HomeMy WebLinkAbout09-11-14 PETITION FOR GRANT OF LETTERS
RLG1S1'ER OF WILLS OF Cumberland COUN"I'Y,P�NNSYLVANIA
Petitioner(s) named below, who is/are l8 years of age or older, apply(ies) for Letters as specified bclow, and in
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the appropriate form:
Decedent's Information ,C
Name: Barbara M. Goodman File No: �� � ����/ �
a/k/a: (Assigned by Register)
a/k/a:
a/k/a: Social Security Nu:
Date of Death: �une 13, 2014 Age at death: 60
llecedent was domiciled at death in Cumberland �ounty, Pennsylvania rsrure�with his/her last
principll residence at � Hawthorn Court 17015 Carlisle, Dickinson Township Cumberland
Strect address,Post Oftice and Zip CuJe Cit,y,7'ownship or Borough County
Decedent died at 7 Hawthorn Court 17015 Carlisle, Dickinson Township Cumberland PA
Street address,Post Ol'fice und"Lip Cude (:ity,7'ownship or Burough Cnunty titate
Cstimate of v�ilue of decedent's properry at death: �� 3� �
I(dnmiciled in Pennsylvania............................ AU personal properry � � `
Jf not domiciled i�+Aer�nsylvanin. ....................... Personal property in Pennsylvania $
lf not dns�rci/ed i�r Pennsylva�:io. ....................... Personal property in County $
t�irltre nf rea!estnte iir Penrrsylvareiu............................................... .......... $
TOTAL ESTIMA'TED VAi..UE. ... $ � O�
Real estate in Pennsylvani��situated at: � __
l,9rtuch addiliwu�l sheers,ijnecessuiyJ Street address,Post Office and Zip Cude City,'Cuwnship ur 13orough Countp
0 A. Petition for Probate nnd Grant of'Letters Testamentary
Petifioner(s)aver(s)he/she/they islare the Gxecutor(s)named in the lasC Will ot'tl�e Decedent,dated May 7, 2��2 and Codicil(s)
thereto dated none
State relevunt circumstances(eg.renwiciu�ia�,deufk uJ'KCecutnr,etc.}
L-;xcept t�s follows: after the exccution of the instrument(s)of'fered for prob�te Decedent did not marry,was not divorced,�vas not a party to a pending
divorce proceeding wherein the grounds for divorce had been established as defined in 23 P�.C.S.§3323(g),and did not have a child born or
adopted;and Decedeni was neither the victim of'a killing nor cver adjudicated<in incapacitated person.
�NU�XCEPTIONS �EXCEP"TIONS
� B. Petition for Grant of Letters of Administration (If applicnble)
c.t.u.,d.G.n.,d.b.fi.c.t.u..��errdente lite,�hu�nnle nb.reralia,dt�rante mina�iude
If Administration,c.t.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs.
�xcept as follows: Uecedent was not f�party to a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa.C.S.§3323(g)and wes neither the victim of a killing nor ever adjudicated un incapacilated person.
Q NO EXCEPTIONS Q EXCEPTIONS
Petitioner(s),attera proper search haslhave�scert�iiied that Decedent IeR no Will and wais survived by the following spouse(ifany)and heirs(n!lac7r
ndditiona!sheets,if necessurv): p �
Name Relatiunshi Addres� m
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/�rniRbV-02 rev. l2%lI-201/ Pa�� � O�2
Uath of Personal Representative °t�;""���`°n1y
COMMONWGALTH OF PL•;NN3YLVANIA f
Cumberland � ss:
COUNTY OF ;
Petitioner(s)Printed Name Petitioner(s)Printed Address
Joseph L. Goodman 7 Hawthorn Court, Carlisle, Pennsylvania 17015
The Petitioner(s)aUove-ntuned swear(s)or alTinn(s)the slatemenis in lhe toregoin Petition�re true cind correcC to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)uf the Deceden �e ef�r(s ill well and truly administer the estate�ccording to law.
