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HomeMy WebLinkAbout01-03-07 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Wilford D. Ebersole No. ~ \ () \ aDOI also known as , Deceased Social Security No. 161-34-4399 Petitioners, Donna Deaven, who is/are 18 years of age older apply(ies) for: (COMPLETE "A' OR "B" BELOW:) [.f] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the executor/executrix named in the last Will of the Decedent dated August 22,2006 I Not Applicable (State relevant circumstances, e.g. renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after the execution of the documents offered for robate, was not the victim of a killin and was never ad'udicated incom etent: Not Applicable [] B. Grant of Letters of Administration (d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Decedent, then 63 years of age, died December 22 , 2006 ,at Holv Spirit Hospital, Camp Hill, P A (Location) Decedent at death owned property with estimated values as follows: (If domiciled in P A) All Personal property............................... (If not domiciled in PA) Personal property in Pennsylvania........... (Ifnot domiciled in PA) Personal property in County .................. Value of Real Estate in Pennsylvania........................................................... Total ............................................................................................................ $ 10,000.00 $ $ $ 120,000.00 $ 130,000.00 Wherefore, petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this petition and the grant of letters in the a ro riate form to the undersi ned: Signature Typed or Printed Name and Address Donna Deaven 4714A Charles Road Mechanicsburg, P A 17050 OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA COUNTY OF CUMBERLAND The Petitioner(s) above named swear(s) or affirm(s) that the statements in the foregoing petition are true al1(1 correct to the best of the knowledge and belief of Petitioner (s) and that as personal representative(s) of the Decedent Petitioner(s) will well and truly administer the estate accor' to law. Sworn to or affirmed and subscribed before me this 3 day of ,20 07 Jzk~ No. ~ \ ~ 1 \)~{)~ Estate of Wilford D. Ebersole, Deceased Social Security Number: 161-34-4399 Date of Death: December 22, 2006 DECREE FOR PROBATE AND GRANT OF LETTERS AND NOW, 3 _ \(1 ('\I..Jdnj ,20 06, in consideration of the Petition on the reverse side hereof, satisfactory proofhavillt! been presented before me, IT IS DECREED that Letters [I] Testamentary [ ] Of Administration d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate are hereby granted to Donna Deaven in the above estate and that the instrument dated August 22,2006 , described in the Petition be admitted to probate and filed of record as the Last Will of the Decedent. Fees Letters............................... $ Short Certificate(s)..{I.~...$ Renunciation.................... ..$ Affidavit ( )........................$ ~ (\ En!.'l pages ( )........~...........$ Codicil.................. ........... ...$ JCP Fee...............................$ r nventory............................$ Automation Fee..................$ Other.................................. $ TOT AL.................$ alD6. cD ~(),OO &ClU L~Ji~ rt , ( . ~~~~. Address: IS,OD 3448 Trindle Road lO.oD Camp HilL P A 17011 (717) 737-0100 Telephone: 5.00 33 b .()O L \ :2 't\d t, - H'~\ L\iuL H I05.,'iil5 H.F\i This is to certify that the information here given is correctly copied from an original certificate of death duly filed \vith 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. \\\III,'~~G",OrPE&'--'_~ '\'$-y~4tJ;i___ $'~_7 - ~ .... \~\ $::Ji/ .J~ - \:~ ~ ~3~\..~rL.~~- .::i:~ ~*\~. ..'~< '!*~ \a ~-~ l~i "'~ /~\\I' .", 71/.. -~-~"'\.'<-\\ -,,-. I MENT \\~ """' """""//",,11,111"'/' t2wn.- /1l ~ Local Regi.,trar Fee for this certificate. $6.00 No. r-;) = o ~ o 8;: ~ 6 200~ i " _.~v D~~ ~~ r~t._ I'. cc i.., ~_/) ~7'~ C\ .~(-::-;; ~.