Loading...
HomeMy WebLinkAbout03-13-06 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Sara J. Lynes No. 200(0'" ()2Z~ also known as To: Register of Wills for the , Deceased County of Cumberland in the Social Security No. 184-12-2295 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner( s), who is/are 18 years of age or older and the execut rix named in the last will of the above decedent, dated Januarv 16. 2001 and codicil(s) dated Seotember 28. 2005 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 1100 Grandon Way. Suite 428. Mechanicsburg. PA (list street, number and municipality) Decedent, then 84 years of age, died 2/21/2006 at Carolvn Croxton Sloan Residence. Harrisburo. Dauohin Countv. Pennsylvania 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 incompetent: Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 1 08.200.00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ 135.000.00 situated as follows: 606 B Street, Enola, P A 17025 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) 3 ~"~()~ ~C<.~~ ~ ~ Jcqu - _ P. Means o ~ p:::1::' o ""='= fa.g 3.~ o~ ""'~ .a 0 ~ = eo CZi 605 A Street Mechanicsburg PA 17093 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF Cumberland The petitioner(s) above-named swear(s) or affrrm(s) that the statements in the foregoing petition are true and correct to the best of the know ledge and belief of petitioner( s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well truly administer the estate according to law. Sworn to or affirm. ed and. SUbscribe.d . { before me this I ?/fn. day of ~ <!!a~4IJ\ll~~ ~ It /. {.-{ Register rv ~ V:l ~. l:::I E' ""t (I:l ~ N :;,oofo - 0220 o. Estate of Sara J. Lynes , Deceased DECREE OF PROBATE AND GRANT OF LETTERS ---1/'1/1 '" 1 ... J_. /3 fh J 1- () Db AND NOW ~ _ , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated January 16. 2001 & September 28.2005 described therein be admitted to probate and filed of record as the last will of Sara J. Lynes and Letters Testamentary are hereby granted to Jacqueline P. Means FEES ~/lda '1- , Register Of~ 'f'Y7~ Susan E. Lederer, Esq. ~ ' 44861 3iO.OO Probate, Letters, Etc.. . . . . . . . $ 40.00 Short Certificates ( I 0 ) . . . . . . $ 'WIll .,.. Cvd I CI J 30.00 R:enuBeifttion. . . . . . . . . . . . $ ':lep v-duf7> $ ~,. 0-0 TOTAL _ $ ,~q5, 00 Filed .~. .I~f.hl. ~~()(P. . . . . . . . . ATTORNEY (Sup. Ct. I.D. No.) 4811 Jonestown Road I Ste 226 Harrisbura PA 17109 ADDRESS 717-652-7323 PHONE o i~ C) ~n L.) -0 ,...,..oiiii\to r~) N c:::> HI05.X05 REV 110." This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 p 12226273 No. ~L!~ FEB 2 2 2006 Date Rev.01Kl6 'RINT IN ANENT :KINK 1. Name of Decedent (First. middle. Iasl) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH 3. Social Security Nwooer 184 12 o :0 :I! (j '):> r---- STATE FILE NUMBER. . I~ ;EJ w 4 oa~~1l~~~'6Y'y~ Sara J. Lynes 5 Age (Last birthday) ad. Facility Name (II not ilIst~ution, give street and numer) Carolyn Croxton Slane Residence 7. Date 01 Birth Month, da , ear 84 Yrs. 11/6/21 Bb. County of Death Dauphin Harrisburg t'\,) 0. Other - 5 10. R~ce' rican I~dian, Ejlagk, ~.;1\8.' \ etc. ~:~ ite . 14. Marital Status: Married, Nevf!l married, 15. Surviving Spouse (If wile. give maiden name) Widowed. Divorced (Specnn Widowed 17a. Slate Pennsylvania Cumberland 13. Decedent's Education S eci on hi hest rade co leted ElementarylSecondary (0-1(} K Co"ege (1-4 or 5+) Did Decedent Live in a Township? Mechanicsburg 11. Decedent's Usual Occ arion Kind of work done durin most 01 worldn life; do not slate retired Hom~l1l~1'(r~r Kind of Businessllnduslry 16 Decedent's Mailing Address (Slreet. c~yl\own. slate, zip code) 1100 Grandon Way Suite 428 Mechanicsburg, PA 17055 12. 