Stivorn to •affirmed a d subscr'bed befor " Da�e g (g �
me; �s day of , � __._ nate
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For ILr Regi�tar "�c11e Q �j
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BOND Reryuired: � YES � NO To tlie Registe�•oJ'Wills: �,. C3 � G/) =S7
=�7 _._� C3
�;�E$: Please enter my appearance by my signat�rr�{�`c1o� l�--+ r„�
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( 2 )Sltort Ccrtificate(s)... . . . � 1 �- � � �
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( )Renunciation(s).. . . . . . . . ' / . - = ' �'� --
( )Codicil(s). (/l v `� � �
( )Affidavit(s).. . . .. . . . . . . - ' �
p�n�,,, ,,, , , , , ,,, , ,, , , , , ,, , , Printed Name: David A. Baric, EsquY�e � �
Cummissiun. . . ... . . .. . . . . . . . . Supremc Court 44853
p h� ; :; : . : _� ID Numbcr:
Firm N��me: Baric Scherer LLC
Address: 19 West South ttrPat _
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, ., . . . Phw�e: (717)249-6873
Automation Fee. . . . . . . . . . . . . . . ------r�� Fax: -
JCS Fec. Q �,,,a;�; aric ancsc erer.com
.. . . . .. .. . .. . . . . . . . . .
TOTAL. . . . . . .. . . . .. . . . . ... . S .
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D CREE OF THE REGISTER
Estate of Barbara M. Goodman File No: �/��?"�,��/
a/k/a:
ANll NOW, / l , ��T� , in consideration of the foregoing Petition,
satisfactoiy proof having een presented before me, IT IS D�CREED that Lettet's testamentary
are hereby granted to Joseph L Goodman
in the above estate and(if applicable)that
the instrument(s)dated Ma 7,2012
described in the Petition be admitted to probate and tiled of r rd as the last Will{ d odicil(s))of Decedent.
�/iv '
e ster of Wills
Fi�rmRW-U2 re��. l0i!1r3011
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H105.�0�REV(9/ )
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` �� LOCAL REGISTRAR S C�ERTIFICATION OF DEATH
1� WA�iR�II�D�i fll��� ' ate this copy by photostat or photograph.
��
REGIST�R 0� ��1LLS
Fee for this certificate, $6.00 ,,,������°����---.. This is to certify that the information here given is
�OI� SEP 11 P� 2 Z ��,n��p�TH OF pF�;-__ correctly copied from an original Certificate of Death
ti�
���o`� = �; duly filed with me as Local Registrar. The original
����;;-� �� a� �� °-°� Z, certificate will be forwarded to the State Vita1
ANS '°" �.
ORPH ' (;f�v���- ;* � y� *c Records Office for permanent filing.
P 2 0 5 5 2 1 2 5 euMB�Rf..�;��� n�ry� , ��=°�,�q a�?��'' �A.�' �
9jMENTOF��`'�' °1e'r'.1UN�1 6 �014
,� Certification Number ""���"""'" Local Registrar Date Issued
Type/Print In COMMONWEALTH OF PENNSVLVANIA�DEPAftTMENT OF NEALTH•VITAL RECORDS
Permanent _ . .
B�a�k��k CERTIFICATE OF DEATH StafeFlleNUmber:
1.Decedant's Legal Name(Flrsf,Middle,LaSt,Sufflx) 2.Sex 3.Social Securlty Number 4.Date of Death(MO/Day/Yr)(SpNI Mo)
Barbara M. Goodman £emal 372-80-7280 un
Sa.Age-Last Birthday(Vrs) Sb.Untler 1 Year Sc.Under 1 Da 6.Date of Blrth(MO/Day/Year)(Spell Month) 7a.Birthplace(City and State or For�lgn Co�ntry)
� 60 yrs. . ^^o�ins oays Ho��s nni.,uces July 3, 1953
7b.BlrtMplare(COUnty)
Ba,�tesldenc�(�tate or Forelgn Country) 8b.Resldence(Street and Num6e�-Include ApS No.) Sc.Did Decedent Llve in a Township7
Yennsyl.vania Hawtl-iorn Court m ves,a«eae.,t u��a i., Dicicinson t,,,,P_
Bd.Resldence(COUnty)
Cumberland ee.Residence(Zip Cod�) 1 O No,decedent Ilved withln Iimlts of cIH/boro.
