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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland COUNTY,PENNSYLVANIA
Petitioner(s) named below, who is/are 1 S 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
Name: Beatrice M.Williams File No: �I �� �� — �� �
a/k/a: Beatrice A.Williams (Assigned by Register)
a/k/a: uP�r,;,.P w;ir,ams
�a: Social Security No: 209-12-8627
Date of Death: 10/29/2013 Age at death: 88
Decedent was domiciled at death in Cumberland County, p��,5ylvania _(State)with his/her last
principal residence at 34 Tunbridee Lane,Cazlisle, 17015 South Middleton Twn Cumberland __
Street address,Post Oftice and Zip Code City,Townshtp or Borough Counry
Decedent died at 34 Tunbridee Lane Carlisle 17015 South Middleton Twn Cumberland PA
Street address,Post Offlce and Zip Code City,Township ar Borough County State
Estimate of value of decedent's property at death:
Ifdomici[ed in Pennsylvania............................ All personal property $ 310,000.00
If not domiciled in Pennsylvania. ....................... Personal property in Pennsylvania $
If not domiciled in Pennsylvania. ....................... Personal property in County $
Value of real estate in Pennsylvania......................................................... $ 170, 0�_()0
TOTAL ESTIMATED VALUE. ... $ 480.000.00
Real estate in Pennsylvania situated at:
(Attach additional sheets,if necessary.) 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 2/14/1995 and Codicil(s)
thereto dated 8/27/1996
��j�ia l�all c r no mred in favnr nf Patt�Roldncser
State relevant circumstances(e.g.renunciadon,death of erecutor,etG)
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 child born or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
�NO EXCEPTIONS �EXCEPTIONS
� B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n.,d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.�a. or d.b.n.c.�a.,enter date of Will in Section A above and complete list of heirs.
Except as follows: Decedent 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 was neither the victim of a killing nor ever adjudicated an incapacitated person.
Q NO EXCEPTIONS Q EXCEPTIONS
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
rv
additional sheets,if necessary): � � �7
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Name Relationshi Address � � � � p
rns � c try �
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Form RW-02 rev.10/Il/20// Page 1 of 2
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTY OF Cumberland }
Petitioner(s)Printed Name Petitioner(s)Printed Address
�,�c�,'✓�, F � l a{o s S 2� G'�ifii�� � �S�'
7(0� (,c�, � o c�� �f
f�I'l��s /v � , % 7vl3
The Petitioner(s)above-named swear(s)or affirm(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 Personal Representative(s)of the De dent,the Petitioner �ll well and truly administer the estate according to law.
Sworn to or affirmed an subscr'bed before -� � S Date /� ��%�
me this �► day f ,� Date
� Date
Y Date
For the Register
BOND Required: Q YES IO To the Register of Wills: � � �
FEES' Please enter my appearance by m�i ature be�"aw: %� �
. /1 � Attorne Si nature: � "'� � � �
Letters. . . . . .. . .. . . . . ... . .. . . $ W ,vV Y g I^7„t = � C Cn �,
( $)Short Certificate(s).. . .. . � � ?> ►'- � �
. . � t"rt
( � )Renunc�ation(s).. . . . .. . . � t-`� 3> � � � � �
( )Codicil(s). . . . . . . . . . . . . � `
( )Affidavit(s)... . . . .. . . . . ,� � � � -�
Bond... . . . . . . . .. . . . . . . .. . . . . Printed Name: John C Oszustow��-- "� �,y�r,_
Commission. . . .... . . . . . . . .. . . Supreme Court � � N i""" 1`rt
OAt1heri . . . ... . . ID Number: 37076 '�7 ,._, � �
'V 1 l . . . .. . . . � -�`->-L`�� CJ1 '+7
. , , . . . , . ' �7�'j Firm Name: Law Office of John C Oszustowicz
� ` /� . . . . . . �,� C_a Address: �nd e u�,,,,.,Pr St
�
. . . . . . . . C'arlisle„PA 17013
Phone: 717-243-7437
Automation Fee. .. .. . . . . . . . . . . , Fax: 717-258-8379
JCS Fee. . . .. . . .. . . . . . . . . . . . . � LJ/L� Email: ���11, ar�licle�alaw cnm
TOTAL. . . .. .. . . .. . . . . . . . . .. $ �
DECREE OF THE REGISTER
Estate of Beatrice M.Williams File No: �/' I �- I I �`1 —
a/k/a:Beatrice A.Williams Beatrice Williams
AND NOW, l�i'�'� 1.�1 I U�V��-�'(l�� , c��in considerat'on of the fore oing Petition,
s a t i s f a c t o ry p r o o f h a v i n g b e e n p r e s e n t e d b e f o r e m e,I T C R E E D t h a t L e t t e s � �
are hereby granted to �
in the ab �estate ar.d(if applicable)that
the instrument(s)dated � � �
described in the Petition be admitte to probate and filed of record as e last Will and Codici!(s))of Deceden .
