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Home My WebLink About12-20-13 PETITION FOR GRANT OF LETTERS f; , REGISTER OF WILLS OF l�f.iYY'16��Gvl� 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 respectfiilly request(s)the grant of Letters in the appropriate form: Decedent's nformation ,�� /!�� i�� Name: D D 2� File No: •�G a/k/a: (Assigned by Register) a/k/a: ,l a/k/a: Social Security No: �7—d�'�� Date of Death: Age at death: Decedent was domiciled t death in �L County, (Saue)with his/her la principal residence at � �YI � Street address,Post Office and Zip Code City,Township or Bo gh County Decedent died at • � / � Street address,Post Office and Zip Code City,Township or Borough Count � Sta Estimate of va(ue of decedenPs property at death: /�� If donriciled in Pennsylvania............................ All personal property $ �W � If not domiciled in Pennsylvania. ....................... Personal property in Pemisylvania $ � If not domiciled in Pennsyh�ania. ....................... Personal property in County $ Va[ue of rea!estate in Pennsylvania......................................................... $ / TOTAL ESTIMATED VALUE. ... $ Real estate in Pennsylvania situated at: �(�-/ _ (A�tnch additionn!sheets,i(necessary.) Street address,Post Office and Zip Code City,Township or Borough County �A. Petition for Probate and Grant of Letters Testamentarv )/ J �/� Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated /[ %�JLJ and Codicil(s) thereto dated State relevant circumstances(e.g.renunciation,dealh of executor,e1c.) Except as follows: after tl�e 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 ad ted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. �, � NO EXCEPTIONS ❑EXCEPTIONS C a `'''' r�vi � � � � �'7 Cj ❑ B. Petition for Grant of Letters of Administration (Ifapplicable) � �' �� =� c.t.u.,d.b.n.,d.b.n.c.r.u.,pendentel� i17PUbsqrrt,i�u,dci�x tq-qqina•itute If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and�1�`�list�of hei� i�� ' Except as follows: Decedent was not a parry to a pending divorce proceeding wherein the grounds for�iv res�ee hTd beai��tablis�ied-a�defined in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated pe�n.� �`' � ,:�-a ❑NO�XCEPTIONS �]EXCEPTIONS ° "'� �—' � �" `�7 � G�i Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the t�Miowing spouse�jany)and he"h'�s(attuch udclitionul slaeets,iJ�necessury): Name Relationshi Address Fo��,aw-nz ,��v.�nitianu Page 1 of 2 �� Oath of Personal Representative ort;�sa�us�o��y COMMONWEALTH OF PENNSYLVANIA } �_____`�'L��- � } S S: COUNTY OF U � } Petitioner(s)Printed Name Petitioner(s)Printed Address fi I` 2 S� � i`�'i//��'l, " O�<5 r� c�.. /9 /7 obe,. � /�'I� ��. 3�G� �J�i lP Co4� �e��G U Z.oI>/ Thz Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the luiowledge and belief of Petitiene.(s)ar.d tliat,as Personal Representative(s)of the Decedent,tli Petitioner(s) ill well and tnily administer the estate according to law. Sworn to or affirnied and subscribed before �� Date Z��¢C ZO�j me this ��'day of � l �� I� Date � O/� ByC� �y� Date For the Re�is[er Date_ BOND Required:QYES �'O To the Register of Wills: FEES: Please enter my appearance by my signature below: Letters . . . . . . . . . . . . . . . . . . . . . . $ • �� Attorney Signature: ( %L ) Sliort Certificate(s). . . . . . ;�•L� ( ' ) Renunciation(s).. . . . . . . . C"� ;;r� � � :c7 � ( )Codicil(s). . . . . . . . . . . . . Q r�1 ( )Affidavit(s).. . . . . . . . . . . � � �-=.