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HomeMy WebLinkAbout03-11-13PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, appty(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: Daniel S. Lankford. Jr. Name: Gladys Lankford File No: 21-13 ~ D~~ Z a/k/a: Gladys S. Lankford (Assigned by Register) a/kla: Date of Death: 02/27/2013 Decedent was domiciled at death in Cumberland County, Age at Death: PA 65 principal residence at 24 Farmhouse Lane, Carlisle 17013 Middlesex Cumberland Street address, Post Office and Zip Code City, Township or Borough County Decedent died at 500 University Drive, 17033 Hershey Dauphin Pennsylvania Street address, Post Office and Zip Code. City, Township or Borough County State Estimate of value of decedent's property at death: /f domiciled in Pennsylvania ................. All personal property $ ~ (~~ ) ~ (~Q 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 a Real estate in Pennsylvania situated at (Attach additional sheets, if necessary.) 02/20/2013 Street address, Post Office and Zip Code City; Township or Borough ® 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 none (State) with his/her last ~0~~~~ County 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(8), 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 life, durante absentia. durante minoritate If Administration, c.La ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent was not a party to pending divorce proceedin wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323 (g) and was neither the victim of a killing nor ever adgudirrated an incapacltated 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 C w av ~ t"~ t3o ~ ~ ~ -ti ~ ..~. ~ ~ t"rt H--~ ~ rn ~~ ~ - .~~ . w ,~ -°.. -~ 1--~ '.~'ri 1`x"1 `"°~ r - Form RW-OZ rev. 1x11-2011 Copyright (c) 2011 form software only The Lackner Group, CI~i ~ ~ ~ ,.n 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 Daniel S. Lankford, Jr. 24 Farm House Lane Carlisle, PA 17013 C'a ~-,.> ~' ~ ~ fT1~C7 ~ r~~ :'~ -~-{ ~ ~ 1---- The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and corre -~ b~~t of £~e knov'irled ~ and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, Petiti r(s) will well and tr cf min' r the estate acc'di to I w. Sworn to, r ffirmed and bscribed efore ~~ ~p~te ~ ~ me thi ~'~ d y of , ~~~ C.~te By. Date F t Register Date BOND Required? ~ YES ~ NO FEES: Letters ......................................... . ( ~ )Short Certificate(s)......... ( )Renunciation(s) .............. ( )Codicil(s) ........................ ( )Affidavit(s) ...................... Bond ............................................. Commission .................................. Other ,~~1 Automation Fee ............................ JCS Fee ....................................... TOTAL ......................................... $ ~10•ba ~S 00 'Gp d' 06 -a~ $ ~ ~' ~ ~ To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: C Printed Name: Jessica L Fisher Supreme Court ID Number: 310018 Firm Name: Keystone Elder Law P.C. Address: 555 Gettysburg Pike STE C-100 Mechanicsburg, PA 17055 Phone: T17-697-3223 Fax: E-mail: Jessicat~keystoneelderlaw.com DECREE OF THE REGISTER Date of Death: 02/27/2013 Social Security No: 2188-2124 Estate of Gladys Lankford File No: 21-13 2 Z a/k/a: Gladys S. Lankford AND NOW, ~d,L~' ~~~ ll !~ _ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Daniel S. Lankford, Jr. in the above estate and (if applicable) that the instrument(s) dated 02/20/2013 described in the Petition be admitted to probate and filed of record as the I~syW~(and Codicil(s~of Decedent. Register of Wills Copyright (c) 2011 form software only The Lackner Group, Inc. H105.805 REV (9/11) ~Zi-13-Z~~Z LOCAL REGISTRAR`'S CERTIFICATION OF DEATH a R~~~f#~~: ~~~~~F#o duplicate this copy by photostat or photograph. REGISTER 4F ~'~ ~~.~5 Fee for this certificate, $6.00 ,,,,~~~~~~-~~~-----. This is to certify that the information here given is II ~ZH OF p "' lCi3 ~~~ 11 FI I ~ O~ ,,,tl~y~~~`~-''~yr;_ correctly copied from an original Certificate of Death e~ERK a ORPHANS' G~URT P 19370~~i~8ER~A1~~ c~., PA Certification Number Type/Print in Permanent ~ `~ .. W duly filed with me as Local Registrar. The ongmal certificate will be forwarded to the State Vital E Records Office for permanent filing. AR 0: Local Re istrar Date Issued COMMONWEALTH OF PENNSYLVANIA ~ DEPARTMENT OF HEALTH ~ VITAL RECORDS CERTIiFICATE OF DEATH __ _ _.. _. 