-: P 12842886 ....1 '.1 !) -0 ::J: ~ -.J REV. 0212006 I PRINT IN ~~~~T If30"'-416 1. Name ofOecedenI (First. middle, las~ suffix) Wilford COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH . VITAL RECORDS CERTIFICATE OF DEATH (CORONER) June 7, 1943 Harrisburg, PA () I D tiJ D Ebersole 2006 6. Dale of Birth Month,d II" 7. Birth ace Ci and stale or Holy Spirit Hospital o Residence 0 OI11<l,. Spec\~' 10. Race: Americafllndian, Black, White, elc, (Specify) white Bd Faciily Name (!fnot institulion,give slreel and nt.mber) 12. Was Decedent ever in the U.S. AImed Forces? f.i!lYes ONo Decedent's AclualResidence 17a.Slate 13. Qecedenrs Education (Specify only highest grade completed) ElemenI",,1 Secondaty (().j2) College (14" 5') 12 4 14. ~arllal Status: Married, Never Married, Widowed, D""'ced (Specify) divorced 17b. Coonly Pennsylvania Cumberland Did Decedenl Uveina Township? 17e. GI Yes, Decedenl UveI1 in 17d. 0 No, Dered,enl Uved within ActualLllTIllsof Hampden Twp City 180m William Ebersole 2Oa. Inmall!'s Na-ne (Type I Print) ~'-." 19. Mothers Name (F~I, middle, maideo surname) Dorothy Lowendick 20b Informant's Ma*ng Address (S~l, city I town, stale, zip code) 4714 A Charles Road, Mechanicsbur , PA 17050 21b.DateofDisposilion(MonIh,day,year} 21e. P1oceofDisposition(Nam&olcemetery,cremaloryocotherplace) 21d. Localion (Cily/town, slale, zip code) December 29,2006 Indianto~ Gap National Cemtery Hanover Twp., PA 17003 220. N_andAddreesofFaciI~ Parthemore FH & CS, Inc.~'P.O. Box 431, New Cumberland, PA 17070 . ~ CooIpleIe Items 23a-c physidanis notavaila!:lle certify eause ofdealh Items 24-26 must be completed by person who pronounces death 23b. License-Number 23<. D~e S~ned (Monlh, day, year) 24. Time ofDeatl'1 25. DatePIDllOl./flald Dead jMonIh. day, year) 12:50 P. M. December 22, 2006 26. Was Case Referred to Medical EKlIT1iner I Coroner f04' a Reason Other lha1 Cremation Of" Donation? ./li( Yes 0 ~ CAUSE OF DEATH (See instructions and exampl..) Item 27. PART r: Enter !he ~. diseases, HljUries, Of wnJticaIlons . lhaI: drecUy caused the death. DO NOT enter terminal events such as cardiac arrest, r&spirakKy arrest, or ventricular fibrillation wiIt10ut showflg \he eliology. Ust only one cause 00 each line. ~ytisl~dllions,llany, Enterng::bse:~~ JAU~ (diSE!aseor injury thai initiated the events resutbng In death I LAST. Probable Myocardial Infarction Due to (or liS a consequence of) Occlusive Coronary Artery Disease Dl.le to lor 8S a consequence of) NIDDM, Remote Stents 28. Did Tobacco Use Contribule 10 Death? o Yes 0 Proba~y ONo OUol<rnlwt1 29.lfr:emale o Not pregnant within past year o Pregnant at time of death o Not pregnant. but pregnanl within 42 days of death o Not pregnant, but pregnanl43 days 10 1 year ofdealh o Unknown if pregnanl within the past year 32e. Place 01 Injury: Home, Farm, Street. Factory, Office Buikling,ete. (Specify} : Approximate interval' : <A1selloDealh Part II: Enler other sianificanl condilioos alflfritlutina 10 death but not resulting in the underlying cause given in Part I. =:~J:~~ J:~ dffiease--:.. ~ 10 [Of 85 a consequence of) d. DYes )1No DYes ONo 31. Manner of Death )!g Natural 0 Hom<;ide o Accideot 0 Pendlog 'o"'ligatioo o SuK:ide 0 Cou~ Not be 0e1ermJ>8d 320. lllTle of Injury 33d. Date Signed (Month. day, year) December 22, 34~~m~ms~;'"'t'1WI'lfl"l!E1 Type/Priol 6375 Basehore Roadl Suite #1 Mechanicsburg. PA 7050 2006 3Ga. Was an Autopsy Performed? JOb. Were Autopsy Findings Available Prior 10 Completion of Cause of Oealh? M 321,lfTransportalionlnjury(SpecifyJ o Onv" I Ooe<a"" 0 Pas...g" o Other. Specify' 33b. Signature and . Coroner 338. Certifier (check only one) ~:~~:~~n::.~::~~=~~~t~Ul::'=~::=:=~~~~:: ~..Il~ ~)_........ _.. ___ __..............D .. ~:t:U~m:,': ~J::~'=: ::t:::;~ioodea~:a~ui,: ~~'=f:~d ""nntf I' ltatl'L...... _............ _.. .... .... .. D MedIcal Examiner I Coroner On the bait of .xaminn/oft and I or jnvntiption, in my opinion, death occurred at the tImt, date, and place, and due to the eat.tH(1) and manner'l stat!'t .. : Registra,.s~rictN I ,;( 1/ l.?ill/l WILFORD D. EBERSOLE File No. 12-06-W ~ \ \) -\ \)tJ\jot LAST WILL AND TESTAMENT of WILFORD D. EBERSOLE BE IT REMEMBERED, that I, WILFORD D. EBERSOLE, of 4714 A Charles Road, Mechanicsburg, PA 17050, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments and writings in the nature thereof by me, at anytime heretofore made. ARTICLE 1. BACKGROUND INFORMATION: The following is background information ~!taining~. to myself and my family: C') :::'.', .