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PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF ��1 v��P>�u� G� 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 . /,�/ �� l4��
Name: v'C 1 File No: � [ _
a/k/a: (Assigned by Register)
a/k/a:
a/k/a; Social Security No:
Date of Death: � �('� (5 Age at death:
Decedent was domiciled at eath in �/ ��'��� Cou}�ty, Y� ��°rT �` �/u�� � (Srare)with his/ er 1 st
principal residence at �' t�� 5 ��e r" i �'( °'�';,� �C ✓` �J �^" °,��G� �
Street address, ost Office Zip Code � �� `d� d� n ' 'or Boro h unty
Decedent died at �S�C�. �l�ILI� � �� �U �0 �G�1��� ti�J���� �� � � ��n ��
Street address,Pos OfTce and Zip Code City,Township or Borough County State
Estimate of value of decedent's property at death: aO 6 p�f v �,l
If domiciled in Pennsylvania.. ............ .............. All personal property $ �1 , V
If not domiciled in Pennsydvania. . ... ..... ..... ... .... .. Personal property in Pennsylvania $
If not domiciled in Pennsylvania. .. ......... ..... ... .... Personal property in County $
Value of real estate in Pennsylvania.................. .................. .... ..... . ... . . ...... $
TOTAL ESTIMATED VALUE. ... $��� �O 0.00
Real estate in Pennsylvania situated at: //a J ��B• �O c"�
(Attach additional sheets,if necessary.) Street address,Post Office and Zip Code City,1'ownship or Borough County
A. Petition for Probate and Grant of Letters Testamentary r
Petitioner(s)aver(s)he/sh�y js�are the Executor(s)named in the last Will of the Decedent,dated 1 U � �U f J'r and Codicil(s)
thereto dated �/�'
State relevant circumstances(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 bom or
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
�NO EXCEPTIONS �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 vicrim of a killing nor ever adjudicated an incapacitated person.
O NO EXCEPTIONS �EXCEPTIONS ��
.
Petitioner(s),after a proper search has/have ascertained that Decedent left no Will and was survived by the followin�ouse(if any�id heir�,�adt�h
additional sheets,if necessary): G G' c-- `�`� c�
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Name Relationshi Address' - �r=,
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Form RW-02 rev. 10/11/2011 Page 1 Of Z
Oath of Personal Representative Official Use Only�,,
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COMMONWEALTH OF PENNSYLVANIA } �^,� � �-- �_� `�
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COUNTY OF �V�^1���IC4-1( } "�=: �--� E—' -�;
Petitioner(s)Printed Name Petirioner(s)Printed Address;4.- _� " - " '
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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 Dece�le�tf�the Petitione(s) �11 w 1 and truly administer the estate according to law.
. �
Sworn to or affirmed anci�ubscribed b ore - ` 1�.� �� Date � /5 �J
me th' " � day of , �/� Date
By: � Date
the egister Date
BOND Required: Q YES Q NO To the Register of Wills:
FEES' Please enter my appearance by my signature below:
Letters.. . . . . . . . . . . . . . . . . . . . . . $ ��v �o d Attorney Signature: �� (�''
( � )Short Certificate(s).. . . . . (1
( )Renunciation(s).. . . . . . . . ,,
( )Codicil(s). . . . . . . . . . . . . � , :�"'c""'
( )Affidavit(s).. . . . . . . . . . . —�'rji /�
Bond.. . . . . . . . . . . . . . . . . . . . . . . Printed Name: ��r'��Q S ` ��(. �
Commission. . . . . . . . . . . . . . . . . . Supreme Court ��„�r �f
ther/ . . . . . . . . ID Number• � �� � 7
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. . . . . . . . Firm Name: •-�-d�..�P/ 1 ���sl i`t U�.�
, , . . . . Address: "~� ��' G
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. . . . . . Phone: ��� �,,�,_ � 7 J 6�G �
Automation Fee. . . . . . . . . . . . . . . ' Fax: 7 " �- ^
JCS Fee. . . . . . . . . . . . . . . . . . . . . ' Email: -w C � ' �
TOTAL. . . . . . . . . . . . . . . . . . . . . $ °-9-A�— d Cj V")
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DECREE OF THE REGISTER
Estate of � . / File No: � � _/��1 (O ��
a/k/a:
AND NOW, ,d�U�i� , in consideration of the faregoing Petition,
satisfactory proof h ing been presented before me,IT I EC E D that ette�s �
are hereby granted to � ��
in tlie above estate and(if appli ble)that
the instrument(s)dated
described in the Petition be admitted o probate and filed of�eco as the last Will (and Co i il(s))of Decedent.
