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HomeMy WebLinkAbout09-25-12Reset PETITION 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: JUDITH ANN WARD File No: t~ J - 1 a- ~ a ~L a/k/a; (Assigned by Register) T- a/k/a: a/k/a: Social Security No: 153-28-4996 Date of Death: July 11, 2012 Age at death: 74 Decedent was domiciled at death in Cumberland County, pennsylvania (ware) with his/her last principal residence at 63 Spruce Circle Newville PA 17241 West Pennsboro Cumberland Street address, Poat Office and Zip Code City, Township or Borough County Decedent died at 63 Spruce Circle Newville PA 17241 West Pennsboro Cumberland PA Street address, Post Office and Zlp Code City, Township or Borough County State Estimate of value of decedent's property at death: IjdomicUed in Pennsylvania ............................ All personal property $ 5,000.00 Ijnot dontkiled in Pennsylvania ........................ Personal property in Pennsylvania $ Ijnot donekiled in Pennsylvania ........................ Personal property in County $ Value ojreal estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE.... $ 5.000.00 Real estate in Pennsylvania situated at: N/A (Attach additional sheets, ijnecessary.) Street address, Post Office and Zip Code City, Towushlp 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 June 5, 2000 and Codicil(s) thereto dated ^~ 6 State relevant circumstances (eg. renunciation, death ojesecuror, etc) N rn t` Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not marry, was not divo of a p~+to a rlr divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8), pqi haveschild adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. O~ ` ` r~i NO EXCEPTIONS Q EXCEPTIONS ~~ --~ .. ^ B. Petition for Grant of Letters of Administration (If applicable) ~ ¢~w c.t.a., d.b.n., d.b.n.c.t.a., pendente life, durance absentia, dur0lRe minoritdte If Administration, c.Ga or d b.n.c.Ga., 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(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q 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 Form RW-01 rev. !0/11/1011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } ss: COUNTY OF CUMBERLAND } ~~ ly REGISrEh `~ ~;1"1-LS 2DI2SEP25 Arit1=Oa Petitioner(s) Printed Name Petitioner(s) Printed Ad ' "' `"' Thomas S. Wazd 63 S race Circle Newville PA 17241 (~•, The Petitioner(s) above-named swear(s) or affnm(s) the statements i foregoi ~ Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the D dynt, the Peti 6nG' V will ell d truly administer the estate accordi g to 1 w. .Sworn to or affirmed d s bscribed before Date 2 me this ~ da o p~ f _~ Date By: Date ,, or the iee;¢ist Date BOND Required: ®YES Q NO FEES: Letters ...................... $ ( 2) Short Certificate(s)...... _~ ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other 1 Alrt ~ ........ 1~~ Automation Fee ............... O/.>. lv JCS Fee . ................... `v TOTAL ..................... $~ To the Register of Wiiis: Please enter my appearance by my signature below: Attorney nature: Printed Name: Andrew H. Shaw Supreme Court ID Number: 87371 Firm Name: Address: Law Office of Andrew H. Shaw, P.C. 200 S_ ~~g Garden Street Carlisle PA 17013 Phone: Fax: Email: 717-243-7135 717-243-7872 andrrw~achawlaw rnm DECREE OF THE REGISTER Estate of JUDITH ANN WARD File No: OG ~ - ~ e2 - ~ay~ a/k/a: AND NOW, ~LT~r_rr;;~er d 5 , ~ ~o~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Thomas S. Ward in the above estate and (if applicable) that the instrument(s) dated June 5, 2000 _ described in the Petition be admitted to probate and filed of~record as the last }/ill (and Codigil(s)) of Decedent. „ ~~ Form ltw-oz rev. ]0/11/zoll ~ ~ I Page 2 of 2 xins.aos xrv ren;> LOCAL ~ ~~ CERTIFICATION OF DEATH WARNIN : Rlicate this copy