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Will
PETITION FOR PROBATE and GRANT OF LETTERS
Will
Estate . . . mCt.r:j .I,...C?Y. . .?,,:-!a.r.!~ . . . , . , , . ,
a/so known as. . . , . . . . . . . . . . . . . . . . . . . , . , , . . , . . , . ' . . ,
No,02J'Oj~{)9Lh. .
. . . . . . . . , , , . , . . . . . , . . . . . . . . . , , . . . . . , , , . . . . . . , . , .
To: Register of Wills for the
County of c.",...,ber\o;,.,d
Commonwealth of Pennsylvania
. . . , . . . . . . . . . , . . . , . . . . . . . . . . . . . . . ' . . . . , Deceased,
'S . N .;? J J - u;;" - &'<e If
SOCia/ ecurlly 0......... .'1. . . . . . . . . . . . . , . . .. . , ...
The petition of the undersigned respectfully represents that:
Your pelitioner(s) is/are 18 years of age and the executr:l)': . ' , . , . . , . . , ,
above decedent, dated ,(Y)c:lfCh .1.). .d.QC>D. . . ' . . _, . ' , ,and codicil(s) dated.
named in the last will of the
AI/II. .
(State relevant circumstances, e.g. Renunciation, death 01 executor, etc.)
C."M ~< hnc\
Decedent was domiciled at death in "J h . County, Pennsylvania, with her . Ja~t famil,
or principal residence at , .~. .SQ\oITh, ~.\!e:l:(\. ?trE.:?t;).. ;,h'i?f.€0s\::>vr) ). fA ,\I~.?l, . ,
(list street, number and municipality)
Decedent, then .53. years 01 age, died,. .(fl.~y:2~..;;I,O "-? , . .. ...,
at . .mClnorc.:.r~.. H-e4~. ~{V.,c.pSp JO:1tJ, ,?to~-Re(' Av~~\I~ I ('h<im~(Ah.-(9IPA n~c /
Except as follows, decedent did not marry, was not divorced 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 incom.
petent " . , ' , . N /A ' . . ' , . . , . , . . . . ' . , , . . , , . . . , , . , , , , . , . . . , ' , . , . , . ' . , . . . , , . , . ' , . . ' . . . .. .... ..... .
Decedent at death owned property wi'lh estimated values as follows:
(If domiciled in Pa.) All personal property
(II not domiciled in Pa ,) Personal property in Pennsylvania
(II not domiciled in Fa.) Personal property in County
Value of rea; estate in Pennsylvania
situated as follows ".Ce,. 5>Qyfu.Qv(,~0 ~:)\-Ce,e.t 1 S\:'~~~kJ~Q"J\:" I
" (\.lm\x.{'\a~o.c.a"''''-\-1
$ . 3 " coo.
$. .
$.
$ JfJ.o) 000
WHEREFORE, petitioner(s) respectfully request the probate of the last will and codicil(s) presented here,
WIth the grant of lotters , . ,-rf.~'rAf'1.I?Jo!:TI.U?.y. , . , , , .. .. . . , , . , . ' therecn.
(Testamentary, administration c.l.a ,administration d,b,n,cl,a,)
Signature(s} and Residence($)
oj Pelitioner(s)
x~-/J~ j~~ :W~I~~-r~,' . $~'''f~',$l>J':J ' fA, ,n~s'7 ,
OATH OF PERSONAL REPRESENTATIVE
~~~~T~MO~EALTH ~F .PEN~SYL ~ ANIA ~ SS
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 petilioner(s) and that as personal representative(s) of
the above pelilioner(s) will well and truly administer the estate according to law.
Sworn to or aftirmea ana sub.
scrSbed.belor me this ~a~tf
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No.<9.l-:o.5~ 0516
'J S:
Estate of . f0CV\-:'~. . .~(),A.. .~\.-V.C0 t:O' . . . . . . , . . . . . . . . Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, . C:vv.f1.-'<', . .9. . .~o.Q.s. . . . . . .. ......, in consideration of the petition on the reverse side
hereof, satisfactor~ proof having been presented before me, IT IS DECREED that the instrument(sJ dated
'(:('Q.s\.c:h\ ,,1.())O . . . . . . . . . . . . .. .. , . . . . . . . . . . . .
deSc~~~;:Jn&o~ml~~~te ~nd filed.o/record as the last ~ill ~f .'
and letters. .. tu)\:(:,.'(~..{\.!JI~ . . . . . . . . . f2' . . . . . . . . . . . . . . . . . . . . . , . . .
are hereby granted to . ~~~. M. .~ fUJ{i...4V. . . . . . . . . . . . .
