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HomeMy WebLinkAbout02-26-13i N PETITION FOR GRANT OF LETTERS REGISTER OF WII.LS OF Cumberland COUNTY, PENNSYLV Reset Petitioner(s) named below, who is/are 18 yeazs 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 fo Decedent's Information 1 ~ Name: Dorothy E. Storbeck File No: 2 ~ ' ~} 2~~ a/k/a: (Assigned by Register a/k/a: a/k/a: Social Security No: Date of Death: '~ / Z d ~ _ Age at death: 89 Decedent was domiciled at death in Cumberland County, penn5ylvania (Stare) ith his/her last principal residence at 325 Wesle Drive Mechanicsbur PA 17050 Cu berland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 325 Wesley Drive. Mechanicsbure. PA 17050 Street address, Post Office and Zip Code City, Township or Borough 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 ......................................................... $ TOTAL ESTIMATED VALUE.... $ Real estate in Pennsylvania situated at: N/A (Attach additional sheets, if necessary.) Street address, Post Office and Zip Code City, Township or Borough ® A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver(s) he/she/they is/aze the Executor(s) named in the last Will of the Decedent, dated July 22, 1996 thereto dated N/A County and Codicil(s) State relevant circumstances (eg. 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 aye 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., pendente life, durante absentia, If Administration, c.~a. or d b.n.c.za., enter date of Will in Section A above and complete list of ] Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been in 23 Pa. C.S. § 3323(g) and was neither the victim of a killing nor ever adjudicated an incapacitated person. Q NO EXCEPTIONS Q EXCEPTIONS ~ Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the fol~viligspouse (i additional sheets, if necessary): rt1 'U ~ _ _ minoritate as defined ~ ~ ~- a~e~(attach ~ ~ Name Relationshi Ac~ir ~ ~3 ~ . ~ C.7 ~ ~ -rg "'r'1 _.~ ~ ~ C7 . ~ c_ r. _ rn ~ -~.I ~ ~ Form RW-02 rev. 10/11/1011 County ~ State Page 1 of 2 ~. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Petitioner(s) Printed Name Petitioner(s) Prin Richard J. Storbeck 2830 Sunset Drive Cam Hill PA 17011 ) ,_ J CLERK C ' CC RT --...-,..r...~.4HtE u 4 t'q ., 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 owledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Deced ,the Petiti ne s) will well and trul administer the estate a cording to law. Sw.~rn to or affirmed subscribed befog Date ' Z ~ ~ 2013 met clay of ~ Date By: ~ Date or the Register Date BOND Required: Q YES ~~1V0 FEES: Letters ...................... $ (~ )Short Certificate(s)..... . ( 2 )Renunciation(s)......... ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ...... . .......... . Other ( ........ U ....... ...... ~ Automation Fee . .............. JCS Fee . .................... TOTAL ..................... $ ~ 0 To the Register of Wills: Please enter my appearance by my signature belo Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of Dorothv E. Storbeck File No: 2 ~ ~ ~ ~. a/k/a: AND NOW, , ~~~ , in co~ eration of the for going Petition, satisfactory proof having been pre nted before me, IT IS DECREED that Letters are hereby granted to ( , the instrument(s) dated _ described in the Petition Form RW-02 rev. 10/11/2011 Official Use in the above estate and (if applicable) that to probate and tiled of record as the last Will (and Codicil(s)) of gister of Wills ~r Page 2 of 2 H105.R05 REV (9/111 LOCAL REGISTRAR'S CERTIFICATION OF DEAT WARNING: It is illegal to duplicate this copy by photostat or photograph. RECORDED OFFICE OF Fee for this certificate, $~C I S T E R O F W 1~ L S '~I3 FEB 2 ~ Phi 3 07 P 19 3 9 8C~ERK of 1~4NS' COURT a Certification _ Nu~'ii~$ E-R LA ND C Q., PA _ _ ___._. _ __ Local Registrar_ _ 3 TYPe/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Permanent Black Ink CERTIFICATE OF DEATH state File 1. Decedent's Legal Name (First, Mtddle, Last, Suffix) 2. Sex 3. Social Security Number ~~ 89 Days information here given is iginal