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FETITICIN FOR GRANT OF LETTERS
REC.arISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
Petitianer(s} named below, who islare 18 years af age or older, apply(ies} for Letters as specified belgw, and in
support thereof aver(s)the fallowing and respectfully request(s)the grant of Letters in the appropriate form:
Decedent's Information
Name:_Dona[d Mackenzie,Jr. File No: ,�—��!� �"� �D
��a� (Assigned by Register}
alkla:
���� Social S�curity No;
Date of Death: AuQust 10,2p 13 Age at death: 92
Decedent was domiciled at death in Cumberland Cuunty,p�nn.Syly,� (Stare)with his/her last
principal residence at_1 l 4 Straver Drive,Carizsle,Sauth Middleton Twp.,PA I 74 t� Cumberland Countv
Street address,Post Office and Zip Code City,Township ar Borough County
De�edent died at Manor Care Nursin�Home,Walnut Battom Rd.,Carlisle,Cumberland Countv,PA
Street address,Post Offcce and Zip Code City,Tuwnship or Boraagh Cauety State
Estimate of value of decedent's property at death:
If dvmiriled in Pennsylvania................... ,...... Ai1 personal property $ 3�0�{�0 0.0 0
If not domiciled t"n Pennsylvania. ....................... Personal property in Pennsylvania $ �
If not domiciled in Penresylvaniu. ....................... Personal praperty in County $
Value of real estate in Pennsylvania......................................................... $
TUTAL ESTiMATED VALUE. ... $ r •
Real estate in Pennsylvania situated at:
(Attach addiliona!sheets,if necessary.) Street address,Post Office and Zip Code City,Township or Borough County
� A. Petitian for Probate and Grant of Letters Testamentary
Petitioner{s}aver{s}helshelthey islare the Executor(s}named in the last Will of the Decedent,dated May 26,200� and Codicil(s)
thereto dated June 21,2011
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 divarced,was nat a party to a pending
divorce gruceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g},and did not have a child born ar
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated persan.
: �NO EXCEPTi4NS �EXCEPTiUNS
x
� B. Petition far Grant of Letters of Administration (Ifapplicable)
c.t.a.,d.b.n.,d.6.n,c.t.a.,pendente lite,durante ubsentia,durante minoritate
if Administration,c.t.a. ar r�b.n.c.�a,,enter date of Wil!in 5ection A abave and camplete list of heirs,
Except as fallows: Decedent was not a party ta a pending divorce proceeding wherein the graunds for divarce had been established as de�ned �
in 23 Pa.C.S.§3323{g}and was neither the victim of a killing nor ever adjudica#ed an incapacitated persan.
: �NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s),after a proper search haslt�ave ascertained that Decedent left no Will and was survived by the following spousei�if any)and heirs(attach
additionat sheets,if necessary�: � �--. ;�
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Form RW-02 rev.fo��riza�� Page 1 of 2
Oath of Personal Representative Official Use Only
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COMMONWEALTH OF PENNSYLVANIA } � � _,_ �`'y r.;�
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COUNTY OF CUMBERLAND } � � ��' � �-�
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Petitioner(s)Printed Name Petitioner(s)Print " Adtir�s� �� ���'�
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,��y �M :� ,.:�
Sandra L.McNichol 110 Stra er Dr. Carlisle PA 17015 �� � - ~
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The Petitioner(s)above-named swear(s)or a�irm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and belief
of Petitioner(s)and that,as Personai Representative(s)of the De edent,the Petitioner(s)will well and truly administer the estate according to law.
Sworn to r affirmed ubscribed before Date / % �
me thi �'da of , �o/� Date
BY� `�'�- • Date
r the Register Date
BOND Required: Q YES � NO To the Register of Wills:
FEES: Piease enter my appear e by my signature below:
Letters. . .... . . .. .. .. . . . . . . . . $ � Q'Od
�D Attorney Signature:
( )Short Certificate(s).. .. . . �Q•Q t'
( )Renunciation(s).. . . . . . ..
