HomeMy WebLinkAbout01-11-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C U IYlSEJt.LA JJ1>
COUNTY, PENNSYLVANIA
Estate of CA 1NI:i1tI1IE' s.. DEh'KI.$b1l
also known as c.Af1IsI&16 ~A'''I.s ~III
File Number tR /-()7- CXJ4/
, Deceased
Social Security Number ,;z /7 -/ ()- II I SS'
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ',4' or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner~ is /..-e the ..lfernlite ~rLf1..;'J(
last Will of the Decedent dated ~. 2, ",2. _8 .eeJ~...:J(..~ ih,t\;;d
R~u.Ilc:;..t;1f1 ", kJ- "tlml.t.l .,..t.lLtTix l!.utSY AI. <;t!..JtJ7T!#R~ /t. IIt!o1 ~iIIt:I:{.
(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:
o B. Grant of Letters of Administration
(If applicable. enter; c.t.a.; 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) Iftd heirs: (If
Administration, c.t.a. or d.b.n.c.t.a.. enter date of Will in Section A above and complete list of heirs.)' ~ 0 ..5 :::', ifl
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Name Relationshi C')
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County, Pennsylvania wit:h-ltiaJ her last principal residence at
0/3
Decedent, then
l!f3 years ofage,died on Au3,'1I"'" at S4rAh 7ilJ" #urs;"1 Ce.n4r
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
AS: "at!I.. I'll
$
$
$
$
situated as follows:
Wherefore, Petitione~) respectfully request~) the probate of the last Will and <'iiiiil(lI} presented with this Petition and the grant of Lettcrs in the appropriate form to
the undersigned:
0u2a 4'
1lJ/t.ll,s
T ed or rinted name and residence
'Et!NAAlI~S811Je6. PA 17IJ$S'"
Form RW-02 rev. /0./3.06
Page 1 of2
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
: SS
COUNTY OF C U.rn &;rl.LItNJ>
The Petitione."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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
day of
,.. 6f~ ~Lr:;I!)..--
Signature of Personal Representative
LINDA It)IUIS
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Signature of Personal Representative
For the Regist';~
Signature of Personal Representative
File Number:
81-07-{XJY J
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Estate of (JA7NSt/I'E SJ)~hA/I.S"MI II/;' M7M/ii1II'NF . Deceased
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Social Security Number: ;2..17- ID -il'55 Date of Death: Au'. 9" z.~"
c!)l1(j1 , in consideration of the foregoing Petition, satisfactory proof
IS DECREED that Letters '7ii:.srAMt:Al7A7eY
~/UJS
in the above estate
and that the instrument~ dated 5EI"7:. ~ I ,'Z
described in the Petition be admitted to probate and filed of record as the last Wi
FEES
Letters ............... sUr). 60
Short Certificate(s) . . . . . . .. s ~ lo .d\)
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Attorney Signature:
Supreme Court 1D. No.:
Reg ter of Wilts .
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{!/,H,ilLES E'-SN/~::r
!!aSIS
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AlEfJIIl'I/lIICS8uJIM, M 17f)5~
Attorney Name:
Address:
Telephone:
7/7-7' (, -()~U;
Form RW-02 rev. 10./3.06
Page 2 of2
HI05.R05 REV 1/05
This is to certify that the information here given is correctly copied fro~ an original certificate of death d~l~. filed with me as
Local Reg.is~rar. 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 12827679
No.
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~Nl1EALTHOFPENN8YLVANIA. DEPARTIENTOFHEALTH eYn'ALREC0RD8
CERTIFICATE OF DEATH
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STATE OF MARYLAND )
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COUNTY OF ALLEGANY )
LAST WILL AND TESTAMENT
OF
CATHERINE S. DENNISON
I, CATHERINE S. DENNISON of the town of Cumberland
County of Allegany, State of Maryland, being of sound mind
and disposing memory, but mindful of the uncertainty of life
and the certainty of death, do make, ordain, publish and
declare this as and for my Last will and Testament, hereby
revoking all wills and instruments of a testamentary nature
heretofore by me made.