Certificate of Death al Registrar. The original rded to the State Vital ant filing. B e2o3 ___ Date Issued aa. nas~osnce t ute or Foreign Country) Sb. Residence (Street and Number -Include Apt No.) 8e. Did Decedent Live In a Township? Penns VaniB ~I Ves, decedent lived In LAwer ,Allen t,~,p 8d. Residence (County) 325 Wei ge. Residence (Zip Code) • Q No, decedent lived within Iimtts of city/boro. 9. Ever in US Armed ForcesT 30. Marital Status at Time of Death Mauled Widowed 11. Surviving Spouse's Name (If wife, give name rlor to first marriage) Q Ves ~Jo Q Unknown Q Divorced Q Never Married Q Unknown t°- highest degree or level of school completed at the time of death. p g n ec t e box that bast descrbes whether the decedent 20. Decedent sRace -Check ONE OR the decedent considered himself or ORE races to Indicate what erself to b ~ 8th grade or less Is Spanish/Hispanic/Latino. Check the "NO" White e. Q Korean Q No diploma, 9th - 12th grade Q High school graduals or GED com leted box If decedent Is no[ Spanish/Hispanic/Latlno. ~ Black or African American Q Vietnamese p Q Some college credit, but no degree ~ No, not Spanish/Hispanic/Latlno Ves Mexlee M i A Q American Indian or Alaska Native Q Other Asian Associate degree (e.g. AA, AS) - ' , n, ex can merican, Chicano Q Ves, Puerto Rican Q Asian Indian Q Chinese Q Native Hawaiian Q Gu i h Bachelor s degree (e.g. BA, AB, BS) ' Q Yes, Cuban Q Filipino aman an or C amorro Q Sa Q Master s degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino Q Japanese moan Q Other Pa ifi I l d Q Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) Q h c c s an er e. MD DDS DVM LLB JD Ot er (Specify) 21. Decedent's Single Raee Self-DesignaNOn -Check ONLY ONE to Indicate what the decedent Considered himself or h ~] Whit erself to bs. 22a. Oeeedent's Usual Occupation -Indicate type of wort e 0 Japanese Q Black or African American Q Korean Q Samoan h done during most of worki ng Itfe. DO NOT USE RETIRED. y en Dead on Arrival lSb. Facility Name (H not Institution, give street and number; Bethan Vill Nursin Homd/Lon -Term Care Faclli SSc. City or Town, State, and Zip Coda Other (Specify) 15d. Coun of Death ~ a Meclzarticsbur PA 17050 Clean rlanc 16a. Method of Disposttlon Burial Q Cremation Q Removal from State Q Donation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, crematory, r ocher pl: other (s .u 02/19/2013 Indiantown Ga National tex SBd. Location of Olspositlon (City or Town, State, and 21p) 17a_ ature of Funeral Se rvi a Ucensee or P In Charge of Interment 17b. Lic nee Numbs Annville P 17c. Name and Complete Address of Funeral Facility M ere-Hamer Ftimeral Home Inc. 1903 Market St Cam 11 PA 170 r~( lg. Decedent's Education -Check the box that best describes the . 19 Decedent of Hls anic Orl i - Ch k h 1 C - ------ - ------- -- ~~--• --~ ----• ----• --•••^. ie. motners name Prior to First Marr{age (First, Middle, La t) Herbert Dur in Mar inn 14a. Informant's Name 14b. Reletionshlp to Decedent 14c. Informant's Melling Address (Street and Number, City, fate, Zip Code) Ric~iard.Storbeck 2830 Sunset Dr. Hil 17011 on 1 PA ......................................................... ...P ....................._.......... 1 a. ace o ea ec on one _ If Death Occurred in a Hospital: [~ In atlent ilf Death Occurred Somewhere Other Than a Hospital: ~` Hospice Facility ~ Decedent's Nome Emergan Room/O ae1 t ~~ 0 AmeHun Indian or Alaska Nath ~ Asian Indian Q Chinese Q FIIIPIno e- M L 6V PERSON WHO PRONOUNCES OR CERTIF{ES DEATH CAUSE OF DEATH 26. Part 1. Enter the chain of even ts--diseases, injuries, or eompligtlons-that directly caused the death. DO NOT enter terminal events such Approximate as cardiac arre t respiratory arrest, or ventricu lar fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add add s , Interval: itional lines if necessary - Onset to D th IMMEDIATE CAUSE ---------> ,. i N~ N I "T 1 0 Y'J ea (Final disease or condition Due to (or as a consequence of): resulting In death) f~ ~ A _ ' ~~ D Sequentially list conditions, If any, leading to the cause Due to (or as a consequence of): listed on line s. Enter the c. UNDERLYING CAUSE Oue to (or as a consequence of): W (disease or Injury that Initiated the events resulting d. In death) LAST. Due to (or as a consequence of): 26. Part II. Enter other but not resulting In the underlying cause given In Part l ~1~ ~ . 