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HomeMy WebLinkAbout10-12-12Reset r ~ 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: Janice B. Newma,~- ~~' a/k/a: a/k/a: a/k/a: Date of Death: September 28, 2012 File No: .,~ ~ ~- ~, /lam 7 (Assigned by Register) Social Security No: 164-30-3057 Age at death: 75 Decedent was domiciled at death in Cumberland County, pennsylvania (;Stnt~) with his/her last principal residence at 46 Wilson Street, Carlisle, PA 17013 Borou h of Carlisle Cumber°land Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Street address, Post Office and Zip Code City, Township or Borough County State Estimate of value of decedent's property at death IJ'donticrled in Pennsylvania ............................ All personal property $ 400,000.00 If not domiciled in Peirnsylvanra . ....................... Personal property in Pennsylvania $ /J'not domiciled in Pennsylvania . ....................... Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ 198,000.00 TOTAL ESTIMATED VALUE.... $ 598,000.00 Real estate in Pennsylvania situated at: 46 Wilson Street, Carlisle, PA 17013 Borough of Carlisle Cumberland (A~tach 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 May 13, 2010 and Codicil(s) thereto dated NONE r.,_ ~~ State relevant circumstances (e.,~. renunciation, deaf/~ of executor, etc.) _ '"" ~.~ . ~ Q CJ .-~- i --n ~ ;~Ci Except as follows: after the execution ofthe instrument(s) offered for probate Decedent did not marry, was not divorc not a pa a pef~~t~n~ divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. 3323 ~~~'- § (g), an cSt; have a child bgrn~ct f :~• adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. fV ~ - ~ ~~. Cf Q NO EXCEPTIONS O EXCEPTIONS CJ~- t~._ ~ ::~.; _ _t~ :~~- ^ B. Petition for Grant of Letters of Administration (tf applicable) ~~ C7J • ~~- - , .. r_°- e.t.a., d. h. n., cl.b.n.c.t.a., penclente lite, durante~sentia, dura~mino~t~t~ If Administration, c. t. a. nN d. h. 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(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. 0 NO EXCEPTIONS Q EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Wil I and was survived by the following spouse (i fany) and heirs (attnch additional sheets, if necess~ar>>): Name Relationshi Address Form RW-(J? rein. I ~)/11~2~1 ! PagE 1 Of' 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } SS: t Official Usc Only The Petitioner(s) above-Warned swear(s) ~r affirm(s) the statements in the foregoing Petition are true and correct to the best ofthc knowledge and belief of Petitioner(s) and that, as P cr>onal Representative(s) of the Decedent, the Petit~on~r(s) will well and truly administer the estate according to l aw. Sworn to or affirmed and s u scribed before i _ ,r ' ~~ 4.~..---...,~~ ,.j/~U'" `'~"'~°- _ Date ~~' /`~L me this :f'ft` day of '~'R"r ~~`-~ CLi , ~ ~ Date " ~---~ Date F~r• the Register ! Date - ~h -.x I30ND Required: 0 YES ~ NO T~~ the Regi.cte~• of Wrllc: ~~ t"7 ~! ~ 1 J `-~ -~ <-~-% FEES: Please enter my a earance b m si n P P Y Y~ at ~~~~~I o w: --~ ..._ . ~:... r-r ~"~~'~ ~ -~ _ , ,...1 r ; Letters ~ , `}1~> ~ ~ U,; . - _. _ ; ...... • • • • • • • • • • • • • • . • ~ Attorney Signature: p~-.,, _ , ( 5) Short Certificate(s). ( )Renunciation(s).... ..... ~!"', C ~. ..... ~ ~`r ~~ ~~. ~-' - , ~ ~ ( )Affidavit(s)....... ..... ~ E3ond ................... ..... Printed Name: Vicky Ann Trimmer Commission ............. ..... Supreme Court Ot~~h~~er _... ~,l,l ~ .. ..... ..... ~,~~ `~~~~~ ID Number: 49679 • • • ~ • • • • Firm Name: Persun & Heim, PC • • • ' ' ' ~ ~ ~ • ~ • • • ' • Address: PO Box 659 Mechanicsburg PA 170 55-(7659 ~~~ ~~•~~ Phone: 717-620-?440 Automation Fce . ......... ..... ~~~~ Fax: 717-620-2442 JCS Fec . ............... ..... ,~ ~~• LjL' Email: vatrimmerC~nersunheim cam TOTAL ................ ..... $ ~~-~,~~ x:00 DECREE O F THE REGISTER Estate of Janice B. Newma File No: •~~ - ~,~ _ ~/ ~~~ a/k/a: 1 ~ AND NOW, ~~~'/~j ~j ~(~~l ,~)~~~ ~~},F_^ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Bradley R. Newman in the above estate and (if applicable) that the instrument(s) dated May 13, 2010 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. -, ,~ ~ / ' F1~ .~ ~ ~ Register of Wills _ r- /'~ Frirn~iRW-~? re~~. 1~1'IIZ~II ~ Page~z cif 2 `~,. - • ..,.!J f=4!?~CT !2 ~ 8~ 27 ~~iF'1'`ltiivl~ .~UL~~ , CCIMBE~_AN~ CCU., PA Type/Print In COMMONWEALTH Of PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Permanent CERTIFICATE nF HEATH c i f 1. Decedent's legal Name (first, Middle, Us[, Suffix) Z. Sea 3. Social Security Number !. Dale of Death (MO/Day/Yr) (Spell Mo) a IY /~ ~ C '~ ~ ("'~'"~ Female 164-30-3057 Se tember 28 2012 Sa. Age-Las[ Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Oa 6. Date of Birth (MO/Day/rsar) (Spell Month) 7a. Birthplace (City and State or fonlgn Country) Months DaY+ Hour+ Minuses • 75 September 24, 1937 7b. Birthplace )County) ga. Residence (State or Foreign Country) 8b. Residence (Street and Humber -Include Apl No.) &. Dld Decedent Uve In a Townthlpl Penns lvania 46 Wilson St. ^Yes, decedent lived In twp. Btl. Residence (County) Dauphin it. Residence lZlp Code) ®NO, decedent Wed within llmlb of Carlisle city/boro. 9. Ever in US Armed forces? 30. Marital Status at Tlme of Death ^ f/,tarrled ^ W idowed 31. Surviving Spouse's Name (I(wlle, glue name prior to Rrst marriage) ^ Yes ~ No ^ Unknown ®Dlvorud ^ Never MaMed ^ Unknown 12. Gather's Name (Firs[, Middle, Ust, Suffix) 13. Mother's Name Prior to first Marriage (First. Middle, Ust) Ge r Al Br 14a. Informant's Name lib. Relationship to Decedent 1K. Informant's Mslling Address (Street and Number, Clty, Stau, ZIp Codel ~ Bradley Rd. Newman Son 2135 South o2nt Dr. Hummelstown, PA 17036 G ................................ ...................... 1 a. ace o eat ec on y one 3 If Death Occurred In a Hospital: Inpatient :If Death Occurred Somewhere Other Tlsan a Hospital: ~ Hospke FKlllty ~ Decedent's Home ^ Emergency Room/Outpatient ^ Oead on Arrival ~ ~] Nursin Home/long-Term Care Facility Other (Specify) a~ 150. Facility Name (I(not institution, give street and number; lSC. City or Town, State, and Zlp Cade lSd. County of Death Hos ice Residence Sus uehanna T~tr Dau hin 16a. Method of DI+DpflllOn ^ Burial ®Crema[ion )fib. Date of DisDOSltion 16c. Place of OlsDOSition (Name of cemetery, crematory, or other place) x ^Removal from State ^DOnatipn OtherlSpe[ify) 10/2/2012 Bitner Cremator LLC y r 2 16d. location of Disposition (City or Tawn, State, and Zipl 17a. Signature of Funeral Service li entte or Parson in Charge of Interment l ib. License Number Harrisburg, PA " v FD-013592-L 17 ,Name an om te/sd ess Herat Fa 'sty ~ ~ t~ ~ ~ i `~ . nera . esse eig e t Home, 2100 Linglestown Rd. Harrisburg, PA 17110 ~ 18. Decedent's Education -Check the box that best describes th< 19. Decedent or Hispanic Origin -Check the Z0. Decedent's Ract -Check ONE OR MORE races to indicate what r highest de{ree or level o(school completed at the time of death. box that Oest describes whether the decedent the decedent considered hlmsell or hersell t0 be. ^ 8th grade or less is Spanish/Hispanic/Latino. Check the 'NO' ® White ^ Korean ^ No diploma, 9th • 12M grade box if decedent is not Spanish/Hispanic/latino. ^ Black or African