9.Ever in US Armed ForcesT 30.Marltal Status at Time of Death Marrletl O �N�dowed 11.Survlving Spouse's Name(If wife,glve name prio�to firsi marrlage)
p v�, E7 No �u�k�o,�,., o owo�c�a O Never Married o u�k.,o,�, Joseph Leo Goodman
12.Fathe�'s Name(Firsf,Mlddle,Last,Suffix) 13.Moiher's Name Prlo��o Flrst Marriage(First,Mldtll�,las!) -
William Sands
14a.InformanS's Name 14b.ftelatlonship to Decadent 14c.Informant's Malling Address(Strect and Numbe�,CISy,Stale,Zlp Cotle)
g Jose h
Ga a�e o eet c e� o e
If Death Occurred in a Hospital d Inpailent ' �If Deafh Occurred Som�wher�Otheri,Than a Hospital: ❑Hosplce Facllity �,}[DeCedenf's Home
� � Emergency Room/OUtpaHent O Dead on Arrival 1 O Nursln`Home/LOng-Term Care Facllity O Other(Spaclfy)
156.Faeility Nama(If not institutlon,give sYreei and number) 15c.Ci�y or Town,State,and 21p Cod� ISd.Councy of Death'
� 7 Hawthorn C ur
m16a.Methotl of Dlsposlfion � Burial [� Crematlon 16b.Date of DisposiCion 16c.Place of DlsposiHOn(Nam�of cametery,cramatory,or other p ac�)
� o Ramoval from State o oo„e�io., June 19, 201 Hoffman-Roth Funeral Home and Crematory I c.
0 ome�csneoitv>
� i6d.Locatlon of Dlsposltion(CIly or Town,Siate,and Zlp) 17a.Signatu of Funeral n in Cherge of Interment 176.Ucense Number
Carlisle, PA 17013
138504
E 1 7 c.Namw an d Comp le te A d dress o f Funeral Facility
s - Pa 17
� 18.DecedenYS Educatlon-Check the box Shat bezt describes the 19.Decedent of Hlspanic Orlgln-Check the 20.Deceden!'s Race-Chec ON R r to indlcate whaC
r- highest degree or level of school complefed at the fime of tleaYh. box Shat best tlescribes wheihar the decedent th�deced�nt consider�d hfmseif or herself to be.
O s�h grade or less is Spanish/Nlspanic/Latino. Check She"NO" White
0 No dlploma,9th-12th grade box if decedent Is not Spanlsh/Hispanic/Lafino. 0 Korean
� High school graduate or GED com leted � Biack or AfAean Amerltan � Vletnamese
O Some colleg<credit,but no degree No,noi Spanlsh/Hispanlc/Latino �Amerlcan Indlan or Alaska Native � Oiher Aslan
O Ves,Mexican,Mexlcan Amerlcan,Chlcano O P.sian Indian O Native Hawalian -
� Associafe degree(e.g.AA,AS) � O Yes,Puerto Rican �CF�Inese � Guamanian or Chamorro
j�Bachelor's degree(e.g.BA,AB,BS) � Ves,Cuban � Flllpino � Samosn .