27. Was an autopsy performed? ~ ~ Q Yes No Q Ot er Paelflc Islander Q Vietnamese Q Oon't Know/Not Sure Hom~naker Q Other Asian Q Refused ~ Native Hawaiian Q Other (Specify) 22 b. Kind of Business/Industry Q Guamanian or Chamorro OF7L7 Home 2 a. Date Pronounce Dea Mo sy r . 5 gnaturc Person Pronouns n Deat On w en app ice a 23e. Lice ~ebr v4 t ~ ~ a©~ 3 _ //~~ /C~/w'~'~g Rni~~'1'71033 L 23d. Date Signed (Mo/Day/Yr) 24. Time of ~Dfeath OC ~ a 25_ Was Medical Examiner or Coroner Contacted? Q Yes No v~ ~ ~ ~~ ~~ ~~/~ 28. Were autopsy findings available to complete the cause of death? ~1-- ~ 29. If Female: ~ Not pregnant within pest year 30. Did Tobacco Use Contribute to Death? Q Ves 0 Pr b bl Q Ves No 31. Manner of Death J„, ~ ~ Pregnant at time of daa[h N t b o a y Q No IVaUnknown ~ atural '~ACNdent Q Homicide Q Pe di I I-°- Q o pregnant, ut pregnant within 42 days of deat 0 Not pregnant, but pregnant 43 days to 1 year before death h 7 32. Date of Injury (MO/Dey/Yr) (Spell Month) 0 Suicide n ng nvestigation Q Could not be determined ti d l J Q Unknown If pregnant within the past year 33. Time of Injury 34. Place of Injury (e.g. home; construction site; farm; school) 35. Location of Iniurv lctreer ...,. ,.,..... w.- .-.~. ~~_~_ -.._ ~_~ _. --/ 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: 1. Q Ves Q Driver/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) 39a. Certifier (Check only one): Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated Q Pronouncing •9i Certifying physician - To the best of my knowledge, death occurred at the time, date, end place, and due to the cause(s) end manner slated Q Medleal Examiner/Co ner - On the basis of examinatlon, and/or investigation, In my opinion, death occurred at [he time, date, and place, and due to the cause(s) and manner stated Signature of grtifler: Title of certiflsr•~ Y~ License NumbarM_ D •4~ X3--3 39b. Name, Add^-ass and ZI o of Pe Comply ing Cause of Death (Item ~ , t1 _ _ _ _ _. - . ~ rnr, t ~ __ _ ~~) 1 i \/1 _ 1 !'\ 9c. Date6iened taw..in~.. • I ~ t ~ , .J ilt ~7~ 40. Reg stray s District Num er 41. Registrar Signet 42. Regl ar File ate (MO Day r Asa 43. Amendments ~~/ /o-~ / ~ ~~ 7e! Disposttlon Permit No. 0857004' REV o jzou This is to certify that th correctly copied from an duly filed with me as L certificate will he fors Records Office for perm i I •'v C c_,.,~ o ~ m c~ ~# ~ DOROTHY E. STORBECK '~" u ~ ~' rn ~ ~' ._ .~ ~° . " rte. ~ ~,~, ~ ~ _ w. 4~.. ~,. I, DOROTHY E. STORBEC ' ~ ~ ' ` ~' K, of East Pennsb©ro Tow ship .-~..,. Ala J ~5_ ~ e~- , m c~ Cumberland County, Pennsylvania, do make, publish and declare this to be~'ny ~' ~ Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether payable by my estate or by any recipient of any property, shall be paid by the Executor out of the residue of ~A '~ my estate, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay the expenses of my last illness and funeral expenses from the residue of my estate as an expense and cost of administration of my estate. ITEM III: I may leave a written list in my safe deposit box or elsewhere disposing of certain items of my tangible personal property. The Executor shall dispose of items of my personal property as specified in the written list. If no written list is found in my safe deposit box or elsewhere and properly identified by the Executor within thirty (30) days after the probate of my Will, it shall be presumed that there is no other statement or list. Any Page 1 ~~ subsequent discovered list shall be ignored. I give and bequeath my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment not mentioned in the written list and all policies of insurance thereon to my children living at the time of my death, to be divided among them as they shall