Loading...
HomeMy WebLinkAbout11-14-12PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF COUNTY, PENNSYLVANIA Petitioner(s) named below, who is~'are 18 years of age or older, apply(ies j 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• ~~ a/k/a: a/k/a: a/k/a: Date of Death: ~~ U ,~ ~~ / ~ Decedent was domiciled at death in principal residence at ~ ~. e~, Decedent died at Street address, Post Office and Zip Code Street address, Post Office and Zip Code Estimate of value of decedent's property at death: Co ~~~~t5/ City, Towns File No: ~ ~ ~ ~ ~- ' ~~ ~~ (Assigned by Register) Social Security No: `~~ ~ - ~~ " ~ ~ D Age at death: ~ ~ (Score) with his/her last l'u m 6~~ r /c.h C/it~y, TQownship or Borough tT /T f~Gt ~`V or Borough County County State ~~ If domiciled in Pennsylvania ............................ All personal property $ If not domiciled in Pennsy!vania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................ Personal property in County $ Value ojreal estate in Pennsylvania ......................................................... $ TOTAL ESTIMATED VALUE ... $ ~~ (,, , O4'~ ~ ,. Real estate in Pennsylvania situated at: ~ ~~ ~Uct ( ~G r~i+.5 ~~- [ ~ti?') ~C'~lul'1U1 (Attach 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 ~G: vC ~~ and Codicil(s) thereto dated State relevant circumstances (e.g. renunciations, deat/i of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not many, 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.u., pendente lite, datrante a6sentiu, durunte minoritute If Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^ NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs (attach additional sheets, ifnecessury): Name Relationshi Address .~ ~~ '- ,~~ C i r. _ ~: ~' __ . ~_. ~ .d:.- ~-' _.,.9 '~....! 1. / ~- .- ~'1 i -r _ :~-~ r T'~ S•~ ;- ~. 1 ~~ C~ ~.. ~ ~ -~ ~. ~ Q "1".t .~.' Fa-m RW-01 rev. 10/Ili2(11! Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA CO~.,~T~Y fir } } SS: ~. i n ... -~-, ~, `_ . f~~?Lsc Only -~ . _ .~ ._ ~. . -__- ter. ... ~ L ~ ~. ~. ~ .. '}i _-~ < ~ - '~._ ~~°a _. °e~i:ion;,rl s) Prnte~i vame ~.- i P.ctioner~ s ~ Printer _~\dcress ~~` C ~ ~ ~ ~ ~~~ ~f ~ ~ b ~ ~~ 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, the Petitioner(s) will well and truly administer the estate according to la . ~'7 Sworn to or affirmed an ubscribed before ~ ,,~,~~ 4 / ~ ~ 1=~ ~, ~i~~ i"'Yl Date me th~ ~' day o ~A./n~ ~Of Date BY~ 4 ~J't--~ Date ,• he Register Date BOND Required: ~ YES ~ NO FEES: Let rs ...................... $ ~ ~• !~ ~l ( ~-°) Short CertiEcate(s)...... t~ C~ ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Othe ~,~7 ~ l ....... C Automation Fee . .............. JCS Fee . .................... TOTAL ..................... $ DECREE OF THE REGISTER ~ / Estate of ~ - (~ ~ File No• ~ ~ ! ~ ~~~ ~. a/lc/a: AND NOW, / . ~.j" /,~' , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ,;jf C/I t ~- are hereby granted to , ~ in the above estate and (if applicable) that the instrument(s) dated described in the Petition be adtnitte to p Fo,~„~ rtev-n? ,~ev. 1n~~1~znII ~~~~ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: and filed of record as the last Will (an}d Codicil(s)) of Dgfjedent. Register of Wills "/,~ ~= Page 2 ~ ~ ~ ~. ~~t! , .~~ ,.~.' sir Ir:i':~ A i' ft~?F^\ G 5,.,°• ~.n i { ,' , . . ., ~i i4-. i_ - :i ~ 11. a~ 1t .L ''yy jt i i _ ,. ,. ~ ~. ~: ~ ~ ~~ ~.-... _-. ... ._-.-. '. ~' 4 ~. (~ Type/Print In ' Permanent .~_. V O Q Z „ )i~t ~ji ;~ i ~l t~ !`~ I ( ... ir.~, t _~ieijl .t.. Y{ i-r)I.~ull) - ~ _ ~.. 1ST i~Ci;'.. 4 ;il' U!"li~l9lii~ _ ... `tiC k.~ lt? ii}'." ~t~t[L: ~ It:1i __ _'`~'~' NO~~!-__ _5t 2012 COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH ~ VITAL RECORDS rCl~T~rf/^wTr n ~~r-.~~... ` `• _ ~ ~ ~ State File Number: 1. Decedent's Legal Name (First, Middle Last Suffix) , , 2. Sex 3. Social Security Number 4. Date of Death (Mo/Day/Yr) (Spell Mo) Jerry Cashion Male 414 11 6064 November 2, 2012 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Day 6. Date of Birth (Mo/Day/Year) (Spell Month) 7a. Birthplace (City and State or Foreign Count ) ry 49 Months Days Hours Minutes Lewlsbur TN May l 9 , 1 963 7b. Birthplace (county) Marshall 8a. Residence (State or Foreign Country) 86 Resid S . ence ( treet and Number -Include Apt No.) 8c. Did Decedent Live in a Township? PA ®Yes, decedent lived in NOrth Middleton 8d. Residence (County) 2 Lee Court twp. Ctunberland 8e. Residence (Zip Code) 1 701 3 Q No, decedent lived within limits of city/boro. 9. Ever in US Armed Forces? 