HomeMy WebLinkAbout09-03-13 x V ^oVRI
PETITICIN FOR GRANT OF LETTERS
REGISTER OF WILLS C)F CUMBERLAND CqUNTY,PENNSYLVANIA
PetitsQner(sj named 6elow, who islare 78 yeazs of age ar alder, apply{ies) for Letters as specified below, and in
support thereof aver(s}the fallowing and respecCfully request(s}the grant of Letters in the appropriate form:
Ilecedent'slnformaHon �� ' ��3 y ���
N�me. GeorQe R.Shivelv Fite No:
a/1da: (Assigned by Register)
a/k/a:
alkla: Socia) Secnriky No:
Dete of Death: 06/18/2011 Age at death: 76
Decedent was domiciled at death in Cumberla�d County,pe"nsy�va,»a (s�are)with his/ber(ast
principal residence at 1$Michael Caurt.Shioaensbura.Southamntan Two..Cumberland Co mtv�Pennsv(vania
S[reet addrcss,Post Ottice and Zip Code City,Tpwnship ar Bnrough County
Decedent died at 1$Michael Court Shinnensbure Southamoton Two Cumberland Counri P nnsvlvania
Street address,Poat Office and Zip Code Ctity,Township or Aarong6 C.omnly State
Estimate oPvalue of deeedenPs property at death:
/jdomieiled in Pennsylvania......... ....... .... ..... . .. All personal property $ SO,p00.00 �,
Ijnot damirited ix Pennsylrania. ....................... Petsonal property in Pennsylvanis $
Ifnot dnmieited in Pennsylvanta. ....................... Panona(property in County $
Yalueofrea[estaiairc Pennsylvania.. ....... ..... ... . . .... .. .. .... ...... ...... ..... ......... $
TOTAL E5TIMATED VALUE. ... $ 50.000 00
Real estate in Penasylvania situated at:
{Atznch addirtaeal sheers,tJ necessary.} Street address,Poet OttFce and Ztp Code Ctly,Townebip or Bo�ough Couniy
0 A. Pekition for Probate and Grant of Letters Testamentarv
PeTitiancr{s}arer(s}he/shetthey islara the Execator(s}named in the last Wll of the Decedent,dated May 24, 14$5 and CQdioil{s}
thereto dated n/a Decedem's snouse and first named Execuuix Nancv Shivelv as weli as dec dent's sten dauehter5 and seaond
named Fxeruiricea Anril Hankenhem�and lanelle Knrtz are rennunrin�in favnr nf deredenYc da �htwr and th?d num d
StaM releran[circumsbnces(e.g.renunekJlan,deoth oJe,recutaq eea}
�Xecntrix, Lisa A. Myers.
Exceptas£ollows: aftertheexeautionofthe#nstrumentjs)offeredPorprobateDecedentdidnatmarry,waanotdivoracil,wasnotapartytoapending
divorce proceeding w4erein the grounde for diwroe had been established as defined in 23 Pa.C.S. § 3323(g),and did not have a child bom or
adopted;and Decedant was neithar the victim of a killing nor ever adjudicated an inoapacitated person.
�NO EXCEPTIONS Q EXCEPTIQNS
0 B. Petition for Crant of Letters of Administration (IfapP�;cable)
� c.t.a.,d.h.n.,d.6.n.c.t.tt..pendente trXe,durante absenlia,duraxte minoritate
Ii'Administratian,c.t.tt. nr d.b.n.aba.,enter dste of Will in Section A above and complete Ifst of heirs.
Except as follows: Dacedent was not a pany 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 oCa killing nor ever adjuditated an ineapacitated person.
II �NO EXCEPTIQNS �EXCEPTIONS
Petitioner(s),after a proper seareh hasfhave aeoertained that Decedent left no Will and was survived by Che following spause(if any)aud 6eirs(uttack
arfditionoLsheets.ij'necessarvt:
Name Relatfonshi Address
F�,.m nw-oz ��v.ronziznn Page 1 of 2
. .
Oath of Personal Representative oevo�ai us�oniy
COMMONWEALTN OF PENNSYLVANIA }
} SS:
COUNTY OF CUMBERLAND �
Petitioner(s)Prinied Name Petitioner(s)Printed Address
Lisa A.M ers 26 Koser Lane Shi ensbur PA 17257
The Petitioner('s)above-nxrned swear(�)or affirm(:�)the statemen[s iu the foregoing pc�tltion aze lrue and correal to the bast of the knawledge and balief
ot"Petitioner(s)and thaY,as Personat ftapresentati�etsl of the DecedenY,the Petiponeris}wiii weil and truty administer tha estate aacording to taw.
Smw�om to or a �d an subscribed be o e �"°��_..,�„S��„�� Dace ������3
y � Date
By: Date
For rhe Regis+er Date
BOND Required: {�j YES � iY0 Ta the Register of Wi1ts:
- FEES: Please enter my appearance by my signsture below:
L,etters�-. . . . .' . . . . . . .�.. . .. . . . . $__��� (�� Attorney Signature: .'?. ,, .
{ �}$}tOPt e8221fiCA1C�9}.. ... . _____��� � � .
( 3 )Renunciation(s).. . . . . . . .
( ) Codicil(s). .. . . . . . . . . .. •^'�
( 7 APtidavit{s).. .. .. .. . ., . —
Bond.. . . . . . . . . . . . . . . .. . . . .. . '— Printed ame: Craig A.Hatch,Esquire ~
Comm�ssi n� . . . . . . . . . . . . . . . --�-- Supre e Caurt
Other 1�� . , . . . __-�} W ID Number: 76361
�
. . . S�`�. Firm Name: ('iates,Halbruner,Ha[ch&Guise,RC.
. . . . . . . . Address: 1013 Mumma Rnad_ Suite IQO
.. . ... • . I.emn+ne_PA 1704'i
. . Ph�ne: (717)731-9600
Automation Fee. . � ('� Fax: t7]?)731-4427
_ ... .