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Register of Wills ,
Form RW-02 rev. 10/11/2011 P ge 2 2
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REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
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� e� No. 2015- 00672 PA No. 21- 15- 0672
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Estate Of: JAYD HUGI
�` D v (Fi�st,Middle,Lastl
V
�� La te Of: MECHANICSBURG BOROUGH
CUMBERLAND COUNTY
M N
Deceased
Social Securi ty No:
7750
WHEREAS, on the 16th day of June 2015 an instrument dated
May 29th 2015 was admitted to probate as the last will of
JA Y D HUGI
/First,Middle,Lastl
Iate of MECHANICSBURG BOROUGH, CUMBERLAND County,
who died on the 30th day of May 2015 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, LISA M. GRAYSON, ESQ. _, Register of Wi11s in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
CYNTHIA L LANDIS
who has duly qualified as EXECUTOR(R/X)
and has agreed to administer the estate according to law, all of which
fu11 y 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 16th day of June 2015.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
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wILL
OF
JAY D. HUGI
I, JAY D. HUGI, of Dauphin County, Pennsylvania, make this my Last Will,
hereby revoking any and all former Wills or Codicils made by me.
ARTICLE ONE
Pavment of Last Expenses
I direct my Personal Representative to pay the expenses of my last illness and my
funeral expenses as soon as may be convenient after my death.
ARTICLE TWO
Tansible Personal Property
Section 1. I give my automobiles, household and personal effects, and other
tangible personal property of like nature (not including cash or securities), together with any
existing insurance thereon,as I may have provided in a memarandum kept with the original of this
Will, or to the extent not so provided, to CYNTHIA L. LANDIS, to do with as she desires. Any
such property not so distributed shall be sold and the proceeds adcled to my residuary estate and
pass under Article Three hereof.
ARTICLE THREE
Residue
Section l. Section 1. I give all of the residue of my estate to CYNTHIA L.
LANDIS, if she survives me by thirty (30) days. Any such property not so distributed shall be
sold and the proceeds added to my residuary estate passing under A�-ticle Three of this Will.
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ARTICLE FOUR
Personal Renresentative
I appoint CYNTHIA L. LANDIS, as my Personal Representative under this Will.
My said Personal Representatives, or any successor Personal Representative(s), shall have the
authority, in his or her sole discretion, to appoint another indiviaual or bank as an additional or
successor Personal Representative, or to renounce his or her appointment in favor of another
individual or a bank. In addition to the powers conferred by law,my Personal Representative shall
have the following discretionary powers, exercisable without the need to obtain court approval:
Section 1. Power to Retain Assets. To retain as part of my estate any property
received hereunder, without any duty of diversification.
Section 2. Power to Invest. To invest and reinvest the principal of my estate in
such stocks,bonds, mortgages, securities or other property,real or personal,without being limited
to the classes of securities or investments in which fiduciaries are by law authorized to invest
funds.
Section 3. Power to Deal With Assets. To sell, exchange, lease, encumber,
option or otherwise dispose of all or any portion of my estate, real or personal in such manner and
upon such terms and conditions as are deemed advisable, and to make, execute and deliver any
documents necessary to effectuate any powers herein granted.
