HomeMy WebLinkAbout03-12-15 (2) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLVANIA
ORPHAN'S COURT DIVISION
In Re:
ESTATE OF JOHN D. WEARY : .Estate No. 21-15-0051
Late of Silver Spring Township,
Cumberland County, Pennsylvania, deceased
DISCLAIMER
1, Laura Y. Bricker, hereby declare that 1 am the niece of John O. Weary, who died on
December 311, 2014 (the"Date of Death").
I hereby irrevocably and completely disclaim and refuse to accept any and all rights, title
and interests that I may have to receive pursuant to Clause FIRST of the.Last Will and Testament
of John D. Weary, with respect to which I am a designated beneficiary, all relating to any and all
interests given to me in the cabin,being Lease No. I C 252 Waterrace Lane, Gardners,
Pennsylvania 17324 (Tax Parcel No. 07412699252001 C252). The foregoing rights,title and
interests shall collectively herein 'be referred to as the"Disclaimed Interests".
I hereby stag and certify that I have not accepted any benefits or interest with respect to
the Disclaimed Interests on or following the Date of Death.
This document is intended to qualify as a disclaimer under Section 2518 of the Ititcmal
Revenue Code of 1954, as amended, and under Chapter 62 of the Pennsylvania Probate, Estates
and Fiduciaries Code.
Dated this day of Ribru +�V , 2015.
Witness:
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ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF �v ��
On thissday of. , 2015, before me, the
undersigned officer; a Notary Public in and for theysaid county and state,personally appeared
Laura Y. Bricker, who, being duly sworn according to law,deposes and says that the facts set
forth in the foregoing Disclaimer are true and correct to the best of her knowledge, information;
and belief and that she executed the same as her voluntary act and deed for the purposes therein
contained.
Notary Public
COMMONWEArtZ-1OF PENNULVANIA
NOTARIAL SEAL
JERROLD COHEN,Notary Public
Hampden Township,Ccmberland County
My Commission Expires June 8,2018
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHAN'S COURT DIVISION
In Re: :
ESTATE OF JOHN D. WEARY Estate No. 21-15-0051
Late of Silver Spring Township,
Cumberland County, Pennsylvania, deceased
RECEIPT OF DISCLAIMER
E. Pauline Weary, being duly sworn according to law, deposes and says that she is the
Executrix under the Last Will and Testament of John D. Weary, dated September 25, 2012, and
that on the date and place as hereinafter set forth, she received the foregoing signed Disclaimer
from Laura Y. Bricker.
ESTATE OF JOHN D. WEARY,
Deceased
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AP, Weary, EAxe cu
f
Date: 3 Place: I re 6 n
SWORN TO AND SUBSCRIBED before me this 3rd day of m04 ,
2015.
U/ 'e
Notary Public
C MONWEALTH Of PFNNgy VANI -
NOTARIAL L
UBLIC
SHIRE ANS OWN BORO,CUMB RB.LENGEL,NOTARYLAND COUMT
MY COMMISSION EXPIRES DECEMBER 12,2015