7<;S Fee. . . . . . .. .. . . .. .. . .. . . .==.��'I� Em&iL' CHatfi(�C:ateqi awFirm nnm
�, TOTAL. . . . . . . . . . . . . . . . . . . . . S I.L '
DECREE OF THE REGISTER
Estate of S"Eeoree R.Shivelv File No: Jf� ��I� ` �
aikla:
AND NOW, ti�.i/1�'�C�C..� � �,in considera ion oPyth�e£,o,r,e,}going Petitian,
satisfactory proof having een presented before me,IT IS DECREED that Letters_�J��r_�r t r �
are hereby grantad to _�,.-��j(� �. ►'Y'h/�� ���_SL_..�
'r the above estate and(if applicable)khat
the instrumentts}dated �
described in the Petitic�n be adcnitte to prohate and filed af eecord as the last Will(and C dicil(s,))of Decedent.
�. „'
egisfer of Will ��� ����
Fo.m xw-oz .pv.roiuizorr Page 2 af 2
�
ii
WZLL
I, GEORGE R. SHTVELY, currently of Mif£1in Caunty,
Pennsylvania, being of sound mind, memory and understanding,
do make and publish this my Last WiI2 and Testament, hereby
revaking and making void a11 farmer Wills by me at any time
heretofore made.
ITEM ONE: I direct a11 my debts which may be 1ega11y
collectible, and funeral expenses , to be paid by my Executrix
hereinafter named.
ITEM TWO: A11 federal , state and other deaCh taxes pay-
able because af my death, with respect ta the praperty forming
my gross estate for tax purposes , whether or not passing under
�� this Wi11, including any interest or penalty imposed in
connection with such tax, sha11 be considered a part of the
expense af the administration of my estate and shall be paid
from my residuary estate under ZTEM THREE without appartianment
or right af reimbursement. All such taxes an present or
, future interests shall be paid at sneh tima or times as my
Executrix or Trustees may think proper regardless of whether
such taxes are then due .
IT'EM THREE: All the rest, residue and remainder af my
LAw iSFFlCES
HoucKaGiNCR�cN estate, real , personal and mixed of which I shall die seized
i5 N.N�AVNE 5TREET
P.osox<aa and passessed or to which I shall be entitled at rny decease,
l£WISTOWN,Pp.i]0-04 .
II
Z give, devise and bequeath ta my wife NANCY SHIVELY, provided
she survives me by thirty (30) days .
In Che event my said wife is not living on the thirty-
first day following my death, I direct the rest, resiflue and
remainder of my estate be distributed as fai2ows :
(a} In the event any child of mine {WALTER ANTHONY
SHIVELY, LORRAINE DENISE SQLA, APRIL JANINE THOMAS , JANELLE
LYNIVE KURTZ, LISA ARZATi�NE SHZVELY} at the time af my death is
(1) less than thirty (30) years of age, (2) living at my
current residence, (3} unemployed, and {4) saparated from
his/her sgouse and/or unmarried, I direct my hereinaftar named
trustees to retain my said residence and household furnishings
therein "in kind" £or occupancy and use of any of my children
� who meet the requirements af this subparagraph (a) , without
charge. I further direct my said trustees receive frorn my
estate $10, 000 . 00 for expenses of keeping and maintaining said
residence and furnishings . When no living child of mine meets
the requirements af this subparagraph {a} my trustees are
directed to liquida�e the trust assets and distribute the
same to my said trusCees to be held under the terms of sub�
paragraph (b) of this Item.
�,woFF�c�s {b} The baiance of said rest, residue and remainder of
NOUCK&GINGRICH �
i5N.WAVNE9TREET my estate I give , devise and bequeath to my trustees hereinafter
P.�.BOX<9C
�eW�srowr,,Pn.,�o4a named In Trust to be invested in government insured investments
i� _ _ _
. , . . .
and I direct any child or children of mine who meet the require-
ments of subparagraph (a) of this Item shall be entitled to
use interest from the investments of this subparagraph (b) for
necessary , normal living expenses . Any unused interest shall
be paid quarterly to my other children equally. In making
such distribution of any unused interest my trustees should
reserve sufficient funds for said child or children who is/are
receiving interest for necessary, normal living expenses .
Notwithstanding anytrhing in this Item to the contrary,
the trust established in this Item shall terminate when my
youngest living child is twenty-three (23) years of age at
which time all assets from my estate being held in trust shall
C\ be liquidated and the proceeds distributed to my said children
\;
equally or in the event a child is not living then to his/her
issue per stirpes .
ITEM FOUR: I nominate, constitute and appoint my
daughters APRIL and JANELLE as trustees under this my Last
Will and Testament. If one of the aforenamed trustees fails
or ceases to act in such capacity, I nominate , constitute and
appoint my daughter LISA as substitute trustee for said child.
ITEM FIVE : I nominate , constitute and appoint my
uworr�ces wife NANCY SHIVELY as Executrix of this my Last Will and Testa-
HOUCK 8 GINGRICH
15N.WAYNESTREET ment. In the event my said wife fails to act as said Executrix,
P.O.BOX 430
LEWISTOWN,Pq.17044 I nominate, constitute and appoint my daughters APRIL and
ir
� . . .
JANELLE as substitute Executrices. If one of the aforenamed
substitute Executrices fails or ceases to act in such capacity,
I nominate, constitute and a�point my daughter LISA as substitute
Executrix for said child.
ITEM SIX: I direct that my Executrix, trustees or their
successors shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
ITEM SEVEN: No interest (including, but not limited to
all shares of principal and income) of any beneficiary under
this Will or any Codicil hereto shall be subject to anticipation
or voluntary or involuntary alienation.