Section 4. Tax Powers. In connection with the making and filing of all income
tax, estate, inheritance and other death tax, gift tax and other tax returns and the paying of such
taxes,to make such elections,decisions,concessions and settlements, including extensions of time
for the payment of any Federal estate taxes or other taxes due, as may be deemed proper, without
liability to any person thereby affected, and without the necessity of making compensating
adjustments.
Section 5. Power to Distribute in Kind. To make distributions of my estate in
cash, in kind, or partly in cash and partly in kind; and to make non-pro rata distributions in kind
without consideration of the income tax basis of the assets distributed.
Section 6. Advance Distributions. To make advance distributions in an
estimated amount to fund the respective Trusts established under my Revocable Trust.
Section 7. Allocation of Generation-Skippin�� Exemption. I expressly
authorize my Personal Representative to allocate, pursuant to Section 2631(a) of the Internal
Revenue Code of 1986, as amended, any unused Federal generation-skipping transfer tax
exemption which may be available as of the date of my death to any property with respect to which
I am the transferor for generation-skipping tax purposes,whether or not such property passes under
this Will or otherwise and whether or not such property was transferred during my lifetime or by
reason of my death;provided,however,that it is my desire,but not my direction,that my Personal
Representative allocate said exemption in the following order of priority: (a) to all direct skips
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other than any direct skips resulting from a disclaimer;and(b)to property distributed to the Family
Trust established under Article Three of my Revocable Trust, unless my Personal Representative
shall determine otherwise for good reason. My Personal Representative also shall be authorized
to exclude any property with respect to which I am the transferor from any such allocation of such
exemption. My Personal Representative shall be authorized to make any election relating to the
allocation of such exemption. Any such allocation or electic�n made by my Personal
Representative shall be made without the necessity of obtaining court approval and shall be
binding on the transferee of any inter vivos generation-skipping transfer I may have made and on
all persons interested in my estate or in any trust established or to be established therefrom. Any
good faith exercise, partial exercise or failure to exercise the authority granted to my Personal
Representative hereunder shall not be subject to complaint or appeal by any party, and I hereby
indemnify my Personal Representative against any and all such claims and costs (including
attorneys' fees) associated therewith.
Section 8. Business Powers. My Personal Representative may carry on any
business owned and operated by me or my estate as a sole proprietarship or any business conducted
by a limited or general partnership of which I or my estate was a partner for whatever period of
time my Personal Representative may deem advisable,and to that end my Personal Representative
shall have the power to do any and all things deemed necessary or appropriate,including the power
to pay any negative cash flow, the power to incorporate any such business or hold the stock as an
investment,the power to borrow and pledge assets held in trust as sectirity for such borrowing,the
power to liquidate or sell any such business or such interests therein at public or private sale and
at such times and upon such terms as my Personal Representative deems advisable, and the power
to employ agents to manage and operate such business without liability for the actions of any such
agents, or for any loss, liability, or indebtedness of such business, if the management is selected
or retained with reasonable care.
Section 9. Real Estate and Proceeds. I do not wish to have the value of my
estate reduced by the forced sale of any real estate which I may own at my death. I therefore
authorize my Personal Representative to retain such real estate u��til such time as it can be sold for
its fair market value and, if necessary in order to provide funds for the payment of any debts,
expenses, estate taxes, inheritance taxes,transfer taxes and other taxes of a similar nature payable
by reason of my death, I autharize my Personal Representative to borrow money and for that
purpose to mortgage any such real estate and to execute and deliver all notes, bonds, mortgages,
and other instruments and to perform all acts necessary, proper or convenient in connection
therewith, any and all such loans and mortgages to be made in the sole discretion of my Personal
Representative and for such amounts and upon such terms as m}� Personal Representative deems
proper. I authorize my Personal Representative, without the necessity of petitioning any court for
approval ar confirmation, to sell at any time all or part of the real estate in my residuary estate to
any one or more of my children or their issue for such price and upon such terms and conditions
as all of my surviving children may agree.
