HomeMy WebLinkAbout10-22-12PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF C~~~..~ 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: ~It° l ~ ~1llkTt~2D
a/k/a:
a/k/a:
a/k/a:
Date of Deat:t: !o F o 9 Zo 12.
Decedent was domiciled at death in
principal residence at 2Z ~. ~I.l itba
Street address, Post Office and Zip Code
Decedent died at 2t~ ~ttiou~ Totitt~tt. ~n-
Street address, Post Office snd Zip Code
Estimate of value of decedent's property at death:
File No• ~ ~- ~ '~. -
(Assigned by Register)
Social Security No: 2~'{~ ~~ ~Z 32
Age at death: Z(v
County, ~r-SUltaartlA (Scare) with his/her last
h~lcs6t/r4 'pA !Z~ C~-vnhr..~arsD
City, Township or Borough County
C.he:rLresdcivt~ ~ IZ05p G~w4£1cLA~c~ ~~
Clty, Township or Borough County fate
If domiciled in Pennsylvania ............................ All personal property
If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania
Ijnot domiciled in Pennsylvania ........................ Personal property in County
Value ojrea[ estate in Pennsy[vania ........................................................ .
TOTAjL ESTIMATED VALUE... .
Real estate in Pennsylvania situated at:2o~ ~ ~jtZoA~ ~ MFz,U'1~
(Attach additional sheers, ijnecessary.) Street address, Post Office and Zi Code
~ 3{ , 32 ~ t1{Iu.oG1 feljvat~- t~-
$ ~ 1 O. ODt~ eo
$ ' { t7. fwd o0
Sbu~y -Yit 1-loss ~w,gertA+~+tl
City, Township or Borough County
Metyia+~icsb~t-q '~- t7o ,~ Lu~ct,nNa
;~ A. Petition for Probate and Grant of Letters Testamentary y
Petitioner(s) aver(s) he/she/they is/are the Executor(s) named in the last Will of the Decedent, dated ~Itln.5e ~j z6t'2. and Codicil(s)
thereto dated
State relevant circumstances (eg. renunciation, death ojexecutor, 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(8), 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.a., pendente life, durance abe•entia, durance minoritate
If Administration, c.t.a. or d.b.n.c.ta., enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not a parry 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.
^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, ijnecessury):
Name Relationshi Address
C~ .,.'
O ^'
t.fT,-''~ . V
Form 2W-02 rev. !0/11/2011
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n a 4 -~ "r-3
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~' Pa~1 of`d''
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} ss:
COL'~iT`r" OF
~EGGp[~~~~ J~-FfG~ OF
-n
f `t,~e my ..._.~~J
~fll2 OCT 22 AM I i ~ 0 I
Petitionerls) Printed Vame Petitionerlsi Printed Add
~FIt.l2~g ~~-K'1'~'O~ Z1 ~ 1~.1 ~ W
~~L I~S6w A 1l~Sb
The Petitioner(s) above-named swear(s) or affirm(s) the state nts in the foregoing Petition are true and corcect to the best of the knowledge and belief
of Petitioner(s) and that, as Personal Representative(s) of the cedent, the Petitioner s) will well and truly administer the estate according to law.
Sworn to r affirmed and subscribed b~ef~orJe~ /~ Date l0 2z lot Z
me h ' da of ~~-~` Date
By' Date
For the Register Date
BOND Required: Q YES ~NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters ..................... .
( (~ )Short Certificate(s)..... .
( )Renunciation(s)........ .
( )Codicil(s) ............ .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other
LU ~1~ ......
s-~L~'-l?1.L
Automation Fee .............. .
)CS Fee . ....................
