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HomeMy WebLinkAbout12-14-12 (2) In re: ESTATE of SHIRLEY C. STONER IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION File No. 21-11-1294 M M M D m M r- m DISCLAIMER o < ate, ril 1, STEVEN KISNER, son of Shirley C. Stoner, deceased, hereby a knowledgohavifig° read and understood the Last Will and Testament of Shirley C. Stoner, deceased, dated May 5, 2010, and further, as set forth below, and for the reasons set forth hereinafter, do hereby disclaim and/or renounce my following interest in her estate: 1. Pursuant to Article IV, paragraph 2A, I am entitled to a specific bequest of the sum of Forty-Five Thousand Dollars ($45,000.00). 2. Prior to the death of Shirley Stoner, my mother, she gave me a gift of $15,000.00. 3. Also, prior to her death, Shirley Stoner, deceased created a Certificate of Deposit in the amount of $41,983.90 made payable on her death to me. 4. With full knowledge that pursuant to the Last Will and Testament of Shirley Stoner, I could legally claim my entitlement to the additional $45,000.00, as set forth in the Last Will and Testament, I hereby disclaim and/or renounce that interest since I believe the monies listed above represent the same monies she intended to bequeath tome I IN WITNESS WHEREOF, I, S VEN KISNER, have set my hand to this Disclaimer this day of , 2012. STEVEN KISNER Signed, sealed, published and declared by the above-named STEVEN KISNER, 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. v~ r I ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : ss COUNTY OF CUMBERLAND I, STEVEN KISNER, 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 Disclaimer; that I signed it as my free and voluntary act for the purposes therein expressed. hOTARIAL SEAL JEANETTE K RUTH Notary Public MECHANICSBURG BORO., CUMBERLAND CNTY STEVEN KISN R / L7 My Commission Expires Feb 26, 2016 Sworn or affirmed to and acknowledged before me by STEVEN KISNER, this day of 2012. /otearyPuiblic