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met 's ~L day cf ~~_, ~ ~ ~ ~ ~- ~ Date
By: ~ ~~ l ` l 1 , : C ,~,L~-t-~ ~ ~ lT-~- Date
For the Register Date
BOND Required? ~ YES ~ NO
FEES:
Letters ..........................................
( 6 )Short Certificate(s).........
( )Renunciation(s) ..............
( )Codicil(s) ........................
( )Affidavit(s) ......................
Bond .............................................
Commission ..................................
Other
~L 1 ~~
Automation Fee .........................
JCS Fee .....................................
TOTAL .......................................
To the Register of Wills:
Please enter my appearance by my signature below:
Attorney Signat
Pri ed Name: Edward P Seeber
Supreme Court
ID Number: 76084
Firm Name: James, Smith, Dietterick 8~ Connelly, LLP
Address: Suite C-400
555 Gettysburg Pike
Mechanicsburg, PA 17055
Phone: 717-533-3280
Fax:
E-mail: eps@jsdc.com
DECREE OF THE REGISTER
Date of Death: 06/20!2012
Social Security No:
Estate of Merlin L. McCulloh File No: 21-12 - ~ 1(;~j
a/k/a:
AND NOW, L \ ~. ( ~ ~ .y'(/ ~-~ , in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Michael P. McCulloh and Maureen M. Hollmeyer
in the above estate and (if applicable) that the instrument(s) dated 05!24/2011
described in the Petition be admitted to probate and filed of record as the last Will (and Cotdicil(s)) of Decedent.
Register of Wills 1
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH VITAL RECORDS
LFRTIFILATF AF f)FATH
i. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4~ Date of Death (MO/Day/Yr) (SFell Mo)
Merlin L. McCktlloh Male 355-09-2219 June 20 2012
Sa. Age-Last Birthday (Yrs) Bb. Under 3 Year Sc. Under 1 Da 6. Date of Birth (MO/DaY/Year) (Spell Month) >a. Birthplace try and State Foreign Country
('~
91 Months Days Hours Minutes Wa1n F
leet Ontario Canada
Se tember 17 1920 >b. Birthplace (County)
8a. Residence (State or Foreign Country) 86. Residence (Street and Number -Include Apt No.) ec. Did Decedent Live in a Township.
Penns lvania 2 Kensington Square 5, decedent lived in Harn en t
,
gd. Residence (cognty) ,,
p
- -
Cumberland Be. Residence (Zip Code) 1 0 ~ No, decedent lived within limits of _ city/bor
9. Ever in US Armed Forces? 10. Marital Status at Time of Death ~S~arried 0 Widowed 11. Surviving Spouse's Name (If wife, glvr_ name prior to first marriage)
~ No (] Unknown ~ Divorced (] Never Married (] Unknown
Barbara Linnekin
12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last)
Archie S. McCulloh Abi ail Sider
14a. Informant's Name 146. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State
Zip Code)
0
Michael McCulloh Son ,
524 Lam Post Ln.. Canfp Hill, PA 17011
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~~~~~------~~~-~~~~~~~~~~~~~~~~~"~"" ........ isa. P gee p Deat a ee Dn y one
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If Death Occurred Ina Hos Ito l:
p Inpatient .
,
.......
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_if Death Occurred Somewhere Other Than a Hospital: ~~HOSpi a Fa cility [J Derede nt's Home
~ Emergency Room/OUxpatient (] pead on Arrival _ ursing Home/Long-Term Care Facility 0 Other (SF~ecify)
1 b Facility N e If f, nstitution, give street antl number;
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~e 16c. CITY Towt,, Sta and Zip Code 16d. County of Death
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ways
.i Mec
anics
urg, PA 17055 Cumberland
LL 16a. McThod of Disposition k~ Burial Q Cremation
7t 166. Date of Disposition ]6c. Place of Disposition (Name of cerne[ery, ere ma[ory, or otF,er place)
$ Q Removal from State
~ Donation
ocher (sPegify) __ 06/23/2012 Rolli Green Ceme ter
16d. Location of Disposition (City or Tpwn, State, and Zlp) 1>a. S' tore of Fun ral a Licensee n i rge of Interment 1>b. License Number
_ Cam Hill PA 17011 014819
E 17c. Name and Complete Address oT Funeral Facility
° ers-Horner Funeral Home nc. 190 Ma A ~70~i
~ 18. Decedent's Ed ucatton -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE r o indicate what
t
r- highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent co nsitlered himself or herself to be.
