HomeMy WebLinkAbout08-09-12PETITION 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 requests the grant of Letters in the appropriate form:
Viroinia S. Norris
Decedent's Information ~ O~ ,..~ /
Name: John W. NoMs File No: 21-12 ' !/-II
a/k/a: (Assigned by Register)
alk/a:
a/k/a:
Social Security No: 116-24-7768
Date of Death: 02126/2012 Age at Death: 78
Decedent was domiciled at death in Cumberland County, pA (State) with his/her last
principal residence at 128 Strayer Drive, Carlisle 17011 South Middleton Cumberland
Street address, Poet Office and Zip Code ~ City, Township or Borough County
Decedent died at Bridges at Bent Creek, Mechanicsburg Cumberland PA
Street address, Poll Office and Zip Code City, Township or Borough County Slate
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania ...................... All personal property $
/f not domiciled In Pennsylvania ................ Personal property in Pennsylvania $
Hnot domlelled In Pennsylvania ................ Personal property in County $
600.00
Value of real estate In Pennsylvania ................................................................... $ 1,000.00
TOTAL ESTIMATED VALUE $ 1,600.00
Real eatete in Pennsylvania situated at
(Attach add/tional sheets, i/rrecessary l gag Attached All oroa is located in Cleafield Co Cleafield County
Street atldresa, Post OHiu end Zip Code City, Township or Borough County
® A.
Petitioner(s) aver(s) that helshe/they is/are the Executor(s) named in the Last Will of the Decedent, dated 08!0812007
thereto dated
No Relevant Circumstances and Codicil(s)
Stets rslevarn oiroumstances (e.q., ronunciation, death o/ executor, etc.)
~ r~~
Except as follows: after the execution of the instrument(s) offered for probate, Decedent did not mar was not divor was not a pawy to a pending
divorce proceeding wherein the ggrounds for divorce had been established as defined in 23 Pa. C.S. §73323(8), and di eve a c orn
adopted; and Decedent was nether the victim of a killing nor ever adjudicated an incapacitated person. 3+, ~~
® NO EXCEPTIONS ^ EXCEPTIONS ~ ~' ~~
^ B. Petition for Grant of Letters of Administration ~ r,
(If applicable) ~-; I ~~ t-r~
t0 mil-';
c.t.a., d.b.n., d.b.n.c.t.a., pedente life, du entia. dt/rante mind~fet~~-~t
If Administration, c.ta ord.b.n.ata., enter date of Will in Saetien A above and complete list of heirs, - c?",~
Except as follows: Decedent was not a party to pending divorce prodeedin wherein the grounds for divorce had bee~t,~lished aR~llefine~ r`n
in 23 Pa. C.S. § 3323 (g) and was neither the victim of a killing nor ever adjudicated 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
Form RW-O2 rev. 10.11-2011 Copyright (e) 2011 form software only The Lackner Group, Inc. page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland } ~fC~~~~~~~
~~hv.~%~ 4%i Y"t~iCt I
Li
Pettioner(s) Printed Name Petitioner(s) Printed Address '
Virginia S. Norris 128 Streyer Drive
Carliale, PA 77015 ~,.(_" ;%;; .,~,'
,.
d CO.,
~ ne rermonerts/ above-narrtec sweartsi or amrrntsl me statements m the toregoing retmon are true and correct to the best of the knowbdge and
belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law.
Swom too ff/i,rmed an scribed be ore '~h'.. r ~ Date
met ' "tlay of ~O/ ~ - Date
By: Date
R Raplsrer
Date
BOND Requlred9 ~ YES ~ NO To the Register of Wills:
FEES:
Letters .......................................... $
( )Short Certificate(s).........
( )Renunciation(s) ..............
( )Codicil(s) ........................
( )Affidavk(s) ......................
Bond .............................................
Commission ..................................
Other
Automation Fee ............................
JCS Fee .......................................
