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HomeMy WebLinkAbout01-04-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C U MIbEnL.4IJD COUNTY, PENNSYLVANIA r:) 1- 0'7 - (XX)7 t Estate of BE Try ::r: D/IFHL File Number also known as , Deceased Social Security Number 13'1-/2 - 'r'O~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) jgJ A. Probate and Grant of Letters Testamentary and aver that Petitionertat is /_ the E xeec.t-hr last Will of the Decedent dated A'::t. 14 st It. l'f' 3 alla 'od;"i1(,) d"kd I~t t1A1I1uI e)Cl,~r ~ fa "D. rpiehl died .T1L~e. (... UDZ, (d/'f n.. z.'-~2.-""rJ 'Rt.hlA.r\C:~6..HDM by Co-e)t~,. Gn,ory 7>. D'-eM dtLfeJ 1]e.e.. Z., .2DO'" (State relevant circumstances, e.g.. renunciation, death of executor, etc.) named in the Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: JII/ II- o B. Grant of Letters of Administration r--'l (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durafit"f)minoritate) g =I~} ~ (:J --.I 'T--; rT---1 Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spousg(ifany) afu!;heirs:' (1f?:'5 Administration, c.t.a. or d.b.n.c.t.a., ellter date of Will in Section A above and complete list of heirs.): C2 Z ( -, -:YJ 'T: I ",~ " Name Relationshi ....... '-..,) .'""r.t "') Co') '--1 1',) W County, Pennsylvania with his / her las.t principal residence at '/I 1705'S" ctt!J;l Decedent, then 8"3 years of age, died on Dee.IB, 2tJo(, at tj02, ClJvles 51:, li1edtuie..s61l'1' PA 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 (If not domiciled in P A) Personal property in County Value of real estate in Pennsylvania situated as follows: 10l Ch~s :m-ut - d 1u&lIi ~ 't VUA-t\.-T lof 00\ K(,lIe.r s.+. , ~ $ :to, 000. DO $ $ $ ~ Ao/OJ 000. OQ n'lee.-h4f\iGS bu,., BtJ/"tI ~ Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will 1",,1 c.;d:~i1(lltpresented with this Petition and the grant of Letters in the appropriate form to the undersigned: - Ty ed or rinted name and residence qD'2. ChlLot'-les $t-ree.t Mec:.ka.ni~a"""" I pAo I..,os~ Form R W-02 rev, 10.13,06 Page 1 of2 ~{-D7 -()(X)7 Oath of Personal Representative COMMONWEALTH OF PENNSYL VANIA ss COUNTY OF eLl WI &e'1tL.~AlJ) The Petitioner(., above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitione~and that, as personal representative'" of the Decedent, Petitione~ will well and truly administer the estate according to law. day of C) f2t- S~_M'_ ." D. l:>IGjfL Sworn to or affirmed and subscribed before me the 'I th Signature of Personal Representative C) S;o Co; ::0 ~~Q " '~r ,. ::~_.... /._ f l ~/- 07-()c{)7 C-U)~ -:~8~~ BE7-ry :J. 1)1e-HL .Dec~ T)--l Social Security Number: J 8lJ - 1:Z - 'I ,~" Date of Death: 'Dee. It, 2DD " ~ AND NOW. (}aru.l~.~ 1 . 01 fl') 7. ;0 ""...demtioo of theforegomg p,titio.. ..mfuotmy proof having been pres-;;:;;{before me, IT DECREED that Letters -reSTIfMEAJTIf.~y are hereby granted to ~EFF/tGY 1). :DIEHL EXEeu.. 7l'~ and that the instrumen~ted /!-1I611.. T I~ 1"$ described in the Petition be admitted to probate and filed of recor Signature of Personal Representative .-CJ <::::> <::> ...... Estate of )::100 :J:: C3 :l:J '0 j'" rn C") r~i~ II CJ (::::) " :n eJ rn c.... ::n- z File Number: I .::- in the above estate Letters ............... $ Short Certificate(s) . . .5. .. $ Renunciation(s) .......... $ ~ I .. . $ . . .. $ ..Jhdo 1Y\Q.;t\ UV\ . .. $ . .. $ '" $ . .. $ ... $ ... $ ... $ TOTAL .............. $ 1.E500 !20.0D FEES Attorney Signature: ,~.()O 10.00 ,'S.CO Attorney Name: C/zul<< e: 385'/3 , CIDI.t$Gr' Sla"~ds :!ii:~ Supreme Court J.D. No.: Address: RIJI'. !H('ch4n/cSb""3,1l1117DSS" Telephone: 717.. 7~. -D2A!J'I IqD.OD Form RW-02 rev. 10.13.06 Page 2 of2 H 1 (l,,\)<:(\" I~I:V 1/,\<: This is to certify that thc information here given is con'cctly copied from an original ccrtificate oj' 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. No. "",I''(~~1H'Orpl';'---_.__ ,'\'#-~4'cf);",,-- l S;:,7..~ .. .. ,,\~o. ~~. .?!r" '-p>- ~ ~(<. \~~ l~\~~..!L"",," .J::} - ~ .~-~ /~~ \. ~ . /-;$$ /' "'. 1'1' /~\.'r"" -.----.?MENf\l\ """" ;;;;';;;"',//uUIII1"" ~/J!