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HomeMy WebLinkAbout10-5-12PETITION 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: Esther L Myers a/k/a: a/k/a: a/k/a: Date of Death: 9/22/12 . ,~ File No: 21 ~--' (Assi ned by Register) Social Security No: Age at death: 79 Decedent was domiciled at death in Cumberland County, PA (State) with his/her last principal residence at 203 Oriole Drive 17013 North Middleton Township Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 1320 Lin~lestown Road 17110 Harrisburs~ Dauphin PA Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death: If domiciled in Pennsylvania ................................All personal property If not domiciled in Pennsylvania .............................Personal property in Pennsylvania If not domiciled in Pennsylvania .............................Personal property in County Value of real estate in Pennsylvania ............................................................. . TOTAL ESTIMATED VALUE. . $ 500.00 $ 49,000.00 $ 49,500.00 Real estate in Pennsylvania situated at: 203 Oriole Drive 17013 North Middleton Twp. Cumberland (Attach additionnJ sheets, if necessnry.) 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 ~ 2/9/02 and Codicil(s) thereto dated Co-Executor Barron W. M ers died on Jul 23 2010. Debra L. Fraker Alternate Co-Executor under Will. State relevant circumstances (e.g. renunciation, 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 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. a., d. b. n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, c.~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 no Will and was survived by the following spouse (if any) and hejrs_(attach ~~' -~-~ additional sheets, if necessary): C'1 t..a ~ ~ ti n Name Relationship Address S~7 ~ _ ~ ~="'-' ; . . ~ ~-,, -p C~`= ~ ~,. i'V " ~._., ~. ~ ~ --, ~:- c~:: _~.:~ ._ti._ --i-~ ~~~ r"z"- Page 1 of 2 Fornz RW-02 rev. 10/11/2011 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF C~BERI-AND } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address Debra L. Fraker 58 Meade Drive Carlisle PA 17013 ~i7 Te L. Fey- ~ ~ ~ 22 Ridge Avenue Carlisle PA 17013 The Petitioner(s) 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 Petitioner(s) and that, as Personal Representative(s) of the Decedent, th itioner(s) will well d truly administer the estate according to law. Sworn to or. affirmed an ubsc ibedtbe r f Date ~ ~ '~ ~ "~""" me th~s ~ ~ ~ , ~~'"~ ~ Date ~~- Y L~'' ~ Date By: Fo~r~the Register Date BOND Required: ^ YES ® NO FEES: Letters ....................... $ ( )Short Certificates(s) ..... . ( )Renunciation(s) ......... . ( )Codicil(s) ............. . ( )Affidavit(s) ............ . Bond ......................... Commission ................... . Other ••••••••• Automation Fee ................ . JCS Fee ....................... TOTAL ......................$ Estate of Esther L. a/k/a: ~ J - AND NOW, ~ ~ ~~.in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Debra L Fraker and Terry L Myers in the above estate and (if applicable) that the instrument(s) dated December 9 2002 - described in the Petition be admitted to probate and filed of record as theAlast Will (and Codicil(s)) of Register of Wills T ~%~-~~'~-- Form Rw o2 rev. ~oil~izon Page of 2 ~~~~ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: ed Name: John B. Fowler, III reme Court Number: 06273 Firm Name: Martson Law Offices Address: 10 East High Street Carlisle PA 17013 Phone: (717) 243-3341 Fax: (717) 243-1850 Email: lfowler(a~martsonlaw.com DECREE OF THE REGISTER File No. / ~ ~~ ~ ~ I /~ y ~t~." -~ ~.~ Jr~. i~1 4. i ` ' 1''J . _. r v 1... d .j a L~ Y S tL< „'R .' _ CUMBFRI~ND :.'P~' : . COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS C'FRTI~1~'ATF r1C ~•1GAT4J 1. Decedent's Legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number~~ , 411Date of Death (Mo/Day/V r) (Spell Mo) • Fema1 Se tember 22, 2012 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (Mo/Day/Year) (Spell Month) 7a. Birthplace (City and State or Foreign Country) 79 Months Days Hours Minutes Sept 26 1932 , 76. Birthplace (County) 8a. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) Sc. Did Decedent live in a Township? PA 203 Oriole Drive Yes decedent lived in N Mi C~f'71 Pf'fATI 8d. Residence (County) , _ twp. Cumberland 8e. Residence (Zip Code) Q No, decedent lived within limits of city/boro. 9. Ever in US Armed Forces? 