TOTAL ......................................... $
~ Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
E-mail:
DECREE OF THE REGISTER
Date of Death: 0212612012
Social Security No: 116-247768
Estate of John W. Norris Ftle No: 21-12 ~ ~ i
a1k/a:
AND NOW, , in consideration of the foregoing Petition,
satisfactory proof having been pre nted before me, IT IS DECREED that Letters Testamentary
are hereby granted to Virginia 3. Norris
in the above estate and (ff applicable) that the instrument(s) dated 08/08/2007
described in the Petition be admitted to probate and filed of record as the~Ai{y,Will (aAd Codicil(s)) of De A
2011 form software only The Lackner group, inc. ~ ~-r ~~~ ~~ ~~ 2 of 2
______~ _
~_ __ __ _ _
~~-~~1.
LOCH R'S CERTIFICATION OF DEATH
WARI'~j~~) r .~.a duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 ZO-1 AUG -g pM 2; This is to certif that the information here
Y given is
correctly copied from an original Certificate os Death
duly filed with me as Local Registrar. The original
v~~l :r) certificate will be forwarded to the StatE Vital
E~~~ijF~T Records Office for permanent filing.
P 18211186 ~'"~
.~ ~ ~
Certification Number
1
Types/print In
Perman•nt
1
~ f
'Local Registrar Date Issued
CIJMMON WEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH .VITAL RECORDS
-- - ~ ~. v n • n State Flle Numbfr:
1. • etlent'f Le al Nam (First, Mldtlle, Last
Sulflx)
~
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2. Sfx 3. Soci•I Secure Number 4. Date of Death (MO Day/Yr) (Spell MO)
o~ln W _ ~orr~s male T
16-24-1758
r
.
P
ebruary 25 r 2012
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e-Vs[ glKhtl
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[s) Sb. Under 1 Year Sc. Under 1 D 6. Date Of BIKh (MO Day/Year) (Spell Month) Ta. BiKhpl•ce ICIry antl Statq or Foreign Country)
Months O
78
yrs _
aYa rs Minutes StiarCh 28 s
1933
>b. BlrthPlace lGOUnty)
ga. R•fitlene• (State yr Foreign Country) {b. Resld nc• (Street and Numlaer -Include Apt NO.) gc. O(d Oaced•nt UVe in • TOwnshlpi
Pennsylvania 128
trayar Drive Qref. deefe.nt nyee m
South Middleton
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.
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•nce (
euntYl ewP.
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Cumberland Be. gezld nce (Zip COtla) Q No, decedent IIV•tl within limits eI
city/bprv.
9. Ever In US Armed forcefT 10. Marital Status at Tlme of Death [~ Married Widpwetl 13. SurvlVln{ 5 0 Name (If wife, give name prior to first marrlala)
~Y•f Q NO Q VnknOWn O DiVerc•d ~ O N
i
a
ayer MarNed QUnknown Virgin
a
Sylcaa
12
F
h
Y
.
ft
•
a Names (First, Mlddla, Last, SVNIx) 13. Mother's Name prlOr tO First M•rrlage (First, Mlddl•, Li¢t)
Isaac sruce Norris
Ruth E_ Kephart
14
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ormant
s Name 14b. R•latlOnshlp to pewd•nt 19C. InfO[manL'a Malling Address (Scree[ antl NV mbar, Clty- Stat•
ilp COd•)
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If OutA Omuved 5n • Noapl0l: t~~)nye<i~n< piT Death Occurred spmew ... •.. •.._...••.....•._.....••••••ut ••••••........-.•......_......•• ... ....... ..........................
ere OLhar Than a HOSpltal: iJ ~MOSpIC• Faplllty []~~O
Emer
E~
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ec•
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nt
f Home
oom/OVtpatlent Ofatl n 4rriyal ) Nursin{ Heme/lOn Term Cart Facility Other (Specify
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ame
n t Inrtltutlon, tlyf stroe[ and n tuber, lSC. City Or Town, State, and 21p Code lStl. GOUnry of Death
Sri ea at H
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3 est Creek
~ Machanicab PA 17050 C
n
18a. M•ihotl of Olsppaltlon Burial rama[lOn eb. Date of Dlsppsltl 18c. Place of Ols sltlon Name OT cemetery, cram•xvry, or other place)
p q.me,,.1 !rem sta<. o DOnsemn 1"tarch 1
2012 O
l
1 ,
ak Hil
Cantata
Other (SP•ctf ry
~ 16d. La<a<IOn Of ONpos tlon (City er Town, Elate, antl Z pl
CucT,sanavillea PA 16833 1>a I lure OI Funeral I Licena•e or Parson In Ch•r9e of Interment 1>b. License Number
013144E
17c. N•me and Complete Atldress of Puneral Facility
.~ 18. Decedent's Etlucatlon -Check the boat a< beat d• rib•f the 18. D•cetlen of Hispanic Orlgln -Check the 20. Oec•tlent's Rac• - Check O E OR M00.E races t0 Indicate what
hl{hest de{r•e Or I•yel of school completed at the tlm of death
box that best d
nb
.