by photostat or photograph. i c:. ~1 w . Fee for this certificate, $6.00 P 18626919 Certification Number Ln Tyu/PFlnt In P•rmgnlnt Black Ink ~~ ~jJ 211 ~p 25 AM ~ ~ ; OSINI,PU~N'"'°~ : This is to certify that the information here given is t~~~p~'(H OF pE~yf _ correctly copied from an original Certificate of Death oak - _- - r i ~ duly filed with me as Local Registraz. The original 1~::; ~i ~ ' o ~ zg certificate will be forwazded to the State Vital ~~ S (;Q~~, ~ a~ Records Office for permanent filing. ~'~° ~ ~~ Jl)l 1 2,/ 2012 99TA1ENi OE~~'° ' """""JJlio Local Registrar Date Issued COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH .VITAL RECORDS CERTIFICATE OF DEATH ___ _ _ __ 1. Decedent's la{el Neme FIKL, Mlddie, Last, sVMx) Ward 2. Sex 3. Soclel Security Num ~- •^q•~Dete of Death (MO/Day r) (Spell Me) Judith Ann ¢mal 153-2H-4996 t7u1 11a 2012 Sa. A{•-uat BlKhtley (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Data vI piKh (MO/OW/YUr) ISpaR Month) Ya. glKhpleN (City and Stator Or Forol n COUmry) i .74 Mehtnf Dew Hour. Mlnpt.a March 6, 1938 Tb. BlKhplaN (COUnM Hud60 ga. Residence (StaN or Fwalgn ountry) gb. Resident. Strae< and Number - Inchatla Apt No. gc. Dld D•Nd•ht LNa In a TewnshlpT 63 Spruce Circle Yea, dec.d.nt ux.a In W¢E;t Pennsboro ty„p . ed. R.alaenN (Gegnty Cumber 1 a nd {e. 0.esldenca (Zip Cod!) £J NO, decatlam Ihrod whhin Ilmhs of <hy/boro. 9. Ever In US Armed FOrceaT 10. MarlLl Status at Time of Deefh Mauled Q ow il. SurvlNng Spouse'f Name (If wlh, {Iw name prior [o first meKle{al p yet ~ No punknown p OlwrNd p Never Married QUnknown TYlomaB Slat@r Ward 12. Felher'a Nama (First, Mltldle, fart, Su a) 13. Mother's Nama Prior to First Marrle{a PIrs4 Middle, Last) Fr¢driclc A le Ha2e1 Wood 34a. Informant's Nama 14b. ReleUOnfhlp to Dece ent 14c. Informant's Mallin{ Addrou (Street and Number, Glty, Stet, 21p Code) T a S^ Ward Huaband 63 5 >:u Circle Newvi11E3 PA 17241 a Ne ~ e ........................................................ .................................... .............fF.......Y. 2^................................ ...................... ..... ...... ............ ... H Duth Occurred In • HOfpltil: ~( Inutlen[ 11£ Deeth Occurred Somewhars Other Than • Hofpitel: t'-ts HeaplN Facility ~ ~O•cedut's Nome yyy Eme en Rgpm/OUt atlln< Dud on AKlwl i Nursin HOm•/LOn -Term Caro Faplll O[Rer (5 Ify) 15 . Pacllhy Nam. (If ne< Idsthu<IOn, {lye siroeL and number; lSC. City or Town, State, a ip ~~ `1 15 t ' ~~ tt'~~~ 63 8 ruc¢ Circis 241 N¢wviil¢I I i nd ~, lBa. M•Med e1 DlapOaltlon Burial Creme[lOn _ 16b. Data a/ DISPOSItIOn 16c. Place of Dlapesltlon (Nam. O! cnmatery, croma<ery, er ether oleos) y +~ OR•mwel from seat. pDgna[lon otlt•r s u 7/12/2012 Ho 111 rig¢r Cr ¢matory Sgd. Lotetbn O Itlvn C ty Or Town, stet d ZI ) rin a ~~ 1'7065 Halle Ss Mt 1Ta. SI{ne ure Fun•r ServlN U enau or Parson In Cfierge of in<lnwem 3T6. LlNnse Number -mot g y p . „r ~. FD 13895 L ITC. Na.~ggarla~'unt3'i'a`~ar~olm¢ Snc 15 Big Spring ¢. N¢wv111¢f PA 17241 a1' O 1e. Decedent's Educetlen - CM1ack the boa thet best descrl ea the 19. D•Ndent o! Hispanic Origin -Check the 20. Decetlent's Rece - Check ONE OR MORE rods to Indltete w N > - hl{hut der{roe or level oI achool completed e[ [he time of daeth. box that beat describes whether the dewdenl the decedent cgnalderod himself Or herself tO b• . Q B[h grode or lest Is Spanish/Hlspanle/Letine. Check the "NO^ ®Whlt• Q xeroen Q No diploma. 9th - 12th grotle box If decedent I: no[ Spanlah/Nlapanl4Latlno. ~ Black or African American Q Vletnemef• Q HI{h achool graduate Or GED cemplet•d Ne, net Spanlah/Hizpenic/Letlno Q AmeHCan Indlen or Aluka NetlYe Q Other Asian Q 3eme cellap crodlt, buf no de{roe Q Yls. Mexlcen, Mexican AmerlNn, Chicano Q Asian Indian Q Ne[Iw Hawall•n p Avagclate dgroe (e.