1. Decedent's legal Name (First, Middle, Last, Suffix) 2. Sex 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) GLADYS LANKFORD 2/27/2013 Sa. Age-Last Birthday (Yrs) Sb. Under 1 Year Sc. Under 1 Da 6. Date of Birth (Mo/D ay/Year) (Spell Month) 7a. Birth lace (City and State or Foreign Country) Months Days Hours Minutes Ba~timOra MD 6 5 3/ 1 9/ 1 9 4 7 7b. Birthplace (County) Ba more 8a. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) Sc. Did Decedent LIVe In a Township? 71 Maria Court Yes, decedent IIVed in SOUth Brunswick tw P• 8d. Residence (County) 8e. Residence (Zip Code) Q No, decedent IIVed within limits of city/boro. 9. Ever In US Armed Forces? 10. Marital Status at Time of Death Q Married Q Widowed il. Surviving Spouse's Name (If wife, give name prior to first marriage) Q Ves $j No Q Unknown Q Divorced ~ Never Married Q Unknown 12. Father's Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, Last) Ra mond Schmidt =celena Beinsack 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) ~ Daniel Lankford Son 24 Farm House Lane,Car11s1e,PA17013 Ci .:.. iSa. Pace o Deat C ec on y one ................... ............................ .........:............................... ~ , If Death Occurred in a Hospital: Inpatient ; If Death Occurred Somewhere Other Than a Hospital: [~i~Hospice Facility ~` ~ Decedent's Home ~ Q Emergency Room/Outpatient Q Dead on Arrival Q Nursing Home/Long-Term Care Facility Other (Specify) lSb. Facility Name (If not Institution, give street and number, 15c. City or Town, State, and Zip Code iSd. County of Death ~ M.S. Hershe Medical Center Hershe Pa. 17033 Dau hin m 16a. Method of Disposition Q Burial ~ Cremation 16b. Date of Disposition 16c. Place of Disposition (Name of cemetery, cremates ry, or other place) Q Removal from State Q Donation Other (Specify) 3 / 4 / 201 3 Crematory at Holy Cross Burial Park ~ 16d. Location of Disposition (City or Town, State, and Zip) 17a. Signature of Funeral e e Licensee or n In arge of Interment 17b. License Number ~ East Brunswick Twp_ ,NJ0881 6 , L FD01 331 1 L E 8 17c. Name and Complete Address of Funeral Facility _ J_ Murphy Funeral Home, 61 6 Ridge Rd. , PO Box 34,Mo~nmouth Junction, NJ 08852 r~' 18. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check the 20. Decedent's Race -Check ONE OR MORE races to Indicate what t°- highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be. Q 8th grade or less is Spanish/Hispanic/Latino. Check the "No" $~ White Q Korean Q No diploma, 9th - 12th grade box if decedent is not Spanish/Hispanic/Latino. Q Black or African American Q Vietnamese ~J High school graduate or GED completed ~ No, not Spanish/Hispanic/Latino Q American Indian or Alaska Native Q Other Asian Q Some college credit, but no degree Q Yes, Mexican, Mexican American, Chicano Q Asian Indian Q Native Hawaiian Q Associate degree (e.g. AA, AS) ~ Yes, Puerto Rican Q Chinese Q Guamanian or Chamorro Q Bachelor's degree (e.g. BA, AB, BS) ~ Yes, Cuban ~ Filipino Q Samoan Q Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) Q Yes, other Spanish/Hispanic/Latino Q Japanese Q Other Paclflc Islander Q Doctorate (e.g. PhD, EdD) or Professional degree (Specify) Q Other (Specify) e. MD DDS DVM LLB JD 21. Decedent's Single Race Setf-Designation -Check ONLY ONE to Indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work ~ White Q Japanese Q Samoan done during most of working life. DO NOT USE RETIRED. Q Black or African American Q Korean Q Other Paclflc Islander L 1 A i t Q American Indian or Alaska Native Q Vietnamese Q Don't Know/Not Sure aga ss s ant Q Asian Indian Q Other Asian Q Refused 22b. Kind of Business/Industry Q Chinese Q Native Hawaiian ~ Other (Specify) Q Filipino Q Guamanian or Chamorro La ga 1 ITEMS 23a - 23 MUST BE COMPLETED 23a. Date ronounced Dead (Mo Day Yr) 23b. Signature of Person Pronouncing Death (Only when app icable 23c. License Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH 23d. Date Signed (MO/Day/Yr) 24. TI f De h ~ 25. Was Medical Examiner or Coroner Contacted? Q Yes o CAUSE OF DEATH Approximate 26. Part i. