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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 request(s)the grant of Letters in the appropriate form:
Decedent's Information
Name: Mildred C. Heberlig File No: - 14— qc)
a/k/a: Mildred Catherine Heberlig (Assigned by Register)
a/k/a:
a/k/a: Social Security No:
Date ofDeath: 10/1/2014 Age at death: 88
Decedent was domiciled at death in Cumberland County, Pennsylvania (State) with his/her last
principal residence at 11 Darrin Avenue 17240 Hopewell Township Cumberland
Street address,Post Office and Zip Code City,Township or Borough County
Decedent died at Greenridge Village 17241 Newville Cumberland PA
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death: ,/
Ifdomiciled in Pennsylvania................................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: none
(Attach additional sheers,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough County
M 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 309119 9 and Codicil(s)
thereto dated none
Renunciation of Frank S. Heberlig, Rodney Heberlig, and Wayne F. Heberlig are attached
State relevant circumstances(eg.renunciation,death ofexecutor,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.
N
M NO EXCEPTIONS ❑EXCEPTIONS
C=D c�
❑ B. Petition for Grant of Letters of Administration(If applicable) r'' --
c.t.a.,d.b.n.,d bm.c.t.a.,pendente lite,du NteZbs67i?ia,durante nfrRo to
N
If Administration,at.a. or d.b.n.c.t.a.,enter date of Will in Section A above and complete 1isF -�heirsr\) Sr.] rr.1
4_
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established�efmcd''
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person. O T7
❑ NO EXCEPTIONS ❑EXCEPTIONS rr
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any) hei(4 "a4h
additional sheets,if necessary):
1
Name Relationship Address
i
Form RIV-02 rev.10/1112011 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
421 Briar Lane
Mary Sara Burkholder -Charnbersbung PA 17202
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 Decedent,the Petitioner(s ill well and truly inister the estate according to law.
Sworn t or a lrmed and subscribed b'efore Date mhday of � 4
r
Date
By: Date
For the Register Date
BOND Required: ❑ YES M NO To the Register of Wills:
FEES: Please enter my appearance by my signature below:
Letters. .... . . ........ . . ..... . $ 310.00 Attorney Signature:
(5 }Short Certificates(s) ...... 25.00 ,
(3 )Renunciation(s).......... 15.00
( )Codicil(s) .............. - 0
( )Affidavit(s)...... . . . ....
Bond 6preme
d Name: .IO I Zullin er
Commission .................... Court
Other Will .._...... 15.00 ID Number: 17516
Inheritance Return 15.00
Inventory ......... 15.00 Firm Name: Zullinger Davis, P.C.
Address: 14 North Main Street
Suite 200
Chambersburg _ PPP'17201 ,.
......... A rn
••• Phone: (717)264-6029 3-- c:� �
••••••... Fax: (717)264-1884 � i n x
Automation Fee ................. 5.00 Email: Izullinger zuIIinger`=dav om r, ! ,
JCS Fee ......................• 35.50 °fit r'\3
TOTAL ......................$ 435.50 _ c
=D — rt
C -T} :3 -
DECREE OF THE REGISTER
0
Estate of Mildred C. Heberlig File No: 31"� ' � cf,
a/k/a: Mildred Catherine HHeeb�errlig
AND NOW, �s 1_.,LYft— U , 2014 ,in consideration of the foregoing Petition,
satisfactory proof having been presented before me,IT IS DECREED that Letters Testamentary
are hereby granted to Mary Sara Burkholder
in the above estate and(if applicable)that
the instrument(s)dated March 19 1999
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent.
PeiterAPfV1A1ls &(JQQ�'
Form RW-02 rev.10/11/2011 rr L
Page 2 of 2
is L
JRZ - 5 . 1 heberlig.2 Marchi 4-`" 1999'
RE:
regard for their personal preferences in as nearly equal shares as
practical .
III.
