HomeMy WebLinkAbout03-14-13_ __ ~T
PETITION 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:
Decedent's Information ~/ /'~
Name: Doris J Gallagher File No: 21 - 13 J(~
a!k/a: Dorie_ Jean Gallagher (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 02I21I2013 Age at Death: 83
Decedent was domiciled at death in Cumberland County, PA (State) with his/her last
principal residence at 5 Creek Road, Camp Hill 17011 Lower Allen Cumberland
Street atltlress, Post Office entl Zip Cotle Gity, Township or Borough County
Decedent died at Hospice House, Harrisburg, PA 17109 Lower Paxton Dauphin PA
Street atltlress, Post Office entl Zip Cotle City, Township or Borough County Stela
Estimate of value of decedent's property at death:
if domiciled in Pennsylvania .......................AII personal property
If not domiciled fn Pennsylvania .................Personal property in Pennsylvania
If not domiciled in Pennsylvania .................Personal property in County
Value of real estate in Pennsylvania...........
30,000.00
$ 143,300.00
TOTAL ESTIMATED VALUE 173,300.00
Real estate m Pennsylvania suuatetl at 5 Creek Road, Camp Hill, PA 17011 Lower Allen Township Cumberland
(Attach atltliticnal sheets. it necessary.)
SVeal adtlress, Pos! ORCe entl Zip Cotle City, Township ar Borough County
Q 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 WII of the Decedent, dated 01/04/2011 and Codicil(s)
Hereto tlatetl
by virtue of renunciation of named executor, Susan L. Miller, a/kla Susan L. Boyles, dated March 8, 2013.
(State relevant arcumsrances, e. g., renunciation, tleath of executor, etc )
Except as follows: after the execution of the instrument(s) oRered for probate, Decetlent did not marry, was not tlivorced, was not a pparty to a gentling
divorce proceeding wherein the grountls far divorce had been established as defined in 23 Pa. C.S. § 3323(8), and did not have a chiltl born or
adopted; and Decedent was neither the victim of a killing nor ever adjutlicatetl an incapacitated person.
NO EXCEPTIONS ~ EXCEPTIONS
B. Petition for Grant of Letters of Administration or applicable)
c..a.; ..n.; ..n. c..a.; pe en e r e; uran e a sen ia; uran a moron a e
If Administration, c.t.a or d.b.n.c.t.a. enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent was not apart/ to pending tlivorce proceeding wherein the grounds for divorce had been establishetl as defned
in 23 Pa. C.S. § 3323 (g) and was neither the victim of a killing nor ever atl)udicatetl an incapacitated person.
^X NO EXCEPTIONS EXCEPTIONS
Petitioner(s), after a proper search has/have ascenained that DecedaR lek no Will and was survived by the following spouse (if any) and heirs (attach
adtlitional sheets, if necessary):
Name Relationship Address
4~ ~
m~ s ~a
~ a ~ ~' rn u
n z rn /--~ _,f G-,
u ~ x
r c, r.,, ;~ o c,
_ -, )
~, --a
m
Fo.m RW-02 rev. +0-++-20++
Copyright (c) 2011 forth software only The Lecknar Group, Inc.
o r= r r'
I
{v ~ p Page 1 of 2
T ~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
oRlclal uae orny
Petitioner(s) Printed Name Petitioner(s) Printed Address
Brenda L. Pfautsch 640 Oakland Hills Drive B-1
Arnold, MD 21012
~ ~--~ ~' l~rl
mom' ~ Ica
-° ~ cn ;a
_-
, cn
,
~~
µ c r_,
"
-r
n ~ -, ~ p -rf '•n
The Petitioner(s) above-named swear(s) or affirm(s) the statements in the foregoing Petition are true and corre~ptaMe best tfJe knbNil ~ e and
belief of Petitioner(s) and that, as Personal Representative(s) of the De~e~dent, Petitioner(s) will well truly admOtfster the ~s{ate aecor~g to law.
Sworn to or ffirmed an bsc ib fore J~ ~ ~- ti lea d,u'Date r /
me this; - ~ of ~-'Data
By; Date
For e9ister Date
BOND Required? ~ Yes No To the Register of Wills:
FEES
Letters ...........................................$ ____~
1 ~) Short Certificate(s)..........
(~) Renunciation(s) ...............
_) Codicil(s) .........................
( )Affidavit(s) .......................
Bond ..............................................
Commission ..................................
