HomeMy WebLinkAbout07-23-13 ��$� .
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 request(s)the grant of Letters in the appropriate form:
Decedent's Information
Name: EVA S.FOX File No: 2 f- f j- �J��2--
a!k/a: EVA FOX (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: MAY 17.2011 Age at death:85
Decedent was domiciled at death in CLJMBERLAND County, pENN5YLVANLA (Srate,�with hislher last
principal residence at 2033 RITNER HIGHWAY,SHIPPEN5BURG,PENNSYLVANIA, 17257,CUMBERLAND COLTNTY__
5treet address,Post Oft3ce and Zip Code City,Township or Borough ' County
Decedent died at 2033 RITNER HIHGWAY SHIPPENSBURG,PENNSYLVANIA, 17257,CUMBER�,AND COiJNTY, PA
Street address,Post O�ce and Zip Code City,Townslup or Borough Coun.ty State
Estimate of value of decedent's property at death:
If domiciled in Pennsylvania............ ................ All personal property $ �4,000.00
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. ... $ 44,000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
❑ A. Petition for Probate and Grant of Letters Testamentar_y
Peririoner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated and Codicil(s)
thereto dated
r�n�:' �raminria+inn nf all hr�ire;,,fa..�r�f(',al .n M Martin
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State relevant circumstances(e.g.renunciation,death of execktor,etc.)
Except as follows: after the execurion of the instrument(s)offered for probate Decedent did not marry,was not divorced,was not a party to a pendin�
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S. §3323(g),and did not have a child bom or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS O EXCEPTIONS
0 B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.t.a. or d b.n.c.�a.,enter date of Will 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(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS Q EXCEPTIONS C � , �^�.�
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the follcx�+i�pouse(if�any)anT�e�(attach
additional sheets,if necessary): � �, � �� �
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Name Relationshi A re�: �: N �`� "�
No will-See list of heirs attached `� �' := �-y n
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Petitioner(s)Printed Name Petitioner(s)Printed A�c}dr�ss; � '�' ° ' �
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The Petitioraer(s)above-nam��d swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and belief
of Petitioner(s)and±hat,as P;rsuna]Representative(s)of the Decedent,t P ' � ner( will we] nd truly administer the estate according to law.
Sworn to o �ffirr.led and u�j scribed b for Date 7 '� � —'� 3
me t i � da af I Date
B y Date
F' -rhe Regis�, � Date
BOND Required: Q YES �NO To the Register nf Wills:
FEES: Please enter my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ ��•�� Attorney Signature:
( a ) Short Certificate(s). . . . . . �.00
( 1 ( )Renunciation(s).. . . . . . , . �5.0 D .
( ) Codicil(s). . . . . . . . . . . . .
( )Affidavit(s). . . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . 1D Number:
T'r R . . . . . . . . i S o0
(�u--kp,f�/ll i c� , . . . . . . . . ,� -�D Firm Name:
�C.S . . . . . . . a?3-5(> Address:
��.re,n.�o�y . . . . . . . . 15 •o0
. . . . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . Fax:
JCS Fee. . . . . . . . . . . . . . . . . . . . . Email:
TOTAL. . . . . . . . . . . . . . . . . . . . . $ aOs.SO _
DECREE OF THE REGISTER
Estate of EVA S.FOX File No: ,�/��� '/j��,�
a/k/a:
AND NOW, , ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters
are hereby granted to
in the above estate and(if applicable)that
the instrument(s)dated
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s)) of Decedent.
Register of Wills
Fonn RW-02 rev. 10/II/2011 Page 2 of 2
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Petitioner(s)Printed Name Petitioner(s)Printed A�idr.�a5 ;=j <� —7 �
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The Petitioner(s)above-nam�5d�sweaz(s)or affian(s)the statements in the foregoing Petition aze true and coaect m the best ofthe knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,t P ' ' ner(s#will wel d truly administer the estate accordiug to law.
Sworn to o �ffirnied.and u�scribed b for� � �, „� s Date 7 -� � "� 3
me t i da Of V Date
B � Date
F theReR�s - �Q� �,[ Date
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BOFD Required: Q YES �NO Tn �he Regrster nf Wills:
FEES: Please en[er my appearance by my signature below:
Letters . . . . . . . . . . . . . . . . . . . . . . $ ��.�� AttomeySignature:
( oZ )Short Cectificate(s). . . . . . J�•00 �
( 1 1 )Renunciation(s).. . . . . . . . S5.00
( )Codicil(s). . . . . . . . . . . . .