�>� �4 �. � �L
Register of Wills � � ��',�,�,�� � F.
�
Form[tW-02 rev.�o/Il/2o/1 Page 2 of 2
H105.805 REV(9/ll)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is iliegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 �f C��Q�� ������ �F This is to certify that the information here given is
�,,,,�,,.,,,,,,,,.,,,
�������� �� �,���, S �,,���p�,�H OF pE�;- correctl y co pied from an ori ginal Certificate of Death
a `�,��°�oy`� y`rG, duly filed with me as Local Registrar. The original
2�i3 ��U 7 �m 12 g� � -; z; certificate will be forwarded to the State Vital
� � ;�u ` �' a� Records Office for permanent filing.
;
�' � 9 � �' � `� � � CLER�C 4r '_°�,�q91� �EP�s,'' . 30 2013
QR�HANS CGUR7 ---.MENTOE ���
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,,,,nm,,,,u���'�� v,t . r,a.. r.. ,
Certification Number Local Registrar Date Issued
�-- - �UMB-ER�AND CO., P� -„
Type/Print In . : COMMONWEALTH OF PENNSVLVANIA�DEPARTMENT OF HEALTH�VITAL RECORDS
Pef`�a�@"` CERTIFICATE OF UEATH
Black Ink State File N�mber:
1.DecedenYs Legal Name(Firsf,Middle,Last,S�ffix) 2.Sex 3.Social Sacurity Number 4.Date of Death(MO/Day/Yr)(Speli Mo)
Beatrice M_ Williams F_ 2 9-12-862
Sa.Age-Last Birthday(Yrs) 56.Vnde�1 Year 5<.Under 1 Da 6.Date of Birth(MO/Oay/Vear)(Spell Monih) 7a.Birthplace(CISy and StaCe or Foreign Co�ntry)
� Months Oays Hours Minutes 1 1 P
� 8$ Yr's. January 8, 1925 �b.einnPia«�co��cyj r- an
Sa.Residenca(State or Foreign Co��iry) 86.Resldence(Street and Number-Include Apt No.) 8c.Did Dec�deni Live in a Townshlp7
34 Tunbridge Lane ffi Ves,deaedent Ilvetl in Sou i
8d.Reside�n�e(COUnty)
Cumberlanc3 8e.Residence(Zip Code) 17�15 �No,tlecedent Iivad within Iimits of city/boro.
9.Ever In US Armed Forces7 10.Marifal Status aC Time of Death 0 Married Wldowed 11.Survlving Spo�se's Name(If wife,gNe name prlor to first marr(age)
�Yes � No �Unknown � Divorced 0 Never Married �Unknow
12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name P�ior to First Mar�lage(First,Middle,Last) -
14a.InformanS's Name 14b.Relationship to Decedent 14c.Informanf's Ma ng Atldress(Sfreet and Number,City,State,Zip Code)
O
rJ 1 a. a<O O @a[ e 2c on�One •
c If Death Occyrred In a Hospi�al d Inpatlent ' �If Death Occurred Somewh re Ofher Than a Hospital ❑Hospice Fadlity Z7 Decedent's Home
° 0 Emergency Roam/OUtpa[le�t � Dead on Arrival �N�rsin Home/long-Term Care Facfllty �Othar(Specify)
� 15b.Fac(Iity N3me.(If noc Institution,�give street anA number) '15c.Cfty or Town,State,and Zip Code 15d.County o4 Deaik
� Carlisle, PA 17013 C�miba�ro and
y 16a.Method of Disposltlon � Burial Cremation 16b.Da(e of Disposition 16c.Place f Disposltlon(Name of cemetery,cre tory, ther place)
� p ae�.,00a�s�o�..s�ac� O oo�a��o„ 10/30/2013 Ho£fman-Roth FH/Crematory
� p�octie�csaenr�.� , Inc.