Documents Attached:
Oath of Subscribing Witness(s) 0
Oath of Non.subscribing Witness(s) 0
Oath of Witness(s) to mark 0
Renunclation(s) 0
~ J..kh A.. 0 b'Lf.to.fh&r'Th"O - dieD '()('
Lt.)...\... l~ - 15, co
0YtOlt ~QA. t:i 1J(',o..-t'j c:J.o. ()(.")
0(lP 10,ct.,
c..."..-tc""'0.1:::-".,,,___. -ffc ooe.
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ATTORNEY (Sup. Ct. I. D No)
PO, 601.430 . Chtrn6er..rbLif) fA I,J.o I
ADDRESS
.71.').-: ;;l,4a~ .00,)..5..
PHONE
Tlll', is 10 certify that the informatioll here givell is correctly copied from an original certificatc of death duly filed with mc as
LilL~tl Registrar. The original certificate \vill he forwarded to the Stale Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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Local Registrar
Fee for this certificate. S6.00
No.
IliaI"~ "?,c;O ~.~
ale
Hl05.143 Rev.2J87
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
TYf'EIPRINT
'"
PERMANENT
BLACK INK
CERTifiCATE Of DEATH
STATE FILE NUldBER
SOCIAL SECURITY NUMBER
~~
3. 211
42-8617
DATEOFDEATH(~onlh,Day,V""'r)
4. 26 2005
NAME Of DECEDENT (FI"'1. Middle. Leal)
5. 52 Vrs.
COUNTY OF DEATH
BIRTHPLACE (C""snd
Steip 0; Fo;aign Country) HOSPITAl.:
I.ewi.staWn Inpu.nt 0
7. Mifflin Coun: FA h
FACILITY NAME (lfnolln.tllulion, give slroot and number)
, "
EFIIOLIIpoli.nlD
~D
RUiO.nooO ~;:~!yjD
RACE. American Indian, Bl.aek,While,e
(Specify)
White
SURVIVINQSPOUSE
(Kwllo,gi...moilIonn.moj
8b. Franklin
DECEDENT'S USUAL OCCUPATION
(~~tl:~:'~~~~:3i'
8e. Chambersburg
KIND OF BUSINESS I INDUSTRV
MARITAL STATUS-Marri.d.
N._Memed,WIdowOO.
Divorced (Specify)
14. Never ma
11a, Mana er 11b. Allfirst Bank
DECEDENT'S MAILING ADDRESS (Slreel, CilylTown. Slat., Zip Code) DECEDENT'S
ACTUAL
RESIDENCE
(Seelnltruellon.
onolherslde)
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2005
Did
d.cedent
Cumberland ~~~p? 17d.[iI ~~h~e~~~~\i::i"~of Shippensburq
MOTHER'S NAME (Flr$t. Middle, Malden Sumame)
11. Mar F. Hoo es
INFORMANT'S MAILING ADDRESS (Slreel. CllyfTown. Slale. Zip Code)
20b. 303 S. Washin ton St. Shi ensbur FA 17257
PLACE OF DISPOSITION. Name of Cemetary, Cmmalmy LOCATION - CityfTown. Stale. Zip Code
orOlh.rPlece Shippensburg
21e.S rin Hill Cemeter 21d. Cumberland Count
NAME AND ADDRESS OF FACILITY
22c Bricker F .H. Inc.
LICENSE NUMBER
17c,DV.I,decedanlivedln
....
6 S. Queen St.
16. Shi ensbur
FATHER'S NMlE (Fiml. Mkldle, Last)
18. Lewis A. Swartz
INFORMANT'S NAME (TypelPrlnl)
20a. Sue Brennan
METHOD ~ DISPOSITION
. Donslion 0 BUrial jg] Cremalion ~emovalfrom Slale 0
. 21a. Other (Specity
, SIG
PA
PA
17257
17b.Countv
c~ylborn.
L
P.O. Box 336
DATE SIGNED
(Month. Day, eer)
23C..s-. O...s.
WAS CASE REFERRED TO A MEDICAL EXAMINER /COR NE~
28, vesD No~
'Approl<imele PART I': Olhersignlfr<>anlcondiliOl1seontnbuling 10 death. bul
:lnleNalbelween nolresulting k1 lheunderlying <>au.e lliven in PART I.
,onselandda.lh
PA 17257
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27. PART I: EnIO'.....I......,I<'lj~rl..o'<om.no.'I.".wtIlohOll"..olhod..'h Don.l.nl.rth.mod..fdrlng,....h..o.""..""..plr.'my..,..~.h'"'ko'....."'&lluro.