( )Affidavit(s). . . . . . . . . . . .
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:
Commission. . . . . . . . . . . . . . . . : . Supreme Court
Other . . . . . . . . � ID Number:
�TR i.�o0
� R.�.ko,nllp,�-iuY1. . . . . . . . . ,,rj:00 Firm Name:
�e.s a3•Sn Address:
�n.��,nho_ r� . . . . . . . 15 •oo �
. . . . . . Phone:
Automation Fee. . . . . . . . . . . . . . . Fax: .
JCS Fee. . . . . . . . . . . . . . . . . . . . . _ Email: �
TOTAL. . . . . . . . . . . . . . . . . . . . . $�SD .
DECREE OF THE REGISTER
Estate of EVA S.FOX File No: Z�-/�-���
a/k/a:
AND NOW,��U� JU , O��,J�3 ,in co ideration of the foregoing Petition,
satisfactory proof having bee presented before me, IT DECREED1^t�'at L,�tj�ers 1 a�N $'
aze hereby granted to� 11 ► �� \�( 'y�
in the above estate and(if applicable)that
the instrument(s) dated
d cribed in the Petition e admitted to probate and filed ecord as the last Will (and odicil(s)) of Decedent. ' "1!.�r
��� �� � e ister of Wills
8
Form RW-02 rev.!0/7!/2011 Page 2 of 2
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Eva S. Fox — Heirs
Estate of Eva S. Fox SSN: 161-30-5251
Narne Relationship Share
1. Walter Fox Son 1/11 tn
1104 Briggs Spicer Rd, Himrod,NY 14842
2. John David Fox Son 1/11 th
408 Hill Rd, Denver, PA 17517
3. Aaron Fox Son 1/11 th
14336 Savannah-Spring Lake Rd, Savannah,NY 13146
4. Elizabeth Zimmerman Daughter 1/11 th
3086 Rte 414, Clyde,NY 14433
5. Susan Martin Daughter 1/11 tn
64756 Cty Rd 3, �Vakarusa, IN 46573
6. Lydia Shirk Daughter 1/11 tn
2033 Ritner Hwy, Shippensburg, PA 17257
7. Mary Ella Martin Daughter 1/11 tn
509 Reidenbach Rd,New Holland, PA 17557
8. Eva Jane Horst Daughter 1/11 tn
1743 Himrod Rd, Penn Yan,NY 14527
9. Weaver Fox Son 1/1 ltn
622 Chestnut Hill Rd, Denver, PA 17517
10. Verna Nolt Daughter 1/l lth
W4634 Willow Rd, Owen, WI 54460
11. Ervin Fox Son 1/11 tn
1026 Steffy Rd, Stevens, PA 17578
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RENUNCIATION �-- �° ���� �
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REGISTER OF WILLS ` `��� "-�' `'�- �`� .
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CUMBERLAND COUNTY,PENNSYLVANI�' �►
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Estate of EVA S. FOX . _ � , Deceased
a
I, EVA JANE HORST , in my capacity/relationship as
(Print Name)
HEIR ' of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully reguest�hat Letters be issued to
�r. .... .� � .
GALEN M. MARTIN .
MAY 30, 2013 �
(Date) (Signature)
1743 HIMROD RD
(Street Address) •
PENN YAN, NY 14527
. (City,State,Zip)
Executed in Re.�ister's O f ce F'YV���t,���.l��f����to��S D,��i��
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , that he or she executed the renunciation for the�
purposes stated within on this /� day
of � 2013 '
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Deputy for Register of Wills N ry P ic
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
JACQ1lELINE M. RACE administer oaths. Show date of expiration of Notary's Commission.)
NOTARY PUBIIC-STATE Of NEW YORK �
�No. 02RA6279302
� Guolified in Ontorio County •
Form RW-06 rev.10.13.06
My Co�rhis:ion Expirea Apri{Ob. 2017
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CUMBERLAND COUNTY,PENNSYLVANIA �
Estate of EVA S. FOX . ,Deceased
I, WEAVER FOX
, in my capacity/relationship as
(Print Name)
HEIR of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
GALEN�M. MARTIN
MAY 30, 2013 -
(Date)
(Signature)
� 622 CHESTNUT HILL RD
(Street Address)
DENVER, PA 17517 �
(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affi d d subscribed Before the undersigned personally appeared the
before e thi �� day a executin this renunciation an
�/ P rty g d certified
of v that he or she executed the renun iation for the
purpose sta d within on this �� day
of ,
.