American ^ Vietnamese ^ Nigh school graduate or GED completed ®No, not Spanish/Hispanlc/Latino ^ American Indian or Alaska Natlvt ^ Other Asian ^ Some college credit, but no degree ^ Yes, Mexican, Mexican American, Chicano ^ A+lan Indian ^ Native Hawaiian ^ Assaiate degree (e.g. M, AS) ^ Yes, Puerto Rican ^ Chinese ^ Guamanian or Chamorro ^ Bachelor's degree (e.g. BA, (sB, BSI ^ Yes, Cuban ^ Filipino ^ Sampan Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ^ Yes, other Spanish/Hispanlc/Lalino ^ Japanese ^ Other PaclRc Islander Doctorate (e.g. PND, Edo) or Proftssipnal degree (Specify) ^ Other (Sp«Iry) e.. MD DDS, DVM, LlB, 1D Z 1. Decedent's Single Race Sell-Designation -Check ONIY ONE to Indicate what the decedent considered himsell or herself to be. Z2a. Decedent's Usual Occupation • Indicate type of work 0 White ^ Japanese ^ Samoan done during most of working Ills. DO NOT USE RETIRED. • ^ BlackorAfrlcanAmtriun ^ Korean ^ OfherPaci(iclslander Librarian 1 ^ llmtrlpin Indian or Alaska Native ^ Vietnamese ^ Don'[ Know/Not Sure ^ Asian Indian ^ Other Asian ^ 0.e(used 22b. Kind of Business/Indut[ry ^ Chinese ^ Native Hawaiian ^ Other (Specify) ^Fnipinp ^GuamanianorChamprro State Librar ITEMS 23a • 23d MUST eE COMPLETED 13a. Date Pronounced Dead (MO Day/Yr) 23b. Signature of Person Pronouncing Death (Only when appliuble~ 23c. Lkense Number gY PERSON WHO gRONOUNCES OR CERTIFIES DEATH 9I2HI2O12 23d. Date Signed (MO/Day/Yr) 21. Time of Death ZS. was Medical Examiner or Coroner Contacted? ^ Yes No CAUSE OF DEATH i Approximate 26. Part I. Enter lht chain of events--diseases, injuries, orcomplications--[hat tlirectly caused the death. DO NOT enter terminal events such as cardiac arrest. Interval: m ct to Death respiratory arrest, or ventricular fibrillation without showing th e «iology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines II necessary i O J1~~ / ' IMMEDIATE GUSE ---------------> a. ~ilctrt IT7~Q IJ ~v days (Final disease or condition Out to (or as a conseQuen<t o( ): e . , McvJ Jkg resulting in death) b. Anaieu,a rtr,d caGhcXi~ a+ulha/~eNG Uentiall list conditions Se D e t (ar as a c n n of Q y , seQue . u o o ce Many.leading tpthe cause End `~-aae Heart ~;se~se wS listed an line a. Enter the c. _ UNDERLYING GUSE ue to (or as a conseQuenct olj; (disease or injury that initiated the events resulting 0. in death) )AST Due to (or as a conseQuenct ofJ: ,~ 26. Pan II. Enter other sltniliun[ cundluons cuntril but nut rasulUng In the underlying cause given In Pan 1 ~ filar -Di SCa S c~osw,~;u~g ~•~'ul ids a~ G L~o 27. Was an autopsy peAcymr+d) ^ r.s Np ~ , ~,/ ro /~ y t~ L ~~/ ~ ~~Y~r /~/~ /~~ ~ l1~/I"!'P,1'{r P(t~if~~ U7LG $l Qllf .'S /~G YO ~.Q.{"gra•4r~ yVj11't.+Gf7'D~ 28. Were autoDSy Rndings available to complete the cause Idea[h7 Yet NO Z9. II female: 30. Did Tobacco Use ContriDUU to Death? 31 nner of Death ^ Not pregnant within past year ^ Yes ^ P obably ~ Natural ^ Homicide u ^ Pregnant at time of death ^ No Q Unknown ^ Acc{dent ^ Pending Investigation m ^ Not pregnant, but pregnant within 42 days of death ^ Suicide ^ Could not be determined ^ Not pregnant, but pregnant 13 days to 1 year belore death 31. Date of Injury (MO/Day/Yr) Spell Month) ^ Unknown it pregnant within the past year 33. Time of Injury 34. Place o(Injury (e.g. home; construction site; farm; schoall ;S. location of Injury (Street and Number, Clty, SUte, Zlp Code) 36. Injury at Work 37. II Transportation Injury, SDecily: 38. Describe Mow Injury Occurred: ^ Yes ^ Driver/Operator ^ Pedestrian P No ^ Passenger ^ Other (Specify) 39a. rtifier (Check only one): Certifying physician - To the best of my knowledge, death acurred due to the cause(s) and manner slated ^ Pronouncing g Certifying physician - To the best of my knowledge, death occurred a[ the time, date, and place, and due to the cause(s) antl manner staled and m a nner stated ^ Medical Examiner/Coroner - On the basis of examination, and/or investigation, in my opinion, deat h occurred at the time, date, and place, and due [o th e cause ( s ) ' / / ~ ~ y T~ v ln ~1 S- ~~ O ~ license Number:? 