FIRST:
I direct that all my just and enforceable debts,
including the expenses of my last illness, my funeral
expenses, and the expenses of the administration of my estate
be paid by my personal representative hereinafter named out
of the residue of my estate. I also direct that all estate
taxes, inheritance taxes, transfer taxes, death taxes or
similar taxes assessed with respect to my estate be likewise
paid by my personal representative out of the residue of my
estate.
SECOND:
I hereby give, devise and bequeath all my property,
real or mixed, to include all household furnishings and
fixtures of whatsoever kind and nature and wheresoever
situate, including lapsed legacies and bequests of which I
\~~~l~~"i(d*~H.-.'~\med or possessed or to which I shall have any
..LBr!lj,-,1 S,r" v ,080 - -
pow~Q. )l~tThppointment, as follows:
00 :01 WV II f.Vr iDOl
Page 1 of 4
;Ju.~o CJ Klt!CXJ3!:1
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(a) One-eighth (1/8) unto ROBERT THOM, absolutely
and forever, in fee simple.
(e) One-eighth (1/8) unto GEORGE E. DENNISON, JR.,
absolutely and forever, in fee simple.
(c) One-eighth (1/8) unto ROY SCRITCHFIELD, absolutely
and forever, in fee simple.
(d) One-eighth (1/8) unto BENJAMIN SCRITCHFIELD,
absolutely and forever, in fee simple.
(e) One-eighth (1/8) unto EUGENE SCRITCHFIELD,
absolutely and forever, in fee simple.
(f) One-eighth (1/8) unto BATHILDA McCRAY, absolutely
and forever, in fee simple.
(g) One-eighth (1/8) unto LONDA WILLIS, absolutely
and forever, in fee simple.
(h) One-eighth (1/8) unto PHYLLIS BARNCORD, BERNICE
POLESKI, ALICE FAY LEYDIG and KATHLEEN HOTT, or to the
survivor of them, in equal shares, share and share alike,
absolutely and forever, in fee simple.
THIRD:
In the event that ROBERT THOM, GEORGE E. DENNISON,
JR., ROY SCRITCHFIELD, BENJAMIN SCRITCHFIELD, EUGENE
SCRITCHFIELD, BATHILDA McCRAY or LINDA WILLIS shall
predecease me, then and in that event, I give his or her
share of my estate unto his or her heirs, absolutely and
forever, in fee simple.
FOURTH:
I hereby nominate, constitute and appoint RUBY N.
Page 2 of 4
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SCRITCHFIELD as personal representative of this my Last will
and Testament and direct that she serve without bond. If for
any reason RUBY N. SCRITCHFIELD is unable or unwilling to
serve or continue to serve, then I nominate and appoint
LINDA WILLIS as alternate, substitute or successor
personal representative and direct that she shall serve
without bond.
By way of illustration and not of limitation and in
addition to any inherent, implied or statutory powers granted
to personal representatives generally, my personal
representative is specifically authorized and empowered with
respect to my property, real or personal, at any time she
deems necessary to pay debts, to sell, mortgage, lease,
invest, manage, deal with, contract for and in general to
exercise all of the powers in the management of my estate
which any individual could exercise in the management of
similar property owned in her own , right, upon such terms and
conditions as to my personal representative may seem best, and
to execute and deliver any and all instruments and to do all
acts which my personal representative may deem proper or
necessary to carry out the purposes of this will, without
being limited in any way by the specific grants of power made
and without the necessity of any Court Order.
I, CATHERINE S. DENNISON sign my name to this
instrument this 1/~ day of V ,1992 and being
first duly sworn, do execute it as my last will and that I
Page 3 of 4
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sign it willingly, that I execute it as my free and voluntary
act for the purposes therein expressed, and that I am eighteen
(18) years of age or older, of sound mind, and under no
constraint or undue influence.