ITEM EIGHT: In the event any beneficiary of my estate is
less than 18 years of age at the time he/she shares in my estate
\ and is not covered by any other trusts herein, I give, devise
\ and bequeath said beneficiary' s share to my aforenamed trustees ,
In Trust , upon the following trusts , terms and conditions :
� A. Said share to the trustees hereinbefore named In Trust
`:> for said beneficiary with the powers and duties and under the
� terms and conditions set forth in sub-paragraph B.
B. To hold, invest, re-invest and r.ianage, collect the
income, and use the income and so much of the principal of
the trust estate as in the sole and absolute discretion of
said trustees may be necessary or proper for the support ,
care, maintenance, medical, surgical and hospital needs of
said beneficiary.
C. The payments for the aforesaid purposes may be made
by the trustees directly, without the intervention of a guardian
LAWOFFICES The trustees may pay to said beneficiary as much of the current
HOUCKBGINGRICH income, accumulated income or principal as the trustees in their �
15 N.WAYNE STREET
P,O.BOX 430
LEWISTOWN,PA,17044
�
sole and absolute discreCion �eem advisable for tne snpport,
education and well-beiag of said benaficiary. When sazd
beneficiary reaches the age of 1$ years said trustees are
directefl to pay to such beneficiary the remainder of the
trust together with alI accu�ulated income and said trust
shall ba ter�inated and the remaining proceeds af said trus�
shall be distributed pursuant to the intestate la�as o£ Penn-
sylvania then in effect. In the event the proceeds o£ any
insurance palicies are paid over to the trustees hereinbefare
named, such proceeds shall be held by the trustees under the
same trusts , terns and conditions as are pravided in this Wi11;
and as respect to any payrnent made by the insuranee conpany
to said Crustees , the company shall be under no liabiiity to
see to or be responsible £or the pro�er discharge of the trust
or any part thereof, and any such payment to said trusCees shall
fu11y discharge tfie campany for the amaunt so paid; and the
company shall not be charged with notice of a separate trust
instruMent , the death of such child or issue or Che termination
of a trust until caritten evidence thezeaf is received at its
home office.
D. My trustees shall be compensateH in accardance with
the scheduZe of rates in effect in Miff2in County, Pennsylvania
from time to time during Che period in which their services are
rendered.
E. My trustees sha11 invast in governrnent insured invest-
ments.
F. Shauld the principal of this trnst be ar become too
sma11 in the trustees ' discretion so as to rnake continuance
of the trust inadvisable, rng trustees may make imznediate dis-
� tributian of the than-rer.iainiug prineipal and any accumulated
or undistributed income outright to Che persons or entities
in Che proportions they are then entitled. Upon the termina-
tion the rights of all persons e�ha might otherwise have an
interest as succeeding incame beneficzary or as remainderman
shall cease.
IN WZTNESS WHEREOF, I, GEORGE R. SHIVELY, the Testatar, have
to this my Last Will and Testament , set my hand and seal (to this
�"'o�'°ES instrument only) this �+j�day of ��y 1985.
HOUCK 8 GINGRICH i
i 5 N.WAVNE STREET
P.Q.BQk d3� �/"'�:.
IEWISTOWN,PA.170i4 �f��
� (SEAL
ir _ _ _ _
Signed, sealed, published and declared by the above-named
GEORGE R. SHIVELY, Testator, as and for his Last tidi11 and Testa-
ment , in the presence of us who have hereunto subscribed our
names at his request thereto in the presence of the said
Testator and of each other.
�— .�.� � s��..�
�_ , _
— � ��
LAW OFFICES
HOUCK 8 GINGRICH � � . . �
15 N.VdAYNE STREE7
P.O.BOX 630
LEWISTOWN,PA.1]044
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of GEORGE R SHIVELY , Deceased
Lois K. BOor , (each a subscribing witness to
(Yrin(Name/s)
the❑x Will �Codicil(s)presented herewith, (each)being duly qualified according to law, depose(s) and
say(s) that she/he/they was/were present and saw the above Testator/Testatrix sign the same
and that she /he/they signed the same and that she /he/they signed as a witness at the request of
the Testator/ Testatrix in her/ his presence and in the presence of each other.
-������
(S!%nature) (Signa ra1 � . .
26 Jasmine Drive -
(Stree!Address) (Sneet AddressJ
Reedsvilie PA 17044
(City,State, Ztp) (Ciry.Smre,ZtP1
Executed in Regrster's O�ce Executed out ofRegister's Ojfice
Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed
before me this day before me this �a' day
of , . of o20/3
„rx- a--��--�--�
Deputy for Register of Wills No Public
M Commission Expires:
(Signature end Seal of Notary or o[her otTiciel qualified to
� administer oeths.Show date of ezpiration of Notary's CommissionJ
NOTE: To be taken by Officer fluthorized to administer oaths. Pleese have present the original or copy of instrument(s)at time of notarization.
F
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Farm RW-03 rev. 10.13.06 )O�IINE L�1�,NOT�R1'%��(J�
LEN7Si0WN BOROUGH,MIFFIIN COUNry
MY COMMISSION 0lPIRFS DECElABER 12,201!
08/2$l2013 14:38 717-731-9627 GATES HA�BRUNER HATC PAGE ez�e2
UA.TH OF SUBSCR,�BlNG WITNE�S(ES)
��zs�rc QF w��.�.s
CUMBERLAIYD CQUNTY,PBNNSY[,VANIA
�st�te of G�QRGB R. SHIVELY ���5�.
���/�ro�ra �.��ar� ,(e�ch)a subscn,bing wimess to
�� (Prim Nmnsh)
the 0 Wil! CH Cadicii(s}presented herewith,(cach}i�cing duly quetifled according w 1aw,dapose(s)and
say(s)ihat she!he i they was/were pr�sont and saw the above Testawr/Testatrlx sign the same
and that she f he!they sigoed the sarne and that she 1 he/they signed es a witness at the roquest of
the Ttstaipr 1 Tastatrix in her!his presenc�and in the�xesence af each other.