0 8th grade or less Is Spanish/Hispanic/Latino. Check the "NO" White ~ Korean
0 No diploma, 9th - 12th grade box if decedent is not Spanish/His Danic/Latino. Black or African American 0 Vietnamese
~ High school graduate or GED completed No, no[ Spanish/Hispanic/Latino 0 American Indian or Alaska Native ~ Other Asian
~ Some college credit, but no degree (] Yes, Mexican, Mexican American, Chicano 0 Asian Indian ~ Native Hawaiian
Q Associate degree (e.g. AA, AS) Q Ves, Puerto Rican 0 Chinese Q Guamanian or Charnorro
'
Bachelor
s degree (e.g. 8A, AB, HS) Q Yes, Cuban Fili ino
~ P ~ Samoan
MasTer's de
re
(
MA
MS
M
g
e
e.g.
,
,
Eng, MEd, MSW, MBA) ~ Ves, other S h His
panes / panic/Latino ~ Japanese ~ Other Pacific Islander
~ Doctorate (e.g. PhD, Ed D) pr Professional degree (Specify) _ _ ~ Other (Specify)
. MD, DDS DVM, LLB, JD - - -
21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to 6e. 22a. Deceden s Usual Occu pat -Indicate type of work
White ~ Japanese ~ Samoan done during most of working Itfe nD0 NOT USE RE-rIRED
.
Black or African A edcan 0 Korean ~ Other Pacific Islander
L'
Q American Indian or Alaska Native ~ Vietnamese ~ pon't Know/Not Sure Navy Suply Corps Of y 1CE'_r
0 Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry
Q Chinese Q Naive Hawaiian Q Other (Specify)
__
p FRIpInq o Guamanian Dr champrr° United States Na
ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pr n c d D d (MO Day/Vr) 23b. Signature of Person Pronouncing Death (Only when applira bleJ 23c
License Number
BY PERSON WHO PRONOUNCES OR
CERTIFIES DEATH ~ ~ O ~ F /
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~ .
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23d. Date igned (M /~D-say~/V-.r)
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24. Time f Death - ~ ~
/~~!/ ~ ~~ ~~~
JK•
rJ !~ Z / ~ ~0 ~ h~ 26. Was Medical Examiner or Coroner Contacted? Q Yes No
CAUSE OF DEATH
Approximate
26. Part I. Enter the chain of events--diseases, Injuries, or complications-that directly caused the death. DO NOT enter terminal events such as cardiac arrest In<erV al:
respiratory arrest, or ventricular fibri llatlon without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death
IMMEDIATE CAUSE > ~~/{~J/~ioAJ /~OV71~!
(Final disease or condition Due to (or as a consequence ot): _ -- -'-
resul[ing in death) n !~ /
b. A~f~~!CL/!~f/~Oi'Y,t,/ Q,T ~!"(~..$ yA~f G~fJi '1~r ~1iLP ~'~ $fG2 5/
S
.
_
SequenTia ley list conditions, Due to (o as a consequence of): "
~S
if any, leading to the c
e
lis ed on line a Enter the
t c.
__
UNDERLYING CAUSE
Due to (or as a copse
quence f ---~
o ): - -
(disease or injury[hat
F In lTiated the a nts resulting d. -
e
in death) LAST.
Due Tp (or as a co nsequ nee qf): --'
26. Part II. Enter other sjgnificant <ondiTions contributin
g
to
tl
eath but not
resulting in the underlying cause given In Part 1 2>. Was an autopsy p¢rforrried?