17b. Counly 19. Mother's Name (Firs!, mddlg. maiden surname) Sara G. Sweger 18. Father's Name (First, middle, last) John H. Shull 17c. 0 Yes, Decedent Lived in Twp. 17d.X1 No, Decedent Lived w~hin Actual Limits of CitylBoro 2Ob. Intormant's Mailing Address (Slreet, cityllown, slate, zip code) 605 A st. Summerdale, PA 17093 2Oa. lnlormanl's Name (Typelprint) Jacqueline P. Means 22b. License Nulrber FD014993 21c. Place of Dispos~ion (Name of cemelery. crematol'f or other place) 21d. Location (Cityllown, stale. zip code) Rolling Green Memorial Pk Camp Hill, PA 22c. NameandAddressotFac~ Sull i van Funeral Home 51 N. Enola Dr. Enola, PA 17025 23b. License Nulrber 23c. Dale Signed (Month. day, year) o Donation 21b. Dale of Disposition (Month, day, year) 2/25/06 pelson ling as ~ i~ 23a. To the best of my knowledge. death occurred al the lime, dale and place stated. (Signature and title) 24. Time of Death 25. Date Pronounced Dead (Month, day. year) 1 2 : 1 5 PM. 2/21/06 Approximate interval: onset 10 death Sequentially list conditions. if any, leading to the cause listed on Line a Enter Ihe UNDERL YlNG CAUSE . (disease or injury that initiated the events resuning in dealh) LAST. Due 10 (or as a consequence o~. 3Oa. Was an Aulopsy Pertormed? d. 3Ob. Were Autopsy Findings Available Prior 10 CofT1llelion of Cause of Death? DYes 0 No 32d. Time of Injury 32e. Injury at Work? DYes 0 No 26. Was Case Referred to a Medical ExamineriCoroner'? o Yes ;I No Part II: Enter other sionilicanl conditions contributino to death, 28. Did Tobacco Use Contribute to Death? but not resuhing in Ihe underlying cause given in Part I. 0 Yes 0 Probably -,a.. No 0 Unknown ~ t ~ ~" b \ . LJ 1\,1 29. lfFemale: U I ~ 't ~ ')t Not pregnant within past year S 0 Vi ," ~ ~ ~o~::~~~~i~~tO~~~~:nt within 42 days fl., 1\ afdeath -fTt ~;r"+t l'\ S t '-<S f) 0 Nol pregnant, but pregnanl43 days 10 1 year r belare dealh o Unknown it pregnanl within the past year 32c. Place of Injury: Home, Farm. Street. Factory. Office Buikling, etc. (Specify) 32a. Date of InjUry (Month, day, year) 32b. Describe how Injury Occurred: 31. Manner olOeath )!! NalUral 0 Horricide , 0 Accident 0 Pending Investigation o Suicide 0 Could Nol Be Delermined DYes f No M. . 338. Certlller (check only one) ':.II . Certifying physician (Physician certifying cause of death..when another physician has pronounced death and completed hem 23) , ~ To the best of my knowledge, death occurred due to the cause(S) and manner as stated ........................................................................"........................................."......~ ~ Pronouncing and certifying physician (Physician both pronouncing death and certifying 10 cause 01 death) I ~ To the best of my knowledge, death occurred at the lime, date, and place. and dlle to the cause(s) and manner as Slated........................................................."''''........O .. ~ . Medical examlnerlcoroner On the basis of examlNlion and/or Investigation, In my opinion, death occurred at the lime, date, and place, and due to the cause(s) and manner as slated ,........0 ,,{, /I~l /," I (See instructions and examples on reverse) 321. If Transportation Injury (Specify) 3s2g'0locaNtioon ~~~e\l. cityJ:o:,. Sla~,le ..n.' \ o DriverlOperalor 0 Passenger ..,.'" ~~......, o Pedestrian 0 Other - Specify: c;.. f'O ",oJ (.'1\ ignaturet:l:~ Lt)'t\O'1t\f )1>A \1-0 tl3 OS~~~U~q ~ 1- 3~ D;ST~~Tz;~r~ 34. Name and Address of Person Who Completed Cause of Death (nem 27) TypelPrint WILL OF SARAJ.LYNES I, SARA J. LYNES, of 606 B Street, Enola, Cumberland County, Pennsylvania, declare this to be my will, and I revoke all previous wills and codicils that I have made. ARTICLE I Specific Gifts A. I give my tangible personal property (together with any assignable Insurance policies thereon), including any household furniture and furnishings, automobiles, books, pictures, jewelry, art objects, hobby equipment and collections, wearing apparel, and other articles of household or personal use or ornament, but excluding coins held for investment and paper currency, to my husband, PAUL E. LYNES ("my spouse"), if my spouse survives me, or, if not, to my children who survive me, to be divided as they shall agree or, if they shall fail to agree upon a division within six months after the date of my death, in shares of substantially equal value as my executor shall determine. B. I may leave a memorandum (which is not to be a part of this will) listing some of the items described in paragraph A of this Article that I wish certain persons to have and request (but do not require) that my wishes as set forth in the memorandum be observed. C. All costs of safeguarding, insuring, packing, and storing my tangible personal property before its distribution and of delivering each item to the residence of the beneficiary of that item shall be treated as administration expenses. ARTICLE II Gift of Residue I give my residuary estate, which shall not include any property over which I have power of appointment, to my spouse, if my spouse survives me, or, ifnot, per stirpes, to my daughters, JACQUELINE MEANS, ROXANNE RICKENBACH and -Q-IEg)f.I}r~SESSOR, subject to the provisions of Article ill hereunder. )SJ1~3dtJO If JACQUELINE should fail to survive me by thirty (30) days, then I give her share to ROXANNE RICKENBACH, as trustee, in trust for the benefit of Oj7 :2 ~!