~ Fcc for this certificate. $6.00 Local Registrar P 12842673 DEe 192006 Date t--..) c:;:) = -..I L ~ ~w ..t'"}.:....- CJ ,.. f'71 ~ '-~ ~~ I W J{,-07 C(07 -0 :3: .~~ ~D (-) r-n ~s lEV.01l2OO6 PRt<Tt< W<ENT :KINK 1. Name of Decedent (Rrst, middle, last. suffbc) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH - 001- o 5. Age (Last 8i1hdayJ 6. Daleo/Birth Mon~,d . 7. 8" ace 8'1dstaleOl' STATE FILE NUMBER 4. Dale of Doa~ (Monlh, day. yaar) December 18, 2006 J. Diehl Cumbe:dand 11. Oecedenrs Usual Kind 01 work done d Kind of Work 902 Charles Street 12. w.. Oacedant...... In .... 13. Oacedenl. Educallon ISpacIfy "'~ htghaat grada completed) U.S Armed Foo:es? EOmantary I Sacond;oy 1()'12) c~Oga (14 or s.) OV" I!!lNo 12 Oacedenl. Actual Residence 17a. State Sa. Place of Death Check 001 one HOBpibi Olnprjlant OER/Ou~a1Ient OOOA ONuraingHome 9. W.._tofHispan~Origtn? iI No Ov" (If yea, opacify C,ban. Mexican. Puerto Rk:an, etc.) 14. MlIfIaI Status: Married, Never Married, _,Dlvort:ad(SpecIfy) Widowed 17055 17b.County Pennsylvania Cumberland Did Oaaldeot Uveina Township? 17c. 0 v", DecedenI Uved in 17d. iI ~~=oflivedW~echanicsburR Twp. 83 vrs. Bb. CountyofDealh 1-8-1923 Harrisburg, PA lid Fo:iKy Name (If not klstilullon, five _ and nwnbe<) William H. Nailor 200. .Iorman!'! Name (Typo f Prilt) Jeffre Diehl 218, Method ofDiapositlon o Burial 0 Ramoval from State OOlhar 22a. S~ . ... : m Cromation 0 Don_ I WI' CrImItIon or Donation AuthorIzId : by Medleal Examlnl1' I Coroner? acing" ..ch) ,'..~ 19. Moltler's Nsme (R~ middle. maiden surname) Margaret V. Heikes 2Ob. Informan!'! Mal~ AddnJaoIS1nlat. city f town, "'Ie, zJp codal 902 Charles Street, Mechanicsburg. PA 17055 21b. DaleolDispoojtion(Mon~,day,yaar) 21c. PIaoaoflliaposltion(Nameofcemelaly,_'*"Yorolharpl",,) 21d. looation IClIy I town, B1a...lip_) a~ I 8oro 17109 AppmxImaIe Interval: Onoat ~ Dea~ b. 'Or- Part II: EnlerotherMxlilirJlntennct!intlllln'llrl~HI'YIIll Math 28. Old Toba:co Use ContrlbcJlelo Death? ilulootraaul~ngn~'~",""givan.P..t1. 0 v" OPn>bably No 0 Unknown 29. Fornal!: o Not pmgnant _ past yaar o P"9f1ant III ~me of dea~ o ~::nan\ but P"9f1ant wlhln 42 dayo o NotP_"'flRl9nant43daY'~lyaar ofdealh o Unkrown If p<egnant wllhln the...t ye" 32c. Race cllnjury: Home. Nrm. Street, FacDy, Ofttca Bulklill, ato. (SpecIfy) Due 10 (or as a OClIlSeQU8noe af)" d. 30a. W. an Autopsy Perbmed? JOb. W... Au1ojloy Findings Av_ PT1or~Corn_ of Cause of Death? Ov" ONo Ov" ONo 31. MannarofDeath 32a. D"'oflnju~(Month.day,yaar) 32b. DaaaibaHownjLll)'DccuIl8d: ~alJr8j OHo- o Accldanl 0 Pending 1n...aIIgal1on 320. Tina of IrjuIy OSu_ OCouldNotba!lelll!mned M 32g. Localion of Inju~ ISIr8et, city I town, "'lei 33a. Ca_lchack"'~",,) . ==::~~=r.:;:'::~":th-::"~~:~':.~~a~ ~~~~ ~)_ _ __ _ __ _ _ ___ _ _ _ --..A Pronouncing and certifying phyIklen {Physicilwl 00111 pronouncing deaIh and certifying b cause 0' death} To the but of my knowledge, death occumd BUhe time, date,lnd pIKe, and due to the Cluee(I) and manlNtl".. ltatacl .. .. _ _ _ .. .. _ _ _ .. _ .. .. _ _.. ..D =b::'n:,~;= Ind J or Inveetigltlon, In my opinion, dNth occurred II the tin, dltt, and place, Ind due to the cautt{.llnd menner I. mitt _ ..D (See Instructions and examples on reverse) 33d. Dale S1gnad (Mooth, day, year) \) 0 q ';) 3~- J. E' ~ 'I <?"V0 34. Nam, and Ad~ of Pe. rson Who Cqnpieled Cause of Deall1 (118m zn Type I Print Alb~_.t- W.I-Ic:c..f...Mb Ii,,,, L,: ,,, -t f..4.." S, -\- r "" i- I l, n ....{'f\G (\E: r(A... ') L 3 .. I ..tl / I ~ /1" I LAST WILL AND lESTAMENT OF BETTY J. DIEHL I, BETTY J. DIEHL, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my last Will, hereby revoking all prior wills and codicils. FIRST: SECOND: The expenses of my last illness and funeral shall be paid from my estate. I hereby give and bequeath, absolutely and in fee simple, to my spouse, GEORGE D. DIEHL, all my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment, provided that if my spouse dies before the thirtieth (30th) day following the day of my death, this gift shall lapse or be divested and I make said bequest to my issue, per stirpes, living at the time of my death, to be divided among them as they shall agree. If they cannot agree for any reason, then these items shall be sold at public auction, my issue being permitted to bid upon such items without specific permission of the court even though they might be a fiduciary at the time. My Executor shall represent any minor child in any division of such property and shall deliver to the person standing in the place of a parent to such minor, without bond, such portion of the minor's share as my Executor, after considering the minor's wishes, t-,' " ":::.') C) <::3 .'