2 16tl.Loca[lon of Dispositiort(City o�Town,State,and Zip) 37a ature of Funeral Service L r P on in argc+of termenY 11b.Ucense Numb�r
� Carlisle, PA 17013 ' FD-011932-L
E��17c.Name and Complece Address of Funeral Fadlity
s
°�' 18.DecedenYs Educaflon-Check the box that best crib¢s the 19.Deredent of Hispanic Origin-Check the 20.Decedent's Race-Check ONE OR MORE races fo indicaCe what
� highest degrce or level of school completed at the time of death. box that best descr(bes whether the decedent the decedent consldered himself or herself To be.
O 8th grade or less Is Spanish/Hispanic/Latino. Check the"NO" White � Korean
� No diploma,9th-12Th grade box If decedent Is not Spanish/Hlspanic/Latino. � Black or African American � VieTnamese
- �Hlgh school graduafe or GED complefed � No,not Spanlsh/Hispanic/Latino O Ame�ICan Indlan or Alaska Native � OTher Aslan
� Some college credit,but no degree p Ves,Mexican,Mexican Amerlcan,Chicano O Asian Indlan 0 Nafive Hawalian
0 Associata tlegree(e.g.AA,AS) �Yes,Puerto Rican �Chinese � Guamanian or Chamo�ro
0 Bachelo�'s degree(e.g.BA,AB,BS) � �Ves,Cuban � Filipino � Samoan
O Master's tlegree(e.g.MA,M5,MEng,MEtl,MSW,MBA) O Ves,other Spanish/Hlspanic/latino O Japancse O Othar Pacific Islander
� Doctorefe(e.g.PhD,EdD)or Professional degree (Specify) �Other(Specify)
.MD,DDS DVM LL6 JD
21.DecedenYs Single Race Self-Oesignation-Check ONLY ONE fo indicate whai the decetlent considered himself or herself to be. 22a.Decedent's Vsual Occupatlon-Indicate type of work
]5 White �Japanese O Samoan done during mosS of working Iife. DO NOT USE RETIRED.
0 Black or African American O Korean � Other PaGfic Islander j-�OL18CW1fe H
� �Amerltan Indian or Alaska Native 0 Vietnamese � Don'i Know/NOt S�re � �ietTldker
O As(an Indian O Othar Asian p Refused 22b.Kind of Business/Industry
� O Chfnese O NaHVe Hawailan O Other(Specify)
� Flliptno � GuamanianorChamorro DOSileStlCB
ITE 5 23a- 3d MUST BE COMPLETED 23a.Date Pronounced Dead(MO/Day r) 236.Si Pers ncing Death(Oniy when epplicabl@ 23c.License Number
BY PERSON WHO PROIJOUNCES OR �� �^'
CERTIFIES OEATH (f �
23d.Datt 5� ned M /�ay/Vr) � 24.Time o Death
� � 25.Was Medicat Examine er Contactetl7 0 Ves ��No
� � CAUSE OF DEATH o�o., '
� Approximate
26.Part t. Enter the chaln of events--diseases,InJurles,or compllcaYions-thai direccly caused fhe death. DO NOT enter terminal events such as cardlac arrest, � Interval:
respiratory arrest,or ventricular f(brlllatlon wlthout showing the eilology. D/O'�NOT ABBREVIATE. Enter only one Cause on a Iine. Adtl addiflonal lines IF necessary. � OnSet fo Death
IMME�IATECAUSE ---'-----------> a. C��Q�� �'�fCC•� � 1'VlV"NT1-1S
(Final dis�as�o�contllTlon D�e to(or as a consequence O�:
res�alting in death) �
b. 1
Sequentiaflylist conditlons, Due to(o as a consequence of): . �
tf any,Ieading to the cause �
1lsted on Iine a: Enter the � �
UNDERLYING GAUSE Due to(or as a cons �
� (dlsease or InJ.ury thai � equence of): �
FInitiaCed Sha events resulting d. �
tn death)LAST. Due to(or as a consequence of): � �
1
�s .26.Pirt 11. Enter other 1 ifl t difi t ib ti t C th but not resulting in the�nderlying cause given in Part 1. 27.Was an autopsy p rtormedT
� 1'r�v�c �2A�-w�� o v« �T No
m . 5•_t��Qd tG� 28-Were autopsy flndings avallable
� � �� to complete the cause of deathT
O Ves �I No
- 29.IT Female: 30.Ditl Tobacco Use Conirib�te to Death2 31.Manner of Death