U.'onlyo""c....on._U,,..
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DUETO(ORASACONSEQUENCEOF)
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DUETO(ORASACONSEQUENCEOF)
OUETO(ORASACOOSEQUENCEOF)
WERE AUTOPSY FINDINGS ~ANNEROFDEATH
AVAILABLE PRIOR TO ~ 0
COMPLETION OF CAUSE Nalural Homldde
OF DEATH? 0 0
Accidenl Pendinglnvestigalion
Yes 0 "0 Ve.O "00 Suicide 0 Could not badelem1ined 0
DATE OF INJURY
(Mon"',o.y,V"'1
TIMEOFINJURV
INJURV AT WORK? DESCRIBE HOW INJURY OCCURRED.
YeoO NoD
281>. 29.
CERTIFIER (Chec4< only ona) "
'l;~~F~:tG..r~~~~j'IJf'J'l.sJ'~hc~~'t~i3':tuJ: :: 3."::r.~:~(:l'~~3(~rni~a,:'. h:t...t:i~~~~?~ .~.~?~~. ~,~, ,~?,~~~~,~.I:~,~ ,~~,~.,
30d.
LOCATION (Streel,CityITown,SI.le)
301.
SIGNATUREANDTIT~
31b,
LICENSE NU~BER DATE SIGNED (~~nlh, Da~ear)
'Pfo~~~:~I~Gm~Nk~~;I~~.~':.~J:':~~~~~~ ~~~~:I~J::'''..~~tr.~~d;~~.':~~hd''un: ~e:i:~~:~~'~l~i~~~ '::::~~.ra"lated. ...... ... ......... 0 31c. ,",^?'-JV1 ()"II 'v 31d."V? '{) n
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH II
(Item27}Typeo,Pnnt fiN~1 Cn"llllE~U6Il:1l1, /ll.V
o ".375" 1tcL,,~ /lYE. O{#IJ~ff. iI# /72tJ'
30..
PLACE OF INJURV
bulkllng..io_(Spoc/l,)
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3Gb. M 30c,
Alhoma, farm. streel.laelcry, office
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.MEDICAL EXAMINER/CORONER
Onlh.b..laol.umlnatlon.ndlorlnve.tlllatlon, In rny oplnion.d...th occutredat th..t1m...dat..andplac....nddue 10 Ihec.u.as(.}and
m.n""t..alat..d....
31..
REGISTRAR'S SIGNATURE AND NUMBER
'I~( Miff
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LAST WILL AND TESTAMENT
of
Mary Lou Swartz
I, Mary Lou Swartz, currently residing at 6 S. Queen St., Shippensburg, Cumberland, County,
Pennsylvania, being of sound mind and memory, declare this to be my last will and testament, hereby
revoking any and all prior wills and codicils.
Disposition of Remains
FIRST: I direct tnat my body shall be cremated and buried around a tree planted in
memory of myself, on the grounds of the Oasis of Love Church, 303 South Washington St.
Shippensburg, PA 17257.
Distribution of Personal Property
SECOND
Residue" below.
I give and bequeath my entire estate in accordance with the" Distribution of
Distribution of Residue
THIRD: My entire estate, both personal and real, I bequeath to Deliverance Temple,
Inc./ Oasis of Love Church of Shipp ens burg, 303 South Washington St. Shippensburg, PA. I have
chosen not to bequeath any of my estate to my mother or siblings despite my love and affection for
them. I have chosen to distribute my entire estate to Deliverance Temple, Inc./ Oasis of Love Church
of Shippensburg because I have devoted my life to the work of the Lord, Jesus Christ.
Anti-Lapse Provisions
FOURTH: Ifany gift herein fails to vest with the designated beneficiary, then my estate
shall be distributed in accordance with the Pennsylvania Probate, Estates and Fiduciaries Code, with
the designated executor herein named acting as executor.
Page 1 of4
INITIALS If4
c~.,
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Minors and Incapacitated Beneficiaries
FIFTH: If any income or principal shall be payable to any person who shall be a minor
or who shall be incapacitated for any reason, my executor as trustee shall hold such income and
principal during minority or incapacity and shall be entitled to apply such income and principal to the
health, maintenance, support and education of such person during minority or incapacity without the
appointment of any guardian or committee or any authority of court. My executor as trustee shall be
entitled to make direct payment of income and principal to the parent or other person in charge of
such minor or incapacitated person, or to his or her guardian or to a custodian under the Uniform
Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled
shall be distributed to such person upon the termination of minority or incapacity. My executor as
trustee shall have the same powers as my executor. My executor shall have the power to establish
a trust with a recognized bank or trust company to carry out the foregoing functions in part or in
whole The selection of such bank or trust company shall be at the sole discretion of my executor.