-'�� Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: rn :� C"� �� '� '''`S Commission. . . . . . . . . . . . . . . . . . Supreme Court �-- �' � N ;�-� 3`�? Other . . . . . . . . ID Number: �'' � :�`J � ''`y �"' � C.�C . . . . . . . ��•G�7; .,� . � c a � � � .. �� µr� z _ . �,,a U . • • • • • • • ( S�C.�� FirmName: �"� C -,-, .3 �.� r _ 3 _. l! � . . . . . . . . �S�L�i Address: � �'- f---� ...:� ,;�7 . . . . . . . . _._ —9 �' fi..... r;r . . . . . . . . ;�, c:� t�y c� -t.."r---� . . . . . . . . Pllone: Automatio�� Fee. . . . . . . . . . . . . . . �� Fax: JCS Fee. . . . . . . . . . . . . . . . . . . . . ;��.�"� EmaiL TOTAL. . . . . . . . . . . . . . . . . . . . . $ �%J� SU DECREE OF THE REGISTER Estateof ��y� �,��1��.�' FileNo: ��,�—'��,�� a/k/a: AND NOW, ;�� )�� — , � �l- , in consider tion of the foregoing Petition, satisfactory proof having been presented before me,IT IS DECREED that Letters � � ��, are hereby granted to �ti�Q ��(� , r f 5� � ` in the above estate and (if applicable) that the instniment(s) dated � 2�4' I� � �-�L I� described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Ljccedent. '.��. ( ��'�� S'��.�� f" -t Register of Will� �r � �� ,� ��c �� Fo,��,R�v-na ,��v. ioiltizn�t Page�� of 2 H705.805 REV(9/l l) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. �ECO�DE� 4�N►.�v OF Fee for this certificate, $6.00 � ;',`i;�� ,,,��""""��--- This is to certify that the information here given is ��,�S�� ,n��p�,ZH OF pE�;:. correctly copied from an original Certificate of Death , , ,��°�1a�� y`fl; duly filed with me as Local Registrar. The original ,, '• �� 1! Q6 :� G; -��1� P�C �� ;� � �� z; certificate will be forwarded to the State Vital ?° �' a; Records Office for permanent filing. � ,`� :* . � *,a P 2 0 2 3 4 3 5 7o��ar�5� cou�T �'°`��°q9,: ��,a~�''� i�_ � o�� t� r� t3 r� "---,MENT OE,� � Certification Number ��$�RLQ�,�Q ��-� � � °�"""" �� Local R gistrar Date Issued COMMONWEAITH OF iENNSVlVRN1A•��PRRTMENT OF HERITH•VITAL RECOflDS "`"` CERTIFICAI'!�OF DEATH ck Ink State flle Number. , 1.DeceAent'slegel Name(Firsl,Mlddle,t�st,SuMv) 2.kk 3.Soclal5ecurlty Number C.�ah al Dea[h(MO/Day/Yr)(Spell Mo� Doroth Maffett Female 054-01-9978 Decenber 14, 2013 Sa.R9e-last Blrthtlay(Yn� Sb.Under 1 Yea� Sc.Under 1 Da 6.Oate ol Birt��MO/�aY/year��Spell Manth) ]a.Birthplace�Ciryand Stah or Foreien Country) Month� Oari Hours Min�hs $I00]C.1 � 97 Novanber 23� 1916 ]p.81rthp1att�COUnry) Ki s 8a.PezideMe(Sta[e or Forei�n Country) Bb.Rzsidence(Strcet and N�mber�Ir�clWe Apt.�.� Bc.01A�ecedent Live in e Townzhfpt PA 4833 E 'lYindlE Rd. {�res,d�aa<��u��a m Ham�riAn �wP. 8d.q�b�rice�CO NI. CUrtIDPSld[lCl g�.qesidence�Ilp Code� 7 ❑no,a.cex��iro�a wnm�um�e:ai �¢vlm�o. 9.EverinU5rlrmedFOrces7 ]O.Mari[�IStat�sa[tlmeotDeath ❑Marrletl WlEOweE II.SUrvNInlSpausc'iName�1fwlfe,SWenameprlartoFlrstmania�e) �Yes ❑No ❑Unknown 0 Divorced ❑Nerer Marned ❑UnFnawn 11.Father's Name�Flrst,MlEtlle,Last,SuHi�) l3.Mo[her's N�me Prlor to Flnt Marrlage(Firsl,MiE01e,Us[� Isaiah Butcher Augusta Gobel lba.Informm['s Name 116.Nelatlonship ta Oemdent lOC.Inlormant's Mailiny Addrtis(Sheet antl Number,Ciry,Sbtt,21p Code� � orie Morrison Dau ter 9 Cavan Crossin Enola PA 17025 u,v,�o oe.��c« _ IlDeat�OCCUrtedlnaHOSpi1a1� ❑InW�knt ilt0eathOCwreESan�vhere0[he ThanaHOSpltal: dHOipiaFatiliry �Oecedent'sHOme ❑EmelgencyROOm/OU[paHen[ ❑DeadonArtival ❑NUningHomi onq�TermCareFa�ilily ❑Ot�er�5pecify), 15bFac111ryName�1fiwtinstituHOn,�lvestreetantln�mbe�� '15c.Qty Town,Staly d21p[otle 15d.