HomeMy WebLinkAbout02-19-13Ceset
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLV~`~NIA
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:
llecedent's Information
Name: Juanita P. Reda
a/k/a:
a/k/a:
a/k/a:
Date of Death: January 14, 2013
File No: ~~~` ~ -~ _ _- _.Y
(Assigned >,y Register)
Social Security No:
Age at death: 90
Decedent was domiciled at death in Cumberland County, Pennc; Ivania (Srare> with his/her last
principal residence at 522_5 Wilson Lane, Apt. 215 17055 Mechanicsburg Lower Allen Township Cumberland
Street address, Post Office and Zip Code Cite, Township or E~orough Counte
Decedent died at 500 University Drive. 17033 Hershey Derry Township Dauphin PA
Street address, Post Office and Zip Code City, Township or Borough County State
Estimate of value of decedent's property at death:
/f donric•iled in Pennsy/vania ........ . ................... All personal property S
If not domic•i/ed in Perrnsylvanicr . ..... . ................. Personal property in Pennsylvania $
If not domiciled in Pcrnrsy/nnrrin . ..... . ................. Personal property in County $
alne of rea! estate irr Pennsidnania ......................................................... ~,
TOTAL, ESTIMATED VALliE.... $
Real estate in Pennsylvania situated at: _
Latlcrclr udditioivul shcer.r, ir~rc~cessrrrr.l Street address, Post Office and7_ip Code City, Township or Borough
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 October 6, 201 I
thereto dated
>,000.00
5,000.00
County
and Codicil(s)
Vic•trn• Reda and Murata Yent~er rennun d h it r.~~n cerve ac Fxec•utnrc __
State relevant circumstances /e.g. renurrciatiar, death q/'execuror, ere.)
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 l'a. C.S. ` 3323(8), and dial nut have a child born or
adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
NO EXCEPTIONS ~ F,XCEPT[ONS
0 B. Petition for Grant of Letters of Administration (If applicable)
e.t.a., d. h, n., d. b. n. c. t. a., pendente life, dt~rante ahaenria, darante minoritate
If Administration, e.t.a. or d. b. n. c. t. a., enter date of VF~i!Il 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(8) 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 (i fany) and heirs (attuc•h
udclitionul sheets, rJnc~cessart•):
lame Relationshi ~cl ss %..a ~ =^~
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Form RW-O2 rev. l0'! l ?011 Page I Of 2
Oath of Personal Representative
COMMONWEAL"I H OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
} SS:
}
Petitioner(s) Printed Name Petitioner(s) Printed Address ~ ~..
Jill Kent ~ " t'
1412 Eden Rid e Circle Birmin ham A~a~a+~ta~t3S~2~4
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Ef 6`d~3 `u ;t
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The Petitioner(s) above-rar.~~.d swear(s) or affirm(s) the statements in the foregoing Petit are t ie and correct to the best of the knowledge and belief
of Petitioner(,; and that. as Personal Representative(s) of the Decede ,the Pet ner(s ell and truly administer the est<~te according to law.
Sworn to or affirmed ant+ subscribed before f)«tc ~-~.~ ~~~
me this /'day of ~ ~/3 -- __ I)at,:
By: ~2C_'
• Uat~~
/~'urllte egi.SYer f)aCC
BOND Required: ~ YES ~ NO Tv the Register of {Fills:
FEES: Please enter my appearance by my signature below:
Letter, ...................... $ 30.00
2) Short Certificate(s)...... 10.00
( 2) Renunciation(s)......... 10.00
( )Codicil(s) . ........... .
( )Affidavit(s)........... .
Bond ........................
Commission ................. .
Other
Pile Inh. Tax Return ....... 15.00
File [nventoiy ....... 15.00
Oath ...... 20.00
Automation Fee . .............. 5.00
JCS Fee . .................... 23.50
"TOTAL ..................... S 128.50
Attorney Signature?
