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HomeMy WebLinkAbout12-12-12Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: GEORGIA A. SHRUB File No: ~ (- ~ o~ -' ~ ~a r,~ a/k/a: GEORGIA B. SHRUB (Assigned by Register) a/k/a: GiEORG t ~} RNN Skl~ tJB a/k/a: Social Security No: Date of Death: / Z/~{ ~ z Age at death: :Y ~ Decedent was domiciled at death in Cumberland County, pennsylvania (Stare) with his/her last principal residence at 100 Mt. Allen Drive Mechanicsbtu 17055 Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at Messiah Villas7e 17055 Mechanicsbure Cumberland 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 $ 1,070,000.00 If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If n6t domiciled in Pennsylvania ........................ Personal property in County $ Value of real estate in Pennsylvania ...................... .............. . .................... $ TOTAL ESTIMATED VALUE.... $ 1 070.000.00 Real estate in Pennsylvania situated at: None (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 January 28, 2008 and Codicil(s) thereto dated None State relevant circumstances (ag. 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. Q 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.t.a. or db.n.c.ta., 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 Q EXCEPTIONS t` Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the lowing spou~f an}~n~eirs (attach additional sheets, if necessary): ~ ~O q ~ ~ r-*~ ~ G Name Relationshi ~ epy. ~ ~ ~ f V ~ t ~ C'a C7 -~ri ~ ~ - y `Y7 ~ ~ tr~ ~ 4., ~+ Form RW-O2 rev. to/rr%o11 Page I of t Oath of Personal Representative official use only COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } } SS: } Petitioner(s) Printed Name ress Petitioner(s) Pri n t e d A dd Richard S. Sim son II CPA ~~ (( ~~ ~~ ~~ 11 ( 282 Lowther Street Suite 201 Lem ~ ~ I~-`17t343 ~~ l :, "~- ORPHANS' GOUR`f CUMBERLAND Ct3., PA The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petitio are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Deceden ~e P/etitio er(s ill well and truly administer the estate according to law. Sworn to or affirmed and subscribed before ~i ~ ~- Date ~Z/ ~ 2~/ Z me 's ~ day of Date g Dale For the Register Date BOND Required: Q YES ~ NO FEES: Letters ...................... $ ~ ~ if ~ ( ~ a) Short Certificate(s)...... L ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ...••••• 1~~1 ........ Automation Fee ............... JCS Fee . .................... TOTAL ..................... $ ~ .00 To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Michael Cherewka, Esquire Supreme Court ID Number: 35073 Firm Name: Law Offices of Michael Cherewka Address: ~~a >\tnrrh Front Street _ wo,~,,,lP~,shurg, PA 17043 Phone: 717-232-4701 Fax: 717-232-4774 Emall: mrhara~yk~~rhPrP~a~lral,1L{/ Cnm -o DECREE OF THE REGISTER Estate of GEORGIA A. SHAUB a/k/a: AND NOW, ~Q~'11 ~.P 1'' ~ '~ , ~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Richard S Simpson, II in the above estate and (if applicable) that the instrument(s) dated January 28 2008 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~ , ~ ~~ Register of Wills l n~~ ~ ~ fG t Form RW-02 rev. 10/11/2011 ~J ~~'J~ .age 2 of 2 File No• o~ ~ " t a ` (~-~(P N1nc Qn~ qrU nor, r~ - - - _ _ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. RECORDED OFFICE pF Fee for this certificate, $6.00 RE6IS~ER OF ~r ~~.