7 / TLT Y Signature of certifier: 71t1e of unifier. /// 39b. Name, Address and Zip Code of Person Completing Cause or Death (Item Z6) ~ 39c. Dale Signed IMO/Oay/yr) 2d. lfsmab~~g , PA /~(fQ SA'a2A-N /JOORBA'KSN iJao L~:J /esfo~2A, 1 /0-0/- ZO(Z 40. Registrar's Distrkt Number tray's Si a e IZ. Registrar Flle Date (MO/Day/Yr) 50 - q~~ ! 0 1- / 43 Amendments ' { R .., II M105.143 Disposition permit No. O ~ ~ I ~ I CO qEV 07/2011 lL,~~~ ~V~llll ~~n~l 7I°~~~~~n~; ®~ ~:: r.- ~: - , ~,.~ /'' - ~ JL-,1 l__.-. -r? ~ANI~C]~ ~B. N]~WMAN ~, =~-i I, ~ANIC]E ]B. NBWMAN, of Carlisle, Cumberland County, is , ~ .~::~ ~"' t~.:r ~*-.o.q ..~:r~ ~~,q ~~ r Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I~ I direct that all inheritance and estate taxes becoming due by reason of my death, whether payable by my estate or by any recipient of any property, shall be paid by the Executor out of the residue of my estate, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II~ I direct the Executor to pay the expenses of my last illness and funeral expenses from the residue of my estate as an expense and cost of administration of my estate. I prefer cremation with no viewing. A small memorial service may be held if desired by my son. TTFA/f TTT: I give the residue of my estate, not disposed of in the preceding portions of this Will, to son, BRADLEY R. NEWMAN. If he is not living at the time of my death, his share shall be paid to his then living issue, per stirpes. If, however, any issue of a deceased child has not attained the age of thirty (30) years at the time of my death, his share shall be held in trust by SUSAN W. NEWMAN, as Trustee, IN TRUST NEVERTHELESS, and shall be administered and distributed as follows ~_c.~ ~;: `_, ~_ - , ~~::. _;.~ -. ---, -,, =:, ~-_'". -. '~~ ~~ Page 1 ~~~?'~` ~, (a) The Trustee shall pay to or for his or her benefit, in convenient, at least annual, installments, all of the net income. The Trustee shall also pay to or for the benefit of that issue (the "Beneficiary") so much of the principal of this Trust as the Trustee, in the sole discretion of the Trustee, considers necessary to maintain the Beneficiary in the proper station in life, including proper support, maintenance, medical care and college or higher education. (b) Upon the attainment of the age of thirty (30) years by the Beneficiary, the Trust shall terminate, and the Trustee shall distribute to the Beneficiary all the assets of the Trust. (c) If the Beneficiary dies before final distribution of the assets of the Trust, but is survived by then living issue, the Trustee shall quarterly pay the net income from this Trust to or for the benefit of the Beneficiary's issue, per stirpes, living at each time of quarterly distribution. As soon as any one of the Beneficiary's issue attains the age of thirty (30) years, the Trustee shall pay over all of the assets in the Trust to the then living issue of the Beneficiary, per stirpes. Should such Beneficiary die before final distribution of this Trust and not be survived by issue, the provisions of subparagraph (d) shall apply. (d) If, before final distribution of the assets of any Trust established for issue of a deceased child, there is no living beneficiary of that Trust, it shall terminate. The principal of the Trust shall be added to the other Trusts created under this Will for the benefit of my children's issue, in the same proportions in which the Trusts were originally funded pursuant to the provisions of this Item. If any Trust created for issue of deceased children had previously been terminated, Page 2 .:.