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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF L�(�i���!�I�� � 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 �nformation / / /� C
Name: //��f'��*� ��l CI �Yt `��✓li�'l File No: ��"����(,,��`
a1k/a: (Assigned by Register)
a/k/a: ` �
a/k/a: Social Security No: / �
Date of Death: Age at death: � �"—
Decedeut was domiciled,�at�d a-t�n � � �� � County, � (srute)with his/her last
principal residence at 7 � • �r `P ��S
Street address,Post Office and Zi Code City,Township or Borough �� ea—�'h f�County
Decedent died at���.,�dS''�'/�'���l � C�✓'�z�l�'� /� Cu��� (�n� ��
Street address,Post Office and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death: (i'� `�
If domici[ed in Pennsy[vania.. .............. ............ All personal property $ /� ( 7 �+ ��
/f not domiciled in Pennsylvania. .... ..... .............. Personal property in Pennsylvania $
/f not domici[ed in Pennsy[vania. ......... . . ............ Personal property in County $
Value of rea!estate in Pennsy[vania.......... .................... ............ . . ..... ..... ... $
TOTAL ESTIMATED VALUE. . . . $ � 7 _oo .$.9e
Real estate in Pennsylvania situated at:
(Attach additiona[sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough County
[� A. Petition for Probate and Grant of Letters Testamentary
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated �°`"( �3, ���g and Codicil(s)
thereto dated VV�1'
State relevant cjrcumstances(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 Q EXCEPTIONS
� B. Petition for Grant of Letters of Administration (If applicable)
c.t.a.,d.b.n., d.b.n.c.t.a.,pendente lite,durante absentia,durante minoritate
If Administration,c.t.a. or d.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 a pending divorce proceeding wherein the grounds for divorce had been established as defined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
O NO EXCEPTIONS O EXCEPTIONS
,...__.�
Petitioner(s),after a proper search has/have ascertained that Decedent left no Wil I and was survived by the followi�spouse(if any-�nd heirs(c,�zch
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Oath of Personal Representative �rf��use o�iy ,;-� ,.�
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COMMONWEALTH OF PENNSYLVANIA } � r�- �, =i
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Petitioner(s)Printed Name PetiYioner(s)Printed Address ".�
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The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and corcect to the best of the knowledge and belief
of Petitioner(s)and that,as Personal Representative(s)of the Decedent,the Petitioner(s will well a d trul dminister the estate according to law.
Sworn to r �irmed a scrib d before �lG��, � /.��,F'��— Date / � ���`� �'�`f
me th' �'d� f �� Date
By: Date
�o th Register Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES' Please enter my appearance by my signature below:
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Lettejrs . . . . . . . . . . . . . . . . . . . . . . $ �J' Attorney Signature:
( ����) Short Certificate(s). . . . . .
( ) Renunciation(s).. . . . . . . . ��+ � •
( )Codicil(s). . . . . . . . . . . . . �L/tL��`-��
( )Affidavit(s).. . . . . . . . . . . \ t
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name:�.�i�S'� 1.�. �,�C-1e�\
Commission. . . . . . . . . . . . . . . . . . Supreme Court
O heti - . . . . . . . . � ID Number: 2�3.��
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TOTAL. . . . . . . . . . . . . . . . . . . . . $ i, .�fl0 .
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DECREE OF THE REGISTER
Estate of �`,�%J��. � � (,/ ���1 c..�'r�'!� File No: �f���' / ���
alWa:
AND NOW, ��1�,(,I �1 ����(_y. � �°� , L-��l � , in consideration of the fore��oing Petition,
satisfactory proof having been presented before me,IT IS,DECREED that Lette,rs � d/Y��/�)g'".,.�.l�
are hereby granted to �!�h F' ��'JU
in the above estate and(if applicable)that
the instrument(s)dated /
described in the Petition be ac�mitted t�o probate and filed of,�ec�,brd,as the last Will (and�ao cil(s))of Decedent.
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
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�.� ��.� eF,p No. 2014- 01098 PA No. 21- 14- 1098
J � Es ta te Of: NIKKI F CHAMBERLIN
Q D Z /first,Midd/e,Last1
� v
c� La te Of: WEST PENNSBORO TOWNSHIP
M ,� ��
CUMBERLAND COUNTY
Deceased
Social Securi ty No:
y750
WHEREAS, on the 18th day of November 2014 an instrument dated
May 13th 1999 was admitted to probate as the last will of
NIKKI F CHAMBERLIN
(First,Middle,LasU
late of WEST PENNSBORO TOWNSH/P, CUMBERLAND County,
who died on the 15th day of September 2014 an
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
certi fy tha t I have thi s day gran ted Le t ters TESTAMENTARY to:
DEAN E CHAMBERLIN
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to law, all of which
fully appears of record in my offi ce a t CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 18th day of November 20�4.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
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LAST WILL AND TESTAMENT t''' � `� o`5'y� �r�
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I, NIKKI F. CHAMBERLIN, of West Pennsboro Township, Cur�-iberXarid �unty, , �
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Pennsylvania,being of sound and disposing mind and memory, do hereby make,publi�l�_��nd tf�lare; �.`��
this to be m Last Will and Testament hereb revokin an and all former Wills or Codicils ' ���`
Y , Y g Y �Y m��:; �i
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made.