TOTAL ..................... $
Attorney Signature:
Printed Name:
Supreme Court
ID Number:
Firm Name:
Address:
Phone:
Fax:
Email:
DECREE OF THE REGISTER
Estate of ~ {~ ~ Q~ ~~~~~-~--{r{jr[ ,t File No: oc ~' ~ '~ - ~ ~ ~~
a/Wa:
AND NOW, ~~~; ~{J~ ~" ~7 , ~, in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters T ~ ,{ {~y~ O -{~ {~
are hereby granted to
o '~''
Cat )`(
in the abov~ to and (if applicable) that
the instrument(s) dated ~ " ~ "~'
described in the Petition be
Form RiV-01 rev. 10/11/1011
to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
egister of i Is
Page 2
LOC~G~~p-R'S CERTIFICATION OF DEATH
WAR~l~ ~' i[le~g~tl tIp duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 ~~~? ~~T 22
~~ (~ ~ Q ~ This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
./i. '._ 'l. '.
- certificate will be forwarded to the State Vital
0~~1~ ~ L~u~T Rec s Of ice ~ r p ant filing.
CUMBERLAND ~~., PA /j
P 18974946 (~,'
/o / r z /zclrz
Certification Number r ,,,.,,, ~o,.:,.t...,_ ,-,...,, T......,..J
a.,.,..... ....b..,...4, i~uw ioout.u
Type/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
P.rma"ant CERTIFICATE OF DEATH
Black Ink Stab Flla Number:
3. Decadent's L•fal Nam• (First, Middle, Last, Suffix) 2. Sex 3. Social Security NumWr 4. D•b of Death (MO/Day ) (Spell Mo)
Raniel R. Stratford Male 204-26-9732 October 9, 202
Sa. AEa-Last Birth ry (Yn) Sb. Und r 1 Vbr Sc. Under 1 Oa 6. Deb of Birth (MO Day br) (Spell Month 7a. Birthplau City entl State or ForNEn Country)
~76 Menthe oaya Hpurs Minut.a .7Y]2]e 26, '1936 1 tGN1C1 PA
7b. Birth Plae• (county)
M. R•sld•nu Stab or ForaiEn Country) Bb. Rasidenu (Stbet antl Number -Include pt N .) Bc. Dld Decedent Uw In • Towns IpT
Penny vania 27 E. Willow TerL'aCe Drive Q(Y•s, decedent IWd In Si ver Spring ewD.
sd. R.altlenu (cottrtN
CXm~2erland Be. R•sitlenu (2JP Cede) Q No, dec•d•ne lived wlthln limits of city/born.
9. Ewr in U3 Arm Forces? 10. Marital Status K Time opt MaMed ewe 11. Sy,, 1 Spouses Name (If wl a Ekie name prior [o flrat marriaie)
~
Z
~Y•s QNO QUnknown Q DWOrced Q Nwer Married QUnknow Wa1LraUG Ma d0®
12. Fether'a Nam (FIrR, MItltlN, LaR, Su )
l
t 13. Mother's Name Prier to Fin FMt, Middle, Last)
~~
~
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r
ford
Wi
iam F. Stra Agnes M_ P
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.
ps
14a. Informant) Nam• 14b. Rel•NDnship to Decedent Uc. Informant's MaiIInE Atltlress (Street and Number, Ctty, State, Zip Code)
Dane- R Stratford Son ~y
~7050
~ I23tJe N1ad3erx11~JLa.T3,
27 E.
:
•. yea
e
on
oM
~
........................ .............................. .........................................
If Death Occurred In a HO ttal: In
sp patient ..
.
.....
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. .._ ...-
...........
..................
.........
. .. .. .. ... ........ .. . .. .. ... .. ...
N Dpth Occurred Somewhere OtMr Than • Hospital: Hospice Hclltty DKedent's Home
E n
Ema . Room/Outpatient Oeatl On AMriI Nunl HemefLO -Term Care FaeRl O[Mr (s •<I )
iSb. Facility Nam• (II not /natltuHOn, aWe street and number; 13c. l.ity or Tewn, State, and ilp Code 3Stl. County o1 Death
27 E_ Willow 7~exrace Drive Mechazli PA '17050 Gtmtberland
~, 16a. Met Dtl W Disposltlon Burial Cremation lBb. Deb of Dlsposttlon 16<. Platt Dispwitlen (Name of ceme
crematory, or other p1auJ
te
ry
,
Q Removal from 3bb ~ Denatbn QC;t~ 9, 201 2 o
~
.
