HomeMy WebLinkAbout07-26-12PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of BERNICE G. OVER
also known as
,Deceased
COUNTY, PENNSYLVANIA
File Number ~ ~ y I `3 ~~ ~ `-~
Social Security Number ' ~ ~ ' !may 'U
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EX@CUtOr named in the
last Will of the Decedent dated 8/12/201 1 and codicil(s) dated n/a
__
of -P~ynC_iq iowl t-tt.fil.ec/ ro~-~ ~c'v~ry ~ ~^~~ ~ / ~~S G./ ~ 7~' 4`l
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
for probate, was not the victim of a killing, was never adjudicated incapacitated, and was not a party to a pending divorce proceeding at the time
of death wherein grounds for divorce had been established as provided in 23 PA C.S. section 3323 (g):
n/a
B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d. b.n.c.t.a.; pendente life; durante absentia; durante minoritate)
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, (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.); and was not a party to a pending divorce
proceeding at the time of death wherein grounds for divorce had been established as provided in 23 PA C.S. section 3323 (g):
Name Relationshi 'dence
_.. f V - '
rn ' ~=
A ,
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /
Drive. Agt. 218 CUMBERLAND PA 17055 (/a~
(List street address, town city, township, county, state, zip code)
.~:Cl ..: y, ~_,
2~ _ `~ Qc~
icipal residencd"at 325 We51eV
Decedent, then 81 years of age, died on 6/5/2012 at Normandie Ridae Nursing Center
YORK PA 17408
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 525.000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 0.00
n/a
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature Typed or printed name and residence
~~~ DAVID A. PARLEY ~ 95 Steffie Drive
MT. WOLF d`~"~ PA 17347
i
Page 1 of 2
Form RW-02 rev. 10.13.06
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
cocJNTY OF ~ o r k
The Petitioner(s) above-named swear(s) or affirm(s) that 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
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the ~~ ~` day of
?mob
will well and truly
of Personal Representative ~dvid A. Farley
~_ ~ 2012 Signature of Personal Representative
~.. _.
~„ .~ r;
For a Reglnter Signature of Personal Representative -
~~EGISTER F WILLS YORK COUNTY QC ` ~ -~ `~~
C7 C~'' r ~;
Iv1Y COMMISSION EXPIRES ~?.~,' -;; s.- rr~
FileNumber: 0 -~ 1 - 1 ~- - ~~l
Estate of BERNICE G. OVER ,Deceased
Social Security Number: <<F~ ~ - 2 ~ -U~ ~ ~ '1 Date of Death: 6/5/2012
AND NOW, ~~ , 2012 , in consideration of the foregoing Petition, satisfactory proof
having been presented bef~ e me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to DAVID A. PARLEY
in the above estate
and that the instrument(s) dated August 12th 2011
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters .........................
Short Certificate(s) ••••••••
Renunciation(s) ••••••••••••
1T
~~CS
TOTAL ...........•
.... $
.... $ I ~- OC)
.... W (.l ~ `~V
.... $
.... $
.... $
.... $
.... $
.... $
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.: tits /y~ ~~
Address: BLAKE & GROSS. LLC
29 East Philadelphia Street. YORK
PA 17401
Telephone: 7178480378
Form RW-02 rev. 10.13.06 Page 2 of 2
~::,~i ; '~r;t i e
t ~~~~
~~ 12 .~UL 26 ~P! i I , 14
RENUNCIATION
O~PHg1~•; CUU~ f
REGISTER OF WILLS CUMgERZgNp ~ ~
-~'fBRFF (~i11'ryl, `~L7 (\ t'9 ~C~ COUNTY, PENNSYLVANIA
Estate of Bernice G Ov r ,Deceased
I ~.,.,,,~.. o r.,,-iey in my capacity/relationship as
(Print Name)
child of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
^~~^a A Farlev
__
(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
(Signature)
810 Fishinq,~reek Road
(Street Address)
Harrishttrn PA 17112
(Ctry, State, ZiPJ
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
ofrpose~,st ted within on this _.~ n day
~ , 201_ .n
Deputy for Register of Wills
Form RW-OG rev. 10.13.OG
Notary Public
My Commission xpires: ~'J j7 /~~ ~ ~~
(Signature and Seat of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
~~~~
ii~ ~r
JAY ~~
lIJY t 1~/N
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RENUNCIATION
REGISTER OF WILLS
~ umh QC 1 Q'rldl COUNTY, PENNSYLVANIA
~~+~2.~u~26 ar~i~~ fa
(~p~1~1 i....