In the event my husband survives me, and I direct that for the
purpose of this item of my will my husband shall be deemed to have
survivedme unless it appears unmistakably that my spouse
-predeceased me, and if the Federal estate tax due because of my
death will be reduced by making this gift for my spouse' s benefit,
I devise and bequeath to my spouse absolutely the least amount
(based upon values as finally determined by Federal estate tax
purposes) , as shall be needed for the Federal estate unlimited
marital deduction to reduce the Federal estate tax to the lowest
possible figure after full use of all other deductions and credits
allowable in calculating the Federal estate tax except that such
amount shall be calculated without regard to the augmenting of my
taxable estate by reason of the generation skipping transfers and
without regard for any credit for state death taxes that would not
otherwise be payable . Accordingly I direct that :
A. If the marital deduction or any similar benefit is
allowed with respect to any property including property
held by entireties which my spouse has received prior to
my death or at my death will receive otherwise than
pursuant to this item, the value of such property shall
be taken into consideration in calculating the size of
Page 2
the gift in this item;
B. No property ineligible for the marital deduction or any
similar benefit shall be distributed to this gift for my
spouse pursuant - to this item;
C. Either cash or investments or both may be allocated to
the gift under this item;
D. Any property allocated under this item in kind shall be
valued at the value at which it is finally included in my
gross estate for Federal estate tax purposes, provided,,
that the aggregate market value thereof on the date of
allocation (plus the value as finally determined for
Federal estate tax purposes of all other property
qualifying for the marital deduction) is at least equal
to the dollar value of the marital deduction as finally
determined for Federal estate tax purpose;
E. If any provisions of my will shall result in depriving my
estate of the marital deduction for Federal estate tax
purposes, such provision is hereby revoked and my will
shall be read as if any portion thereof inconsistent with
allowance of the marital deduction for Federal estate tax
purposes is null and void.
IV.
Jr
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to Orrstown Bank, IN TRUST for the
Page 3
following uses and purposes :
A. To pay the net income therefrom to my spouse for life in
such periodic installments as my trustee shall find
convenient but at least as often as quarter-annually.
B . To pay so much of the principal of this trust as my
trustee from time to time thinks advisable for the
support of my spouse to maintain my spouse in the station
of life to which my spouse is accustomed at the time of
my death after taking into consideration other readily
available assets and sources of income, or during illness
or emergency shall be either paid to my spouse or else
applied directly for my spouse' s benefit by my trustee .
C. My trustee may apply the net income of this trust and so
much of the principal as it deems necessary for the
support of my spouse should my spouse by reason of age,
' illness or any other cause in the opinion of the trustee
be incapable of disbursing it .
D. In addition to the above provisions my spouse shall have
the power to direct my trustee to pay to said spouse or
apply out of principal in each year including the year of
my death and the year of my spouse' s death an amount not
in excess of the greater of $5, 000 . 00 or 5% of the then-'
aggregate value of the trust principal . This power is
non-cumulative and can be exercised only by an instrument
in writing intended to take effect during my spouse' s
life, signed and delivered to the trustee .
Page 4
J
E. Upon the death of my spouse or upon my death if my spouse
predeceases me, the then-remaining principal and any
accumulated or undistributed income shall be distributed
as follows :
1 . Ten percent thereof divided equally among my
grandchildren living at the time of my death. At
the present time I have the following
grandchildren: Joni Burkholder, Scott Burkholder,
Wendy Latshaw, Jason Heberlig, Abigail Heberlig,
Jonathan Heberlig, Alyssa Heberlig, Allen Heberlig
and Philip Heberlig.
2 . The balance of the residue of my estate of every
nature and wherever situate to my children namely
Mary Sara Burkholder, Wayne F. Heberlig and Rodney
Heberlig, in equal shares, provided that the share
of any child who predeceases me or dies on or
before the thirtieth day following my death shall
be distributed to his or her issue, per stirpes,
living on the thirty-first day following my death,
and in default of any such then-living issue, to my
other then-living children.
3 . Should any of my beneficiaries be under the age of
twenty-two years at the time set for distribution
of this trust, the same shall not be distributed to
said beneficiary directly, but shall be held in
further separate trust . My trustee may apply the
Page 5
net income and so much of the principal of each
trust as my trustee shall consider advisable for
the support and education (including college
education, both graduate and undergraduate) of that
child. Upon the beneficiary' s attaining the age of
twenty-two years, this trust shall terminate and
the principal and any accumulated income shall be
distributed outright to said beneficiary. If any
such child shall die before receiving final
distribution of his or her entire share, the
undistributed balance shall be distributed to my
then-living issue, per stirpes .
