HomeMy WebLinkAbout01-22-13~~~ ~
O_~T'H OF SCBSCRIBI?tiG titi'ITtiESS(ES)
REGISTER OE WILLS
~u rlat/~ COUNTY,PENNSYLVANL~
Estate of f ~t ~ (~ • ~ G_ ~ G
Deceased
,(~-~ ~1zr Z ~ uC(~ '~ b~.~2 ~ ~of ~'°~ ~/" , (each). a subscribing witness to
(Pr rtt Names)
the ~ Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she he /they was were resent and saw the above Testato /Testatrix sign the same
and that sh / he /they signed the same and that she a /they signed as a witness at the request of
the Te ator Testatrix 'n her his presence and in the presence of each other.
tgnature (Signature)
3 ~~ ~'. ~a~~, sue- ~'~ 1 ~P,~~,1 ~~_
(StreetAddress) (StreetAddress)
~~t ~ ~~. I~~ SS-
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
byfUreme this ~_ day
for
(City, State, Ztp)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this day
of
'~o.ar~~ Public
~'I} Cor.,arissior. Expirzs:
(Signature and Seal oCNo:ary or other e:T.ci~'. yuali; ec to
administer oaths. Show date oCexpiration o: I4oary's Commission J
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RW-03 rev. 10.13.06