We, MARY D. BARNES
and DOROTHA C. EVERETT ,
the witnesses sign our names to this instrument, being first
duly sworn, and do hereby declare to the undersigned authority
that the testatrix signs and executes this instrument as her
last will and that she signs it willingly, and that each of
us, in the presence and hearing of the testatrix hereby signs
this will as witnesses to the testatrix signing, and that to
the best of our knowledge the testatrix is eighteen (18) years
of age or older, of sound mind, and under no constraint or
undue influence.
~xf~
CATHERINE DENNISON
TESTATRIX
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Subscribed, sworn to, and acknowledged before me by
CATHERINE S. DENNISON, the testatrix and subscribed and sworn
to me before me by~~t'lo.. ~ 'G~N'"
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and ~("~ '-'...Ci: ~.~-'~
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day of ~G-~~
, 1992.
witnesses, this
~~\-s. ~
Notary Public for Maryland
My Commission Expires: ~t2. '- \\ \.C\~ S
page 4 of 4
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RENUNCIATION
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REGISTER OF WILLS
ell IttSraWUfl> COUNTY, PENNSYLVANIA
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Estate of (!A'7)(~~IJt: t>sNNISIJN. II.K.Il. ~Arl/J;ItINF s. 'DEMlISfJU ,Deceased
I, (;RAU N. S~IIF1E1.j), as Afut ~ I?UBr M ~~::::iationShiP as
(print Name) her
ltisC IY-&/ JeUt!MfflX of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
JyllllS . ilK. L.1A;tJlI- i.EG A;'lL/.J.
xJfIMflr!~
(Signature) G~ III. ItIrMFIGI./J Aie
RIl8YAl. .5CAJ~H~/Qb
J{J.b I . /StJ)l. c1,7 '
(Street AddreSs)
Hesu."" 'D/11t4 Ii~u",-bix ~ J./KJJ/f
(Dat8)
J" -r1l!wE ANI> t.DJtUCr PH()1b~pY DF
fHG f)IIIlASttF fJDIulFll. tP A~Ef'/ A-/JIlIINT-
IN" III~ IS A'17JI.CIIEfJ Nti'IfE ~ AWl>
1~1b1tA-1JFl> ~~/"; AIR/eN I ;SI/FY 8~
my G/f;N,trllJM:" K#1tIFINI/
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
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Form RW-06 rev. 10.13.06
HYNlJmA-~ tJA- I S'S9f'"
(City, State, Zip)
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 ~ (d. , day
Of1J~ ' , .:Joo7
tnllJf.Lu a... (JUj C
Notary Public
My Commission Expires:Lf - / - d.Ooq
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
~~G-30-2006 12:47
r"lECHA~.,j I CSBURG I ~6 SVr::
7177665271
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NOTICE
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lHE PURPOSE OF THIS POWER OF ATI'OONEY IS 10 GIVE THE PERSo.l\i YOU
DES1GNATE (YOUR "AGENt ') BROAD EUJERS 1'0 HANDLE YOUR PROPERTY. WHICH MAY
INCllJDE POWERS TO SELL OR ont:ERWISE DISPOSE OF ANY REAL OR PERSONAL.
I PROPERTI Wrn-lOlJr ADVMiC€ NOTICE TO YOU OR APPROVAL BY YOU.
I. THIS POWE:R OF ArroRNeY OOES NOT IMPOSE A DUTY' ON 'tOUR ACOO TO
I EXERCISE ~'I'ED POWERS. BUT WHEN PCYEBS .w: EXERCISeD, YOUR AGENT ~ST
)i USE DUE CARE ro ACT FOR YOUR BENEFIT AND IN ACCORDANCE W111I !H1S POWER OF
i ATIORNE'i.
