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Home My WebLink About08-09-13 Reset 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 n I , I n _ n n�� Name: LOIS J. CLIFFORD File No: ��. J U�j a/k/a: (Assigned by Register) a/k/a: a1k/a: Social Security No: 085-26-0400 Date of Death: Mav 23,2013 Age at death: 82 Decedent was domiciled at death in Cumberland County, pp (Srare)with his/her last principal residence at 3605 Kohler Place,Ant. 1,Camo Hill,Hampden Townshin,Cumberland Co.,PA 17011 Street address,Post Otfice and Zip Code City,Township or Borough County Decedent died at 3605 Kohler Place,Ant. 1,Camp Hill,Hampden Townshio,Cumberland Co.,PA 17011 Street address,Post Otfce and Zip Code City,Township or Borough County State Estimate of value of decedent's property at death: If domici[ed in Pennsylvania...... .. . ... ... ... .... .... .. All personal property $ 49,000.00 If nat 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. .. . $ 49,000.00 Real estate in Pennsylvania situated at: N/A (Attach additianal sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough County � A. Petition for Probate and Grant of Letters Testamentary Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated September 13, 1994 and Codicil(s) thereto dated Februarv 26. 1997 and April 26,2005. Dauphin Deposit Bank and Trust Company of Harrisbur�:,PA now known a�RiTannfartirrarc a„�i TTa�lPrc Trnct Cnm�an�.,rPnnimcec itc apnnintmPnt ac Fxecutnr State relevant circumstances(e.g.renunciallon,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 have-a�Chiid bom or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated perso� �..-� - " i"°�'� -�'' E? _ t:� . . „ ,:._ . . �.� �NO EXCEPTIONS ; EXCEPTIONS - -- t.y"t , ., .'.. �.,Y ,.. � ❑ B. Petition for Grant of Letters of Administration (If applicable) "' ' �; : '- c.t.a.,d.b.n.,d.b.n.c.t.a.,pendentit�zt��lr¢�ante a`� entia;durar�te minoritate tl �,.. �,: 1 If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above anc�complete I"is�of heij�'sr. .-;, a._, _.._s�-� Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds fot�ivorce had�Jen establistYed as defined in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated'persnr{. ; - `'° y`� C_�J � ._�� Q NO EXCEPTIONS Q EXCEPTIONS y" �_.., ��r CW"� 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 Relationshi Address FormRW-02 rev. 10/l!/2011 Page 1 of2 - ��h€sf�e��€��.I�ep�°e��€�� o��us�o�y . . COMNI4N�%EALTH OF FEI�TSYLVA2�TIA } � ' � �} 5S; . - �� c��YQ� CUMBERLAND � , . Patitioner(s}Printed Nanae Patitioner(s)Priutad Address . � Rev .� D'r . Duncan H. Johns on• Mt « Calvary Ep'iscopal Ch�rch, 125 N . 25th St . ' Carnp Hill , PA 17 1 Tha Petitioner(s}abova-named swear(s)-or a�rjn.(s)tha sfatemanfs in the foregoing Petition are i�ae and cazract fa the best of fhe knowledge and betief of Petitioner(s)and that,as Personat l�.apresentative(s)of the DecedenE,fihe Petitia�er(s)will wall and truly adm.inaster the estate according to lzw. � Sworn.tc�ar aff�smed an.d subscribed before �,.:�"�`~~� ��l�.r�a� �a�_Y�,�`�.�,._ Iri6 t 'S ��'1 day'0 , .�L�� Date By: � � � ,1'"• � " � Date . rar the 1Zegzster Aate BOND�2equzred: � YE�u NO To Ehe.Regisier af fi'illsr . � �`E�S: k'�ea�e ea�.ter a�y ag�aea��a�ee�ay��s�bnatttre belo�v: Letfers....................... $ ��`:�;�r A�torney Signature: . . ( L.�- )Short Cerfificate(s),. .... 2E,�'�L`.'�° . ( }Renuuciation(s)......... • � ( }Godicil(s}. .......... .. ` . ( )Af�davit(s)............ ' • �- Jean D. Seibezt, Esquire Bond........................ � ' Pcinted Iitaffie: � Commission. . . ...... . .... .. .. . Supreme Coart . Other � ...... � I�}P�T�a�ober: ' 417].3 . �' _. .. ... , �� ' - . � � ��,,,,, ,, �c-�� gu��e• Wion, Zulli & Seibext E' r` ...... ��-� Address: 209 Lact�st Stxeet � . . . . .. . . H�rx'�s��'g, ��4 �7�8'T--.•-� . ...... Phone: 717-236-9301 � AatomationFee. ............ .. �?� Fax: . 717�-236`61a0 � JCS�ee. . .. .... ......... .. ... • r Email: ' wzsfdminds ri n��.c�m 'FtaTIA.�. ................."... $ . . . . - ,,.. . ...� ,.,.� _ . . ' . n _-- ,� . • � � _ . . � _ , CT1 ,„. �.`, � �.�:1 � 6.-. ,-t--} ,..: `..r . �„_. ,,._,., : - � ' . , � ;� �i� : • � . �.�. ; __ - - �.� c'.' ,,"., _.� . .: - �� `�. ; ' �.:..+ ....., r�� ., „.; . � ,:. . ,, ;� . . , . ' . � - °� �� :a . j s �fl�x�aa r�.lorlr�zolr . � � . � � � ' . • Page�of 2 Oath of Personal Representative off�sa�vs�o�iy COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Petitioner(s)Printed Name Petitioner(s)Printed ddress The Petitioner(s)above-named swe s)or a�rm(s)the statements in the foregoing Peti' n are true and correct to the best of the knowledge and belief of Petitia�er(s)and tliat,as Personal resentative(s)of the Decedent,the Petitioner )will well and truly administer the estate according to law. Sworn to or affirmed and subscrib before Date ine this day of , Date $y; Date For the Regisler Date BOND Required:Q YES �NO o the Register of Wi!!s: FEES' Plea enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . .. . . $ Attorney Signa e: ( )Sl�ort Certificate(s).... . . ( )Renunciation(s).. . . . . .. . ( )Codicil(s). . . . . . . . . . .. . ( )Affidavit(s).. . . . . ... . . . Bond.. .. . .. . . . . . . . . . . . . . . .. . Printed Name: Commission. . . . . . . . . . . . .. ... . Supreme Court Other . . . . ... . ID Number: . . . . . . .... . . Firm Name: . . .. . . . . Address: . . .... . Phone: Automat+on Fee. . . . . . . . . . . .. . . Fax: JCS Fee. . . . . . . . . . . . . . . . ... . . Email: TOTAL. . . . . . . . . . . . . . . .. ... . $ DECREE OF THE REGISTER • Estate of �IS � - ` I 1 r�L%�� File Nc: o2-I �I�� ?� a/k/a: AND NOW, '�I �� , , in consideration of the foregoing Petition, satisfactory proof havin een pr sented before me,IT IS DECREED that Letters �{��(� }�V I,a are hereby granted to '(�C�l. L�'_ �LLI^1C�_t'1 . .�bhns� in the above estate and(if applicable)that the instrument(s) dated i 3 �' oL � i 5' described in the Petition be dmitted to probate an filed f reco as the last W' (and odici s))of De�edent. Register of Wills � I �n,� 1��'� Form RW-A1 ��v. ro�n�zni� Page 2 0 H105905 REV.(8/I1) This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with the Vital Statistics Law of 1953, as amended. � WARNING: It is illegal to duplicate this copy by photostat or photograph. R�U S�f� '� t'° �r f- r°§C i.. -fnn ,.(�A� i� '' /��in��i� ��lM�v�rti �,��^�^�.��C�2ti) ��' �TH OF p v F�"�' _ ., v:� ` � 'y��C,p _ E�1'y'- ��`�� _= J'i Marina O'Reilly Matthew �,� r;r,^ ` - ° !�3 State Registrar r:��3 �;U�� 9 ; � i � _: ;� �' a: . �it ' i *: 7 4 7 8 5 7 ��.�, _�F,,9 , - �= P��,,,�� JUL 2 4 2013 ��u�.Psc � ,_,��;i =�rMENTOF��`'' iii iii/il/Ullll No. GIS�iBERLf�-t�'�� '��., i;� �� Date Typa/Print In COMMONWEALTH OF PENNSYLVANIA�OEPANTMENT OF HEALTH�VITAL RECORDS D�9 '7/� P°'"""°"` CERTIFIGATE OF DEATH Black Ink Sbte File Number: �/{ �' 1.DecedanYs LeQal Name(First,Middle,List,Suffix) 2.Sez 3.Soclal Security Number 4.Oate of Deaih(MO/Day/Vr)(Spell Mo) �'•� Lois 1_ C13Eford Female 085-26-0400 Ma 23 20]3 Sa.Age-Last Birthtlay(Vrsj Sb.Under 1 Vea� Sc.Untle�1 Da 6.Oaie of Birth(MO/Day/Year)(Spell Month) 7a.Birthplaca(City antl Sbte or FoteiQn Couniry) ' 1 Montha oaya Hours nninuces Willow Grove Penns lvania .