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HomeMy WebLinkAbout09-02-12PETITION FOR GRANT OF LETTERS 4 REGISTER OF WILLS OF ~ ~ ~~~,~~~~'(~,~~,. 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 respectfitlly request(s) the grant of Letters in the appropria e form: ~~- ~~n Decedent s Information ~ ~~ " ~ u f r ~ d .~~. Name: ~1 ~1/11~'ll~, ~.-=~.~~1y1 Z..t'~~1~'i,~~~'`y~~t.~ File No: ~ G?~~:~~~ __~~ _- a/k/a: _ N~~';~1 ~ (`y; ~' ,.U' .~ `~ ~Gi;~`~ 1 (Assigned by Register) a/k/a: ~ Date of lleath: r" ~~ ~ ~ ' '~ j Decedent was domici ed at death in ~~,yY9 ~.~.rd`1.~~~~ C principal residence at ~ ~ Street address, Post Office and Zip Code Decedent died at ,~~'~ ~'I1 /"~3.~ ~U~~~~ Street address,'Post Offce and Zip Code ~~ -• r , Social Security No: .vJ ';~ Age at death: (State) with his/her last City, To}vnshp~or Bor~gh County r'3 Towns~ip dF Borough ~ County State Estimate of value of decedent's property at death: _,_.,,. If domiciled in Pennsylvania ............................ All personal property $ ~~,~~iQ If not domiciled in Pennsylvania ........................Personal property in Pennsylvania $ If not domiciled in Pennsyh~ania ........................Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ ~ L " TOTAL ESTIMATED VALUE.... $ .' u~ Real estate in Pennsylvania situated at: ~ ' j ~ ? ' r"~ a~ (Attach additional sheets, if necessary.) Street address, Post Office and Zip d County and Codicil(s) State relevant circumstances (e.g. renunciation, death ojexecutar, 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 born 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. u., d.b.n., d.b.n.c.t.u., pendente life, durunte absentia, durunte minoritctte 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. 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 .,o Will and was survived by the following spou~;(if any) and he~as'(uttuch .-t.-z udditionul sheets, i~'neeessury): ~~ ~ ~~~~? ;~-`~-~ • ~; Name Relationshi Address ~-i~,r::~! ;`.. C~> ~:._ ~.; . ~T•! ... ~'~. "~ •e ...rte .1 ~ . ity Town¢ ip or Borough 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 thereto dated .L r. _... uT7 Fora, nw-nz r~-•. fnirlnolt Page 1 of 2 r-.,.'r .,. °`-.~ W ~/ ._~1 .._,. -S ffi~ial Use Onl'~y ' ~:: "i.. " Oath of Personal Representative ~ ~ y '; ~ - , ~~ - ~ , _~ - COMMONWEALTH OF PENNSYLVANIA ~ ~--~~: -~ 01 " ~~~~ ~6'~ ) COUNTY 0 F ~ ~ (~~ 1 - -~- ~ N ;-r . , , .~ ~- <.n C _`j Petitioner(s) Printed Name Petitioner(s) Printed Address --- ,~ ~ ~,. ~ . ~ .-~ ~ ~ ~~,~ ti' ~ ill The Petitioner(s) above-named swear(s) or affirm(s) the statements in the forego' g Pe ition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the De ent, the.,P itioi r(s) wil a ,sand truly administer the estate according to law. ~~ ~ Date - Sworn to r affirmed an subscribed efore me th` ~~' da of ~ ~_~ %~, Date ~ Date By' ~ Date he Register BOND Required: ]YES ~NO FEES: ~~v ~L~g~ Letters ...................... $ (~) Short Certificate(s)...... tion(s) i R ''G`t ........ . enunc a ( ) ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Othe ••••••• l ~ ~, ~ ....... ~ ~. Automation Fee ............... (~` JCS Fee . ................... . TOTAL ..................... ~ t r To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Narne: Address: Phone: Fax: Email: DECREE OF THE REGISTER ~1 _ J~ ~ (i C~ / /~ / Estate of ~~'~~~ ~ ~ ` ~ ~ - ~. ~~. ~;~ File No: -.-r-...~..~_~,.. ~~- a/k/a: ~~ ., ,,~~ ~_,. ~ ~~~~``---~~"' in consideration of the foregoing Petition, AND NOW, . ~%~ ' satisfactory proof havi g been presented before me, IT IS DECREED that Letters ~Ltir~~'n~"Cf~' are hereby granted to -~%~~/~ ~ ~ r' ~ ~ ` ~' in the above state and (if applicable) that the instrument(s) dated ~'C` described in the Petition be dmitted to probate and filed of re ord~as the last Wi (and Codicil(s)) Decedent. Register of Wills ~~~. ~~~'> Page2of2 For,n RW-0? rw. Anil ~iznl l 1 l v~~~r~~ pr,~~ ~~~ ~~~~~~~I~~r~. L ~..~ . ~ _ ... - I~l_'C~ 3()) liitti L'~~{.)il(.i~i4~, ~'1(~.4.