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
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(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durafit"f)minoritate) g =I~}
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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
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Name
Relationshi
.......
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Co')
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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 $t-ree.t
Mec:.ka.ni~a"""" I pAo I..,os~
Form R W-02 rev, 10.13,06
Page 1 of2
~{-D7 -()(X)7
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
ss
COUNTY OF eLl WI &e'1tL.~AlJ)
The Petitioner(., above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and belief of Petitione~and that, as personal representative'" of the Decedent, Petitione~ will well and truly
administer the estate according to law.
day of
C) f2t-
S~_M'_
." D. l:>IGjfL
Sworn to or affirmed and subscribed
before me the 'I th
Signature of Personal Representative
C)
S;o
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~/- 07-()c{)7 C-U)~
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BE7-ry :J. 1)1e-HL .Dec~
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Social Security Number: J 8lJ - 1:Z - 'I ,~" Date of Death: 'Dee. It, 2DD " ~
AND NOW. (}aru.l~.~ 1 . 01 fl') 7. ;0 ""...demtioo of theforegomg p,titio.. ..mfuotmy proof
having been pres-;;:;;{before me, IT DECREED that Letters -reSTIfMEAJTIf.~y
are hereby granted to ~EFF/tGY 1). :DIEHL
EXEeu.. 7l'~
and that the instrumen~ted /!-1I611.. T I~ 1"$
described in the Petition be admitted to probate and filed of recor
Signature of Personal Representative
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Estate of
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File Number:
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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:
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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.
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Fcc for this certificate. $6.00
Local Registrar
P 12842673
DEe 192006
Date
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W<ENT
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1. Name of Decedent (Rrst, middle, last. suffbc)
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
-
001-
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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
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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-,'
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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
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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
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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:-~
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!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.
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(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)
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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
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before me this ~
of _~\Ml~ '6
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day
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day
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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
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RENUNCIA TION
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REGISTER OF WILLS
C.U IrI ~f'2LAN]::> COUNTY, PENNSYLVANIA
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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