Vrlt"1 V J~ v u`.~l~t i
Ct~utBERtArJD CO.. PA
Estate of Bernice Over ,Deceased
I, Douglas E Farley , in my capacity/relationship as
(Print Name)
child of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
David A Farley
~ ~~/ Z
(Date) (Si re)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of Wills
For•nr RW-OG rev. 10.13.06
1115 Manor Way
(Street Address)
Kennesaw GA 30144
(City, State, ZipJ
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this ~_ day
of ,7ulr.~ , 2012 .
Notary-Pfblic
My Commission Expires:
\~"a ~ ~ ~~ R r~ n t ~ n ~ ~ ~ ~4.
''.
(Signature and Seal of Notary or other official q red .••••••.., ~ ~ ~~~
administer oaths. Show date of expiration of N Goiii~ission.j•''••, ~
a= O imA'VOr~9~-•9m
~ ~ Ge~ :~
'4....71; GE_~~~
LO t~„F~t;E AR'S CERTIFICATION OF DEATHI
WA ~;tt xs i ato duplicate this copy by photostat or photograph.
I~ee for this certificate, $6.00 ~~~ ~ JU~ ~~ Ah (+
~L?_I? ,
ORPI-iAA;`S ~CJ~ i
~+iBERLaVD CO.a PA
P 1859.68. L
Certification Nwnber
pe/Font In
<rmanem
This is to certify that the information here given is
correctly copied from tin on~iinal Certificate of Death
duly filed ~~ith me ^s Local Registrar. The original
certificate Neill he iElrwarded Co the Si ate Vital
Rcco~rds Oftice fw~ ;1c) rnanent tiling.
/ ~ 3
Local Registrar Date );sued
COMMONWEALTH OE PENNSYLVANIA • pEPARTMENT Of HEALTH • VITAL RECDROS
CERTIFICATE OF DEATH
1 Decedent's Legal Name (First, Middle, Last, SuKxl }. Sea 3. Social5acurlry Number 4. Date of Death IMO/Day/Yr) ISpell Mol
Femal 154-24-0469 June 5, 2012
S a. Age-last Birthday IYrs) Sb. Under I Year Bc. UMer 3 Da e. Date of Birth (MO/Day/Vear) ISpell MonMl Je Blrthplxe ICIry and State pr Force{n County)
Mpntna peva Nep.a Minutes Schaefferstawrl PA
81 Jul 25 1930 )b. elnnplaa IcodnM
ga. Residence IState or Foreign Country) 8b. Residence (Street and Number-Include Apl Npl &. Dld Dxedent live in a Township?
PA 325 Wesley Dr Apt 218 Yea, eer<a<m lnrcd'm ~r Allen hvp.
m. Resmerrc< ecepmvl
ClxnberlaYY1 ge Re:Teen<elzipcddel 17055 ^Ne,der<eemny<dwanmhmuspr Fnvropre.
9. Ever In US Armed Forces? 30. Marital Status at Tlme pf Death ^ Married $KM/bowetl ] ]. Surviving Spouse's Name Ilr wife, gNe name prior m lust marriage)
^Ye ~NO ^Unknown ^Divorced ^Never Marrletl ^Unknow
12. Father's Name (First, Middle, Last Su/frx) rlor [o FInG tr(lig
Flrf[, MNldle, las[I
13. Mot_her's NamLP
~
Raymond Gibble e
e
C.Lil4 lODl
(ieL
tax. Informant's Name lab. Relationship to Decedent 14c nformant's Mailing Address (Street and Number, City, State, Zip Codel
ffi David Farley Son 95 Steffie Drive, Mow7t Wo1f,PA 17397
G ?: P ace p, peat...... "f_..:.".Y_one.....................,......... ............... ..... .................. ..
.. ..... .... ........
}
.
_ I ........................................................ .......................................
NV
f Dea[M1 O<curr[d in a Hospital. s.,l Inpatient ~ ........
_.