� � o � Not preg�ant within past year � Ves � Probably af�ral
�- � Pregnant at time of death �No Q Unknown � � Homicide
m � Not pregnant,bui pregnant withln 42 days of death Accident . � Pending Investigatlon
_ � � Noi pregnant,but pregnant 43 days fo 1 year before death 32.Date of In Mo Da /Yr 5 � Sulcide � Could noS be determined
� Unknown if pregnant within the t ear ��ry� � �' )� Pell Month)
pas y 33.Time of Injury
34.Place of Injury(e.g.home;const�ucYlon site;farm;school) 35.Locatlon of Injury(SCreet and N�mber,City,Co�nty,State,Zip Cotle)
36.Injury at Work 37.If Transportatlon inJury,Specify: 38.Describe How Injury Occurred:
O �'es � Driver/Operator � Pedestrlan
�- � No 0 Passenger O Other(Specify)
3ga`Certlfier-physiclan,certified nu se practlHOner,medical e miner/coroner(Check only one):
� Certlfying only-To(h�best of my knowledge,death o ed due io the c se(s)and m stated.
� Pronouncing&Certlfying-To the best of my knowledge,deach occurred at tM1e time,daie,�and place,and due fo Yhe cause(s)and manner stated.
� M�dical Examiner/CO o b of examination antl/or investigation,in my opinion,death occurred at the Hme,date,and place,and due to the cause(s)and manner stated.
Signature.�of certifier. Title of cartlfler: � �ICensa Number �~�'-0 4 Q e�s�"L
39b.Name,Address antl ZI Co f Pers n Com IeTing Cause of Death1 Item 26) 39c.Oete Signetl(Mo/oay/Yr)
w�wn�vv��s L��...�F-inmV, M� t�� un,�o..J ��"2.�p�,crYYiu rLE pYl i-rol
� i � �o ta4 /�� �-3
40.Regfstrar'a D strict Number 41.Registrar's Signat�re 42. � gistrar Flle Date(MO Oay/V�)
� �.�-a,1� �.:.-K.a9:'F��F�..��L..��� �-- CS�C•� ab�3
43.Amendments
O
�
�
^Qc..y�y6U.i� H105-143
DlsposiHOn Permi(No. \J � i REV 07/2012
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BEA TR/CE A. W/LL/AMS � �; ; -� � r=;
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I, BEATRICE A. WILLIAMS, of 525 South Hanover Street, Carlisle, Cumberland
County, Pennsylvania, declare this instrument to be my Last Will and Testament, in
manner and form following:
FIRST: I hereby expressly revoke all Witls and Codicils heretofore made by
me.
SECOND: I hereby direct my Executor to pay all my just debts, funeral and
administrative expenses out of my estate, as soon as practicable after my death.
THIRD: I direct that all taxes which may be assessed in consequence of my
death of whatever nature and by whatever jurisdiction imposed shall be paid out of my
estate as a part of the administration of my estate.
FOURTH: I give and bequeath such of my personal properry as may be listed
on an unsigned memorandum kept with my Will to persons named thereon, provided they
survive my death. Should such a memorandum not be found with my Will, it shall be
conclusively presumed that none was prepared, and all of my personal property shall be
considered a part of the remainder of my estate.
FIFTH: I give and bequeath to my husband, ROY E. WILLIAMS, JR., all the
rest of my tangible personal properry.
�
c:\wp51\wills\williams.roy
SIXTH: I give to FARMERS TRUST COMPANY, of Carlisle, Pennsylvania,
in Trust, a sum equal to the tax credit equivalent for Federal Estate Tax purposes, which
sum is, as of the date of this Will, Six Hundred Thousand ($600,000.00) Dollars. The
Trustee shall invest and reinvest the principal and pay all of the income to my husband,
ROY E. WILLIAMS, JR., in quarterly or other convenient installments, as long as he may
live.