10. Marital Status ai Time of Death Q Married (~ Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) Q Yes ffi No Q Unknown Q Divorced Q Never Married Q Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) Leroy W_ Wilson Florence M_ Chamberlin 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) 0 Debra Fra3cer. daughter 58 Meade Drive, Carlisle, PA 17013 Ci ....................................................................................... .. ............... ........ 15a. Place of Death (Check only one) "' If Death Occurred in a Hospital: Q Inpatient ~ • ............................t~ .......................................................... _... _.............. :If Death Occurred Somewhere Other Than a Hospital: jya Hospice Facility Q Decedent's Home ° Emer enc Room Out atient Q g y / p Q Dead on Arrival [3'Nursing Home/Long-Term Care Facility Q Other (Specify) w Sb. Fa ity Nam (If not institute give stye and ou ber; n Ge ro`~ ~' t `l ~ 15c. City or Town, State, and Zip Code i5d_ County of Death y rox on ane esic ence Harrisburg , PA 17110 Dauphin 16a, Method of Disposition Q Burial ® Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of ce metery,_crematpry or other place) Q Removal from State Q Donation Sept 25 , 201 Hoffman-Roth Funeral Home & Crematory - Q Other (Specify) 16d. Location of Disposition (Cit or Town, State, and Zip) C li l PA 1'7013 17a. Signa fe of Funera a ice licensee or Person in Charge of Interment 17b. License Number ar s e, 138504 ~ 17c. Name and Complete Address of Funeral Facility Hoffman-Roth Funeral Home & Crematory, 219 North Hanover Street, Carlisle, PA 17013 ° 18. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what i- highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be_ Q 8th grade or less is Spanish/Hispanic/Latino. Check the "N o" ~ White Q Korean (~ No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese Q 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 Q Yes, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian Q Associate degree (e.g. AA, AS) Q Yes, Puerto Rican Q Chinese Q Guamanian or Cha morro Q Bachelor's degree (e.g. BA, AB, BS) Q Yes, Cuban 0 Filipino 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 Q Doctorate (e.g. PhD, EdD) or Professional degree (Specify) Q Other (Specify) e. MD, DDS, DV M, 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 Q Japanese Q Samoan done during most of working life. DO NOT USE RETIRED. Q Black or African American Q Korean Q Other Pacific Islander Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure Meat & Dell Q Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian Q Other (Specify) Q Filipino Q Guamanian or Chamorro Grocery Store ITEMS 23a - 23d MUST BE COMPLETED BY PERSON WHO PRONOUNCES OR 23a. Date Pronounced Dead (Mo/Day/Yr) 23 b. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number CERTIFIES DEATH 23d. Date Signed (MO/Day/Yr) 24. Time of Death 25. Was Medical Examiner or Coroner Contacted? Q Yes No CAUSE OF DEATH Approximate 26. Part 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. C O cL O (1('~ .~, L-~ °-•L,J" ~~ ~ S~~A.S (Final disease or c ndition Due to (or a onsequence 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. UNOERLVING CAUSE Due to (or as a consequence of): w (disease or injury that initiated the events resulting d. ~ in death) LAST. Due to (or as a consequence of): V_ 26. Part I1. Enter other siQnifica nt conditions contributive to death but not resulting in [he underlying cause given in Part I 27. Was an autopsy performed? i~ ~ t3 f /a-L_ 1f l,S ~ ~ ~v ~. ~'.--S~i i S ~ a `G ~~ '~ S-t~i~ ~ ~- `Ll~ ~ Q Yes Q.~Fo - _ i'/1C~•7~t°ftfL•Z 'V~ -S'=r-~ 28. Were autopsy findings available `~`, ~ ` -~ ^ to complete the cause of death? Q Ves Q No _ 29. If Female: 30. Did Tobacco Use Contribute to Death? 31. Manner of Death E ~7Rot pregnant within past year ~s Q Probably atural Q Homicide Q Pregnant at time of death Q No Q Unknown Q Accident Q Pending Investigation Q Not pregnant, but pregnant within 42 days of death Q Suicide Q Could not be determined .-° Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (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 Injury Occurred: Q Yes Q Driver/Operator Q Pedestrian Q No ~ Passenger Q Other (Specify) 39a. Certifier (Check only one): ~Crtifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated pronouncing 8. Certifying physician - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated Q Medical Examiner/Corone - On the basis xa Ination, an d /or Investigation, in my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner stated 1 ~ Signature of certifier: C ~ ' as Title of certifier: ~- ~ License Number C~~OC~~~~- L. 39b. Name, Address and Zip Code of Person Completing Cause of Death (Item 26) 39c. Date Signed (Mo/Day/Yr) Dr_ Ter A_ Robison, MAB, 220 Wilson Street, Carlisle, PA 17013 Sept 24, 2012 40. Registrar's District Number 41. Registrar's ~~(~tu r~e (~ I ~ 42. Registrar File Date (MO/Day/Yr) - ~~ ~7R~~cs~)t ~k-F ~ ~ ~ U ~.a" 43. Amendments ~~ Cy ~~~ H105-143 Disposition Permit No. `~ REV 07/2011 F-AFILES\DATAFILE\Estate Planning\107661-w.will Fes` ~a ~~ ~~ ~, ~.."