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HomeMy WebLinkAbout08-21-12PETITION 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 request(s) the grant of Letters in the appropriate form: Decedent's Information ~ ...~ Name: KENNETH H. OVERCASH File No• 21-12- ~,~ 1~`a a/k/a: KENNETH HAROLD OVERCASH (Assigned by Register) a/k/a: a/k/a: Social Security No: 196-14-4000 Date of Death: 7/28/2012 Age at death: 86 Decedent was domiciled at death in CUMBERLAND Count, PENNSYLVANIA (State) with his/her last prlnClpal reSldence at 516 BRIGHTON PLACE, MECHANICSBURG 17055 UP ER ALLEN TOWNSHIP CUMBERLAND Street address, Post Office and Zip Code City, Township or Borough County DeCederit died at 516 BRIGHTON PLACE, MECHANICSBURG 17055 UPPER ALLEN TOWNSHIP 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 don:iciled ii: Pennsylvania ................................All personal property If not dottticiled in Pettnsylvat:ia .............................Personal property in Pennsylvania If not dottticiled in Pet:nsylvattia .............................Personal property in County $ 170,000.00 Value of real estate it: Petetrsyi'vat:ia .............................................................. $ 150,000.00 TOTAL ESTIMATED VALUE.... $ 320,000.00 Real estate in Pennsylvania situated at: 516 BRIGHTON PLACE, MECHANICSBURG 17055 UPPER ALLEN TOWNSHIP CUMBERLAND (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough County ® A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated 7/13/2010 and Codicil(s) thereto dated bLON~ State relevant circumstances (e.g. re~uutciation, 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(g), and did not have a child bot~ 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., pendente life, derrante absentia, durante minoritate If Administration, c.~a. or d.b.n.c.~a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent 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(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): ~-,~~ M ~_ :1? Name Relationship --,~ , Address ~ %~°" { `-~; ;:_: " ~.~; .- r - ~_ _. .~ -°.~ `~ - C.+3 Fo,~n, Rrv o~ rev. toitli?ov Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF CUMBERLAND } Petitioner(s) Printed Name Petitioner(s) Punted Address t.._3t -. - 38 COLD SPRING ROAD ~--~ ' _ KENNETH HOWARD OVERCASH ~ DILLSBURG ~ ~.! PA 1919 ~ -~ '- 902 DOGWOOD COURT D c.~ i~.~ YVONNE E. RENN~+ LAN SDALE PA 146 The Petitioners) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioners) and that, as Personal Representative(s) of the Decedent, the Petitioners) will well and truly administer the esta according to law. Sworn to a`ff~rrned d ubscribed re ~ .~ _ ~~i! Date ~-~ ~ ~ ~`'~~ ~~ me thi day f ~ -~ (6 ~ ~C" Date ~ - ~~ ~~ i By' CA ~~ Date Register Date BOND Required: ^ YES ® NO FEES: Letters ...................... $ ~~,~ ~ ~ Gf ( ~) Short Certificates(s) ...... • ~='~ ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Othe ...,., Automation Fee ................ . JCS Fee ....................... TOTAL ......................$ ~~ 1~`L, ~.? ..~/- To the Register of Wills: n~_ _~--- --- ---- -- - 1 1\.{-Jl. l.ll{,L.l ~^^y a~~ca- ai~~~ vy iuy ~-~tta~u~ a ue~uw: ~+ f Il'~ ~= f Attorney Signature` i ` '' ~' ~ ~,. Printed Name: MURREL R. WALTERS, III Supreme Court ID Number: 24849 Firm Name: MURREL R. WALTERS, III Address: ATTORNEY AT LAW 54 E. MAIN STREET MECHANICSBURG PA 17055 Phone: 717-697-4650 Fax: 717-697-9395 Email: DECREE OF THE REGISTER Estate of KENNETH H. OVERCASH File No: 21-12- ~ ~r~1_.._ a/k/a: KENNETH H. OVERCASH a AND NOW, ~ ~ , in consideration of the foregoing Petition, satisfactory proof having been resented before me, IT IS DECREED that Letters TESTAMENTARY are hereby granted to KENNETH HOWARD OVERCASH AND YVONNE E. RENNA in the above estate and (if applicable) that rYr, the instrument(s) dated 7/13/201 >Q3 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~, Register of Wills ~' .