~1- ,~i~."i,;, ~~1 t~ i l~ ~ CU~1~EPl_~'~li~ CO,. PA ~ ~_ _ ,~. ,~ ~ .. r.. , . . 1 a. -. ~. ib'I ~ C i 1~:i1tlOIl !~ llTll~~i. 1- _ ',. _ _ S Type/Print In COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS Permanent (^C RT~C~f"ATC r1C f1CATLJ 0 a w 0 gO a 2 r~~e rvumoer: 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (S ell Mo) Monica L Lentvorsk _ y Female 200-50-6311 August 7, 201 Sa. Age-Last Birthday (Vrs) 56. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and State or Foreign Country) ~~ 54 Months Days Hours Minutes Dec 26 , 1957 76. Birthplace (County) 8a. Residence (State or Foreign Country) 86. Residence (Street and Number -Include Apt No.) Sc. Did Decedent live in a Township? P 215 Forge Road Yes decedent lived in SOUth Middleton 8d. Residence (County) , twp. Cumberland Se. Residence (Zip Code) ~ No, decedent lived within limits of city/boro. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death ®Married ~ Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) ~ Q Ves [ No Q Unknown Q Divorced Q Never Married Q Unknown Edward Lentvorsky 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) James Edward McClure Dolores Moleski 0 14a. Informant's Name 146. Relationship to Decedent Jennifer Weibley daughter 14c. Informant'~S Mailin~Address (Street and Number, Ci tare, Zi Code1 18 Springfield Ave_, Newvi~.l~.e, ~A 17241 Ci ............................................................ ......................................... ........ 15a: P ace of Death (C eck only one s o If Death Occurred in a Hos rtal: p' Inpatient . .......................•................................................. ••••••••-•••••••••-••••••••••-•••-••- :If Death Occurred Somewhere Other Than aHospital- Q Hospice Facility ~ Decedent's Home - _ 0 Emergency Room/Outpat(e nt ~ Dead on Arrival _ ~ Nursing Home/Long-Term Care Facility Q Other (Specify) 15b. Facility Name (If not institution, give street and number; 15 15c. City or Town, State, and Zip Code SSd. County of Death Forge Road Boiling Springs, PA 17007 Cumberland 16a. Method of Disposition Burial Q Cremation 16 b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) p Removal from State p Donation Aug 13 , 2012 St Patri Catholic Church C t Q Other (Specify) _ eme e ry 16d. Location of Disposition (City or Town, State, and Zip) 17a. Si ture of Funeral v- or Person in Charge of Interment 17 b. License Number Carlisle, PA 17015 138504 E 17c. Name and Complete Address of Funeral Facility ~, Hoffman-Roth Funeral Home & Crematory, 219 North Hanover Street, Carlisle, PA 17013 m 18. Decedent's Education -Check the box that best describes the 19. Decedent of His ante Ori p gin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what .= highest degree or level of school completed at the time of death. 0 8th grade or less box that best describes whether the decedent is S i h/Hi i L i h k h " " ~ decedent considered himself or herself to be. 0 No diploma, 9th - 12th grade pan s span c/ at no. C ec t e No box if decedent is not Spanish/Hispanic/Latino. White Q Korean ~ Black or African American Q Vietnamese High school graduate or GED completed [~ No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q Some college credit, but no degree ~ Ves, Mexican, Mexican American, Chicano ~ Asian Indian ~ Native Hawaiian Associate degree (e.g. AA, AS) Q Yes, Puerto Rican ~ Chinese Q Guamanian or Chamorro Q Bachelor's degree (e.g. BA, AB, BS) Q Yes, Cuban ~ Filipino Q Samoan Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino Q Japanese Q Other Pacific Islander Doctorate (e. g. PhD, Ed D) or Professional degree (Specify) Q Other (Specify) e. MD, DDS, DVM, LLB, JD 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work White 0 Japanese Q Samoan done during most of working life. DO NOT USE RETIRED. ~ Black or African American ~ Korean American Indian or Alaska Native 0 Other Pacific Islander Q Q Vietnamese 0 Don't Know/Not Sure C@rtlfled Nurses Assistant Q Asian Indian ~ Other Asian Q Refused 22b. Kind of Business/Industry ~ Chinese ~ Native Hawaiian Q Other (Specify) Filipino Q Guamanian or Chamorro Nursing Home ITEMS 23a - 23d MUST BE COMPLETED By PERSON WHO PRONOUNCES OR 23a. Date Pronounced Dead (Mo/Day/Yr) 8/07/2012 236. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number CERTIFIES DEATH 23d. Date Signed (N.to/Day/Yr) 24. Time of Death 25. Was Medical Examiner or Coroner Contacted? Q Yes J~ No CAUSE OF DEATH Approximate 26. Pare 1. Enter the chain of events--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 etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death IMMEDIATE CAUSE _______________~ a. (~~ '~• { ~~''~ ( ~ /U4 h{7 ~ ~ ~ .4-~ ~ ~ ~~G f ~LVH ~L~~ ~J -/ ~ ~~ ~~~i K (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 (or as a consequence of): s (disease or Injury that initiated the events resulting d. ~ v in death) LAST. Due to (or as a consequence of): _ 0 26. Part 11. Enter other significant conditions contr(butine to death but not resulting in the underlying cause given in Part I 27. Was an autopsy perform ed7 ~ Q Ves o - > Z8. Were autopsy finds s available to complete the cause of death? d ,... Q Yes o ~ 29. If F e m ale: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death E ~ yy .~ ~ lr7 rvot pregnant within past year a 0 Yes Q Probably ~Natu ral 0 Homicide 61 Pregnant at time of death ~o Q Unknown 0 Accident Q Pending Investigation ~ No[ pregnant, but pregnant within 42 days of death 0 Suicide Q Could not be determined F°- ~ Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In"u J ry (Mo/Day/Yr) (Spell Month) Q Unknown if pregnant within the past year 33. Time of Injury 34. Place of Injury (e. g. home; construction site; farm; school) 35. Location of Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How In'u J ry Occurred: Q Yes Q Driver/Operator Q Pedestrian Q No Q Passenger ~ Other (Specify) 39a. Certifier (Check only one): ertifying physician - To the best of my knowle e, death occurred due to the cause(s) and manner stated Pronouncing 8. Certifying physician - To the of nowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated ~ Medical Examiner/Coroner - On the basis nation, and/or investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s ) and m anner stated s / A Signature of certifier: Title of certifier: ~' License Number: ~~~'QG' ~Ydlfl 39,~. Name, Addre sand ~/p Code of Perso mpleting Cause of Death (Item 26) 39c. Date Signed (Mo/D ay /Vr) ' A 40. Regi trar' istrict Number 41. Registrar's Si re ~ ~ 42. Registrar File Date (MO/Day/Yr) ~~ _ O'C~ ~O Q~ F:~>~~ ~ c~ . tb ©~a 43. Amendments Disposition Permit No.__~~,~~ ~ 1 H105-143 REV 07/2011 ~ ;. ~. ,~ , LAST WILL AND TESTAMENT ~, _ r_, ~. O F ~Y : r..~ ~~ \_J -~~ MONICA L. LENTVORSKY ~- A 1 .Yr ~_. j ~'u..1 I, Monica L. Lentvorsky, of South Middleton Township, Cumberland Count Pennsylvania (215 Forge Road, Boiling Springs, PA 17007), being of sound and yy disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all Wills and Codicils heretofore made. FIRST I direct the payment of my just debts and funeral expenses as soon after my death as may be convenient. I have discussed my burial plans with my daughter Jennifer L. Weibley. I ask, but do not direct, that my daughter Jennifer L. Weibley use the proceeds from the Conrad Seigle insurance policy (expected to be approximately $11,000.00) for the costs of my funeral and burial. Except as hereinafter provided with regard to the $60,000.00 gift to my daughter to be paid out of the sale of my home, and the inheritance tax thereon to also be paid out of the sale of my home, I direct that all federal and Pennsylvania estate taxes, Pennsylvania inheritance taxes, and generation-skipping transfer tax payable as a result of my death, not limited to taxes attributable to property passing under this Will, shall be allocated to and paid by the beneficiary of the property whose transfer is subject to the tax. My Executor shall charge the share of each such beneficiary for the