-.
~ '_swFt•..i.T14 }~~, C.xifte Registry
Other Speetfy
18d. Location W Disposition (City or Town, State, and ZID) 17a. SIEn I Service LIC r Per rBe of Interment 37b. License Number
Philadelphia, PA '19'105 ~ FD-0'13674-L
17y Na~Z d~e I.er,=aa ra~nl~~'=~• ~ ~ ~ 4 West Msin Street, Htu[tctalatown, PA '1 7036
~l
ace' ii
Oeud•nt1 Education -Ghee tM box that beat deaerl s the 19. Decadent a Hispanic Or1Ein - C •<k the 20. Deutl•nt's Rau - C ek ONE OR MORE races to Indlub whet
hlEhest de{rN er Iwel of school completed at the lima of death. box thst best d~scrib•a whether the Weedent t
he decedent considered hlmaNf er Mrsalf to ba.
Q Bth Bbde or less b Spanish/Hhpanl</Latino. Check the "NO" ~y
Ip Whtt• Q Korean
Q No dipbma, 9th - 12th Erade box If decedent Is not Spanish/HlspaMC/I.atlno. Q Black or African American Q Vietnamese
Q Hlih school Eratluab or GED complebtl Q~ No, not Spanish/Hbpanlc/Latino Q Am•rlc•n Indian or Alaska Natlye Q Other Asian
Q Some colllE• credl[, but no deEree Q Y•s, M•xlun, M•xlun American, Chicano Q Aalan Indian Q Nature Hawaiian
Q Associate decree (•.B. AA, As) Q Yes, PueRO Rican Q Chinese Q Guamanian or Chamorre
® BeeheloYS decree (e.E• BA, AB, BS) Q Yea, Cuban Q FIIIPIno Q Samoan
Q Master's tl•Eree (•.E. MA, MS, MEnB, MEd, MSW, MBA) Q Yes, Mher Spanish/Hispanlc/Latino Q lepeneae Q Other Pacific Islander
Q Dottobte (e.B. PhD, Etl D) or Professional tleEree (Specify) Q OtMr (Specify)
•. . MD DDS DVM LLB JD
21. Deeetlent's SIr1Ele Race Se -DeslEnetlon -Check ONLY ON! b Indicate what the d•caden[ wnsld•red hlmselt or h•ra•1 to W. 22a. Decatl•nt's Usual Oecupetlon - Intlleete type work
® White Q Japarnse Q Samoan done tlurlnB most W worklnE Ilh. DO NOT USE RETIRED.
Q Bhck or African American Q Korean Q Other Pacific Islander Riagistere[1 Architect
Q American Indian or Alaska Natiw Q VI•tnamese Q Don't Know/Not Sure
Q AFlan Indian Q Other Asian (] Refused 22b. Kind of Bualness Industry
Q Chln•se Q Nally Hawaiian Q Other (Sootily)
Construction
Q Flllplno Q Guamanian W Chamerre
BY PEttWN WHO pRONOUNCEE OR a~ ro*
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23tl (MO ay 24. Imo o Death
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2S. Wes Medlul Examiner or Coroner Conbctsd7 Q Y•a
No
CAUSE OF DEATH
ADDroxlmate
~
26. PaR 1. Enbr the chain pf •ynts--dlaees•s, Injuries, er complleatlena-that directly caufed the death. DO NOT enter terminal wants such sa cardiac arrest, interval:
n
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e
ath
ly one <wse on a Ilne. Add additional Iinas If necessary
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respiratory arrest, or wntncular Rbrlllation wtthout showlnB
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•tloloEY• DO NOT
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IMMEDIATE GUSE ------------> a. ~~ ` l F l~d'n (G d.T.l l ! LLLTMP_ ~1 (~YW O~Le'~'/ ~) :7LQSQ/ }~[~
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(Final dls•afe or condition
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Sequentially Ibt eontlitlons, Due to ( a eonseque of): ;
if any, IeatllnE tD the cause t~~ ~ /~ ~ ~ ,yt^~
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Iisbd on Ilne a. Enter tM
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UNDERLYING GUSE
(or as a consequence tit):
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(disease or Injury that 1
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Inttlated the wants resultlne d.