V.
The interest of the beneficiaries hereunder shall not be
subject to anticipation or to voluntary or involuntary alienation;
and the principal and income shall be paid by the trustee or
guardian direct to or for the use of the beneficiary entitled
thereto, without regard to any assignment, order, attachment or
. claim whatever.
VI.
All Federal, estate and other death taxes payable because of
my death with respect to the property forming my gross estate for
Page 6
r
tax purposes, whether or not passing under this will, including any
interest or penalty imposed in connection with such tax, shall be
considered a part of the expense of the administration of my estate
and shall be paid out of the principal allocable to the residuary
trust created in item IV hereof without apportionment or right of
reimbursement . All such taxes on present or future interest shall
be paid at such time or times as my executor or my trustee may
think proper regardless of whether such taxes are then due;
provided that any postponed taxes on future interests in the
residuary trust shall be charged against the principal of the
particular share with respect to which the taxes are imposed.
VII.
Any fiduciary under this will shall have the following powers
in addition to those vested in them by law and by other provisions
of my will 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:
A. No fiduciary shall be required to execute any instrument
appointing anyone to accept service of process or file
inventories or accounts of any kind, except as ordered to
Z} do so by a Court of competent jurisdiction or as required
to do so under a state statute not providing for release
of such requirements by a testator. Any beneficiary
Page 7
however will have the right at any time to request and
receive a complete accounting of such matters as are
pertinent to that beneficiary.
B. If there is no corporate fiduciary acting hereunder, my
executor or trustee may designate a corporation,
regardless of where organized or headquartered, with
fiduciary powers to act as agent or custodian hereunder,
may delegate to it such duties as may be appropriate,
including investment recommendation duties, may pay to it
reasonable compensation for its services, and may
discharge it with or without cause .
C. To retain any or all of the assets of my estate, real or
personal, including stock of any corporate fiduciary,
without regard to any principal of diversification or
risk.
D. To invest in all forms of property including stock,
common trust funds and mortgage investment funds whether
operated by my fiduciary or others, without restriction
to investments authorized for Pennsylvania fiduciaries,
as my fiduciary deems proper, without regard to any
principal of diversification or risk.
E. To sell 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 or conditions
as my fiduciary deems proper.
Page 8
w
F. To allocate receipts and expenses to principal or income
or partly to each as my fiduciary from time to time
thinks proper in my fiduciary' s sole discretion.
G. To borrow from or to sell to my trustee even though such
trustee may be my executor.
H. To cause the title to any property held hereunder to
stand in the name of a nominee or nominees.
I . To repair, alter or improve any real or personal
property;. to borrow money including the right to borrow
money from any fiduciary hereunder and to pledge,
mortgage or create a security interest in any property
held by my fiduciary as security thereof, and to make
loans, secured or unsecured, for such purposes and upon
such terms and conditions, as my fiduciary deems
advisable including loans to my estate, with or without
interest, for any purpose whatsoever, and to exercise
options of any kind.
J. To subscribe for or to exercise options for stocks, bonds
or other investments; to join in any plan of lease,
mortgage, merger, consolidation, reorganization,
foreclosure or voting trust and to deposit securities
thereunder; to vote securities in person or by proxy, in
A
y such connection to delegate discretionary powers; and
�.1 generally to exercise all the rights of security holders
or employees of any corporation.
K. To compromise, submit to arbitration or release any claim
Page 9
of my estate or any trust hereunder against others and to
pay, compromise or submit to arbitration any claim of
others against my estate or any trust hereunder.
L. To exercise any law-given option to pay death taxes in
installments, the payment of interest due on such
installments to be a charge against principal .
M. To exercise any law-given option to treat administrative
expenses either as income tax or as estate tax
deductions, without regard to whether the expenses were
1, paid from principal or income .