beneficiary`s share of such tax and deduct such tax from the share before distribution to the beneficiary. SECOND I declare that I am now married to Edward Lentvorsky. We have no children together. I have two children from a prior marriage, to wit: A daughter, Jennifer L. 8 ~~ Weibley, of 18 Springfield Avenue, Newville, PA 17241; and a daughter, Courtney L. ~~~ Burwell, of West Penn Street, Carlisle, PA 17013. I have no deceased children nor an ~~ other children. y c; ~, ,~` THIRD .; .: ~ ,` V~; ,~ (a) I am the sole owner of my home at 215 Forge Road, South Middleton ,, Township, Cumberland County, Pennsylvania. I direct that, sub~ect to the ri ht 1 g of my ~, ',: ~~ husband to continue to reside in the home for two (2) years following my death, as provided in paragraph Third(c) of this Will, my home be sold at a price. satisfactory to my ~~ Executrix and that the net proceeds, after satisfaction of the outstandin ~``~, g mortgage and costs of sale (see sub-paragraph Third(b) regarding real estate taxes), be distributed as follows: ~ (i) First, if my remaining estate is insufficient to a th p y e costs of the admenistration of my estate or any other debts and obligations, then the net proceeds of sale shall first be applied to such administrative expenses, debts and obligations. _ ~'Z ~; -~; __~ ,,_, _ ..,. ~....^~ f `' J ._r} Last tiYill and Testament of Monica L. Lentvorsky Page 1 of S (ii) Second, to the satisfaction of the existing loan and mortgage which is a lien on my home. (iii) Third, $60,000.00 of then remaining net proceeds I give and bequeath to my daughter, Jennifer L. Weibley, her heirs and assigns. Provided, however, that if the proceeds of my Conrad Seigle insurance policy have not been used for the costs of my funeral and burial, then the amount of that insurance paid to my daughter Jennifer L. Weibley shall be deducted from this specific bequest. (iv) Fourth, the net proceeds shall be applied to the inheritance tax due on the aforementioned $60,000.00 specific bequest. (v) Fifth, the next one hundred thousand ($100,000.00) of net proceeds to my husband, Edward Lentvorsky, provided he shall be living at the time of settlement and sale of the house. If my said husband should not be living at the time of settlement and sale of my home, then I give and bequeath two- thirds (2/3) of the said net proceeds to my daughter, Jennifer L. Weibley, her heirs and assigns, and one-third (1/3) of the said net proceeds to my Husband's son, Jeremy Lentvorsky, his .heirs and assigns. (vi) Sixth, any net proceeds in excess of $100,000.00 shall be divided into two equal parts and I give and bequeath one such part to my husband, Edward Lentvorsky, provided he shall be living at the time of settlement and sale of the house, and the other part to my daughter, Jennifer L. Weibley, her heirs and assigns. If my said husband should not be living at the time of settlement and sale of my home, then I give and bequeath two-thirds (2/3) of the said net proceeds to my daughter, Jennifer L. Weibley, her heirs and assigns, and one- third (1/3) of the said net proceeds to my Husband's son, Jeremy Lentvorsky, his heirs and assigns. (b) My husband, Edward Lentvorsky, shall be solely responsible for the monthly mortgage payment due on the loan secured by my home, and for all expenses associated with taxes, utilities, maintenance, and repairs of the home, and he shall keep the home in good repair and condition and make the same available for showing to prospective purchasers at reasonable times, whether or not he resides at the home pursuant to paragraph Third(c) of this Will. Any such mortgage payments, taxes, utilities, maintenance and repairs that have not been timely paid or made by my husband may be paid by my estate and then deducted from my husband's share upon the sale of my home. At settlement on the sale of my home the pro-ration of any real estate taxes that had been paid by my husband shall be paid to him before any expenditures or distributions