~:; deems appropriate and shall sell the balance and pay the proceeds to my Trustees to be re~ed for ;.- -:.'; the minor under Item SEVENTH hereof. I w THIRD: Should I so desire, I will make a series of specific bequests to specifIc>.-:- v .- ;"'--;.1 =~': individuals on a plain piece of paper to be signed and dated by me and to be inserted with.~, my -<- Last Will and Testament. FOURTH: The gift to my spouse in this Item is intended to give my estate the marital deduction effective under the Internal Revenue Code to reduce Federal estate tax. Any provisions in this Will which conflict with or fail of this intention shall be so reconciled or amplified as to accomplish this objective. If my spouse, GEORGE D. DIEHL, sUlvives me, I direct that my Trustees, hereinafter named, hold, IN TRUST, an amount free of all taxes equal to the maximum marital deduction allowable to my estate for Federal estate tax purposes, reduced by an amount, if any, needed to increase my taxable estate to the largest amount that after allowing for the unified credit and any other credits available to my estate, will result in no Federal estate tax, and pay the net income therefrom not less frequently than quarterly to my spouse for life. My spouse shall have power to appoint all or any part or parts of the principal of this Trust to himself or a class com- posed of the issue of myself and my spouse. This power shall be exercised by him alone and in all ~9'.11. events by specific reference thereto in his Will, or by delivery at any time or times during his lifetime of a written direction to my Trustees who shall thereupon make payment as he directs. My Trustee shall pay to his personal representatives from any un appointed principal the difference between all taxes, interest and penalties which they must pay by reason of his death and those which would be payable by them if such unappointed principal were not taxable in his estate and shall add the balance of such unappointed principal to my residuary Trust. FIFTH: I give and devise the residue of my estate, real and personal, to my Trustee hereinafter named, IN TRUST, as follows: A. The net income therefrom shall be paid to my spouse, GEORGE D. DIEHL, for life. R My spouse shall have the power to appoint to himself up to the greater amount of five percent (5%) or $5,000 annually from the principal of the residuary trust under this Item. This power of appointment shall be noncumulative and may be exercised during my spouse's lifetime only by his giving the Trustee written direction other than by his Will. e. Upon the death of my spouse, or in the event my spouse predeceases me, my estate shall be distributed as follows: 1. All the rest, residue and remainder of my estate shall be divided into two equal shares, and one share shall be paid to my son, GREGORY D. DIEHL, and the other share shall be paid to my son, JEFFREY D. DIEHL. In the event either of my aforesaid children should predecease the survivor of my spouse and me, his share shall be paid to his surviving issue, per stiI:pes, or in default of such issue, shall be paid to my remaining child, or to that child's surviving issue, m stiI:pes, as the case may be. 4. If no issue of my children survive the survivor of my said spouse and myself, the remaining undistributed principal and accumulated income shall be divided into two equal shares and one share shall be paid to my heirs who would be entitled thereto under the Intestate Laws of Pennsylvania in effect at the death of the survivor of myself and my spouse; and the other share shall be paid to my spouse's heirs who would be entitled thereto under the Intestate Laws of Pennsylvania in effect at the death of the survivor of myself and my spouse as if my spouse had then died Intestate. 