Payment of Burial Expenses and Death Taxes
SIXTH: All expenses of my last illness, my funeral and burial, and administration of my
estate are to be paid from assets of my estate. All estate, inheritance and other death taxes, together
with interest and penalties on them, payable with respect to property or interests subject to taxation
by reason of my death and whether passing under my will or any codicil thereto, or otherwise,
including jointly held and other non-testamentary property shall be paid out of the principal of my
residuary estate without apportionment.
Powers of Executor
SEVENTH: I confer on my executor the right to sell or otherwise convert any real or
personal property at public or private sale, at such time or times, in such manner, and for such price
or prices, and on such terms and conditions as my executor shall determine, and to execute and
deliver good and sufficient conveyances, assignments, and transfers of the property, without liability
of any purchaser for the application of any consideration; to borrow money and to secure its payment
by mortgage of real or personal property, pledge of investments, or otherwise, without liability on
the part of the lenders to see to the application thereof; to retain any investments at discretion; to
invest and reinvest at discretion, without restriction to so-called "legal investments"; to make
distribution in cash or in kind; to allocate and distribute different kinds or disproportionate shares of
property or undivided interests in property among beneficiaries, in cash or in kind, or partly in each;
and to do all other acts and things necessary or appropriate in the management, administration and
distribution of my estate.
Page 2 of4
INITIALS ~
'.
Appointment of Executor
EIGHTH: I appoint my mend, Susanne K. Brennan, as personal representative, executor,
of my last will and testament. Iffor any reason Susanne K. Brennan, is unable or unwilling to qualifY
as executor or having qualified is unable or unwilling to act, I then appoint my friend, Karin L
Thompson, as personal representative, executor, of my last will and testament.
Waiver of Bond
NINTH: I direct that no fiduciary hereunder shall be required to furnish bond in any
jurisdiction, and if any bond is necessary, no surety shall be required.
Interchangeability of Language
TENTH: Words used in the singular may be read to include the plural or the plural may
be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter;
the feminine may be read to include the masculine and neuter; and the neuter may be read to include
the masculine and feminine.
Headings
ELEVENTH: The headings used on the various paragraphs of this will are included for
convenience only and shall have no legal significance.
'\cJ.-f~ lJ J'Y:Uf
Wi ess:N,Co/( {)Ne<;.t
Address HUe' '76 Sox (33
r:Xurd 0U)i{iC, fli
il2'''j
I have signed this Last Will and Testament this / day of
--1~~;t"o,
&oX'~
Witness"l e..< €-~ ~~, "-"'-
Address: \l'i2>M \-\cl..\';:\ \..::;0,."''-..
C0\""-"",I=:0" ~ t..:;,,, \
/j//(C!/
,2000.
Page 3 of 4
INITIALS Jj4-
Acknowledgment and Affidavit
Commonwealth of Pennsylvania,
County of Franklin
We, the testator in and the undersigned witnesses to the will, the attached or foregoing
instrument, who have signed the instrument, having been qualified according to law do depose and
say:
(a) that I, the testator, do hereby acknowledge that I signed the instrument as my will,
that I signed it willingly and as my free and voluntary act for the purposes therein expressed;
and
(b) that we, the witnesses, were present and saw the testator sign and execute the
instrument as his/her wili, that (s )he signed it willingly and executed it as his/her free and
voluntary act for the purposes therein expressed; that each of us in the hearing and sight of
the testator signed the will as a witness and that to the best of our knowledge the testator was
at that time 18 or more years of age, of sound mind and under no constraint or undue
influence.
/'f ~Kl JwJ-
Wit~s
C ~~W~~
Witness
Attorney's Certification to Self-Proving Affidavit
Commonwealth of Pennsylvania
) SS
County of Franklin
)
On this, the J? .1~ay ofl'1 n/! c; 1/ , 2000, before me A,ua-6? ,,(' /4-& t!.-G ,
the undersigned officer, personally appeared Christopher E. Sheffield, known to me or satisfactorily
proven to be a member of the bar of the highest court of Pennsylvania, and certified that he was
personally present when the foregoing acknowledgment and affidavit were signed by the testator and
witnesses.
I have signed my name and affixed my seal.
otary Public,
My Commission Expires
10 RIAl fA
ROIlALD E. IM.l. NmARY PUSUC
CHAIIBEItllBURe, FRANKUlt.COu,ny'PA
IIY COMMISSION EXI'IRiSJ.lJIl: 11" .
Page 4 of4
INITIALS 44