Other
Automation Fee .............................
JCS Fee ......................................... -
TOTAL..........._ ..............................$ L .
rmaae en[m my apyearance uy my signature oeww:
Attorney ure: \~J \J..~) /'
d l ~
Printed Name: Robert P Kline
Supreme Court
ID Number: 68788
Firm Name: Kline Law Office
Address: 714 Bridge Street
P.O. Box 461
New Cumberland, PA 17070
DECREE OF THE REGISTER
Date of Death: 02/2112013
Social Security No:
Estate of Doris J Gallagher File No: 21 - 13 - -~
a/k/a: Doris Jean allagher
AND NOW, , in consideration of the foregoing Petition,
satisfactory proof having een presented b fore me, IT IS DECREED that Letters Testa ntary
are hereby granted to Brenda L. Pfautsch
in the above estate and (if applicable) that the instrument(s) dated
described in the Petition be admitted to probate and filed of record
neglster o1 wlns ~ 0- - q
Form RW-02 rev. f0-11-2011 Copyright (c) 2011 form software only Th Lackner Grcup, Inc. ~~lvl
I.,
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
RECORDED OFFICE OF
Fee. for this certificate, $6.00 REGISTER OF 4'dILL; This is to certify that the information here given i
~~~~19~'~f~
t
9
a
C
e
I'"7
V
_C
G
r
Certification Number
Trp•/P.Im I:.
Per
BI ck lnht
correctly copied from an original Certificate of Death
!113 ~flfl 1 y ~~ 1~J duly filed with me as Local Registrar. The original
.L certificate will be forwarded to the Statcy Vital
Records Office for permanent filing. ~'.
CLERK flF ,,~J 9 ~~
_ ORPHANS' COURT ~--~U a~ • Cl~(,CCo`C.lu v2 d 7 I _!3
CUMBERLAND CO., f__ Local egistrar Datelssu~d
COMMONWEPLTX OF PENNSVLVP.NIA. DEP/ RTMENT OF XENLTX. VITPL RECORDS
f FRTI FIf_ATF AF ~EATM
mac r.y M ee .. Oat, same) wa s.carlN rvamb.. • er Da.M IMO/D.Yna ISp•II Mn)
3
198-22-]9Jg February 21a 2013
Dona S an Gallagher female
s+.h •-4a[BlrtM1tlry(Vra b. Una• +r .Una• D+ .O•t•e1BIrtM1 IMe/Ory/Y.+x115 P.II MenM1
ly
3c
rl
B
L 3 i•. Blrtnpl+e•(Otv•ntl s[•bor aor•:{n Country)
Mmu4a
MOntb
O•p
naun Rax'rleburg
CCtoba 4, 1929
H3 e• Ieeuneyl Dau h1n
l
e
i
•altl•nc. (s< far•lan courrtry) Bb.R•sla.nw l3t4•t •na NUmO•r-Include Opt NO.)
r Bc. OIa D•cee•n<Llw
Tew
nanlpi
n +
5 GteeB ADad
Panne lyanla ®vas, aeceamtRweln LOWBr Allen twp.
He. Rasltlanw (COUntyl
CumberLne a•. R•aa•nw (nP cea•1 ll011 O Np, e.c.amuN.a wnnln Ilmm or dN/here.
•a> tt•I St+<ua +<TIm.Of De•M •rNea w• il. survluin{SOOVa•1N•m•lll wll•,LM n•m•PnOr tO Rrat m•.N•{•)
u
e
10
m N
p U
0 D O N O u
p w
Ve
13. F•tn•Ya Name IFI4C Mltltll•. l+st. SUNIp O[F•!a N•m• 1<lOr tO Flnt M•<rl•{• IFIrsC MltlOla. Lut)
J ofin GranGOn Mery Zellers
Inlerm+n['a N•m• R•I+tlenaM1lp to O.4 tl.nt
16 39c. Inrorm•nt's M•Illn{ Mtl4v (Street •na Numb•n Cky, s4N, Zlp Cotl•)
Daughter
Sun ie Millar AK 9956]
21344 Ho=run Ae. Chuglalc ~
+ etas .+t
'
-
_ - - - - _ -
~Otri•r TIM1Vn+MOrp141 -~ MOaPlce F•c~ll~y ~ L1~De~c.e.~.<': nem.