• ~~> ~' ~~~~~. Form RGV-0? rev. 10/11/?011 ~ ~ ~~ Page 2 O ~~ Official Use Only P. ~ ~ ~ `~ Q3 -r~ ~ 7- •. ~ ~ ~` G7 ~-. , -j ai=i~--o9E.~" -~~ ;~~ i --+-'J ~~~~~ '/Print In manent f i iu~'~Z ~~~ 2 I ~~ 8~ ~~ ~,~:' ~~ ~ _ ~` ~~iPt~~',~ t, ~ ~~vLir~ ~' ~l~f~g~~L~10 CQ., ,. COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS rC ~TILIP /1Tr ~r r~r n~•.. - - - - -" - - "' State File Number: 1. Decedent's Legal Name (First, Middle, Las[, Suffix) 2 S . ex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Kenneth Harold Overcash Male 196-14-4000 J l 28 2 u 012 Sa. Age-Last Birthday (Vrsl Sb. Under 1 Vear Sc. Under 1 Da 6. Date of Birth (Mo/Day/Near) (Spell Month) 7a. Birthplace (Gty and State or Foreign Coun[ryl Months Days Hours Minutes 86 Se tember 4, 1925 7b. Birthplace (County) Franklin 8a. Residence (State or foreign Country) 8h. Residence (Street and Number -Include Apt No.) 8c Did Decedent Live in a Township? Penns lvani a 516 Brighton Place es, decedent lived in Upper Allen 8d. Residence (County) t`^'P~ Cumberland He. Residence (Zip Code) 7055 ^ No, decedent lived within limits of cit /b y orn. 9. Ever in US Armed Forces? 10. Marital Status at Time or Oeath ^ Married Widowed 11. Surviving Spouse's Name (If wife give name rior to First i , p marr age) ®Yes ^ No ^ Unknown ^ Divorced ^ Never Married ^ Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First Middle Las[) , , Howard Overcash Edna Sailhamer ' 14a. Informant s Name 14b. Relationship to Decedent Kenneth H Ove h 14c. Informant's Mailing Address (Street and Number, City, State, Zip Codel . rcas Son ~ 38 Cold Spring Rd. Dillsburg, PA 17019 .................................................................................................................lSa Place o Death (Check only oriel.............................. i I( Death Occurred in a Hos it l ~ ^ a ~~~•~ ~ ~. ~. ~ .~ .... ..{~..~... ....... .............. . WF~t, p Inpatient ilf Death Occurred Somewhere Other Than a Hospital. LJ Hospice Facility yy2yrecedent s Home ~ ^ E mergency Room/Outpatient Dead on Arrival r ^ ^ Nursing Home/Long-Term Care Facility ^ Other (Specify) ~ lSb. facility Name (If not institution, give street and number' 16c. City or Town, State, and Lip Code tSd. County of Death 516 Bri hton Pla c e Mechanicsbur PA 17055 Cumberland ~ l 16a. Method of Disposition !4' Burial ^ Cremation 16b. Date o(Dizposrtion 16c. Place of Disposition (Name of cemetery, crematory, or other place) ~ ^ Remo l f S va rom tate ^ Donation c ^ Other (Specify) 8/1 /2012 Indiantown Gap National Cemetery 16d. Location of Disposition (City or Town, State, and Zip) 17a. Signature of F neral Service Licensee or Person in Charge of erment 17b. License Number Annville PA 17003 ~ FD 012122 L 17c Name and Com l t Add f . p e e ress o Funeral Facility Neill Funeral Home 3401 Market St. Hill PA 17011 18. Decedent's Education -Check the box that best describes the ~ highest degree or level of school completed at [he tim f d h 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what e p eat . 8th grade or less box that best describes whether the decedent " the decedent ronsidered himself or herself to be. ' ^ No diploma 9th - 12th d is Spanish/Hispanic/Latino. Check [he Nq" ~ While ^ Korean , gra e ^ Hlgh school graduate or GED com l t d box if decedent is not Spanish/Hispanic/Latino. ^ Black or African American ^ Vietnamese p e e ^ Some college credit but no de ree ~ No, not Spanish/Hispanic/Latino ^ American Indian or Alaska Native ^ Other Asian , g ^ Associate degree (e g AA AS) ^ Yes, Mexican, Mexican American, Chicano ^ Asian Indian ^ Native Hawaiian . . , ^ Bacheloi s degree le g BA AB BSI ^ves, Puerto Rican ^ Chinese ^ Guamanian or Chamorro . . , , ^ Master's de r ( MA