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest, Interval: th e etio logy. D NOT ABBREVIATE. Enter only one cause respiratory arrest, or ventricular fibrillation...w.it~h rout showing on a line. Add additional Tines if necessary Onset to Death Q/ ' - / / ~ / / n IMMEDIATE CAUSE ---------------> a. ! .O.i1~YL~~(V~/~ V1~1' l~~L~^~ ~~~Gt//7 L"~'^ (Final disease or condition Due to (or as a consequence of): f resulting In death) ( Sequentially list conditions, Due to (or as a consequence of): i if any, leading to the cause /j { - i . i f i ~ , listed on line a. Enter the e. ~ V\+~,1 I " ~7 1~~ ~.f/~ ~ ~l'P/1~D lit ~i~~~'/L----~-- UNDERLYING CAVSE ve to (or as a consequence of): _ W (disease or Injury that Initiated the events resulting d. _ W v_ in death) LAST. Due to (or as a consequence of): ~ ,g 26. Part 11. Enter other sianiflcant conditions contributing to death but not resulting in the underlying cause given In Part I 27. Was an autopsy pe rformedT ly Yes No ~ 28. Were autopsy findings available m - to complete the cause of death? Q Yes No ?+ a 29. If Fe 30. Did Tobacco Use Contribute to Death? 31. Manner of Death E -Not pregnant within past year Q Yes Q Probably Mural Q Homicide ~ )~ Pregnant at time of death ,__, ~ ~ Q Unknown Q Accident Q Pending Investlgatlon aka' Q Not pregnant, but pregnant within 42 days of death Q Suicide Q Could not be determined ~ Q Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (Mo/Day/Yr) (Spell Month) 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 Injury (Street and Number, City, State, Zip Code) 36. Injury at Work 37. If Transportation Injury, Specify: 38. Describe How Injury Occurred: Q Yes Q Driver/Operator Q Pedestrian Q No Q Passenger Q Other (Specify) 39a. Certifier (Check only one): Q Certifying physician - To the. best of my knowledge, death occurred due to the cause(s) and manner stated Pronouncing & Certifying physician - To the best of y knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated Medical Examiner/ oron a basis of ml Ion, and/or lnvestlgatlon, In my opinion, d e a th occurred at the time, date, and place, and due to t h e c au s e ( s) a nd m a n ner stated i~ // ~~ ~ ~t ~ r ~ ~ ~ / / ~ G ) ~ ~ t _ - ~ ` Signature of certifier: Title of certifier: Y Ucense Number: P t(XIIJ 1 1. d 7 39b. me, Ad an Zip Code of Person d~ s g v ~q_ _eHr>~(ftgfi~ Medical Center, Hershey, Pa.17033 -" 39c. Date Signed /Day/Vr) o Q i ,^ ~~ / I~IYl i 2 ~ 40. Regtatra is DlstriM Number 41. Registrad Signature p ~te 42. R t a~jll y „' 71-!'2 ~ _ p ( ~ ~I~R ~I 43. Amendments /rl ~~ ,c, ~ ` ~ © H105-143 Disposition Permit No. [~ J (.~ / ~J REV ~07/2011 r-~,,;; ~. o ~ ~.,,~ rn ~ ~ ~ ~ ~~ LA~T W~LL AND T~~TAM~Ni ~ c~ ~~~ N ~ .~; c, ~BLADY~ eJo LAN~~®~D y ~^'I ~- ~~ N d..~_. ~._~ .....~ f,~,.... I, GLADYS S. LANKFORD, having my legal residence at 24 ~~ armhouse,an~;' Aisle, Cumberland County, Pennsylvania, 17013, do hereby declare this to be my Last Will and Testament, revoking all other Wills and Codicils heretofore made by me. I declare that I have the following two (2) children, Daniel S. Lankford, Jr. and Michael R. Lankford, born to me and that all references to my children are to them. ITEM ONE: I direct that all my valid debts and the expenses of my last illness and funeral be paid from my estate as soon as practicable after my death. ITEM TWO: I give and bequeath all of my tangible personal property to my residuary heirs under Item Four, below as follows: A. All items of tangible personal property shall be inventoried and valued at a fair market value. B. I may leave a Memorandum listing some of the items of my tangible personal property which I wish certain persons to have and request that my wishes as set forth in the memorandum be observed by my Personal Representative. Any items of tangible personal property not so designated shall be divided and distributed among my residuary heirs as follows: 1. Each of my heirs may select one item, in rotation, in order determined by lot, until such time at which the items chosen by each heir reach such heir's proportionate share of the total value of my estate, or until such time as each heir wishes to make no further selections. 2. Any items not selected shall be sold and the net proceeds added to the residue of my estate. 3. To the extent my heirs are unable to agree, the decision as to what may constitute "one item" for purposes of this selection shall be made by my Personal Representative(s). 4. Any disputes concerning this method of allocation shall be resolved by my Personal Representative(s) in my Personal Representative's sole discretion. 5. To the extent my Personal Representative is unable to resolve a dispute among two or more of my heirs concerning the in-kind distribution of any of my personal property, I direct my Personal Representative to sell the disputed property and the net proceeds there from shall be added to the residue of my estate. ITEM THREE: I give and devise any interest I may own in any real property together with the insurance thereon to my residuary heirs under Item Four. My Personal Representative may either distribute any real property at its then fair market value to one or more of my residuary heirs under and in accordance with Item Four below, or may sell any such real property and the net proceeds there from shall be added to the residue of my estate. 