~n I?~ the beneficiaries who received the principal of that Trust shall collectively be considered a "Trust" for the purpose of this paragraph, and one share shall be paid directly to each beneficiary in the same proportion by which each received the principal of the Trust. If any beneficiary is deceased, the share of the deceased beneficiary shall be paid to his or her then living issue, per stirpes. ITEM IV~ In the event I am not survived by my son or any issue, or in the event there are no issue of mine surviving upon the termination of any Trust, the principal shall be paid to JUNIATA COLLEGE, Huntingdon, Pennsylvania, to be used in its library. ITEM V~ No part of the income or principal of any Trust created by this Will shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt of income or principal distributed. The Trustee shall pay the net income and the principal to the beneficiaries specified by me, as their interests may appear, without regard to any attempted anticipation, pledging or assignment, and without regard to any claim or attempted levy, attachment, seizure or other process against the beneficiary. ITEM VI ~ The Executor and the Trustee shall each possess the following powers, each of which may be exercised without court approval and in a fiduciary capacity only (a) To retain any investments I have at my death. (b) To vary investments, and to invest in bonds, stocks, notes, real estate mortgages or other securities or in other property, real or personal, without being restricted to so-called "legal investments," and Page 3 ,, -:-;~, .* 1 without being limited by any statute or rule of law regarding investments by fiduciaries. (c) In order to divide the principal of a Trust or for any other purpose, including final distributions, the Executor and Trustee are authorized to divide and distribute personal property and real property, partly or wholly in kind, and to allocate specific assets among beneficiaries and Trusts so long as the total market value of each share is not affected by the division, distribution or allocation in kind. (d) To sell either at public or private sale real and personal property severally or in conjunction with other persons, and to consummate sale(s) by deed(s) or other instrument(s) to the purchaser(s), conveying a fee simple title. Provided, however, that no sale shall take place at my residence. (e) To mortgage real estate, and to make leases of real estate. (f) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or any Trust established under this Will. (g) To make distributions of income and of principal to the proper beneficiaries, during the administration of my estate, with or without court order, in such manner and in such amounts as the Executor deems prudent and appropriate. (h) To vote shares of stock which form a part of my estate or any Trust established under this Will, and to exercise all the powers incident to the ownership of stock. ~. ~iw Page 4 `~ ~'f (i) To unite with other owners of property similar to property in my estate to carry out plans for the reorganization of any company whose securities form a part of my estate. (j) To disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under a third party beneficiary