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HomeMy WebLinkAbout05-13-05 . Register of Wills of Cumberland County Estate of Delroy D. Brosius, Sr. a/so known as PETITION FOR PROBATE and GRANT OF LETTERS No.-2J - (),') . ('/131 To: , Deceased Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Social Security No. 177.24-3150 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, and the execut ors named in the last will of the above deoedent, dated February 16, ,20 00 and codicil(s) dated MArr.h'4 ?nOfi (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland Pennsylvania, with h_ last family or principal residence at 2137 Orchard Road, Lower Allen Township (list street, number and municipality) COlDlty, Decedent, then~ years of age, died April 17, 2005 ,20_, at Lower Allen Township Except as follows, decedent did not marry, was not divoroed and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent at death owned property with estimated values as follows: (If donticiled in Pa.) All personal property (If not donticiled in Pa.) Personal property in Pennsylvania (If not donticiled in Po.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ 1,250,000.- $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and ondicil(s) presented herewith and the grant of letters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) thereon. ~~~:::r(S) ,l(t~(I'fff1WAAA'- .' Residence(s) ofPetitioner(s) 2137 Orchard Road, Camp Hill, Pennsylvania 17011 474 Old Stage Road, Lewisbeny, Pennsylvania 17339 Q '""c,";\_J ~;'\ ~::~~ r -"'i~,.; 'ie' /''',- f~,) " C';';~, C.l"'l -,,;'. t'J (;;", .t':- r-...:.:' . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE } COUNTY OF CUMBERLAND COMMONWEALTH OF PENNSYLVANIA The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that ~pers. onalntative(s) of the above decedent petitioner(s) will well and truly administer the estate ace" :~I~W. . Sworntooraffirml"l~bscribed {XC/~ Z&{j/.I//}./ Bef~ ~~s> l;;t day of ~ ,20 0-"> x-la~ X~PriA~~ { ._- SS: '" <ii' ~ Jl. "" \ H~lin~~,,^ ,b:m~ho. ~ \J~. . . _ Register '-~ No.;;U-05-0l\3, Estate of 11 0 \ '" 0 \:) bo.,s,1lO ';;" Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW \'f\oJ-~ \~ 2005: in consideration of the petition on the reverse side hereof, satisfactoJy proo haVIng been presented before me, IT IS DECREED that the mstrument(s), dated ,c ;;) - I '" - c:0 l L ,', \ \ " ' described therein be admitted to ~ate filed of ~ the Ii will of \).0,AO(<;' \) 9>1<'6 IUs, J I ~-.;l.'f-{)SG-.d\C\\ ~~Id~h~~~:o (!l.AnR '" .~I..!-5/ FEES Probate, Letters, Etc. ............. Will................................. Renunciation...................... . Short Certificates ( ) ............ JCP.................................. Automation Fee................... Bond................................. Total Filed5-\?-OS- ~~ $ liD .(jJ $ 15. DO $ $ $ 10,l)i:) $ 5 00 $ $ ~o.~rlOA~ Register of Wills ~ Scott M. Dinner, Esquire (I.D. # 53353) Attorney (Sup. Ct. 1.0. No.) 3117 Chesnut Street Camp Hill, Pennsylvania 17011 Address i\J (717) 761-5800 -..,< Phone 4""' "=, '''~ ~,,~ ",'-\ Thi, is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as LucClI Registrar. The original certificate will be forwarded to the State Vital Records Offtce tor permanent Ilhng. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fce for this certificate. $6.00 1111~~\.1~~OrpF;;~--._ "''''''~iJ''~- ",,~ <(1" I~!.' , ~\ i;tSi '..' ~~ l~~V~~l ~*.....~*~ \a. ., '~""l '\.QCl: .tN,,1 ,Off> _ ",,,'r,,' "--;71"'fNf~\ ,. "" "'~~"/###H'JJII,,'I' p 1 ., 5 f"' .'.~. (" " , 1 - ::i ,..'~ No. ~II/~ Local Registrar APR 20 Z{)PS o ;::~,~)\ ~Jmile "'1 ~~;:'~ J:: , ,'',,,,,-- I"',,) ;;:- 1',' Hl05,143RBv,2J87 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. V1TAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMIlEII "' -" U\Ie in a ~ 11b. CounIV Cumberland lownslllp? t7d,O ~ithI~l=ol MOTHER'S NAME (First Middle. Maiden $uITWlme) ,.. Helen Grace Klin er INFORMANrs MAILING ADORESS (Sue.!, City/Town, SIaIa. Zip COde) ".. 2137 Orchard Road, Camp Hill. PA 17011 PtACE OF DlSPQSITION.NW~' crel1!8lOr'Y tOCATION -City/Town. Slale. ZlpCoaa orOlherPlllCll crema"""on ::iOC~ecy 21C.of Penns lv~nia Cremator 1d. Harrisbur PA 17109 NAMEAND~DRESSOFFACILlTY U or a orne rema on 22t.ServiG.es, Inc., Harrisburg, PA 17109 '~NIJMaE.~ o.-.T1:: SIGNED ~"2.--""/' (Month, y,Year) 23b.,.:) ~~""L. 231:. J WI\SCASE: REFERREO TO A MED\CM. EMM1NER Ie CNEi\? 