asc
•f whether the d•cedent Lh• tlfcetlant considered himwlf or herself to ba.
Q gth {rad• Or I•ls I
S
i
h
H
s
pan
s
/
ispanic/LatlnO. Check [hf "Ne" ® While Q KOr•an
Q NO dlplOmi, 9th - 13th {fad! box If tlec•d•nt U net Spanish/Nispanlc/LatlnO
Bl
. Q
ack Or African American Q Vle[nam•se
O HI{h sch OPl {raduate Or GED completed ~ No, no[ Spanlah/HlspanlULatlnO Q American Indian Or Alask
N
[I
S
q
a
a
Q
Om• co
Ve Q OUI•r Asian
•g• cratllt. but n0 degree Q yfs, Me%Ipan, Mealun American, Chlcan0 Q Aalan Indian
Q NatlVe Hawaiian
Q Associate defrce /e. g- AA, AS) ~ Yea, PYeKO 0.1can Q Chinese
Q R
l
l
'
d
ac
re
or
a
•!If• (•.g. BA, AB, BS) Q Yf <, Cuban Q Filipino Q GVamanlan or Chamorro
I~ Maatar'y de{r•a (e.{. MA, MS, MEnL MEtl. MSW MBA) Q Samoan
1 ~ Yes, Other Epanlah/Mlspanic/LetinO Q Ja
anese
p
0 Other Pacific Islander
Q Doctorate (•.{. PhD, EtlD) Or Professional tl•{r<e
S
lf
(
p•c
y) Q Other (Specify)
. MD ODS OVM LLB JO '
21. Decedent's Single Races Self-Designa[IOn - Check O LY ONE [O Indicate what the tle<atlent considerotl himself Or hars•If to be
22a
Dec
tl
t'
U
l
.
.
e
an
a
sua
Occupa<len - Intllcate type O work
® White Q Ja Panes d
d
,
pn•
urln{ mOSt Of werking Ilfe. DO NOT USE RETIRED.
Q Black err African American Q Korean
Q O[he PaclRC Islander Teacher
Q American Indian or Alaska NatlV• Q Vle[nam se Q Don'[ Know/Not Sure
Q Alan Intllan 0 Other As~wa Q R•fusad 226. Kind of Businefs/Industry
Q Chinese ~ Native N Ilan Q Other (SPeciry)
O FWp1n° O Guamam nor cn•mprrp _ Pub11C SCFtool
BV PlRSON WMOO PRONOUNI:Eg pR EO 23a. r n • Oea Mo ay Yr Z gnatura a Peron Pronquncln{ Dea[ Only when appllCg a 23c. L c•nse Num r
GERTIPI t OlATN
23tl. 4y1(p Silva (~:1p Qj Yr) 24. Tim
~ \~ ~r,~~ 25. Was Medical in•r or Co
roner Centactgdi Q yes Nv
CAUSE OF DEATH
Approximae
28. P•K 1. Enter the chain aT even[:--diseases, Inluri s, or compllu<lens--thee directly wuud the death. 00 NOT enter terminal •VenH
h
~
~
suc
as cardiac arrest
Interval:
respiratory arrest, qr Yentdcular Rbrllla[lon wi[h
)
ut showln{ the ![lolo{Y. DO NOT ABBREVIATE. Enter Only one cause on a Ilne. Add atltli<Ipnal Ilnes If necessar
Onset t
D
y
o
egth
(
IMMEDIATE CAUSE ---------------> • ` ) ~/
~O
(Final disease Or contll[lon - e to (er as a
seq Of):
i-
refulnng In au[h) b. ~ ~ ~~ .` -l~t n Y~ ~) M Gl'1 ~,~.--~ 5~
s•quentblly Ilsf condRlOns• Du [o for as a c
d env, leamn{ <o the taut! eneequenc. _ i
Ilsred on Ilne a. En[ar the c. ~y ]f / T LNIGl/~Q~ p~N I~ tY~ ~C t l~~ Q/l QCC l ' ~ /yti