agree. ITEM IV: I give the residue of my estate, not disposed of in the preceding portions of this Will, to my children, RICHARD J. STORBECK, SUSAN L. STORBECK AND RONALD M. STORBECK, in equal shares. If any of my children is not living at the time of my death, his or her share shall be paid to his or her then living issue, per stirpes. If, however, any issue of a deceased child has not attained the age of twenty-five (25) years at the time of my death, his or her share shall be held in trust by the living parent of such issue, as Trustee, IN TRUST NEVERTHELESS, and shall be administered and distributed as follows: (a) The Trustee shall pay to or for his or her benefit, in convenient, at least annual, installments, all of the net income. The Trustee shall also pay to or for the benefit of that issue (the "Beneficiary") so much of the principal of this Trust as the Trustee, in the sole discretion of the Trustee, considers necessary to maintain the Beneficiary in the proper station in life, including proper support, maintenance, medical care and college or higher education. (b) Upon the attainment of the age of twenty~five (25) years by the Beneficiary, the Trust shall terminate, and the Trustee shall distribute to the Beneficiary all the assets of the Trust. Page 2 ~ ~~ (c) If the Beneficiary dies before final distribution of the assets of the Trust, but is survived by then living issue, the Trustee shall quarterly pay the net income from this Trust to or for the benefit of the Beneficiary's issue, per stirpes, living at each time of quarterly distribution. As soon as any one of the Beneficiary's; issue attains the age of twenty-one (21) years, but in no event later than twenty (20) years following the death of the Beneficiary, the Trustee shall pay over all of the assets in the Trust to the then living issue of the Beneficiary, per stirpes. Should such Beneficiary die before final distribution of this Trust and not be survived by issue, the provisions of subparagraph (d) shall apply. (d) If, before final distribution of the assets of any Trust established for the issue of a deceased child, there is no living beneficiary of that Trust, it shall terminate. The principal of the Trust shall be added to the other Trusts created under this Will for the benefit of the other issue of my deceased child. A per stirpital share shall be allocated for each Trust. If any Trust created for issue of a deceased child had previously been terminated, the beneficiary who received payment of the principal of that Trust shall be considered a "Trust" for the purpose of this paragraph, and one share shall be paid directly to that beneficiary. If that beneficiary is deceased, his or her share shall be paid to his or her then living issue, per stirpes. ITEM V: No part of the income or principal of any Trust created by this Will shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt of income or principal distributed. The Trustee shall pay the net income and the principal to the beneficiaries specified by me, as their r ,~ ,? Page 3 ,_ ~,~"' r _ _ _ - -- interests may appear, without regard to any attempted anticipation, pledging or assignment, and without regard to any claim or attempted levy, attachment, seizure or other process against the beneficiary. ITEM VI: The Executor and the Trustee shall each possess the following powers, each of which may be exercised in a fiduciary capacity only: (a) To retain any investments I have at my death, including specifically those consisting of stock of any bank evem if I have named that bank as the Executor or Trustee. (b) To vary investments, and to invest in bonds, stocks, notes, real estate mortgages or other securities or in other property, real or personal, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. (c) In order to divide the principal of a 'Dust or for any other purpose, including final distributions, the Executor and Trustee are authorized to divide and distribute personal property and real property, partly or wholly in kind, and to allocate specific assets among