If Oealh Occurred Somewhere Other than a Hospital'. ~ Hospce Facility L,I Decedent's Home
^ Fm<rgenry gpam/Outpatient ^ Dead on Arrival
~ ~ Nursing Home/long-Term Care Easillty Other (Specify)
1n ISb Facility Namelllnotinititutlon, give street and number' 15c. CI[ypr Town, State, dLip Cade lSd County of Oea[M1
Normandie Ri a Nursin Center York, PA 17408 York
~ ]fix Method of Disposition ^ Burisl ~Cremahon 18b. Date of pisposition I 6c Place al Disposition (Name of cemetery, crematory, a other place)
Removal from State ' ~ Donation
6/8/2012
ans Cremation Service
- om<rlspetityl
Z lbe locahon of Disposition (City er town, Stale, and 2ipl I)a. SlBnatyre see or Person in Charge nl lntermenl 116. Licenu Nvmber
Leola, PA 17540 C/ Fd 013239 L
o vt. Name one comm<te Aeme:: of wrrercl Fatuity
3401 Macke t. Hill PA 17011
~ 1B. Decedent's Eduutlon ~ Check the bov that best describes the 19. Decedent of Hispanic Origin - CM1eck the Z 0. Decedent's Race ~ Check ONE OR MORE races to Indlwre what
° Mghest degree or level of school completed at the time o(death. box that best describes whetM1er the decetlem [ he tlecetlent considered himself or herself Id be.
^ 8tM1 {rode or less is Spanish/Hlspamc/tattoo. Check lhe'NO" White ^ Korean
No diploma, 9M - 11th grade bpx II tlecetlent is rot SWnish/Hispanic/La[tnp. ^ Black or A/rlcan American ^ Vietnamese
~ Hign school graduate or GED completed ~ No, not Spanish/HlspamJLatino ^ American Indian pr Alaska Native ^ OtM1er Allan
Some college credit, nos rte degree ^ Yes. Moulton, Mexican American, Chicano ~ Asian Indian ~ Native Hawaiian
AssocN[e degree le.{. AA, AB ^ Yes, Puerto Rican ^ Chinese ^ Guamanian or Chamorrp
® Bachelor's de{roe le.{. BA, AB, BSI ^ Yes, Cuban ^ Fllipim ^ Samoan
Mastei s degree (e.g. MA, MB, MEng, MEd, MS W. MBA) ~ Yes, other Spanish/Hlspanic/Latino ^ Japanese ^ Ocher Pacific Islander
^ Doctorate le.g. PhD, Ed0l or Professional degree (Specify) ^ Other (SpeclNl
.. MD DDS, OVM, LLB ID
21. Decedent's Single Race Self~pesignstlon -Check ONIY ONE to indicate what the decedent considered hlmsel/ or herself to rte. 11x. Dettdent's Usual Occupation - IMi[ate type of work
White ^ Japanese ^ Samoan done during most of workin{ Ilte. DO NOT USE RETIRED.
~ Black or African Amerkan ~ Koean ^ Other pacilic Islander
T
~ Amercan Intllan or Alaska Native ^ Vietnamese ^ Don't Know/Not Sure ~t~Cf/Q /L
Asian Intllan ~ Other Asian ~ Refused 22h. Kind of Business/Industry
^ Chinese ^ Native Hawaiian ^ Other ISpecityl
Filipino ^ Guamanian or Chamorre !i (1 /t.'-.<l /'fC/rV
ITEM313a ~ i3d MUST BE COMPLETED 23x. Dale Prorrounced Dead IMO ay r) 13b. Signature of P on Pronouncing Death IOnty when applicable 13c. license Number
BY PERSON WHO PRONOUNCES OR
CERTIFIES DEATH
s~(1 O~J ~'~~ ~~.v~~
~•~O~ y~~'-
23tl. Date Signed IMP/Da Nr) 24. Time of DeaM
C%C.+ ~~ ~:R.i ~~ i0 PM 13. Was Medical Examiner pr CoronerCOnlatted? ^ Yes ~~vtr
CAUSE OF DEATH i Apprpximate
28. Part 1. Enter the chain of ev s--diseases, injuries, or complications-that directly caused the death. 00 NOT enter terminal events such as cardiac arrest Interval.