, l����� !Sr a+nr
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($(/Y.GtRG(R'@SiI /.S/IM.QIAl�I4'FYI
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E,ze�r�ted ia Register's O�ce Ex.ecuted oxt nf.�t�'er's Uf,�fce
Sworn to or afF�rned srjd subseribed Swom to vr a£firmed and subscribed
before me this ��� day bePore me this o���r"`�-'f day
��,
of., , of � �°��
�
_ f; �
D �r gister of Wilis Public
My Commis,sion Expires:
lSign+hrtc end Seal of Nusry nr achsr afflciei qwiif5ed x,
administcroeihe. Showdateofc�ryireiic�qfNOtnry'sCe�qmiennm,l
N01'E� To l+e nken by bffinsr nuehnrixed to adminia0er roths. Fka.c hmre 7HC�M thc�ig+nut ar capy af imttumant(e}q{time�fnpteriation.
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�.yi1ST0YM 60Rp,Mti�F��2015
r�r coMxnssrar+t�
Register of Wills of Cumberland County
RENUNCIATION
Estate of George R. Shivelv No.
Also known as �
,deceased
To[he Register of Wills of Cumberland Coun[y,Pennsylvania
T1,e undersigned Nancy Shively wife first named Ekecutrix
(Name) (Relationship) (Capacity)
of the above deceden[,hereby renounce(s)[he right to administer[he estate and respectfully reques[(s)that
Letters T25��ntarv
be issued to Lisa A. Myex'S
W itness my/our hand(s)this�_day of �J�� ,20�j
��,� ,� ���� ��,�`
ARirmed and subscribed before me this N Cy Sh1VEly (Signature)
��{__day of �U lu , by and throug�i her Attorney-in-Fact,
2A1'�. Lorraine D. Sola
�yp,�.� �, ��j�,, 610 West Whitehal�l�`��
Notary Public ` State College, PA 16801
My Commission Expires:
�u��� �� �� / (Signature)
b
Or
(Address)
Aftirmed and subscribed before me this
_day of ,
(Signature)
Register of Wills
DepuTy (Address)
(Signature and seal ofNo[ary or other official � ELLEN R.IQEIN
� qualified to administer oa[hs. Show date of � ������9�0231
expiration of Notary's commission) �t����
�NOELlS OOU1�17Y
MY�Eqrr +
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b...w+'�.+����"°
N TICE
__ __T��,�RiN TPA�,_.__ _ - __ _._ _.._ _ __��. ...__
- -� --- --- GRAlYT'ING A POWER OF ATTORNEY
THE PURPOSE O�' THIS PQWER OF ATTQRNEY IS TO GIVE TH� PERSON
YOU DESIGNATE (YOUR "AGENT'� BROAD POWERS TO HAIVDLE YOUR
PROPERTY,WHICA MAX INCLUDE PUWERS TQ SELL OR OTHERWISE DISPOSE
OF ANY REAL OR PERSONAL P120PEBTY WITHOUT ADYANCE NdTTCE TO YOU
OR APPRf1VAL BY YOU.
THIS POWER OF ATT{}RNEY DOES NQT IMPOSE A DUTY OlY XOUR AGENT
TO EXERCISE GRANTED POWERS,BUT WHEN POWERS ARE EXERCISED,XOUR
AGENF MUST USE DUE CARE TO ACT FOR YOUR BENEI+TT AND IN ACCQRI?ANCE
WITH THIS POWEB OF ATTORNEY.
Y4UR AGENT MAY EXERCISE THE POWER5 GI'VEN HERE THROUGHQUT
YOUR LIFET'Il1iE, EVEN AFTEIi YQiT BECOME INCAPACITATED, UNLESS XOU
EXPRESSLY LIIVIIT THE DURATION OF THESE POWERS OR YOU REVOKE THESE
POWERS OR A COURT ACTING ON YQi3R BEHALF TERMINATES YOUR AGENT'S
Ai?THORITY.
YOUR AGENT MUST KEEP Y4UR FUNDS SEFARATE FRQM YUUR AGENT'S
FLINAS.
A COURT CAN TAKE AWAY THE POWGRS bF YOUR AGENT IF IT FINDS
YOUR AGENT IS NOT ACTING PROPERLY.
TIiESE PQ'W�RS AND DUTIES OF AN AGENT UNDEIt A POWER O�
ATTORNEY ARE EXPLAINED MORE FULLY IN 20 PA.C. 5.CH.56.
� IF TE�ERE I3 AIYXTHING ABQTJT 'TFIIS FQRM TfTAT YC?U Dt} NOT
I UNDERSTAND, `1QU SHOULD ASK A LAWYER OF YOUR OWN CHOOSING TO
EXPLAIN IT TO YOU.
I HAVE READ tJR HAll EXPLAINED TO ME THIS NOTICE AND I
YJNDERSTAND ITS CONTENTS.
,
/ ��
f -�t-a-a.t� - L�1'it,<.c'r�2�,t`'U�f
NANCY S LY,P ' CIPA�,� DATE
�
DURABLE
GENERAL POVYER QF ATTORNEY
I, NANCY SHIYELY, naw of 18 Michael Caurt, Shippensburg, Pennsylvania, 17257,
appaint my daughter,LORRAINE D. SOLA, as my Agent. LORRAINE D. SOLA is referred to
as "my AgenY' in this document.
If and in the event that my Agent predeceases rne,or does not complate the dixties of my true
and lawful Agent, then and in such event, I hereby make, constitute and agpoint my daughtar,
AP'i2II.J. HACKEIVBERRY, as my Successor Agent with all the rights and duties hereinafter
stated.
