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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 ~~~.~ e~ rAi ..L, 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~~ n.. ~ . 't C L r. 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 Blw~ d Gaosx, LLG Armxavdrs.wo 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 Braze d Glras~ LLG drrowvers.wv Coun+s~.oRS.v~Ia+v 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 Bray d Glass, LL G drrox~varS,uvv Coi/erla~v 29 EtsT Al~,i.,~. wn• SnPSSr Yox~ P,! 17401 ~~~ ti~ 717.848.3078 ~ Illltla~ Fi~x717.8l~2777 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 Blame d Gxoax LL.G /Irro~s.uvp CouNSeuvsterl.Rw 29FasrPrma SnPBer Yoxx PA 17401 717.8!8.3078 Fex717.848.2777 ~~~~' ~~~ Initial Pale 8 of 9 COMMONWEALTH OF PENNSYLVANIA Btw~ ~ Gxass, LLG ~~~~ Covnrsnlcoss.rr 1,nv 29EfsrPrfl[aostr~ SrxstT Yox~ Pd 17401 717.848.3078 ~ Fiuc717.84R2777 :SS: COUNTY Or C~,y~~.~/lL,~,~G , 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