R. In death) IAST. Ou• to (or as a <ons•qu•nc• on:
26. Part 11. Enter otMr but not reauttlnE in the underlVlnE cwse Buren in Part I 27. Was an autoPFY Perf ed7
26. Were a lopsy ndlnBa ayallable
~' to compleb the taus of death?
$ Yea No
a$F` 29. If Female:
Q Net PreEnant wlthln Paat ricer 30. Did To Uae ConMbute to Deaths
es Q ProWbIY 31. M))rRmn r of Death
m/Naturel Q HomlNde
J Q Pr•Enant et lime of tluth Q No Q Unknown Q Accident Q Pend{nE ImeatlEaHOn
A( Q Not pbBnant, but pr•Enent wlthln 42 days of duth Q Sul<Ide Q Could not b• d•brmined
Q Not pregnant, but pre/mM 43 tlays to 1 year before tleath 32. O•b of In)ury (MO Day r) (Spell Month)
Q Unknown M pregnant wlthln the past War 33. Time o} Injury
34. Platt O Injury (e.g. home; construction site; hrm; school) 35. Location of Injury (street and Number, Clty, stab, Zip Code)
36. Injury et Work 37. 1/Transporbtion Injury, Specify: 38. Describe Mow Injury Occurcstl:
Q yea Q OHwr/Op•retor Q Pedestrian
Q No Q Pafs•ngr Q Other (Sootily)
39a. CeK •r Check only one): (~, ..f..7s,a~
~~rtlfYing YbMMbn - To the D~ea-t O£m
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Q PrcnOUnCing b 4rtIfYIM Phyalcien - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated
Q Metlleal Examiner/CO - O tM baala of e~uml
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slfnature of urtlfler: ~ '~~~ Title oT cartlfier:~Ld~. l'.1 ~Aa7T1~ Ucense Number: S/-/~~ ~~
39 .Nerve, Addrus and title Person Cempletlng of Dee (i em 26) ~1 ~~
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43. Amendments
~81 7026 H305-143
Diapoaltlon Permit No. REV 07/2011
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I, DANIEL R. STRATFORD, having my legal residence at 27 E. Willow Terrace Drive,
Mechanicsburg, Cumberland County, Pennsylvania, 17050, do hereby declare this to be my Last Will
and Testament, revoking all other Wills and Codicils heretofore made by me.
I declare that I am married to WALTRAUD M. STRATFORD and that all references to my wife
are to her. I further declare the following two (2) children born to me, DaneRos Stratford and Danielle
S. Kopcza, and that all references to my children are to them.
ITEM ONE: I direct that all my valid debts and the expenses of my last illness and funeral
be paid from my estate as soon as practicable after my death.
ITEM TWO: SPECIFIC BEQUEST TO SUPPORT TRUST FOR SPOUSE
If my spouse survives me by one hundred seventy (170) days, I give, devise, and bequeath to my
Trustee, hereinafter named, for the benefit and support of my spouse, cash, securities, or other property
of my estate, including, without limitation, personal property and effects, having a value equal to the
amount, if any, that my spouse would be entitled to receive if my spouse exercised my spouse's elective
share rights as set forth in section 2201, et seq. of the Pennsylvania Probate, Estates, and Fiduciaries
Code (the "PEF Code"); provided that the amount of this bequest shall be reduced to the extent my
spouse has waived the right to elect under PEF Code Section 2207 or forfeited the right to elect under
PEF Code Section 2208. In determining the amount of this bequest, my spouse shall be deemed to have
elected, pursuant to PEF Code Section 2204(c), to retain all beneficial interests in property that my
spouse would otherwise be required to disclaim if my spouse exercised my spouse's elective share
rights. Contingent upon my spouse surviving me by said one hundred seventy (170) days, it is my
intention that, as a result of my death, my spouse shall receive property having a value equal to (but not
more than) that which my spouse would receive if my spouse were to exercise my spouse's elective
1
share rights. My Personal Representative shall have the sole and exclusive discretion to select the assets
that shall fund this bequest.