If D••tI: OCCUrrea In • XospkH•1: ~ ~ InP•t1eM II! Da.[n Occun•G Som•wM1•4
y OETOe RPPm/outvane^[ O DoePn Arrlya Orvun4 nerve/lu -Term vre F•OIIN Oom•r lsP•wN)
13 F+cIIIty N•m. (~ not lnstttu<len, {Iw s[4•t+na numb•rl tl.C ntye O••M
c. Clly e. TOwn, 54<•,• SI
D
e
y
Hoaplce Home ~
auphin
HazrleDUSga Pe
eyl
nia 1J109
nn
16•. M•MPa OlsposltlPn ~ Bun+l r•m+[lan
c I6c. PI•c• o Dkposl<lon IN+m• of cemetery, c4m•te ry, or otner pl•41
1 b. •4 oI Okpo•ttlen
p
e
e.•1 nem 544 O Donation
O otno lzpeclNl ^v a a0u~ Creme .. o
=w^Snty of Psnnnylvania
n
ACC
18a.bc•tlon o(Dlspo•Itlon (<Ity Or TOwn. 54t•, +ntl Ziw 3
v
P
IS• cM1•rL•ef interment 3T0-UCen»NUmMr
i+. 51{n•tur
:
. /
Efazriaburgs Pannaylvania 1]109 L FD-0133J6-L
rv
v
+ntl Cemplvb Raa4a• of Funeral Facility
m
Crnmatlon SerYlcen o£ Pnnne lvania Inc. 4100 Joneetocm Rd. Harrisburg PA 1]109
Auer
~ 18.D•cea•n['s Etluc+tlon-CM1•ck tM1•be. M•t beat a.acrlEes M• 19. D•caaant of nlap+nlc OnBln-CM1•ck M• 30. D•cetl•nt'a 0.•c•-cnvck ON[OR MOREn InElc•t•wM1•[
~<o
nl{no<ee{4e or l.~a oLnnnnl cemw.4aamulm•oraom. OoK <na ba. wb.[M1.r me ae4a•m m•a•p.e.nt cenaa.r.a blmaelro.ner4nto w
0 etM1 [.+ae nr l.aa nbF/nl •nl[/Latino. Cneck the "NO" ® WM1lte ~ K
p
lr a•c•a•nt is not ip•^lan/nlap+nlc/4<Ine. O BI•ek or P(rlcan Amarlun O VIHn•mess
~ Ne tllplam+, 9[M1-13M Hoes be
® nl[n scnool [r•tlu•t•or GED COmpI•[aa ® No, not 5p•nlsM1/n1aW m44tlno O Pm•NC•n l^tll+n or Pl•ik•N•tlw O Otner bl+n
O 5^m. cnll•p cruel[, but na aa{rce ~ V ..lun, Maklc•n American, CM1ic+na O As Inel•n ~ N w•11•n
l
m•nUn or CM1+mOrrO
o u bate tie{roe le.[- RA. MS) O Vey Puerto Rican O <nln•s• ~ Gua
o B.':M1.In.,e.3... a.{. BA, PB, BS) oY rab.n oFlnwne oz.me.n
O M r'a a•arv. (a.L. MP, MS, MEn{, MErI, MSW, MBR) Q Y otn.r Sp+nnn/nlaP+nic/4tl^e ~ l•p•ne4 O Otn•r Paclq<ISl+ntl•r
•
O Ooc[o44 (y{. PnO. EGDI or Prof•aalen+l a•{r••
ISpee1N) 0 OIM1.r ISp•cny)
s OVM Lla ID
<
a 51n{Ie Race SaIM1O•alLn•tlon - [F•ck ON3Y ONL to Intl144 wM1+[ [n• tl•c•a•nt conJtlaree nlmawl er Nrs•11 [o b.. 33•. O•<.a•nt't Uau+l Occupvtlen - Intlle•t• type of wnrY
SI. Decaaant'
® Wn14 Ol•pan•4 0 s+ tlon•aunn{mea nl warkln{114. DO NOT VSE RETIRED.