_~ (' I (., - ~,... G JACQUELINE'S children, TAMMY BELICIC and LARRY SNYDER JR, in accordance with the provisions of Article N hereunder. If ROXANNE should fail to survive me by thirty (30) days, then I give her share to CARL WEV ADOU JR., as trustee, in trust for the benefit of ROXANNE'S children, JEREMY SHELLENBERGER and ALEXIS WEV ADOU, in accordance with the provisions of Article N hereunder. If CHERYL should fail to survive me by thirty (30) days, then I give her share to ROXANNE RICKENBACH, as trustee, in trust for the benefit of CHERYL'S son, DONALD J. ELSESSOR ill. If DONALD has also failed to survive me by thirty (30) days, then I give his share to ROXANNE RICKENBACH, as trustee, in trust for the benefit of DONALD's children, APRIL ELSESSOR and BRANDY ELSESSOR, In accordance with the provisions of Article N hereunder. ARTICLE III Right of First Refusal for Purchase of Residence If any of my three daughters wants to purchase my residence at 606 B Street, Summerdale, East Pennsboro Township, Cumberland County, Pennsylvania, she shall have the option to do so provided that the other two daughters agree and provided that she execute an agreement of sale within three months of my death. If there is any dispute as to the fair market value of the property, each daughter, at her own expense, shall secure an appraisal from a certified appraiser and the average of these appraisals shall be the sale price for the property. I authorize my Executor to sell the home to any of my daughters on an installment sales agreement, with a five year balloon, as long as each of my other two daughters, or their surviving issue, per stirpes, receive at least $402.32 a month, said monthly payment being based on a fair market value for the property of $150,000.00, assuming each daughter's share at $50,000.00 and amortizing said sum over thirty years at a rate of 9% per annum. Nothing in this paragraph shall preclude my daughters from entering into other arrangements for the sale of the residence, so long they mutually agree on the terms and conditions of sale. -2- ARTICLE IV Trust Shares for grandchildren and great grandchildren The trustees designated above shall hold and administer the trust funds for each beneficiary as follow: Until each child attains the age of thirty (30), the trustee may, in its discretion, distribute net income and principal for the benefit of a beneficiary for medical, dental or health insurance premiums, educational expenses in any post secondary educational program or as a supplement to earned income. When each child attains the age of twenty-five (25), the trustee shall distribute one-half of the balance of the child's trust share. When each child attains the age of thirty (30), the trustee shall distribute the balance of the trust share and said trust share shall terminate. ARTICLE V Payment of Taxes and Expenses My executor shall pay from my residuary estate all estate and inheritance taxes (including any interest and penalties) and all administration expenses, payable in any jurisdiction by reason of my death, whether or not the assets generating those taxes and expenses pass under this will. The preceding items shall be charged generally against the principal of my residuary estate, without apportionment. I waive any right of reimbursement for, recovery of, or contribution toward the payment of those taxes, except that, to the maximum extent permitted by law, my executor shall seek reimbursement for, recovery of, or contribution toward the payment of estate taxes attributable to property which is included in my gross estate under Section 2036, 2041 or 2044 of the Code, and which taxes are not otherwise paid or payable. ARTICLE VI Executor Nomination and Powers A. I name JACQUELINE MEANS and ROXANNE RICKENBACH, as co-executor