HomeMy WebLinkAbout08-14-13 (3) IN RE: : IN THE COURT OF COMMON PLEAS
ESTATE OF LOUISE A. DIXON : CUMBERLAND COUNTY, PENNSYLVANIA
DECEASED : ORPHANS' COURT DIVISION Co
NO. 2013-00749
DISCLAIMER OF INTEREST IN ACCORDANCE n
WITH 20 PA C.S.A. § 6201, et seq. a m ti -i o
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KNOW ALL MEN BY THESE PRESENTS, THAT: o o
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1. Louise A. Dixon (the "Decedent") died on June 22, 2013, leaving a L'as ill and -
Testament dated July 20, 2007 (the "Will") that was admitted to probate y the gi00rr"t,
of Wills of Cumberland County, Pennsylvania. cp o
2. Pursuant to Article Three of the Will, the entire estate residue passes to a trust for the
lifetime benefit of John D. Dixon (hereinafter referred to as "Unified Credit Trust").
Pursuant to Article Three, Section 3.1.1 and 3.1.2, John D. Dixon ("John") is entitled to
the following interests in the Unified Credit Trust:
- During John's lifetime, the net income shall be distributed in quarter-annual
installments to a group consisting of John and the Decedent's issue; and
- During John's lifetime, discretionary principal distributions can be made to a
group consisting of John and the Decedent's issue, for their health, maintenance,
support and education.
3. John D. Dixon (the "Disclaimant") pursuant to Section 6201 et sue. of the Probate,
Estates and Fiduciaries Code, Pa. C.S.A. §6201-6207, and the common law of the
Commonwealth of Pennsylvania, irrevocably disclaims and renounces all of his interest
in and entitlement from the Unified Credit Trust as detailed in this disclaimer.
4. The Disclaimant has not received any benefits from the Disclaimed Interests, and
represents and warrants that he has never exercised any power over or with respect to
the Disclaimed Interests.
5. The Disclaimant represents and warrants that he has not received, and is not to receive,
any consideration in money or money's worth for such renunciation and disclaimer from
any person or persons whose interest is to be accelerated or increased, or from any
other person or persons.
. � V
IN WITNESS WHEREOF, and intending to be legally bound hereby, and intending that
this Disclaimer shall be filed with the Cumberland County Register of Wills and a copy provided
to John D. Dixon, the Executor of the Estate of Louise A. Dixon, as provided in 20 Pa. G.S.A.
§6204, I have hereunto set my hand this J-4i day of July, 201 .
Dixon
COMMONWEALTH OF PENNSYLVANIA
_
COUNTY OF R : ss:
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On this, the Aday of July, 2013, before me, a Notary Public, the undersigned officer,
personally appeared Jahn D. Dixon, known to me (or satisfactorily proven) to be the individual
who executed the foregoing instrument, and duly acknowledged to me that he executed the
same for the purposes therein.
IN WITNESS WHEREOF, I have her n set my hand and icial seal.
Notary ublic
(SEAL)
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