I
: YOUR AGENl' MAY EXERCISE 1"HE PCWE:RS CIVEN HERE nmoucHOur YOUR
I'; l.IfEI'IME. EVEN A.FlER YOU BECn1E INCAPACITAT€D. UNLESS 'tOU EXPRESSLY LIMlT
THE DlJt'(ATION OF 'IHESE ~ERS OR YOU RE.VOKE niESE POWERS OR A COURT ACTING
lION YOUR BEHALF mMrNATES YOUR AGOO'S AtJn-lORI'l'Y.
II ,
I ,~,;~ YOUR ACOO M!JS'r KeEP Y'Qt,'R FUNDS SePAAAm FRCM YOUR ACENr 1 S FUNDS.
, '. "~' A COURT CAN TAKE: AWNl nm: PaJERS OF YOUR AGOO' IF IT FINDS YOUR
AGENr IS NaZ' ACftNC PROPERt. Y. .
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'I M. FUm AND DUTIES OF AN AGOO UND~ ^ FOW'ER Of AITORNCY A.l{E
t EXPLAI~~~ rtn..LY IN 20 PA.C.S.CH. 56.
1 !'("t.11iEl\E ts A..~rniI'NC ABO'lTl' TH.IS FORM THAT YOU 00 NOr Ut-.'DtRSTA.I\'O.
t YOU SHOUU> ASK A LAWYER OF YOUR ('J..JN CHOOSING 'IO EXPU\IN !T TO YOU.
II: I HAVB READ OR HAD EXPLAINED TO ME THIS oorICE AND I UNDERSTM'O
, rrs CONrENrS
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AUG-30-2006 12:48
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MECHAN I CSBUPG I N:3 SUC
7177665271
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^C~'Lfro1ENT BY AGENr
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I r, GERALD E. SCRITCHfIELD I have read the attached power of a~cor~ey
II end am the person lden!:ificd as the agent(s) for the princ1pDl. I hereby
ackno~ledge Ch~t in the absence of a specific provision to the concrary in
'\ the power of Bttort'\ey or in 2D Pa. C. S. when I ael: as ogc~ l: :
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I shall exer.Cl~e the powe~s for the benefit of the pr1neipal.
I shall keep the Qasecs of the p~incipel .ep~~aee f~~J\ my ac.~cts.
I shall exercise reasonable caution and pruden~e.
I shall keEp 0 full and accurate reco~d of ell accions, rc~eiptG, and
disbursemencs on bC~Blf of tMe princ1pal.
JJDhaLd ;:~~
AGENT
DATE:
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A~G-30-2006 12:48
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n KNaJ A1...L t-1EN BY THESE PRESENrS. Chat !. R~Y N. SCR:TCHFIEi..D
I PRINCIPAL, hsve cor.nticuted, made and appoinceo an by chese ?rcsents cO
II const icute, make and appoint GERALD E. SCRITCHFIELD
my true and lDwful ACEL\'T.
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I'. 3. To engF.lge i.n reol propert:y transactions, which ghal1 tIIO,!!' tn~!!:-
the agent CJlBY~
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MECHAi'j ! C:3BURG I NS SUC
71776E,S271
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DURABlE POWER OF A'ITORNEY
FIRST. Wi!:hin the rreaning of Chapter 56 or che ?ennsylvf.lnio
Prob~tel Est~ce and fiducinries Code, my agent is specific611y authorized as
Eo 110;.t6 :
1. To authorize my admission t:o B mediC':sl. nursing. rcsid~nti~] or
simiJet' facili.ty Clnd to cnl:~r {nee agreemet'1t:G for my c..irra, which shall mean I
that: the agenc: rn~y apply Eo'!: the admission of the principal toa medical, I
t"Ut"SLng, residential or similar fQc11iC:y, execute any consent or odmi.ssion
forms required by such facUities ..nich sre conslstont ",itn this ?Dr~gc8ph. I
and enter into ~gr~~Tcnt9 for che Cere of the principal by such f~cllicy or .1'
elsewhere during t.he prLl"lcipal'a lifetime or for suet:'! lesser period uf cL:ne
as the at(orney-ln-f~cc ~y designste. including che recencion of nurses lor Ii
~Me principal. 1
2. To authoriz.e medical end surgical pt"oced\Jn~s. which shull m~Sn I
that the age~c may artsnge for and eonsenc t~~dieal. chcrapeucic and surgica1. i
proc:edures for rhc pl"tncipEll. including the admlnisCra~ion of drugs. !
