HomeMy WebLinkAbout07-03-12 (2)82/11/2812 21:21 7177373283 DAVID DELBAUGH PAGE 82
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OATI~ Ok' SUBSCRXBI'YG WITNESS(ES)
REGISTER OF WILLS
Ut-1 ~E L~l N Qw COU?~'TX, PENNSYI/VA.NIA
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Estate of ~ ~ 1~ ~2?~ ~. ~ aQ ~ ~ . N ~ (r ~-- ,Deceased
l~ t/ l~J 1~1 ~1--}~1[ ~ ,9-au p +1 f~ fQ~~ ~-~ 1[ ~., (each) a subsczibing witness to
(Print Name/sJ
the ~ Will ^ Codicil(s) presented herewith, (each being duly qualified according to law, depose(§~l and
sa 's that she / he /they was /were present and saw the above Testatol• /Testatrix sign the same
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and that she / he I t~ signed the same and that sh.e / he I' t~ signed as a witness at the request of
the ~'cstator i Testatrix in her /his presence az~d in the presence of each other-
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(Ciry, State, Zipj
L'xecuted in Register's Office
Sworn to or affirmed and subscribed
before me this
of
day
(Signaturef
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{$treet Addressf //'''' ~
CCtry, Smr@, Zipj ~ L ~ •
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L°xecuterl out of Regrster s Offcce
Sworn to or affirmed and subscribed
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before me this f~..~v day
of , ~~1a~
Notarial Seal ~"~'~u~- ~'~
Deputy for Register of W lls Nancy A. PiemodS, Notary Publk o ary t' ic
tower Paxton Twp., Dauphin County y Commission Expires: 1 d /®l~p /o?U/ ;~
Commission Expires Od. 26, 2013 Sna[urc and Scel of Notary or other official qualified to
Member, penne,Ylvanie Assodatlon of Notarie~dminister oaths. Show date of cxpiratior. of Notary's Comnussion.)
NO'rB To be tal~en 6p officer authorized to administer oaths. Yeas^.. have resent the Vn final or eo of in trw e ~
P ~ py s rent(s) at am of no.mtzatton.
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