13.9-.8. ~ SIXTH: Trustee may use principal of the trust under Item FOURTH hereof (Marital Deduction Trust) only for the benefit of my spouse. With the foregoing exception my Trustee may use principal from the trust under Item FIFTH hereof (Residue Trust) for the benefit of my spouse and issue as that Trustee deems necessary: A. To meet the expense of any accident, illness or other emergency befalling any of them; B. For maintenance, support and education (including college and graduate school); C. To pay funeral expenses, including the cost of a grave marker and perpetual care of the grave. Any principal used for the benefit of my issue shall be charged as an advancement from his or her family's share of the trust. Further, any invasion on behalf of any issue cannot exceed the amount that would be allocated to his or her family's share of such trust. Notwithstanding the foregoing, the power to consume, invade or appropriate property for the benefit of my spouse and issue shall be limited by ascertainable standard relating to health, education, support or maintenance within the meaning of subparagraph (a) of Section 2041(b)(1) of the Internal Revenue Code of 1954 or any similar provision which may be in effect at the time of my death so that such power will not constitute a general power of appointment. SEVENTH: I appoint my Trustee as Guardian to hold for minors all property payable by law to a guardian appointed by my Will and use the same for the minor's maintenance and education, either directly or by payment to any person selected to disburse it, whose receipt shall be a complete acquittance therefor. All unexpended income and principal shall be paid to the minor at majority. For purposes of this Will, majority shall be construed to be when the individual attains the age of twenty-five (25) years. EIGHTH: No provision of this Will is intended to exercise any power of appointment, including any power of appointment granted to me by my spouse's estate planning or other documents. NINTH: All taxes, interest and penalties thereon payable by reason of my death with respect to property comprising my gross estate, whether or not passing under this Will, shall be paid from the principal of my residuary estate under Item FOURTH C.l., provided however, that funds of my Trust created herein may be used to pay taxes, interest and penalties attributed to such trust assets. TENTH: No interest of any beneficiary under this Will or any codicil hereto shall be subject to anticipation or voluntary or involuntary alienation, and the personal receipt of such beneficiary shall be the sufficient and only discharge of my Executor and Trustee unless otherwise provided herein. ELEVENTH: In addition to powers given them by law, my Executor and Trustee and their successors and any guardian acting hereunder shall have the following discretionary powers applicable to all real and personal property held by them, effective without court order and until actual distribution: A. To retain all property received by them including the stock of any corporate fiduciary acting hereunder, provided such property remains productive; B. To invest in all forms of property without restriction to investments authorized to fiduciaries, so long as such investments are productive; C. To join in any incorporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors; D. To compromise controversies; E. To exchange or sell for cash, property or credit, publicly or privately, or to lease, even for a term exceeding five (5) years or the duration of the trusts hereunder, without liability on the purchasers or lessees to see to application of the consideration, and to give options for these purposes without obligation to repudiate them in favor of a higher offer; F. With respect to my residuary trust under Item FIFTH hereof, to allocate items of receipt or disbursement between