[ounryolDea[h ; 4833 E. Trindle Rd. Apt 3088 Mechanic.�burg, PA 17050 land � 16a.MeModofDisposition ❑Burial Gematlon I6b.DattofDisOesition 1&.VlaceofDlsposltion�Nameofcemetery,crcmetory,orotherplace) E ❑ne�Hii,oms�K ❑oa�•�b� 12/16/13 Evans Crgnation Service ¢ ❑OMv�Speclly� 2 160.1xa�bnot0lspasltlon�OryorTOwn,Sbh,andlip) 1]a.5ig tY�e seeorVersonNChargeoflntttmem 11b.UCenxNUmbet � Leola, PA 77540 �(. FD 013239 L 17c Name an0 Comple[e Rtltlress ol Funenl Faclllry � Neill FUnesal Hane Inc 3401 Mar ST. Cam Hill PA 17011 � I8.Decedenf's EEUU[lon-Check Me boa Mat Eesl tlescrlCes Me 19.D eEent af MISW��aigin-Chttk the 30.OeceAen['s Pace-C�eck ONE OR MOflE races ta indiw[e wha[ �° Mghest de9ree or kvel of fchaal comvlettE at[he tlm<o/tleath. bov Nat best describn whet�er the decedem the decedent ronsldered hlmseH or hersel�ro be. ❑BMpradeorless is5panlih/Hlspanic/Lalin Check[he"Na' Whlte ❑Korean ❑NoOiD�oma,9th�11Mgratle boalfEecedmtlsnot5pa sh/Nispan�/laHno. ❑BlackorAf�ICanAmerkan ❑Vielnamese Q[HlghiMOOIBraCUa[eorGEDCOmplehE No,notSOanish/Hlsp:^.�c/IaHno ❑AmerlcanlndlanarAlaskaNative ❑OtherASlan ❑Same wlle6e credk,but rw degree ❑Yes,Me�lun,Mealca �mencan,C�ICano �Rsian IMlan ❑Nalive Nawallan ❑a,«�.�•eeerc�i�.e��+ansl ❑Yei,VUertoPican ❑Chinese ❑GUamanianorChamorro ❑Bachelofs degtce(e.1�BA,AB,B5� ❑Yes,Cuban ❑filipina ❑Samoan �Mashr'�de6ree(e.g.M0.M5,MEng,MEtl,MSW,MBA) ❑Yes,other Spanish/HI i�i�/Latino O 1a0anese ❑Other PacNic islander ❑oo�rora�e�e.q.vno,eeol or vrok::ioo.i a�er« Isoeciryl O o�her Isoeciryl �..Mo�os ovM ue io 21.OeceAenYS5lnyleRaceSelf�Deslgnatbn�ChecMOHlYONEroIn01n[ewMlNedttetlent:nslderetlhlmseHarherult[obe. 12a.DeceAenYSUSUaIOCC�O+�bn-In0lcatetypeofwork � �Whitt ❑lapanese ❑Samwn tloneduringmostolworkingltle.00NOiU5EPETIPEO. �BlackorAlricanAmerican ❑I(orcan ❑OtherVaci(ICislantler H�Ill�fl�ker �Amerlun Indlan or Flaska NatNe ❑VleMamese ❑Don't Rnow/NOt Sure ❑Asian Indian �O[her Aslan ❑Xel�setl ]7b.KinC of Business/Induztry ❑Chinese ❑NativeHawailan ❑OMer�Specity) �4Jn HC([I� ❑cmpno ❑c�amania�o.chamo..o REM523��13dMU5TBE[OMVLETEO 23a.DateProno�ncedDeaO�MODay r� 336.SIgnatureofPersonPronouncing0ea[h�Onlywhenapplicabk� 13c.LkenuNUmber BY VEPSON WHO VRON WN[ES 011 RRTIFIES DEATX ]3A.Oa[eSlgriM�MO/Day/VrI za.nrqe•jQgath� 3 �� ]5.N�as Medical Eaaminer o�Coroner Con[a<tedi ❑ Ves ❑ Na CAUSE OF DEATH i Approaimate 26.VanL Fntathethalnofevents--0ISeases,inluries,orcomplintions-thatdlrectN�au� Ihedlath.pONOTen�lfte�minalevintisu[haSta�Oia[drtes( Inhrval: resplratoryanest,orventrlc�larHbrlllatianwith�y[�howin6�heelblogy.DONOTpBB VIATE.Enteronlyanecauseonailne.AdtlaEClHena111nesHnecessary. 1 OnseltoDeath �/� � IMMEDIATE GUSF ----�------> a. :� '�/`J�d% � irmaaieeauo.co�emo� o�eeo�on:am�. �m�ee�p. rc:uinne��n deaml � b. seQUeneia�tyus�comm�ons, ouem�orasacam wenceorl. ��n�v,i�,m��ve m.�.�.. IisteEOnliMt Enlert�e UNUERLYING UIISE Oue co�or as a�a�e�uence of�- �disease ar in)ury that F Initlahtltheeventsres�ltin9 E. _ � in Eeath�IASf. Oue m�or as a con.n,�uence of� � s 76.V�rt16Enh�oMersienifcantconditionsconvibutinatoEea[hbutnotresNtinglnMeunderlyingcausegivenlnv�rtl. 1].Wasanaumpryperfarmed7 - ❑Yes �� i ]8.Were wto0sy flndlnes ovailabk � tocom0�e[eMecause eth) 4 ❑Y!5 � Y 39.If Female: 30.Ditl ToDacco 'e ConMb�[e lo Deathi 31.Manner of Death E ��pn{�entwtt��nOastyear ❑Yes ❑vrobably �11lNFal ❑HomiclEe 9 ❑v�.e�+��•�n�ora.,�n �IS ❑Unknown ❑Attiden[ ❑Pentlinglnvestiga[lon ❑Not prcgnan4 bW pre`nam Mthin Ol days ot death ❑SWdde ❑CoWtl not be Eehrminetl ❑Nat Wet�a�L but pregmm a3 daYS�o l year 0efore tleaM 33.Date af ln�ur Ma/Oay/Vr�(SpeII Month� ❑UnknownllprcB�antwlthlnMepastyear 33.Tlmeafln7ury 31.Vlace at in��ry(<.