10. Marital Status at Time of Death ®Married Q Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) ~~res Q No Q Unkno Q wn Divorced Q Never Married Q Unknown $renda Katharine Dunnln ' 12. Father s Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle Last) , Grad Jerrel Cashion Maly Wright 14a. Informant's Name 14b R l i . e at onship to Decedent Brenda Katharin C hi Wif 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code 0 e as on e 2 Lee Court, Carlisle, PA 1701 .,., ~ .........................................._.-...... -... 15a. Place ................. ............................................ of Death Check only onej I Death Occurred in a Hos ~tal: - ....................................... p Inpatient If _ ° ...... .................. : Death Occurred Somewhere Other Than a Hospital: Q Hospice Facility ~ Decedent's Home ~ Emergency Room/Outpatient Q Nursin Q Dead on Arrival H L g ome/ ong-Term Care Facility Q Other (Specify) 156. Facility Name (If not institution, give street and number; ~ SSC Cit T S LL . y or own, tate, and Zip; ~ 0 1 3 1 C County of Death 2 Lee Court Carlisle, PA Lunbarland -~ ~° 16a. Method of Disposition 0 Burial Cremation 166. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, or other place) ~ Removal from St t a e [] Don atlon p Other (Specify) 1 1/7/201 2 T/vans Cremation Services 16d. Location of Disposition (City or Town, State, and Zip) 17a. Signature of F er Service Licensee son ' arge of Interment 17b. License Number v c Leo1a, PA E _ FD 012633 L 17c- Name and Complete Address of Funeral Facility EtNin Brothers Funeral Home, =nc_ 630 S_ Hanover St_ 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 r t i di ~ - aces o n cate what 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 h . Q 8t grade or less is Spanish/Hispanic/Latino. Check the "N o" ~'OVhite Q Korean Q No diploma 9th - 12th rad , g e box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese Q High school graduate or GED completed 'N ,B O, not Spanish/Hispanic/Latino Q American Indian or Alaska Native ~ Other Asian Q Some college credit, but no degree Q Y M i es, ex can, Mexican American, Chicano Q Asian Indian ~ Native Hawaiian Associate degree (e. g. AA, AS) Q Yes Puerto Ric , an Q Chinese Q Guamanian or Chamorro Bachelor's degree (e.g. BA, AB, BS) Q Ves Cuban , Q Filipino Q Samoan B~Maste is degree (e. g. MA, M5, MEng, MEd, MSW, MBA) Q Ves, other Spanish/Hispanic/Latino ~ Japanese Q Oth P ifi I l er ac c s ander Doctorate (e.g. PhD, EdD) or Professional degree (S if pec y) Q Other (Specify) e. MD, DDS, DVM, LLB, JD) 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be 22a Decedent's U l O . . sua ccupation -Indicate type of work -~•White Q Japanese Q Samoan d d i one ur ng 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 [] Don't Know/Not Sure Colonel Q Asian Indian Q Other Asian Q Refused 22 b. Kind of Business/Industry Q Chinese ~ Native Hawaiian Q Other (Specify) Q Filipino Q Guamanian or Chamorro IJnlied States Army ITEMS 23a - 23d MUST BE COMPLETED 23a. Date Pronounced Dead (MO/Day/Yr) 23b- Signature of Pelson Pronouncing Death (Only when applicable) 23c. License Number BY PERSON WHO PRONOUNCES OR November 2 , 201 2 ®~ ~ CERTIFIES DEATH ~ //. ~ ~ . , . \ N ~~ ~A ' ~ ~ ~ "V~~~~' 23d_ Date Signed (Mo/Day/Yr) 24. Time of Death /~.`f! i~/J~"1 _ V t/!i 7 : 02 A _M _ 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 w ithout showing the etiolo y. DO NOT ABBREVIATE. Ent er o n ly one cause on a line. Add additional lines if necessary Onset to Death L L / '~ IMMEDIATE CAUSE _______________~ a. ~ L. ! ~ (t ~' `~ ~( (~ ~ , t~-'O~AA (~ C~ ~~ y~ C ,mss ~ 1 ` (Final disease or condition Due to (or as a consequence of)- ! - resulting in death) b. Sequentially list conditions, Due to (or as a consequence of): if any, leading to the cause listed on line a. Enter the c. UNDERLYING CAUSE Due to (or as a consequence of): w (disease or injury that initiated the events resulting d. ¢ V in death) LAST. Due to (or as a consequence of): v 0 26. Part I1. Enter other s~nificant conditions contributing to death but not resulting in the underlying cause given in Part I 27 Was an auto s erfo ~ d7 ~ . p y p e Q Yes No m 28. Were autopsy findings available to complete the cause of death? "' ?' Q Yes ~ No 29. If Female: E 30. Did Tobacco Use Contribute to Death? 31. NjE3nner of Death Q Not pregnant within past year Q Yes Q Probably a J N t l 0 a u ra Q Homicide L ~ Q Pregnant at time of death ~ No Q Unknown Q Accident Q Pendin Invests ation 0 Not pregnant, but pregnant within 42 days of death Q Suicide ~ Could not be determined Q Not pregnant, but pregn an[ 43 days to 1 year before death 32. Date of In-u ~ ry (Mo/Day/Yr) (Spell Month) Q Unknown if pregnant within the past year 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of In'ur ~ y (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How In'u ry Occurred: Q Ves Q Driver/Operator Q Pedestrian Q No Q Passenger p Other (Specify) 39a. C~2rtifier (Check only one): ~~~/,`~-ertifying physician -TO the best of my knowledge, death occurred due to the cause(s) and manner stated Pronouncing ffi 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 r - On the basis of examination, and/or investigation, in my opinion, death occurred at the time, date, and place, and due to the c ause(s) and manner stated // ~~ L Signature of certifier: ~ VV Ll (~ ~yi `~~~L ~ J~-. ~.