~,$ This is to certify that the information here given is correctly copied from an original Certificate of Death C~II? ~~~' 12 R~ ~~ ~~ duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital C~.ERK d~ Records Office for permanent filing. i P 1917 8 7 7 40RPHANS' COURT ~ I~. ~. ~ Certification Number ~t7~t8ERL.AND ~,~., ~~ ,dntm Local Registrar Date Issued COMMONWFALTN OF PENNSYLVANIA • DEPARTMENT OF HEAInI • VITAL RECORDS ]anent ck lnk CERTIFICATE OF DEATH ~n~~. • ~w ~~ Irmo Mme' wt, ~1 2. Sea 3. Sod,l SxurMy Numbx .- -,•1. pate of D,sth (Ma/Day/Yr115peR Mol is Ann Shaub le 190 - 16 - 3 22 Decarlt~es 4 2012 Sa. Ap-lax BIrIhGy (rnl 56. UMer 1 YNr Sc. UMN 1 e. Date o• BIRh (MO/Day/TNrI (Spell Month) 7 N 1 1 a t tp ace MOMhs Days ibun MMNes ~tl~ a18L5tate u Fanlen CPUmryI . Y1~ 89 August 17, 1923 ' H. Residence (Shb or Fanlen Country) eh. Residence (Street arM Number ~ IMlude Apt No.l 8c. Did Decedent the m ownsh pi~rv) e2 1Varua ~vea,dxedeMNvedln Upper Allen ed. Raaldence Icopnrvl 100 Mt. Allen Drive twp. L13mberL~r3d e.. Rnwence 121p Cade) ^ No, dacedenl IIYee wnhln Iimfls of tlrv/boro. 9. Fvn in US ArmM forcea7 10 Marlbl Status at nine of path 0 Marrkd WWMVed 11. SurvlNry Spoufe's Name (If wife, 8Me name pMr t0 Mnt maMye) ~ Vet ~ Ne Q Unknown ^ DWOrced ^ Never Marrkd ^ Unknown 12. FathMS N,me Innt MIGN, Last, SuNla) 13. Mmher's Name Prbr to Flnt Msmap IFkst, Mkdle, lastl Biehl Anna Atki IN. IMOrmaM's Name 314. RebdoMhb b Dxadtnt Richard S S lac. In/ORnam'f Ma1Nne Address IStrap and Numhar, Clry. Sbb, 1p Coda) ~ . II 282 Lowther Street PA 17043 y `S , _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _a _ a,t all N Deem DQVnRd w, . NoapMal: 0 inwwnt - _ _ _ _ _ _ _ luaamom,medSomelMireOtherTlunalbipksi --dlio:PlnFxility -t]oeceGm'sNO ~ Ems R +~ me oorn/OUlpatkm ^ Dead on ARivsl I QI N Mo -Toro bre F,eINry ^ O[her (SpxNy) 15b. ixNity Name IM Mt Inatkutbn, 8hrc xreet and numW r) IS Ck 3 c. y or Town, Stab, and 21p Code ]Sd. County of OaaM Vil m Mechanic PA 17055 1 W. MatMd O/ ObposMbn ~ Bunal p bematbn lfib ~rlarrl Date of Olspoiltbn ]e Pl E . c. xe or Dis Mbn (Name of cemebry, erem ^ Ramw,l from Sbb p pppallpn I]Of cry, or other plxal '€ ~ EMMrlepecMVl I~ceEba 72,712 Woodlawn Manorial GaIdeE13 2 lbd. lacatbn o(DNpo{Mgn ([My a Town, Stets, ,M Dpl 17,. F Servke lkemee or Pcrspn In Charge of Interment i7b Lkeme Numb r ~ . e Harri PA 17109 FD - 014889 37 N c. and Cempgrc Addren e(fuMlal facelty Mal~pezzi F1u~eral Hone 8 M k t ~ ar e L3 ay csburg, PA 17055 ' `" le. DenGnt a EdrRaltlon - Deck Me boa mat box daurlhes the 19. DecaGnl of NNpank OR{M - CINCk the 20.OeceGntS Rxa - [heck ONE OR MORE rags to IMkate what h~Nat depee knnd W sthaol comPkfed at the tkne of GaM. boa Mat Gst dexrNNa wrhether the de d ca ent Me deoGm considered MmseN a henaM ro be. ^ ell pads er kss k SpeMah/NlsWnlc/IatIM. check Me •NO• Q( Whlb ^ No dipbnr, 9tA -12th code boa if decedent N not Sp,nl{ILMkpaNcJtatlM. O ebck ar Afrkan ArMrkan ~ Ronan Ij IFYh achaol paNabaGED mmpktad ~ No ~ VletMmMe Mtswnlsh/Mlsp,nlc/Lalh , w ^Amerkan lndkn or Alaska NStWe Q Some eNkee cndM, but M depee ^ Yes, M,ak,n, Meakan Amerkan, ChkaM ~ Ehher AaIM ^ Axan IMbn Q Na[he Nawalkn ^ As{ocbte depee Ie;. AA, AS) ^ Yes. /MRD Rkan ~ [Mnese ^ Gwmankn or Chamomo ~ eachebYS dyne le,,. eA, Ae, 05) ^ Yes, Cuban ^ FIflpMO ' ^ Samoan ^ Mnter i dyrea le.e. MA, MS, MEni, MEd, MSW, MBA) ^ Yes, other SgMh/Nlspank/lafNw ~ lapaMSe O char Padflc IslarMer O Ooctenb la./. PhD, EdDI or Pro(es{lorul dyne IslNCdyl ^ Other ISpecdyl a. MD DVM ll! 10 21. Mcedent i Skala Rae SNl-DMI,Mtbn -Check ONLY ONE ro Irdkate what Ma decedent coMklerad hlmseM or heneN to be. 22a. Decedent's U{wl OeeuW ebn - Indkx WMte e type o/ work ~ ]+p,rnfe doll dul most of warklne Nb. DO NOT USE RETIRED. ^ Black or AfNUn Amennn ^ Norcan ^ IX~he P ~ clfk Isknder ^ Amarksn Indbn ar Alaska NatNe ^ Vletnameae ^ Don't NMwMot Sure Opel'atOr ~ GIM{e Ian ^ OtINr Askn ^ Refused 22b. Kind of 6uslMSS/IMUatry Natly Nawallan ^ Other ($pecMy) ~ FIdpIM p GuamaNSn or[Mmorro rllelEarRln7nlCdtlOnS tea' M16T eE 23a. D,b PmnouMaO M ay r 23b. SNMaron Penen Prorgyntlne Death (pre aPPIInb4 2 c. LkMSe Number eY KRSON 19Fq PRONOt(l1CEi$ OII CERTSFIES DFATN tCG o2olA - _ ~~ z3e. D IMO/Davhrl 21. nine w DeaM ~ /.~/ R,Ubaa~ ~~7 `t /o ~ .M 15. Was Medkal or Coroner COnrxted7 ^ Yb No CAUSE OF DEATH 18. PM 1. Enter the ldlib of avenb--dW,ses,1 rks, or w 0.pxoxlmate nW mplkatbns--UU[ dlreeNy Dosed the GaM. DO NOT inter brmlMl evems such as ordkc arrest rn lnte I l p , 1 ntem : ry,Rea4 or ven[rkW r flbriXatbn wMwt sh owy the etbbyy. DO NOT ABBREVIATE Enbr Doty oM Cause on a NM. Add addkbMl IIMS R Mcessary. I Onnt to Death \ \ IMMEDNITEUUSE ...............> a. 1 IrT\1u ~t Ip ~YI~II('4s t' I IFIMI dlwan or undNbn Due to ler as a copse uence el1~ . 1 rewMrq In desM) 9 I b SaaVentlalN Ibt condklons, Oue to for as a cen{eauence 011: If arty, MsNry to IM cause Ilsted on Noe,. Enter [he c. ~ ;~GlYMlGsauy~t Due to for as a conseeuence oll: I mmated she ewenb nsultM, a. In GaMI lAST. I r as a cane I Due ro o auence ofl' I 28. Part 11. Enbr oMer b I ut Mt nwkin the u d p in n erlylry Dose elven In Part I. ~SS;t,~ ka 1FA+~n ~ ~ 27. Wa{ an aulopaY paRorrMd7 ~- , F o Y.{ n Np m 28. Wen autopsy flndinp av,llable $ 29. I/ Female: 30 D to complete tM cause of Gath7 ~ Yes ^ Np . ld Tabaao Use Contribute to DNIh7 31. ManMr of DeaM '~ Net pneMM wtMn past yea Y 9 ~ ^ es ^ Pry tat tlme of dexh ~ Ne fF~~ nkrw ~ Natural ^ Momlclde Accident ^ P nm O Not b t re dk I ~ L u en h p e prynant wMfG 12 days of Gath nvestlNtlon C Not prelnaM Out fa'eeNnt a3 day to 1 ynr before deaM 32. Date of Inlury IMO/D1Y/rrl (Spell Momhl ~ SukMk ~ Coutl oat 4 GtermlMd ~ Unknown R peenant svlN1M1 Me past yax 33. nine of Iryury 3 a. Wee of tMury (e;. home; caxtructbn sM; larm; school) 35. laatbn of Inlury (Street sod Number, CNy, County. State, Zip Cade) 3 6. Inlury at Work 37.1(Tnnsportatbn Inlury, SpecBy: 3e. Deurlbe New Inlury Oc<uned: O roc ^ pRYer/ap«.tw ^ PadntMn '(p No ^ /naery.r ^ oNwr ISpxrMl 3 9a. URmer - NMk4n, cMl/lad Aurae ps<tltbMr, medlW eaimkler/cpfpnellQleck Only OM): Gr[Nylry oMy - To tlM bHt of my krwwkdee Gall ouurrM due ro th , e uunlf) and manner {btad. PnnounUne ~ C•rmvkle - To tlu bast of my kMwled,e, death attuned at the tMne. Gte, all pbce, all due ro the ousels) and manner {bted. ^ Madkx Fnmhyr/COraMr - On tM W{N of e M N a a n on arW/or irneatyatbn, In my apnbn, GaM x curM at M! Ume, date, arw pkce, ,red dW m the uuaa(s) all m n Mr stated . ~ ~ s ,~ /s ~ / ~ ~s p Synstun of certlper:~ s"••" ~ TRk of artlfkr: r•1 1 C Uunse Number: ~ nD y sp y L 3 90. Name. Addren,nd 2b CoG of Panen Cempktdn, how of DaaM (Mom 28) l C 4Nat 39c. Date slvled (MO/Day/Yd k4HL3 tic o (Pty Y-e(W4 YAFC:4cywrlcSl~u /IG ~t)S'~ 4frE't kH t ~ ,t , 2~i ' E EE 'b'n~+r tl. R s Lure 12, Reektrar FNe Gate M y r I ~`la ~ A ~. 