�� Master's deg�ee(e.g.MA,M5,MEng,MEd,MSW,MBA) 0 Ves,oihar Spanish/Hispanic/LaSlno �Japenese 0 O�he�Paclflc Izlantle�
� Docioraie(o.Q.PhD,EdD)or Professlonal tlegree (Specify) � Othe�(Specify)
.MD ODS DVM LLB JD
21.Decedent's Single Rece Self-DeslgnaHOn-Check ONLY ONE to indicate what the decetleni consldered himself or herself So be. 22a.Decedeni's Usual Occupation-Indicate type of work
7�Whlie O Japanese O Samoan done during mos[of working Ilfe. DO NOT USE RETIRED.
� Black or Afrlcan Amerlcan 0 Korean � Other Paclflc Islander Proj eet Manager
q �Amerlcan Indian or Alaska Native �Vietnamese � Don't Know/Not Sur�
� �Aslan Indian � Other Asian � Refused 22b.Kind of Business/Industry
� O Chineze � NativeHawailan � Other(Specify) Government Consultin
� Fllipino � GuamanlanorChamorro g
ITEMS 23s-23 MUST BE COMPLETED 23a.Dafe Pronounced Dead(MO Day r) 236.Signature of Person Pronouncing Death(Only when applicable) 23c.Llcensa Number
BY PERSON WHO PRONOUNCES OR
CERTIFIES DEATH RN 6 3� I Z
23d.Daie Signed(Mo/Day/Vr) 24. {me of DaaS 0
25.Was Medical Examine�or Coroner Contacted7 � Y�s No
CAUSE OF DEATH � qpprox�mace
26.Part 1. Enter She chaln of ever«--diseases,InJuries,or compllcations-Yliat dlroctly cavsad th�death. DO NOT�nter terminal events such es cardlac arraat, � Interval:
respiratory arresY,or ventricular flbrillation without showing i�he[�e�tiology.TDO NOT ABBREVIATE. Entar o(n'l^y�one cause on a Ilne. Add additlonal Iines if necessary. 1 Ons�t to�eath
IMMEDIATE CAUSE -"""--"'---> a. ��r"�.�ACQ� 0lQ�Q •�� C��V�RZ�{I� \�(.4.{.(CQY� � �'IO �1PS
(Flnsl dlae�se or eondltlen +�e[o(or aa a consequenc�of): 1
resultinp In de�ih) V �
b. 1
Sequentlally Iisi conditions, Due to(or as a consequence of): �
if eny,IestlinQ to thc uunw
1
Ilsted on Ilne a. Enter the �
UNCERLYING CAUSE Due io(or as a consequence of): �
� (dlsease or InJury thaf �
F iniilated the ev�nts resulting C. � �
.? in deatn)LASf. oue to(or as a consequence of): �
a �
� 26.Part 11. Enter other I ifl i diti i Ib tl Y d th 6uT not resulHng in the untlerlying cause given tn Part I. 27.Was an autopsy p rtormedT
� � re n c � Yes NO
� �OW�� �I ft.4t.a�'��Oh dit(� �p CQv�CINOV�.t0.'�•p.a�� �B.N�/erea�topsyflndings.�anabie
� to complet�the ca z of death7
� O Yes No
29.If Pemale: 30.Oitl Tobac o Use Contribute to DeathT 31.Manner of Death
'��Not p g ent wiShin past year Yes
� Pr t at Slme of death � � Probably J�'NaCUral � Homlcide
0 �g^a^ �NO 0 Vnknown � � PendinglnvestlgatlOn
ad � No�pregnani,but pregnenT wlthln 42 daVS of death Accldenf
� Sul<Ide � Could not be determined
� f- � Not pregnant,but pregnant 43 days to 1 year before deaih 32.Date of InJury(MO/Day/Yr)(Spell Month)
` O Unknown if pregnant within the pasc year 33.Time of InJury
� 34.Place of Injury(e.g.home;construcHOn slte;farm;schoal) 35.Location of Inj�ry(Strcet and Number,Qty,County,State,21p Code) '
36.InJury at Work 37.If Transportatlon Injury,Specify: 38.Describe How Injury Occurrod:
0 Yes � Drlve�/OperaSOr � Pedestrian
d � No � Passenger � Ofher(Specify)
��/' 39a.Certifier-physlclan,certifled nurse practitloner,medical examiner/coroner(Check only one):
V ��Certlfying only-To the besi of my knowletlge,death occurretl tl�e to the cause(s)and manner stated.