� 1 82 Febr��ary 9� 1931 Jb.BlrthPlaca(COUnry) yyont 8a.Rasidenca(Siate or ForeiQn CountryJ 8b.Nesiden<e(Street and Number-Include Apf No.) 8c.Did D¢cedant Live in a TownshipT Pe s lvania O�e:,deceae.,�n..ed�n wp. ad.nesidance(Councy) 3605 Svhler Place� APr 1 CImD¢t18nd 8e.Resitlentt(Zip Code) 17011 �No,tlecetlent Iivetl within Iimits of CSmp H�ll cfty/boro. 9.Ever in US Armad Forces7 30.Ms�ital Status at Tima of D�aih 0 Marrird s[.�Widow�d S3.Survivin[Spouse's Name(If wife,give name prior to flrst marriage) � �Ves [$No �Unknown �Divorc¢d �Never Married �Unknow �12.FatheYS Name(Firzt,Mltltlle,Last,SufFlx) 13.MotheYs Name Prior to FIrsS Marriage(Flrsx,Mitltlle,Last) Ed r Nevmau CIInlmown) Billin s 14a.InformanY's Name 14b.RelaHOnzh(p So Decetlent 14c.Informan['s Mallin�Address(Sireei and Number,Clty,State,Zip Code) � _Tudith A_ RleinEelter Friend 484 Granit¢ Road Nev (,lmberland PA 17070 iso.v aoe o oeoc ,,,,,,,,,,,,,, ..................."" """""""""""""""""""""•"""".............................. ec on y,one" •"•_"""_'......... ..................................... . s If DeaC1�Occu�retl in a Hospital: � InpaUent ;If Death Occu�roG Somewha�e Other Than a Hospital: Hospice Factlicy Decedant's Home �EmarQ�ncy Room/OUtpati�nt � Deatl on Arrival O NursinQ Home/LOng-TS�m Cara Faciliry O Oiher(Spaclfy) ag SSb.Facility Name(If not InstituLOn,Qive street anA number; `15c City or Town,State,and ZIp Code 35d.County of Death 3605 Bnhler Place APT.l C Hill PA 17011 4tmberlsnd y 16a.Meihod of Dlzposition � Burial � CremaLOn 36b.Date of Disposi[lon 16c.Place of Dispositlon(Name of cemetery,crema[ory,or other place) � 0 Removal from Staie Q Donatlon . ocner(specify) 5-30-2013 Cremstion Society oE Penrsylvania 16d.Location of Dispozition(Gity or Town,Stace,and Zlp) 17a.Slgnatu�e of �al Servica r Person in Charge of Interment 17b.Licenze Numbe� � Harrisburg P¢nnsylvania 17109 FD-013376-L E 17c.Nama and ComO�eea ACtlress of Funeral Facllity I 8 Auer Cremation Services o£ Pennsplvania� Inc. 4100 Jonestovn Rnad Harrisburg� Pennsylvania 17109 SB.Dacedent's Education-Check the box ihat best describes the 19.Decetlenc of Hfspanic Origin-Check the 20.Decedent's Race-Check ONE OR MORE raus to indica�e what m highest tleQree or level ot school completetl ai the time uf dea[h. box chai bas[tlescribes wh�ther tha tlecetlent tha tlecetlent consitlered himsslf or herself to be. 0 Bth srade or less is Spanish/Hispanic/Latino. Check the"NO" �White � Korean _� No diploma,9th-12th`ratla box If d�cedenx is no[Spanish/Hispantc/Latino. Black or African American 0 Vietnamase � High school�raduata o�GEO completed �No,noi Spanish/Hispanic/Latino Q Ame�ican Indlan o�Alaska Nailve Q Othe�Asian �Some college credic,buc no deQran 0 Vez,Mexican,Mexican American,Chicano �Asia�Indian � Native Hawaiia� 0 Associate deg�ce(e.�.AA,AS) �Vrs,Puartc Rican �Chinese 0 Guamanlan or Chamorro 0 Bachelor's degrea(e.g.BA,AB,BS) O�es,c�n�� O F��v��o p s.�.,o�� 0 Master's tlegree(e.g.MA,M5,MEng,MEtl,MSW,MBA) O res,other Spanish/Hispani4�atino O��Panese O Othar Paclflc Islantler �-Ooctorate(e_g.PI�D,EtlD)or Professional tle`ree (SpecHy) O Other(Specify) .MD DOS DVM LLB JU 21.DacedenYs Single Race Self-Designaclon-Check ONLY ONE to IndicaSe what ihe decetlent consideretl hlmself or h¢rself to be. 22a.DecetlenYs Usual Occupation-Indicate type of work �White Q lapanese Q Samoan tlone tluring most of working Ilfe. �O NOT USE NETIRED. 