income and principal as they deem equitable regardless of the character given such items by law; G. To apply income or principal to which any beneficiary is entitled directly for his or her maintenance and support should they deem such beneficiary incapable of receiving the same by reason of age, illness or any infirmity or incapacity, or to pay the same to such person as they select to disburse it, whose receipt shall be a complete acquittance therefor, without the intervention of any guardian; H. To borrow money, including the right to borrow from any corporate fiduciary acting hereunder, and mortgage or pledge as security; . , I. To hold investments in the name of a nominee; J. To distribute in cash or kind or partly in each at valuations fIxed by them; K. To assume continuance of the status of any benefIciary with reference to marriage, divorce, illness, incapacity or other change in the absence of informa- tion deemed reliable without liability for disbursements made on such assumption; L. To elect to value my gross estate for Federal estate tax purposes as of the date of my death or as of the alternate valuation date as allowed for such purposes, and to claim as income tax deductions expenses that would otherwise qualify as estate tax deduction and other elections allowable under law; M. Except to the extent necessary in order that the trust under Item FOURTH hereof qualify for the marital deduction allowable under the Internal Revenue Code, it shall not be necessary to segregate investments as belonging to a particular trust or share therein and all interests may be held in undivided form in a single fund from which proportionate distributions are made based on current reappraisals; N. To merge any similar trust established by my spouse where the terms of the same are identical; O. To make income or principal distributions during the course of adminis- tration of my estate or trust created hereunder; P. In the event that I am the benefIciary of a qualifIed terminal interest trust and the same is taxable in my estate, I direct that my Executor shall seek reim- bursement from said trust for all taxes due by my estate because of the inclusion of such trust in my estate, said computation of taxes due to be computed by taking taxes owed by my estate and such property included therein as compared to the taxes my estate would owe in the event said property were not taxable in my estate; and Q. To undertake any and all acts deemed necessary and proper by it for the proper and advantageous management of any trust and the settlement of my estate. TWELFTH: No fiduciary who is a benefIciary of my residuary trust created in Item FIFTH hereof shall participate in the exercise of any discretionary power to use the principal thereof for the benefit of any person or to apportion or allocate items of charge or credit between principal and income of such trust. Additionally, no fIduciary named herein shall participate in any discretionary decision to invade or use the principal of any trust hereby created for his benefIt or for the benefIt of his issue and in addition no fIduciary named hereunder shall enter into any t reciprocal arrangement with any other fiduciary to make such discretionary distributions. No fiduciary named herein shall have any power with regard to the administration of a trust created hereunder if such power would cause the trust to be includible in his or her estate for federal estate tax purposes. THIRTEENTH: Any person, other than my spouse, who shall have died within thirty (30) days of my death, shall be deemed to have predeceased me. If my spouse and I die simultaneously, or under such circumstances that the order of our deaths cannot be established by proof, my spouse shall be deemed to have survived me. Any person (other than myself) who shall have died at the same time as any then recipient of income or in a common disaster with such beneficiary, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased FOURTEENTH: I appoint my spouse, GEORGE D. DIEm...., as Executor of and as Trustee under this my Will. In the event my