HomeMy WebLinkAbout09-08-05
IN THE COURT OF COMMON PLEASE OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DNISION
INRE:
ESTATE OF WILLIAM N. NICHOLS,
DECEASED
NO. 21-05-0125
DISCLAIMER
The undersigned, Georgia Nichols, being the surviving spouse of William N. Nichols,
intending to be legally bound, makes the following disclaimer:
Disclaimant hereby disclaims her Y, survivorship interest which she may have in the
following parcels of real estate:
PropertY
Dauphin County
Parcel Number
Appraised
Value
12/11/04
Appraised
Value One-
Half Interest
100 North 2nd Street
Harrisburg, P A
04-032-004
$240,000.00
$120,000.00
This Disclaimer is irrevocable and unqualified.
IN WITNESS WHEREOF, the undersigned has set her hand and seal this
day of ~ ~fu- ,2005.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
On this, th~t...nay of ~2005, before me, a Notary Public, the
undersigned officer, personally appeared Georgia Nichols, known to me (or satisfactorily proven)
to be the person whose name is subscribed to the within instrument, and acknowledged that she
executed same for the purposes therein contained.
SS
IN WITNESS WHEREOF, I hereunto set my hand and notarial seal.
~~
Notary Pu hc
My Commission Expires:
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
CYNTHIA J. RULE, Notary Public
Camp Hi>> Boro., Cumberland County .
My Commission Expires February 3, 2008