A. Should Federal Estate Tax laws enacted subsequent to the
date of this Will, and prior to my death, either increase or decrease the
amount of the tax credit equivalent, it is my intent that the funds constituting
the principal of the Trust be such greater or lesser amount, in lieu of the
above stated Six Hundred Thousand ($600,000.00) Dollars;
B. Should there be insufficient assets to fully fund this Trust, it
shall be funded to the maximum extent possible;
C. Should the income, when taken together with other income
that my wife may have from other sources, prove insufficient to properly
provide for his welfare, comfort and support, then Trustee may, in its sole
discretion, pay to him whatever sums it deems necessary and appropriate
out of the principal of this Trust, as well as the income, to permit him to
mai�tair � �tardard of I;ving sim;lar to that enjcy�ed by him duri�g �is
lifetime.
D. The Trustee, on behalf of the beneficiary, may make payments
to others for his use and benefit, to assure his welfare, comfort and
maintenance.
2
c:\wp51\wills\williams.my
E. Upon the death of my husband, the Trust shall terminate and
all assets of the Trust shall be distributed in equal shares to my children,
SYLVIA DALLAS and PATTI BOLDOSSER, or the issue of any deceased
child, per stirpes.
SEVENTH: All the rest, residue and remainder of my estate, I give, devise and
bequeath to my husband, ROY E. WILLIAMS, JR., absolutely.
EIGHT: Should my husband, ROY E.WILLIAMS, JR., fail to survive me, then
I direct that my entire estate be distributed among my children as set forth in Paragraph
Fifth, Sub-paragraph E above.
EIGHTH: I hereby nominate, constitute and appoint my husband, ROY E.
WILLIAMS, JR., to be the Executor of this my Last Will and Testament. In the event that
ROY E. WILLIAMS, JR. shall be unable to serve as Executor for any reason, I then
nominate, constitute and appoint my daughter, SYLVIA DALLAS, and my daughter,
PATTI BOLDOSSER, as Executrices. No personal representative shall be required to file
bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal this /�f�'
day of � , 1995
��� �. ��
Beatrice A. Williams
SIGNED, SEALED, PUBLISHED and
DEC ED in the presence of:
,...__--. r� `�_�
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c:\wp51\wills\williams.roy
COMMONWEALTH OF PENNSYLVANIA .
. SS.
COUNTY OF CUMBERLAND .
I, BEATRICE A. WILLIAMS, Testatrix, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will; that I signed it
willingly; arid that I signed it as my free and voluntary act for the purposes therein
expressed.
Sworn or affirmed to and acknowledged before me, by BEATRICE A. WILLIAMS,
Testatrix, this �/u� day of __�,�,G�,�..�,�.v , 1995.
` �• Gt./,�.�...-.�
Beatrice A. Williams, Testatrix
,
. M.___
_ _�.. �
., ,.
_ � ! �
�`„ �, j ��,�c- r
' ota Public
��.___._..�_----
_ NOTA��T�����",�...- ,
TERcSA J.BURKH�L���S,Noiary Pubiic�
C�r���te.��.�m�;��nsi Cownty,pa.
_���.���+�r�:��c�ii��?t�����. 12,1896
4
c:\wp51\wills\williams.roy
. • • , ,
COMMONWEALTH OF PENNSYLVANIA .
. SS.
COUNTY OF CUMBERLAND .
We� James D. Flower and Michelle L. Faust , the
witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present and saw Testatrix,
BEATRICE A. WILLIAMS, sign and execute the instrument as her Last Will; that she
signed willingly and that she executed it as her free and voluntary act for the purposes
therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will
as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or
more years of age, of sound mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me �y�James D. �'lower
and Mi che l le L. Faus t , witnesses this ��f day of � �?r�tu� .� ,
1995.
,r i�
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Witness
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T�RE�A J.BURK��OlD��,Notary Pubiic
5 G�!��sl�,Cum�;r���xi Counry,Pa.
h���,��ma��t�w��r���'�b�1x�1996
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BEA TRI CE A. WILLIAM� � � � �
I, BEATRICE A. WILLIAMS, ��f i2i S. Han�>ver Street, Carlisle, Cumberland
County, Pennsylvania, ci�� herehv n��il:� ,in�i cicrl;u-e this t�� he �t C��ciicil t�� my Last Will and
Testament ciated Fehru�irv 1=�, I�����.
