HomeMy WebLinkAbout12-05-13 PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Petitioner(s)named below,who is/are 18 years of age or older,apply(ies)for Letters as specified below,and in support thereof aver(s)the
following and respectfully requests the grant of Letters in the appropriate form:
Gregory C.Gnatt
Decedent's Information
Name: Ruth A.Kilhofer File No: 21
a/k/a:
(Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date of Death: 11/14/2013 Age at Death: 81
Decedent was domiciled at death in Cumberland County, PA (State)with his/her last
residence at 8 Nara ansett Drive,Mechanicsburg 17050 51 ver sp r.n�g Towr'6{vP
principal g g JJleehenieffberg Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at 1000 Claremont Road Carlisle Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death:
If domiciled in Pennsy lvania...................... All personal property $ 250.000.00
If not domiciled in Pennsylvania................ Personal property in Pennsylvania $
If not domiciled in Pennsylvania................ Personal property in County $
Value of real estate in Pennsylvania................................................................... $
TOTAL ESTIMATED VALUE $ 250,000.00
Real estate in Pennsylvania situated at
(Attach additional sheets,if necessary.)
Street address,Post Once and Zip Code City,Township or Borough County
®A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated 10118/2013 and Codicils)
thereto dated none
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 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)
ate,d.b.n.,d.b.n.cta.,pedente lite,durante absentia.durente minontate
If Administration,c.ta ord.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
Except as follows:Decedent was not a party to 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.
❑NO EXCEPTIONS ❑ EXCEPTIONS
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the Bowing spouse any�&Meirs(attach
additional sheets,ifnecessary): X p r,.l m
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Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA }
} SS:
COUNTYOF Cumberland RECORDED OFFICE OF
Petitioner(s)Printed Name Petitioner(s)Printed Address REMS ) ER Ur / L J
Gregory C.Gnatt 8 Naragansett Drive
Mechanicsburg,PA 17050 2313 DEC 5 FM 2 9 _
CLERK OF
ORPHANS' COURT
CUMBLIALANU CO., FAA
The Petitioner(s)above-named swear(s)or affirm(s)the statements in t r of ti*on are true and correct to the best of the knowledge and
belief of Petitioner(s)and that,as Personal Representative(s)of the D e ruly administer the estate according to law.
Sworn to affirmed a subscribed before Date S l
met 6-day f bz r Data
By Date
or the Register Data
BOND Required? ❑ YES ❑X NO To the Register of Wills:
FEES:
Please enter my appearance by my signature below:
Letters.............___...................... $ Attorney Signature:
( (.l )Short Certificete(s)......... �
( ( )Renunciation(s).............. gQLa/Lt,c1�n `/✓ /V�f(
( )Codicil(s)........................ `.
( )Affidavit(s)...................... Printed Name: Jessica Fisher Greene
Bond.............................................
Supreme Court
Commission.................................. ID Number: 310018
Other
11)111 Firm Name: Keystone Elder Law P.C.
Address: 555 Gettysburg Pike Ste C100
I�
Mechanicsburg,PA 17055
Phone: 717-697-3223
Automation Fee............................ _
/1S Fax:
JCS Fee.......................................
TOTAL......................................... $ E-mail: Jessica @keystoneelderiaw.com
DECREE OF THE REGISTER
Date of Death: 11/1412013
Social Security No:
Estate of Ruth A.Kilhofer File No: 21
a/k/a: !'1��1
AND NOW, C9 1 ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Gregory C.Gnatt
in the above estate and(if applicable)that the instrument(s)dated 10118/2013
described in the Petition be admitted to probate and filed of record as the last Will(and Codic(s))of Decedent,
liter of Wil- {-
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-- ----- -------
RENUNCIATION
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Ruth A. Kilhofer Deceased
Mary Jane K.Gnatt in my capacity/relationship as
Personal Representative of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Gregory C.Gnatt
0-4n0 Mary Jane K.Gnatt
F-- ° 8 Naragansett Drive
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Executed 1"egister'sROffice Executed out of Register's Office
Sworn to or affirmed and subscribed Before the undersigned personalty appeared the
before me this day party executing this renunciation and certified
that he or she executed thererluiation for the
of purposes stated within on Thus3_day
Deputy for Register of Wills _ Notary Public
My Commission Expires: J01y 13 D O)
lessn�w daft snonf a ar9`wso want
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Carrie DeMart,Notary Pubik
sorer Spring Twp.,Cumberland County
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
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Jessica Fisher Greene (each) a subscribing witness to
(Print Names)
the ® {/gill ❑ 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 t Testatrix in his/her presence and in the presence of each other.