(! ' )~,~,
V ~'
Printed Name: Vance E. Antonucci, Esquire
Supreme Court
[D Number: 83725
Firm Namc
.Address:
n Official 4~Isc Only
~,. _.. ~,` _ -~~ I~~
1 '~ t ~l f~ r n ~ .~ _.
McNees Wallace & Nurick LLC
_-
570 I.aus h .~n , St~itc X00 _
an ~~tst .r PA 17601
Phone: 717-581-3701
Fax: 717-260-1772 _ _
Email: _VAnt~na~ci ~M~VN ~nn~ _
DECREE OF THE REGISTER
Estate of Juanita P. Reda File No: ".% 1 ~ I, "- ' ~ j'" ~ ,~("
a/k/a:
AND NOW, ~ - ~~' ~ ~~~ ~ ~ ~~ •;~, 1 ~", , in consideration of the foregoing Petition,
satisfactory proof having been prese ted before me, IT IS DECREED that Letters Testamentary
are hereby granted to Jill Kent
in the above es+_ate and (if applicable) that
the instrument(s) dated October 6, 201 1
described in the Petition be admitted to probate and filed of record as the last Will (and C~odi; il(s~) of Dec~.deni.
Register of Wills
Form RbG'-0? re~~. 101 /,'3011 ~ ' age 2 Of 2
('
LC~~AL RI~GISTRAR'S ~~R~I~I~ATIC~t~ GI" ~;:°~"
'NARNING; 9t i~ illegal to dupl~r~fl~ t~°=~, .€?~A ~~~ ~;~c-t~?~~ag i,°,-° ~;~(;fic~~P~~i~*:
RECORDED D~'~~ ~99~ OF
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CUMBERLAND t~0 PA _ _--------- ~
r -- -- I >i~ ~' ~ I)at~ [Sti~lt'ij
Type/Print In COMMONWEALTH OF PEN NSVLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS
Permanent
f"ceTars/+w
1. Decedent's Legal Name (First, Middle, Last, Suffix) v z .--. s s State File Number:
2. Sex 3. Social Secu rtty Number 4. Date of Death (MO/Day/Vr) (Spell Mo)
Juanita P. Redo
Female 234-32-2642 January 14,2013
Sa
A
L
h
.
ge-
ast Birt
day (Y rs) 56. Under 1 Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Monih) 7a. Birthplace (City and State or Foreign Country)
Menehs Days Heurs Minutes Mill Greek West Vir iota
90
March 17, 1922 7b. Birth lace Count
P ( y) Randol h
8a
Residence (Stat
F
i
C
.
e or
ore
gn
ountry) 86. Redd ence (Street and Number -Include Apt No.) 8c. Did Decedent Live in a Township?
Penns 1V
i
an
s ®Yas, decadent Iivad In Lower A_J ~ ~n ZQwn sYti r2 t~yp,
ad.ResWence(county) 5225 Wilson Lane, APT 215 -
Cumberland 8e. Residence (zip Code) 7 ONO, decedent lived within omits of
city/6oro.
9. Ever in US Armed Forces? 10. Marital Status at Time of Death ®Married O Widowed 31. Surviving SDOUSe's Name (If wife, give name prior tp }I rst marriage)
O Yes ®No OU
k
n
nown O DNorud O Never Marrkd QUnknown ViCtOr Rada
12. Father's Name (First, Middle, Lart, Suffix)
'
13. Mother
s Name Prior to First Marriag< (First, Middle, Last)
Clarence Pritt
Laur F nc a
14a. Informant's Name 146
R
l
i
.
e
at
onship to Decedent
Vi 14c. Informant's Mailing Address (Street and Number, Gty, State, Zip Code)
~ ctor Reda
Husband 5225 Wils n Zan T 215 Me ha c b
c
o ......................................................... ............................. .. r........15a.° P-a go Deat.......ec on y one
If Death Occurred in a Hospital: ~~ .............................. ..................................... y....... .......