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ITEM ONE
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes shall be paid to the extent possible from those assets held or passing under
ITEM FOUR hereof as soon as practicable after my decease and as part of the administration of my
estate.
ITEM TWO
I give all of my personal and household effects unto my spouse,DEAN E. CHAMBERLIN,
if my said spouse survives me by thirty(30) days, otherwise to my children who so survive me to
be divided equally among them as they agree.
ITEM THREE
If my spouse, DEAN E. CHAMBERLIN, survives me, in order to obtain the portion of the
rnarital deduction allowed in my estate by the Federal tax laws that will eliminate all Federal estate
taxes payable as a result of my death, my Executor shall divide my residuary estate into two portions
known as the "Marital Fund"and the "eredit Trust."
The Marital Fund, which shall not be reduced by any taxes payable by reason of my death,
shall be that fractional proportion of the entire residuary estate determined as follows:
The numerator of such fractional proportion of my residuary estate shall be the smallest
amount which, if allowed as a marital deduction, would result in the least possible Federal estate
tax being payable as a result of my death, after allowing for the unified credit against Federal estate
tax and all available credits and deductions claimed. The numerator shall be reduced by the value
of any other properiy which passes to my said spouse, which qualifies for the marital deduction and
reduced by that amount, if any, which,when added to my taxable estate,will result in Federal estate
tax no larger than the credit for State death taxes allowed in my estate without increasing any State
Page 1 of 8 Pages ?;`�- ��,
N. F. C.
death taxes payable as a result of my death.
The denominator of this fraction shall be the value of the entire residuary estate. Values
assigned to the property for the purposes of this computation shall be those values finally determined
for Federal estate tax purposes.
The Marital Fund shall be distributed outright to my spouse, as soon as practicable after my
death.
The Credit Trust shall be held and managed by my Trustee(s) in accordance with ITEM
FOUR of this my Last Will and Testament.
My Executor shall have the power to distribute assets in cash or in kind to the Marital Fund
and to the Credit Trust and to select specific property to be distributed to the Marital Fund or the
Credit Trust without regard to the income tax basis on such property. In making these allocations,
my Executor shall use the value of the assets as of the date or dates of distribution so that each
distribution shares proportionately in the appreciation or depreciation of assets between the date of
my death and the date or dates for distribution. However, no allocation of assets shall be made to
the Marital Fund which does not qualify for the marital deduction. To the extent that other assets
which qualify for the marital deduction are available,there shall not be allocated to the Marita] Fund
(a) assets with respect to which an estate tax credit for foreign taxes paid is allowable or (b) any
payments under an employees trust or retirement annuity contract of the type described in Section
2039(c)of the Internal Revenue Code or subsequent provisions of similar import or(c)United States
Treasury Bonds that are eligible for redemption at par value in payment of the Federal estate tax.
In computing the marital deduction all generation-skipping transfers for which I am the "deemed
transferor" shall be disregarded.
If I am not survived by my spouse, I give, devise and bequeath all of the rest, residue and
remainder of my estate, both real and personal property, unto my Trustee to be held or distributed
by such Trustee under ITEM FOUR hereof.
If my said spouse survives me and disclaims any portion of the Marital Fund, such portion
shall be added to the Credit Trust.
If my said spouse and I die simultaneously, or under circumsta.nces which render it difficult
Page 2 of 8 Pages �(,•'� ��:
N. F. C.
to determine who died first, my said spouse shall be deemed to have survived me for all purposes
of this my Last Will and Testa.ment.
ITEM FOUR
CREDIT TRUST
My Trustee(s) shall hold the assets received under ITEM THREE hereof, if any, for the
following purposes:
A. To pay the net income, at least quarter-annually, to my spouse, DEAN E..
CHAMBERLIN, for life. In addition, the Trustee(s), in their sole discretion, may invade the
principal of the trust to provide for the proper and adequate support of my spouse.
B. The Trustee(s)shall pay to my spouse,annually, such sum from the principal of the
trust as my spouse may request in writing, provided, however, that said sum may not exceed the
greater of Five Thousand Dollars($5,000.00)or five percent(5%)of the aggregate value, at the time
of said request, of the principal of the trust hereunder.