I in#end to create a Durable Power af Attorney pursuant to 20 Pa. C.S. Section Sb44(or the
corresponding provision of any subsequent state law). The effective date of this Power is Auguat
25,2Qii. It is my express intent and direction that this Power of Attarney and the aathority and
powers hereby confened shall not be affected by my subsequent disabitiry, incapacity or
incarnpetency,or the adjudication thereof,or later uncertainty as ta whether 1 am dead or alive,and
shall be fully exercisable notwithstanding the same.
My Agent is hareby given the fullest possible powers to act on rny behalf, with the same
powers, far alI pw�poses„and with the same vatidity as I could, if persanally present.
Without limiting the general powers hereby already conferred, my Agent shall have the
foIlawin�speeific pawers, inolnding,but not timited to:
1. To collect and receive any monay and assets to which I may be entitled; to deposit
cash and checks in any of my accaunts;to endorse for depasit,teansfer or collection,in my name and
for my accaunt any ohecks payable ta my ordar; to draw and sign checks for me and in my name,
including any accounts opened by such Agent in my narne at any bank, savings society, money
market fund or elsewhere;ta recaive and apply the proceeds af snch checks as my Agent deems best;
and, to closa accounts,
' 2. To take aIl IawFul steps to recover, collect and receive any amounts of money now
or hereafter owing or payable to me; and, to campromise and execute releases or ather sufficient
disoharges for such arnounts;
2
3. To make loans, secured or unsecured, in such arnaunts, upon such terms, with or
- -- -�iR««��ca4�a ii7-sucirfirms, c orations aar� 3'�� aPP��F�
_ orp , Personsasm ttt-deems te;__---__ ___
4. To institute,prasecute, defend,oompromise, or otherwise dispose of(and to appear
for me in any proceedings befare any tribunal for the enforcement or for the defense of�any claim,
either alone ar in conjunction with other persons, reIaEing ta me or ta any property of mine ar aay
other persons; to obtain, dischazge and substitute counssl and to authorize appearance of such
counsel to be entered for me in any such action or proceeding;and,to compromise or azbitrate any
claim in which I may be interested and for that purpase to enter into agreement or compromise ar
arbitration and perform or enfnrce any award entered pursuant to such arbitration;
5. Ta leasa,sublet,selt,release,hire professional managers,convey or mortgage arty real
property owned by me(including my residence)nr in which I have an interest now ar in the future,
upon such terms and conditions and under such covenants as my AgenY shall determine, including
the sale of my real estate and to sign,execute and deliver deeds and conveyances therefor;
6. To purchase or otherwise acquire any interest in and possession of raal property and
to accept all deeds for such property on my behalf; and, ta manage, repair, improve, maintain,
restore,build,or develap any real property in whioh I now have or may have an interest in the future;
7. To execute, deliver and acknowledge daeds, deeds of trust, covenants, indentures,
agreaments, martgages, hypothecations, bills of lading, bxlls, bonds, notes, receipts, evidences of
debts,releases and satisfactions of mortgage,judgments, ground ren#s and other dabts;
8. To collect, cornpromise, endorse, borrow against,hypothecate, release and recover
any pramissary note receivable,whether secured or unsecured„and any re2ated deed of trust;
9. To buy,purchasa,sell,repair,alter,manage and dispose ofpersonal property afevery
kind and nature at private ar public sale and to sign,execute and deliver assignments and bills af sale
therefor;
10. To enter my safe deposit boxes and to apen new safe deposit boxes;to add to and ta
rernave any of the contents of any such safe deposit boxes; and,to etose any of such boxes;
t 1. To borraw nioney for my acconnt on whatever terms and conditioas deemed
I advisable, inoluding borrowing money an any insurance policies issued on my life for any pwpose
without any abligation on the part of such insurance company to determine the purpose for such loan
or application of the proceeds, and to pledge, assign and deliver the policies as security;
12. To apply for and to receive any government, insarance and retirement benefits to
which I may be entiiled and to exercise any right ta elect benefits or payment options; to#erminate
3
such benefits;to change beneficiaries ar ownership of such benefits;and,ka assign rights or receive
-------cash value-irr�a�m�i-uc thcsurrernter of anq ar aFrrights�map have 'rn life insura�ee pokcies or--
benefits, annuity golicias,pians of benefits,mutual fund and ather dividend investment pians and
retirement, profit-shazing and employee welfare plans and benefits;
13. Ta take custady of any stocks,hands and otlter investments of al l kinds,to give orders
for the sale, sunender or exchange of any such investments and to receive khe proceeds therefrom;
to sign and deliver assignments, stock and bond powers and other documents required for any such
sale, assignment,snrrender or exchange;to give orders for the purchase of stocks,bands and ather
investments of any kind; to give instructions as to the registration thereof and the mailing of
dividends and interest therefrpm;and Yo deposit coupons attached to any coupon bonds,whether now
owned by me ar hereafter acquired;
14. To purchase far rne United States of America Treasnry Bonds of the kind wltich are
redeemable at par in payment of federal estate tazces;ta borrow money and obtain credit in my nazne
from any source for such purpase; to make, execute, endorse and deliver promissory notes, drafts,
agreernents or other obligations for such bonds and, as securiry Cherefor, to pledge, mortgage and
assign any stacks,bonds,securities,insurance values and other properties,real or personal,in which
I may have an interest;and,to arrange for the safekeeping and custody of any such Treasury$ands;
I5. To open,close,or maintain accaunts(including accounts on mazgin ar other
leverage device, and accounts in options, calls ar futures) with stackbrokers, investment counsel,
financial advisors,or other similar agent or intermediary,oc through an accaunt held by my Agent
in an on-line service, and to bixy, sell, endorse, transfer, hypothecate, teverage, margin,or borrow
against any of the accounts, stock, bonds, capital accounts, futures, options or other securities;