V P j,�l1At;Dn ct AA�%pnU
(Signature) (gig m)
Jessica Fisher Greene
555 Gettysburg Pike,STE C100
(StMtndCress) ISPwfnaeress)
Mechanicsburg, Pa 17055
(CO,,state,LP) (Uy,sale,7)p)
Executed in Register's Office Executed out of Register's Office
Sworn to or affirmed and subscribed Swam to or affirmed and subscribed
before me this day before me this -1-h day
Deputy for Register of Wills Notary Public � �,,,�
My Commission Expires: ,J
✓ " 4JJ 20!`,'
jSignehaea seal of Nmwy or ottrer oRdel qQualir1w to
administer oaths. Show date of epbahon of rtntay6 oommissim.)
M0111mmemnzation.EAL
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UPPER AERLAND COUNTY
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NOTE: To be taken by Officer authorized to administer oaths. Please have present the ongma nzation.
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LAST WILL AND TESTAMENT
OF
RUTH A. KILHOFER
I, RUTH A. KILHOFER, currently residing at 4833 Trindle Road, Apt. 552, Mechanicsburg,
Cumberland County, Pennsylvania, 17050, declare that this is my Will and I revoke all other Wills and
Codicils that 1 have made.
ARTICLE 1: FAMILY
1.01. IDENTIFICATION OF MY FAMILY
I declare that I am married to Richard A. Kilhofer, and that I have one (1) child, Mary Jane K.
Gnatt.
1.02. DEFINITION OF FAMILY TERMS
c>
As used in this Will, the term "my spouse" shall mean only Richard A. P%c&r. As ds�d irt919
Will, the term "my children" refers only to the above-referenced children set f�t0n Paragraph OI 09
The term "my children" excludes all other persons. For purposes of invitance fror m8/)t
"children" of an individual shall be interpreted to include persons who have fueen�l�lly adopte4 by
the individual but shall exclude stepchildren who have not been legally adopte�: cn
00
ARTICLE 2: PAYMENT OF DEBTS AND TAXES
o
2.01. PAYMENT OF DEBTS AND EXPENSES :b N m
1 direct that all my valid debts and the expenses of my last illness and funeral be paid from my estate
as soon as practicable after my death.
2.02. PAYMENT OF TAXES
I direct my Personal Representative(s) to pay out of the principal of my residuary estate all
inheritance, transfer, estate, and similar taxes (including interest and penalties), assessed or payable
by reason of my death, on any property or interest in property that is included in my estate for the
purpose of computing such taxes. My Personal Representative(s) shall not require any recipient of
such property or interest in such property to reimburse my estate for taxes paid under this paragraph.
ARTICLE 3: DISTRIBUTION OF ESTATE TO BENEFICIARIES
3.01. SPECIFIC BEQUEST TO SUPPORT TRUST FOR SPOUSE
If my spouse survives me by one hundred seventy (170) days and is declared to be a
Supplemental Needs Person as defined below, I give, devise, and bequeath to my Trustee,
hereinafter named, for the benefit and support of my spouse, cash, securities, or other property of my
estate, including, without limitation, personal property and effects, having a value equal to the
amount, if any, that my spouse would be entitled to receive if my spouse exercised my spouse's
elective share rights as set forth in section 2201, et seq. of the Pennsylvania Probate, Estates, and
Fiduciaries Code (the "PEF Code"); provided that the amount of this bequest shall be reduced to the
extent my spouse has waived the right to elect under PEF Code Section 2207 or forfeited the right to
elect under PEF Code Section 2208. In determining the amount of this bequest, my spouse shall be
deemed to have elected, pursuant to PEF Code Section 2204(c), to retain all beneficial interests in
property that my spouse would otherwise be required to disclaim if my spouse exercised my spouse's
elective share rights. Contingent upon my spouse surviving me by said one hundred seventy (170)
days, it is my intention that, as a result of my death, my spouse shall receive property having a value
1
equal to (but not more than) that which my spouse would receive if my spouse were to exercise my
spouse's elective share rights. My Personal Representative(s) shall have the sole and exclusive
discretion to select the assets that shall fund this bequest.