Deputy for Register of Wills otary P� lic
My C mission Expires: � /�� / -
� (Signature and Seal of Notary or other icial i ed to
administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEAL.TH OF PENNSYLVANIA
Ndarial Seal •
Form RW-06 rev.10.13.06 H��Y M•�N�ry�k
Last Gocalloo T�R,Lancasber County
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REGISTER OF WILLS
CUMBERLAND COUNTY,PENNSYLVANIA
Estate of EVA S. FOX ,Deceased
I, VERNA NOZT , in my capacity/relationship as
(Print Name)
HEIR of the above Decedent,hereby renounce the right to
administer the Estate of the.Decedent and respectfully request that Letters be issued to
GALEN M. MARTIN
MAY 30, 2013 . ' ; �j��� ��-�
(Date) (Signature)
� - . W4635 WILLOW RD
. ' � � (Street Address)
� OWEN, WI 54460
(City,State,Zip) '
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day � party executing this renunciation and certified
of � , t�at he�or she executed the renunciation for the
purpo s stated within on this �� day
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Deputy for Register of Wills � Notary P lic ,
`1,�,�,�:a'� Commission Expires: a�CI'/G�/�
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� • ad � ister ths. Show date of expiration of Notary's Commission.)
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Estate of EVA S. FOX
, Deceased
I, ERVIN FOX , in my capacity/relationship as
HEIR <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
GALEN M. MARTIN �
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(Date)
(Signature) •
1026 STEFFY RD
� (Street Address)
STEVENS, PA 17578
(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
� Sworn to or affirmed and subscribed � Before the undersigned personally appeared the
before�lr e this e�� day party executing this renunciation and certified
of v'1.�� , � that he or she executed the renunciati n for the
purposes stated within on this � day
of , �l _
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Deputy for Register of Wills N ry Public
� . My mmission Expires�j,,��,2��a U��?
(Signature and Seal of Notary or other official qualified to
administer oaths. Sho�v date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA �
� Notarial Seal
Laurie A. Hartranft,Notary Public
Form RW-06 rev.10.13.06 � East Cocalico Twp., LanWSter County �
My Commission Expires June 24, 2017
MEMBER,PENNSYLVANIA ASSQC]ATION Of NOTARJES
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Estate of EVA S. FOX ,Deceased
I, LYDIA SHIRK , in my capacity/relationship as
HEIR �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
GALEN M. MARTIN �
,
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MAY 30, 2013 �
(Date) (Si tur) •
2033 RITNER HWY �
(Street Address)
SHIPPENSBURG, PA 17257
(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , � that he or she executed the renunciation for the
. purposes st ted within on this �y�ll day
of _ t��.s� , �.013
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Deputy for Register of Wills N a Pu ic �
M ommission Expires: (�� � ol.p(jo
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(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Comr��issien.)
NOi'ARtAI SEA!
JODY L titLBERT
Form RW-06 rev.10.13.06 N0��1�C
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CUMBERLAND COUNTY,PENNSYLVANIA `�`} �►' ��� '���:
: Estate of EVA S. FOX
,Deceased
a
I, MARY ELLA MARTIN , in my capacity/relationship as
(Print Name)
HEIR of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
GALEN M. MARTIN
MAY 30, 2013 �
.
(Date) � Signature)
509 REIDENBACH RD
(StreetAddress)
� NEW HOLLAND, PA 17557
(City,State,Zip) '
Executed in Register's Office Executed out of Register's Office �
Sworn to or affirmed nd subscribed Before the undersigned personally appeared the
before e this l� day a executin this renunciation and certified
r � �
of t��� , `l.b� that he or she executed the renunciation for the
purposes stated within on this day
of ��� , 'Lb�
Deputy for Register of Wills Nota
, . 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 PENNSYWANIA '
Notarlal Seal �
PhiHp G.Weaver,Notary Public
New Holiand Boro,Lancaster County
Form RW-06 rev.10.13.06 My Commission Expires]une 17,2014
Member,Pennc��"���,���.,,.,�����M�ries
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Estate of EVA S. FOX
,Deceased
I, ELIZABETH ZIMMERMAN , in my capacity/relationship as
(Print Name)
HEIR of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
GALEN M. MARTIN
MAY 30, 2013 '
(Date) i ure) �
3086 RTE 414
(Street Address)
CLYDE, NY 14433
(City,State,Zip) '
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , that he or she executed the renunciat�on for the
purpo es stated within on this day
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Deputy for Register of Wills � ta.ry P lic
My Commission Expires: .�)�$���
(Signature and Seal of Notary or other official qualified to .
administer oaths. Show date of expiration of Notary's Commission.)