!"f " 1 ~ ~ CJC? T1 C ~ ~ ..._,. LAST WILL AND TESTAMENT OF ~ ~~ '~ ' ~ ~: _ . . ~ . ESTHER L. MYERS ~ ~ ~. -~ ~, ~ ~ "t ' ~: _= r ~ ~'-_~ ..~ •' ~ _-,1"t 1 f° '~ '~ I, ESTHER L. MYERS, residing at 417 B Street, Carlisle, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke all Wills and Codicils previously made by me. ITEM I: I direct that all my legally enforceable debts and funeral expenses, including all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I bequeath my gune., boats, tools, fishing and hunting equipment, and my grandfather's clock to my son, BARRON W. MYERS. I bequeath my wedding rings received from my husband, Kenneth W. Myers, and my family's Bible to my daughter, DEBRA L. FRAKER. I bequeath my mother's wedding rings to my daughter, TERRY L. MYERS. I bequeath all of my other j ewelry to my daughters, DEBRA L. FRAMER and TERRY L. MYERS, to be divided between them as they shall mutually agree. ITEM III: I bequeath any automobiles or motor vehicles I may own at my death, household goods, and other tangible personal property of like nature not specifically bequeathed under ITEM II hereof (not including cash or securities), together with any existing insurance thereon, to such of my children as are living on the thirty-first day after my death, subject to the provisions of ITEM VII(C) hereof, to be divided between or among them with due regard for their personal preferences in as nearly equal shares as practical and as they shall mutually agree. I direct that any of the foregoing articles not selected by such children or about which there is no agreement shall be sold at public or private sale by my personal representative(s), and I further direct that the net proceeds thereof shall be administered and distributed as a part of the residue of my estate. ITEM IV: I devise and bequeath the residue of my estate of every nature and wherever situate in equal shares to my children, DEBRA L. FRAKER, BARRON W. MYERS and TERRY L. MYERS, subject to the provisions of ITEM VII(C) hereof. In the event of the death of any of my children prior to distribution of his or her share, then upon such child's death his or her share, or the remainder thereof, shall be held, IN TRUST, for his or her then living issue, per stirpes; and if upon such child's death, he or she has no then living issue, then such share, or the remainder thereof, shall be added to the share for my other child or children and shall be held, administered and disposed of as herein provided. ~,C~ ~L Page 1 of 6 Pages ~1nltialsJ ITEM V: Should any person entitled to a share of my estate not have attained the age of twenty-one (21) years at the time of distribution to him or her, I devise and bequeath the share of each such person to my Trustees hereinafter named, IN SEPARATE TRUST, to hold, manage, invest and reinvest the share so received and the accumulation of income thereon, and to use and apply the income and principal or so much thereof as, in the sole discretion of my Trustees, may be necessary or appropriate for such beneficiary's support, health and medical care, and education (including college education, both undergraduate and graduate), or to make payment for these purposes, without further obligation or responsibility to see to the proper expenditure thereof, directly to such beneficiary or to any person taking care of such beneficiary. Any income and principal not so applied shall be distributed to such beneficiary absolutely when he or she attains the age of twenty- one (21) years. If he or she dies prior to complete distribution, then such share shall be distributed to his or her personal representative(s) or estate, discharged of the trust. For convenience of administration and investment and if more than one Trust is held hereunder, my Trustees shall be fully authorized to hold the several Trusts as a common fund, dividing the income proportionately between or among them, and to make joint investments of the funds belonging to my Trustees. Should the combined principal of the several Trusts held hereunder be or become too small so as to make establishment or continuance thereof inadvisable, my Trustees, in