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HomeMy WebLinkAbout01-10-13PETITION 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 requests the grant of Letters in the appropriate form: Thomason M. Young, II Decedent's Information Name: Allison T. Gorman-Young File No: 21 - ~-.~ -~ ~ ~~~.J a/k/a: Allison Tracy Gorman-Young (Assigned by Register) a/k/a: a/k/a: Social Security No: 227-11-4433 Date of Death 12/16/2012 Decedent was domiciled at death in Cumberland County, (State) with his/her last Age at Death: PA principal residence at 16 Bourbon Red Dr., Mechanicsburg 17055 Mechanicsburg Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at The Johns Hopkins Hospital, Baltimore Baltimore City Baltimore MD 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 $ If not domiciled in Pennsylvania ................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ................ Personal property in County $ Value of real estate in Pennsylvania ................................................................... $ 39,000.00 TOTAL ESTIMATED VALUE $ Real estate in Pennsylvania situated at (Attach additional sheets, if necessary.) 39,000.00 Street address, Post Office and Zip Code City, Township or Borough 0 A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) that he/she/they is/are the Executor(s) named in the Last Will of the Decedent, dated thereto dated 03/19/2007 and Codicil(s) State relevant circumstances (e.g., 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. 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., pedente lite, durante absentia. durante minoritate If Administration, c.t.a or d.b.n.c.t.a., en+AY rIA+P ~f wln .n SP~t~~n a ahwe and complete list of heirs. Except as follows: Decedent was not a party to.pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323 (g) and was neither the vlctim of a killing nor ever adiudlcated 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, if necessary): Name Relationship Address ~ `-~-' o ~~'"t W :~;~ ~:, ~;,~ ~rW~ ~. ~;=~ ~"a~g C~ ;..... t,.~ . .~ :.,A t h ~.~.. .. ~~ t...,... ..,. ..., . .+~ .~ d ~..i.~ ,~...,y M'~ 51 --•~ '~~ County Form RW-OZ rev. 10-11-2011 Copyright (c) 2011 form software only The Lackner Group, Inc. Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland } } SS: } Official Use Only Petitioner(s) Printed Name Petitioner(s) Printed Address Thompson M. Young, II 16 Bourbon Red Dr. Mechanicsburg, PA 17055 ti..~ C `'~ .„ ~~~ ~~ ~, ~./ t .. . _ . .~ _,.. ~ a .. _~. yr• 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 xn~owleage ana belief of Petitioner(s) and that, as Personal Representative(s) oft , P~et~itljoner ilk ruiy.administerthe estate, a,ccordin/g/t~o law. Sworn to or affirmed a subscribed before ~.; Date` t me this ~a of ~ ,~LJ1~ By: ~ ~:,, Date F e egister Date BOND Required? ~ YES ~ NO FEES: Letters .......................................... $ 90.00 ( 5 )Short Certificate(s)......... 20.00 ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond ............................................. Commission .................................. Other Will 15.00 f h G~ j"^ ~ v f7 v'en t~~ ~ , Automation Fee ............................ 5.00 JCS Fee ....................................... 23.50 TOTAL ......................................... $ 153.50 To the Register of Wills: Please enter my appearance ay my signature oeiow: Attorney Signature: ~~.- Printed Name: Linda J. Olsen, Esq. Supreme Court 92858 ID Number: Firm Name: Hazen Elder Law Address: 2000 Linglestown Rd. Suite 202 Harrisburg, PA 17110 Phone: 717-540-4332 Fax: 717-540-4313 E-mail: lolsen@hazenelderlaw.com DECREE OF THE REGISTER Date of Death: 12/16/2012 Social Security No: 227-11-4433 Estate of Allison T. Gorman-Young File No: 21 "' a/k/a: Allison Trac Gorman-Youn ~l.