e~ x
UNOERLYINtl GUSE / ( ~ ~ Due t0 (or as a c nsequ•n Of): 3 --E_./-~-L==.y
(tlisease or Inl ry that ~ ~ 1
S Initiated thq gyents resultlnB d. Q i
~ In d•aslt) LAST. Oue t0 (Or as a conseOVence qf):
y
a7
S2. 26. Part IL Ente~r o(/tt1he~r ~lj~.I~~ ~r~ ^1`. rl y~ ~/~~ hbut n[a~[((}e/s~~u l/<Inyg~I/nLthe~Vnyd~erlYyll-n{-tca/u~se BlVen In Partl 2>. Was an aV[q P¢Y'P•rlor i
1Y~t c.'L
tti\V
„
_ vci
Vqs
0
,-
/
e
~ V'L~
! V.J_
s t., 1 V•,
~-1~J Q - Q /~ _ 28. W r• autoPSV findin{a au•Ilabl•
/ ~> to mmPlete the cause of d•athi
"Y t / C, t,C u ~ rnE
~
29. 1I Female: i
30. Did T bacco U e COn<Nbu[e t0 Death3 Yff NO
O Ne<pre 31. NI nlr Of OeatF
loan[ wl[Irin Peat Yvar
s
a1 O Probably atural Q NOmIGItl•
Q Pro{nan[at [Im•Of death No
'
Q Q Unknown A
ltl
cc
Q Not Pregnant, but
an[ Q Pentling Inyptlgatlon
pregnant within 42 days of heath
~ Sulelde Q Gould not be determined
Q Not pregnant, but pfegnint 43 days to 1 year before tl•a[h 32. Oatq of Injury (MO/Day/Yr) (50!11 Month)
Q Unknown If pre{nant within the past year
33. T`me of Inlury
3a. Place Of Inlury (e.l- hnmq; conrtruRlon qts; farm: a hoop 3E. LOta[len of Injury (Street and Number. City. State, Zlp Code)
36. InlVry at Work 9>. If TranspOrtatlen ImUry. Spec fy: 3!. OescNbe How Injury Occurred:
Q Ye. Q DrIV•r/Op•rator O P.a.:t+lan
Q NO Q Passenger Q Other l$P•clfyl
39a. C er (Check only On•):
eKlfyin{ physician - TO the best of my knewletlgA, death occurred due to the cause(s) end m r s4[ed
O Prpnouncln{ 8 CgrNlying physlcl•n - To the best- my kngwletl{e death occurred a<th• time
date
antl place
and d
t
th
,
,
,
ue
o
e cause(s) an0 manner stated
Q Medical Examiner/Gar e - On ~ basis qT exy lion, a(rd/Or atlon, In my Opinion, death gccyrr•tl
ac the Ume, tlate, and place, and due to [h• 1 )and manner
s
<aud
/
l
l
Q
Sllnature of certifier: l
f
~
/
t
~ Tltla Of c•Kifler: ' \/ License Numb•r:
e` ~ ~ ~/ J
39b. Name, Ad r s and ilp CO / PefsOn cOmpl [au;q o Death 1[ 36)
//
/ _
39c. Date Slgn d IMO D /Yr
~
~ 70
(
_ {
V
40. fl s[rar s O a<Ntt er
41
. Re{IStr r
gneture ~ e{strc • ate q aY
43. Am• tlmenta
f ~r
~
Disposition Pnrmh No. s...( ~ ~ GJ T
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LAST TWILL AND TEST
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I, JOHN W. NORRIS, of South Middleton Township, Cumberland County,
Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make,
publish and declare this to be my Last Will and Testament, hereby revoking all Wills and
Codicils heretofore made by me.