>~ I W ,t") "J 1 . j (~~=~) A. 1 was born on June 7, 1943. -0 B. 1 am divorced. C. r:-? "-,, --',-'1 t,"" #'. '~-=T~ 1 have two (2) children, to wit: Donald P. Ebersole, born October 6/1967; arU1Chad W . Ebersole, born March 5, 1971. ARTICLE 2. DEFINITIONS AND MISCELLANEOUS TERMS: The following definitions and miscellaneous terms shall apply to this my Last Will and Testament: A. My Children: The term "my Children" includes the children referenced in Article 01 above, if any, and any children born to or adopted by me after the execution of my Will. A relationship by or through legal adoption shall be treated the same as a relationship by or through blood for purposes of succession to property under my Will. B. Issue: The terms "issue" as used in my Will means the immediate and remote lawful, lineal descendants by blood or adoption of the person referred to, who are in being at the time they must be ascertained in Order to give effect to the reference to them. C. Per Stirpes: The term "per stirpes" as used in my Will means that whenever a distribution is to be made to the issue or descendants of any person, the property 1Ik- Initials 1 WILFORD D. EBERSOLE File No. 12-06-W to be distributed shall be divided into as many shares as there are (1) living children of the person, and (2) deceased children, who left descendants who are living, of the person. Each living child, if any, shall take one share and the share of each deceased child shall be divided amongst his then living descendants in the same manner. E. Per Capita: The term "per capita" as used in my Will means that whenever a distribution is to be made to a person, the property to be distributed to that person shall be distributed only if that person survives me. If that person has not survived me, the distribution to that person shall lapse and be deemed void. F. Personal Representative: The term "Personal Representative" as used in my Will means the Executor or Executrix of my Estate, or any other title of like import which is used to describe such a fiduciary. G. Residuary Estate: The term "Residuary Estate" as used in my Will means all the rest, residue and remainder of my Estate remaining after payment of all of my last debts, funeral expenses taxes and administration expenses and any other expense, or expenditure required to be made as the result of my death and after distribution of the Tangible Personal Property and any special bequests specifically set forth herein. H. Survival: The term "survive me", or any derivative thereof, as used in my Will means that any person or organization herein named or referred to shall be deemed to have survived me only if such person or organization shall in fact survive me for a period of at least thirty (30) days. Any person or organization named or referred to herein who shall not survive me by a period of thirty (30) days shall be deemed to have died before I do. I. Gender and Number: Where appropriate to the context, pronouns or other terms expressed in one number or gender shall be deemed to include the other number or gender, as the case may be. J. Percentages: Where a gift, bequest or devise is expressed as a percentage in the following Articles, it refers to the percentage of that portion of my gross estate available for distribution unless a contrary intention appears in the Article. u~__ Initials 2 WILFORD D. EBERSOLE File No. 12-06-W K. Priority: Priority for distribution of the gifts and bequests herein made shall follow the Article number with the lower numbered Article taking priority over any Article appearing subsequently unless a contrary intention appears in the Article. L. Encumbrance: When encumbered property has been specifically devised or bequeathed, it shall pass under the terms and conditions of this Will subject to said encumbrances, provided however, that any installment payments, current or past due, on either principal or interest on such encumbrances may be paid by my Personal Representative in his/her sole discretion. M. Partial Invalidity: If any provision of this Will shall be declared inoperative or in violation of any rule of law, such