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L'oro~aa/y ClrJ~iy disP~zse ~j- 5K/~~~~~LJ/Q~I~~lG2/,/J(QS'>~~Q~q
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availabie
ve"YN ~N ~Q ~~ ~' ~~~~/rh ~~-S ~~ ~ ( / to com Plete the
ca
f d
?
n
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^' ,
ea
~
~ Yes
LpS No
29. If Female: 30
Did T
b
0 .
o
acco Use Contribute to Death? 31. M per of Death
0 Not pregnant within past year 0 Ye 0 Probably ~
atu ral ~ Homicide
~ Pregnant at time of death ~ 0
Unknown
A
id
°~ ~
cc
ent Pendin Investi
Q g gation
~ Not pregnant, but pregnant within 42 days of death
Q Suicide ~ Could not be determined
r-- ~ Noi pregnant, buf pregnant 43 days to 1 year before death 32. Date of In'u
1 ry (MO/Day/V r) (Spell Month)
Q Unknown if pregnant within She past
year 33. Time of Injury
. Place of Injury (e.g. home; [onstrgctlon site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code)
36. Injury a[ Work 3>. If Transportation Injury, Specify: 38. Describe How Injury Occurred:
Q Ves 0 Driver/Operator 0 Pedestrian
Q No Q Pass nger Q Other (Specify)
39a. rtifler (Check only one):
Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and m fed
Pronouncing 6 Certifying physician - To the best of my knowledge, death occur ed at the time, date (antl place, and duet the c e(s) and manne ted
~ Medical Examiner/Coroner - On the basis of examination, and/o ''gation, in my opinion, death occu rrc-d at the timeodate, and place, and due to the ca
use(s) an
d m r a ed
s
~l
`
Signature of certifier:_~~' l/ BJ ~ iY ~' ~~~ /'~ /_/ Title of certifier: ~)L~ _. Lir se Number//~C/ y~J L/ ~~
n
39b. Name, Address antl Zip Cotle of Person Completing Cause of De th (Item 26)
39c a Signed ( /pay/Yr)
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40. Registrar
s District Number 41. Registrar's Sig e
~ ~ 42. Registrar Fite D (MO Day/V r)
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43. Amendments
0740561 HLtJ6-14B
Disposition Permit No.
---- ----- REV rJJ/201]
LAST WILL AND TESTAMENT
OF
MERLIN L. McCULLOH
I, MERLIN L. McCULLOH, having my legal residence at 2 Kensington Court,
Mechanicsburg, Cumberland County, Pennsylvania, hereby declare this to be my Last Will and
Testament, revoking all other Wills and Codicils heretofore made by me.
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ARTICLE ONE ~'-_ ' < ~:
_7C t r ; . tv r t ; =.
I declare that I am married to BARBARA L. McCULLOH (my "spouse"). ~ ~ ~ ~' ' ~~
~~__
-1 (_- i-~
ARTICLE TWO p ~ ~'~ ~
I have two (2) children, MAUREEN M. HOLLMEYER and MICHAEL P. McCULLOH.
Any references in this Will to my children are to these children.
ARTICLE THREE
I direct the payment from my estate of the expenses of my last illness and funeral as soon
after my death as conveniently maybe done.
ARTICLE FOUR
Unless otherwise directed in Articles within this Will, I direct that all estate, inheritance and
other taxes in the nature thereof, together with any interest and penalties thereon, becoming payable
because of my death with respect to the property constituting my gross estate for death tax
purposes, whether or not such property passes under this Will, shall be paid from the principal of
my residuary estate, and no person receiving or having a beneficial interest in any such property,
whether under this Will or otherwise, shall at any time be required to contribute to or refund any
part thereof; provided, however, that this direction shall not apply to the taxes on any property
included in my estate solely because of a power of appointment thereover which I possess but have
not exercised or on any qualified terminable interest or to any generation-skipping transfer taxes.
ARTICLE FIVE
I intend to leave a memorandum which will direct the distribution of certain items of
tangible personal property, and I request that my wishes as set forth in said memorandum be
followed. To the extent that my tangible personal property is not disposed of by memorandum, I
give all of the tangible personal property that I own at my death, including any household furniture
and furnishings, automobiles, books, pictures, jewelry, art objects, hobby equipment and
collections, wearing apparel, and other articles of personal and household use, equipment and
ornament, and all insurance thereon to my spouse, provided she survives me by 30 days. If my
spouse fails to survive me by 30 days, I give all such items, in equal shares, to my children,
MAUREEN M. HOLLMEYER and MICHAEL P. McCULLOH, or the survivor of them, provided
they survive me by 30 days, to be divided among them as they are able to agree. If they fail to
survive me by 30 days, or are unable to agree as to distribution, all such items shall be sold and the
proceeds distributed with the residue of my estate.