!
(i) Acqvi~e or dispose of real p~opercy (incl~dine the principal's
residence) or any interest the~ein, including. bue nat limited to,
che power to bu~ or sell at public or. ?rivs~~ sale for car.h or c~eoit
O~ partly for e~ch: exchange, mo~~gage, encumber, leas~ for a~y
pe~iod or cime; give or acquire 'options for sales. purcho6es,
exchanges or lcar.ee; buy at judicial sale any property on whi~h the
principal holds a trort.gege~
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(ii.) MBnsgc. r.epair, improve. main~ain, ~estore, ~1tcr, build. protec~
0\ insure real propcrry: dem:>lish struccures or dcvc1.op ren 1 ~SCEjtc !
or any i~tereD~ tn ~eal eS~Dte;
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(iii.) Collc~~ rent, saLe p~oe~qs and e~tning fr~ rcul e9cere; pay.
contest. prOCCGt and compromise rea) estate caKes and 8ssc~smen~s;
(iv,) Release in whole or in parr, assign che whoJe or ~ par: of.
sa~isfy in wnolc or in pare and enforce ony morrgag~, cncumbranc~,
lien or ocher claim to real property;
(v.) Grant ea~emc"t6i dedicate real estace; parritior. and gu~~ivide
real est'a~e; r.lnd file plans, applic<lt:10ne; or ocher doclJ'noncs in
con~ec~ion chcrcwich: St'1d
(vi.) In general. e~ercise all powers wirh respec~ to reul propc~ty
that the principsl could if ?~esent.
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t'lECHAt'J 1 C:3BURC; 1 ~.l:::; sue
71775El5271
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~. To engage in tElng,ible personsl pl'oper ty t-ransflct ions, which shall
mean that the agenc ~y:
(i.) Buy, sell. lease, exchange. collect, possess and ~Dke title Co
tangible perconcl property;
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(ii.) Hove, score, ship, restore, meintain. repair. improve. mnnage.
preserve and insure I:sngiblepersonal property; Jnd
(iii.) !n general, exercise ell powers with respect ~o tangible
~rsonDl propc~ty ~h~e the p~inoipel could iE prp.~~nt.
S. To engage in stoc~. bond Bod other securitie~ transect ions. which
shall mean chat the ~gcnc ~ny:
{t.) Buy or sell (including short sales) ae public or pr1vat~ sa]e
for cash or cr~d1t O~ psrely fo~ cash all types of stocks. bonds and
securities; cxchaneo, transfer. hypoch~c~te, pledge or otherwise
dispose of ~ny stoc~. bond O~ other security:
(ii.) Collect dividends, interest and ocher dlscribu~ions;
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01,\.) Vot~ i.n person or by pro>cy. wicn Of' without power of sub-
stitution. either dlserecionery, general or ocherwise. Be any mc~~ing.
(tv.) Jain in tlny IDe~.se~, re=T:'gal:\i~e'eiot'1, vocing-tru~t plan or ocher
concerced action of security holders, and ~ke payments in conncctlon
therewith;
(v.) Hold aoy ~v!denee of t:he ownership of any stock, bond or other
security belonging to the ?r1ncipal in the name of s nominee sclecced
by the agcnt~;
(vi.) Deposit or srr~nge for the deposLc of securities in B clearning
corpo'r3tion !IS deEined in Division 8 of Title 13 (relsting to
inves~nc securities);
(vii.) ReceIve, hold or crans fer secu~i~ies tn book-cncry fo~: and
(viii.) In scn~ral, exercise all.powers wich respcc~ to stocks. bonds
Dnd securities thDt tne principal could 1f pre6enc.