pursuant to sub-paragraphs (i) through and including (vi) of paragraph Third(a) of this Will. `~~~~'; ," , ~~°\ (c) My husband shall the right to live at my home for a period of up to two (2 ~\'~ ears followin m death ) y g y ,provided, however, that no other family member of my husband shall be permitted to reside at the property. At any time after the two (2) year anniversary of my death my Executrix may direct that my husband vacate the home and 1=i ~t leave the home "broom clean" and in good order and repair so that the same is ready ~ ~~ , for sale to a buyer. My husband shall continue to be responsible for all expenses `' associated with the home as described in sub-paragraph Third(b) of this Will. _„? `~ encourage my Executrix and my husband to work together so that my husband can ~~~= reside in the house until it is sold, or until a reasonable time prior to settlement on its ~~ sale. I make the following non-binding request: That while my husband is residing at \4 ~; the property, he allow my daughters and their children the free use of the pool. ~~~\~ ~, (d) My home shall be sold by my Executrix at a price satisfacto to her but ~, she shall act reasonabl in n ~ ' y p cing the home and in attempting to sell it promptly after the expiration of the two (2) year time period set forth in paragraph Third(c) of this Will, or earlier if my husband desires to vacate the home earlier. My home may be sold to my husband for a price satisfactory to my Executrix. If my husband is no longer living at the home, and for any reason not paying the expenses described in paragraph Third(b) Last Will and Testament of Monica L. Lentvorsky Page 2 of S of this Will, then my Executrix may dramatically reduce the price in order to achieve a quick sale of the property. FOURTH (a) I give and bequeath my year 2001 Honda Civic automobile to my daughter Courtney L. Burwell. (b) I give and bequeath my Suzuki Sidekick and my camper to my husband, Edward Lentvorsky. (c) I give and bequeath our dog Maggie to my husband, Edward Lentvorsky. FIFTH All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath, in two equal shares, one share to my daughter Jennifer L. Weibley and the other to my daughter, Courtney L. Burwell, provided that each of them survive me by ninety (90) days, but should either of them fail to so survive me then the share such deceased child of mine would have received shall pass to such of her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue the same shall lapse and be added to the remaining share or shares. SIXTH I hereby nominate, constitute and appoint my said daughter, Jennifer L. Weibley, as Executrix of this my Last Will and Testament. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of my said daughter, Jennifer L. Weibley, I nominate, constitute and appoint my sister, Rebecca Fry, of Gardners, Cumberland County, Pennsylvania, as Executrix of this my Last Will and Testament. I further direct that no bond or other security shall be required of any Executor or Executrix appointed in this Will for the performance of his, her or its duties in any jurisdiction in which he, she or it may be called upon to act. The terms Executor or ~~~ Executrix may be used interchangeably in this Will and shall refer to any Executor or ~,e I;: Executrix appointed in this will, or any other Administrator appointed by a court of '~; competent jurisdiction. ,. . , .; .~ ~, SEVENTH ~. .. ~~; ~~ In addition to, and not in limitation of the powers conferred by law or by other ~~ ^' provisions of this Will, my Executrix shall have the following powers, each of which may ..,~. be exercised from time to time by my Executrix in her sole discretion: ,,. .. (a) To retain in the form received, and to sell either at public or private sale, or to distribute in kind, any real or personal property. ~. '~ (b) To manage both real and personal property. .