_� O Pro�ouncing R Cartlfying-TO the best of my knowledge,death occurred at the Slme,tlate,and place,and due to the cause(s)and manner stated.
O Medical Examiner/ roner-On as f examination an`d-/�or InvestlgaNOn,in my opinion,deach occvrred at ihe tlme,date,antl place,and due to the cause(s)and man�er scaied.
/�6) Slgnature ot ceKifler �_i T Title of ceKlfier.E- ��CZ1f��IeL� �li� License Num6er:�n�b 3n 7'Z�
�^�� 39b.Name,Atldress and Code of Person Compl fing Cause of Deaih(1 26) 39c.Date 5 d /Day/V)
Fctwr�we �adc�zt�c: w�J 340� N ��w.t �eh 'Hetvvi,6 �'14 ���i� 6 lb �-o►�}
� 40.Regla(rar s District Number 41.Registra 51� a ._ - : c� 42.R Istrar Flle Date(MO Day Vr
3 ��
`d�- �� "'s,r- ��e-- I� O�
� as.n,,,e�dmenss � � �_ _ _ .. - . _.
�
Dlsposltion Permit No. �(SS`T'�P�� H305-143
REV 07/2n�7
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
� �
y oF �Wy '.., ..
�.� ��� el�� No. 2014- 00857 PA No. 21- 14- 0857
O Z Es ta te Of: BARBARA M GOODMAN
(FirsC Middle,Lastl
� �. v
� La te Of: DICK/NSON TOWNSHIP
CUMBERLAND COUNTY
N
Deceased
Social Security No: 372-80-7280
1750
WHEREAS, on the Ilth day of September 2014 an instrument dated
May 7th 2012 was admitted to probate as the last will of
BARBARA M GOODMAN
(Fi�st,Middle,LasU
Iate of DICKINSON TOWNSHIP, CUMBERLAND County,
who died on the 13th day of June 2014 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, L/SA M. GRAYSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
JOSEPH L GOODMAN
who has duly qualified as EXECUTOR(R/Xl
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARL/SLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the se��.1
of my office on the 11th day of September 2014.
:
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
_
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Last Will and Testame�� �� �' � �
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BARBARA M. GDODMAN :; rv r.Y �
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I, Barbara M. Goodman of Cumberland County, Pennsylvania, do hereby declare this to
be my Last Will and Testament and hereby revoke all Wills and Codicils previously made by me.
ITEM ONE: I direct the payment of my debts and the expenses of my last illness and
funeral from my estate as soon after my death as conveniently may be done. If there be no I
� I
` cemetery lot available for my interment, owned by me at the time of my death, I authorize my
I
. � personal representative to purchase such cemetery lot with a contract for perpetual care, using
\� therefor funds from my estate, and I authorize my personal representative to cause title to or
� ownership of such lot so purchased to be vested in such person as my personal representative
shall designate.
�' . . .
Further, m this connection, I authorize my personal representative to expend funds from I
�
my estate, in such amount as my personal representative shall consider necessary and desirable,
for the purchase, erection and inscription of a suitable marker for my grave.
ITEM TWO: I give, devise and bequeath such of my personal property as may be listed
on a signed and dated memorandum kept with my Will to the 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 pass
according to the remaining provisions of this Will.
_ _ _ _
ITEM THREE: I give, devise and bequeath the rest, residue and remainder of my estate of
whatever nature and wherever situate to my husband, Joseph L. Goodman, if he shall survive me
by thirty(30) days. In the event my husband predeceases me or fails to survive me by thirty(30)
days, I then give, devise and bequeath my entire estate to my children, Tony W. Oliver and
Alaina D. Kakos, in equal shares, per stirpes.