1~ '~ ~ 3. Amendments Dbpocnwn Perron Ne. 0819493 NIDS-]a3 Rev o7no12 LAST WILL AND TEST R E C O R D~ D 4~ F! C E p F ~~t~lSTLR Or ~'~}BLS ~~ ~ 2 j~ l KNOW ALL MEN BY THESE PRESENTS, that I, GEORG AAA S1YAU~, a/k~~ GEORGIA B. SHRUB currently residing in Mechanicsburg, Cumb~r~~'~ v RT Commonwealth of Pennsylvania, being m good health and of soQl~~~ir~me~ry do hereby make, declare and publish this as my Last Will and Testament, hereby revoking all former Wills and Codicils heretofore made by me. FIRST: I direct that all of my debts not barred by the statute of limitations, expenses of my last illness, funeral expenses, costs of administration and claims allowed in the administration of my estate shall be paid by my Executor hereinafter named, from my estate as soon after my decease as shall be found convenient. SECOND: I bequeath my automobiles, household and personal effects and other tangible personalty of like nature (not including cash or securities), together with any existing insurance thereon, as are set forth in a separate Memorandum, which I shall place with my Will, to the persons therein designated. Any property and other personal effects not otherwise specifically listed in such separate memorandum shall be sold by me Executor, hereinafter named, and the proceeds added to the residue of my estate. TffiRD: I give, devise and bequeath the rest, residue and remainder of my estate, whether real, personal or mixed, and of any nature whatsoever and wherever situate, as follows: A. Seventy (70%) percent to my sister, BETTY J. RIVERS of 100 Crestview Drive, Butler, Pennsylvania provided that she survives me. In the event that my sister predeceases, 1 give, devise and bequeath her share to her issue, per stirpes, who survive me. B. Ten (1U%) percent thereof to the TRINITY PRESBYTERIAN CHURCH IN AMERICA, currently located at 6098 Locust Lane, Harrisburg, Dauphin County, Pennsylvania, to be divided such that Seventy-five (75%) percent thereof will go to the building fund and Twenty-five (25%} percent thereof to the missions fund; and C. Ten (10%) percent thereof to the BETHESADA MISSION of Harrisburg, Pennsylvania. D. Ten (10%) percent thereof to my dear friend, MARY A. THORNSLEY, of Camp Hill, Pennsylvania. FOURTH: I hereby nominate, constitute, and appoint RICHARD S, SIMPSON, II, as Executor of this my Last Will and Testament. In the event that RICHARD S, SIMPSON, II shall predecease me, or be unwilling or unable to act as my Executor, as aforesaid, then I nominate, constitute and appoint Michael Cherewka without necessity for posting security regardless of state of residence, as Executor of this, my Last Will and Testament. All references to the Executor herein shall be applicable to said substitute Executor. FIFTH: My Executor shall have, in addition to the powers and authority conferred upon him by law, the following additional powers and authority: 1. To