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HomeMy WebLinkAbout12-08-05 - IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ......,) {_ I INRE: ESTATE OF MILDRED E. BEALE, DECEASED I " ) i ~ NO. 2005-00345 (21-05-03411)) c.) (,,0 ") DISCLAIMER The undersigned, D. PAUL BEALE ("Disclaimant"), being the husband of MILDRED E. BEALE ("Decedent"), intending to be legally bound, makes the following disclaimer: Disclaimant hereby disclaims all right, title and interest he may have in his survivorship interest the following assets: 1. Legg Mason Account #36304912, having a total value at the time of Decedent's death of $89,787.79; 2. VanKampen Strategic Muni Income Class A Account #39/2007638, having a value at Decedent's date of death of $234,038.69; 3. 250 shares of the common stock of Pfizer, Inc., having a date of death value of $13,355; 4. Certain real pmperty located at 4408 Royal Oak Road, Camp Hill, Pennsylvania, having a date of death value of $205,000. All of the foregoing assets were owned by Decedent and Disclaimant as tenants by the entireties. It is Disclaimant's intention, by this Disclaimer, to disclaim fifty percent (50%) of the entire value of the property identified in this Disclaimer, retaining unto himself the fifty percent (50%) interest which he already owned at the time of the death of MILDRED E. BEALE. Disclaimant also disclaims as to the assets described in this Disclaimer, the special power of appointment granted to him under ITEM VI (c) of the Last Will and Testament of MILDRED E. BEALE, which was duly admitted to probate in the Court of Common Pleas of Cumberland County on April 13, 2005. Rt. - Disclaimant does retain the special power of appointment as to the assets subject to the power of appointment, other than those specifically identified in this Disclaimer. This Disclaimer is irrevocable and unqualified. IN WITNESS WHEREOF, the undersigned has set his hand and seal this 'Jih day of l'tC.J~~-I1'lb~" , 2005. ff, '. (, X' I r '-- '. '. ~' 1,--. j,Lll~ . Witn ss VY~LJ[ D. PAUL BEALE - COMMONWEALTH OF PENNSYLVANIA COUNTYOF ~~ SS On this, thel~day of \::e ~ , 2005, before me, a Notary Public, the undersigned officer, personally appeared D. PAUL BEALE, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed samp for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and notarial seal. V~\)- ~c Notary Public My Commission Expires: (SEAL) COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL PA TRICIA 0 Ol Y ARNIK. Notary Public Hampden Twp., Cumberland County COmmission Expires A ust 27, 2009 HEATH L. ALLEN N. DAVID RAHAL CHARLES W. RUBENDALL II ROBERT L. WELDON EUGENE E. PEPINSKY. .JR. .JOHN H. ENOS m GARY E. FRENCH DONNA S. WELDON BRADFORD DORRANCE .JEFFREY S. STOKES ROBERT R. CHURCH STEPHEN L. GROSE R. SCOTT SHEARER ELYSE E. ROGERS CRAIG A. LONG YEAR .JOHN A. FEICHTEL DONALD M. LEWIS II[ ELIZABETH .J. GOLDSTEIN STEPHANIE KLEINFELTER - KEEFER WOOD ALLEN & RAHAL, LLP ATTORNEYS AT LAW 415 FALLOWFIELD ROAD. SUITE 301 CAMP HILL. PA 17011-4906 ESTABLISHED IN 1878 OF COUNSEL: SAMUEL C. HARRY PHONE 717-612-5800 FAX 717-612-5805 HARRISBURG OFFICE: 210 WALNUT STREET HARRISBURG. PA 17101 EIN No. 23-0716135 WWw.keeferwood.com PHONE 717-255-8000 December 7, 2005 717-612-5808 cswindler@keeferwood.com Via: Certified Mail Cumberland County Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Mildred E. Beale 21-05-0345 Dear Sir/Madam: Enclosed for filing is a Disclaimer pertaining to the above estate. Also enclosed is a check in the amount of $5.00 in payment of your filing fee. Please time stamp the extra copy of the Disclaimer and return it to me in the enclosed envelope. Thank -,,'eu for your assistance. Icds Enclosure 91520 Sincerely yours, KL ~ ,&Jrd/ ~ D. Swindler Legal Assistant to Elyse E. Rogers