1. I rev��ke the �i������intn���nt ��f� I�.irn���r�� 'I�ru�t ('un���:in�� .is "l�rustee ��f the Trust
created by paragraph Sixth ��1� n�v �Vill ,�ncl in li�u th�rc��f <<������int my cl�iughters, SYLVIA
DALLAS and PATTI BOLDOSSER t�� he the C�>-Trustees of the Trust established by the
provision of subparagraph Sixth ��f my Will.
2. I ratify ancl a�nfirm mv Will in �ill �>ther respects.
IN WITNESS WHEREOF, I h�ive hereunt�� set ►1�y h�incl ancl seal this �-�7`�=
day of August, 1996.
�, .
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ItEA'I'1ZICi; A. ��'ILLIAMS
SIGNED, SEALED, PURLIS111�:I) �in�l
DECLARED in the ��resenrc uf:
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COMMONWEALTH OF PENNSI'LVA11A .
. ss.
COUNTl' OF CUMREFtLANI) .
I, BEATRICE A. WILLIAMS, Testatrix, wh�>se name is signed to the attached or
foregoing instrument, having heen cluly c�ualifieci ace��rding to law, d�� hereby acknowledge
that I signed and executecl the in�trument �is �► c��ciicil to my Last Will; that I signed it
willingly; and that I signed it <<s mv free ancl v��luntary act f��r the purposes therein
expressed.
Sworn or affirmed t�� anci �tekn��wleclgecl hef�>re i��e, hy I3EATRICE A. WILLIAMS,
the Testatrvc, this a 7 ��` ciay c�f __�,�.c.��,u.�,.�--- , 1996.
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RI�;A'1'IZICI: A. WILLIAMS, Testatrix
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N��tarv Puhlic �
NOTARUIL SEAL
�ERLENE MARHEVKq Notary Public
Cad'+sle,Cumber{and Cowxy,Pa
My Commission E�ires 6/8198
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COMMONWEALTH OF PENNSYLVANIA .
. ss.
COUNTY OF CUMBERLANll .
�le� JAr4ES D. FLOWER �����{ TERESA J . BLTRKHOLDER , the
witnesses whose n�imes �ire si«n�ci t�� thc ,itt,iche�i ��r f�>re���ing instrument, hein� duly
qualified according t�� I�i�v. �i�� cic������ :�n�l �<<v that �ve �ire E�rtsent <<nci s�tw Testatrix,
BEATRICE A. WI1,I,IA�1'IS, si��n ;i���� r���rut�� thc in�;trumcnt a� �i c��ciicil t�� her Last Will,
that she signecl willin�;ly an�l th<<t �I�c �.��rut���l it .�� her frcc .�ncl v��lunt�try act for the
purposes therein exE�ressecl; th,�t c<<rl� ��t� us in tl�e he:u-in� �u�cl �i�,ht ��f the Testatrix signed
the Codieil as witnesses; anci that tc� thc b��� �,1 uur kn���vlc;�lbe tl�e "Testatrix was at that time
18 or more years of age, of souncl minci ancl under n�> a�nstraint or undue influenee.
Sworn or affirmed t�� �inci suhscriheci t�� hef��re me hy JAMES D. FLOWER
an TERESA� J. BURKHOLDER , witnesses this � ( ��l day of
,� 19�)(�.
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N��tary Puhlic
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MERIENE MARHEVKI�Notary Public
CarGsle,Cumbedand County,Pa
My Commission E�ires W8198
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RENUNCIATION � n � � � �
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REGISTER OF WILLS � ` �`
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Cumberland COUNTY, PENNSYLV�iI�$' '`� w � �
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Estate of Beatrice A. Williams , Deceased
I, Sylvia Dallas , in my capacity/relationship as
(Print Name)
Co-Executrix of the above Decedent,hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Patti Boldosser /'�
1_•,f ! ,
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� � � ��� � �..� C'\ �/�1�.-t
(Date) (Signature)
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�•�� ��(,L . � l�L.t ��
(Street AddressJ
j���:�c' 1�-�,� �c� l`� I �
�ciry,su,re,zin�
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
of , that he or she executed the renunci tion for the
purp ses stated within on this � s� day
of_ Vembe.v� , 2o I 3
� � t.(_�
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.)
H F
Nororia15eo1 ' .
Form RW-06 rev. /0.l3.06 Kimberlr R.leo,Norory PubNe
COtlkl�So►a�Cumberland Ca+n�y
Mr Commitsb^Expires 10/10/�17