respiratory arrest, or ventricular fibrillation without showing the eliolpgV DO NOT ABBREVIATE. Enter only one cause on a Ilne. Atltl additional Ilnes if necessary Onset to Death
IMMEDIATE CAUSE ..............> a. AL2h~iM~ pFMFN~~A ~FA~
1Final msea:< or condition Dpe to for a: a c~nupuence p0.
r<aelhng in deatnl
b
_
Seouennally list conditions. Due to Ipr as a cpnsepuence oft.
it any, tootling to the cause
listed on Ilne a. Enter the
UNOERIYING UUSF Due to for as a consepuerrce of)
fdise injurythat
o
initiated
che events resultin{ d. _.
a in death) Ll9T Due to for as a conuW cote oil.
E6. Partll. Enterothersienificant conditions<onMbuhn¢to deathbul not resulting in lheuMerlyingrausegiyen in Part) 1). Wasan autppsy perfor ?
_ ^ Yes No
F 2g. Were au[opsY findings available
[p complete the cause of death?
^ Yes ^ Np
19. It Fem 30 Did tobacco Use Comribu[e to OeatM1? 31 Man DeatM1
E of pregna within past year
n
t ^ Ves ^ vrobably atural ~ Homicide
~ Pregna at
ime of deatM1
t ^ rvo ~ Unknown ~ Attident ~ Pending in estlgation
Nat preBnan[, but pregnant within a}days of death ~ Suicide ^ coved nor ee aetermmea
^ Noe pregnmt, but pregnant 43 days to 1 year belorc dean 32. Date of Inlun IMO/DaV/Yd (spell MontM1)
^ unkssown g p.<enam wrtnin Inc oast year 33. rime or lolNn
Place pt Injury (e{. home, cpnstrvttian sire, )arm; schopll 35. Locatlpn of Injury (Street and Number, Ciry, state. Zlp Cpde
3fi. Injury al WorN 3). If transportation Injury, bpecify 38. Describe How injury Occurred.
1 ~ Y
s ~ Driver/Operator ~ Pedestrian
Np p Passenger ~ Other IBpecityl
39x. er )Check only oriel-
Certifying physician-Toth my no each occurred due to the causelsl and manner staled
^ Pronouncing 6 Certilym p siclan - io the of my knowledge, death occurred at the time, date, and place, and due to the cauaelal and manner stated
occurred at the time, date, and place, and due to the cauu
d manner slated
^ Medical Examiner/Cor th s of eaaminatian, and/or InvestlBalion, In my opinion, de
ath
ls)
a
n
'f
/1
/
~
~
(~
eGG5
~eL
6
Signature of cerBfier: Title of certifier'. IV% ^cense mOl .
l
39b. Name, 21 C e o e on Com feting Cause of DeatM1 Iltem 2fi1
(n~
71
a 39c. Date Sigrretl SMO/Oay/Y I
1°3
U~ ~ FdJ~ C~MNONC UPE 1'A (
M9 OG•O(lr2al2
4p Registrar's DStrict Number 41 Re tsar' Signature 42. Reglstr rFlle Date lMO/Day rl
a3. Amendments
O / /~ L ^'~ H105-1x3
Olsppsition Permit N° y / O''/ REV 0)/2011
rr~ ~r~'~~ ~'rF~~
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AST ~~ILL ` ~ " ~~~~~
ND CQ„ PA
TESTAMENT
OF
BERNICE G. OVER
~`~~L
I, Bernice G. Over, of Cumberland County, Pennsylvania, being of sound
mind and understanding, declare this to be my Last Will and Testament and
revoke any Wills and codicils heretofore made by me.
First:
I direct that all my legal debts and funeral expenses shall be paid from my
estate as soon as practicable after my death as part of the expense of ~ the
administration of my estate. My Cxecutor may, in his sole discretion, pay from
my domiciliary estate any or all portion of the costs of ancillary administration
and similar proceedings in other jurisdictions.
B,ru~ d GRass, LL G
ATlC)R1VbYSAND
COU1VS~IARSATLAfo
29P.asrP~vstrtoASneaer ~~-;~1,~~ Initial
YoR~ PA 17401
717.848.3078
FAx71~84s.2777
Page 1 of 9
Second:
I direct that all taxes that may be assessed in consequence of any assets
passing through or under this, my Last Will and Testament, shall be paid from
my estate as part of the expense of the administration of my estate.