If my spouse does not survive me by one hundred seventy (170) days, this bequest shall be
distributed as part of the residuary estate.
This bequest to my spouse shall be distributed, in trust, to my hereinafter-named Trustee to be
held, administered, and distributed as follows:
A. During the term of the trust, the Trustee shall pay to or apply for my spouse's benefit all of
the net income and principal of the trust estate. In addition, upon request of my spouse, the
Trustee shall terminate the trust and distribute all of the trust principal and accumulated
income of the trust estate to my spouse. In the event that my spouse is incapacitated, the
Trustee shall make all of the income and principal of the trust estate available to my spouse
to provide for the support, maintenance, and health of my spouse.
B. All principal and any accumulated income that remains in the trust estate upon the death of
my spouse shall be paid as an addition to the shares of the beneficiaries of my residuary
estate in proportion to their interests in my residuary estate.
C. The purpose of this trust is to provide for investment and management of that portion of my
estate that is distributed to my spouse due to my belief that my spouse may need the
Trustee's assistance with said investment and management.
ITEM THREE: I give, bequeath and devise all the rest, residue, and remainder of the property
that I own at the time of my death, both real and personal, of every kind and description, wherever
situated, to which I may be legally or equitably entitled at the time of my death (my "residuary estate"),
to BYRON D. SHAFER, Trustee, or his successor in Trust, of the DaneRos Stratford Trust dated
~~~~ g ~ a0-a„ In the event that DaneRos Stratford fails to survive me, this gift shall lapse and I give
his share to my friend, BYRON D. SHAFER. The residue shall include any leasehold interests that I
may hold at the time of my death. I have made no provisions under this my Will for my daughter,
DANIELLE S. KOPCZA, not for any lack of love or affection, but for reasons that are good and
sufficient to me.
2
ITEM FOUR: Iappoint, my son, DANEROS STRATFORD, my personal representative of
this my Will. In the event DaneRos Stratford is unable or unwilling to act or continue to act as my
Personal Representative, Iappoint my friend, BYRON D. SHAFER, my Personal Representative.
ITEM FIVE: Iappoint my son, DANEROS STRATFORD, Trustee(s) of the Trust(s)
created pursuant to Item Two, above. Notwithstanding the foregoing, under no circumstances shall my
wife, Waltraud M. Stratford, serve as a Trustee of any trust created under Item Two, above.
ITEM SIX: No bond shall be required of any fiduciary hereunder in any jurisdiction. No
fiduciary hereunder shall have any liability for any mistake or error of judgment made in good faith.