If my spouse does not survive me by one hundred seventy (170) days, this bequest shall be
distributed as part of the residuary estate.
This bequest to my spouse shall be distributed, in trust, to my hereinafter-named Trustee to be
held, administered, and distributed as follows:
a. During the term of the trust, the Trustee shall pay to or apply for my spouse's benefit all
of the net income and principal of the trust estate. In addition, upon request of my spouse, the
Trustee shall terminate the trust and distribute all of the trust principal and accumulated income of the
trust estate to my spouse. In the event that my spouse is incapacitated, the Trustee shall make all of
the income and principal of the trust estate available to my spouse to provide for the support,
maintenance, and health of my spouse.
b. All principal and any accumulated income that remains in the trust estate upon the death
of my spouse shall be paid as an addition to the shares of the beneficiaries of my residuary estate in
proportion to their interests in my residuary estate.
C. The purpose of this trust is to provide for investment and management of that portion of
my estate that is distributed to my spouse due to my belief that my spouse may need the Trustee's
assistance with said investment and management.
3.02. DISPOSITION OF RESIDUARY ESTATE
All of the rest, residue, and remainder of the property that I own at the time of my death, both real
and personal, of every kind and description, wherever situated, to which I may be legally or equitably
entitled at the time of my death (my "residuary estate'), I give to my to my child, MARY JANE K.
GNATT, per stirpes.
3.03. TRANSFERS TO TRUST FOR BENEFICIARIES UNDER THE AGE OF TWENTY-FIVE
(25)YEARS
Should any beneficiary of mine be under the age of twenty-five (25) years, my Personal
Representative shall hold such beneficiary's share of my estate, as Trustee, IN TRUST and shall invest,
reinvest and distribute the principal and net income of such beneficiary's share as follows:
a. Until such beneficiary attains the age of twenty-five (25) years, my Trustee, in my Trustee's sole
but reasonable discretion, may pay or apply the income and any or all of the principal of such beneficiary's
share for the health, maintenance, support and education of such beneficiary considering all other sources of
income available to such beneficiary and known to my Trustee. Upon such beneficiary attaining the age,of
twenty-five (25) years, my Trustee shall distribute the balance of the principal and accumulated income, if
any, of each such beneficiary's share to such beneficiary.
b. Should the principal of the Trust Estate, in the sole opinion of my Trustee, be or become too
small to warrant placing or continuing of such fund in trust or should its administration be or become
impractical for any other reason, my Trustee, in the exercise of their sole discretion, may pay such share
absolutely to the person maintaining such beneficiary or may place such shares in the beneficiary's name in
an interest-bearing deposit in any bank, bank and trust company or national banking association of his
choosing, payable to the beneficiary at majority, or if said beneficiary has reached his or her majority, then to
him or her directly.
C. All shares of principal and income hereby given shall be free from anticipation, assignment,
pledge or obligation of my benefciary(s), and shall not be subject to any execution or attachment.
2
ARTICLE 4: FIDUCIARIES
4.01. EXECUTOR or PERSONAL REPRESENTATIVE(S)
I appoint my daughter, MARY JANE K. GNATT, and son-in-law, GREGORY C. GNATT, to be
Personal Representative(s) of my Will.
4.02. TRUSTEE
I appoint my duly appointed Personal Representative(s) Trustee(s) of the Trusts(s) created
pursuant to Sections 3.01, and 3.03. Under no circumstances shall my spouse serve as Trustee of
the trust created pursuant to Section 3.01.
4.03. WAIVER OF BOND
None of the Personal Representatives, Guardians, or other Fiduciaries named in this Will shall be
required to furnish bond for the faithful performance of his or her duties.
4.04. CREDITOR PROTECTION
No gift or beneficial interest shall be subject to anticipation, assignment, pledge, obligation, or
alienation of my beneficiary(s), whether voluntary or involuntary, and the income and principal thereof
shall not be subject to any execution or attachment.