N. To receive other property of any type acceptable to the
but not in wa
� trustee, including, y of limitation, life
insurance proceeds which may be devised, bequeathed,
assigned, granted, conveyed or made payable to the
j trustee by any other person, to be added to and
administered in accordance with the then-applicable
provisions of the trust or trusts hereunder; provided,
however, if more than one trust is then being
administered hereunder, such other person may specify in
the instrument of transfer among which trusts and in what
proportions such property shall be allocated.
t O. To treat the entire trust estate as a common fund for the
V
purpose of investment, notwithstanding any provisions
herein for division thereof into shares or separate
trusts .
P. Any trust beneficiary will have the right at any time to
Page 10
then entitieci to. ii ciily ZIu%.
Page 11
request of and receive from the trustee a complete
written accounting of such matters pertaining to the
administration of the trust as are pertinent to that
beneficiary. In the trustee' s discretion income tax
returns of the trust may be used to satisfy such request .
Q. In making distribution of my estate, my executor, and in
making distribution of any trust, my trustee, is hereby
granted the power to make non-prorata distribution of
assets in kind.
R. My trustee in addition to other powers granted shall have
the authority to purchase life insurance on the lives of
any or all beneficiaries of the trust . In addition,
specific authority or power is granted to pay premiums on
existing policies as well as those purchased after the
creation of the trust even though said policies may not
be owned by or payable to the trustee as beneficiary.
Premiums may be paid from the income of the trust estate
or, if necessary, from principal .
S. Should the principal of any trust herein provided for be
or become so small that in the trustee' s discretion
. establishment or continuance of the trust is inadvisable,
my trustee or my personal representative may make
immediate distribution of the then-remaining principal
and any accumulated or undistributed income outright to
the person or persons and in the proportions they are
then entitled to. If any such person is then a minor,
Page 11
s:
distribution may be made to that person' s guardian, or to
a person selected by the trustee to be custodian for such
person until the age of twenty-one years under the
Pennsylvania Uniform Gifts to Minors Act .
T. To continue the operation of any business in which I may
be interested or engaged at the time of my death,
regardless of the form or organization of any such
business, which business or an interest in which shall be
received by my fiduciary. This authorization shall
include the right to change the form of any such business
by the reorganization or incorporation thereof, or the
formation of a general or limited partnership with
respect thereto, and shall also include :the right to
invest in any such business including the right to invest
in any business the property of any trust hereunder for
such periods of. time and upon such terms and conditions
as my fiduciary shall deem advisable . No fiduciary shall
` be liable for any loss resulting from continuing any such
business, but my fiduciary may, in my fiduciary' s
discretion, sell, liquidate or otherwise discontinue any
such business at such time or upon such, terms and
conditions as my fiduciary shall deem advisable.
U. My fiduciary generally shall have full power and
authority to exercise all rights and privileges
appurtenant to any property held by my fiduciary, and to
execute and deliver any and all instruments which may be
Page 12
necessary or expedient in the exercise of the powers
granted herein.
V. My fiduciary is authorized to make distribution in any
manner which my fiduciary deems to be in the best
interest of a beneficiary including:
J
1 . To such beneficiary directly including mailing to
said beneficiary' s last-known address or depositing
to the beneficiary' s bank account or to a bank
account to be opened by said beneficiary; and
2 . To an existing trust or fund thereof for the sole
benefit of such beneficiary and providing no less a
right to present enjoyment of income and principal
that would be the case under the trust hereunder;
and
3 . Directly to third persons for the sole benefit of
such beneficiary or such beneficiary' s dependents .
4 . The receipt for any distribution made in conformity
with the above provisions will fully discharge
trustee from any, further liability for that
distribution.
:A 5 . No fiduciary will exercise any discretionary
authority to distribute principal or income for the
benefit of any beneficiary to reimburse any
governmental entity which may have incurred
expenses for the benefit of that beneficiary or pay
any obligation of a beneficiary if that expense or
Page 13
obligation is otherwise payable by any governmental
entity or pursuant to any governmental program of
reimbursement or payment .