0 Black or ATrlcan American 0 Korean �Other Paciflc Islantler q 0 American InCian or Alaska Native �Vietnameze �Oon't Know/NOt Sure SpeCCL P8th010g3St � 0 Aslan Intlian 0 Other Aalan Q Refused 22b.Kind of Business/Induscry � O Chinese O Na21ve Hawailan 0 Other(SpeciTy) � O Fllipino O Guamanlan or Chamorro Capital Area Zntermediate ITEMS 23a-23d MUSf BE COMPLETED 23a.Date Pronounced Dead(MO Day r) 23b.Slgnaturo of Person Pronouncing Death(Only when applipble 23c.License Number 6Y PERSON WHO PRONOUNCES OR CERTIFIES OEATH 23tl.Dste Signed(MO/Day/Yr) 24.Time of Deat1h� � - V i�Y\ 25.Was Mediwl Examiner or Corone�Contacted7 � Ves � No CAUSE OF DEATH App�oximate 26.Part 1. Enter the chain of a enss-diseasea,injurles,or mmpllcaHOns-that tllrec[IV caused th�deach. 00 NOT enter ierminal evenss cuch as ordiac arrest. Interval: respiratory arresf,or veniricular fibrlllailon hout showing ihe tiology. DO NOT ABBREVIATE. Enter only one cauze on a line.Add atltlitional lines if necessary Onset to Oeath IMMEOIATE CAUSE --- > ,��A A�+C��N\ N-H (Final Aiseasa or contlition Due to(or a sequence o�: _ resulilnQ In death) b. CO C�6Y�Q[�H �..r-'�"e_C-U ��.0 e CSLA 4? Saquon[lally lirt conditions, [� So(or�s a concequen of): �r a�y,i�.ai�a co m<<�.,:o C-Q+C��l�.Str'Y�\/J V�/\ Ilstsrl on Iine a. En�er the UNOERLVING GUSE c Du¢to(o�as a consequence ofl: w (tlisease a�injury ihat �\ Q,_A��L C� FInitlaSed the events rosultinp tl. 'L.J-�.�v t In death)LAST. Due to(o�as a consequance o�: � 26.PaK 11. Enter oth�ejr i i� co d elo s tribuNn io tl ath but not resulting In th�untlerlyinQ uuse Qiven in Part 1 27.Was an auiopsy perlormetlT g ��Y`�� C� Z8.wereOautopsy flntlingz ava(lable � to mplaCa tha caus of deach7 '$ co0 Ves No 29.If�.F.cemale: 30.Did Tobacco Use Contribute to DeaihT 31.Manner of Deaih E �p Not presnani wi�l�ln part year Q Ves 0 Probably '�,Naiu�al 0 HomiciCe S � Vregnant ai time of daatl� 0 No �,Unknown 0 Accitlent 0 P�nding InvaRigaTlon $' 0 NoY pre�nant,bui preQnaM wlthln 42 days of tlaatf �Suicitle �Coultl not be tleterminetl 0 Noc pregnant,but preananf 43 tlays to 1 year befora deatF 32.Date af I�jury(MO/Day/Yr)(Spell Month) � U�:known if M�¢Cnant within the Vast Yea� 35.Timn oi inlury 34.Place of Injury(e.g.home;construc[ion site;farm;achool) 35.Location of Injury(Street and Number,Gity,State,Zip Coda) 36.InJury at Work 37.1/Transportatlon InJury,SDacify: 38.UeseAbe How InJury Occurred: 0 Vea �DrWer/Operetor O Petlestrlan � No O PassenQer Q Other(Specify) 39a.CeRifler(Check only one): �CeKifyinQ physician-To tha best of my knowledge,doth occurred due io the cause(s)and manner stated Q P o ncing 8a CertifylnQ physictan-To the best of my knowletlQa,death occurred at the Sima,Eate,antl plsce,and tlue io the cause(s)antl manner sta[etl �Metlical Examiner/COroner-On the basis of exam ,a d/ar(nvesdgstion,in my opinlon,tleath occurred at the Hme,date,and place,end due m the cause(s)and manner stated SiQnatura of csrtiflar. TiNe ot certlfler:M� Llcens�Numbar:M.��C aZ•�-S�T 39b.Name,Atltlross anA Z{p Cotle of Person Comple[In Cause ot Death(Ittm 26) 39<.Dafe Signed(MO/Day/V�) Vance R_ Stouff¢r IID@Home 2550 Kin tou Rd YorY YA 17402 �� ZQ- �O L� � 40.ReQisi�ar's DistACt Numbe� 61.ReQist�ar's Sisnatu�e 42.Registrar FI e Date(MO Day/Vr) qy.�� .. .. : ,:r'. -.... �,°+�#�y, a '�e.oY x 3"J hn,..L: _:a.-o ��,Y':.^'�$�:Y��c7d} - - 43.Amendmenta O � Dltpozitlon Permlt No. O Gl`7�I�1 I H105-143 REV O]/2011 _ -;� c� <�� ' ;"�t C c a --- c;, �� - a ��_ �, G'7 ` ;:1 RENUNCIATION � � ��= �--- � c.