4.05. NO CONTEST CLAUSE
If any beneficiary, person or entity in any manner, directly or indirectly, contests or attacks this Will or
any of its provisions, or objects to the accounts or actions of my fiduciaries, without probable cause, such
beneficiary, person or entity shall pay all costs, including but not limited to attorneys' fees, arising in
connection with such contest, attack or objection incurred by my estate, such trust or such fiduciary
personally. In the event that such beneficiary, person or entity does not prevail in such action, any share
or interest in my estate or such trust which would otherwise pass to such beneficiary, person, entity or
remainderman under this Will shall be revoked and the property consisting of such share shall be
disposed of in the manner provided herein as if that contesting person or entity had predeceased me
without surviving issue.
ARTICLE 5: SUCCESSOR TRUSTEES
5.01. RESIGNATION OF TRUSTEE
Any Trustee may resign by giving written notice, specifying the effective date of the resignation, to
the beneficiaries then entitled to the trust income.
5.02. APPOINTMENT OF SUCCESSOR TRUSTEE
If all Trustees named in this instrument are unable or refuse to act, a successor Trustee may be
appointed as Trustee by a written instrument delivered to the successor Trustee and signed Personal
Representative(s), or the survivor of them. No successor Trustee shall be liable for acts, defaults, or
omissions of any prior Trustee. Any successor Trustee with the written approval of the persons
appointing the successor Trustee shall accept as correct without examination the accounts rendered
by the prior Trustees and property delivered by the prior Trustees without incurring any liability.
Nothing in this paragraph shall be construed as requiring the naming of a successor Trustee as long
as any Trustee named in this instrument shall continue to act as Trustee hereunder.
5.03. POWERS OF SUCCESSOR TRUSTEE
Any successor Trustee shall have the title, duties, powers, and discretion as the Trustee
succeeded without the necessity of conveyance or transfer.
3
ARTICLE 6: POWERS OF ADMINISTRATION
6.01.
My Executor or other Personal Representative, my Trustees, and Guardians (all of whom are
hereafter sometimes referred to as my "Fiduciaries") in regard to the administration of my estate, the
administration of the trust and trust shares created under this Will, and such other actions as may be
taken by my Fiduciaries, shall have the powers and authority set forth in this Article. These powers
may be exercised by my Fiduciaries in the Fiduciary's sole and absolute discretion, without the
permission or order of any court. These powers shall be supplementary to the powers conferred by
law, including but not limited to those set forth in Title 20, Chapter 33, of the Pennsylvania
Consolidated Statutes.
6.02.
If a Fiduciary is at any time required to make payments of principal or income to or for the benefit
of any beneficiary who is a minor, or is an incompetent or incapacitated person, or is a person whom
the Fiduciary in his or her sole discretion deems unable to handle funds properly or wisely if paid
directly to the beneficiary, the Fiduciary in his or her sole discretion and without court approval may
make payments in any one or more of the following ways:
a. Directly to the beneficiary;
b. To the natural Guardian or legally appointed Guardian of the Person or Estate of the
beneficiary;
C. By making expenditures directly for the care, support, maintenance, or education of the
beneficiary;
d. To any person or organization furnishing care, support, maintenance, or education for the
beneficiary;
e. To any custodial parent of a minor beneficiary;
f. Directly to creditors in payment of the debts and expenses of the beneficiary;
g. To a Custodian for the beneficiary under any law related to gifts or transfers to minors,
including to my Executor or Personal Representative in that capacity;
h. To an Attorney-in-Fact authorized to act for the beneficiary pursuant to a Durable Power of
Attorney.
The Fiduciary shall not be required to see to the application of any funds paid or applied in any of
the aforementioned ways and the receipt of the payee shall be full acquittance. The decision of the
Fiduciary with regard to the selection of which of the aforementioned methods should be used in
making payments shall be conclusive and binding on all parties concerned.
6.03.
My Fiduciaries shall have the power to invest in, accept and retain any real or personal property,
including stock, savings, checking, and other accounts of a corporate Fiduciary or its holding
company, without restriction to legal investments.
6.04.
My Fiduciaries shall have the power to sell, exchange, partition, or lease for any period of time
any real or personal property and to give options therefor for cash or credit, with or without security.