-Q Title of certifier- ~ \ \t License Number: ©J r ~~ _~~'~ ~J ~ "" 39b. Name, Addre and Zip Code of Person Completing Cause of Death (Item 26) 39c. Date Signed (MO/Day/Yr) t 7 i ~ L ~. - -~- ~ 3`ZO ~ ~ -} f r r ~ s ~ / iD ~ ~ - OS % ~ D ~ Z ' 40. Registrar s District Number 41. Registrar's Si ure 42. Registrar File Date (MO/Day/Vr) 43. Amendments (\(') ~~ ~7 t ~ H1O5-143 Disposition Permit No. J ` REV 07/2017. MILITARY TESTAMENTARY PREAMBLE: This is a MILITARY TESTAMENTARY INSTRUMENT prepared pursuant to Title 10 United States Code, Section 1044d, and executed by a person authorized to receive legal assistance from the military services. Federal law exempts this document from any requirement of form, formality, or recording that is prescribed for testamentary instruments under the laws of a state, the District of Columbia, or a territory, commonwealth or possession of the United States. Federal law specifies that this document shall be given the same legal effect as a testamentary instrument prepared and executed in accordance with the laws of the jurisdiction in which it is presented for probate. It shall remain valid unless and until the Testator revokes it. ~..~ ° O c,•~ t~ _ ~ .. _ ~~ ,.j ~ --' `~" - - LAST WILL AND TESTAMENT .'~_ F I d~ ' Vy .,.. ;-, ~_ i_ __ ~ :, -` r '~ ' JERRY CASHION ~,.. r:•.i~:: :.,ter ~-' _. I, JERRY CASHION, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. I am in the military service of the United States. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. SECOND: It is my desire that, upon my death, I be buried with full military honors at Arlington National Cemetery. THIRD: I give all tangible personal property owned by me at the time of my death, including without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other vehicles, and all rights that I have under any related insurance policies, to my wife BRENDA KATHARINE CASHION, if she survives me, or if she does not survive me, to those of my children (KELLY ANNE CASHION and CLAYTON JERREL CASHION and any other children which I hereafter may have) who survive me, in substantially equal shares, to be divided among them as they shall agree, or if they cannot agree, or if any of them shall be under the age of eighteen (18) years, as my Executor shall determine. If any of said children shall be under the age of eighteen (18) years at my death, my Executor may sell any property bequeathed to said child under this Article THIRD, as my Executor may deem appropriate, or my Executor may hold such property or any proceeds thereof, without bond, surety or other security, until said child attains said age or such earlier time as my N ~~ ~.~ ~~ ~~~ Executor may deem proper to deliver any such property or proceeds to said child, or to said child's guardian or any person with whom said child resides for the use of said child, or, if there is a separate trust for the benefit of said child, to my Trustee to be administered as a part of said trust. All costs incurred by my Executor in connection with obtaining possession, appraising, safeguarding, delivering or selling such property shall be paid as expenses of administering my estate. FOURTH: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: (a) If my wife BRENDA KATHARINE CASHION survives me, to my wife outright. (b) If my wife does not survive me, then to those of my children who survive me and to the issue who survive me of those of my children who shall not survive me, per stirpes. If, however, any such child then shall be under the age of eighteen (18) years (each such child being hereinafter referred to as a "Beneficiary"), the share of such Beneficiary shall not be paid or distributed to such Beneficiary but instead shall be given to my Trustee and held by my Trustee, IN TRUST, pursuant to the following provisions: (i) My Trustee shall hold, manage, invest and reinvest each share set aside for each Beneficiary in a separate trust for the benefit of such Beneficiary and may pay all or any part of the net income from each such trust to or for the benefit of the Beneficiary thereof, for the health, education, maintenance and support of the Beneficiary, to such extent and at such time or times and in such manner