invalidity shall not affect the remaining provisions of this Will and they shall remain in full force and effect. ARTICLE 3. BURIAL INSTRUCTIONS: I direct that I be buried with full military honors at Fort Indiantown Gap and that any necessary funeral arrangements be handled by the Partemore Funeral Home of New Cumberland, PA. ARTICLE 4. DEBTS AND FUNERAL EXPENSES: I direct that all my just debts and funeral expenses appropriate to my station in life and custom of living (including appropriate monument or marker for my grave) be paid as soon after my demise as may be convenient. ARTICLE 5. ADMINISTRATION EXPENSES: I direct that all of the expenses of the administration of my Estate including, but not limited to, probate and other Court fees and reasonable commission for my Personal Representative and any attorney retained by my Personal Representative, be paid as such expenses are incurred and as soon after my demise as may be convenient. ARTICLE 6. PAYMENT OF TAXES: I direct my Personal Representative to pay all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, to which my Estate or any person receiving the transfer of any property passing hereunder or otherwise passing by reason of my demise, may be subject and to charge such taxes against my Residuary Estate, it being my intention that none of the aforesaid taxes, either federal or state, or any property required to be included in my gross estate, under the provisions of any state or federal law now in force or hereafter enacted, shall be prorated among the persons interested in my Estate to whom such property is or may be transferred or to whom any benefit accrues. UJL Initials 3 WILFORD D. EBERSOLE File No. 12-06-W ARTICLE 7. TANGIBLE PERSONAL PROPERTY: I give and bequeath all tangible personal property owned by me at my death and all insurance policies on such property as follows: A. Memorandum: To those individuals who survive me and who are designated on a list, memorandum, or Bequest of Personalty form signed by me which refers to my Will or is found with a copy thereof, I give and bequeath the item or items of tangible personal property listed beside his/her name. B. Remainder Distribution: The balance of my tangible personal property (including any items to be distributed under this Article, the bequest of which has lapsed) shall become part of my Residuary Estate and distributed to the beneficiaries and in the proportions herein provided. My Personal Representative shall have the right to dispose of said remaining items of personalty, either in kind or in cash as a result of liquidation thereof as my Personal Representative, in my Personal Representative's sole discretion, deems appropriate under the circumstances. It is my intent, however, that should any beneficiary of my Residuary Estate desire to receive a particular item in kind which was not specifically bequeathed to that beneficiary, to the extent reasonably possible, my Personal Representative shall attempt, but not be obligated, to follow that beneficiary's request. C. Safekeepin~: If any beneficiary of any item of tangible personal property aforesaid has not yet attained the age of eighteen (18) at the time of my death, I direct that my Personal Representative, hereinafter named, to hold said items in safekeeping for that beneficiary and to deliver the same to that beneficiary upon he or she reaching age eighteen (18), or at such earlier age if my Personal Representative deems the beneficiary to be of appropriate age and maturity to receive said items of personalty. For these purposes my Personal Representative shall be entitled to use or set aside from my Estate sufficient funds to provide for that safekeeping. ARTICLE 8. SPECIAL BEQUESTS: I give and bequeath the amount of $10,000.00 to my friend and companion, Donna Deaven. ARTICLE 9. RESIDUARY ESTATE: The following shall apply regarding distribution of my Residuary Estate: A. I give, devise and bequeath my Residuary Estate to my sons, Donald P. Ebersole and Chad W. Ebersole, or either of them who survive me in equal shares per capita. 