Inpatient ilf Death Occurred Somewhere OMer Than a H
..w. ""'-"'--••'••••••
t
l
i ~
°
os
e
:
P
HasPice Facility 1~I
Decedent's Home
O Emergency Room/Outpatient O Dead on Arrival Nursln Nome/Long-Term Care Facility Other (S
ecif
)
p
y
15 b. FacIIKy Name (If not instFtutbn, gWa street and numberl 15c. City or Town
State
antl Zi
Code
3 ,
.
p
15d. County of Death
Hershey Medical Center Der
Tw
PA 1703
• ry
p,
3 Dauphin
i6a. Method of Disposition Burial
~ ® Cremation 16b. Date of gsposltbn 16c. Place of Disposition (Name of cemetery, crematory, or ocher place)
O Removal from State O Donation
Other (Specify) i --11 - 2U r3 C
i
remat
on Society of Pennsylvania
16d. Location of Disposition (City or Town, State, and Zlp) 17a. Signet of Funeral Service Licensee or Person In Charge of Interment 17b
Li
N
b
.
cense
um
er
Harrisburg Penns
lvani
17109 ~
y
a
- FJ-013376-L
17c- Name and Complete Address of Funeral Faciltty
Auer Cremation Services o£ Penns lvania inc. 4100 Jo e t
~ v
18. Decedent's Ed ucatlon -Check the box that best describes the 19. Decadent of Hispanic Origin -Check the 20. Daceden is Race -Check ONE OR MORE races to indicate what
highest degree or level
f
h
l
l
o
sc
oo
comp
eted ae the time of death. box that bast describes whether the decedent the decadent conzidered himself or herself to be.
O 8th grade or less
Is Spanish/Hispanic/Latino. Check the "N O" ®Whtte O Korean
O No diploma
9th - 12th grade b
,
ox if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese
O Hig
h school graduate or GED completed ®N
r
o, not Spanish/Hispanic/Latino O American Indian or Alaska Native O Other Asian
O So < college cradlt
but no degree O Y
M
,
es,
axica n, Mexican American, Chico no O Asian Indian O Naiiv< Hawaiian
® Associate degree (e. g. AA, AS) ~ Ves
Pue
t
Ri
,
r
o
can
O Chinese O Guamanian or Chamorro
O Bachelor's degree (e.g. BA, AB, BS) O Ves
Cuban
,
O Flli Dino O Samoan
O Maztar's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) O Yes, other Spanish/Hispanic/Latino O Japa Hess ~ Oth
P
ifi
I
l
er
ac
c
s
ander
O Doctorate (e. g. PhD, EdD) or Professional degree (Specify) O 6th er (Specif
)
y
-
e. MD DDS DVM LLB JD
21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herseH tD be. 22a. Decedent's Usual Occupation -Indicate t
e of work
yp
® White Q Japanese 0 Samoan done during most of working Iffe. DD NOT USE RETIRED.
Black or African American O Korean
O Other Pacific Islander
O Amarlcan Indian or Alaska Native O Vietnamese O DonY Know/Not Sure Business Owner
Asian Indian O Other ASlan O Refused
226. Kind of Business/Ir dustry
O Chin
ese O Native Hawaiian O Other (Specify)
O Filipino OGUamanlan or Chamorro
Beverage Distribution
ITEMS 23a - 23s! MUST BE COMPLETED 23a. Data Pronounced Dead (MO/Day/Vr) 23b. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number
a1Y PERSON WHO PRONOUNCES OR January 14
2013
,
CERTIFIES DEATH
23d. Date Signed (Mo/Day/Yr) 24. Time of Deattt
U9:36 PM
25. Was Medical Examiner or Coroner Conn Red? ® Ves O No
CAUSE OF DEATH
ADProxim ate
26. Part 1. Enter the ch afn of events-diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as ca rd lac a rest
Interval:
r
,
respiratory arrest, or ventricular fibrillation without showing the etiobgy. UO NOT ABBREVIATE. Enter only one cause on a lin<- Add additional Ifnes
if necessary Onset to Death
IMMEDIATE CAUSE -- > a, Complications From A Fall
(Final disease or condition Due to (or as a consequence of): --
resulting in death)
b.