ARTICLE SIX
If I am survived by my wife, BARBARA L. McCULLOH, she shall have the right to
occupy the residence located at 2 Kensington Square, Mechanicsburg, Cumberland County,
Pennsylvania, for her lifetime, together with all remaining furniture, furnishings and appliances
located therein, excluding my personal possessions. My spouse shall be responsible for the
payment of any and all real estate taxes, insurances, mortgage, if any, maintenance and upkeep on
such property. No assignment of this life estate or any right accruing therefrom shall be made, in
whole or in part.
Upon the death of my spouse, such residence shall be sold and the net proceeds shall be
distributed, in equal shares, to my children, MAUREEN M. HOLLMEYER and MICHAEL P.
McCULLOH, per stirpes. If my deceased child has no surviving issue, his or her share shall be
distributed to my surviving child, per stirpes.
In the event that my spouse predeceases me, the above life estate shall lapse and the
residence shall be distributed, in equal shares, to my children, MAUREEN M. HOLLMEYER and
MICHAEL P. McCULLOH, per stirpes. If my deceased child has no surviving issue, his or her
share shall be distributed to my surviving child, per stirpes.
2
Any inheritance or estate tax due with respect to this bequest, shall be paid by the
beneficiaries in accordance with his or her share.
ARTICLE SEVEN
I give the rest, residue and remainder of my estate, of whatsoever nature and wheresoever
situate, in equal shares, to my children, MAUREEN M. HOLLMEYER and MICHAEL P.
McCULLOH, per stirpes.
ARTICLE EIGHT
If any portion of my estate is distributable to a beneficiary who is then under the age of 25
years, my Executor may distribute that beneficiary's share, without further responsibility, either
directly to that beneficiary, to a qualified individual or trust company designated by my Executor as
custodian for that beneficiary under an applicable Uniform Transfers to Minors Act or similar law,
or to the individual having personal custody of that beneficiary (whether or not court-appointed),
and the receipt of the distributee shall discharge my Executor.
ARTICLE NINE
No beneficiary or remainderman under this Will or any codicil hereto or any trust created
hereunder shall have any right to alienate, encumber or hypothecate his or her interest in this Will or
any trust created hereunder in any manner, nor shall any interest of any beneficiary or
remainderman be subject to claims of his or her creditors or liable to attachment, execution or other
process of law•.
ARTICLE TEN
Should the payment of expenses, claims and taxes from any Qualified Retirement Plan or
Individual Retirement Account ("IRA") assets which comprise my estate cause my estate to be
disqualified as a "Qualified Beneficiary," it is my intent, and I hereby direct that, to the extent
practicable, no expenses, claims and taxes shall be paid from such Qualified Retirement Plan or
IRA assets.
3
ARTICLE ELEVEN
I appoint my children, MAUREEN M. HOLLMEYER and MICHAEL P. McCULLOH, or
the survivor of them, as Executors of my Will. I give to my Executor, in addition to and not in
limitation of the powers given bylaw or by other provisions of this Will, the following powers with
respect to settlement of my estate to be exercised from time to time in the discretion of my
Executor, without further order or license of the Register of Wills or of any court:
A. To retain any property, pending distribution hereunder, to invest in
or purchase any property without restriction to legal investments for fiduciaries, to
distribute property in kind, to compromise claims, and to sell any property at public
or private sale;
B. To borrow money from any person including any fiduciary acting
hereunder, and to mortgage or pledge any real or personal property;
G To engage in litigation and compromise, arbitrate or abandon claims;
D. To make distributions in cash, or in kind at current values, or partly
in each, allocating specific assets to particular distributees on a non-prorata basis,
and for such purposes to make reasonable determinations of current values;
E. To make elections, decisions, concessions and settlements in
connection with all income, estate, inheritance, gift or other tax returns and the
payment of such taxes, without obligation to adjust the distributive share of income
or principal of any person affected thereby;
F. To invest and reinvest in every kind of property and investment
which persons of prudence, discretion and intelligence acquire for their own
accounts;
G. To manage, control, repair and improve all real property;
H. To procure and carry at the expense of the estate insurance of the
kinds, forms and amounts deemed advisable by the Executor to protect the Executor
and the estate against any hazard;
I. To pay all taxes, assessments, fees of the Executor and all other
expenses incurred in the collection, care, administration and protection of the estate;
4
J. To exercise such powers, herein conferred, after the termination of
the estate until final distribution of the estate assets; and.