of this will. B. I give my executor, wherever acting, power: 1. To retain, sell (at public or private sale), exchange, lease for any term (even though commencing in the future or extending beyond the date of final distribution of my estate), mortgage, pledge, or otherwise deal for any purpose with the property, real or -1- personal, from time to time comprising my estate, for such consideration and on such terms (with or without security) as my executor shall determine; 2. To borrow money at interest rates then prevailing from any individual, bank, or other source, whether or not the lender is then acting as an executor; 3. To enter into any transaction authorized by this Article with trustees, executors, or administrators of any other trust or estate, even though an executor is also a fiduciary of the other trust or estate; 4. To invest in any property; and to hold any property in the name of a nominee or in bearer form; 5. To compromise or abandon any claims in favor of or against my estate; 6. To disclaim, in whole or in part, any property or interest therein which passed to me or which was created for my benefit, for any reason including, but not limited to, a concern that such property could cause potential liability under any federal, state or local environmental law; 7. To employ accountants, depositaries, investment counsel, attorneys, and agents (in each case with or without discretionary powers); 8. To deal with matters involving the actual or threatened contamination of property held in my estate (including any interests in sole proprietorships, partnerships or corporations and any assets owned by such business enterprises) by hazardous substances, or involving compliance with environmental laws, including power: (a) To inspect and monitor any such property periodically, as it deems necessary, to determine compliance with any environmental law affecting such property; (b) To respond (or take any other action necessary to prevent, abate or "clean up") as it shall deem necessary, prior to or after the initiation of enforcement action by any governmental body, to any actual or threatened violation of any environmental law affecting any of such property and to any potential contamination of trust property, whether or not required by law; (c) To settle or compronnse at any time any claim against my estate related to any such matter asserted by any governmental body or private party; (d) To disclaim any power which my executor determines may cause it to incur personal liability as a result of any such matter, whether such power is set forth in my will, incorporated by reference herein, or granted or implied by any statute or rule of law; -4- (e) To decline to serve as executor hereunder or, having undertaken to serve, resign at any time my executor reasonably believes there is or may be a conflict of interest between it in its fiduciary and individual capacities by virtue of potential claims or liabilities which are or might be asserted against my estate because of the type or condition of estate assets; and (f) To charge all expenses and costs incurred by my executor pursuant to the authority granted under this subparagraph against the income or principal of my estate as my executor shall determine; 9. To execute instruments of any kind, including instruments containing covenants and warranties binding upon and creating a charge against my estate and containing provisions excluding personal liability; and 10. To make distributions from my estate in cash or in kind, or partly in each and to value any property for that purpose; and to allocate different kinds or disproportionate shares of property or undivided interests in property among the beneficiaries. C. The powers granted to my executor hereunder shall be in addition to all other powers granted by law and shall be exercisable in the discretion of my executor and without court order. If, under applicable state law, administration of my estate may be conducted without court supervision and approval of accounts, then my executor shall so administer my estate. No executor shall be required to furnish bond or security. D. My executor shall make such elections and allocations under the tax laws as my executor considers advisable (whether or not the election or allocation relates