[�M1omr,conshuc[ion sire;farm;schaol) 35.lo.rtion ot in�ury�SVee�an0 Number,Ciry,[ounry,Statt,zlp code) 36.In�uryatWwM 3),I(Tnnsportatbnlryury,5peclfy: 38.Cescribelbwlnlury0ccuned: ❑Yef �Drlver/Operaror ❑Vetlesvlen ❑No ❑Vassenee� ❑O[her�5peclly� 39a.Certkler-physlcun,tt�tlfk0 nune praRltlorier,metlkal e�amiMr/coroner�Check only<��'. m.!lRlfylry only�To tAe besl o(mY k�owkOBe,death xcumed due lo[he nuse�s)and manMr sbted. ❑Pronauntln`b Certilying-To Ihe best of mY M�owleCge,death xcurred at the time,date,and pla<e,�nd due to Ihe cause�s�and manner sb4d. ❑MeEIUIEumIMr/[omircr-O atbnantl/rinvetl`albn,InmyoO��oRtleaM�O.yn�u�r�redatthetlme,daR,andplace,andduerothenuze�s�anOmannerfbt<C. Sipmture ot c<Rifle� Ttle al certllier: /�R/ Lkense Num 39E.Name tlrcs��'M Zlp 1 Por n Campleti Uuse af DeaM�Item 36) 39c ace Sisned�MO/D+Y/Yr) � ia o � o i 90.Registrsr's Oherict NumDer 01. e IsVar s SynaNre Oi.Regishar FRI e te Ma Day r) � 1 I '� 43.Amendments H105-1E3 o�:oo:��o�Pe�mi�ao U��S b 7 nevo�i:oiz r ' �„° � (� � C`,1 � .`":.3 �� Sa a {-�r m ::`, �_� c.-; -. , ° � � --a j:';; r— r,.� - � � �`? �� T �j; �:7 . . .. LAST WILL AND TESTAMENT �-� ��, .; _-� `��;� � OF � _ ---� � . DOROTHY B. MAFFETT ��' j � . ._,. -; , . , . , ., ,�; ._; I, Dorothy B. Maffett, of 4837 East Trindle Road, Building 3� Room 88;'�ounty of Cumberland, Mechanicsburg, PA 17055, being of sound mind and memory, do hereby make, publish and declare this to be my Last Will and Testament. FIRST: I hereby revoke all Wills and Codicils thereto by me at any time heretofore made. SECOND: I direct that all my legal debts, my funeral expenses and the costs of administration of my estate be paid as soon as practicable after my death. I direct that my Executor or Executrix pay out of my estate, as a general charge thereon, all inheritance, estate, succession and other taxes, together with any interest or penalty thereon assessed by reason of my death with regard to all properties and assets subject to such taxes, whether or not such property and assets pass under this Will. THIRD: I give, devise and bequeath all of my estate, real, personal or mixed, tangible or intangible, of whatsoever kind and wheresoever situated, together with any property to which I may have any power of disposition or appointment and whether acquired during or after my lifetime as follows: 1. To my son, Robert S. Maffett of 13400 Whaley Court, Oak Hill, VA 20171 — 30% provided he survives me for a period of 30 days. Should my son, Robert S. Maffett, predecease me, his share shall be issued equally between his children. 2. To my daughter, Marjorie J. Morrison of 4 Caven Crossing, Enola, PA 17025 —30%, provided she survives me for a period of 30 days. Should my daughter, Marjorie J. Morrison, predecease me, her share shall be issued equally between her children. 3. To my granddaughter, Lora L. St. Angelo of 807 E. Pittsburgh McKeesport Boulevard,North Versailles, PA 15137— 10%, provided she survives me for a period of 30 days. 4. To my granddaughter, Carrie A. Barnes of 35 Country Club Place, Camp Hill, PA 17011 — 10%, provided she survives me for a period of 30 days. Should Carrie predecease me, her shall be issued to her daughter, Alexia Barnes. 