MS M ^ Yes, Cuban ^ Filipino ^ Samoan g ee e.g. , , Eng, MEd, MSW, MBA) ^ ^ Yes, other Spanish/Hispanic/Latino ^ Japanese ^ Other Pacific Islander Doctorate (e.g. PhD, EdDI or Professional degree (Specify) ^ Other IS ecif ) e. . MD, DDS, DVM, LLB, 10) p y 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself tp be 22a. Decedent's Usual Occupation -Indicat t f k e ype o wor W White ^ lapanese ^ Samoan done during most of working life. 00 NOT USE RETIRED. ^ Bl k Af i A ac or r can merican ^ Korean ^ Other Pacific Islander ^ American Indian or Alaska Native ^ Vietnamese ^ Don't Know/NOI Sure A ene Owner ^ Asian Indian ^ Other Asian ^ Refused 226. Kind of Business/Industry ^ Chin ese ^ Native Hawaiian ^ Other (Specify) _ ^ Filipino ^ Guamanian or Chamorro Insurance ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO/Day/Vr) 236. Signature of Person Pronouncing Death (Only when applicable 23c. License Number BV PERSON WHO PRONOUNCES OR / . 2 ~ ~ ,~v ~y (( / ) / _ CERTIFIES DEATH / - ,Z Ul - ~C~ ~ •7 F/em.-s~9G,2...-~ J (~ f G.~Lf ~ v •~ • j r7';~ f 23d. Date Signed (Mu/Day/Vrl 24. Tame of Death i,J `~ /7 ~ ~ l C ~j ' ~~- ~.%~ Z U ~ ~ ~J Q 25. Was Medical Examiner or Coroner Contacted? ^ Ves No CAUSE OF DEATH Approximate 26. Part I. Enter [he chain of even[s~-diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval: respiratory arrest, or ventricular Fibrillation without showing the eti ology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death o / IMMEDIATE CAUSE ~--------------> a. J~Q ~ ~L( /~ f ~ 2] ~~F (Final disease or condition Due to (or as a consequence of): resulting in death) b Sequentially list conditions, Due to (or as a consequence of) if any, leading to the cause listed on line a. Enter the c . _ _ _ _ UNDERLYING CAUSE Due to for as a consequence of) (disease or injury that initiated the events resulting d. in death) LAST Due to for as a consequence oft -- 26. Part It. Enter other significant conditions contributing to death but not resulting in the underlying cause given in Part I 27 Was an autopsy performed? ^ Yes ~'f o 26. Were autopsy findings available to complete [he cause o(death? 29 i/Female ^ Vez ^ No ^ Not pregnant within past year 30. Did Tobacco Use Contribute to Death? ^ves ^ Probably 31. Manner of Death ^ Natural ^ Homicide ^ Pregnant at time of death rLNo ^ Unknown ° ^ Accident ^ Pending Investigation ^ Not pregnant, but pregnant within 42 days of death ! ~ ^ Suicide ^ Could not be determined ^ Not pregnant, but pregnant 43 days to 1 year before death ^ Unknown if re n nt ithi h 32 Date of Injury (MO/Day/Yr) (Spell Month) p g a w n t e past year 33. Time of Injury 34. Place of Injury (e.g. home; construction st[e; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. I(Transpor[alion Injury, Specify: 38. Describe How Injury Occurred: ^ Ves ^ Driver/Operator ^ Pedestrian ^ No ^ Passenger ^ Other ISpecify) 39a. Certifier (Check only oriel: gCertifying physician - To the best of my knowledge death occurred due to the cause(s) and manner stated ^ Pronouncing & Certifying physician ~ To the be of y k owledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated ^ Medical Examiner/Coroner - On [he basis of ~ ati /or investigation, in my opinion, death occur r ed at the time, date, and place, and due to the cause(s ) and manner stated ~ / Y ~ Signature of certifier:- Title of certifier: ~~ License Number ~ta~yi~i ~ ~ ~ 3 . 'am~Addrgfj I rid 21p Code of Person C pie n Cause of Death (Item 26) 39c. Dale Sig ed (M '/Day/Yr) , ,, l\ ~ '~ ~ • f ~ 4 =' ~ J lL,, W 1 ~ ~ • r ~ ~ Q,r~r ~rc~ j '1 i 10 i ~ ~a ~rz ' 40. Registrar s District Number 41. Re stray' Sign at ure 42. Registrar File ate (M o/Day/Vr) r ( ~ 7 ~r ~ ~'~ ~ Y~ ~ (J~ D I'/1 43. Amendments try ~ /p L/ ~ H 1D5-143 Drsposi~ion Permit No. V ' I Y RFV 07/7011 f-.;r :) LAST WILL AND TESTAMENT ~ z~: :=~_ -7-y /"1 r_.