~ , in consideration of the foregoing Petition, AND NOW, satisfactory proof having been prese before me, IT IS DECREED that Letters Testamentary are hereby granted to Thompson M. Young, II in the above estate and (if applicable) that the instrument(s) dated 03/19/2007 described in the Petition be admitted to probate and filed of record as the Ias~Jllyill (~nd Codicil(s))~bf Decedent. Register of Wills ,~,''~. Copyright (c) 2011 form software only The Lackner Group, Inc. a e 2 of 2 ~. ~~ '~~ -- STATE~OF ''~~~~~- ,. ~, _. =. ~ MARYLAND ( --- ~ ~~ ; ~~ Department of Health and Mental. Hygiene - _ ~~~ ~ ~'S~ ~ QF Division of Vital Records =_ END ITEM 19A WCHD/TF Please Type or Print in Black Indelible Ink. Ensure All Copies Are Le ible. ~ ~ - 9 - ~~~ a(, 2 / 1~ / 2Q171 ~, i ~ State of Maryland I Department of Health and Mental H '~ I I ~` -~0 ~i~ ~ ,~ ygene ,~. ~~~' - -_ ~ ~ - Certificate of Death - - ~~. Ho. - - _ 1, Last) 2. Date of Dead - ` 3. Tine of IIsath ,~ t'1' _ Gorman- y t - 2~- ~ M F (if not Institution, ' e street amend/n/u~m/ber) j]~ ~ 4b. City, Town, or Location of Death ~~4,, ~~~/ ~-/ : ~~ ~/II (.~~~ `~ y~ / ~- r / J~ ~•-/~ / 4c. County of Death - :~ ~° • Sac:iaf Number 6. Sex C~17 Crl ~~`'f (J~C.,c Ci( ~ ~'f.7.IClQrE - 7. Age (In yrs. fast birthday) If Under 1 Year f 4 H " 8. Date of Birth 9. Birthphace (State or Foreign 22'~-].1-4433 1 ^ M 2 ~F 51 Months Days Hours Min. (/-,fonth, pi8y, y~ ~n~ - ~~_ ; Yrs. T,.r 34, 1 Germany - ~. ~ ~ 10a. State tOb. County 10c. City, Town or Location ~, -~_ ~ =_ - _ 10d. Inside City Units ~ ~ ~_ F~enn~y}_ is Cumberland Mechanicsburg ~= a L ~_ ~ . Street ar~~-umber 10f. Zip Code ~ ^Yes ~ ~No ,~~' ~ ~ - - W _ 10g, Citizen sf What~untry? ~ _ ~ ~ ~ - = m - ~6 bourbon Red Drive 17050 USA - ti .. ~ ,,\ m ~ ~ 11. Marital Status i2. Was Decedent Ever in U.S. 13. Was Decedent of Hispanic Origin? (Specify Yes or No- ' ~° Armed Force ~4. Race - Arneric~ Indian, - io o ~` 1 ^ Never Married 2 Married If Yes, specify Cuban, Mexican, Puerto Rican, etc.) i ~ ~ 1 ^Yes 2 No Btack,.White, ete. ~= • . ~ 5 to ~ 3 I] Widowed 4 ^ Divorced Year or Dates. 1 ^Yes 2 ~ No Specify: S~ fi,. ~11 to r - ~ t ~ O -- 15. Decedent's Education ~,~ , N F p• 16a. Decedent's Usual Occupation ,,.~,) „ ,y . ~ c E (Specify ~ highest grade completed) (Give kind of work done during most of working 1 ~- tGnd of Business/Industry - ~` • ° ~ ~ ~ ~ O ~~th-Y~ndary (0-12) College 1-4 or 5+) life. DO NOT use retired) `;; ~ ~ m - m -. --- ~ Program Director YMCA- 4" i ~ ~~' o ~ T~ FattreFS Naafi (First; Middle, Last) ~ .~ '~ ~ ~: o -0 - 18. Mother's Name (First, Middle, Mater name) -- ~~~ ~ f- :' ~I'ho;s P. Gorman Mary Ann Keeley. , ~~~m 'o~~'€ -' _ ~_ ~ ~~ L m a ~ ~~~rne/RetationshiP (Type, Print) 1705 a L ~ ~ 19b. Mailing Address (Street and Number or Rural Route Number, City or Town, State, Zip Code) - ~, ,, _ ~ _ ~ ~ -~'hom~,ts M. Young, II (Spouse) 16 Bourbon Red Drive, Mechanicsburg, Pennsylvania ,~ ' ";', G r '~ ~ o ~' Marhod of tisposition 20b. Place of Disposition (Name of ~ O = ` . Date 20c. Location - a ~~, ~, c ;, o - 1 2 ^ Cremation Removal from State cemet~, crematory or other place) City or Town, State _, , \ ~ ~ ~~ 4 Don~or- s^ottrer(Specfy) Gate of Heaven Cemet~ry 12/21/12 Mechanicsburg, PA ~ z ~ ~ ~ o ~ 21.; of F er>.see M-00849 22. Name and Address of Facility - - \ ~ Lochstampfor Funeral Home, Inc. 17268' ~.13~rt 1.~ntsr the disease, or canplications that caused . Do not enter the mode of dying, such as ca-diac or respiratory arrest, ~ __ ~tsoek, cxT't failure. List only one cause on each li Approx+mate/ ~ I~ur>e~ate Cause (Final tntervat_8atw~°r _: ~frse-or cx~dition (• QK /t^fII/ l ~ ckase# ~d Death i _, ti resuiti ur death a• ~~ ~' ~. } Due to (or as a consequence ot): ~ ~ ~ ' ~ Sequentially tint conditions, b. ~/ n• `~ t (l `~(~ ~ ~ f ~ ~C S-~ ( ~ ~ R ~ ~ if any, teadinj# to immediate Due to (or as a consequence of): ~~ ~ E case. Enter Urrcterlying Cause or injury ~ ~ ~ K that initiated events c. - ~ c .,o W ~u~ng ~ death} Last Due to (or as a consequence of): m a' 4 ~ ~~ a v ~ ;i "' ; p,, + ~~ m .~ ; ~~ F _ ` ,. ~ -_ ~ c ~ C • Way deced~t pregnant 23c. If es, outcome of ~e9nancy ~ m ~ ~ ~ iti'ttle ~t 12 months? 