1~'s 4 WILFORD D. EBERSOLE File No. 12-06-W B. Should Donald P. Ebersole and Chad W. Ebersole both fail to survive me, the share distributable to my said sons shall lapse, in which event I then give devise and bequeath my Residuary Estate to the issue of sons, Donald P. Ebersole and Chad W. Ebersole, or such of them that survive me in equal shares per stirpes. ARTICLE 10. APPOINTMENT OF PERSONAL REPRESENTATIVE: The following shall apply to the appointment of my Personal Representative: A. I appoint Donna Deaven as my Personal Representative. B. Should Donna Deaven predecease me, die, fail to qualify, cease to act or renounce the appointment as my Personal Representative, I then appoint Chad W. Ebersole as my Personal Representative. C. Should Chad W. Ebersole predecease me, die, fail to qualify, cease to act or renounce the appointment as my Personal Representative, I then appoint Donald P. Ebersole as my Personal Representative. ARTICLE 11. POWERS OF PERSONAL REPRESENTATIVE: In addition to the powers conferred by law or under previous provisions of my Will, my Personal Representative shall have the following powers: A. Retention of Investments: To retain investments I may have at my death when deemed advisable to my Estate or trust to do so; B. Sale of Assets: To sell either at public or private sale any real or personal property and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title with special warranty, free and clear of all trusts and without obligation or liability to the purchaser or purchasers to see to the application of the purchase money or to make inquiry to the validity of the sale or sales; and to make, execute, acknowledge and deliver any and all deeds, assignments, options, or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Personal Representative or otherwise; C. Investment: To vary investments, when deemed desirable, then to invest in such bonds, stocks, notes, real estate mortgages, or other securities, or in such property, 1-tk - Initials 5 WILFORD D. EBERSOLE File No. 12-06-W real or personal, as deemed wise, without being restricted to so-called "legal investments" and without regard to diversification; D. Management of Real Estate: To manage real estate; E. Options: To exercise any option or rights arising from ownership of investments; F. Compromise of Claims: To compromise claims without Court approval and without the consent of any beneficiary; G. Disclaimer: To disclaim any interest in property; H. Elective Share: To claim an elective share of the estate of any deceased spouse' may have; I. Joinder in Tax Returns: To join with any spouse I may have in the filing of any federal income tax return for any year for which I have not filed such return prior to my death, and to consent to the treatment of any gifts made by my spouse as being made one- half by me for gift tax purposes notwithstanding the fact that such action may result in additional liabilities for my Estate. Any income or gift taxes due on such returns and any deficiencies, interest, penalties, or refunds thereon, shall be allocated between my Estate and my spouse and my spouse's estate, or all to any of them, in such manner as my Personal Representative and my said spouse may agree; J. Payment of Cost and Expenses: To pay all costs, taxes, expenses and charges in connection with the administration of my Estate or trust, including but not limited to my last debts and all funeral expenses; K. Division and Distribution: In Order to effectuate a division of the principal of my Estate or of any trust or for any other purpose, including final distribution, my Personal Representative is authorized to make such divisions or distributions of the personalty and realty in kind or by way of liquidation thereof in whole or in part as my Personal Representative may deem appropriate under the circumstances. If a distribution or division is made in kind, said assets are required to be divided or distributed at their respective values on the date or dates of their division or distribution. ARTICLE 12. NO BONDING REQUIREMENT: I direct that my Personal Representative, or 1&- Initials 6 WILFORD D. EBERSOLE File No. 12-06-W successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ARTICLE 13. EXCLUSION: It is not my intention to make provision in my Will for any relative or any