-. ~ _. ~~+~ ... ~ =a ~-.7J BE IT REMEMBERED THAT o c .~~. ^-- y ca ~.~ p I, KENNETH H. OVERCASH, a resident of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL AND TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am not married, my beloved wife, RUTH I. OVERCASH, having predeceased me, and that I have four (4) children, YVONNE E. RENNA, LINDA M. BABSKI, PAMELA S. WALBORN, and KENNETH HOWARD OVERCASH. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV I give and bequeath my copper kettle, tools, guns, ammo, gun cabinet, hunting and fishing equipment, deer antler collection, antique lantern, my father's straight razor, bone handle pocket knife, antique demijohn, antique gold frame mirror, flat iron, two iron pots, two gallon jugs, safe, camcorder, portable gas grill, coal bucket, arrow head collection, Souder file cabinet, office desk and lamp to my son, KENNETH HOWARD OVERCASH, per stirpes. V I give and bequeath the gold lady's pocket watch, walnut table lamp, ceramic washbowl, pitcher made by my wife, 3 gallon crock, hanging antique light, white platter and casserole, Corning Ware, Pfaltzgraff cookie jar set, walnut bedroom suite and bedclothes, three-piece yellow luggage, folding maple table, green afghan, sewing machine and table, two maroon metal chairs, and the sum of THREE THOUSAND (3,000.00) DOLLARS to my granddaughter, MEGAN COOK, per stirpes. VI I give and bequeath my glass punch bowl and cups, ceramic toad stools, 2 Pyrex baking pans, 2 large glass mixing bowls, walnut Deacon bench, walnut shelves and bear collection, wicker stool and baskets, brass stand with contents, and the sum of THREE THOUSAND ($3,000.00) DOLLARS to my granddaughter, ANGELA FISLER, per stirpes. VII I give and bequeath my blue Deacon bench, water wheel picture clock, three Souder book shelves, Souder cabinet in attic, pole lamp, 3 gallon jug, wood bucket lamp, school house wall clock and the sum of THREE THOUSAND ($3,000.00) DOLLARS to my grandson, JASON SHEARER, per stirpes. VIII I give and bequeath my ash tray on Eagle stand, bird letter opener, desk calendar, pen set, Souder cabinet in living room, round wood ottoman, 1 gallon crock, grandfather clock and eagle, ash tray magazine stand and sum of THREE THOUSAND (3,000.00) DOLLARS to my grandson, BRIAN HAMSHER, per stirpes. IX I give and bequeath my large wall mirror, dining room suite, ceramic men and squirrel, touch lamp and stand with partridges, jug lamps and end tables, small beige recliner, round wood three-legged flower tub, three iron fry pans and the sum of THREE THOUSAND (3,000.00) DOLLARS to my granddaughter, JENNIFER L. MCKEE, per stirpes. X I give and bequeath my antique blanket chest, green ceramic frogs, copper wall plates, copper lazy susan, 1 1/2 gallon crock, copper carafe set with cream and sugar and plate, stainless tableware in wood case, Corelle dishes, white ceramic tea set, maple bedroom suite and bed clothes, rolling kitchen table, 3 piece blue luggage set, ceramic cat, gold and white afghan, gold pillows, and the sum of THREE THOUSAND 03,000.00) DOLLARS to my granddaughter, CARA ORR, per stirpes. XI It is my desire that all remaining wall pictures and hangings and odd ceramic pieces to be divided between my daughters and granddaughters. XII I give and bequeath my china dishes, musical china teapot, antique rose dishes, musical copper windmill, chocolate set, green ceramic wall plates, stainless flatware in buffet drawer, black TV trays, blue swivel chair and ottoman to my daughter, YVONNE E. RENNA, per capita. XIII I give and bequeath my wooden living room bookcases, wood rocking chair, wall portrait of my wife and I, musical bear, large flowered living room lamp, crystal ash tray, ceramic Halloween pumpkin and ghost set to my daughter, LINDA M. BABSKI, per capita. XIV I give