{• AA. AsJ Q Yes, Puerto Rican Q CRinue Q Guamenlan or Chemolro ' Q Bachelor s de{roe (n-{. BA, AB, BS) Q Vu, Cuban Q Fnbine Q :.mq.n w MefHYa de{rte (•.{. MA, M3, MEn{, MEd, MSW, MBA) 0 Yes, Other 3panlsh/Nlapenl4letlne Q J•Panaa• O Other Peciflc Iflender O Doc[Oro[e (e.{. PhD, EtlOJ Or Profwss/anal de{rce (Spacllyl O Other (Spachy) . MO p05 OVM LLB JD 11. Oeudent'a Sin{le Repe Sel -Desl{natlen -Check ONLY ONE to Indicate what t e cadent cgnaldarad himfllf or herself to be. 22a. Decedent s Usual Occupatlon - Indicate tYP• of work ® White ~ Japanese Q Sameen gone durln{ meat of wprkln{ INe. 00 NOT USE RETIRED. O Aleck er African Ame l K r Nn Q oroen Q Other PecMC Islentllr Q AmerlNn Indlen or Aluke Na[Iw Q Vlemameaa Q Don't Know/Not SUre Te a ChB r Q Aalen Indlen Q Other Asian Q Refused 13b. Kind Of Bualneff/Indurtry Q Chlnaae Q Neflw Hawaiian Q Other (SpuIN) Q Filipino Q GVamenlen or Chamorre Education _e - 23 • r . [e OnOUnN Dae MO Dey r $1{RKYM eMOn PfOneYnC n{ eat On y W •n app IN • C. Nnae Ym er PRONOUNCES OR P { N W T // ~Q / J / ( ClfY t IP p pg /tTM J 33d. Deter SI{n• o pay 24. T ITJ~! f Dee[h 4 Y - ~ 26. War Medical Eweminer or Coroner ContattetlT Q Yea Q Nq CAU5E OF bEATM ( ApprgxMmete 26. Pelt 1. Enter than chain w awnts--diseases, InjuNes, yr wmpllcetlona-that tlh•etly Nusetl tM tleeth. OO NOT enNr terminal aunts fuck •s certllac arrest In[e 1: roaplretory erros<, or Y•ntrlcViar flbrllletlOn without showing th e etiology. DO NOT ABBREVIATE. Enter only one cause en a line. Add additional Iln•s If necessary OnN[ tP Death ~ T - IMMEDIATE GUSE ---------> ~l°Y>O~' rQ(1(,J Y^•~ a (Final disease or cvndlHVn Dua to (or •s a consequence off: rosuhlni In deeM) /G~~~( Q-„ ~n~ b. ~l SagVan[Ie11Y Ilst pOntllHOna. Due to (er es a cgnaequanN ef): If any. Isadin{ tO the cause ( IlstaO On Ilne e. Enter <ha c UNDlRLVING CAUS{ Dun tO (or es a consequence of): ldlaeeae or Inlury that Initiated the events rasultin{ a. In du<h) LA{T. Dw to (or ez a consequence off: I 26. P•K 11. Enter other ut not resuhing In the Vndedyln[ cause {Ivan In Part 1 2T. Weer en autoPZy P• orm•dT V Ne 2B. Ware eutOPSY flndln{a eyellabN t0 complete the Nufa of daethT 29. If Female: Vas NO 30. Dld Tobacco Use Contribute [o DuthT 31. Manner of Outh Q Not pro{nant within past yur Q Yu Q probably Q NKUreI Q Homicide Q Pr•{nent a[ <Ime of death ~ Q No Q Unknown Q Accident Q Pentlin{ Inyu[I{atlOn Q Net Proinan4 but pre{nant within 42 Jaya o/ duth Q sulcltle Q Coultl not be determined 0 Not prognant. but pre{n•nt 43 tleya to 1 year balOre deNh 32. Oat• Of InJVry (MO/Dey/YrI (Spell Men[h) Q Unknown I/ Preinant within the Pas[ Year 33. Time of Injury 34. Place oT Injury (e.g. O e, cpnstrVC[lOn sl[a~ farm, school) 35. LpNtlon Of Injury (Stroat entl Number, CItY. State, Zlp Cetle) 36. Injury •< Work 3i. If TrsnzpoKNlon Inury, Sp•c1N: 38. Describe Mow Inlury Oceurrctl: Q Yes Q Orlvar/Operetgr Q P•dlftrlan Q NO O P•Saenger Q DTher (SPeCINI 19a. Klfl•r (Check enly anal: ~ GKlfyln{ phyalclan - TO the best Of my kngwl•tl{e, tlNth OCCVKetl tlue t0 the ceuse(sI and manner stated O PrgneunOn{ d Certirying physlden -TO the boat of mY knowledge, death occurrod rt the time, date, end pleN, and doe m thn Nuse(s) and manner steNtl Q MediNl Examiner/Coroner - On the gals eT examinatlon, and/or Inwall{atlen, In my opinion, du1 ~ d at the time, date, end pleN, and dw tv the ceuse(a) d manner rteNd u / ~ ~r 51{nature OT Certifier- ( ~ ~ d ~- ~ ~ Title M caKlfler: 6/' O - LlNnaa Numher:PT ~l /S OI ~7~q 39b. Name, Address and 21p Code O! Parson Cgmpleting CBUSO of Death (Item 26j 39c. Data 51{nn Mo Dey/Yr) . R•{Iftrer a atr c[ nr 3. Re{latra a Lyre a{ rtrer • ay r {{ ~'~• ~~ ~ ~~ ~~ a ,~tlGll'1D~ £- Js O ~ ~ 43. Amendments Disposltlon Perml[ No. ~ ~1 3~ ~Q~" N105-143 REV OT/2011 i~-~~~~ LAST WILL