�, , .. ., f-- " �a .:__,. � REGISTER OF WILLS ``� ` � ' .� � �-� �._; . CUMBERLAND COUNTY, PENNSYLVA'�'1TI� �� . ��s �.1 '_� cr> l ,; � ;v Esta.te of LOIS J. CLIFFORD , Deceased Dauphin Deposit Bank and Trust Company, now known as I, Marnifactiirers and Traders Trust Company , 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 Rev. Dr. Duncan H Johnston,Mt Calvary Episcopal Church, Camp Hill, PA 17011 Dauphin Deposit Bank and Trust Company � � now kn T ust Company (Date) (Sigttature)� �! ` � � �(,VlCE FsRE51flEN? 213 Market Street �, .�usT oFFic�+e (Street Address) Harrisburg PA 17101 (ciry,srare,zip) Executed in Register's Office Executed out of Register's Office Sworn to or affirmed and subscribed Before the undersigned personally appeared the befor�.me this ' ' day party executing this renunciation and certified of� , _ that he or she executed the renunciation for the purposes stated within on this '7 �h day of G�St' , oZ0 f� . � c � ��w Deputy for Register of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Notarial Seal Marcia E.Besic,Notary Public Form RW-06 rev.10.i3.06 Clty of Harrisburg,Dauphln County My Commisslon Expfres Nov.28,2013 Member,Pennsylvania AssoGadon of Notarles �� i11 �tn� ��t�x�rt�en� OF LOIS J. CLIFFORD I , LOIS J. CLIFFORD, of Lower Allen Township, Cumberland County Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this as and for my Last Will and Testament, hereby revoking all Wills and Codicils previously made by me. l . I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. I direct my burial to be in the Columbarium at Mt . Calvary Episcopal Church, Camp Hill , Pennsylvania and that the services of the Cremation Society of Pennsylvania to be used at the time of my death. 2 . I give all my articles of personal or household use, including any automobiles I own at the time of my death, to my friend, MARY BETH WATKINS, if she survives me. 3 . I direct all the rest , residue and remainder of my estate, whether real or personal , and wherever the same may be situate or located, be converted to cash and given and bequeathed to MT. CALVARY EPISCOPAL CHURCH of Camp Hill , Pennsylvania to be used in whatever manner is felt necessary for the continued services of the Church. This gift shall be given in memory of my late husband, EDMUMD S. CLIFFORD and myself. � 4 . I direct that any and all inheritance, estate and transfer � taxes imposed upon my estate, passing under my Will or otherwise, a hall be paid out of the principal of my residuary estate. 5 . In addition to powers given it by law, my Executor acting ereunder shall have the fullest power and authority in all matters and questions and to do all acts which I might or could do if - •;:,.� c� �_:.' _ �; �- .> ��, _ ��: �;-6 ; : ;-� . �� ;.� �.... �r—, � , .. . ._ , . ,�,. . y C. .:� �� ;t C'? '� . e;;� <w� _ �} ,'�i ..�� C,� �'' `=� �-` f V living, including, without limitation, complete power and authority to invest (without restriction to investments permitted by law) , sell (at public or private sale, for cash or credit , with or without security) , mortgage, lease and dispose of and distribute in kind, all property, real and personal at such times and upon such terms and conditions that it may deem advisable. 6 . I nominate, constitute and appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY of Harrisburg, Pennsylvania as Executor of this , my Last Will and Testament . 