sell at public or private sale, exchange, transfer, partition, give options upon, lease, mortgage, pledge, or otherwise dispose of any property, real or personal, at any time constituting a portion of my estate, and upon such terms and conditions as the Executor shall deem wise. 2. To invest any money at any time in such bonds, stocks, notes, real estate, mortgages, life insurance, annuities or other securities, or such property, real or personal, as the Executor shall deem wise, without being limited by any statutes or rule of law regarding investments by the Executor. 3. To retain, without incurring any liability, as investments, any property owned by me at the time of my death, as long as my Executor may deem it wise, and even though such property is not the kind of property an Executor would purchase as an investment; and even though to retain such property might violate sound diversification principles. 4. To cause any security or other property which may constitute a portion of my estate to be issued, held or registered in the Executor's own name, or in the name of a nominee, or in such form that title will pass by delivery. l ,JK A- i 5. To consent to the reorganization, consolidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, in the opinion of the Executor is necessary to obtain the benefit of any such reorganization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to my Executor as owner of any securities constituting a portion of my estate resulting from any reorganization, consolidation, readjustment, sale, conversion or subscription. 6. To pay all costs, taxes, charges and expenses in connection with the administration of my estate, including such compensations to Executor which shall be in accordance with established fees throughout the period of administration of my estate. 7. To determine what is "income", and what is "principal" hereunder, and my Executor's decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executor may determine. 8. The Executor may make payments to or on behalf of any person who is the beneficiary hereunder but in no event, however, shall payments be made to any creditor or other such person because of anticipation of payment by the beneficiary, and any such claim made by way of anticipation by the beneficiary shall be of no validity or legal effect. 9. To borrow money from any person, firm or corporation, including any corporation acting as an Executor hereunder, for the purpose of protecting and preserving or improving my estate hereunder; to execute promissory notes or other obligations for amounts so borrowed. 10. To employ legal counsel, accountants, brokers, investment advisors, custodians, managers and other agents and employees and to pay reasonable compensation out of my estate or any funds held hereunder to which said compensation is attributable. ~~~~ J L'~ ~~ ~~ 3 11. To carry on any business owned or controlled by me at my death for whatever period of time my Executor shall think proper, and my Executor shall have the power to do any and all things my Executor deems necessary or appropriate, including the power to close out, liquidate or sell the business at such time and upon such terms as my Executor shall deem best. 12. To do all other acts in my Executor's judgment