ITEM SEVEN: I authorize my Personal Representative(s) and Trustee(s) to exercise the
following powers in addition to those given by law, to be exercised in their sole discretion:
A. To retain any or all of the assets of my estate, without regard to any principle of
diversification, risk or productivity;
B. To invest in all forms of property without restriction to investments authorized for any type of
fiduciary;
C. To compromise any claim or controversy;
D. To loan money to or buy property from my estate;
E. To borrow money from any person, including any Executor or Trustee, and to mortgage or
pledge any real or personal property;
F. To sell at public or private sale, to exchange or to lease for any period of time, any real or
personal property, and to give options for sales, exchanges or leases, all for such prices and
upon such terms and conditions as they deem proper;
G. To allocate receipts and expenses to principal or income or partly to each as they deem proper;
H. To repair, alter or improve any real or personal property;
I. To distribute in cash or in kind or partly in each at valuations fixed by them;
J. To keep reasonable amounts of cash in a bank uninvested if deemed advisable for the protection
of the principal;
3
K. To subscribe for or to exercise options for stocks, bonds or other investments; to join in any plan
of lease, mortgage, merger, consolidation, reorganization, foreclosure or voting trust and to
deposit securities thereunder, and to generally exercise all the rights of security holders or
employees of any corporation;
L. To register securities in the name of a nominee or in such manner that title shall pass by
delivery;
M. To add to the principal of any trust created by this instrument any real or personal properly
received from any person by Deed, Will or in any other manner;
N. To exercise all power, authority and discretion given by this instrument after the termination of
any trust created herein until the same is fully distributed;
O. To use their sole discretion in deciding whether stock dividends on stock they hold in trust
should be apportioned to principal or income, except stock dividends of regulated investment
companies which shall be added to principal;
P. To commingle the assets of any trust estate created by this Will in any one or more common
funds for greater convenience and flexibility;
Q. To employ agents, accountants, engineers and such other persons, professional or otherwise, as
may be necessary for the proper administration of this estate or trust and to pay their
compensation from such funds; and
R. To disclaim all or any interest in a property passing to me or my estate
ITEM EIGHT: I realize that Personal Representatives are given discretion by law to make
various elections which affect the income and estate taxes payable by estates and beneficiaries, as well
as the relative shares of beneficiaries, such as taking administration expenses as deductions for either
estate or income tax purposes, selecting options for the payment of employee death benefits, electing to
take a qualified terminable interest as part of the marital deduction, selecting alternate valuation dates,
postponing the payment of taxes, filing joint income tax or gift tax returns and redeeming corporate
stock. The decisions made by my fiduciaries in any of these matters shall be binding upon, and not
subject to question by, any affected persons. I rely upon my fiduciaries to take into consideration the
total income and estate taxes payable by reason of their decisions including those payable by my
4
survivors, and they are authorized in their discretion, but not required, to make adjustments between
income and principal as a result thereof.
ITEM NINE: I direct that all estate, inheritance and other taxes in the nature thereof,
together with any interest and penalties thereon, becoming payable because of my death with respect to
the property constituting my gross estate for death tax purposes, whether or not such property passes
under this my Last Will and Testament, shall be paid from the principal of my residuary estate, and no
person receiving or having a beneficial interest in any such property, whether under this my Last Will
and Testament or otherwise, shall at any time be required to contribute to or refund any part thereof;
PROVIDED, however, that this direction shall not apply to the taxes on any property included in my
estate solely because of a power of appointment thereover which I possess but have not exercised or on
any qualified terminable interest or to any generation- skipping transfer taxes.
ITEM TEN: No gift or beneficial interest shall be subject to anticipation, assignment,
pledge, obligation, or alienation of my beneficiazy(s), whether voluntary or involuntary, and the income
and principal thereof shall not be subject to any execution or attachment.
ITEM ELEVEN: If any beneficiary, person or entity in any manner, directly or indirectly,
contests or attacks this Will or any of its provisions, or objects to the accounts or actions of my fiduciaries,
without probable cause, such beneficiary, person or entity shall pay all costs, including but not limited to
attorneys' fees, arising in connection with such contest, attack or objection incurred by my estate, such trust
or such fiduciary personally. In the event that such beneficiary, person or entity does not prevail in such
action, any share or interest in my estate or such trust which would otherwise pass to such beneficiary,
person, entity or remainderman under this Will shall be revoked and the property consisting of such shaze
shall be disposed of in the manner provided herein as if that contesting person or entity had predeceased me
without surviving issue.
ITEM TWELVE: Should any of the provisions of my Will be for any reason declared
invalid, such invalidity shall not affect any of the other provisions of this Will and all invalid provisions
shall be wholly disregazded in interpreting this Will.