ITEM FOUR: In the event I am not so survived by my said husband, Joseph L.
Goodman, and a portion of my estate passes to an heir under the age of twenty-one (21), then that
portion of my estate passing to the heir shall be placed with my son, Tony W. Oliver as Trustee.
�
In the event my son, Tony W. Oliver is unable or unwilling to serve, I appoint my daughter,
Alaina D. Kakos as Trustee, under the following conditions:
, 1. My trustee shall pay principal and income to, or for the benefit of the heir
�
during his life as my trustee, from time to time, shall deem advisable for the health, maintenance,
support and complete education of such heir. In addition, my trustee in his sole discretion may
advance principal to said beneficiary against the fractional shares to be advanced hereunder for
the costs of marriage, or the purchasing of a home or costs of entering a business or profession if j
my said trustee shall deem such expense reasonably prudent.
2. Notwithstanding the foregoing provisions, after attainment of twenty-one
(21)years, each heir may withdraw the remainder of said principal and undistributed income.
3. In the event of the death of a trust beneficiary prior to age twenty-one (21)
then my Trustee shall distribute any remaining principal and interest as such beneficiary shall
appoint by specific reference to this power in his or her will, or if such power is not exercised in
full,the unappointed principal shall be distributed to his or her issue, per stirpes, or in default of
such issue, to my issue, per stirpes; provided,however, any portion of such principal, which
would be distributed to any beneficiary for whom a trust is then held hereunder, shall be added to
I
such trust.
II I
4. Should the principal of any trust herein provided for be or become too
small in my Trustee's discretion to make establishments or continuance of the trust advisable, my
trustee may distribute the remaining principal and any accumulated or undistributed income
outright to the beneficiaries in the proportions to which they are then entitled to. The receipts
and releases of the distributees will terminate absolutely the rights of all persons who might
otherwise have future interest in the trust, whether vested or contingent, without notice to them
and without the necessity of filing an account with the court.
ITEM FIVE: I direct that no trustee, executor or other fiduciary named, nominated, or
' appointed by this my Last Will and Testament shall be required to post any bond or give any
security of any type for any purpose whatsoever, any law or rule of the court of the
�� Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. I
� direct that the law of the Commonwealth of Pennsylvania shall apply to any interpretation or
application of the validity of this instrument. �
ITEM SIX: My executor and trustee shall have the following powers in addition to those
vested in them by law and by other provisions of this Will, applicable to all property, real,
personal or mixed and wheresoever situate, including property held for minors, whether principal
or income, exercisable without court approval, and effective, with respect to each item of said
property until actual distribution thereof.
A) To retain, as investments of my estate or trust, any or all assets of my
estate, real, personal, or mixed, without regard to any principal of diversification, and to purchase
and acquire real or personal property and to hold any or all of such real and personal property
retained or acquired without making the same productive of income.
i �
B) To permit the children, or any of them,to occupy any real estate retained
or acquired upon such terms and conditions as my executrix or trustee shall deem proper.
C) To pay all taxes, charges and expenses of maintenance, upkeep,
improvements, development, protection,preservation and investment of any retained or acquired
real or personal property, such payments to be made from either principal or income as my
executrix or trustee shall determine.
D) To retain or invest any and all funds, whether principal or income, in any
real or personal property without restriction to legal investments; to purchase investments at
` premiums; to exercise all rights of a security holder or share holder in any corporation; and to
lease, mortgage, pledge, give options upon or sell at public or private sale and without approval
�� of any court, any real or personal property, or portion or portions thereof, irrespective of the
�4
manner or the means by which the same was acquired by my said executrix or trustee.
E) To make payment or distribution herein provided for in cash, kind or
partly in cash and partly in kind, at valuations fixed by my executrix or trustee at the time of
distribution.