to property passing under this will), without regard to, or adjustments between, principal and income or the relative interests of the beneficiaries. Any decision to exercise tax elections or make allocations hereunder shall be made by my domiciliary executor, if any, In preference to any ancillary executor, and shall be binding and conclusive on all persons. E. If any portion of my estate is distributable to a beneficiary who is then under the age of twenty-one years, my executor may distribute that beneficiary's share, without further responsibility, either directly to that beneficiary, to a qualified individual or trust company designated by my executor as custodian for that beneficiary under an applicable Uniform Transfers to Minors Act or similar law, or to the individual having personal custody of that beneficiary (whether or not court-appointed), and the receipt of the distributee shall discharge my executor. -s- F. No executor shall be personally liable to any beneficiary or other party interested in my estate or to any third parties, for any claim against my estate for the diminution in value of estate property resulting from matters involving hazardous substances, including any reporting of or response to (i) the contamination of estate property by hazardous substances, or (ii) violations of any environmental laws related to my estate; provided that my executor shall not be excused from liability for its own negligence in administration of the estate property or wrongful or willful acts. G. To the maximum extent permitted by law, the executor may withhold a distribution to a beneficiary hereunder until receiving from the beneficiary an indemnification agreement in which the beneficiary agrees to indemnify the executor against any claims filed against the executor as an "owner" or "operator" under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, as from time to time amended, or any regulation thereunder, or any other environmental law; provided further that the executor may not take any action under this paragraph which would in any way jeopardize any federal or state marital deduction for property passing at my death. ARTICLE VII Interpretive Rules For all purposes of this will: A. In determining who is a descendant of mine or of any other person: 1. Legal adoption before the adopted person reached the age of twenty-one years, but not thereafter, shall be equivalent to blood relationship; and 2. A person born out of wedlock and those claiming through that person shall be deemed to be descendants of (i) the natural mother and her ancestors, and (ii) if the natural father aclmowledges paternity, the natural father and his ancestors, in each case unless a decree of adoption terminates such natural parent's parental rights. B. A person shall be considered "disabled" if a minor, if under legal disability, or if in any condition (whether temporary or permanent) which substantially impairs that person's ability to transact ordinary business. C. The term "Code" means the Internal Revenue Code of 1986, as from time to time amended. -h- D. The term "executor" means any court-appointed fiduciary or fiduciaries of my estate from time to time qualified and acting in any jurisdiction. E. The term "hazardous substance(s)" means any substance defined as hazardous or toxic or otherwise regulated by any federal, state or local law(s), rule(s) or regulation( s) relating to the protection of the environment or human health (" environmental law(s)"). F. I intend that no child born to or adopted by me before or after the date of this will shall be entitled to receive any greater portion of my estate than that portion, if any, which is provided herein. I signed this will on ~ lUlO..A...ll 'LD , 2001. U CJ -~L~ -7- On the date last above written, we saw SARA J. LYNES, in our presence, sign the foregoing instrument at its end. She then declared it to be her will and requested us to act as witnesses to it. We then, in her presence and in the presence of each other, signed our names as attesting witnesses, believing her at all times herein mentioned to be of sound mind and memory and not acting under constraint of any kind. i( '0 cJ. ~f2o{ Residing at: 1001 () Supu/lrY Lx. J-IaJ{(S~ I vii III { I "d . / , / A"'/, ~ , ---::" .~.:~~ /' Residingat: Jy..