beneficiaries and Trusts so long as the total market value of each share is not affected by the division, distribution or allocation in kind. The Executor and Trustee are each authorized to make, join in and consummate partitions of lands, voluntarily or involuntarily, including giving of mutual deeds, or other obligations, with as wide powers as an individual owner in fee simple. r~ Page 4 ~,~ ~ ~ Y (d) To sell either at public or private sale real and personal property severally or in conjunction with other perspns, and to consummate sale(s) by deed(s) or other instrument(s!) to the purchaser(s), conveying a fee simple title. No purchaser shall be obligated to see to the application of the purchase money or to make inquiry into the validity of any sale(s). The Executor and Trustee are authorized to execute, acknowledge and deliver deeds, assignments, options or other writings as necessary or convenient to any of the power conferred upon the Executor and Trustee. (e) To mortgage real estate, and to make lealses of real estate. (~ To borrow money from any person, including the Executor or Trustee, to pay indebtedness of mine or of my estate, expenses of administration or inheritance, legacy, estate and other taxes, and to assign and pledge assets of my estate or any Trust established by this Will. (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or any Trust established under this Will. (h) To make distributions of income and of principal to the proper beneficiaries, during the administration of my~ estate, with or without court order, in such manner and in such amalunts as the Executor deems prudent and appropriate. Page 5 i, (~ (i) To vote shares of stock which form a part of my estate or any Trust established under this Will, and to exercise all the powers incident to the ownership of stock. (j) To unite with other owners of property similar to property in my estate to carry out plans for the reorganization of any company whose securities form a part of my estate. (k) To disclaim any interest in property which would devolve to me or my estate by whatever means, including bud not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under athird-party beneficiary contract. (1) To prepare, execute and file tax returns of any type required by applicable law, and to make all tax elections authorized by law. (m) To employ custodians of property, investment or business advisors, accountants and attorneys as the Executor dr Trustee deems appropriate, and to compensate these persons from assets of my estate or trust, without affecting the compensation to which the Executor and Trustee are entitled. (n) To do all other acts in their judgment necessary or desirable for the proper and advantageous manageme~it, investment and distribution of the estate and Trusts established under this Will. ~~ Page 6 a f ITEM VII: The Trustee is authorized to distribute principal and/or income in any one or more of the following ways if the Trustee, in the sole discretion of the Trustee, considers the beneficiary unable to apply distributions to the beneficiary's own best interests, or if tie beneficiary is under a legal disability: (a) Directly to the beneficiary; (b) To the Trustee, or to another person selected by the Trustee, as custodian under the Pennsylvania Unifoltm Transfers to Minors Act as to a beneficiary under the age of twenty-one (21) years; (c) To a relative of the beneficiary, to be expiended by that relative for the benefit of the beneficiary; or (d) By directly applying distributions for the benefit of the beneficiary. ITEM VIII: Any person who has died within thirty (30) days of my death, or under such circumstances that the ordler of our deaths cannot be established by proof, shall be deemed to have predeceased me. Any person (other than myself) who has died at the same time as any beneficiary under this Will, or in a common disaster with that beneficiary, or under such circumstances that the order of deaths cannot be established by proof, shall be deemed to have predeceased that beneficiary. ITEM IX: I