AND TESTAMENT 2012 SEP 25 AM 11 ~ OS 'That I, JUDITH A. WARD, a resident of Freeport, County of Cumberland an~ 'ne, being of full age and sound mind and memory, hereby make, publish an e'~y Last Will and Testament, and hereby revoke any and all Wills by me at a ereto ore made. ARTICLE FIRST: I give and bequeath all furniture, furnishings, rugs, pictures, books, silver or silver plate, linen, china, glassware, objects of art, wearing appazel, jewelry, automobiles and their accessories, and all other household goods and personal effects owned by me at the time of my death, together with all policies of insurance relating thereto, to my spouse THOMAS S. WARD, if surviving. ARTICLE SECOND: I give and bequeath to my spouse, THOMAS S. WARD, if surviving, all right, title and interest that I may have at the time of my death in and to any real property, wherever situated, together with all rights that I may have under any insurance policies relating thereto. ARTICLE THIRD: All the rest and remainder of my estate, real, personal or mixed, wherever situated, however and whenever acquired, I give and bequeath to my spouse, THOMAS S. WARD, if surviving. ARTICLE FOURTH: In the event my spouse, THOMAS S. WARD, predeceases me, or fails to survive me for a period of thirty (30) days, I direct my Personal Representative to distribute the residue of my estate, in equal shares, to my surviving issue, DAVID T. WARD, PETER F. WARD and SUSAN RWARD-DIORIO, by right of representation. In the event any child of mine predeceases me, I direct his or her shaze be distributed to his or her surviving issue, in equal shares, by right of representation. If there be no issue of any predeceasing child or children of mine, said share shall be distributed to my surviving children in equal shares. ARTICLE FIFTH: Notwithstanding the provisions of the preceding or subsequent Articles, any beneficiary may, at any time or times, disclaim any interest in my estate or may disclaim any portion of any such interest as follows: 1. Each disclaimer shall be in writing and shall be delivered to my Personal Representative. A disclaimer by the Personal Representative of a deceased beneficiary, the properly authorized attorney-in-fact of a beneficiary, or the Guazdian of a minor or incompetent beneficiary shall have the same effect as a disclaimer by the beneficiary. 2. The disclaimed interest shall be disposed of, and the provisions of my will which relate to the disclaimed interest shall be administered, as though the beneficiary did not survive me. However, if my spouse should disclaim any part of my residuary estate, and if the LAW OFFICES OF JOHN J. LYNCH VINE STREET - P. O. BOX 6 - DAMARISCOTTA, MAINE 04543 disclaimer is a "qualified disclaimer" within the meaning of Section 2518 of the Internal Revenue Code, the part which my spouse disclaims shall be held in a separate trust and administered and disposed of as follows: a) I appoint my spouse, THOMAS S. WARD, to serve as Trustee of this trust. My spouse may at any time or times appoint an individual, bank, or trust company to serve as Co-Trustee or to serve as the sole Trustee, if my spouse has failed or ceased to serve as Trustee. If my spouse and the last Trustee appointed by my spouse should both fail or cease to serve, and if my spouse should then fail to appoint a successor Trustee, I appoint as Trustee, BATH SAVINGS TRUST COMPANY of Bath, Maine. b) All of the net income shall be distributed to my spouse or applied for the benefit of my spouse, in quarterly or more frequent installments. c) My Trustee may distribute to my spouse, or apply to or for the benefit of my spouse, as much of the principal of this trust as the Trustee, in the Trustee's sole and absolute discretion, from time to time considers advisable for my spouse's health, maintenance, and support. It is my intention that no principal be distributed to or for my spouse under the preceding sentence while my spouse is serving as sole Trustee. d) Upon the death of my spouse, the principal and any undistributed income then remaining shall be distributed according to the provisions set forth under Article Fourth of this instrument. 