K. To do all the acts, to take all the proceedings, and to exercise all the
rights, powers and privileges which an absolute owner of the property would have,
subject always to the discharge of their fiduciary obligations; the enumeration of
certain powers in this Will shall not limit the general or implied powers of the
Executor; the Executor shall have all additional powers that may now or hereafter be
conferred on them by law or that may be necessary to enable the Executor to
administer the estate in accordance with the provisions of this Will, subject to any
limitations specified in this Will.
No bond shall be required of any fiduciary hereunder in any jurisdiction. No fiduciary
hereunder shall have any liability for any mistake or error of judgment made in good faith.
My Executor shall receive reasonable compensation for services performed as determined
by the court in which this Will is admitted to probate.
I realize that the Executor is given discretion by law to make various elections which affect
the income and estate taxes payable by estates and beneficiaries, as well as the relative shares of
beneficiaries, such as taking administration expenses as deductions for either estate or income tax
purposes, selecting options for the payment of employee death benefits, electing to take a qualified
terminable interest as part of the marital deduction, selecting alternate valuation dates, postponing
the payment of taxes, filing joint income tax or gift tax returns and redeeming corporate stock. The
decisions made by my fiduciaries in any of these matters shall be binding upon, and not subject to
question by, any affected persons. I rely upon my fiduciaries to take into consideration the total
income and estate taxes payable by reason of their decisions including those payable by my
survivors, and they are authorized in their discretion, but not required, to make adjustments between
income and principal as a result thereof.
ARTICLE TWELVE
In the event that my spouse and I die simultaneously, or that the order of our deaths is
uncertain, 1 shall be deemed to have survived my spouse.
5
IN WITNESS WHEREO~~F,iiI have set my hand and seal to this my Last Will and Testament,
consisting of six (6) pages this i~~day of May, 2011.
,r ~ ~.
~...,
MERLIN L. McCULLOH
SIGNED, SEALED, PUBLISHED and DECLARED by MERLIN L. McCLJLLOH, the
above named Testator, as and for his Last Will and Testament, in the presence of us, who, at his
request and in his presence, and in the presence of each other, have hereunto subscribed our names
Residence ! `mil ~ ~ ~ `°`' ' `-~i ~ `.^r~ ~~~
Residence ~ ~~ I ~~a5
6
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We, MERLIN L. McCULLOH, ~ ~`~`'`~ ~ J~'~ `~ and
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..~'~`~ , , C ; k ~) ~C~.~~i' Testator and witnesses, respectively, whose names are signed to the
attached and foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testator signed and executed the instrument as his last will and that he had signed
willingly, and that he executed it as his free and voluntary act for the purpose therein expressed, and
that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses
and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older,
of sound mind and under no constraint or undue influence.
-.
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MERLIN L. McCULLOH
Testator
WITNESS
WITNESS
Subscribed and sworn to and acknowledged before me by MERrL'IN L. McCL7LLOH, the
Testator, and subscribed and sworn to before me by '~` ~ ~Y~Z~ Y ~~~~~ and
,C~ ~ ~ ~,( ~;~-~<y~Y~~-, witnesses, on this ~~t~day of May, 2011.
COMM6NIN[eALfiM CAF p~NN~YGVANtA
Notarial a0s1
Cheryl L. Baker, Notary Public
upper Allen T1Np., Cumberland County
My Commission Expires ]an. 13, 2015
MEMBER, PENNSYLVANIA ASSOCIATION OE NOTARIES
of Public