ONE. I direct my Executor or Executrix, as the case may be, to pay all of my
debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore,
I direct that all state, inheritance, succession and other death taxes imposed or payable by reason
of my death and intereslt and penalties thereon with respect to all property composing of my
gross estate for death taxi purposes, whether or not such property passes under this Will, shall be
paid by the Executor or executrix of my estate. Further, to the extent that sufficient assets exist
in my estate, any and all'inheritance or other estate taxes, whether to non-charitable or charitable
beneficiaries, shall be paid by my Executor or Executrix from the residuary of my estate.
TWO. My Executor or Executrix may, at his or her discretion, compromise
claims, borrow money, retain property for such length of time as he or she may deem proper;
lease and sell property far such prices, on such terms, at public or private sales, as he or she may
deem proper; and invest estate property and income without restriction to legal investments
unless otherwise provided hereunder. I authorize and empower my Executor or Executrix to sell
any realty and/or persgnalty owned by me at my death and not specifically devised or
bequeathed herein, at pudic or private sale or sales. and to give good and sufficient deeds and/or
bills of sale therefor, i~h fee simple, as I could do if living. My Executor or Executrix is
authorized and empowered to engage in any business in which I may be engaged at my death, for
such period of time after uny death as seems expedient to said Executor or Executrix.
THREE. I give, devise and bequeath all of my estate of whatever nature and
wherever situate to my spouse, VIRGINIA S. NORRIS.
FOUR. If my spouse, VIRGINIA S. NORRIS, does not survive me by a period of
at least sixty (60) days, I then give, devise and bequeath all of my estate of whatever nature and
wherever situate in equal shares to my children, ISAAC B. NORRIS, WILLIAM U'. NORRIS,
ELIZABETH NORRIS, MARY R. COMITALE, ANN K. HARTSHORN and MARGARET E.
FINKBEINER, per stirpes, which provides that the child or children of any deceased beneficiary
shall take the share their parent would have taken if living, provided, however, if any said heir or
beneficiary is under the age of twenty-five (25) years, then in that event, their respective share
shall be held in trust in accordance with the terms and conditions of Paragraph Five below.
FIVE. If my spouse, VIRGINIA S. NORRIS, has predeceased me or failed to
survive me by sixty (60) days, and if any of my beneficiaries hereunder are under the age of
twenty-five (25) years at the time of my decease, then his or her share of my estate I give, devise
and bequeath to be held II~T TRUST by the hereinafter named Trustee according to the following
terms and conditions:
Upon creation of this Trust, the Trustee shall divide the same into individual
shares in accordance with the share that each said heir or beneficiary inherited hereunder.
The Trustee, as well as my Executor or Executrix, as the case may be, is hereby
authorized to retain, unconverted, any property, real or personal, that I may own at my
death and shall be under no duty to convert it into legal investments. The Trustee shall
have the power and authority to sell, transfer, convey, invest and reinvest and to pay over
the net income of the trust property, to or for the use of my said heir or beneficiary, or to
accumulate it in the sole discretion of the Trustee. The Trustee is also authorized and
empowered to pay over to, or for the use and benefit of my said heir or beneficiary such
~~
2
portion of or all of the principal of the trust estate as in the Trustee's sole discretion seems
proper for his or her continued support, maintenance, education, medical care or general
welfare. My primary objective is to insure the continued support, maintenance, education
and medical care of my said heir or beneficiaries until he or she reaches the age of
twenty-five (25) years. When each respective heir or beneficiary of this Trust reaches the
age of twenty-five (25) years, then whatever remains of income and principal of his or
her individual share under this Trust shall be distributed to my said heir or beneficiary,
per stirpes, which provides that the child or children of any deceased child shall take the
share their parent would have taken if living. In the event that any said heir or
beneficiary becomes deceased prior to his or her distribution hereunder without leaving
surviving issue, said deceased heir's or beneficiary's shaze shall be divided equally
between all of the heirs and beneficiaries who aze a part of this trust and distributed in
accordance with this paragraph. If, for whatever reason there are no heirs or beneficiaries
remaining as a part of this trust, then in that event, the rest, residue and remainder hereof
shall be distributed in equal shares to the beneficiaries set forth in Paragraph Four above.