21. 21. Yet m JL No 0 27. PART I: l!mer..._,.........or""""'_Ion.....icIl.....Md....d_. Do__..........oIi1)'lne,"Uotl.._lKor...P~......_kor_rH..lkl... 'ApprOlCimate PART II: ()Ihefsjgnilioanlc.ondltionscontributingtodeaUl , bul Uot....ly_............__. :inlarval nol resulting inlhll undllf1ying caUM given in PART I : onslll and death 'N, ENT .K 2137 Orchard Road NAME Of DECEDENT (First, Middle. Lest) 1. AGE (Last Birthd8y) B1RTHPtACE(Cllyend SllIte or Forelgn Country) 1. Greenbrier, P .., FACILITY NAME (II notlnslitulion, 11"'" '!relll and nurnt:HK) 5. 75 Yo COUNTY OF DEATH lb. Cumberland k.Lower Allen Twp. KINO OF BUSINESS I INDUSTRY S DECeDENT EVER IN U,S. ARMED FORCES? Ye,D NoIXI tt. 13. t1L SIaIa Pennsvl vania 1te. Co-Owner 11b. R. F. Fager OECEOEtlT'S IAAlLlNG J\OORESS (Slrelll. /Town, Slate. Zip Code) DECEDENT'S 2137 Orchard Road ~~~LNCE Camp Hill, PA 17011 ~J:::rs Clarence Raymond Brosius Carol A. Brosius 2005 . L<i. , . C#A-<V" l: Saquenti8lly ~,t conditions ilany, leading 10 immediate GaliM. ElIler UNOE.RLVlNG CAUSE(Oisaasll(}(irjury thalinl~eted'venlS IllSLAllng on dealh) LAST WAS AN AUTOPSY 'M:.RE AUTOPSY FINDINGS PERFORMED? AVAltABLE PRIOR TO C0f,,4PtETION OF CAUSE CFOEJ\T\-\? .. "" " , Of): ,( DATE OF INJURY (1llon1ll,Daf,V_l t,4ANNER OF DEATH """'" -- o o o IX] o o Homicide Pendinglnvll,tig.atkln SOCIAt SECURITY NUMBER ,. 177 24 - OATE OF DEATH (Monlh, Da1. Y&ar) < A ril 17 2005 3150 ~""'tD ~o II..-.Il ::""10 RACE_AmlllicanlnQjan.BI&l:k,'MIlI&,llt (SpeelIy) 10. White SURVlVIW3 SPOUSE (~w1r..glvellllldlnn.""'1 MAAlT,l"LSTA.TUS.Yll&'MG. Ne=s=rlld. ",.Married 17C.~YllS.dllClldentlivedin Carol Lower Allen ow, Brosius cil1/bofo :; TIME OF INJURY INJURY AT 'vVORK? DESCRIBE- HOW INJURY OCCURRED "', PLACE OF INJURY tuIdIniI..l<_(Spe<>f'tl "'. y~,D NoD 30b. M. 3Oc. Ml'\tll'M,larm.stfee\.,l~,off,ce ...........03tb. ........... 0 ~1;FtNW4~/;)L ~L :;E,AGNrE;\(Mi'tDay'rohs- NAME AND ADDRESS OF PERSON 'M-tO COMPlETE CAUSE OF DEATH o {"A~'r."r;:...( . t1.~. J iJ<.1....t fl. S...~ 2 . , ...0..... 7~ .o~ V".O No rn ,'B' 0 2... 21b. CERTifiER (CheCk only O(lfl} ~~~~~~GJ~\~!Jllt'1':t~...~J:gm==:nr.~~~~.~~.~~.~.~~}... COUldnotbEldelerml.....d ,- ". 'PRONOUNCING AND CERTIFYING PHYSICIAN (1't11aidan bOth pronoundng death and c:erlilying 10 causa oIlle8lh) To the bnt cH'mykn~e,d..thOO::O::Iln'W8l.thetlme,<1at4I.""'p\K....rwS\t'ft'o"".~_I.)lnllm.nntr..atmtd.... .MEDlCAL EXAMlNERfCORONER Oft.. be... t1I hamlllatlonenei/or In_tlllBtlon,ln my opll'llon, dtatll occlllT8d at Ihetlme, dill.. and pIICI, end dLllllo th. tBuH-taland _nnw....-.s.. ". REG~R'S SIGNATURE AND N,UMBER ".~ tff"- ~ /loa "vI .~ SIGNATU RTIFIER .., ~ ~ J SAIDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle. PA II LAST WILL AND TESTAMENT OF DELROY D. BROSIUS, SR. I. DELROY D. BROSIUS, SR., of Lower Allen Township, cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I. - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II. ~ I give all my furniture or articles of household use to my wife, Carol A. Brosius, if she survives me by sixty (60) days. If she does not so survive me, I give all such property my wife's children, CHRISTINE MARQUART and ANDREA L. as so survive me, to be divided between them as they may agree or, in the absence of agreement, as my executor may think appropriate, except, that I give my 1250 John Deere Tractor to my son, Harold R. Brosius. III. ~ I bequeath all of my shares of Class A Voting Stock and Class B Non-voting Stock in R.F. Fager Company in the following manner: (A) Thirty-three and one-third (33 1/3%) percent of said shares to my son, DARRELL C. BROSIUS. ~ s j Q' ~' ~ SAIDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA ,I I. (B) Thirty-three and one-third (33 1/3%) percent of said shares to my son, HAROLD R. BROSIUS. (C) Thirty-three and one-third (33 1/3%) percent of said shares to the Trust for the benefit of DARVIN K. BROSIUS hereinafter established in Item IV of this my Last Will and Testament. (D) My beneficiaries, who inherit the stock shall reimburse the estate, the proportionate part of Pennsylvania Inheritance Tax and Federal Estate Tax attributable to the value of the shares. These bequests of Stock in R.F. Fager Company are under and subject to the terms of the Shareholders Agreement now in effect or hereafter amended. IV. - The thirty-three and one-third (33 1/3%) percent interest of my Class A Voting Stock and Class B Non-voting Stock in R.F. Fager Company, for the benefit of my son DARVIN K. BROSIUS, also known as DARWIN K. BROSIUS, shall be held in trust upon the following terms and provisions: (A) My trustee shall pay the net income, including dividends arising from the principal of this trust, in installments, as frequently as my trustee thinks advisable to DARVIN K. BROSIUS during his lifetime. 