as may be determined in the absolute discretion of my Trustee. Any net income not so paid shall be accumulated and added to principal at least annually and thereafter shall be held, administered and disposed of as a part thereof. (ii) In addition, my Trustee may pay to or for the benefit of each Beneficiary, for the health, education, maintenance and support of each Beneficiary, from the principal of each Beneficiary's trust, such amounts, including the whole thereof, as determined in the absolute discretion of my Trustee. (iii) When any Beneficiary shall attain the age of eighteen (18) years, the trust for such Beneficiary shall terminate and any re- maining principal and income shall be paid and distributed to such Beneficiary, discharged of trust. If such Beneficiary dies before said age, such principal and income shall be paid and distributed to any then living issue of such Beneficiary, per stirpes, or if such 2 ~1 E.1~ Beneficiary has no issue to my then living issue, per stirpes. If any such issue is a beneficiary of a trust under this will, the same may be held in accordance with such trust. If there are no then living issue, the same shall be paid and distributed to the beneficiaries of my residuary estate then in being as provided in this will, or if there are none, to those who would take from me as if I were then to die without a will, unmarried and the absolute owner of the same, and a resident of the Commonwealth of Pennsylvania. (c) If my wife does not survive me and there shall be no issue of mine then living, my residuary estate shall be paid and distributed to those of MARY F. CASHION and MARTHA G. DUNNING who survive me, in equal shares. (d) If none of the beneficiaries described above shall survive me, then I give my residuary estate to those who would take from me as if I were then to die without a will, unmarried and the absolute owner of my residuary estate, and a resident of the Commonwealth of Pennsylvania. FIFTH: If any principal or income of my estate or any trust hereunder vests in absolute ownership (free of trust hereunder) in a minor or incompetent, my Executor or Trustee, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary (including a custodian appointed by my Executor or Trustee without court order) under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor and Trustee from any liability with respect thereto, even though my Executor or Trustee may be such person. If such beneficiary is a minor, my Executor or Trustee may defer the distribution of the whole or any part of such property until the beneficiary attains the age of eighteen (18) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article SEVENTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. SIXTH: I appoint my wife BRENDA KATHARINE CASHION to be my Executor. I appoint MARY F. CASHION to be my Trustee. I direct that no Executor or Trustee shall be required to file or furnish any bond, surety or other security in any jurisdiction. SEVENTH: I grant to my Executor and Trustee all powers conferred on executors and trustees under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors and trustees wherever my Executor or Trustee may act. I also grant to my Executor and Trustee power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to hold property in bearer form or in the 3 v~ ~f}ElL name of a nominee; to render liquid my estate or any trust in whole or in part, at any time and from time to time, and to hold cash or readily marketable securities of little or no yield for such periods as my Executor or Trustee shall deem advisable; to exercise all powers of an absolute owner of property; to incorporate any business and form limited liability companies and hold any interests in corporations and limited liability companies; to vote stock or securities, in person or by proxy; to exercise subscription and conversion rights, and to participate or refuse to participate in any reorganization, recapitalization, merger, consolidation, liquidation, dissolution or other action with respect to any corporation; to transfer any business or property to a partnership and to be a general or limited partner; to compromise and release claims with or without consideration; to execute and deliver instruments, including releases; to change the situs or governing law of any trust hereunder to any state my Executor or Trustee from time to time may deem desirable; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. The term "Trustee" wherever used herein shall mean the trustees or trustee in office from time to time. Each Executor and Trustee shall have the same rights, powers, duties, authority and privileges, whether or not discretionary, as if originally appointed