Sequentially list conditions- Due to (or as a co nseq uance of): --
if any, leading to the cause
listed on line a. Enter the
UNDERLYING CAUSE Due to (er ss a consequence of): --
(disease or Injury that
=
~ in plated the events resu Bing d.
v ,n death) LAST. Due to (or as a consequence of): ---
26. Part 11. Enter other sienifi t ditl t ib ti t d -th but n
t
l
0 o
resu
ting in the underlying cause given In Part I 27. 'Nos an autopsy pa rtormetl?
~ Y¢s ® No
m'
28. Were autopsy Hn dings available
~ m complete the cause of death?
~i
29. If Female: Q Yes ~ No
30. Did TobacCO Use Contribute to Death? 31. Manner of Death
I$ Not pregnant within past _
year O Yes O Probe blY
O Pregnant at time of death
® Accident O Pe d Widen vesti
s of death ~ No O Unknown O g garcon
O Not pregnant, but pregna ni within 42 da
.- y
~ Not pregnant, but pregnant 43 days to 1 year before death 32. Date of In-u O Suicide O could not be determined
I ry (MO/Day/Yr) (Spell Monih)
Q Unknown if pregnant within the past year January 1 4, 201 3 33. Time of Injury
Apx 01 :58 AM
34. Place of Injury (e.g. home; construction site; farm; school) 35. Locaton of Injury (Street and Number, Ctty, State, Zip Codey
Nursing Home 5225 Wilson Lane Apt 103 Mechanicsburg, PP, 17055
36. InJury at Work 37. If Transportation InJury, Specfy: 38. Describe Mow Injury Occurred:
O Vas O Driver/Operator O Pedestrian Fall
® No O Pasze nger O Other (Specify)
39a. Certifier (Check only one):
O Certfying physician -- To the best f ,death occurred due to the cause(s) and manner stated
O Pronouncing ~ Certifying physics of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated
IA Medical Examiner/Coroner - On In
i
ur
nation, and/or investigation, in my opinion, death occurred at the time, date, and place, and due tc~ the cause(s) and manner stated
Signature of certifier: Title of certifier: COED Her
License Number:
39b. Name, Address and 21p God Person Completing Cause of Death (Item 26)
39C. Date Signed (Mo/Day/Yr)
Graham S. Hetrick, 1271 South 28th Straat, Harrisburg, PA 17111
January 15, 2013
4D. Registrar's District Number 41
Re
istr
'
Si
~? ~ ~~ ~ ~-\ .
g
ar
s
gnature 42. Registrar Fi < Daie (Mo/Day/Vr)
43. Amendments l -7 - Z a r ~
Disposition Permit NO.s J Klr 7 Z Z ~ H105-143
- REV 07/2011
LAST WILL AND TESTAMENT
OF
JUANITA P. REDA
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I, JUANITA P. REDA, of the County of Cumberland and Commonwealth of
Pennsylvania, do make, publish and declare this as and for my Last Will and Testament, hereby
expressly revoking all wills and codicils made by me heretofore, and dispose of my estate as
follows:
ARTICLE ONE
TAXES, DEBTS, AND EXPENSES
A. I direct that any of my legally enforceable debts, any expenses of my last illness,
funeral and burial, and any of the administrative expenses of my estate shall be paid as soon as
conveniently may be done following my decease.
B. I direct that all state and federal transfer inheritance tax, estate tax or any other
similar tax, including any interest or penalties thereon, that may become due and payable
because of my death, with respect to property which is part of my estate for death tax purposes,
whether or not such property passes under this will, shall be paid by my estate, just as if such
taxes were my debts, and no beneficiary shall be required to pay or refund any part of such
taxes.