1 ITEM FOUR: I give, bequeath and devise the entire residue of my estate, of whatever nature and wherever situate, to my children, DANIEL S. LANKFORD, JR. and MICHAEL R. LANKFORD, in equal shares, per stirpes. In determining the value of a beneficiary's share of my residuary estate, I direct that the value of my residuary estate be augmented by the value of any personal and real property distributed in-kind under Items Two and Three, above. ITEM FIVE: Should any beneficiary of mine be under the age of twenty-five (25) years, my Personal Representative shall hold such beneficiary's share of my estate, as Trustee, IN TRUST and shall invest, reinvest and distribute the principal and net income of such beneficiary's share as follows: A. Until such beneficiary attains the age of twenty-five (25) years, my Trustee, in my Trustee's sole but reasonable discretion, may pay or apply the income and any or all of the principal of such beneficiary's share for the health, maintenance, support and education of such beneficiary considering all other sources of income available to such beneficiary and known to my Trustee. Upon such beneficiary attaining the age of twenty-five (25) years, my Trustee shall distribute the balance of the principal and accumulated income, if any, of each such beneficiary's share to such beneficiary. B. Should the principal of the Trust Estate, in the sole opinion of my Trustee, be or become too small to warrant placing or continuing of such fund in trust or should its administration be or become impractical for any other reason, my Trustee, in the exercise of their sole discretion, may pay such share absolutely to the person maintaining such beneficiary or may place such shares in the beneficiary's name in aninterest-bearing deposit in any bank, bank and trust company or national banking association of his choosing, payable to the beneficiary at majority; or if said beneficiary has reached his or her majority, then to him or her directly. C. All shares of principal and income hereby given shall be free from anticipation, assignment, pledge or obligation of my beneficiary(s), and shall not be subject to any execution or attach- ment. ITEM SIX: Iappoint, my son, DANIEL S. LANKFORD, JR., Personal Representative of this my Will. In the event my son is unable or unwilling to act or continue to act as my Personal Representative, Iappoint my son, MICHAEL R. LANKFORD, Personal Representative of this my will. I give to my said Personal Representative(s) the same powers as are hereinafter given to my Trustee. Such powers shall be in addition to those conferred by law. ITEM SEVEN: Iappoint my duly appointed Personal Representative as Trustee of any Trust(s) created pursuant to Item Five, above. ITEM EIGHT: No bond shall be required of any .fiduciary hereunder in any jurisdiction. No fiduciary hereunder shall have any liability for any mistake or error of judgment made in good faith. ITEM NINE: I authorize my Personal Representative(s) and Trustee(s) to exercise the following powers in addition to those given by law, to be exercised in their sole discretion: A. To retain any or all of the assets of my estate, without regard to any principle of diversification, risk or productivity; B. To invest in all forms of property without restriction to investments authorized for any type of 2 fiduciary; C. To compromise any claim or controversy; D. To loan money to or buy property from my estate; E. To borrow money from any person, including any Executor or Trustee, and to mortgage or pledge any real or personal property; F. To sell at public or private sale, to exchange or to lease for any period of time, any real or personal property, and to give options for sales, exchanges or leases, all for such prices and upon such terms and conditions as they deem proper; G. To allocate receipts and expenses to principal or income or partly to each as they deem proper; H. To repair, alter or improve any real or personal property; I. To distribute in cash or in kind or partly in each at valuations fixed by them; J. To keep reasonable amounts of cash in a bank uninvested if deemed advisable for the protection