~ Bl+ck or Pfrlc•nAmerlun ~ Ker••n ~ OM•r PaclNe lal+na•r
O P nor nl+ak•rv•tro. O VI•tnam•s• ~ D ow/Nne suv AEminiatrativa AB BSBtanea
tl
l
p otno Pa.n O Ra4•ae z:e. Klne beBmmeaa/mtla.ery
p a mel. n
p CMm
~e ~ rv O DM•r (spedNl Clerical
~n
a
l
lan or
Q+merra
o Flllw^n a Gua
m
On w •n •Pp lc•Oe 33c.1e•nu um •r
O•+t
u4 P
~' •4 ronoun4 D•+ Me Dry r b. 51{Jn} ron n<In{
nY p[It{ON WNO RRONOVNCLB OR
~
l ~
DLRnR1I{aur„ t ~
~.~.<~-w ,Qn/ ,2~vasg8~~~
23a. D•[• 51{n•tl (MO/O•y r) 31. Tlm• oI0•RF
35. WaaM •r Can<+Mai O 8I
<•
CAUSE OF DEATH
't
A
lnt•rval
36. Pert 1. En4r[n+.M1+ efrv s--als••s•y lnjuN•s, nr cnmPllc•tIons--tn•t airettlV C+u4a[F•a••tn. DO NOT•n4rt•rmin•I•wnts auto •s carEl+c +rt•a
< i O M
4aplntary arr•at,orY•ntncular/Ibnll•non wltnout snowln{M•.<lelery. DO NOT RBBREVIRTE. En .r only Ona cause on+lln•. hae+tleklen•I lines if n+c+aa+ry. na•[to Oa•
/yl ~ {'F h 4QJ'{'Y/G C'Qni~P~r' 1
IMMEDI4TE GUSE ---------------> •. 1
<FI Pnmeen Dwt bru•conae9umc. eq:
e'
a.
mi
. e.
)
re.m<
n
e.
5•ouentlallY Ilat cantll[lona. Dua 4 (ar+a • cen4PU•nc• OII:
e•alnL 4 tn• c•uae
Il 4e on llneR Enter the
UNOIREYINO GU3E Du• to Inr+a +cenupuance or):
~ lel4... eanlary that
maa.e m..a n r..wbnL tl.
^
f
Da. [ , en a pon..w+n..
a to e0:
n ao<nI LPST ~
36. PVrt11. EnteroMersenlc• nnaklens en +Mbu<nat4•ul[In{In tM1•unearlVl^L C•u4 {Iwnln Pert 1. 3T. Waa+n •utepsV p•rlorm•tli
O Vas ID N
~ 38. W r•+utOPaY flnaln{a au+llabl•
ffi to PI.4 <M1• uuu or tleRM1>
PPo
1 va 0 rv
l zs. n Female: 30. Dm mmeee D•e eonnlea4 m D..ma 31. M.nn•, er Deem
f ~ rvot p<emant wlimn past ve+. O vea O P<ob.ely m N•tu41 p n mlcle.
.
'
r
{
a
^ a
o N m 0nknown P
nemL ln..anL.apn
O ncwa.n< p
.N e{n.n<wkmn az a.w.raom
p r
+
e
i~•~~, k~~pr
a. O
swtla. roam not b• e•4rmin.a
yOr bar... a..m
t'
b 33. D+4 er lnlury lMO O.vnr1 (zp.u Man[ro
:
i .~~w~.nl,..n p:
o u~Y,pow{~ n o _ Tlm• .
of lnlury
.Pl.c. enNary lrs, ^om•, ~pn.maalnn at.: r.rm:.moon up.annalnlarv s[rot.ne Name.^ON. ceann, s44,nP Cea.)
36. lnlury+[ Werk i. Ir Tr+napar4tlOn lnlury, sp•cIN: 38. D•scrlM Xaw lnlury O[cuma:
p v O D wr/op. to o Pea•nnm
O Nn O P.a..n o O Dtne.ISpeclM
~ Cytnle.-pnvN<lan, <.mnlae na4•wrap[kmn.r,m.mea...mina./oo.on•r wM1a<k only en.):
~•rtlNm{only- To tna ban o1 my knowl•a{•, even ettur4a au• to tn• cauu(H vn0 m r atn•a.
Q cln{&C•rtltyln{-TO<n•bast of my knpwletl{•. tl•FM1 OCCUr4a attn. <Ime. a•t anQ pla[•.+na tlw4tF•c•usalsJ •na manner nv[•tl.
o M•m.aE..mm../e me e•n•of aK .ne/er m.,..a{vaen.mm ow~ion. e•. r.aam. nm., aae,•m woe..+m ea. [et 4ln a^am .[ a
r
r
9 Z~
~OSoo 7Yd
J70
.
r er [.rt n.. •n
a{near. er e.mn.r:
~
3Bb Paar•M .na zip teas Penon Cempl«m{caaa.P wa u4m znl 3x
Dm s4^. Mb •Y q
s/ !7 a. .52 ~ L *°.,. _-g 2 as i~
. R+L1an+r a Dla 61. R•{IV<4r a 31[naeur• O . R•{latr+r • Mo aV
. Am.namenta
DI.Paal[lan P.rml<rve.R4Y`~46ri F3-C9~ nlosaa3
REV o]nplz
-.. __..