hereunder. The determination of my Trustee as to the amount or advisability of any discretionary payment of income or principal from any trust hereunder shall be final and conclusive on all persons, whether or not then in being, having or claiming any interest in such trust. Upon making any such payment, my Trustee shall be released fully from all further liability therefor. EIGHTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me (or any other person upon whose death the interest of such beneficiary depends) unless such beneficiary survives me (or such other person) by more than thirty days. The terms "child," "children" and "issue" as used in this will include children and issue hereafter born. NINTH: No disposition, charge or encumbrance on any income or principal of any trust hereunder or my estate by any beneficiary thereof shall be valid or binding upon my Executor or Trustee. No beneficiary shall have the right to assign, transfer, sell, pledge, encumber, anticipate or otherwise dispose of any such income or principal until the same shall be paid to such beneficiary by my Executor or Trustee. No such income or principal shall be subject in any manner to any claim of any voluntary or involuntary creditor of any beneficiary or liable to attachment, garnishment, execution or other legal or equitable process prior to its actual receipt by the beneficiary. TENTH: If my wife shall not survive me or is adjudged to be incapacitated, I appoint MARY F. CASHION to be the Guardian of the person and property of any children of mine who have not attained the age of majority. No Guardian shall be required to file or furnish any bond, surety or other security in any jurisdiction. If my Trustee or any trust hereunder is the beneficiary of any life insurance policy, my Trustee shall be entitled to the insurance proceeds rather than the Guardian. 4 ~EK ~~ ELEVENTH: I have served in the Armed Forces of the United States. I therefore request that my Executor make appropriate inquiries to ascertain whether there are any benefits to which I, my dependents or my heirs may be entitled by virtue of any military affiliation. I specifically request that my Executor consult with a retired affairs officer at the nearest military installation, the Department of Veterans Affairs, and the Social Security Administration. IN WITNESS WHEREOF, I, JERRY CASHION, sign my name and publish and declare this instrument as my last will and testament this 19th day of May, 2008. ., RRY CASHION The foregoing instrument was signed, published and declared by JERRY CASHION, the above-named Testator, to be his last will and testament in our presence, all being present at the same time, and we, at his request and in his presence and in the presence of each other, have subscribed our names as witnesses on the date above written. ~nhal~ ~ cv` having an address at ~a r~ ~ s ~~c t~ `' ~'~ ,~e~3 having an address at f ~~ s MILITARY TESTAMENTARY INSTRUMENT SELF-PROVING AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. We, the Testator and the witnesses, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that in the presence of the military legal counsel and the witnesses the Testator, JERRY CASHION, signed and executed the instrument as his military testamentary instrument, that he had signed willingly, and that he executed it as his free and voluntary act and deed for the purposes therein expressed. It is further declared that each of the witnesses, at the request of the Testator, in the presence and hearing of the Testator, the military legal assistance counsel and each other, signed the military testamentary instrument as witness, and that to the best of his or her knowledge the Testator was at the time at least eighteen years of age or emancipated, of sound mind, and under no constraint, duress, fraud or undue influence. C~-~:a~~,-,~. J Y CASHION Testator pr nt: ~-~~,n~r,~,, ~ ~c~.- awn Witness ~~ , _~ ~~ - ~~ print: ~~~~- Witness Subscribed, sworn to and acknowledged before me by the said JERRY CASHION, Testator, and subscribed and sworn to before me by the above-named witnesses, this 19th day of May, 2008. I, the undersigned officer, do hereby certify that I am, on the date of this certificate, a person with the power described in Title 10 U.S.C. 1044a of the grade, branch of service, and organization stated below in the active service of the United States Armed Forces, or an authorized civilian attorney under Title 10 U.S.C. 1044a, and that by statute no seal is required on this certificate, under authority ranted me by Title 10 U.S.C. 1044a. Name of Officer and Position: Michael J. Gennet , qui e Grade and Branch of Service: O-3, USAR Command or Organization: 153rd LSO, 99th RRC