i 6. To vote at atl meetings of shazeholders (whether generaI,regulaz or special) of any
corporation whose shares I own, on any questions which may arise at any such meeting, and to do
everything respecting such shares af stock, including the calling af ineetings of direetors ar
stockholders ar making and giving consents and ratifications,and any other act which I could do if
personally present, intending hereby to confer upon my Agent full power and authority to do (with
referenee to such shares af stpek}everything which I might ar eould do as owner of sueh shares;
17. To continue the operation of any business belonging to me or in which T have a
substantiat intarest, in such manner as my Agant may deem advisable or ta sell, liquidate or
incorporate any businass(or interest therein)on such terms as my Agent may deem advisabie and
in my best interests;
18. To procure, change, cazry or cancel insurance of such kind and in suoh amounts as
my Agent deems advisable ta protept from risks affecting properiy or persons due to liability,
damage or a olaim of any sort; to ciaim any benefits or praceeds on my behalf; and, ta purohase
4
medical insnrance for any dependent af mine;
14. To jain with my spouse or my spouse's estate in filing incame ar gift tax returns far
any yeazs for which I have not filed such retums and to consent ta any gifts made by my spause as
being made one-half by me for gift tax purposes, even though such action subjects my assets to
additional liabilities;
20. To prepaze, sign and file federal, state and local incorne, gift or other taat and
information returns of ail kinds,claims for refunds,requests ar extensions of time, petitions Ya the
United States Tas Court or ather courts regarding tax matters and any and all other tax related
docurnents, including, without limitation, receipts, offers, waivexs, consents (inciuding, but not
l imited ta,cansents and agreements under Internal Revenue Coda(hareinafter�32C)Section 2432A,
or its successor),powacs of attomey, and closing agreements; to axercise any elections I may have
under federal, state and local tax laws; and, generally ta act on my behaif in all t� matters of all
kinds and for all periods before all persons representing the Intemat Revenue Serviee and any other
taxing authority, including receipt of confidential information and the posting of bonds.
21. To make gifts,untimited in amount,s►a fully and campletely aa I myaelf may make
gifte itf personally available to make auch git'ts, as set forth below, either outright or in trust,
whether irrevocable or revocabie,or,in the case of minors,in accordance with the t3niform Gifts
to Minors Act and,for gifts made in trust,to execute a deed oftrust for such purpose designating one
or rnare persans,including my Agent,as original ar successor trustees. This power includes the right
to rnake additions to an existing trust and does not require my Agent to treat the donees equally or
praportianately and may entirety exclude one or more perrnissible donees. The pattern foltowed on
the occasion of any such gift (or gifts) need not be followed on the occasion of any other gift (or
gifts). The pawer to make gifts shal�be timited to mv snouse and lineal descendants and any
orc;anization�escribe¢i IRC Section 501(cl(31. I further sathorize gifta made pnrauant to IRC
Section 2503(e)for t6e tuition or medical care of any listed permiseible donee to tLe eztent that
any snch gift ia eaclnded as a qualified transfer. My Agents and the danee af the gi8 shall be
respansible as equity and justice may requira to the extent that a gift made by my Agents is
incansistent with the prudent planning ofmy estate or financial management of my property,or with
my known or probable intent with respect ta the disposition of my estate. The ability of my Agents
I to make gifts of my property shali be litnited by and shall only be rnade in canformity with my pre-
nuptial agreement, if any such agreement exists.
�' 22. To execute a deed of trust,designating one or more persons(including my Agent)as '
original or successor trustee(s) and to transfer to the trust any or all property owned by me as my
Agent may decide. The income and principal af the trust may,but need nat,be distributable to me
or to the guazdian of my estate, or be applied far my banefit, and upon my death, any remaining
prinoipal or unexpended incarne of the trust may, but need not, be distributed to my estate.
Furthermare, this trust or deed af hvst may be amendable or revocabie at any time by me or my
5
Agent, or the trust or deed af trust may be inevocabie by me or my Agent;
23. To add at any time,any ar atl of the property owned by me to any trust in existence
for my benefit when this power was created. The income and principa[ of the trust may,but need
not, be distributable to me or t�a the guardian of my estate or be applied fpr my benefit during my
lifetime and upan my death any remaining principal and t�nexpended incame of the hvst may,but
need not,be distributed to my estate;
24. To withdraw and receive tha incorne or corpns ofany trcxs#over which I may have a
right of withdrawal, and to request and receive the income or corpus of any trust with respect to
which the trustee thereof has the discretionary power to make distributions to me or on my behalf,
and to execute a receipt and release or a similar document for the praperty so received;
25. To convey or release any contingent ar expectattt interests in property, rnazital
property rights, and any rights of survivorship inciden# w a joint tenancy or a tenancy by the
entireties;
2b. To elect to take against the will and conveyances of my sponse after death;to disclaim
any interest in properGy which I am required to disclaim as a result of such election; to retain any
property whioh I have the right to alect ta zetain;to file petitions pertaining to the election,incinding
petitions ta extend tha time far electing,and petitions for orders,decrees,and jndgments;and,to take
all other necassary actions to affectuate the election;
27. To acaept and acquire ar release and disclaim on my behaif any interest in property
acquired by intestate,tcstate or inter vivos transfer,including the release or disclaimer,or acqix'rsition
of any interest in property through the exercise or surrender af any right ta revoke a revocable trust;
28. To continue any fidixciary positions to which I have been or rnay be appainted
including{but not limited to}persanal representative,trustee,guardian,Agent,and of#icar or director