W. The situs of any trust created hereunder shall be in the
County of Franklin, State of Pennsylvania, and all
questions pertaining to the construction or validity of
the provisions of this instrument shall be governed by
the laws of that state . Despite the foregoing the
trustee may at any time and from time to time change the
situs of any trust created hereunder as the trustee in
trustee' s sole discretion deems desirable for the benefit
or security of this trust . The trustee may elect or
decline to elect the law of a different jurisdiction and
thereafter the Court of such other jurisdiction shall:
have the power to effectuate the purposes of this
instrument to such extent . The trustee may change the
situs of any trust created hereunder and may change the
situs of one trust without changing the situs of other
trusts created hereunder. This is a continuing power
which will not be exhausted by its use. The
determination of the trustee as to . the .change of situs
shall be conclusive and binding on all persons interested
or claiming to be interested in any trust hereunder.
X. In any proceeding legal or equitable, formal or informal,
in Court or out of Court, in any jurisdiction concerning
any property or personal rights or interest, whether
Page 14
vested or contingent,, which arise hereunder, the
interests of the following persons shall be represented
as hereinafter provided for:
1 . In the case of beneficiaries whose whereabouts
cannot be ascertained, trustee or executor will
represent them;
2 . In the case of beneficiaries who are unborn,
unknown, incompetent or otherwise subject to the
appointment of a guardian and a guardian for such
beneficiary has not been designated, the following
persons in the order named will represent them:
a. The oldest competent parent, or if there is no
competent parent, the oldest competent
grandparent, of such beneficiary;
b. The oldest competent sibling;
C. The oldest competent child or if there is no
competent child, the oldest competent child of
a sibling of such beneficiary;
3 . Unborn beneficiaries will be represented by their
parent who is related most closely to me. No
person will repre�sert .a beneficiary, if it_ could or
would result in an increase of Federal or state
income, gains, gift, death or other taxes.
Page 15
VIII.
I appoint my husband, Frank S. Heberlig, as executor of this
my will . Should my husband predecease me, fail to qualify or cease
to act, I appoint my three children, Mary Sara Burkholder, Wayne F.
Heberlig and Rodney Heberlig, as executors of this my will .
IX.
No bond shall be required of any fiduciary hereunder in any
jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my
last will and testament, consisting of seventeen typewritten pages,
the first fifteen of which bear my signature in the margin for- the
purpose of identification this _ /9 - day of
19V-4 .
SEAL)
Signed, sealed, published and declared by the abo e-named
testatrix as and for her last will and testament in our presence,
who in her presence, at her request and in the presence of each
other have hereunto set our hands as attesting witnesses .
r � J
d ,
Page 16
,w
We, Mildred C. Heberli
D J, JOFL.. �, Zl1,L�.[NG[�"� and
I ,4uLi-R k. 6(4nzS the testatrix and the witnesses respectively,
whose names are signed to the attached or foregoing instrument,
being first duly sworn, do hereby declare to the undersigned
authority that the testatrix signed and executed the instrument as
her last will and testament and that she executed it as her free
and voluntary act for the purposes therein expressed and that each
of the witnesses, in the presence and hearing of the said testatrix
signed the will as witnesses and to the best of their knowledge
said signer was at that time eighteen years of age or older, of
sound mind and under no constraint or undue influence .
c
Testatrix
fitness
Witness
Subscribed, sworn to and acknowledged
before me by the above-named signer and
subscribed and sworn to before me by the
above-named witnesses this 194day of
Notary Public NOTARIAL
._
LOIS 61 �ER;NcEaey pubBac'
t. CUW Counly
Page 17
RECORDED OFFICE OF-
REGISTER OF 'WILLS
?019 00T 22 An 10 )#ENUNCIATION
C I_E F'K i`E REGISTER OF WILLS
ORPH41NS' QC',!RT
C U $ E,CUMBERLAND .� COUNTY,PENNSYLVANIA
Estate of Mildred C. Heberlig , Deceased
I, Wayne F. Heberlig , in my capacity/relationship as
(Print Name)
Executor appointed in the Will of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Mary Sara Burkholder
(Date) (Signature)
P.O. Box.386
(Street Address)
Mount Wolf PA 17347
(City,State,Zip)
Exec#ted in Register's Offacl Executed out of Register:s Office
worn�t
So or affirmed ands scribed Before the undersigned personally appeared the
before m" , this day party executing this renunciation and certified
of that he or she executed the renunciati n for the
purpos staled wit ' on this day
of [
Deputy fo egister of 'lls Not Public
My omission Expires: V-6
My
m
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.)