I"
ti
~_,
~
~
n
~ r
rn
o
~ ~ G?
_
r z m __ ~u ;:.~
y.N~s
RENUNCIATION -'
- ~: ,;
REGISTER OF WILLS -~ ' 1
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of DORIS J. GALLAGHER ,Deceased
I, SUSAN L. MILLER a/k/a SUSAN L. BOYLES , in my capacity/relationship as
(Print Name)
daughter and named Executrix of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
my sister and named alternate, BRENDA L. PFAUTSCH cc //
3~$/I'1 ~knvmr. l I R.t~~ ~Vuncw.~_ por,l..,
(Datel (signature)
X1.0. Qv~ c,~-~4~
(StreetAddressJ
lY1V(~InJC_'~JIC_ 99 S7a~
(C;ry, score, ZiG)
Executed in Register's Offue
Sworn to or affirmed and subscribed
before me this ~ day
of
Deputy for Register of Wills
FormRW-06 rev. /0./3.06
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciatj~ for the
purposes stated within on this ~_ ~ day
of /7/.9.2C/ </ , o2U /3
Notary Public
My Commission Expires: ~-/~~ - 07 a/j
(SignaNre and Seal of Notary or other otrsial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
SHARON R. fEISTER, Notary Public
New CumbeAand Boro.,Cumberland Co.
My Commission Expires April 15, 21115
LAST WILL AND TESTAMENT
OF ~. ,.
W A ~ ~ o
m=~ ~ cnao
DORIS J
GALLAGHER ~ ~ ~ s ~ o
.
~" ~
~ C'1 n
.I7 O O
~ -Tl
:~ Q ....~..~ ~ `~"1
?:7 ^
_
_~ --t O 7^
rPi
y.
I, DORIS J. GALLAGHER, of Lower Allen Township, Cumberland County, C.II
t'' Cn O
"
Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish
and declare this to be my Last Will and Testament, hereby revoking and making void all previous
Wills and Codicils heretofore made by me.
FIRST
I order and direct my personal representative hereinafter named to pay all of my just debts,
t funeral expenses and expenses involved or connected with the administration of my estate as soon
afrer my death as is reasonably possible. However, my personal representative need not accelerate
~md pay those unmatured obligations which, in his, her or its opinion, it might be proper and more
advantageous to retain or renew and pay as they become due and payable. If I do not own a burial
plot or a grave marker at the time of my death, I authorize my personal representative, in his, her, or
its sole discretion, to purchase a burial plot and to erect a suitable marker at my grave, and to
expend sums from my estate for this purpose.
Page 1 of 7 Pages
SECOND
I give, devise, and bequeath any automobile that I may own at the time of my death, if I
should own one, to my son, DAVID H. MILLER, providing that he survive me by sixty (60) days.
THIRD
I give, devise, and bequeath any specific personal items that had belonged to my late
husband, to include certain momentos and war memorabilia, as determined by my personal
representative, to my grandson, JASON MEADOWS, providing that he survive me by sixty (60)
clays.
FOURTH
I give, devise, and bequeath, the real property which I own located on Creek Road in Lower
Allen Township, Cumberland County, Pennsylvania, together with all furnishings contained
therein, to my children, BRENDA L. PFAUTSCH, DAVID H. MILLER, and SUSAN L.
BOYLES, providing that they survive me by sixty (60) days, per stirpes.
FIFTH
I give, devise, and bequeath, the sum of Five Hundred and 00/100 ($500.00) Dollazs to each
of my grandchildren and step-grandchildren, JASON MEADOWS, AMY IVES, MICHAEL
DUVALL, JR., NICOLE DUVALL, ERICA GALLAGHER, WILLIAM GALLAGHER, III,
DREW GALLAGHER, TIMOTHY GALLAGHER, BRIAN GALLAGHER, ELIZABETH
GALLAGHER, MATTHEW MILLER, RYAN RIVERA, and CODY BOYLES, who survive
me by sixty (60) days, per stirpes.