C. The direction of Article One, Paragraph B shall not apply (i) to the taxes on any
property included in my estate solely because of a power of appointment which I possess, (ii) to
the federal estate taxes on any qualified terminable interest property includible in my gross
estate under section 2044 of the Internal Revenue Code of 1986, as amended, (iii) to any
generation-skipping transfer taxes, or (iv) to any taxes where payment of the same has been
otherwise directed by another instrument executed by me. Taxes on future interests may be
prepaid.
ARTICLE TWO
TANGIBLE PERSONAL PROPERTY
A. I bequeath all my tangible personal property, including by way of illustration but
not by way of limitation, my household furniture and furnishings, paintings, books, automobiles,
jewelry and personal effects, exclusive of any such property used in a trade or business, in
accordance with the terms of a signed and dated memorandum I may prepare. If no such
memorandum is received or located by my Executrix within sixty (60) days after being appointed
as such, after a reasonable search for such memorandum, my Executrix shall be held harmless
for distributing such assets as hereafter provided. I bequeath any such property not disposed of
by such memorandum, or all of such property if no such memorandum is so received or located,
to my husband, VICTOR REDA, if he survives me. If my husband, VICTOR REDA, fails to
survive me, I bequeath all such property to my children, MURETTA YENTZER and ,JILL KENT,
living at my death, to be divided between them in as nearly equal shares as they agree. In the
event of irreconcilable disagreement between my children, they shall take alternate turns
selecting individual items with my oldest child making the first selection. Any items not so
selected shall be sold and the proceeds shall pass as a part of my residuary estate.
B. To the extent practicable in the Executrix's sole discretion, I bequeath any
policies of insurance on such property to the beneficiary entitled to such property.
C. I direct that the expenses of storing, packing, shipping, insuring and delivering
any such property to the beneficiary entitled thereto shall be paid by the Executrix as an
administrative expense of my estate.
ARTICLE THREE
RESIDUE
A. If my husband, VICTOR REDA, survives me, I devise and bequeath to my
husband, VICTOR REDA, all the rest, residue, and remainder of my estate.
2
B. I devise and bequeath all the rest, residue, and remainder of my estate as
follows:
1. Forty-five percent (45%) to my daughter, MURETTA YENTZER.
2. Forty-five percent (45%) to my daughter, JILL KENT.
3. Ten percent (10%) to be divided equally among my grandchildren living at
my death.
C. The share of either of my children deceased at my death with issue surviving shall
pass by representation to such issue surviving. The share of either of my children deceased at my
death without issue surviving shall lapse in favor of my other child, if surviving, or if the other child
is not surviving but leaves issue surviving, then unto such surviving issue, per stirpes.
D. The share for my grandson, DILLON KENT, shall be distributed to the Reda Family
Trust established under agreement dated November 12, 2004 to be held and administered under
the terms and conditions of Article Six thereof.
E. The share for any beneficiary other than my grandson, DILLON KENT, that is under
the age of twenty-five (25) years shall be distributed to the Reda Family Trust established under
agreement dated November 12, 2004 to be held and administered under the terms and conditions
of Article Six thereof.
F. In the event my husband and I die simultaneously, or under such circumstances
that there is not sufficient evidence that we have died otherwise than simultaneously, it is my
express desire that I shall be presumed to have predeceased my husband and that my will and
all its provisions shall be construed accordingly, any presumption of law to the contrary
notwithstanding.
3
ARTICLE FOUR
APPOINTMENT OF FIDUCIARIES
A. I appoint my husband, VICTOR REDA, as Executor of my estate. If my husband,
VICTOR REDA, is unable or unwilling to act or continue to act as Executor for any reason
whatsoever, I appoint my children, MURETTA YENTZER and JILL KENT, as Co-Executrices of
my estate.
