HomeMy WebLinkAbout09-11-13 �
EXHIBIT "F"
IN RE: ESTATE OF : IN THE COURT{)F CC?MM4N PLEAS
KENNETH AUGUSTINE : CUMBERLAND COUNTY,
: PENNSYLVANIA
: ORPHANS' Ct?URT DIVISIUN
: Na.21-12-109�
ORDER
AND NC}W, this 1��� day af � �������'� ,2013 upan consideration
of the averments con#ained in the PETITI(3N F()R PEA;MISSIt�N TO CREATE TRUSTS,
it is hereby ORDERED and DECREED that the Universa] Guaranty Life Insurance Ca., of
5pringfield, Iilinais, shall issue a check for the fuii proceeds of Poiicy #HAU8701441 to
JOHN AUGUSTINE Trustee for AMANDA KATHERINE AUGUSTINE and JEREMY
AUGUSTINE.
JC,1HN AUGUSTINE and STEVEN AUGUSTINE shall divide the insurance
praceeds into twa (2} equal Trusts, ane far JEREMY AUGUSTINE and one far AMANDA
KATHERINE AUGUSTINE and sha11 administer each Trast according ta its speci�c terms
and canditions.
BY THE COURT:
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: ORPHANS' COURT DIVISION
. COURT OF COMMON PLEAS OF
In Re: Kenneth Augustine . CUMBERLAND COiJNTY
. PENNSYLVANIA
. N0.21-12-1096
CERTIFICATE OF SERVICE OF ORDER
ORDER DATE: 9/11/13
NDGE'S 1NITIALS: MLE
TIME STAMP DATE: 9/11/13
IN RE: Order
............................................................................................................................
SERVICE TO: John Au�usrine 2447 River Road PO Box 111 Bainbrid�e PA 17502
Steven Augustine 1004 Copper Creek Drive Mechanicsbur�PA 17050
Law Offices of A Mark Winter 310 W Chocolate Avenue PO Box 412 Hershev PA 17033
METHOD OF MAILING: ENVELOPES PROVIDED BY:
�USPS �PETITIONER
��R ❑ JUDGE
❑HAND DELIVERED ❑ CLERK OF ORPHANS COURT
❑ OTHER
MAILED: 9/11/13
............................................................................................................................
SERVICE TO:
METHOD OF MAILING: ENVELOPES PROVIDED BY:
❑USPS ❑PETITIONER
❑RRR ❑JUDGE
❑HAND DELIVERED ❑ CLERK OF ORPHANS COURT
❑ OTHER
MAILED:
. • �1 v
Deputy
Clerk of Orphans' Court