C. Upon the death of my spouse,my Trustee shall hold the principal of the trust for the
following purposes:
1. The Trustee shall use and apply as much of the income and principal as may
be necessary in the sole discretion of my Trustee, in equal shares, for the support,well being
and education of my children,JESSICA G. CHAMBERLIN,REBECCA L. CHAMBERLIN
and VIRGINIA L. CHAMBERLIN.
2. I direct that each of my said children shall have the right of withdrawal of the
principal and any accumulated income of her share in the following manner: One-third(1/3)
thereof as each shall attain the age of twenty-one(21)years, and the remainder of said share
as each shall attain the age of twenty-five (25) years. In the event that any of my said
children shall fail to attain the age for distribution of any part of their share,but shall leave
issue surviving, then such deceased child's share shall be held by my Trustee and the net
income therefrom shall be used for the support, maintenance and education of the issue of
such deceased child. My Trustee shall use as much of the principal as it shall deem
desirable for said purposes. My Trustee shall distribute absolutely the principal of such
Page 3 of 8 Pages �V"� ;,.-
N. F. C.
share of such deceased child to the issue of such deceased child per stirpes as each shall
attain the age of twenty(20)years. In the event that any of my children shall fail to survive
my spouse and me and not leave issue surviving, then such deceased child's share shall be
added to the shares of my other children as if originally a part thereof.
3. Prior to the distribution of the principal of any such share, my said Trustee
shall have the sole discretion to invade the principal of said share for the support,
maintenance and education of such child or issue of such deceased child, regardless of age.
IT'EM FIVE
POWERS OF EXECUTRIXLCES)AND TRUSTEE(S�
In addition to the powers conferred by case law,by statute, and by other provisions hereof,
my Executor(s)and Trustee(s) and their successors, shall have the following discretionary powers
applicable to all property held by them which powers shall be effective without order of any court
and shall exist until final distribution:
A. To retain any property of any nature received by them for whatever period they shall
deem advisable;
B. To invest and reinvest all or any part of said properiy in such stocks,bonds, common
trust funds, securities, accounts, certificates of deposit(including,but not limited to, stocks,bonds,
common trust funds, securities, accounts or certificates of deposit of the Trustee)or other property,
real or personal, as in their discretion they shall deem proper, without regard to statutes limiting the
property which a fiduciary may purchase;
C. To sell,transfer, exchange or otherwise dispose of,any part of said property, for cash
or on terms,publicly or privately,or to lease,even for a term exceeding five(5)years or the duration
of any trust herein, without liability on the purchasers or lessees to see to the application of the
proceeds, and to give options for these purchases without the obligation to repudiate them in favor
of a higher offer;
D. To execute and deliver any deeds, leases,assignments or other instruments as may
be necessary to carry out the provisions of any trust hereunder;
E. To borrow money, including the right to borrow money from any bank and to
Page 4 of 8 Pages ,�°�' �#� (�,
N. F. C.
mortgage or pledge any asset of the estate as security;
F. To assume continuance of the status of any beneficiary with regard to death,
marriage, divorce, illness, incapacity and the like in the absence of information deemed reliable
without liability for disbursements made on such assumption;
G. To pay from the trust,or the income therefrom,all debts or claims against my estate,
or any taxes or similar charges on my estate;
H. To make any distribution hereunder either in kind or in money, or partially in kind
and partially in money. Distribution in kind shall be made at the market value of the property
distributed, and my Trustee(s), in their absolute discretion, may cause the share distributed to any
distributee to be composed of property similar to or different from that distributed to any other
distributee;
L To exercise any subscription right in connection with any security held hereunder,
to consent to or participate in any recapitalization, reorganization, consolidation or merger of any
corporation, company or association, the securities of which may be held hereunder, to delegate
authority with respect thereto, to deposit investments under agreements, to pay assessments, and
generally to exercise all rights of investors;
J. To invest in endowment, insurance or annuity policies on the lives of beneficiaries
of any trust hereunder;
K. To continue in any partnership, joint venture, joint ownership or other business
enterprise of which I am a part at the time of my death;
L. To compromise claims;
M. To continue for whatever period of time as they shall deem necessary any ownership
as a tenant in common or as a partner, in real estate or other property and to act as I could have done
had I been living;
N. To lend money to my estate or to any trust created hereunder or to purchase frorn the
estate or from any trust created hereunder, at the market value thereof at the time of purchase, any
securities or other properly tendered to them by my estate or any trust created hereunder at any time
and from time to time within a period of nine (9)months after my death;
Page 5 of 8 Pages V�-�
N. F. C.
O. In the event that any amounts are payable hereunder or under any trust created
hereunder to a minor,or to a person otherwise under legal disability, or to a person not adjudicated
incapacitated, but who, by reason of illness or mental or physical disability is, in the opinion of
fiduciary(ies)hereunder, unable to properly administer such amounts, such amounts may be paid
by the fiduciary(ies)hereunder in his,her or their sole discretion in any of the following ways as he,
she or they may deem best:
l. Directly to such beneficiary;
2. To a legally appointed guardian of such beneficiary for the benefit of such
beneficiary;
3. To a person having custody of such beneficiary for the benefit of such
beneficiary;
4. By the fiduciary(ies)hereunder using such amounts directly to the benefit of
such beneficiary.