other person not expressly provided for herein, except for children born to or legally adopted by me after the date of this instrument. If any such person has not been expressly mentioned herein, he or she has been omitted by me intentionally and with full knowledge of his or her relationship and existence, and not by any oversight or neglect. ARTICLE 14. WILL CONTEST: In the event that any person, including a devisee, legatee or beneficiary under my Will shall either directly or indirectly seek to establish or assert any claim to my Estate, or any part thereof, not authorized by my Will, or seek to impair, invalidate, or set aside the provisions of my Will, or to have any of the trust provisions or estate distributions limited, declared void or diminished or to defeat or change any of the dispositive scheme of my Will, or shall endeavor to secure or take any part of my estate in any manner other than through or under my Will, I hereby give, devise and bequeath to such person or persons the sum of Ten Dollars ($10.00) and no more in lieu of any other share or interest in my estate. Provided further that nothing in this Article contained shall prevent any beneficiary hereunder from bringing an action against any fiduciary hereunder, for an accounting, nor from enforcing any statutory share to which the beneficiary may be entitled. ~<l ~ IN WITNESS WHEREOF, I have hereunto set my hand and seal thisa.2:- day of , 2006. WITNESS: Zt J!/i7?li)' a/)L(~SEALJ WILF D. EBERSOLE 7 WILFORD D. EBERSOLE File No. 12-06-W ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND We, WILFORD D. EBERSOLE, Diane G. Radcliff, Esquire, and 1~.LU~ 5. Cl:h-"("'lfJ the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as the Testator's Last Will and Testament and that the Testator had signed willingly (or willingly directed another to sign for the Testator, and that the Testator executed it as the Testator's free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the best of their knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. WITNESS Sworn to and subscribed to before me this ;I:J.n'L day of tZ~tLu~Z , 2006. A!tIUL-Ufjj c7f! /itf-f{.{L<r NOTARY PUBLIC f COMMONW~AL TH OF PENNSYLVANIA Notarial Seal Deborah L. Donley, Notary Public Camp HHt Born, Cumberland County My Commission Expires Sept. 23, 2001 Member. Pennsylvania Association Of Notaries My Commission Expires: 8 WILFORD D. EBERSOLE File No. 12-06-W BEQUEST OF PERSONAL TV Pursuant to the terms of my Last WHl and Testament dated A0(oc:)"Z::>T 2 L- , 2006, I, WILFORD D. EBERSOLE, hereby give and bequeath the following items of personal property to the person or persons whose names appear next to each said item of personalty, to the extent that I own said items as of the date of my death: 1. To my former wife, Ruth Ebersole, my banjo. 2. To my friend, Donna Deaven, my 1994 Chevrolet Cavalier. 3. To my friend, Donna Deaven, my 2000 Chevrolet Express Van. These bequests supersede, replace and revoke all prior bequests of percz:alty. "" -J ~A. 1- IN WITNESS WHEREOF, I have set my hand and seal this ;22 day of D~ I , 20~. {SEAL} 1 WILFORD D. EBERSOLE File No. 12-06-W ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA : SS. COUNTY OF CUMBERLAND We, WILFORD D. EBERSOLE, Diane G. Radcliff, Esquire and ~\ lIb S . Go. ~ n , the Testator and the witnesses respectfully, whose names are signed to the attached or foregoing Bequest of Personalty, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as Testator's Bequest of Personalty and that Testator had signed willingly (or willingly directed another to sign for Testator) and that Testator executed it as Testator's free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the Will as witnesses and that to the best of their knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. 1t.4fllldflc!]~~ {SEAL} WILF D D. B RSOLE ( WITNESS Sworn to and subscribed to before me this X-t1e-Cday of OUF ,200(,0 . .Aldct-uxlo ,}f A1r-ru~'(./f Notary Public I My Commission Expires: COMMONWEALTH OF PENNSYLVANIA I Notarial Seal Deborah L. Donley, Notary Public Camp Hilt Boro, Cumberland County My Commissiop Expires Sept. 23, 2007 MtlmllOf, Pennsylvania Association Of Notaries 2