necessary or desirable for the proper and advantageous management, investment and distribution of my estate. SIXTH: I direct that all transfer and inheritance taxes, state or federal, assessed because of my death, whether the funds, property or insurance proceeds to which such taxes are attributable pass under this Will or not, shall be paid out of my residuary estate; that my Executor pay, or provide for payment of all such taxes at such time, or times, and in such manner as my Executor deems best. IN WITNESS WHEREOF, I, GEORGIA A. SHRUB, a/k/a GEORGIA B. SHRUB, the Testator to this, my Last Will and Testament, typewritten on five sheets of paper which I have identified at the bottom of each page by my signature, hereunto set my hand and seal the day of 2008, ~~ ~, ,- ,~ GEORGIA .SHRUB, a/k/a Georgia B. Shaub The preceding instrument consisting of this and four other typewritten pages, each identified by the signature of the Testator, GEORGIA A. SHRUB, a/k/a GEORGIA B. SHRUB, this day and date thereof signed, published and declared by GEORGIA A. SHRUB, a/k/a GEORGIA B. SHRUB, the Testator therein named, as and for her Last Will, in the presence of us who, at her request, in her presence, and in the presence of each other have subscribed our names as witnesses. 4 COMMONWEALTH OF PENNSYLVANIA: ss COUNTY OF CUMBERLAND I, GEORGIA A. SHRUB, a!k/a GEORGIA B. SHRUB, Testator 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; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. GEORGIA A. HAUB, a/k/a GEORGIA B. SHRUB Sworn or affirmed to and acknowledged before me by GEORGIA A. SHRUB, a/k/a GEORGIA B. SHRUB, Testator, the * day of 'NLGtu , 2008_ (SEAL) ecMr~~oN~@,~~x ~H~NS~~~~~.N~`-~ Notarial Seal Michael Cherewka, Notary Public Wormleysburg Boro, Cumberland Courriy My Comr~iss~cn E;<p'sres Apr. 27, 2009 ",A~ i7h~. ~__~. ~ ~ : ,c;~iirn of Noiaries COMMONWEALTH OF PENNSYLVANIA: ss COUNTY OF CUMBERLAND We ~~ ~4r-, t ~ s ~ ~ and o ~ j ~ ~ ~~ . ~.c:~ c:. ~ ` , the witnesses 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 Testator sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that tune eighteen or more years of age, of sound mind and under no constraint or undue influence. -. ', cir~Zx. ~ _ ~ ~~'~~.~-'l 1. ' ~ , ~ ter' Sworn or affirmed to and subscribed to before me by Qt~rrraH I~t-d~IC and l4a~id.eatk witnesses, this 28ri day of ~~~ , 2008. Nm r~lub~~ i-; ~.a~" r~~NNSVLL',~NI/a Notarial Seal Michael Cherr:~vbca, Notary Public Wormleysburg Scro, Cumberland County 5 My Gornrni:;:^ior~ ~'x;~~fre.a Apr. 27, 2009 nr~ ~~~`'` ` =~~ttiorr of Noiaries Memorandum for Distribution of Personal Property of GEORGIA A. SHRUB As specified in Item THIRD of my Will dated ~GcM,~ Z~ , 2008, I direct my co- executors to distribute the following items of perso al pro erty to the persons indicated: Description of ~ / Recipient of Personal Property ~~~ Personal Pro ert ;~ ` ~ 9 7 ~n~a ~co~~ ~ /Ularv A. ~Tharvlsle/ This Memorandum does not supersede or alter my Will. The direction in this Memorandum is supplemental only and all the terms in the Will are to remain unchanged. In the event there is a conflict between the terms of this Memorandum and any other Memorandum, the document with the later date is to prevail. Dated: 2~ Zd0 . ~ ~. Georgia A. 5h b