P. To employ agents, attorneys and proxies and to delegate to them such power as my
personal representatives and Trustees consider desirable and to pay reasonable compensation for
such services as may be rendered by such agents, attorneys and proxies;
Q. To conduct an inventory of any safe deposit box necessary to the administration of
my estate.
R. To do all other acts in their judgment necessary or desirable for the proper
management, investment and distribution of my Estate.
ITEM SIX
PROTECTIVE PROVISIONS
All income or principal held for the use and benefit of the beneficiaries of any trust
hereunder shall not be in any way or manner subject to anticipation, assignment, pledge, sale or
transfer,nor shall any such interest,while in the possession of my Trustee(s),be liable for or subject
to the debts, contracts, obligations, liabilities or torts of any beneficiary, or to attachments,
executions or sequestrations under process of law.
Page 6 of 8 Pages `���
��` ��
N. F. C.
ITEM SEVEN
APPOlNTMENT OF EXECUTOR TRUSTEE AND GUARDIAN
I nominate,constitute and appoint my spouse,DEAN E.CHAMBERLIN, as Executor of my
estate. In the event that my said spouse predecease me or fails to act as Executor, then my spouse's
nephew, BEN ELTON CHAMBERLIN, shall serve as Executor of my estate.
I nominate, constitute and appoint my spouse,DEAN E. CHAMBERLIN, as Trustee of any
trust created hereunder. In the event that my said spouse shall fail or be unwilling to continue to act
as Trustee,then I appoint my spouse's said nephew,BEN ELTON CHAMBERLIN,to act as Trustee
of any trust created hereunder.
I nominate, constitute and appoint my daughter, JESSICA G. CHAMBERLIN, as Guardian
of the Person of any minor children.
ITEM EIGHT
WAIVER OF BOND
I direct that neither my Executor(s)nor my Trustee(s) shall be required to file any bond in
any jurisdiction to secure the faithful performance of their duties,nor shall they be required to obtain
any order or approval of any court for the exercise of any power or discretion set forth in this Will.
IN WITNESS WHEREOF I have hereunto set my hand and seal this �`��h day of May,
1999.
��<�:' x�-�.z,v �''`"y �--�iA� >,�....�'^�,�_��t�t,� (SEAL)
Nikki F. Chamberlin
SIGNED, SEALED,PUBLISHED AND DECLARED by the above-named Testa.trix, as and
for her Last Will and Testament, in the presence of us,who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
� �_s-'•�`-_''~�`'Z-'-_".`.-�. �� , � � -�- ,;'`t �..-�
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
I, Nikki F. Chamberlin, Testatrix, whose name is signed to the attached or foregoing
instrument,having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will;that I signed it willingly;and that I signed it as my free and
voluntary act for the purposes therein expressed.
,
J� •7-?C_L( � V�(y'7 3 v���`rC'L^..4��:'w_+
Nikki F. Chamberlin
Sworn or affirmed to and acknowledged before me by Nikki F. Chamberlin,the Testatrix,
this ���day of May, 1999.
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Notary Public y"�'�
Notarial Seal
COMMONWEALTH OF PENNSYLVAl�TIA s►,a►a►�e.eao�►►,Notary PuMic
� North Middleton Twp.,Cumbe�tend CourMy
: ss. My Comtniss(On Expires Au9.5,2002
COLINTI'OF CUMBERLAND ) Mwnaer�e""sy�'e"'a^s�°dat�°n ot t�tot"r�°s
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We, `"..)��`i��'t�'r� �-� ��G�r� and �2,r� �-. . l;`�)(,Lt����'r_t�j�
the witnesses whose names are signed to the atta.ched or foregoing instrument,being duly qualified
according to law, do depose and say that we were present and saw Nikki F. Chamberlin, the
Testatrix, sign and execute the instrument as her Last Will; that the Testatrix signed willingly and
that the Testatrix executed it as her free and voluntary act for the purposes therein expressed; that
each of us, in the hearing and sight of the Testatrix,signed the Will as witnesses; and that to the best
of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under
no constraint or undue influence.
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Address ���o G��;s G�<,, �✓��,�«-/'
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Sworn or affirmed to and subscribed before�e this ���day of May, 1999.
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Notary Public �
Notariai Seal
Sharon E.Bloom,Notary Public
North Mid�eton Twp.,CumbeAand County
My Commission Expires Aug.5,2002
Member�Pennsylvarua Association of Notaries