>-' ~-~ ~ ~.& ///tJ>- -R- . . COMMONWEAL TH OF PENNSYL VANIA ) ) COUNTY OF DAUPHIN ) We, --&I\:;tT. C{eed and. /)e.6.r~ ~~'~ , the witnesses whose names e signed to the attached or foregoing ins ment, beIng duly qualified according to law do depose and say that we were present and saw the testatrix sign and execute the instrument as her Last Will; that the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the will as a witness; and that to the best of our knowledge the testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. i11J idss (AMd /;1]--- G~ , WItn ss I, SARA J. LYNES, testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~Q.~ {/ Test ix Subscribed and sworn to and acknowledged before me by SARA J. L YM;S, the Testatrix, and subscribed and sworn to before me by Kdl ~ T Creed andJ;lr4t'.,_- .c:7~/~ , WItnesses, on~J 110 ,2001. ~-L---c. ~ Notary Public Notarial Seal Susan E. lederer, Notary Public Harrisburg, Dauphin County My Commission Expires May 3, 2004 MEMORANDUM TO THE LAST WILL AND TESTAMENT OF SARA J. LYNES It is my desire that the items listed below be distributed in kind to the individuals whose name or names appear opposite the items listed: Description Beneficiary 2nd Wedding Ring & Engagement Ring Roxanne Rickenbach Oval Locket with Diamonds Roxanne Rickenbach Solitaire Diamond Ring & Original Wedding Band Cheryl Elsessor Heart Locket with Diamonds Cheryl Elsessor Yellow Gold Diamond Necklace & Pierced Ear Rings Alexis Wevadou White Gold, Three (3) Diamond Stone Ring Jacqueline Means Diamond Cluster Ring Jacqueline Means DATE SARA J. LYNES First Codicil to Will of Sara J. Lynes I, Sara J. Lynes, a resident of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be the First Codicil to my will dated January 16, 2001. 1. I revoke Article VI, Paragraph A. of my will in its entirety and substitute the following in its place: A. I nominate JACQUELINE P. ~fEANS as my Personal Representative. -if JALQU:C-hINE P. ~1LA1~S fails of eeageg to ltGt as my ppr90n~1 ~epN8efltat~ vc, I -rtom.inat.e CHE~YL EL8E880R to a\.ll C1~ IllY Jl~rsundl R\.IplGScntzrti -te. Except as amended in this codicil, I re-d~clare and republish my will. I, Sara 1. Lynes, having signed this Will in the presence or 5~vv-.~, ~~nd ~~l...O Jv~~jH3L-. who attested it at nlY request on this day. . S(31;\-e..-~ 2-~ ,2005 at Mechanicsburg, Pennsylvania, declare this to be my Fir t Codicil. ~/~.~ Sara J . Lynes, ~statrix o :n ~~ ~:,..., -Z:,:,C. ~:::~,'~tlt :;\) c....) ~ "'., . . \.0 Page 1 of3 k ~~ r',...J r:::;:::::::l c::::) Q"'-. The above and foregoing First Codicil of Sara J. Lynes was declared by Sara J. Lynes in our view and presence to be her First Codicil and was signed and subscribed by the said Sara J. Lynes in our view and presence and at her request and in the view and presence of Sara J. Lynes and in the view and presence of each other, we, the undersigned, witnessed and attested the due execution of the First Codicil of Sara J. Lynes on this day, ~:.~ ~.MJ~/ ~.~0 ,2005. ~,..~ ~esidingat jayL,LQ 01hlD~L. residing at ~L-P~~,ti- c1 ~ /Lh ^- ~~ D-Lr---J cY -PA- \ '1 \ \ \ C}t1t ~(~ S'J- ~~~l IJL1 (7( ( J ) PENNSYL VANIA SELF PROVING AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) I, Sara J. Lynes, the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my First Codicil; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by Sara J. Lynes~ the testatrix, this day, /~~ tY\ b~lr ~~ ,2005. ~~.y S;ra J . Lynes, estatri ," Page 2 of3 COMMONWEALTH OF PENNSYLVANIA Notarial Seal Amy M. Moya, Notary Public Lower Paxton Twp., Dauphin County My Commission Expires Jan. 29, 2008 Member, Pennsyfvania Association of Notaries COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) We, Sv s.~ ~ I 'L.e..J..~d ~ t,'-R. LA rLL c.'---... the witnesses whose names are signed to the attached or foregoing i strument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her First Codicil; that the testatrix signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the First Codicil as a witness; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. ~~.~e~~ - Witness COMMONWEALTH OF PENNSYLVANIA Notarial Seal Amy M. Moya, Notary Public Lower Paxton ~., Dauphin County My Commission EXpires Jan. 29, 2008 Member. Pennsylvania Association of Notaries Page 3 of3