3 e) Any Trustee designated to act hereunder shall be known as the Spousal Trustee(s). ARTICLE SIXTH: I intentionally omit making any provision for any person not specifically mentioned in this my Last Will and Testament. ARTICLE SEVENTH: I intend, on my death, that any property in my name and that of another as joint tenants with right of survivorship, or which is in my name as Trustee for the benefit of a named beneficiary, or which is payable to a co-owner, survivor, or named beneficiary will pass to the survivor or beneficiary and I instruct my Personal Representative to make no claim thereto. ARTICLE EIGHTH: I hereby empower my Personal Representative to sell, at public or private sale, and convey any part of my estate, real and personal, deemed advisable by my Personal Representative, the time, terms and conditions of sale to be determined by my Personal Representative. My Personal Representative is authorized to sell or transfer real estate without notice to any person succeeding to an interest therein. ARTICLE NINTH: If any beneficiary less than 25 years of age becomes entitled to a share of my estate upon my death or to a share of the principal of any trust estate upon the termination thereof, such share shall be held by, and I give, devise and bequeath the same to the hereinafter 2 LAW OFFlCES OF JOHN J. LYNCH VINE STREET - P. O. BOX 6 - DAMARIXOTTA, MAINE 04543 named Trustee (to be designated the Contingent Trustee), IN TRUST NEVERTHELESS, for the following uses and purposes: 3 To manage, invest and reinvest the same, to collect the income and to apply the net income and principal for such beneficiary's benefit, including, but not limited to, the costs of the education of such beneficiary, to such extent and at such time or times as the Trustee, in the Trustee's sole and absolute discretion, deems advisable, until such beneficiary reaches the age of 25 yeazs, and thereupon to transfer, convey and pay over the principal of the trust, as it is then constituted, to such beneficiary. Any net income not so applied shall be accumulated and added to the principal of the trust at least annually and thereafter shall be held, administered and disposed of as a part thereof. Upon the death of such beneficiary before reaching the age of 25 years, the Trustee shall transfer, convey and pay over the principal of the trust, as it is then constituted, to such beneficiary's executors or administrators. The Trustee is authorized and empowered to hold as a part of such beneficiary's trust any and all articles of tangible personal property at any time forming a part thereof. The Trustee shall have no duty to convert such articles to productive property, and the expenses of the safekeeping thereof, including insurance, shall be a proper charge against the trust. If the Trustee, in the exercise of the Trustee's sole and absolute discretion, determines at any time not to hold or to continue to hold any property in trust, as hereinabove provided, said Trustee shall have full power and authority to transfer and pay over such property, without bond, to such minor's pazent or to the guazdian of his or her person or to the person with whom such beneficiary resides. The receipt of the parent or guardian or person to whom any principal or income is transferred and paid over pursuant to any of the above provisions shall be a full discharge to the Trustee from all liability with respect