contract. (k) To prepare, execute and file tax returns of any type required by applicable law, and to make all tax elections authorized by law. (1) To employ custodians of property, investment or business advisors, accountants and attorneys as the Executor or Trustee deems appropriate, and to compensate these persons from assets of my estate or trust, without affecting the compensation to which the Executor and Trustee are entitled. (m) To allocate administrative expenses to income or to principal, as the Executor or Trustee deems appropriate. However, no allocation to income shall be made if the effect of the allocation is to cause a reduction in the amount of any estate tax marital deduction or estate tax charitable deduction. (n) To do all other acts in their judgment necessary or desirable for the proper and advantageous management, investment and distribution of the estate and Trusts established under this Will. - ~, Page 5 `;~ /f "%y" .~ ITEM VII NEWMAN, to be the Executor. In the event of his death, inability or refusal to serve, I appoint my daughter-in-law, SUSAN W. NEWMAN, to be the Executor. The Executor and Trustee are specifically relieved from the obligation of filing bond or entering security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding five (5) pages, at the end of each page of which I have also set my initials for greater security and better identification this_~_ day of ~ r~ , 2010. We, the undersigned, hereby certify that the foregoing Will was 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 and in her presence and in the presence of each other, have hereunto set our hands and seals the day I appoint my son, BRADLEY R. -r ,~ ,,}~ -~ ' ,~`' ~ , ,' °~ ~r `t; '.~ ~~-= (SEAL) ~~NI~~ ~, N~~MAN and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. ~1 f, ,~ ~ ~ ~ ,~ r ti~Cr ~. Z~:..~' ~ CSEAL) Residing at _ , ~ ~ ~ CSEAL) ~' . ~ ~ d~-~s~''~.~ ~ ~~~ __ (SEAL) Page 6 ~. ~~-f--~~ ~ . ~`~ A l 7 ~ ~ i `~ Residing at~`-~ ~~~~-~7 ~.~' `r,~,~ ~~ (t ` ~ ,^ t ~r c' / J Residing at °:,r`~r~`~~ %'~``'~= ~_ V' v !! A i ~.~ ., •I i~ //'~ , !~/~ ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) SS~ COUNTY OF ~ ~ ~~ .~-~ l.a ~- .~` ) I, ~AI~TIrCE ]~, NEy~VMAN, Testatrix, 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 and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~~,% ~, ~,~~ ,~L ~~~~ ~~~;~:_, (SEAL) JANICE ]B. NEWMAN Sworn to and subscribed before me this ~ 3 '~ day of (Ui~~~, , 2010. r F' a r_, Notary Public My Commission Expires (SEAL) COMMONWEALTIi t~F PEN!_~+SYI.VANIA Notarlai Seal Vicky Ann Trimmer, Notal ~~ ?ubilc 9 Silver Spring Twp., Cumberi~~, ~~ ~;ounty My Commission Expires Ma; ct~ 11, 2014 ^~mher, Pennsylvania Association og Notaries AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) ~ ) SS~ COUNTY OF C,; ~. ~, ~;,~ l:~ti~ ) ~. 1 We, ~~-~rt a ~~. a . ~- ~ ~ c~L~t ~ -PLC ~ ~ u ~, ~ ~~ r~`?„t r~ and S iF~ ~> ~`~~ ~ ~~ ~tf~:- ,the Witnesse 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 Testatrix, ~ANI~C]E lB. N~`WMAN ,sign and execute the instrument as her Last Will and Testament that Testatrix signed willingly and that she executed said Will 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 Will as Witnesses 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. Sworn to and subscribed before me this ~~day of ~~ ;~ ~ , 2010. ~~,. Wit ess ~;; ~'% Witness ~~ Witness j f J "~ ~ Notary Public My Commission Expires (SEAL) COMMONWEq~,~ ~~ pENNSYL1fANjq Notarial Seal S~ erg' Ann Trimmer, Notary Public SPNng Twp., Cumberr~;.r~ County NY Commission ExPtres Marc;; ~.i, 2014 Member, Penns4rivanta Association off' Notaries 16722v1