and bequeath my living room suite, end tables, coffee and round tables, brass lamps, large framed picture and candle sconces, Magnavox stereo and all records and albums, wood magazine rack, ceramic canister set, round glass stand, barrel-back swivel chair, to my daughter, PAMELA S. WALBORN, per capita. XV I give and bequeath my Princess House dishes and glassware, standing ceramic man with white beard, ceramic washbowl and pitcher stand, antique potato slicer, meat grinder, ceramic cherry pie dish, dark brown cookie jar, musical Christmas Bible, large stoneware platter, antique chamber pot, ceramic cat to my favorite daughter-in-law, RITA OVERCASH, per stirpes. XVI I give and bequeath the sum of ONE THOUSAND ($1,000.00) DOLLARS to each of my great-grandchildren, BRIANNA HAMSHER, BETHANY FISLER, ADAM FISLER, BRYCE MCKEE, BRAELYN MCKEE, ELLA COOK, JOSHUA SHEARER, COLIN SHEARER, LINDSEY SHEARER, and step great-grandchild, RILEY BABSKI, per capita. XVII I give and bequeath the sum of THREE THOUSAND (3,000.00) DOLLARS to my step-grandson, TRAVIS BABSKI, per capita. XVIII All the rest, residue and remainder of my property, whether real or personal, wherever situate, including any property over which I have a power of appointment, I give, devise and bequeath as follows: TWENTY-FIVE PERCENT (25%) to my daughter, YVONNE E. RENNA, but if she does not survive, to her son, JASON SHEARER, per capita. TWENTY-FIVE PERCENT (25%) to my daughter, LINDA M. BABSKI, but if she does not survive, to her daughter, ANGELA FISLER and her son, BRIAN HAMSHER, in equal shares, per capita. FIFTEEN PERCENT (15%) to my daughter, PAMELA S. WALBORN, but if she does not survive, to her daughter, JENNIFER L. MCKEE, per capita. TEN PERCENT (10%) to my granddaughter, JENNIFER L. MCKEE, per stirpes. TWENTY-FIVE (25%) to my son, KENNETH HOWARD OVERCASH, per stirpes. XIX I appoint MURREL R. WALTERS, III, ESQUIRE, as attorney to assist in the administration of my estate. XX I nominate, constitute and appoint my son, KENNETH HOWARD OVERCASH and my daughter, YVONNE E. RENNA, as Co-Executors of this LAST WILL, to serve without bond. If either is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my daughter, LINDA M. BABSKI, as Co-Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, KENNETH H. OVERCASH, have set my hand to this LAST WILL this 13~ day of July, 2010. KENNETH H. OVERCASH Signed, sealed, published and declared by the above-named KENNETH H. OVERCASH, 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 as witnesses. .,-~ -~~1~, ~~/~ ~ ~ ~ ~ j`' ~ !!! ~ / /`~ r;e ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, KENNETH H. OVERCASH, Testator, 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 as my free and voluntary act for the purposes therein expressed. / d ~f KENNETH H. OVERCASH Sworn or affirmed to and acknowledged before me by KENNETH H. OVERCASH, h day of July, 2010. f~ ~ r Notary Public k~OTC7~~' ~t3~iSG ~,1ECHt~1CS8uRG ~Cs~<~;;,, CUP°/18~RLA,P~ID CNTY AFFIDAVIT ~~!;r Commission ~;~:;tes !un 22, 2012 .. ~~YYU'fWNYp!'.il.~T~ ,H (~F PF,NN~YT,VANTA COUNTY OF CUMBERLAND SS. /~ rr and ~ ~ a ~~c;'. ~~g~ t L, f ~-- '_ ~ ~~z c f_ ~~ 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 Testator sign and execute the instrument as his LAST WILL, that KENNETH H. OVERCASH signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was at the time 18 years of age or more,, of sound mind and under no constraint or undue influence. ;> ~, A `,~ '~ ~.: ~ ,,~, _~. „ r ~1 _. __ ~ ,, Sworn or affirmed to and acknowledged before me this % ~~ ~ ~ `~~ day of ~,,, ~~;:~-~.~..~ , 2010. 4 r'" ~~ Notary Public ~,..~~~ ~;~~.2~. _~- .~,.._ ': RRigRSit'3HY^v'~.'+P+aAM?W1S.Y.~q. RiC t t.;fL4t r1i/~sM1y i'b" '~"'%~+l~{ Noto~y i- ~SJIS4 MECHANfCS~URG, doR©, Ct1Ni8i:R1AND Ch1TY My Commission Exr~lr~-~s ,,+un 22 2p~ 2 ;~