thereto. ARTICLE TENTH: My Trustee may distribute outright to a beneficiary the beneficiary's trust estate if at any time such a distribution is deemed appropriate in the Trustee's sole and absolute discretion. If the beneficiary is a minor, such distribution may be made to his or her parents or other responsible party having custody of the beneficiary or the beneficiary's legal guazdian or by establishing a savings account in a savings bank in the. State of Maine in the beneficiary's name. ~Aw o~icES OF JOHN J. LUNCH VINE STREET - P. O. BOX 6 - DAMARISCOTTA. MAINE 04543 ARTICLE ELEVENTH: My Trustee shall have all the common law and statutory powers granted to said fiduciaries, including the power to buy and sell without license from the Probate Court. ARTICLE TWELFTH: Neither the principal nor income of the trust or trusts herein created shall be liable for the debts of any beneficiary hereunder. No income or principal payable to or for the use of any beneficiary under the trust provided for in ARTICLE NINTH shall be subject to assignment, anticipation, or alienation by such beneficiary or anyone claiming his or her right, or to interference, control, attachment, or legal or equitable process or bankruptcy proceedings by creditors of such beneficiary or the marital rights of a spouse of any beneficiary. ARTICLE THIRTEENTH: I hereby nominate, constitute and appoint THOMAS S. WARD Personal Representative under this my Last Will and Testament. In the event that the said THOMAS S. WARD shall predecease me, or shall fail to qualify, or ceases to act, I nominate and appoint DAVID T. WARD, PETER F. WARD and SUSAN R. WARD-DIORIO as Co- Personal Representatives. I further nominate and appoint DAVID T. WARD and PETER F. WARD as Co-Trustees (previously designated as the Contingent Trustee), of the trust or trusts created herein. I direct that in no event shall my Personal Representative or Trustee be required to give or furnish any bond, undertaking or security for the performance of any of the duties delegated by reason ofnon-residence, change of residence, or for any other reason whatsoever, in any state or territory of the United States, or in any foreign country, and law now existing, or which may hereafter be enacted to the contrary notwithstanding, such security being hereby expressly waived. 4 LAW OFFICES OF JOHN J. LYNCH VINE STREET - P. O. BOX 6 - DAMARISCOTTA, MAINE 04543 I, JUDITH A. WARD, the Testator, on this,S may of June, 2000, hereby declare to the undersigned authority that I sign and execute this instrument as my Last Will and that I sign it willingly, as my free and voluntary act, and that I am eighteen years of age or older, of sound mind, and under no constraint or undue influence. (~ , (it/ TH A. WARD We, Su7,~}n/rV a9- K - l~lNC41 and t,/c.~/eA-~ ,1- /~,g.>/c.ct~~, the witnesses, being first duly sworn, do hereby declare to the undersigned authority that the Testator has signed and executed this instrument as the Testator's Last Will and that the Testator signed it willingly, and that each of us, in the presence and hearing of the Testator and in the presence of each other, sign this Will as witnesses to the Testator's signing, and that to the best of our knowledge the Testator is eighteen years of age or older, of sound mind and under no constraint or undue influence. STATE OF MAINE Lincoln, ss. Subscribed, sworn to and acknowledged before me by JUDITH A. WARD, the Testator, and subscribed and sworn to before me by Sy zkFNW /~ K • W~V GN and cl ~.24~'~- /. ,witnesses, this ~ day of June, 2000. ia'Attorney at~w // .+1~ 1f h1 «>7 . ~y~L ~7 \\IIP_LC3\SYS\Documents\clients\Ward, Thomas &Judith\WardThomasWi11050400B.doc being first duly sworn, do LAW OFFICES OF JOHN J. LYNCH VINE STREET - P. O. BOX 6 - DAMARISCOTTA, MAINE 04543