5. To my granddaughter, Alissa N. Cornell of 341 Virginia Avenue, Winchester, VA 22601 — 10%, provided she survives me for a period of 30 days. 6. To my grandson, David T. Maffett of 14614 Lufthansa Circle, Chantilly VA 20151 — 10%, provided he survives me for a period of 30 days. If any of my grandchildren as listed above are deceased at the time of my death or do not survive me for a period of 30 days, but are represented by living issue, such issue shall take, per stirpes, the legacy to which his or her parent would have been entitled if then living. At the sole discretion of my Executor or Executrix, the share of any minor child shall be selected and held by my Executor or Executrix for delivery to such child at termination of minority; or in the sole discretion of my Executor or Executrix, may be delivered either to the minor or to another to hold for the minor during minority, and the receipt of the minor or such other person shall operation as complete discharge of my Executor or Executrix. FOURTH: My Executor or Executrix, shall have the following powers in addition to those vested in them by law and by other provisions of my Last Will and Testament, applicable to all property, whether principal or income, including property held for minors, exercisable without court approval and effective until actual distribution of all property. 2 L I direct that my Executor or Executrix and his/her successor, shall not be required to give bond for the faithful performance of his/her duties in any jurisdiction. 2. My Executor or Executrix shall receive compensation for the performance of his/her functions hereunder in accordance with the Pennsylvania Estates Practice standard schedule of fees in effect from time to time during the period over which the services are performed. 3. To allocate receipts and expenses to principal or income to mortgage or pledge any or all real or personal property as my Executor or Executrix in his/her sole discretion shall choose, without regard for the dispositive provisions of this instrument. 4. To borrow money from any person or institution and to mortgage or pledge any or all real or personal property as my Executor or Executrix in his/her sole discretion shall choose, without regard from the dispositive provisions of this instrument. 5. To compromise any claim or controversy. 6. To make distribution in cash or in kind, or party in cash and partly in kind, and in such manner as he/she may determine, and at valuations finally to be fixed by him/her. 7. To vest in all forms of property (including stock or other securities and common trust funds and mortgage investment funds), without restriction to investments authorized for Pennsylvania fiduciaries, as he/she deems proper, without regard to any principle of diversification or risk. 3 8. To see at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms ar conditions as he/she deems proper. 9. To exercise any law-given option to treat administrative expenses either as income tax or as estate tax deductions, with regard to whether the expenses were paid from principal or income. 