1 ~ Live Birth 2 LJ Fetal death 3 0 Ectopic pregnancy 23c~ #?ate ~ ~iv~y '" -°o ®T~=: '~ 1`C~Yes 2 ~No 4 ^ Pregnant at time of death 5 ^ Other (specify) Month t3ay _ Year ~ i. ~ ~ 9 ^ Unknown 9 ^ Unknown H ~ •- ~ ~ ~. _ _ g ~ (, r '~ v ~, Part II.Other slgrxfieavrt conditions contributin to death but not resulting in the underlying cause given in Part L 23e, p~ tobaccA use contribute to the cause of death? ~~ o ~ ~ g ~ r ~ I 1 ^Yes 2 ~ 3 ^ Probably 4 ^ Unknow ' ~ ~ m ___-- V ~ ~ o E 24a Was an 24b. Were autopsy findiruts available d t m Q O autopsy Prior to completion of cause of ~- -; ~ a_ V perfom>w~/ death? ~ a _ - 1 ^Yes - 2 k ^Yes 21~ 1~ ~, ~ ~ .,, ~ _~. ~Mas; cerise refs~rred tG~~ o rr~lical ~ . ~~, ~ ~ ~ ~ ~ e~ V/ 26. Place of Death (Check oM one) '~~ tt ;_ . / "~,~'~~+ ro--a d ~~Yes 2 Hospital: ~ Other: ~ H 1 1~Inpatient 2 ^ ER/O bent 3 ^ DOA • 27. ~T~th ~ 4 ^ Nursin Home 5 ^ Residence ~i [~ Other ei z ' a ~ ~ m 28a. Date of injury 28b. Time of " ~~•; e ~ _ ++ .. 28c. Injury at 28d. Describe how-' ` - _ _ ' C~ C - = Q .~ W 1 Natural 5 ^ Pending (Month, Uay, Year] injury work? ~_ ~ o t:te- 60'.. 2 (~ Accident Investk~ation M 1 ^Yes 2 ^ No ~ '~ v ~ ~ 3 Q SurCKfe 6 ^ Could not be 28e. Place of fn u At home, farm, street, fact office `m m 4 Q F#exnicide determined j ry- ory, _- _: ~' o ~ ~ e V building, etc. (Specify) 28f. Location (Street and Number ~ Rural Route Number, n s ~ ~ City o/ Town, State] v Certifying Physician: To the best of g :~ ~ °o g ~ ~` ~' Certifier 1 mY knowled e, death occurred at the time, date and place, and due to the ~ and mannar ~ stated. '~"'~ + = n ~ ~ m (C 2 ^ Medici Examiner: On the basis of examination and/or investigation, in my opinion, death occurred at the tkrte, date and place, and due to the ~" ~ c a on one 3 ^ cause(s) and manner slat ~ « :; ~ ~ ly } Certifying Nurse Pracfitioner To the best of m knowled death occurred at the time, date and ~+~~ ~ ~ ~ ~ _ 29b. _and title of certifier Y ~ 29c. Ucense number ~, and due to the causes} and manner as stated. with ~ 'veai~ Y ~ ~ C// ~,,,. 2~d. Qate steed ' --- -lJame address of person vyho completed cause of death (Item 233) (TYpe. Print) - 1 ,... _ _. ~~c 5c~+~Te,~ / Q S 7~ rl~i~r~ /~p~/a~ , ~~ ;~~ 1' ,(A~lont~Y~~ 32. istra?s Signatur z ~ F , < _ -= v. ~ e uttl 1~7}t~v ~-261p1 1 G ~ 7 S ~ ~ ~ OR{GiNA -HEREBY CERTIFY THAT THIS DOCUMENT IS A - - - _- -- -- -- __..........~.._..__ ....~..~...____--_____~-___-~R.l~E-•E~P-Y ~-A - - __ ~."~"~~~~"n"~itugrk~ - DIVISION OF VITAL RECORDS. - ~a~-mod: = -_ ~~~ecember 19, 2012 /6' _ r''~ -== STATE REGISTRAR DO NOT ACCEPT UNLESS ON SECURITY PAPER WITH SEAL OF VITAL RECORDS CLEARLY EMBOSSED. ~ ~. ~4 ~._..__ _ ,_.,., ,,,~~ :• .. ,. ;, 1~~~~~~m.v+ ..~~~-.~+r a~a Gmcea~ -~ lr !~ \ _ . _ • i 0 - _ .. R • 0 _ _ .~ ._ _ -%" ~ ..~a,~ G=-' f.j ~,? ~ ~~ C©y ~...- E.fi d ~~'„~°.M LAST WILL AND TESTAMENT ~ _~ r.-, ~" OF ~ ~'~~ mod: `~` ~~~ d ALLISON T. GORMAN-YOUNG - - rte'- W ,.~ ~ .. ~ . ,) ~~. ~ ...,f I, ALLISON T. GORMAN-YOUNG, now domiciled in Cumberland County, Pennsylvania, declare this to be my Last Will. I revoke all other Wills and Codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. e,-+;~tP TT All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I give, devise and bequeath my tangible personal property to my husband, THOMPSON M. YOUNG, II. In the event THOMPSON M. YOUNG, II predeceases me or fails to survive me by thirty (30) days, then I give, devise and bequeath my tangible personal property in accordance with any memorandum I have handwritten or signed, located with my will or with my valuable papers and found within 30 days of the probate of my will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. To the extent no such memorandum is found, or all of my tangible personal property is not disposed of pursuant thereto, my tangible personal property shall be added to my residuary estate and pass under Article IV hereof. Article IV All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to my husband, THOMPSON M. YOUNG, II, of Cumberland County, Pennsylvania. In the event that THOMPSON M. YOUNG, II predeceases me or does not survive me by thirty (30) days, I