5
ITEM THIRTEEN: This Will shall be construed, regulated and governed by and in
accordance with the laws of the Commonwealth of Pennsylvania.
IN WITNESS WHEREOF, I have at Mechanicsburg, Pennsylvania, on
~~~, ~ ~ Z-O\2 ,set my hand and seal to this my Last Will and Testament consisting
of six (6) pages plus any witness, acknowledgement, affidavit and certification pages.
~ ~~~K, k ~ SEAL
DANIEL R. T TFORD
SIGNED, SEALED, PUBLISHED AND DECLARED BY DANIEL R. STRATFORD, the above
named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request and in
his presence, and in the presence of each other, have hereunto subscribed our names as witnesses.
Wi ess ~ Witness
(Y~~ut1.~c sbu,ra 4 P~
Address
~~~~ ~~
Address
6
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
. SS:
I, DANIEL R. STRATFORD, the Testator whose name is signed or represented by my mazk to the
attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that
I signed or made my mazk and executed the instrument as my Last Will, and that I executed it willingly and
as my free and voluntary act for the purposes therein expressed.
DANIEL R. TRATFORD
Sworn to or affirmed and acknowledged before me, by DANIEL R. STRATFORD, the Testator on
SU.n~ ~S~' , 2012.
Ne~~or PA Attorney
7
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
. SS:
h T~ss\ Coy L . ~'i S~rv2,f , a witness whose name is signed to the attached
or foregoing instrument, being duly sworn and qualified according to law, do depose and say that I was
present and saw the Testator sign or make his mark and execute the instrument as his Last Will; that he
had executed the instrument willingly and executed it as his free and voluntary act for the purposes
therein expressed; that each subscribing witness in the hearing and sight of the Testator, signed the Will
as Witness; and that to the best of my knowledge the Testator was at that time eighteen (18) years of age
or older, of sound mind and under no constraints or undue influence.
Witnes
Sworn to or affirmed and acknowledged before me, by ~Q~_ ~ -~, ~~;~~ a Witness
on ~V,,~~ _ ~~ , 2012. U
Pnbke-ar PA Attorney
8
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
. SS:
COUNTY OF CUMBERLAND
I, David D. Nesbit, a witness whose name is signed to the attached or foregoing instrument,
being duly sworn and qualified according to law, do depose and say that I was present and saw the
Testator sign or make his mark and execute the instrument as his Last Will; that he executed the
instrument willingly and executed it as his free and voluntary act for the purposes therein expressed; that
each subscribing witness in the hearing and sight of the Testator, signed the Will as Witness; and that to
the best of my knowledge the Testator was at that time eighteen (18) years of age or older, of sound
mind and under no constraints or undue influence.
Witness
Sworn to or affirmed and acknowledged before me, by David D. Nesbit, a Witness on
~~(~~ $~'~' , 2012.
~~~~ ~~
Notary Public
CERTIFICATION
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
. SS:
NotA~t aEAI
PIIULII K 1MNfE
MotKy PYIMe
ZIPPER ALLEN 1YYP., CU~ERLAND COUNTI-
Nlp Commi~tloo E~pMls Apr 5, 2016
On ~ll ~ $~"', ~p ~'Z before me the undersigned officer, personally
appeared David D. Nesbit, Esquire (Pennsylvania Supreme Court ID No. 77411), known to me or
satisfactorily proven to be a member of the bar of the highest court of Pennsylvania and certified that he
was personally present when the foregoing acknowledgement and affidavit(s) were executed by
DANIEL R. STRATFORD and witnesses.
IN WITNESS WHEREOF, I hereunto set me hand and official seal.
Notary Public
NOTAIKAL aEAI
PNiiLA K rNN1E
Nof~ry PMNc
9 UP~PEII ALLEN TINP., CUAIItERL,ANp COtNril~
Illf- CoirNnitsioa Egins Mr 5.2016
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