~ ,r:~~ (c) To invest and reinvest in all forms of ro ert n p p y, otwithstanding the fact that any or all of the investments made are of a character or size which but for this expressed authority would not be considered proper for an Executrix. Last Will and Pestament of Monica ~,. Lentvorsky Page 3 of S (d) To exercise any option or rights arising from the ownership of investments. (e) To compromise claims without court approval and without the consent of any beneficiary. (fl To join with my husband, or his personal representative in the filing of an federal income tax return for any year for which I have not filed such retu n prior to my death and to consent to the treatment of any gifts made by [him/her) as being made one-half by me for gift tax purposes, notwithstanding the fact that such action may result in additional liabilities to my estate. Any income or gift taxes due on such returns and any deficiencies, interest, penalties or refunds thereon, shall be allocated between my estate and my husband or his estate, or all to any of them, in such manner as my Executrix and my said husband or his personal representative may agree. (g) My Executrix shall have the power to make distributions in cash or in kind, or partly in each, in divided or undivided interests, and the power to determine which assets shall be sold and which shall be distributed in kind, without notice to or consent by any beneficiary. (h) My Executrix shall have the power to make distributions or payments to or for the benefit of any beneficiary who is a minor, an incompetent, or who in the fiduciaries' judgment is incapacitated or disabled. The distributions or payments shall be made in any one or more of the following ways, at the discretion of my fiduciaries: (1) Directly to the beneficiary; (2) directly to the creditor in payment of the debts or expenses of the beneficiary; (3) to the Guardian of the person or estate of the beneficiary; (4) to any custodial parent of a minor beneficiary; (5) to a custodian for the beneficiary under any law related to gifts to minors, including to my fiduciaries in that capacity; (6) to any other person who shall have the care and custody of the person of the beneficiary; or (7) to a needs trust or other such trust or such other trust designed to supplement, but not to supplant, any insurance, Federal, State, local or other assistance, or other benefits due the beneficiary. There shall be no duty to see to the application of funds so paid, provided due care was exercised in the selection of the person to whom the funds were paid, and the receipt of the person shall be full acquittance of the fiduciaries. For purposes of this sub-paragraph, "minor" is defined to mean any person under the age of twenty-one (21). IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will,, and Testament, written on five (5) pages (including notary page), this y~ day of March, 2012. ,, /J// c.__.... - - .. ' , J , ( / ~'` ~ , . t.~e~~~-~ SEAL Monica L. Lentvorsky --~.,.~ Signed, sealed, published, and declared by Monica L. Lentvorsky, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. r ~ ~' ~~4.x,..~`~ J. Last tiVill and Testament of Monica L. Lentvorsky Page 4 of 5 COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) SS: We, Monica L. Lentvorsky, the Testatrix in, and Stephen D. Tile and Robert G . Frey ,the witnesses, to the Last Will and Testament, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: a. that I, the Testatrix, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and b, that we, the witnesses, were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament, that she signed it willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Last Will and Testament as a witness and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ,. .,-`~ ~ 1,... ,, . t ,,,~ .cam ~. r ~~` ., . Monica L. Lentvorsky ,,,~' ,,r, ~ .. ~ f f~ z Subscribed, sworn to and acknowledged before me by the Testatrix and the witnesses above-named, this E`1'~--~-- day of March, 2012. Notary Public 'M O~'_ ~. nywvia Naw~u sou _ Last Will and Testament of Monica L. Lentvorsky Page S of S