said spouse cannot act or continue to act as Executor and/or Trustee for any reason, I appoint my two sons, GREGORY D. DIEm.... and JEFFREY D. DIEm...., to act in his place. No fiduciary acting hereunder shall be required to post bond or enter security in any jurisdiction. FIFTEENTH: My Corporate Fiduciary, if any, shall receive compensation for the performance of its functions hereunder in accordance with its Schedule of Fees in effect from time to time during the period over which its services are performed. IN WITNESS WHEREOF, I have hereunto set my hand and seal this J.1.:d&.y of August, 1993, to this and the preceding five (5) pages, and I have also placed my initials on each preceding page for better identification and greater security. 8~Eify J~~~ ~ (SEAL) Signed, sealed, published and declared by the above-named Testatrix, BETTY 1. DIEm...., as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. &~I:-~ / E~?AI ~d~J t2r ~ !l1-C7- L)CfJ'7 OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~ U 1fI~i.ANP COUNTY, PENNSYL VANIA Estate of &e7TY J: PIe-HI.. , Deceased (! 1It'fA!,L es E: SIIIEZ-J:>S .IlL , ~ a subscribing witness to (Print Namels) the J&. Will 0 Codidl(~,. presented herewith, ~ being duly qualified according to law, depose(s) and say(s) that ~ he /~ was /~ present and saw the above I@~tatQ); / Testatrix sign the same and that she / 88 / they signed the same and that -6fie./ he / ~ signed as a witness at the request of the .1'\}gta-tM / Testatrix m her.uHs- presence and in the presence of each other. x~t.~~ (Signature)CHARiGS E: ~/Et.lJS 2Jl" (Signature) " c.t..P '" S Q 1<.1>. (Street Address) (Street Address) /J1FCIIAN/(!s8<<!f.ti, fJA 17ps-S (City. State. Zip) (City, State, Zip) .:-J :-::0 , :TJ -':) ......, ,= '--' --.J '- :;;a ........',~ ~!;..... Executed in Register's Office Sworn to or affirmed and subscribed Executed out of Register's Off!.~g'?, Sworn to or affirmed and sub:S~~bed I c..v -0 3: before me this ~ of _~\Ml~ '6 ~ day .J:'"" day ,~OO\ before me this a of Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths, Show date of expiration of Notary's Commission,) NOTE: To be taken by Officer authorized to administer oaths, Please have present the original or copy ofinstrument(s) at time of notarization, Form RW-03 rev, /0,/3,06 ;l( -(:7 - [{()7 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS CllAlI3/;1lJANj) COUNTY, PENNSYLVANIA Estate of i3E 77Y ...r. 2:> I/:# L JE"FF/ll? Y j), .Plt)!'- and , Deceased ..(each}being duly qualified according to law, depose(s) and say(s) that -she-/ he /4ey was / ~ well- acquainted with ~E77Y .:r: Z>IE#l. and aml~ familiar with the handwriting and signature of the decedent, and that the signature of BE-Try v: blGHL. to the foregoing instrument purporting to be the Last Will and Testament/~l of ~E"7T}" J: VI EHL is in .fttsr'her own proper handwriting. (Signature) (Street Address) /JtteJI,4N/~SJ8U/l(;/~,4 /7~ (City, State, Zip) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this '-/ t',,", day of'~, :2li57 . Form R W-04 rev, 10,13. 06 t~...+) c:-:) <:::> ---' o N (...) I' ~:~l-L:'~r -(Y.;{.7 RENUNCIA TION r--.) .:::::> .::::;> --' <- ;1".. -- ..:01.1- REGISTER OF WILLS C.U IrI ~f'2LAN]::> COUNTY, PENNSYLVANIA o ;g '",--: I W -0 :::J.l: =!~ .J;:'"' UI Estate of , Deceased I GAE'-()flY"D. "'DIE' H L , (Print Name) C0 - e-'l.E CIA. 7b 1!.. of the above Decedent, hereby renounce the right to , in my capacitywelatisHship as administer the Estate of the Decedent and respectfully request that Letters be issued to JE:FF1!.e y "]). -o1E:J..I L 'DE CErn (bEY<. :J..1. . :y>of, (Date) 1;>. DIEHL LAAlE III Lf (Street Address) APTOS, CA-lIFIIlNIA 9 S-003 (City, State. Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ;;1..9 II. day of OECE/1J~t:"7? , d.lJof, ~ ~~:Jil Notary Public My Commission Expires: Deputy for Register of Wills (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 COMMONWEALTH OF PENNSYLVANIA Notarial Seal 0lar1es E. Shields III, Notary Public Monroe Twp., Ctmbel1and County My Commission Expires JLI1e 20, 2008 Member. Pennsylvania Association Of Notaries