SIX. I hereby nominate and appoint my spouse, VIRGINIA S. NORRIS, to be
the Executrix of this my Last Will and Testament. In the event for whatever reason she is unable
to serve as the Executrix of my estate, I hereby nominate and appoint MARGARET E.
FINKBEINER and ELIZABETH NORRIS, or the survivor of the two of them, as the substitute
Co-Executors of this my Last Will and Testament. If both of the above named substitute Co-
Executors predecease me or are unable to serve, I hereby appoint MARY R COMTI'ALE as
substitute Executrix, whereby the said substitute personal representatives shall have the same
powers as are given to the original Executrix hereunder.
SEVEN. I hereby nominate and appoint JAMES J. COMITALE, or if he is not able
or does not serve for whatever reason, I hereby nominate and appoint ELIZABETH NORRIS, or
3
if she is not able or does not serve for whatever reason, I hereby nominate and appoint
IviARGARET E. FINKBEINER, to serve as Trustee of the Trust created in Paragraph Five
1}ereof.
EIGH'T'. No person(s) shall benefit hereunder unless such beneficiary shall survive
me by sixty (60) days.
NIIVE. No Executor, Executrix, Trustee or Guardian acting hereunder shall be
required to post bond or enter security in this or any other jurisdiction.
TEN. Na beneficiary may assign, anticipate or pledge its interest in any income
or principal held or distributable hereunder, and no beneficiary's creditors may levy, attach or
otherwise reach any such interest. ~
ELEVEN. If any person or institution entitled to share in any distribution under the
terms of this my Last Will and Testament becomes an adverse party in any proceeding to contest
the probate of this Last Will and Testament, such person or institution shall forfeit his, her or its
entire interest inherited hereunder and all provisions in favor of such person or institution shall
be declared void and of no effect. The share of such person or institution so forfeited shall be
distributed as part of the residue hereof except that if such person or institution is entitled to
share in the said residue, that interest shall be distributed proportionately to the other residuary
distributees.
TWELVE. The Trustee, as well as my Executor or Executrix, shall have the following
powers, in addition to those vested in it by law, for my property held for the benefit of my
beneficiaries, whether income or principal, exercisable without court approval and effective until
the distribution of all property under the terms of the trusts set forth in Paragraph Five above:
4
The Trustee, at its discretion, may compromise claims, borrow money or retain
property for such length of time as it may deem proper, sell lease, pledge, mortgage,
transfer, exchange, convert or otherwise dispose of or grant option of all or any portion of
trust property for such prices and on such terms in public or private transactions as it may
deem proper; and invest trust property and income without restrictions to legal
investments. The determination of the Trustee with respect to the advisability of making
payments out of the income or principal to any heir or beneficiary inheriting hereunder
shall be conclusive and binding on all persons howsoever interested in the respective
trust. Further, the Trustee shall be authorized to receive additions to the respective trust
of any kind or any property whatsoever from sources other than my estate and at any time
in the sole discretion of the Trustee.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this'~-~day of
August, 2007.
(SEAL)
J w. NoxRrs
Signed, sealed, published and declared by the above-named person as and for a Last Will
and Testament, in our presence, who at said person's request, in said person's presence and in the
presence of each other have hereunto set our
5
ACKNOWLEDGMENT AND AFFIDAVIT
WE, JOHN W. NORRIS, JAMES D. HUGHES and SUZANNE M. SHEFFER, the
testator and witnesses respectively, whose names are signed to the 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 herein expressed, and that each of the witnesses, in
the presence and hearing of the testator, signed the Will as a witness and that to the best of their
knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under
no constraint or undue influence.
COMMONWEALTH OF PENNSYLVANIA
JO W. NOB.RIS
. SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by JOHN W. NORRIS the testator
herein, and subscribed ands to before me by JAMES D. HUGHE~j nd SUZANNE M.
SHEFFER, witnesses, this day of August, 200 /~ / I /
~ , l . // n
Public
~,;a~ sear
Jaoquelirie L. Drawbau8h. ~~~~
~~ E .14, 2007
~ Aseociaua~ of Wcterie~
Member, PennsyNan~