ITEM SEVEN: Any and all payment or payments of any sum or sums, whether in cash or
in kind and whether for principal or income, payable to an heir, or any of them, shall be made
upon the sole receipt of the respective individual to whom the payment is made, and free from
anticipation, alienation, assignment, attachment, and pledge, and free from control by the
creditors of any such beneficiary.
�
ITEM EIGHT: I appoint my husband, Joseph L. Goodman, Executor of this my Last
Will and Testament. Should my said Executor fail to survive me or for any reason fail to qualify
as Executor, I then appoint my sister, Deirdre McKay, Executrix of this my Last Will and
Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, consisting of five (5) typewritten pages,the first four (4) of which bear my
signature in the margin for the purpose of identification, this the 7th day of May, 2012.
�� ^
�� -�� G�(� � (SEAL)
Barbara M. odman
Signed, sealed, published and declared by the above named testatrix, Barbara M.
Goodman, as and for her Last Will and Testament, in the presence of us, who, at her request, in
her sight and presence, and in the sight and presence of each other, have hereunto subscribed our
names as witnesses.
' ` ADDRESS /< �"� ' � �J�
� , .� ADDRESS � � L /"t f ; ,, y.�
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COMMONWEALTH OF PENNSYLUANIA .
. SS.
COUNTY OF CUMBERLAND :
We, Barbara M. Goodman� �j���� T and
�, ��,�,(J�_, the testatrix and the witnesses, respectively, whose names are
signed to the attached or foregoing instrument, being first duly sworn, do hereby declaxe to the
undersigned authority that the testatrix signed and executed the instrument of her Last Will and
Testament, and that she signed willingly and that she executed as her free and voluntary act for �
� the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the �
testatrix, signed the Will as witnesses, and that to the best of their knowledge, the testatrix was at
the time eighteen(18) years of age or older, of sound mind and under no constraint or undue
influence.
Sworn to and subscribed before me this the 7th day of May, 2012.
�
COMMONWEALTH OF PENNSYLVANIA
I
Notarlal Seal
Jennifer 5.LindsaY,Notary Public
Carl�sle Boro,Cumberland County
My Commfssion Explres Nov 29,2015
MEMBER,PENNSYLVANIA ASSOCIAnON OF NOTARYES
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OATH OF SLTBSCR�BING `VITNES�(E�}� ,'" "�°� � `�-'r; n
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REGISTER OF WILLS Pvr � ' � �� C
CUNIB�r.�ivn COUNTY, PENNSYLVANIA A;� ��-� N � �
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Estate of Barbara M. Goodman . ,Deceased
David A. Baric and Lori I7urican , (each) a subscribing witness to
(Print Name/s)
the�Will ❑ Codicil(s)presented herewith, (each)being duly qualified according to law, depose(s) and
say(s)that she/h /they was/were present and saw the above Testator estatrix sign the same
and that she/he they signed the same and that she/he/they ,signed as a witness at the request of
�re Testator Testatrix ' her/ is presence and in the presence of each other.
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(Sigra[ure) ignature)
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(St e Addres � (Street Address)
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(Ciry,State,Zip) (City,State,Z p)
�tiec�:ti.'iE liI 1YGgIStt'Y 5 t�j��ee Executed out oJ Icegister's ()jfice
Sworn to or affirmed and subscribed Sworn to or affirmed and subscribed
before me this day i�efore me this ��� day
of , of � Qi °'�ii� ,�.
lleputy for Register of Wills a Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrw MQjp��,ar�ptjg� pENNSY VA NIA
NOTARIAL SEAL
Andrea M.Ramos,Notary Pubift
Form RW-03 rev. /0./3.06 Cariisle Bwo,Cumberland County
INy Commission Expires Ap�il 3,Y01E
ER,► NNSYLVANIA ASSOCIATIOM OF M �RIES