their sole discretion, may make immediate distribution of the then remaining balance of the principal and accumulated income of each beneficiary's share to the legally appointed guardian or trustee of such beneficiary, or may appoint and pay such share to a custodian for such beneficiary under the Uniform Transfers to Minors Act of any state, without further obligation or responsibility for such distribution so paid; and upon such termination, the rights of all persons who might otherwise have a successive interest therein shall cease. No interest of any beneficiary, while in the possession of my Trustees, shall be subject to anticipation or voluntary or involuntary alienation. ITEM VI: All Federal, State and other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether passing under this Will or otherwise, including any interest or penalty imposed in connection with such taxes, shall be considered a part of the expense of the administration of my estate and shall be paid out of the principal of my residuary estate without apportionment or right of reimbursement. ITEM VII: All fiduciaries acting under this Will shall have the following powers in addition to those vested in them by the common law, by statute or by the other provisions hereof, all of which shall be exercised in a fiduciary capacity, primarily in the interests of the beneficiaries, ~~? Page 2 of 6 Pages [Initials] applicable to all property, including property held for minors, whether principal or income, exercisable without court approval and effective until actual distribution of all property: A. To retain and to hold any securities or other property, real, personal or mixed, including stock of my successor corporate Trustee or an affiliate, received from my estate without regard to any principle of diversification or risk. B. To invest and reinvest in all forms ofproperty, including stocks, bonds, funds, endowment, insurance or annuity policies on the lives of beneficiaries of any Trust created hereunder and other securities, whether operated by my successor corporate Trustee, an affiliate or others, without restriction to investments authorized for Pennsylvania fiduciaries, as they shall deem proper without regard to any principle of diversification or risk. C. To sell at public or private sale, to exchange, to partition, or to lease for any period of time or the duration of any Trust created hereunder any real or personal property, and to give options for sales, exchanges or leases for such prices and upon such terms and conditions as they shall deem proper. Notwithstanding anything to the contrary contained herein, so long as my son, BARRON W. MYERS, desires to use my residence as a home, limited, however, to one year from the date of my death, I direct my personal representative(s) to retain and hold such property, together with all household goods and furnishings therein, for such purpose. I direct that my said son shall not be required to give bond as tenant, or be required to keep such property insured, or be liable for any loss, damage or destruction of such property. I further direct that all major repairs, real estate taxes and property and liability insurance shall be paid out of my residuary estate; otherwise, all costs of maintenance thereof, including ordinary repairs, shall be paid by my said son. One year from the date of my death or when my said son no longer desires to use such property as a home, whichever shall first occur, I direct that such property shall be sold or distributed as herein provided. D. To hold property in the name of any Trust created hereunder, or in the name of my Trustees without designation of any fiduciary capacity, or in the name of a nominee, or unregistered. E. To allocate receipts and expenses to principal or income, or partly to each, as they from time to time, in their sole discretion, shall think proper. F. To vote in person or by proxy all securities, and to become a party to any stockholders' agreements deemed advisable by them in connection with such securities. Page 3 of 6 Pages [Initials] G. To borrow money from any person or institution, including my successor corporate Trustee or an affiliate, upon their bond or promissory note, and to secure the repayment thereof by mortgaging, creating a security interest in, pledging or otherwise encumbering any or all real or personal property as they, in their sole discretion, shall choose without regard to the dispositive provisions of my Will. H. To make any divisions or distributions required hereunder, wholly or in part, in kind or in cash, and