of the principal; K. To subscribe for or to exercise options for stocks, bonds or other investments; to join in any plan of lease, mortgage, merger, consolidation, reorganization, foreclosure or voting trust and to deposit securities thereunder, and to generally exercise all the rights of security holders or employees of any corporation; L. To register securities in the name of a nominee or in such manner that title shall pass by delivery; M. To add to the principal of any trust created by this instrument any real or personal property received from any person by Deed, Will or in any other manner; N. To exercise all power, authority and discretion given by this instrument after the termination of any trust created herein until the same is fully distributed; O. To use their sole discretion in deciding whether stock dividends on stock they hold in trust should be .apportioned to principal or income, except stock dividends of regulated investment companies which shall be added to principal; P. To commingle the assets of any trust estate created by this Will in any one or more common funds for greater convenience and flexibility; Q. To employ agents, accountants, engineers and such other persons, professional or otherwise, as may be necessary for the proper administration of this estate or trust and to pay their compensation from such funds; and R. To disclaim all or any interest in a property passing to me or my estate. ITEM TEN: I realize that Personal Representatives are given discretion by law to make various elections which affect the income and estate taxes payable by estates and beneficiaries, as well as the relative shares of beneficiaries, such as taking administration expenses as deductions for either estate or income tax purposes, selecting options for the payment of employee death benefits, electing to take a qualified terminable interest as part of the marital deduction, selecting alternate valuation dates, postponing the payment of taxes, filing joint income tax or gift tax returns and redeeming corporate stock. The decisions made by my fiduciaries in any of these matters shall be binding upon, and .not subject to question by, any affected persons. I rely upon my fiduciaries to take- into consideration the total income and estate taxes payable by reason of their decisions including those payable by my survivors, and they are authorized in their discretion, but not required, to make adjustments between income and principal as a result thereof. 3 ITEM ELEVEN: I direct that all estate, inheritance and other taxes in the nature thereof, together with any interest and penalties thereon, becoming payable because of my death with respect to the property constituting my gross estate for death tax purposes, whether or not such property passes under this my Last Will and Testament, shall be paid from the principal of my residuary estate, and no person receiving or .having a beneficial interest in any such property, whether under this my Last Will and Testament or otherwise, shall at any time be required to contribute to or refund any part thereof; PROVIDED, however, that this direction shall not apply to the taxes on any property included in my estate solely because of a power of appointment thereover which I possess but have not exercised or on any qualified terminable interest or to any generation- skipping transfer taxes. ITEM TWELVE: No gift or beneficial interest shall be subject to anticipation, assignment, pledge, obligation, or alienation of my beneficiary(s), whether voluntary or involuntary, and the income and principal thereof shall not be subject to any execution or attachment. ITEM THIRTEEN: If any beneficiary, person or entity in any manner, directly or indirectly, contests or attacks. this Will or any of its provisions, or objects to the accounts or actions of my fiduciaries, without probable cause, such beneficiary, person or entity shall pay all costs, including but not limited to attorneys' fees, arising in connection with such contest, attack or objection incurred by my estate, such trust or such fiduciary personally. In the event that such beneficiary, person or entity does not prevail in such action, any share or interest in my estate or such trust which would otherwise pass to such beneficiary, person, entity or remainderman under this Will shall be revoked and the property consisting of such share shall be disposed of in the manner provided herein as if that contesting person or entity had predeceased me without