hereby nominate, constitute .and appoint my children, RICHARD J. STORBECK, SUSAN L. STORBECK AND RONALD M. STORBECK, or the survivors of them, to be the Executors, collectively referred to Page 7 ~~ ~ (-~ as "Executor". The Executor and Trustee are specifically relieved from the obligation of filing bond or entering security. IN WITNESS WHEREOF, I have set my hand ~ and seal to this, my Last Will and Testament, consisting of this and the precedb.ng seven (7) pages, at the end of each page of which I have also set my initials fotr greater security and better identification this o~ o~ day of ~' , lg~, C .7 -- (SEAL) DOROTHY.- . S ORBE~CK We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named' Testatrix as and for her Last Will and Testament, in the presence of us, who, a~ her request and in her presence and in the presence of each other, have hereunto $et our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disppsing mind and memory. t -~~'~ EAL) Residing at ~~ j,~~~1 ~, ~ ' ~ ~ ~ '~~ ~/,~`~ ~ ~a~~EAL) Residing at °``~ L;%':~.--~~~,,,~_~~~ / t' // '~ l r (SEAL) Residing at ~1 `~' ~.,.5 ~,c ~~ ~. ~ r ~ `~ r ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF ~~~~~~~,.~, 1 SS: I, DOROTHY E. STORBECK, Testatrix, 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 and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ,~ ~,,; ,~ ,- A ~- (SEAL) DOROT . STO BECK ~. Sworn to and s~scribed before me this ~ `~` `~ ay of `~-~-~ .r c . ~ ~,~, ~ otary Public My Commission Expires: NOTgR' q S~q~ MARGARET L, 8OY0~ Note City of Harrisburg p~ ry Public (SL+'~j,) M Commissir~n Ex sires June 27un20~pp AFFIDAVIT COMMONWEALTH OF P~~iNSYLVANIA ) SS: COUNTY OF ~ ~ We, a ~~ /1I, e ~ ~ ~ ~_ 1~ O~Gt_~i~/' and S e l ~ ~ ,the Witnesses whose names are signed to the atta ed or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix, DOROTHY E. STORBECK, sign and execute the instrument as her Last Will and Testament; that Testatrix signed willingly and that she executed said Will as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as Witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Witness /' Witness Witness Sworn to and ~bscribed before me this ~ ''' day of 19 ~G . .,. !., ~ // ~. otary Public My Commission Expires: NOTARIAL SEAL (S ~,~) ~~~ : '.:=ABET L. BOYD, Notary Public ~~ .~- ~!~rrisburg, Dauphin County ~ ', ;, ,;,. ,; ~s!r~r- Ex Tres June 27, 2000 ~o22i i _ __ _ rte,; n co ..--. ~-~ s rnnT ~ ~ rn ~, c ~? c~ =~, ~, v,~ -{ ~~ :t: ~ Ca C~ "a' RENUNCIATION ~ ~ ~' l "= _~, -~ ~- ~, ,~ ~ ~ o REGISTER OF WILLS NIA C~ ~~c I ~ . -~ COUNTY, PENNSY LVA Estate of ~\4-~'~~.~!~ ~"' ~ ~ ~/ ~ ~~ ,Deceased I, ~,, ~ ~~ ~ ~L7~,~-K-~ , in my capacity/relationship as (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~ ,~~~~ (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this '' day ~~ of S~ , _ 6?~~ . (~~~) Z ~~. (Street dddress) (City. State, Zip) Executed out o, f 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 aancC_ day of o~y/3 0~ ~J No Public My Commission Expires: !m~ /gyp, too/~ (Signature and Seal of Notary or other official qualificd to administer oaths. Show date of expiration of Notary's Commission.) Deputy for Register of Wills Form RW-06 rev. 10.13.06 r-,,: ~' ~ ~ " ' ~ f t t rn ~ c~ m to ~ ~ ~•. r" rzrn rv ~, ~~ RENUNCIATION ~ ~ ~ ~ ~, ~~~ ~ ~~ ~ ~~-~ ~ ~ ~ ~~ REGISTER OF WILLS ~, c..~, r~~ f._ ~, CU /"~ (~ /Zta~ O COUNTY, PENNSYLVANIA ~ o rn -,.~ Estate of /~ ~crcr y l~ f T~ie%~/t ck ,Deceased I /Q oNa z ~ ~,.~ _ J'Tc `eQrr c ~(- , in my capacity/relationship as (Print Name) Son/ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to 1C~,1,/YL~J T J'TaKQ~fe~ F~~~~A~ y z ~ _ z oi3 (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. 10.13.06 (Signature) 9 9 ~ G~AYFikca ~,e ~v (Street Address) FAc~vr~~, P~ /~'ya3 (City, State, 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 l S-= day of ~c, c~ ac U a ~ ~~ 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.) ~MMONWEALTH OF PENNSYLVANIA Notarial Seal peeoRat, A. Trego, Notary Public Twp., Chester County ~• lone 30, 2016 MRr OF t~TARI~