Third:
I give, devise, and bequeath to each of the following individuals the
specified monetary values:
a. to Chad A. Noll, my grandchild, I give bequeath and devise five
thousand dollars ($5,000.00}, if he should survive me for at least thirty. (30)
days.
b. to Brian F. Noll, my grandchild, I give bequeath and devise five
thousand dollars ($5,000.00), if 11e should survive me for at least thirty (30)
days.
c. to Alec L. Farley, my grandchild, I give bequeath and devise five
thousand dollars ($5,000.00), if he should survive me for at least thirty (30)
days.
d. to Erin Farley, my grandchild, I give bequeath and devise five
thousand dollars ($5,000.00), if he should survive me for at least thirty (30)
days.
e. to Katherine J. Farley, my grandchild, I give bequeath and devise
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Corin~seuo~,serLAm
29 EAST PrfftaDhtnne S7R6ET
Yom P.! 17401
717.848.3078
F,ur717.84x2777
five thousand dollars ($5,000.00), if he should survive me for at least thirty
(30) days.
~`= r~~ ~' Iilltla~
Page 2 of~ 9
f. to Ian R. Farley, my grandchild, I give bequeath and devise five
thousand dollars ($5,000.00), if he should survive me for at least thirty (30)
days.
Blame d Grass, L.LG
Arro~rs.yvv
Coulvs~toRSerL,nv
29E+.srPrmwo~ S7xeET
Yoitx PA 17!01
7!7.848.3078
F.tx717.8l8.2777
g. to each of my great grandchildren, I give bequeath and devise one
thousand dollars ($1,000.00), if they should survive me for at least thirty (30}
days. My great grandchildren shall also include the children of Chad A. Noll,
Brian F. Noll, and Ian R. Farley who are currently, Kiersten Faye Noll,
Jessica Taylor Noll, Alyssa Morgan Noll, Leah Grace Noll, and Maddison
Mae Marie Farley, and any other great grandchildren born prior to my death
by my grandchildren or step-grandchildren.
Fourth:
I want it to be know that all of my deceased husband's family are
specifically excluded from`this Will, from any inheritance, for reasons they
clearly understand.
Fifth
To my children, Steven R. Farley, David A. Farley and Douglas E.
Farley, I give, devise and bequeath my entire estate, be it real, personal or
mixed to my share and share alike, if they should survive me for at least
thirty (30) days. In the event that any such children shall not survive me, and
shall leave lawful issue, such deceased child's share go to such lawful issue,
per stirpes; but should such deceased child leave no lawful issue, then the
j ~'~ ~ -~ Initial
Pale 3 of 9
share of such deceased child be divided equally among my surviving
children.
Sixth •
I do hereby nominate, constitute .and appoint my children, Steven R.
Farley, David A. Farley and Douglas E. Farley, as Co-Executors of this my
Last Will and Testament. In the event that all do not survive me or are unable
to serve or refuses to serve as such, I do hereby appoint my remaining children
as Co-Executors. I do order that my Executor shall not be obligated to furnish
any bond or surety, should a bond be required by law, in this or other
jurisdiction for the performance of his duties hereunder.
Seventh:
I do hereby give to my Executors full power and authority, at his
discretion, to do any and all things necessary for the complete administration of
my estate, including the full powet• to sell and convey, at public or private sale,
without order of the court, al l or any part of my estate and to execute and deliver. ~.
such documents as may be necessary to pass good title to the sar-~e. I do further
order and direct the sale of such property, whether it be real, personal or mixed,
as my Executor may deem necessary so as to liquidate my estate.
I specifically confer upon my Executors all and singular of the power in
a,.u~ ci ~.l;.c
ilT71~RNBYS A1VD
COUNSffiLORS AT LAS
29 EssT Arrttwn~rrflA STw~er
Yom AA /7401
FAx717.848.2777
effect on tl-te date hereof, which powers are incorporated herein in whole by
reference to said section.