4
6.06.
My Fiduciaries shall have the power to borrow money for any estate purpose from any person
including any Fiduciary acting hereunder and to mortgage or pledge any real or personal property.
6.06.
My Fiduciaries shall have the power to hold shares of stock or other securities in nominee
registration form, including that of a clearing corporation or depository, or in book entry form or
unregistered or in such other form as will pass by delivery.
6.07.
My Fiduciaries shall have the power to engage in litigation and compromise, arbitrate, or abandon
claims.
6.08.
My Fiduciaries shall have the power to make distributions in cash or in kind at current values, or
partly in each, allocating specific assets to particular distributees on a non-pro rata basis and for such
purposes to make reasonable determinations of current values,
6.09.
My Fiduciaries shall have the power to make elections, decisions, concessions, and settlements
in connection with all income, estate, inheritance, gift or other tax returns and the payment of such
taxes, without obligation to adjust the distributive share of income or principal of any person affected
thereby.
6.10.
My Fiduciaries shall have the power to retain uninvested cash, in such amounts and for such
period of time as the Fiduciaries shall deem advisable for the proper administration of the property.
6.11.
My Fiduciaries shall have the power to manage, control, improve, and repair real and personal
property belonging to the estate.
6.12.
My Fiduciaries shall have the power to employ an accountant, attorney, investment adviser,
broker, tax specialist, or any other Agent deemed appropriate in the discretion of the Fiduciaries,
including persons associated with or employed by any Fiduciaries, and to pay from the estate
reasonable compensation for all services performed by any of them.
6.13.
My Fiduciaries shall have the power to borrow money for any estate purpose from any person,
firm, or corporation, including one acting as a Fiduciaries hereunder, on the terms and conditions
deemed appropriate by the Fiduciaries and to obligate estate and trust assets for repayment; to
encumber the estate or any trust or any property thereof by mortgage, deed of trust or otherwise,
using whatever procedures to consummate the transaction deemed advisable by the Fiduciaries; and
to replace, renew, and extend any encumbrance and to pay any loans or other obligations of the
estate deemed advisable by the Fiduciaries.
5
6.14.
Notwithstanding any provision of law to the contrary, my Fiduciaries shall be authorized to invest
in all forms of real and personal property of every kind, without restriction to investments authorized
for Fiduciaries and without regard to any principle of diversification or risk, as the Fiduciary shall
determine to be appropriate in the Fiduciary's sole and exclusive discretion.
ARTICLE 7
MISCELLANEOUS PROVISIONS
7.01.
As long as any income or principal to which any beneficiary under my Will may be entitled
remains in the possession of the Fiduciary and is not actually distributed to the beneficiary, such
income or principal shall not be subject to anticipation or alienation by the beneficiary, by assignment,
or by any other means (except as specifically authorized herein), and it shall be free and clear of the
beneficiary's debts and obligations and shall not be taken, seized, or attached by any process
whatsoever.
7.02.
Whenever appropriate in this Will, the singular shall be deemed to include the plural and vice
versa; and the masculine shall be deemed to include the feminine, and vice versa, and each of them
to include the neuter, and vice versa.
7.03.
For all purposes hereunder, the word "property" shall be deemed to include real and personal
property and any Interest of any kind in any real or personal property; and the word "give" shall be
taken to include the words "devise" and "bequeath" wherever appropriate in order to effectuate the
testamentary transfer of real or personal property.
7.04.
For all purposes hereunder, the terms "Executors," "Trustees," "Guardians," "Personal
Representatives" and "Fiduciaries," and the singulars thereof, shall apply, respectively, to those who
are then entitled and qualified to act as such, whether originally appointed, remaining, substituted, or
succeeding.
7.05.
No individual Trustee appointed under this Will shall at any time be held liable for any action or
default of himself or his Agent or of any other person in connection with the administration of the trust
estate, unless caused by his own gross negligence or by the willful commission by him of an act of
breach of trust.
7.06.
The Trustee shall receive reasonable fees for the ordinary and extraordinary services rendered
by the Trustee.
7.07.
I
Should any of the provisions of my Will be for any reason declared invalid, such invalidity shall not
affect any of the other provisions of this Will and all invalid provisions shall be wholly disregarded in
interpreting this Will.