give, devise, and bequeath the remainder of my estate, of whatsoever nature and wheresoever situate, to my daughter, KARA E. YOUNG, of Cumberland County, Pennsylvania, per stirpes, to be held in trust for her benefit according to the terms of Articles V, VI and VII hereof. If a beneficiary does not survive me by thirty (30) days, but leaves descendants who survive me by thirty (30) days, those descendants shall receive, per stirpes, the share the beneficiary would have received had he or she survived me by thirty (30) days. Artirlr~ V If a beneficiary under this Will has not attained the age of thirty-two (32) years, the share of the beneficiary shall be placed in a separate trust, for the benefit of that beneficiary according to the terms in Article VI. Article VI In the event that a Trust is created by or as a result of any part of this Will, the terms and conditions of the Trust shall be as follows: A. To expend and apply so much of the net income and so much of the principal of the Trust as the Trustee shall consider advisable for the support, health, care and education of the child until the child attains the age of thirty-two (32) years. B. Upon attaining the age of twenty-five (25), one-third (1/3) of the principal and accumulated income of the child's share shall be distributed outright to the child. C. Upon attaining the age of twenty-eight (28), one-half (1 /2) of the remaining principal and accumulated income of the child's remaining share shall be distributed outright to the child. D. Upon attaining the age of thirty-two (32), the remaining principal and accumulated income of the child's share shall be distributed outright to the child. E. No beneficiary or remainderman of this Trust shall have any right to alienate, encumber, or hypothecate his or her interest in the principal or income of the Trust in any manner, nor shall any interest be subject to claims of his or her creditors or liable to attachment, execution, or other processes of law. Article VII In order to carry out the purposes of the Trust established by this Will, the Trustee, in addition to all other powers granted by this Will or by law, shall have the following powers over the Trust estate, subject to any limitations specified elsewhere in this Will: (a) to retain in the form received and/or to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, 3 (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (f) to file fiduciary/income tax returns and pay the tax due for any year for which such a return is required, (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to the extent any trust hereunder is the beneficiary of a Retirement Account (as hereinafter defined) my Trustee shall draw the benefits from the Retirement Account in amounts sufficient to meet the minimum distribution requirements of IRC Section 401(a)(9) and the regulations thereunder (the "Required Minimum Distribution"). Notwithstanding any provision of the trust to the contrary, the Required Minimum Distribution shall be paid to or applied for the benefit of the income from such trust, or if there is more than one income beneficiary, my Trustee shall make such distribution to such income beneficiaries in the proportion in which they are beneficiaries or if no proportion is designated in equal shares to such beneficiaries. "Retirement Account" means a plan qualified under IRC Section 401, or an individual retirement arrangement under IRC Section 408, or a Roth IRA under IRC Section 408A, or atax-sheltered annuity under IRC Section 403 or any other benefit subject to the distribution rules of the IRC Section 401(a)(9), or the corresponding provisions of any subsequent federal tax law. It is my intention that this trust qualify as a "conduit trust" under IRC Section 401(a)(9) so that the trust beneficiaries shall be considered designated beneficiaries for purposes of the minimum distribution rules, and that distributions may therefore be taken over the trust beneficiary's life expectancy (or the life expectancy of the oldest trust beneficiary). The