( ' )Codicil(s). . .. . . . . . . . .. J•o0
( )Affidavit(s).. . . . . . . .. . .
Bond.. .. ... . . . . . . . .. . . . . . . .. Printed Name: Richard S.Friedman,Esquire
Commission. . .. .. .. .. . . . . . . .. Supreme Court
O h r . . . . . .. ID Number: 07176
r . . .. . . . •or•
• • •. . . . Firm Name: Richard S.Friedman,P.C. �
• • . • • • • Address: �00 N.2nd Sr.,Suite 402
. . . . . . . Harrisburg,PA 17101
�� tjy . . . . . . . . _�DD
. . . . .. . Phone: (717)234-3441
Automation Fee. . .. . .. . . . . . . .. 'o�' Fax: �717)232-9946
JCS Fee. . .. . .. . . . . . . . . . . . . . . �,�a Email: �sfl3�live_c�m
TOTAL. . . . .. . .. . . . . . . . . . . . . $
DECREE OF THE REGISTER
Estate of Donald Mackenzie,Jr. File No: �/��' /� (,���0
a/k/a:
AND NOW, (y , , in consideration of the foregoing Petition,
satisfactory proof having b presented before me,IT IS DECREED that Letters Testamentarv
are hereby granted to Sandra L.McNichol
in the above estate and(if applicable)that
the instrument(s)dated May 26,2005 and Codicil dated June 21,2011
described in the Petition be admitted to probate and filed of r c rd s the last Wil (and Codicil(s of Decedent.
Register of Wills
Furm RW-02 rev.l0////10/l 2 �f 2
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I�Ol�TA�,� I�AC�NZI�, ,�R.
I, DONALD MACKENZIE, JR., of the Township of Silver Spring, County of Cumberland,
Commonwealth of Penns�lvania, deciare znis to be my Last W ill and revoke any will or codicil
previously made by me.
ITEM 1: Upon my demise, I direct my body be released to Neill Funeral Home, Camp
Hill,Pennsylvania where I have preananged and prepaid my funeral services. I direct my body be laid to
rest in Fort Indiantown Gap National Cemetery,Annville,Lebanon County,Pennsylvania.
ITEM 2: I direct that all my just debts and fiineral expenses be paid as soon as practical
after my death.
ITEM 3: I direct that all taxes and interest and penalties thereon that may be assessed in
consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from
my residuary estate as a part of the expense of the administration of my Estate.
ITEM 4: I give, devise and bequeath all the rest, residue and remainder Qf my estate of
� every r�a.tur;; ar�d ��✓l7eres�ever situate, together with insuranc� thereon, in e ual shares to m dau hters,
� R' Y g
Z SANDRA LEE McNICHOL of Carlisle, Pennsylvania and KATHY LYNN MACKENZIE of Albany,
�
U New York,per stirpes.
� ,
Q ITEM 5. Should my daughter, SANDRA LEE McNICHOL predecease me or fail to
� survive me for a eriod of thi 30 da s,I direct her share be divided as follows:
Z P rh'� ) Y
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Q A. Fifty Percent (50%) to be divided equally between her children, MEREDITH
ANNE McNICHOL and SEAN PATRICK McNICHOL; and
B. Fifty Percent(50%)unto my daughter,KATHY LYNN MACKENZIE.
Page 1 of 3
ITEM 6: Should my daughter, KATHY LYNN MACKENZIE predecease me or fail to
survive me for a p�riod of thirty (30) days, I give, devise and bequeath her share to my daughter,
SANDRA LEE Mc1VICHOL,or her issue,per stirpes.
ITEM 7: Until distributed, no gift or beneficial interest shall be subject to anticipation or
voluntary or involuntary alienation.
ITEM 8: I appoint my daughters, SANDRA LEE McNICHOL and KATHY LYNN
MACKENZIE as Co-Executrices of my L�st'�ti'i'i.