JENNfFER A�AETT
Notary Public,State of New Yo�k .
No.OtEY6�37�
Form RW-06 rev.10.13.06 Qt�llfj@d�n W8�@
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Estate of EVA S. FOX ,Deceased
I, SUSAN MARTIN - , in my capacity/relationship as
(Print Name)
HEIR of the above Decedent,hereby renounce the right to
administer the Esta.te of the Decedent and respectfully request that Letters be issued to
GALEN M. MARTIN �
MAY 30, 2013 - �
(Date) (Signature)
64756 CTY RD 3
(Street Address)
WAKARUSA. IN 46573
(City,State,Zip)
Executed in Register's Of�ce. Executed out of Register's Office
Sworn to or af'firmed and subscribed Before the undersigned personally appeared the
: before me this day party executing this renunciation and certified
of , that he or she executed the renunciat+An for the
purposes stated within on this vZ5 - day
of �u,.n e.. , �013
Deputy for Register of Wills N blic
My ommission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commissi�n.)
Form RW-06 rev.10.13.06
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Estate of EVA S. FOX � ,Deceased
I, JOHN D. FOX � , in my capacity/relationshi as
(Print Name) p
HEIR of the above Decedent,hereby renounce the ri ht to
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administer the Estate of the Decedent and respectfully request that Letters be issued to
GALEN M. MARTIN
MAY 30, 2013
(Date)
(Si ure)
408 HILL RD
(Street Address)
DENVER, PA 17517
(City,State,Zip)
Executed in Register's Office � Executed out of Register's Office
� Sworn to or attirmed and subscribed Before the undersigned personally appeared the
before me this ��^ day party executing this re ci�ation and certified
of u,r1�l , that he or she cuted e renunciation for the
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administer oaths. Show date of expiration of Notary's Commission.)
COMMONWEALTH OF PENNSYLVANIA
� Notarial eal
Jackee R. Ulrich, Notary Public
Form RW-06 rev.10.13.06 . EaSt COCaI1C0 TWp., Lancaster County
M Commission Ex ires June 2,2015
MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES .
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CUMBERLAND . COUNTY,PENNSYLVANIA
Esta.te of EVA S. FOX ,Deceased
I; AARON FOX
, in my capacity/relationship as
(Print Name)
HEIR i of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
GALEN M. MARTiN � �
MAY 30, 2013 � �-- �
C���, C�
(Date) (Signature)
� 14336 SAVANNAH-SPRING LAKE RD �
(Street Address)
, SANANNAH, NY 13146
(City,State,Zip)
Executed in Register's Office Executed out of Register's Office
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Sworn to or affirmed d subscribed Before the undersigned personally appeared the
befor e this � day a executin this renunciation and certifi
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of that he or she executed the renunciation for the
purpo stated within on this � � day
of ,
Deputy for Register of Wills Nota.ry Public � .�
. My Commission Expires: �'�. ��� 3
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
REGINA L HAL.L
Form RW-06 rev.10.13.06 ��.�11C�$t8t@ Of 1�61N YOik
. Vlt�e Qa,in ,No.01.8�CI��0�32 O�
My t�n�asion�pices Jeinuary 24,2
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:Estate of EVA S. FOX
. ,Deceased
:I, WALTER FOX , in my capacity/relationship as
(Print Name) . �
HEIR of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
GALEN M. MARTIN � '
MAY 30,2013
(DaAe) .
ignature)
� 1104 BRIGGS SPICER ROA�
{S�reet,�ddress)
HIMROD,NY 14842 �
(City.State.,Zip)
Executed in Re�ister's Offce Fx�.�r..���t n�r,+f�f'�����t�p.���►�bt``�
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Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this �i� day _ party executing this renunciation and certified
of y[tAl�" , o? ! that he or she executed the renunciation for the
purposes stated within on this r{� da
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of �c�(�/C^ , mZDt�
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Deputy for Register of Wills Notary Public �
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Sh�w date of expiration of Notary's Commission.}
ESTHER L EMES .
41 EMg1'�768
Form RW-06 re►�. IOJ3.06 ��pUbliC,Na• �N�yofie
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