of a corporation or paliticat or govemrnental body;and, to resign such positions in which capaciry
I am presenYly serving or to which I may be appainted;
29. TO HAVE TIiE AUTHdRITX TO GIVE CONSBNT FdR, AND AUTHORIZE,
SLJCH MELITCAL AND SURGICAL PROCEDURES AND TREATMENT(INCLUDING LIFE-
SUSTAINiNG TREATMENT}, TO BE PERFORMEI} ON ME AND T4 AIITHC}RIZE,
ARRANGE FOR,CONSENT TO,WAIVE AND TERMINATE ANY AND ALL MEDICAL AND
SURGICAL PROCEDURES AND TREATMENT (INCLUDING LIFE-SUSTAINING
( TREATMENT}ON MY BEHALF,INCLUDING THE ADMINISTRATION OF DRUGS C?R TO
�I WITHHOLD SUCH CONSENT;PROVIDED THAT ANY LIVING WILL WHICH I MAY HAVE
THBN IN EFFECT SHALL TAKE PRECEDENCE OVF.R THIS PROVISION;
6
30. To arrange for zny entrance into and caze at any hospital,nursing home,health center,
—z�.Y°�ks�ex�E keme;retireirrenf i9ame,-arsimifar pers�cxr�she}tered e€�re�intecrne�iate eare�r--
skilled nursing facility; and, to gay all casts far my care as my Agent, based an medicaI advice,
determines in good faith to be necessary ar�d for my well-being;
31. Ta employ Iawyers,investment counsel,accountants,physicians,dentists and other
persans to render services to me or rny estate and tn pay the usual and reasonable fees and
compensation of such persons for their services;
32. To direct the conveyance, transfer, or delivery of my mail, including, letters,
bills, packages, and correspondence, of whatever rate, type or kind, with such power as may be
necessary to receive such correspondence,change the address for delivery of such correspandence,
or otherwise act in my stead with the federal Postal Service or other institution handling
correspondence;
33. To obtain health information on behalf oPthe principal, inoluding an
accounting of health care and information disclosures,and to enfaree my rights regarding health caze
and infarmation thraugh all means including, hut not limited to, filing complaints and appropriate
appeals, to the maximum extent permitted by 4S C.F.R. 164.502(g) such that my agant and Agent
shal!be considered tp act fully in my place for all issues concerning health care coverage,insurance,
and information under the Health Insurance Portability and Accountabitity Act of 199b,as amended.
34. Ta the extent not otherwise effectively provided in the introductory paragraph ofthis
Pawer of Attamey, ta appoint and substitute under himself and themselves,one or more substitute
or successor Agents for any or all the purposes herein described, pursuant to Pennsylvania
Consolidated Statutes Title 20,Sectian 5602{b}(3}or ihe corresponding pravision of any subsequent
state 1aw.
Accordingly,
A. Except as my Agent may waive any fees, my Agent shaU be entitled to receive for
services actuatly perfarmed hereunder his normal and customary charge for performing simi3ar
services during the tirne the services are performed.
B. This Power of Atto�-ney may be accepted and reiisd upon by anyane to whom it is
presented un#il such person either receives written notice of revocation by me or has actual
knowledge of my death or the revocation of this Power of Attorney.
C. All actions of my Agent pursuant to this Power of Atiorney during my
absance or any periad of my disability or incapacity shall have the sama effect and inure to the
beneftt of and shaii bind me,my hairs,distributaes,iegal representatives,successors and assigns,as
I
�
,
if I were present,and competent and npt disabled,and for the purpose of inducing anyone to act in
,__ __ ' ers�havcgranteel hercin,�hercbYTePresertt�warrtznt-ari�a�eethet 't€�is---- — _
Power of Attorney is terminated or amended for any reason, I and my heirs, distribntees, iegal
representatives,successors and assigns witl hold such party hannless for any loss suffered or Gability
incurred by such party while aoting in accordance with this Power of Attorney priar to that party's
receipt af written natice of any such termination ar amendment.
D. I revoke all prior General or Durable Powers of Attorney that I may have executed
and t retain the right to revoke or amend this Power af Attorney and ta substi[ute other Agents in
place of the Agent appointed herein. Amendments to this Power of Attarney shall be made in
writing by me personally{not by my Agent)and they shall be attached to the original of this Power
of Attnrney.
E. Pursuant to Pennsylvania Consolidated Statvtes Title Z0, 5eotion 5604(c}(2)or the
correspanding provision af any subsequent state law,if incapacity praceedings far my estate or my
persan aze hereafter oammenced, I hereby nominate, constitute and appoint the above-described
Agent as the guazdian of my estate and my person. If and in the event that my Agent predeceases
me,or does not complete the duties of rrty true and lawful Agent, then and in such event, I hereby
norninate,constitute and appoint the above-described Successor Attomey(s)-in-Fact as the guardian
of rny estste and my person.
F. I understand that this Pawer of Attorney is an important legal document. Before
exeouting this document,my attorney-at-law explained to me the following:
(1) This dacument provides rny Agent with broad powers to dispose of,
setl,canvey and encumber my rea!and personal property;
(2) The pawers granted in this Power of Attotney will bacome effective
upon tha execution of this docurnent and wilt exist for an 'rndefinite period af time
unless I]imit their duration by the terms af this Power or revoke this Power. These
powers will continue to exist notwithstanding my subsequent disability or incapacity;
and
i
(3) I have the right to revoke or terminate this Power at any tima.
G. Questions pertaining to the validity,construction and powers created under this Fower
of Attomey shall be determined in accordance with the laws of the Commanwealth af Pennsylvania.
Where herein used, the plural shall include the singuiar,and the singuiar shail include the pluraf.
S
_ __�__.--IN W}�NESS-4F��-IER:T;�F,- -�ntenekittgta-be legalky_bound-herebq,-F have-sigrted�ltis--_
I}urable Power af Attomey,this 2 S�day af August, 2dl 2.
`/ LL'`c...-- . �/--w-'., ,. EAL}
NANCY S Y-----�
4n this 2��day of Au$ust,201 l,the above-named,IYANCY SFIRVELY,in our presence
declared tha preceding instrument, as weU as t6e Notice of t6e Principal and the
Aclmowledgment by the Agent,together conaisting of this and ten(10)other typ�ewritten pages,
to be her Power of Attorney,and we,in the presence af ths ahove-narned NANCY SHIirELX,and
in the presence of each other, at the request o£her, have subscrit�d our narnes as witnesses.