ITEM 9: I direct that my personal representative or their successors shall not be required
to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament,this�_day of i� ,2005.
�
D ALD MACKE ZIE, JR.
Signed, sealed,published and declared by the above-named Testator as and for his Last Will and
Testament in our presence, who, at his request, in his presence and in the presence of each other, have
hereunto subscribed our names as attesting witnesses.
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Page 2 of 3
� ,
COMMONWEALTH OF PENNSYLVANIA )
) ss:
COUNTY OF CUMBERLAND )
We, DONALD MACKENZIE, JR ��n-� �'(, !Ja�ML3(�- , and
. r�
'�(n� �^• ��� .,.J , the Testator 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 Testator signed and executed the instrument as his Last Will and that he
had signed willingly, and that he executed if as his free and voluntary act for the purpose therein
expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the will as
witness and that to the best of his or her knowledge, the Testator was at the time eighteen (18) years or
older,of sound mind and under no constraint or und influence.
1
D D MACKE ZIE,JR.
�
Witness
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Witness P'`
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Subscribed, sworn and acknowledged before me � % �e �I� by
DONALD MACI�ENZIE, JR., the Testator, and subscribed and sworn to before me by
.
.�� �1, ���- ar.d u,���,�,. � ��a y�,�.J , the wimesses, this
a��' day of � ,2005.
Notary Public AL
Nri�Al�
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Page 3 of 3
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CODICIL TO LAST WI� � ����� -A-�
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DONALD MACKENZIE, JR. '�' �`
I, DONALD MACKENZIE, JR., of the Township of Silver Spring, Cumberland County,
Pennsylvania,declare this to be the sole Codicil to my Last Will, dated May 26,2005.
Item 1: I hereby revoke Item 8 of my Last Will and replace it with the following: I appoint my
daughter, Sandra Lee McNichol, Executrix of this my Last Will and Testament. In the event my
daughter, Sandra Lee McNichol, predeceases me, fails to qualify or ceases to act as Executrix, I appoint
my daughter,Kathy Lynn MacKenzie, alternate Executrix of this my Last Will.
Item 2: In all other respects, I hereby ratify, confirm and republish my Last Will, dated May 26,
2005, together with this sole Codicil, as and for my Last Will.
IN WITNESS WHEREOF, I have hereunto set my hand this � day of
�
� ;(�1..�"e--� ,2011.
DO ALD MACKENZIE,JR.
Signed, published and declared on the date thereof by the above named DONALD
MACKENZIE, JR., as and for the sole Codicil to his Last Will, dated May 26, 2005, in the presence of
us, who, at his request, in his presence, in the presence of each other, have subscribed our names as
witnesses hereto.
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COMMONWEALTH OF PENNSYLVANIA )
) ss:
COUNTY OF CUMBERLAND )
We, DONALD MACKENZIE, JR., ./�' �,rt� �• (�u�ti'z�. , and
,
�..�A ,C �. r �'� , the Testator 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 Testator signed and executed the instrument as the sole Codicil to his Last
Will, dated May 26, 2005, and that he had signed willingly, and he executed it as his free and voluntary
act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the
Testator, signed the Codicil as witness and that to the best of his or her knowledge, the Testator was at
the time eighteen(18)years of older,of sound mind and under no constraint or undue influence.
,
DO �MACKENZ ,JR.
.
Witness
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Subscribed, sworn and acknowledged before me �-�� �(�a�, by DONALD
MACKENZIE, JR, the Testator, and subscribed and sworn to before me by
,�,r/,,ti � h � ��b2(�'rE�l- and �J� I/"►� �... ��c �v , the witnesses, this
��'day of �rJ ��°" , 2011.
Notary Public (SE )
co uo�ew��ifi��p�P��r�r�ar v _M�,,
NC�TARl1�t��rEltL
�'lenry F.'Coyne.fiota�y p���;� `,.
Ham�dsn Tawrtsl�ip.Cumbe►fanQ'�u��
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MY Corr►mission Expires Jun�t�,�qtZ.'