7 . I hereby relieve my personal representative from the necessity of posting security in connection with its duties as such in any jurisdiction in which it may be called upon to act insofar as I am able by law to do so. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this , my Last Will and Testament , consisting of two typewritten pages , the first one of which bears my signature in the margin for the purpose of identification, this �� day of �C-w. �l��,�.�� :,,�_ � 19 9 4 . ,. , : ,. (SEAL) L s J. liffor Signed, sealed, published and declared by the above-named Testatrix, Lois J. Clifford, as and for her Last Will and Testament , in the sig t and presence of us , who, at her request , and in her sight and presence and in the sight and presence of each other , have hereunto subscribed our names as witnesses . ��.�C�! �� .��r�r' �� ,��.,ry-�,�; �'� Nam �� Address Q.. N ddress 2 COMMONWEALTH OF PENNSYLVANIA . : SS COUNTY OF DAUPHIN . We, Lois J. Clifford a ��,�,o�,/ ,� , and ��}�,��,..�,b� , the Testatri and t e wi esses , respectively, whase names are signed to the attached or foregoing instrument , being first duly sworn and qualified according to law, do her�by decZare ta the undersigned autharity that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament and that she signed willingly {or willingly directed another to sign for her� , and that she execut�d it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses , in the presence and hearing of the Testatrix, signed the Wi11 as witness and that to the best of his or her knawledge the Testatrix was at that time eight�en (18} years a£ age or older , af saund mind and und�r na constraint or undue influence, and I , the said Testatrix, do hereby acknowledge that Z signed and exeeuted the instrument as my Last Will and Testament, that I signed i� willingly, and that I signed it as my free and voluntary act for the purposes th�rein express�d. � � � � � atrix - - �,.� ,�� , _ �,; ��..�,.:�'�C`. .- -� ��- -� . {�� Wi� es � W' ess Subscribed, sworn to and acknowledged before me by Lois J. Clifford � the Testatrix, a�d su�scri d and sworn o befo e by , , �-�L and 1 ' ' tness , this .. _ ay o , A.D. 19 94 . �� ..l� ;�_ otary u ic � N(ITARIAL SEAL KAY L. bWULcT, hctary Public liarrisbur�, Caup�in CountY, PA hty Cammission Expires March 19, 1gg8 _ .,. :.. , ..Y .. ...� _� � �.,,� -�, _...� i CODICIL TO ��x �i11 �n� ��t�m�nt OF LOIS ��. CI,I�FORD I, I,OYS J. CLIF�'ORD, of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be a Codicil to my Last Will and Testament dated September 13, 1994. FIRST: I revoke Paragraph 2 of my Last Wi11 and Testament aforesaid, and in lieu thereof, si�bstitute the following p«ragraph: "2. I give all my articles af personal or household use, including any automobiles I own at the time of my death, to my friend, JLJDITH A. KLEINFELTER, if she survives me." SECOND: In all other respects, I ratify and canfirm my Last Will and Testament dated September 13, 1994. -. il�i V�'rI i 1 TES� ��'H��cCLC�, I l�avz g�ereurrtu se�rnv nanu aticl seal iYuSa��'��y oi � / t. �.��'L�'h�. , 1997. � � �� °�` ` (Seal) Lois J. Clifford � � � Sigci��i, �e�le:�, ��ub�ished and declared by the at�ave-named Lois J. Clifford as and for a ` t�'�di�il to h�;r L.ast�'ill and Tes<<��ne�t, in �he presence of us, who, at her request, and in the �rc,s��;;� of eacl� atl�er, have hereunta sut�scrib�d our narnes as witnesses. ��Y -��'. Na Address ��- , �c�. �� Na.ine Address � ..,, _ .. .. . , C'' �=' r � �.� � �:'a z �'� - , r , ' '`�� . , :i �:... :.': `� . cD . � .::� C . . . f..5 i,...,� �.