B. No fiduciary appointed under this Will shall be required to give bond or other
security for the faithful performance of the fiduciary's duties, regardless of the state of residency
of the fiduciary.
ARTICLE FIVE
DEFINITIONS
A. All references in my will to children and issue shall include those born or
adopted, either before or after the date of my Will. Adopted persons shall be considered as
children of their adoptive parents, and they and their descendants shall be considered as issue
of their adoptive parents, regardless of the date of the adoption.
B. Wherever the context requires, the masculine gender shall include the feminine
and neuter gender, and vice versa, and the singular shall include the plural, and vice versa.
[Remainder of Page Intentionally Left Blank]
4
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 6`h day of October,
2011.
~~ JUANITA P.11 REDA
Signed, sealed, published, acknowledged and declared by the above-named Testatrix,
JUANITA P. REDA, as and for her Last Will and Testament, in the presence of us, who, at her
request, in her presence and in the presence of each other, have hereunto subscribed our
names as witnesses thereto.
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5
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
I, JUANITA P. REDA, Testatrix, who signed the foregoing instrument, having been duly
qualified according to law, acknowledge that I signed and executed the instrument as my free
and voluntary act for the purposes therein contained.
Sworn to or affirmed and
acknowledged before me by
JUANITA P. REDA
the Testatrix, this 6t" day
of October, 2011.
~~ ,
r
JUANITA P. REDA
F ~ ~
~' Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
John R.e. Bowen, Notary Public
Lower Allen Twp, Cumberland County
My commission ex fires March 2S, 2014
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
We, the undersigned witnesses who signed the foregoing instrument, being duly
qualified according to law, depose and say that we were present and saw Testatrix sign and
execute the instrument as her Last Will and Testament; 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; that Testatrix is known to each of us; and that to the
best of our knowledge and observation the Testatrix was at that time of sound mind and under
no constraint or undue influence.
Sworn to or affirmed and
subscribed to before me by
U ~u F . ~,.~~.u~ ~ and
u~~_
r ,
witnesses, this 6t" ay ~ ~,~~
of October, 2011.
/~
~<
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL, SEAL,
John R.e. Bowen, Notary Public
Lower Allen Twp, Cumberland County
My commission expires March 25, 2014
t,~~ -2
RENUNCIATION `~:~~ ~~3 i9 ~~'x 1 ~v
REGISTER OF WILLS ~ ~~ ~ ~ ~+~ l i' ` ~, ~ ~ ~
CUMBERLAND COUNTY, PENNSYLV ~ n ^ °,
Estate of Juanita P. Reda
1, Victor Reda
Executor
(Print Name)
Deceased
in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Jill Kent
I ~.?
(Date) 1" 't
(Signature)
5225 Wilson Lane, Apt. 215
(Street Address)
Mechanicsburg, PA 17055
City, State, Zips
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renun iation for the
purposes s ated within on this /5 ~~_ day
._._~
N tary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Fornr RW-06 rev. 10.13.06
coM~toi~Ai~ of P~sn.vvvrA
NOTARIAL, SEAL,
.Toter: R.e. Bowen, Notary Public
Lower ;Men Twp, Cumberland County
My commission expires March 25, 2014
~ ~ S„% l~
RENUNCIATION
~u ~
REGISTER OF WILLS t
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CUMBERLAND COUNTY, PENNSYLVANIA d~~i T;~~h~tva, rvit,,4.;;_~
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Estate of Juanita P. Reda
I, Muretta Yentzer
(Print Name)
Successor Co-Executrix
Deceased
in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Jill Kent
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(Date)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this - day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13. D6
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126 Green Ridge Road
(Slree! Address)
Carlisle, PA 17015
(City, Stage, Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this %S~~ day
of ~~ r~~-"2 ~~Fj
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANLA
NOTARIAL SEAL,
John R.e. Bowen, Notary Public
Lower Allen Twp, Cumberland County
My commission ex fires March 25, 2014