6
7.08.
For all purposes hereunder, the term "Supplemental Needs Person" means a person
who:
(i) is disabled; or
(Ii) is receiving, or is eligible to receive, assistance or other benefits under a
means-based government program (such as Medicaid or Supplemental
Security Income).
As used above, the term "disabled" means disabled as defined in United States Code
Title 42, Section 1382c(a)(3), or under Pennsylvania law related to means-based
government programs.
As used above, the term"assistance" means assistance or medical assistance as defined
in United States Code Title 42, Section 1396d(a), or under Pennsylvania law related to
means-based government programs.
ARTICLE 8: MERGER,CONSOLIDATION,AND DIVISION
8.01.
For convenience of administration or investment, the Trustee of any trusts created hereunder
may:
a. Invest the assets of multiple trusts in a single fund, assigning them undivided interests in
such common fund, dividing the income proportionately and accounting for them separately;
b. Merge or consolidate any trust created hereunder together with any other trusts having
the same Trustee and substantially the same dispositive provisions; and
C. Divide any trust created hereunder into two (2) or more separate trusts, each such trust
to contain a fractional share of the assets of the trust before such division.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 18th day of October, 2013.
RUTH A. KIL 1 R
SIGNED, SEALED, PUBLISHED AND DECLARED BY RUTH A. KILHOFER, the above named Testatrix, as and
for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the
presence of each other, have hereunto subscribed our names as witnesses.
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Address Address
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ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
: SS:
COUNTY OF CUMBERLAND
I, RUTH A. KILHOFER, the 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,
and that I signed it willingly and as my free and voluntary act for the purposes therein expressed.
Q. ILHa0FER
RUT
Sworn to or affirmed and acknowledged before me, by RUTH A. KILHOFER, the Testatrix, on October 18, 2013.
Net Pt446lie-er PA Attorney
8
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
: SS:
COUNTY OF CUMBERLAND
I, "M am' I� �iV a witness whose name is signed to the attached or
foregoing instrument,, `b 7 ing dul worn and ua ified according to law, do depose and say that I was present and
saw the Testatrix sign and execute the instrument as her Last Will; that she had signed willingly and executed it
as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and
sight of the Testatrix, signed the Will as Witness; and that to the best of my knowledge the Testatrix was at that
time eighteen (18) years of age or older, of sound mind and under no constraints or undue influence.
Witness
Sworn to or affirmed and acknowledged before me, by me, on
October 18, 2013.
:Q/�aon o
NlPA Attorney
9
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
: SS:
COUNTY OF CUMBERLAND
1, Jessica Fisher Greene, Esquire, a witness whose name is signed to the attached or foregoing
instrument, being duly swom and qualified according to law, do depose and say that I was present and saw the
Testatrix sign and execute the instrument as her Last Will; that she had signed willingly and executed it as her
free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight
of the Testatrix, signed the Will as Witness; and that to the best of my knowledge the Testatrix was at that time
eighteen (18) years of age or older,of sound mind and under no constraints or undue influence.
11E Dd( C01�Tap,'j &Ulu
Witness
Sworn to or affirmed and acknowledged before me, by Jessica Fisher Greene, Esquire, a Witness on
October 18, 2013.
Notary Public
NOTARIAL SEAL
CERTIFICATION MARCIA M NESBIT
Notary Public
COMMONWEALTH OF PENNSYLVANIA UPPER ALLEN TWP.,CUMBERLAND COUNTY
My Commission Expires Jun 4,2014
SS:
COUNTY OF CUMBERLAND ;
On October 18, 2013, before me, the undersigned'officer, personally appeared Jessica Fisher
Greene, Esquire (Pennsylvania Supreme Court ID No. 310018), known to me or satisfactorily proven to be a
member of the bar of the highest court of Pennsylvania and certified that she was personally present when the
foregoing acknowledgement and affidavit(s)were signed by the Testatrix and witnesses.
IN WITNESS WHEREOF, I hereunto set me hand and official seal.
Notary Public
NOTARIAL SEAL
MARCIA M NESBIT
Notary Public
UPPER ALLEN TWP.,CUMBERLAND COUNTY
My Commission Expires Jun 4,2014
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