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ARTICLE FIVE
Waiver of Bond
I direct that no Personal Representative or any other iiduciary named hereunder
shall be required to give bond for the faithful performance of duty in any jurisdiction.
ARTICLE SIX
Source of Pavment of Debts, Expenses and Taxes
All estate taxes, inheritance taxes, transfer t�es and other taxes of similar nature,
together with any interest and penalties thereon, payable by reason of my death upon the property
constituting my gross estate for death tax purposes,whether or not such property passes under this
Will, and all debts, costs of administration and other proper expenses, paid by my Personal
Representative shall, except to the extent paid by my Trustees, be paid from the principal of my
residuary estate passing under Article Three, without reimbursement from or apportionment
among the legatees or devisees or persons having a beneficial interest in any such property. Assets
sold by my Personal Representative to make payments hereunder shall be selected, to the extent
advisable, so as to minimize the recognition by my estate of gain for income tax purposes. My
Personal Representative may enter into such agreement to pay all or any part of the death taxes on
any future interest as may be deemed appropriate, and such agreement shall be binding upon all
parties in interest.
ARTICLE SEVEN
Interpretation of Will
Section 1. Sin�ular and Plural• Use of Gender. Whenever used herein, the
singular shall include the plural,the plural the singular and the use of�any gender shall be applicable
to all genders.
Section 2. Definition of Child. Children or Issue. Whenever the terms"child,"
"children" and"issue"are used herein, such terms shall be interpreted to include adopted children,
regardless of the date of adoption, with full effect as if they were the natural children of the
adopting parents. Such terms are also intended to include persons in gestation at any pertinent
time under this Will, provided such persons survive birth by thirty (30) days.
Section 3. Captions. The captions of articles and sections of this Will are for
convenience of reference only and shall not affect the interpretation of this Will.
Section 4. Governing Law. I hereby declare that I am a domiciliary of the
Commonwealth of Pennsylvania and that the succession laws and other applicable laws of the
Commonwealth of Pennsylvania shall control the interpretation of this Will and the ownership of
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any other property passing at the time of my death other than under this Will, and that no
succession laws of any other nation or state shall have any applicability to this Will or the
ownership of any other property passing at the time of my death other than under this Will.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to the original of
this Will only this 29th day of May, 2015.
�
c���`������ (SEAL)
Wi nes�s JA D. GI
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Witness
Signed, sealed, published and declared by the above-named JAY D. HUGI, as and
far said person's Will in the presence of us and each of us, who, at said person's request, in said
person's presence and in the presence of each other, have hereunto subscribed our names as
witnesses thereto the day and year last above written.
�� /
� Residing at Harrisbur�, Pennsylvania
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d � Residing at_l3arrisbur ,�nnsvlvania
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ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF DAUPHIN )
6����'j y�'a-,
We, JAY D. HUGI, Thomas P. Gacki, and�u.0(���'+1 , the Maker of this
Will 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 Maker
signed and executed the instrument as the Maker's Last Will and that the Maker signed willingly,
and that the Maker executed it as the Maker's free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and hearing of the Maker, signed the
Will as witnesses and that to the best of their knowledge the Maker was at that time eighteen years
of age or older, of sound mind and under no constraint or undue influence.
�
�� � ��v�.z�, ,��
itness JA . HUGI �
��
itness
SUBSCRIBED, sworn to and acknowledged before me by JAY D. HUGI, the
Maker, and subscribed and sworn to before me by Thomas P. Gacki and =����a gr ad e-� +r�i�-
witnesses, this 29th day of May, 2015.
����''� �Ci CL'Q.��C►��t���
Not Pub'�i
My Commission Expires:
WFJaLTH OF P NE�V_SY VANIA
hiotarial Seal
)udy M.Cadenhead, Notary Public
Gty of Harrisburg, Dauphin County
My Commission Expires lune 1S, 2017
MEMBER VENNMVM:A ASSOCdAT10N OF NQT
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