2 ~ j 191 > ~ SAIDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA (B) During the lifetime of DARVIN K. BROSIUS, my trustee shall use or apply to or for his benefit, so much of the principal of this trust as may be necessary in the case of illness or emergency and/or for his support and maintenance only upon taking into consideration any and all other sources of income as well as his station in life. Upon the death of DARVIN K. BROSIUS, the then-remaining principal and undistributed income shall be distributed to my grandchildren, JONATHAN BROSIUS and CHRISTOPHER BROSIUS, per stirpes. (C) Should any of the heirs provided for in this Item be under the age of twenty-five (25) or in the opinion of my trustee unable to properly administer the assets so bequeathed, the trust herein provided shall continue until the youngest then-living beneficiary attains the age of twenty-five (25)years. v. - I give, devise and bequeath all the rest residue and remainder of my estate, of whatever nature and wherever situate to my wife, CAROL A. BROSIUS, provided that she has survived me by sixty (60) days. VI. - In the event my wife, CAROL A. BROSIUS, fails 3 II. to survive me by sixty (60) days, then I give, devise and bequeath all the rest residue and remainder of my estate to my step-daughters, ANDREA L. WESTOVER and CHRISTINE MARQUART, per stirpes. VII. - Survivorship: Any person, other than my wife, who shall have died at the same time as myself, or under such circumstances that the order of deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed ~ to have predeceased me. OJ SAIDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA If my wife dies at the same time as myself, or under such circumstances that the order of deaths cannot be established by proof, my wife shall be deemed to have survived me. Any person (other than myself) who shall have died at the same time as any then recipient of income under such ircumstances that the order of deaths cannot be established by proof, shall be deemed to have predeceased such beneficiary. VIII. Protective Provisions: No part of the income of the property held under the Trusts shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. Trustee shall pay over the net income and the principal to the parties herein designated, as their interest may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary under a 4 t! -<to r SAIDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA Trust and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. IX. Powers of Personal Representative and Trustee: My personal representative and Trustee shall posses, among others, the following powers exercisable without court approval: A. To vary or to retain investments, including the stock of any corporate Trustee named herein, when deemed desirable by them, and to invest in such bonds, stocks, notes, estate mortgages or securities or in such other property, or personal as they shall deem wise. B. In order to effect a division of the principal of a Trust or for any other purpose, including any final distribution of a Trust, they are authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, and to allocate specific assets among beneficiaries and Trusts created hereunder so long as the total market value of any share is not affected by such allocations. Should it appear desirable to partition any real estate, they are authorized to make, join in and consummate partitions of lands, voluntarily or involuntarily, including giving of mutual deeds, recognizance's, or other obligations with as wide powers as can be exercised by an individual owner in fee simple. C. To sell either at public or private 5 ~ ~ ..