Retirement Accounts shall not be subject to the claims of any creditor of my estate and they shall not be applied to 4 the payment of my debts, taxes or other claims or charges against my estate unless and until all other assets available for such purposes have been exhausted, and even then only to the minimum extent that would be required under applicable law in the absence of any specific provision on this subject in this my Will, (i) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; to pay from my estate reasonable compensation for all their services, (j) to conduct along with or with others, any business in which I am engaged in or have an interest in at the time of my death, and (k) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. Article VIII I hereby appoint my brother-in-law, ROGER L. YOUNG, as Trustee of any Trust(s) created in this Will. In the event of the renunciation, death, or inability to act, for any reason whatsoever of ROGER L. YOUNG, I nominate, constitute and appoint my brother, THOMAS P. GORMAN, JR., successor Trustee of any Trust(s) created in this Will. Arti~1P TX If my spouse predeceases me, or survives me and does not effectively designate a guardian of the person, then I name my husband's niece, REBECCA YOUNG, as guardian of the person of each child of mine who at any time has not reached legal age under the law of the jurisdiction in which the child is then domiciled. In the event that REBECCA YOUNG is unwilling or unable to act, I name my sister, A. KERRY HOUSER, as guardian. No guardian of the person or guardian of the estate acting under this Article shall be required to furnish bond or security. 5 e ,-r;..t A X I nominate, constitute, and appoint my husband, THOMPSON M. YOUNG, II, Executor of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my Executor, I nominate, constitute and appoint my brother-in-law, ROGER L. YOUNG, successor Executor of my Last Will and Testament. I direct that my Executor or successor Executor be permitted to serve without bond. In addition to those powers granted by law, I grant them power to distribute in cash or in kind, in like or in unlike shares, and to file any qualified disclaimer I could have filed if living. My Executor or successor Executor shall receive reasonable compensation for services rendered to my estate. e,-r;~1P XT In addition to the powers conferred by law, I authorize my Executor or successor Executor in his absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (f) to file any federal income tax return for any year for which I have not filed such return prior to my death, 6 (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor or successor Executor; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged, or have an interest in at time of my death, and (j) to receive reasonable compensation in accordance with the standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, ALLISON T. GORMAN-YOUNG, hereby set my hand to / 4 this my Last Will and Testament, on ~ ~~ l ~ , 2007, at Harrisburg, Pennsylvania. In our presence, the above-named ALLISON T. GORMAN-YOUNG signed this and declared this to be her Last Will and now at her request, in her presence, and in the presence of each other, we sign as witnesses. Name ~-y`;r.+ ~ ` -~ /~ ('~(~YPCC 2000 Lin~lestown Rd., Suite 202, Harrisburg, PA 17110 2000 Lin~lestown Rd., Suite 202, Harrisburg, PA 17110 I, ALLISON T. GORMAN-YOUNG, Testatrix, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by ALLISON T. GORMAN-YOUNG, the Testatrix on n?fFRc.G~ /~' , 2007. <~~~. ~4. Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Melissa M. Kain, Notary Public Susquehanna Twp., Dauphin County My Commission Expires Aug.11,2010 We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute this instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by ~.,~./~1,~~ ~~~ witnesses, on /~'~~,ecl~ / 9 , 2007. ~- Notary Public i ness Wit COMMONWEALTH OF PENNSYLVANIA Notarial Seal Melissa M. Kain, Notary Public Susquehanna Twp., Dauphin County My Commission Expires Aug.11, 2x10 8