~~-`~ Initial
Page.4 of 9
i
Should the services of a resident co-executor or guardian be required by
law or deemed to be in the best interest of my estate or in the best interest of my
children, I hereby authorize and empower my Executor, as the case may be, to
nominate and appoint at his sole discretion, in writing, an individual or
individuals to serve, as necessary, in the capacity as resident guardian or co-
executor. I further direct that such co-executor or resident guardian shall not be
required to give any bond or surety, whatsoever.
Ei hth:
Except as otherwise provided in this, my LAST WILL AND
TESTAMENT, I have intentionally omitted to provide herein for any other
relatives or for any person, whether claiming to be an heir of mine or not.
Ninth:
Wherever in this my LAST WILL AND TESTAMENT, it is provided that
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29FasrPrnUOecrrrr,~ S7ReET
Yazd PA 17401
717.8!8.3078
F.ur717.848.2777
any person shal l benefit hereunder if such person shall survive me, such person
shall be deemed not to have survived me if he or she should fail to survive me
for at least thirty (30) days. Whenever in this instrument, l have used the term
child, children, grandchildren, issue, or descendant it shall include adopted
children and step -grandchildren. 7'he term adopted child or children shall
include only those children who are adopted while under the age of eighteen
(18) years.
L
E
`~ ~~~~-'% Initial
Page 5 of 9
Tenth:
I declare that in the event that, for any reason, any part of this WILL or
any provision thereof is construed to be invalid, the invalidity of any such part
or provision is not to be considered or held to impair any other disposition of my
property in this WILL.
IN WITNESS WHEREOF, I, Bernice G. Over, the Testatrix, have to
this, my Last Will and Testament, typewritten on nine (9) sheets of paper, set my
hand and seal this ~~ day of ~~ s, f ,2011.
Bernice G. Over
Br.~ d Guess, LLG
Arrox~rs.uvv
Counar~toxrerlwiv
29Elsl'Pfuup~ S7xser
YOI~ PA !7401
717.84&3078
F.ex717.848.2777
~''-%J~~ 1~litial
Pale 6 of 9
The foregoing instrument consisting of this and 6 (six) preceding
typewritten page, was signed, published and declared by, Bernice G. Over, the
Testatrix, to be her Last Wili and Testament in our presence, and we, at her
request, and in her presence, and in the presence of each other, have hereunto
subscribed our names as witnesses, this ~~~, day of
,2011.
~~..~ residing at _ ~~a~ 4J~ ~S<:-, ~,-•p ~~c~u~,r s
~Sva~l~~` - /Ge.i~~-c.residing at ~~ S CJ. lS o ~, ~., Q ~'rl~~hi,,S ~s~u ry'
l
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Page 7 of 9
COMMONWEALTH OF PENNSYLVANIA
:SS:
COUNTY OT ~~,,•~ ~~G•:~~, ,
I, Bernice G. Over, 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 that I signed it as my free and .voluntary act for the
purposes therein expressed.
Bernice G. Over
Sworn or affirmed to and acknowledged before me, by Bernice G. Over,
this ~ day of ~s~` , 2011.
.~~ ~~
Notaty Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
John Re. Bowen, Notary Public
Lower Allen Twp, Cumberland County
My commission ices March 2S, 2014
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29FasrPrma SnPBer
Yoxx PA 17401
717.8!8.3078
Fex717.848.2777
~~~~' ~~~ Initial
Pale 8 of 9
COMMONWEALTH OF PENNSYLVANIA
Btw~ ~ Gxass, LLG
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We C~~~shP ~.rn~r and ~~~ ~y~~ ,the
witnesses whose names are signed to the attached or foregoing instrument, being
duly qualified according to law, do depose and say that we were present and saw
Bernice G. Over, sign and execute the instrument as her last will; that she
signed willingly and that she executed it as a free and voluntary act for the
purposes therein expressed; that each of us in the hearing and sight of Bernice
G. Over, signed the will as witnesses; and that to the best of our knowledge she
was at the time of sound mind and under no constraint or undue influence.
Witness
,~~~
Witness
Swol-n or of -firmed to and subscribed to before
rs'~.i P 7 r~P,--- and 1lc/nf~
~.., ,
this _~~ day of ~sf , 2011.
•~ -~~~' ~> Initial
Page 9 of 9
me by
witnesses,
l
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NCYI'ARIAL SEAL
John R.e. Bowen, Notary Public
Lower Allen Twp, Cumberland County
commission ices March 25,2014