~ dJ t).1 ~ w SAlOIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA sale and upon such terms and conditions as they may deem advantageous to a Trust, any or all real or personal estate or interest therein owned by a Trust severally or in conjunction with other persons, and to consummate said sale or sales by sufficient deeds or other instruments to the purchasers or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money, or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, ssignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon them in this ITEM or elsewhere in the instrument. D. To mortgage real estate, and to make leases of real estate, extending beyond the term of the Trusts hereunder. E. To borrow money from any party, including my personal representative and trustee, to pay indebtedness of a Trust and taxes, and to assign and pledge assets of a Trust therefor. F. To pay all costs, taxes, expenses and charges in connection with the administration of a Trust, including a reasonable compensation to agents. If any estate or 6 ~. inheritance taxes are payable from assets received by Trustee, , such taxes shall be paid from the assets of the Trust. G. In the discretion of my personal representative or trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of a Trust. H. To vote any shares of stock which form a part of a Trust. I. To assign to and hold in trust an undivided portion of any asset. J. To divide any Trust created in this Agreement into two or more separate Trusts (1) to segregate ~ property not subject to pennsylvania inheritance tax, or (2) so that the inclusion ratio for purposes of the generation-skipping SAlDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle. PA transfer tax shall be either zero or one, in order that an election under 2652 (Section a) (3) of the Internal Revenue Code may be made with respect to one of the separate Trusts, or (3) for any other reason. K. To do all other acts in its judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the Trusts. L. Any corporate fiduciary acting as a personal representative or trustee hereunder shall be entitled to 7 c4 j II I' I I compensation based on its regular schedule of fees for such services in effect at the time of the service rendered. M. Should the principal of any Trust herein provided for become too small, in their discretion, so as to make continuance of the Trust inadvisable, they 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 income. Upon such termination the rights of all persons who might otherwise have any interest as succeeding income beneficiary or ~ in remainder shall cease. 'L-7 ~ ~ SAIDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA If any person to receive distribution is a minor or disabled in any way, they may pay the fund to the parent, guardian, or person or organization taking care of that person, or, with respect to a minor, Trustee may deposit the fund in a savings fund account in the minor's name payable to the minor at majority. These authorities shall extend to all property at any time held by my Executrix or my Trustee and shall continue in full force until the actual distribution of all such property, except as otherwise specifically stated. All powers, authorities, and discretion granted by this will shall be in addition to those granted by law and shall be exercisable without court authorization. x. Legal Disability of Beneficiary. Whenever and as often as any beneficiary hereunder, to whom payments of income 8 ~ } & SAIDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA 11 I or principal are herein directed to be made, shall be under legal disability, or in the sole judgment of Trustee, shall i otherwise be unable to apply such payments to his own or her own best interests and advantages, Trustee may make all or any portion of such payments in anyone or more of the following ways: A. Directly to such beneficiary; B. To the Legal Guardian or Conservator of such beneficiary; c. To a relative of such beneficiary, to be expended by such relative for the benefit or such beneficiary; or D. By itself expending same for the benefit of said beneficiary. XI. Uniform Transfers to Minor's Act. If a beneficiary under the age of twenty-one (21) years is entitled to receive assets under a Trust, the Trustee shall receive those assets as Custodian for the beneficiary under the Pennsylvania Uniform Transfers to Minors Act. The Custodian may receive and administer all assets authorized by law, and shall have full authority as provided by the Pennsylvania Uniform Transfers to Minors Act to use assets in the manner the Custodian deems advisable for the best interest of the beneficiary. 