HomeMy WebLinkAbout03-29-06 (2)
--
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF
NO. 2006-00209
ELMER A. GROENE, JR., DECEASED
PA No. 21-06-0209
DISCLAIMER AND RENUNCIATION
THE UNDERSIGNED, SIDNEY L. GROENE, surviving spouse of ELMER A. GROENE,
JR., the above-named decedent, hereby irrevocably and unqualifiedly disclaims and renounces,
for no consideration, in accordance with Section 6201 and other applicable provisions of the
Pennsylvania Probate, Estates and Fiduciaries Code and the Internal Revenue Code, any and
all interest she had, has or might have as the appointee of the special power of appointment as
granted to me in Item FIFTH of the Last Will and Testament of my late husband, Elmer A.
Groene, Jr., dated 16 September 2004, duly admitted to probate by the Register of Wills of
Cumberland County, Pennsylvania, and docketed to No. 2006-00209. The undersigned hereby
affirms that no part of the aforementioned special power of appointment has heretofore been
exercised by me.
WITNESS my hand and seal on this the 24th day of March, 2006.
(
, 1/
...../,:
\," ,/.// (-.y _ .t<}
SIDN'EY L. GR6ENE
438 Lamp Post Lane
Camp Hill, PA 17011
"
j
c. 7.. - r...l-?~
'""~:::?
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
ON THIS, the 24th day of March, 2006, before me, the undersigned officer, personally
appeared SIDNEY L. GROENE, known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument, and acknowledged that she executed the same for
the purposes therein contained.
IN WITNESS WHEREOF, I hereunder set my hand and official seal.
~~1f}oh~
- - ---------....__.e
V}P,,{,': .
C7,"'--'
RK
-
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
IN RE: ESTATE OF
NO. 2006-00209
ELMER A. GROENE, JR., DECEASED
PA No. 21-06-0209
DISCLAIMER AND RENUNCIATION, AND SUGGESTION OF BENEFICIARY
THE UNDERSIGNED, SIDNEY L. GROENE, surviving spouse of ELMER A. GROENE,
JR., the above-named decedent, hereby irrevocably and unqualifiedly disclaims and renounces,
for no consideration, in accordance with Section 6201 and other applicable Provisions of the
Pennsylvania Probate, Estates and Fiduciaries Code and the Internal Revenue Code, any and
all interest she had, has or might have in and to that certain Delaware Balanced Fund A Class
regular investment account, Fund Code and Account Number 002/5021419889, issued and
managed through Delaware Investments, a member of Lincoln Financial Group, registered in
the names of Elmer A. Groene, Jr., and Sidney L. Groene, as tenants by the entireties,
including, specifically, the interest in said account and all of its shares and reinvested dividends
as the surviving joint tenant with right of survivorship, and suggests to the Register of Wills of
Cumberland County, Pennsylvania, that my interest in the said Delaware Balanced Fund A
Class regular investment account be transferred and assigned in full to the ESTATE OF
ELMER A. GROENE, JR., DECEASED. The undersigned hereby affirms that no part of the
aforementioned interest or its benefits have been accepted by her.
WITNESS my hand and seal on this the 24th day of March, 2006.
-1
r" /." \".- .._1
.(' (1i', J ./ J.' .... J ,-.I-<~.
SlrmEY L. GJ40ENE'/
438 Lamp Post Lane
Camp Hill, PA 17011
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
ON THIS, the 24th day of March, 2006, before me, the undersigned officer, personally
appeared SIDNEY L. GROENE, known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument, and acknowledged that she executed the same for
the purposes therein contained.
IN WITNESS WHEREOF, , hereunder set my hand and official seal.
n. :
J04f:-(' .
~~ RJch~
Notary Public ~
.~
IN RE: ESTATE OF
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2006-00209
ELMER A. GROENE, JR., DECEASED
PA No. 21-06-0209
DISCLAIMER AND RENUNCIATION, AND SUGGESTION OF BENEFICIARY
THE UNDERSIGNED, SIDNEY L. GROENE, surviving spouse of ELMER A. GROENE,
JR., the above-named decedent, hereby irrevocably and unqualifiedly disclaims and renounces,
for no consideration, in accordance with Section 6201 and other applicable provisions of the
Pennsylvania Probate, Estates and Fiduciaries Code and the Internal Revenue Code, any and
all interest she had, has or might have in and to that certain Certificate of Deposit, Account No.
31100255720, issued by PNC Bank, N.A, registered in the names of Elmer A. Groene, Jr., and
Sidney L. Groene, as tenants by the entireties, including, specifically, the interest in said
Certificate of Deposit as the surviving joint tenant with right of survivorship, and suggests to the
Register of Wills of Cumberland County, Pennsylvania, that my interest in the said Certificate of
Deposit be transferred and assigned in full to the ESTATE OF ELMER A. GROENE, JR.,
DECEASED. The undersigned hereby affirms that no part of the aforementioned interest or its
benefits have been accepted by her.
WITNESS my hand and seal on this the 24th day of March, 2006.
.~ .."..~,-''/.... / /
'. ../
/ " ~ '. J'Z:..~:~(~
~:~;~~:~~~
Camp Hill, PA 17011
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55.
ON THIS, the 24th day of March, 2006, before me, the undersigned officer, personally
appeared SIDNEY L. GROENE, known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument, and acknowledged that she executed the same for
the purposes therein contained.
IN WITNESS WHEREOF, I hereunder set my hand and official seal.
0:; ; ',:,.
~Jfl\i ~~APMJ
Notary Public ,
Rt.
r---
~ r\! Cj r~y<!!'.;.. ~;?'::':h . .1
1',':::3:Y p~,,:\;;::: I"~
;~, -..~::/JUj
fji y CCJr::r~_______.i:>_~, r~:..~~?~.---.J
William E. Miller, Jr.
Alicia S. Miller
LAW OFFICES OF
MILLER & ASSOCIATES, PC
1822 MARKET STREET · CAMP HILL, PA 17011
TEL: (717) 737-9210. FAX: (717) 737-9215
24 March 2006
Of Counsel:
Michael L. Bangs
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
Glenda Farner Strasbaugh, Register of Wills
Cumberland County Court House
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Elmer A. Groene, Jr., Deceased
Estate No. 2006-00209
Dear Ms. Strasbaugh:
We act as attorneys for the Executors, Sidney L. Groene and PNC Bank, NA, of
the above Estate. Enclosed herewith for filing are the following:
1. The original of the Disclaimer and Renunciation, and Suggestion of
Beneficiary, from Sidney L. Groene as to a PNC Bank, NA, Certificate of Deposit.
2. The original of the Disclaimer and Renunciation, and Suggestion of
Beneficiary, from Sidney L. Groene as to a Delaware investment fund account.
3. The Disclaimer and Renunciation of a Special Power of Appointment
under the Will of Elmer A. Groene, Jr., from Sidney L. Groene.
Please file the originals of the Disclaimers in the records of the above Estate.
We are enclosing photostatic copies of each of the three (3) Disclaimers and request
that you mark the copies as received and return them to us in the enclosed self-
addressed stamped envelope. Thank you for your attention to this matter.
Very truly yours,
MILLER & ASSOCIATES, PC
By
William E. Mill ,Jr.
WEM/mlj
E nclosu res
cc: Sidney L. Groene, Co-Executor
Linda J. Lundberg, Assistant Vice President