10. All shares of principal and income hereby given shall be free from anticipation, assignment, pledge or obligation of the beneficiaries and any of them shall not be subject to any execution, attachment, levy or sequestration or other claims of the creditors of said beneficiaries or any of them. FIFTH: I do hereby make, constitute and appoint my daughter, Marjorie J. Morrison, and my son, Robert S. Maffett as Co-Executors of this my Last Will and Testament. Should either fail to qualify or cease to act, I appoint my son-in-law, Thomas Morrison, as my Executor o�this my Last Will and Testament. IN WITNESS WHEREOF, I Dorothy B. Maffett, Testatrix above name, have hereunto subscribed my name and affixed my seal this )yfi�''of November 2013. ` �--�� L� Dorothy M. Maffett, Testatrix 4 Signed, sealed, published and declared by the above-named Dorothy B. Maffett as and for her Last Will and Testament, in the presence of each of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed their names as witnesses thereto the day and year last written above. f��D��d�� roti 5� rris �cr * � �)�G/ WITNESS ADDRESS ��,t,�C� �Gc�. 2`1�v I��(,�-��.�i�- I?�� WITNESS ADDRESS ` COMMONWEALTH OF PENNSYLVANIA . . SS. COUNTY OF DAUPHIN . I, Dorothy B. Maffett, 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 Testament; and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by Dorothy B. Maffett, the Testatrix��,,, this 1�'f'�''November 2013. -, '�1-�,Gr"' �` i •'�' � �f� �� Dorothy B. Maffett, Te atrix � '�;� 5 COMMONWEALTH OF PENNSYLVANIA . . SS. COUNTY OF DAUPHIN . On this �"'-� day of November 2013, before me, the undersigned officer, personally appeared William R. Balaban, Attorney I. D. No. 19667, known to me (or satisfactorily proven) to be a member of the bar of the highest court of said state, and certified that he was personally present when Dorothy B. Maffett, being of sound mind and memory executed the foregoing instrument for the purposes therein contained by signing her name. IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal. � ` �.JZ\`� J' ; Notary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA Notarial Seal Dorothy M.Scott,Notary Public City of Harrisburg,Dauphin County My Commission Expires Sept.11,2016 MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES 6 COMMONWEALTH OF PENNSYLVANIA . . SS. COUNTY OF DAUPHIN . We, �j, � � �7u�(,(,�dr• and �/lq,bt �u� tC , 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 the Testatrix sign and executive the instrument 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 Last Will and Testament as a witness; and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribe to by �j� � � �jc��t�,y�� and �(,�,� �G� u , witnesses, this )`'��h'day of November 2013. r �� WITNESS WITNESS 7 COMMONWEALTH OF PENNSYLVANIA . . SS. COUNTY OF DAUPHIN . � On this � day of November 2013, before me, the undersigned officer, personally appeared William R. Balaban, Attorney L D. No. 19667, known to me (or satisfactorily proven) to be a member of the bar of the highest court of said state, and certified that he was personally present when � ' �( �H�►��j 1Q/�1 and ��}'I C��Z� ��'�✓ ��i , witnessed the foregoing instrument for the purposes therein contained by signing their respective names. IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal. , � ��. � . -�. ��. Notary blic My Commission Expires: COMMONWEALTH OF PENNSYLVANIA Notarial Seal Dorothy M.Scott,Notary public City of Harrisburg,Dauphin County My Commission Expires Sept.11,2016 MEMBER,PENNSYWANIA ASSOCIATION OF NOTARIES 8