surviving issue. ITEM FOURTEEN: Should any of the provisions of my Will be for any reason declared invalid, such invalidity shall not affect any of the other provisions of this Will and all invalid provisions shall be wholly disregarded in interpreting this Will. This Will shall be construed, regulated and governed by and in accordance with the laws of the Commonwealth of Pennsylvania. IN WITNESS WHEREOF, I have at Mechanicsburg, Pennsylvania, on February 20, 2013, set my hand and seal to this my Last Will and Testament consisting of four (4) pages plus any witness, acknowledgement, affidavit and certification pages. r ~' GL YS S. LANKFORD 4 SIGNED, MARKED, SEALED, PUBLISHED AND DECLARED BY GLADYS S. LANKFORD, the above named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. Witness: Address: Witness: /J ~~LLL~ ~ ~ ~~ Address: ~/ "~ ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND I, GLADYS S. LANKFORD, the Testatrix whose name is signed or who has made a mark and seal to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed or made my mark and seal and executed the instrument as my Last Will, and that I signed or made my mark willingly and as my free and voluntary act for the purposes therein expressed. GLADYSS. KFOKD Sworn to or affirmed and acknowledged before me, by GLADYS S. LANKFORD, the Testatrix on February 20, 2013. lic or PA Attorney 5 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: r I, l~l.cll~, ~_ l10~~ , a witness whose name is signed to the attached or foregoing instrument, being duly sworn and qualified according to law, do depose and say that I was present and saw the Testatrix sign and execute the instrument as her Last Will; that she had signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix, signed the Will as Witness; and that to the best of my knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraints or undue influence. . ~. .r Sworn to or affirmed and acknowled ed before me b Q~ a Witness ~ ~ Y on February 20,.2013. u is or PA Attorney 6 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND I, David D. Nesbit, a witness whose name is signed to the attached or foregoing instrument, being duly sworn and qualified according to law, do depose and say that I was present and saw the Testatrix sign and execute the instrument as her Last Will; that she had signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix, signed the Will as Witness; and that to the best of my knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraints or undue influence. ,--, ~~ ,., ~, Witness Sworn to or affirmed and acknowledged before me, by David D. Nesbit, a Witness on February 20, 2013. .~~~~2~.c~~- %~21 o- Notary Public CERTIFICATION COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: NOTARIAL SEAL MARCIA M NESBIT Notary Public UPPER ALLEN TWP., CUMBERLAND COUNTY My Commission Expires Jun 4, 2014 On February 20, 2013, before me, the undersigned officer, personally appeared David D. Nesbit, Esquire (Pennsylvania Supreme Court ID No. 77411), known to me or satisfactorily proven to be a .member of the bar of the highest court of Pennsylvania and certified that he was personally present when the foregoing acknowledgement and affidavit(s) were executed by the Testatrix and witnesses. IN WITNESS WHEREOF, I hereunto set me hand and official seal. i~~ r~ ~ ~~ Notary Public 7 NOTARIAL SEAL MARCIA M NESBIT Notary Public UPPER ALLEN TWP., CUMBERLAND COUNTY My Commission Expires Jun 4, 2014 ESTA'd']E MEl+/gOgZAllTI9~JMI OF Gg.ADXS ~. ]LANKFO]RD This informal letter of instruction to my family and Personal Representative serves to convey my personal wishes concerning distribution of selected personal effects. In any situation where the provisions of this letter may be deemed to be inconsistent with or contrary to the terms of my Will, or other formal Estate Planning Documents, it is my desire and intent that the provisions of my Will and other formal Estate Planning instruments shall govern and be controlling since I do not intend that this letter shall serve in any respect as a Will nor shall the terms of this letter override the provisions of a Will or a Trust executed by me whether it was signed prior or subsequent to the date of this letter. Distribution of Personal Property Description of Property Beneficiary 1. 2. 1. ~ 2. 3. 4. 3. 4. 5. 5. 6. 6. 7. 7. 8. 8. 9. 9. 10. 11. 12. 10. 11. 12. 1 Description of Property 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Beneficiary Other Directions To My Family: 2