NOTARIAL SEAL
KAREN L WESTON
Notary.Public
Form RYV-06 rev. 10.13.06 YORK TWP.,YORK COUNTY
My Commission Expires Apr 15,2015
RECORDED OFFICE OF
REGISTER OF MLLS
2019 GCOT 22 #RNIUNCIATION
CLEFK OF
ORPHANS00 RE9j-STER OF WILLS
' u
QRW COUNTY,PENNSYLVANIA
Estate of Mildred C. Heberlig Deceased
1, Rodney Heberlig in my capacity/relationship as
(Prim Name)
Executor aggointed in the Will of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Mary Sara Burkholder
0C-A&-dr—
(Date) (Signature)
713 Pinola Road
(Street Address)
Shippensburg PA 17257
(City,State,Zip)
Executed in Register Is 0 ce Executed out of Register Is Office
Swornor affirmed an Is
Before the undersigned personally appeared the
Ot�
before m is day party executing this renunciation and certified
of that he or she executed the renunciation for the
purposes stated within on this ).5*hday
of —&-aLy
Deputy for/Register of Notary Public
My Commission Expires: A)0L4(n&-14 J9
(Signature and Seal of Notary or other official qualified to
COMMONWEALTH OF PENNSYLVANIA administer oaths.Show date of expiration of Notary's Commission,)
Notarial Seat
Heather A.Fisher Notary Public
Shippensburg Baro,Fisher,
County
My Commission Expires Nov.19,2016
MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES
Form RW-06 rev. 10-13.06
RECORDED OFFICE OF
REGISTER 04' r'FILLS
2019 GCT 22 Af`IUS JNCIATION
CLER` OF
0 R R Ii G N S' u 0 JREGISTER OF WELLS
O(f RJE FtLAND PA COUNTY, PENNSYLVANIA
Estate of Mildred C. Heberlig , Deceased
I, Frank S. Heberlig , in my capacity/relationship as
(Print Name)
Executor appointed in the Will of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
Mary Sara Burkholder
(Date) (Signature)
11 Darrin Avenue
(Street Address)
Newburg PA 17240
(City,State,Zip)
Ex\tor
egister's ice Executed out of Register's Office
Swffirmed and subscribed Before the undersigned personally appeared the
beday party executing this renunciation and certified
of that he or she executed the renunc t'gIl for the
pure se s ted within on this__M� __day
of .
A \'-J� /9. C,-2�
Dept' for Register of Wi Notary Public ���� ���0/�
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
COMMONWEALTH OF PENNSYLVANIA administer oaths.Show date of expiration of Notary's Commission.)
Notarial Seal
Heather A.Fisher,Notary Public
Shippensburg Boro,Cumberland County
My Commission Expires Nov.19,2016
MEMBER$PENNSYLVANIA ASSOCIATION OF NOTARIES
Form RW-06 rev. 10.13.06
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
i
y
of CU
No. 2014- 00996 PA No. 21- 14- 0996
O, Z Estate Of: MILDRED C HEBERLIG
(First,Middle,Last)
alk/a: MILDRED CATHERINE HEBERLIG
Late Of: HOPEWELL TOWNSHIP
" CUMBERLAND COUNTY
Deceased
1750 Social Security No: .,
WHEREAS, on the 22nd day of October 2014 an instru ni -tplated --jc)
� �-. f'z'1
March 19th 1999 was admitted to probate as the last wi11--o F"
MILDRED C HEBERLIG
(First,Middle,Last) 7 r,•� _..�
-n
a/k/a MILDRED CATHERINE HEBERLIG ` o rte- rn
W co G� O
late of HOPEWELL TOWNSHIP, CUMBERLAND County, co
who died on the 1st day of October 2014 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, LISA 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:
MARY S BURKHOLDER
who has duly qualified as EXECUTOR(RIX)
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURTHOUSE,
CARLISLE, PENNSYL VA NIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 22nd day of October 2014.
a
egister of Wlls
pep T
Y
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)