to make non-prorata distributions of assets in kind. I. To exercise any election or privilege given by the Federal tax and other tax laws, including without limiting the foregoing, the joinder with my husband in filing income tax returns, the election of the alternate valuation for Federal Estate tax purposes, the election to claim items of deduction for estate tax or for income tax purposes, and to make or not to make equitable adjustments or apportionments for the exercise or nonexercise of any such election or privilege. J. To disclaim any interest in property without court authorization. K. To compromise any claim or controversy. ITEM VIII: I appoint my children, DEBRA L. FRAKER, BARRON W. MYERS and TERRY L. MYERS, or the survivor(s) of them Trustees of the Trusts created under ITEM V hereof. My Trustees or any successor Trustee may resign at any time upon written notice given to the then current income beneficiaries thereunder or to their parent, legally appointed guardian or trustee, other than any Trustee hereunder, if such beneficiaries are minors. No successor Trustee shall be liable or responsible in any way for the acts or defaults of any predecessor Trustee or for any loss or expense caused by anything done or neglected to be done by any predecessor Trustee, but such successor Trustee shall be liable only for his, her or its own acts and defaults with respect to the trust estate actually received. Any successor Trustee shall succeed to all the duties and all the powers, including discretionary powers, herein granted to my Trustees. My Trustees shall be reimbursed for all necessary and reasonable expenses incurred by them in the management and protection of the Trusts and may retain and employ the services of others as accountants, counsel, agents and advisors for investments, or otherwise, and may act through attorneys-in-fact, with the reasonable expenses, compensation and fees therefor to be paid from the trust estate in addition to the compensation to which my Trustees maybe entitled under ITEM X hereof. I direct that the situs of said Trusts for administrative and accounting purposes shall be Cumberland County, Pennsylvania, and all questions concerning the validity, construction and administration of said Trusts shall be determined under the laws of the Commonwealth of Pennsylvania. My Trustees may change the situs of any Page 4 of 6 Pages [Initial Trust created hereunder from the county and/or state in which it is then being administered to a new county and/or state. Such action shall be accomplished by a writing signed by my Trustees or successor Trustee and filed with the court then having jurisdiction over said Trust. ITEM IX: I appoint my son, BARRON W. MYERS, and my daughter, TERRY L. MYERS, Executors of this my last Will. Should either my said son or daughter fail to qualify or cease to act as Executor, I appoint my daughter, DEBRA L. FRAKER, an Executrix to serve with the surviving Executor, or to act alone should she be the sole survivor. ITEM X: My Trustees and my Executors, as well as their successors, may elect to receive a fair and reasonable compensation for the performance of their respective services hereunder, which compensation shall not be greater than the standard fees charged for the performance of similar services by corporate banking fiduciaries with offices in Carlisle, Pennsylvania, in effect from time to time during the period over which such services are performed. ITEM XI: I direct that all fiduciaries acting under this Will, whether or not named herein, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this day of 2002. i~l-mac.-~..- [SEAL] Esther L. Myers SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testatrix and of each other. _. ,~ ; ~,; y -~T ~t,~ ~~- ,~~~ ~'- /~ °~~ t , ~ ~ and ~ c~- 2,<_- ~: ` ' ~~-~. ~~~.~. 1 <: Page 5 of 6 Pages COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, Esther L. Myers, '~ J ~-}~ ~ i ~ ~. y ~, ,and ~ ~•~ , the Testatrix and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her last Will and that she has signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. %~ . ~~ Esther L. Myers, Testatrix t~ ' ~~ ~ L Witness `-_~~~ ~ .a- ~ ~ r i~ / ~ Witne~s Subscribed, sworn to and acknowledged before m`e,by Esther L. Myers, the Testatrix, and subscribed and sworn to before me by _ V J ~ r'1 c`. ~.. ~ -~~ and rYla rccK, y ~ r,tiv~ ,witnesses, this ~ day of ,.,~,~~ , 2002. Notary Public NOTARIAL SEAL CORflINE L. MYERS, Notary Public CarGsie Boro, CumberlandCounryty M COmmissi~n EX „ores Ma ~ 27 2b03 Page 6 of 6 Pages