, " _
� ,>
G"`i- � _. —
Wi ss's Signat e
G���-�-.�/'"� ��2�-..
Witness's Name{print}
�"'"
,�.,, _
�
W tness's Si u '
_� �` •
Witness`s Name{print}
COMMONWEALTH OF PENNSYLVANIA .
. SS:
C(JUNTY QF MIFFLIN .
4n this,the 2 S�jday af August,2011,before me,a Notary Public,the undersigned officer,
personalty appeazed,NANCY SHIVELY,known to me(or satisfactority proven)to be the person
whnse name is subscribed to the within Power of Attomey,and acknowledged that she executed the
sama for tha purpases therein oontained.
IN WITNESS WI�REOF,I hereunta set my hand and official Seal.
--�°"`:'�---�
.r ��-��o
,'G� � _
C�o�A�.�s o�DENNmvANL4 - Not Public
potanal sea� �-' . . . .
Terl L Walker,Notnry Pudk - . ' .
�r��n�� g
�r+een,on+rav�.vaxu,sssocu+noN aF Norrnn�es
; ',,
l —
ACI�IOWLEDGMENT EXECUTED BY PRIMARY AGENT
AN AGENT SHALL HAVE NO AUTHORITY TO ACT AS AGENT UNDER
THIS POWER OF ATTORNEY UNLESS THE AGENT HAS FIRST
EXECUTED ArTD AFFII�CED'I'HIS ACKNOWLEDGMENT TO TI�POWER
OF ATTORNEY DOCUMENT:
I, LORRAINE D. SOLA, have read the attached power of attorney and am the person
identified as the agent for the principal. I hereby acknowledge that in the absence of a specific
provision to the contrary in the power of attorney or in 20 Pa. C. S. when I act as agent:
1. I shall exercise the powers for the benefit of the principal;
2. I shall keep the assets of the principal sepazate from my assets;
3. I shall exercise reasonable caution and prudence;
4. I shall keep a full and accurate record of all actions, receipts and
disbursements on behalf of the principal.
��2 . d �' �0 '� il
� O D. SOLA,Agent Date
lo
ACKNOWLEDGMENT EXECUTED BY SUCCESSOR AGENT
A SUCCESSOR AGENT SHALL HAVE NO AUTHORITY TO ACT AS
AGENT UNDER THIS POWER OF ATTORNEY UNLESS THE
SUCCESSOR AGENT HAS FIRST EXECUTED AND AFFUCED THIS
ACKNOWLEDGMENT TO THE POWER OF ATTORNEY DOCUMENT:
I,APRIL J.HACKENBERRY,have read the attached power of attomey and am the person
identified as the agent for the principal. I hereby acknowledge that in the absence of a specific
provision to the contrary in the power of attorney or in 20 Pa. C. S. when I act as agent:
1. I shall exercise the powers for the benefit of the principal;
2. I shall keep the assets of the principal separate from my assets;
3. I shall exercise reasonable caution and prudence;
4. I shall keep a full and accurate record of all actions, receipts and
disbursements on behalf of the principal.
�
,� � r �s 1�
AP J. C BERRY, Dste
Succesaor A t
11
Register of Wills of Cumberland County
RENUNCIATION
� Estate o£ George R. Shively No.
Also known as
,deceased �
To the Register of Wills of Cumberland County,Pennsylvania
The undersigned AAT7.1 HaCk�n}wrru�tp _ at�tar carnnrl namcri rv,_zy�eCUtr1X
(Name) (Aelationship) (Capacity)
of the above deceden[,hereby renounce(s)the right to administer the esta[e and respec[fully reques[(s)that
Letters Testa[nentarv
be issued to Llsa A. �MyErs
W i[ness my/our hand(s)this L�day of ,20�j
�
I
Aff�fmed and subs_cr,y'be�f before me[his S� nature
/�O day of �/�(/� , ApY 1 HdCk erty( �B )
� �T MilrweW A 17063r Valley Roa
. (Addcess)
�,��'°'''�„,� �� a- Q-.��-�--
AAyL"OININlBfOnEi�If98N0Y@RIbBf20,'1018 (Signature) �
Or
(Address)
Affirmed and subscribed before me this
day of ,
— (Signature)
Register of Wills
Deputy (Address)
(Signature and seal of Notary or other o�cial
� qualified to adminis[er oaths. Show date of
expiration of No[ary's commission)
Register of Wills of Cumberland County
RENUNCIATION
Estate of Georqe R. ShiVely No.
Also known as
,deceased
To the Register of Wills of Cumberland Counry,Pennsylvania
The undersigned Janelle Kurtz step—daughter second named Oo—Executrix
(Name) (Relationship) (Capacity)
of the above deceden[,hereby renounce(s)the right to adminis[er the es[a[e and respectfully request(s)that
Letters T2ata++�*+�rv
be issued to Llsa A. MVexs
Witness my/our hand(s)[his f 6�hday of ,Tv6Y ,20_]_3
� h �
� ° � s
a=� � Affirmed and subscribed before me this
2�� .�c dR21 E Kl1Z't'.Z (Sign re)
0 8 q �- t G�"day of 3u� Y . 7�0f3, • 23g Jack's Mountain Roa
��&� � McVevtown, PA 17051
�1O � -� �/J '�/ �—_ (Address)
c C�C/
���� � Notary blic
� � e �
�`�� � My Commission Expires:
� �'� (Signature)
w �a'/� �.rg�� /��IS�
i
�� (Address)
Affirmed and subscribed before me this
day of ,
(Signature) �
Register of Wills
(Addrass)
Deputy
(Signature and seal ofNotary or other official
� qualified to adminis[er oaths. Show date of
expiration ofNotary's commission)