� t � ,.. ".J . ..�.{ (�;) '-.,,. . ...._. i. . c'."�: N 2.; '.- , _ �.._ i� ....; C'..) ��1 ^t :�„ C�3 Commonwealth of Pennsylvania : � : SS Countyo uf Dauphin : � We, Lois J. Clifford ,�f��) � • �i �. � -- - ��"` , and '�- � - "� � � , tne Testatrix and the witnesses, respectively, whose es are signed to the attached or foregoing instrument, being first duly s��orn, do hereby declare to the undersi�ed authority that the Testatrix sig�ed �nd executed the instrument as a Codicil to her Last Will and Testament and that she had signed willingly (or willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Codicil to the Will as wimess and that to the best of his or her knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. 1� �� ?� ;f . ,��' , -��i Testatrix � �, , 1 " 1��-�/��__ Witnes :� Witness Subscribed, sworn to and acknowledged befor� me by_Lois J Clifford , the Testatrix, and subscribed and sworn to before me by' �'�� _��,��=�'� and ,��1�� `_� �� ,,� , witnesses, � this -�- � ��-z-tlay � f' '�zr��c_, ti.�.. , 19 97. / , f,..�/��. `r� L��_. Not u lic F�GTARIAL SEAI. KAY L. D:,UL�T, rdotary public Na•�risburg, L3;!rhj� Co�Jnty, pq h}y Comrni;�ion [xp;r�s ��larch 19, 1998 ------•—•-__._-_ _ � � � SECOND CODICIL TO ��.�t �ill �.�.� C��.��tm��tx OF LOIS J. CLIFFORD I, LOIS J. CLIFFORD, of Hampden Township, Cumberland County, Pennsylvania, declare this to be a Second Codicil to my Last Will and Testament dated September 13, 1994. FIRST: I revoke Paragraph 2 as set forth in the First Codicil, dated February 26, 1997, to my Last Will and Testament aforesaid, and in lieu thereof, substitute the following Paragraph 2: "2. I give and bequeath all my articles of personal or household use, and the sum of Ten Thousand ($10,000.00) Dollars to my friend, JUDITH A. KLEINFELTER, if she survives me." SECOND: In all other respects, I ratify and confirm my Last Will and Testament dated �4pternber �3, 1�9�. IN WITNESS WHEREOF, I have hereunto set my hand and seal this �� day f�'? ' , of ` , 2005. ' � �...... .y x , � r �/;'- ,�� (Seal) Lois J. Clif�` d ' ;' �� Signed, sealed, published and declared by the above-named Lois J. Clifford, as and for a Second Codicil to her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. �-- ��,�.�.�.�� -- Nam Address ` � ', ��., � ,•- ��'�f,f' �� _ ,.� .� r: �� -�� Nam f Address � `-' � �' ; , .., <� - „� ..y �.'.�... .. . "..., Ci 3 C. � r,y _. . c., ,t �� _, � ' r <D , _. . ._ . p�� (:J \.. ..� L_.; � , � � '.4 . r'�^.� � . �.. 'i :.3 � - tv � ` �.; i �::a :J Y �—.Z " '�1 :� rv � ^ ...wl Commonwealth of Pennsylvania : : SS County of Dauphin : � `]�Ie Lois J . Clifford , ` �,� �� ' , !t.-� , � and U�i . /�'c�' �� , the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as a Codicil to her Last Will and Testament and that she had signed willingly(or willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Codicil to the Will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. � 1 Testatrix , ' ess ��i' �,! � �:lJ2�°G.�-�i'C • �LC`l_��.��. Witness Subscribed, sworn to and acknowledged beforemeby Lois J . Clifford , the Testatrix, and ubscribed d sworn to befo me b LL'L��,��" and �� G� , witnesses, this �a day of � ' , 2005. � � ,� ��,� C,� ,�.��, l�otar�Public MMCo7'�i�Ef.LTt-i OF PE`d;�i�'r._Yf.�=:,`. r NOTAi�i?.L S�r„`,�_._..�..�. .,' S'ri0�1D,��A:STt�',��i ii;i�1"x F°t�';i:c, � �iiy af�i�ist��r�;�,�:uu��:�Cc,,r�t;r, ; My Commissi�n Er,�,ires Cv��cx„r a%'',,��.�t'..� ...�-.�......_..._...__.__..____.__._