9 ~ XII. Executors and Trustees: I appoint my wife, CAROL A. BROSIUS and my son, HAROLD R. BROSIUS, as Co-Executors of this, my Last Will and Testament. Should either of them fail to qualify or cease to act as such, then I appoint the other as sole executor of this, my Last Will and Testament; provided, if HAROLD R. BROSIUS either is unwilling or unable to serve, I appoint my son, DARRELL C. BROSIUS to perform the duties of Executor or Co-Executor. I appoint my sons, DARRELL C. BROSIUS and HAROLD R. BROSIUS, Co-trustees of any trusts created herein. Provided, l19 if either is unwilling or unable to serve, the duties of Trustee SAIDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA shall be performed by the other. None of my trustees, personal representatives, executors or administers shall be required to post bond in this or any juris- diction. IN WITNESS WHEREOF, I /"/ -nJ. and seal on this, the __~ have hereunto set my hand ..--:- day of ~~U#7Z( 2000. ~~~ 0~ ~'vI.O ~ (SEAL) 10 ) ~4 ,{ J 0,; , ':> ~ ~ SAlDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA II I I 1 In our presence the above-named testator signed this and de- clared it to be his will, and now at his request, in his pres- ence, and in the presence of each other, we sign as witnesses: .,.~ ( . Name L{Wl ~>n. ~rglA Name r:-7t5 Iv / J< vt.Jt- (';, t r' t Addre~ -!J/rJ /ULL;; -6 CA--l 5 . /b.. ' Address I 11 SAIDIS, GUIDO, SHUFF & MASLAND 26 W. High Street Carlisle, PA COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY CUMBERLAND) OF WE, the undersigned, the testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and Testament and that he signed willingly (or willingly directed another to sign for him), and that he executed it as his free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator signed the will as witnesses and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. ~.2-~W6~" ~~~ .k Testator rr/ ...~ / / / '- Witness ~~;Jn. j~htj~OX- Witness Subscribed, sworn to testator, and subscribed and nesses, this /(./A day of and acknowledged before me by the sworn to before me by both wit- ~ j.A-~/d7/ , 2000. ..---/ S~ellw L ~otarlal Seal /i:mp If", Bo:;;g~ng, Notary PUblic M Commission' E~pTr~~~"'I County ember, Pennsy/vanirl ,tI<:"",. pn ~_O2.0 12 CODICIL TO THE LAST WILL AND TESTAMENT OF DELROY D. BROSIUS, SR. I, DELROY D. BROSIUS, SR., of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be the sole Codicil to my Last Will dated February 16, 2000. 1. I amend Paragraph III (C) to provide that the shares of voting and non-voting stock in R.F. Fager Company bequeathed to my son, Darvin K. Brosius, shall be given to him outright without the imposition of a trust as provided in the said paragraph. II. I hereby revoke Paragraph IV of said Will, which states the terms of said trust. III. In all other respects, I hereby ratify, confirm and republish my will dated February 16, 2000. together with this sole Codicil as and for my Last Will. IN WITNESS WHEREOF, I, DELROY D. BROSIUS, SR., have hereunto set my hand and seal to this Codicil to my Last Will !:< c.;l'--day of March, 2005. and Testament on this ~~ &J. ~ft(\~ DELROY . BROSIUS, SR. 1 Signed, sealed, published and declared by the above-named Testator, as and for a Codicil to his Last Will and Testament in the presence of us, who have hereunto subscribed our names at his request as witnesses, thereto, in the presence of said Teil:tor and of )aCh other. ~ A) ~ ADDRESS (7~ /I~j;-f ,A, ]-4;' F~ ADORE" COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, Delroy D. Brosius, Sr., -Jo~ vt c.5/'.J:-<! and f-/~'r(;I.! p. ,grt6,'.jthe Testator and witnesses, respectively whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Codicil and that he signed willingly and that he executed as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the Codicil as witness and that to the best of their knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Subscribed, sworn to and acknowledged before me by Delroy D. Brosius, Sr., the Testator, and sUbscribed;J?;-and sworn or affirmed to before me by the witnesses, this ~ day of March, 2005. :m Notai IS I . Sara 1. Ensinger. otary Pubhc Camp Hill Boro, Ollnberland County My Commission Ex;.;'",. OCI. 17,2005 Member, Pennsyl...a~;;~~l'Jdatioo of Notaries 2