Page 2 of 7 Pages
SIXTH
I give, devise, and bequeath the rest and remainder of my entire estate, together with all
insurance proceeds thereon, of whatever nature and wheresoever situate, to my children, BRENDA
L. PFAUTSCH, DAVID H. MILLER, and SU5AN L. BOYLES, providing that they survive me
by sixty (60) days, per stirpes.
SEVENTH
If, at the time of my death, any beneficiary of this my Last Will and Testament is under the
age of twenty (20) yeazs or is, in the judgment of my personal representative, mentally disabled, I
give, devise and bequeath said beneficiary's share to my Trustee, my daughter, SUSAN L.
BOYLES, in Trust for said beneficiary, in accordance with the paragraphs below.
EIGHTH
`~ During the terms of any trust created pursuant to this Will the Trustee is authorized to
expend and apply so much of the net income and principal of each such trust as the Trustee shall
consider advisable for the health, maintenance, support, and education (including college education,
o undergraduate and graduate) of each such beneficiary until he or she attains twenty (20) yeazs of
\, age, or until all such amounts are paid out of the Trust. When the beneficiary attains the age of
twenty (20) years or is in the judgment of my Trustee mentally sound whichever event occurs later,
the Trust shall terminate and the remainder thereof shall be paid to said beneficiary. If said
beneficiary shall die before the termination of said Trust, the Trust shall terminate and the
remainder thereof shall be paid in accordance with the paragraph above. I direct that no Trustee
shall be required to give or post bond for the faithful performance of the Trustee's duties in this or
any other jurisdiction.
Page 3 of 7 Pages
NINTH
My Executor and Trustee aze authorized and empowered to exercise from time to time in
his, her or its sole discretion and without prior authority from any Court, in respect of any property
forming part of any trust hereby created or otherwise in its possession hereunder all powers
conferred by law upon trustees or executors and I intend that such powers be construed in the
broadest possible manner.
TENTH
I nominate, constitute and appoint, my daughter, SUSAN L. BOYLES, Executrix of this
my Last Will and Testament. In the event SUSAN L. BOYLES is deceased, unable or unwilling to
serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my
daughter, BRENDA L. PFAUTSCH, to serve instead. In the event BRENDA L. PFAUTSCH is
deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I
nominate, constitute and appoint my son, DAVID H. MILLER, as personal representative of this
my Last Will and Testament. I direct that my personal representative shall not be required to give
°4 or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction.
ELEVENTH
I hereby declare it to be my expressed desire that my personal representative employ
Kline Law Office of New Cumberland, Pennsylvania, for legal advice and assistance regazding this
my Last Will and Testament, said attorneys having considerable knowledge of my affairs, views
and wishes respecting any matters that may arise at the probate of this instrument, the
administration of my estate, and the execution of the powers herein mentioned.
Page 4 of 7 Pages
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and
Testament this 1~ .~ day of , 2011.
_~~r ~~_
Witness
W nes
DORIS J. G AGHEtt
Page 5 of 7 Pages
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, DORIS J. GALLAGHER. the Testatrix whose name is signed to the attached or
foregoing instrument, having been duly qualified according to the 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.
~~ ~~
DORIS J. LAGHER
Sworn or affirmed and acknowledged before me by DORIS J. GALLAGHER, the
Testatrix, this ~ day of , 2011.
~~,~
OTARY PUBLIC
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEA
SHARON R. FEISTER, Notary Public
NewCumbedandBoro.,Cumbedand Co.
My Commission Expires April15, 2011
Page 6 of 7 Pages
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We~8~~27 -T_ Li.U~ and ~~/,r/r T ~i,r/E ,the
witnesses whose names are attached to the foregoing document, being duly qualified according to
the law, do depose and say that we were present and saw Testatrix sign and execute the instrument
as her Last Will and Testament; that she signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed;that each subscribing witness in the hearing and
sight of the testator signed the Last Will and Testament as witnesses and that to the best of our
knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no
constraint or undue influence.
~~ !'71~
Sworn or affirmed and subscribed before me by, n~R7 T ~Li.y6 and
~~~i ut= this _ ~~day of ~~,/U~, 2011.
NOTARY
SHARON R. PEISTER, Notary Public
NawCumbeMndBoro.,Cumbarland Co.
My Commission Expires April 15, 2011
Page 7 of 7 Pages