6. To ~ng~ge in b~nk1ng and financial transactions. which shell ~~an
that the agent may;
(i.) Sign checks, drafts. orders, noteS, bills of oxchungc and ocher
inst:'C'LJtl"ents (' i terns ") Ot" otherwise C'lSke IJil::hdrawo19 from check ing I
savings, transection, deposit. loan or other accouncs in che name of
tne princifsl end endo~ge items payable co the p~incipJ! and receive
the proceeds in ~ash or otherwise;
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(ii.) Open ond close such sc:count:s in cke nar:no of ,:,hc pdnclpDl.
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il 7. To enter. snre deposit bolCes. which shall mean rhDC che agene may
ii' e:'lte-r any safe clcpcsit box in the t'\8De of l:he prin~ipali add to Ot rerrove
che contents of ouch box, open and close safe deposit boxes in chc hame of
Ij the principal; however, c~e asents shall noe deposi~ or keep in a~y sore
,:'" deposit box of che prind.?61 any pt"opet"ty in whlch t:he agent has a persol"l.sl
inceres::.
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9. To engage in ~eriramene plan transQccio~s. which shnll mCJn the
agent ~y ~ontribuce to, wlthdl~w from and d~posit funds in any cype oi
reti'remenr:: plan (int::!luding. bue: nOt: limited to. an, tax qUDlifit.:d or :'100- 1
. qualified pension, ?rofit sMBring. stock bonus. employee s~ving5 end l
retironent plon. deferred c~~pcns~tion plan or individual retirement accovn~): 1
selec:t and change p~yrnc!"\r options for the principal. make roI!. OVl;r i
co~rribution6 fi:'om any re~iTcment plan to other re~irewcnt ~lDna; Jnd. in I
general, ey.erci~e all po~er; with respect to recirement planr. rhat
;,,)', thE! pdnc ipal cou 1d Lf present:. \
II :0. '1"0 pursue claims ond liti.gl:it.ion, whic!'l ShDll t71CDn the .!l(jcnc may: ,
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12:59
r1E CHAN I CSBURC1 I t'.lS 51,)(
71776EI5271
P. 06,/(Z18
pu"Cha~e ~nd redec.7'1 savings cere i ficsces ,eer t i fica !:cs of dCP'IS i r or
similar instruments in ~he name of Che principal. and cxecu[e and
deliver i:'e~eipcs tor any funds withdrawn or c::ertific,Jces redeemed;
(iii.) Deposit any funds received for che principal in Jccounts of
t.he pt inc ipa 1:
Civ.) 00 all JCt's r.egeJ'rding checking. ssv1.ngs. Lt'lJn6.::cti.C1m:, deposit.
loa~ 04 other accounts, savings certificates, certifica~cs of
deposlc Or" SimilsT' instl'unents, the srum as che principel could do if
personally preccnt;
(v,) Sign a"y cax info~eion or ~epo~ting fonn requIred by Federal,
Sr:ate Or- 1.oc81 taxing sutnot"ieies, including. but not limi.ted :0. any
Fonn w-9 or similar form: and
(vi.) In gcne(~l. ~rans~ct any business with a banking Or fin~ncial
inscitucion that the principal could if prese~t.
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8.
ag~nt may:
To engag.e in {'nsurance transactions. which shall mean char che
(i..) Purcflose. conrinue. renew. ot" tenninat:e any type or insur(2ncc
(inc;lUdlt'1f;, bllt not limited co. life. flccidcnt. health. disabllicy or
liabil i t'y insut'ot'1ce); and pay premilmS and ~ollecl: bene fies snd
proc~ods under insut'.:Joce policies:
(ii.)
Exorc1.5C nonrorfcie~re provisions under insuro"cc policies: and
(iii.) In general. exercise all powers with respecc to insur~~ce chat
~he principal could if present; howeve~, ~he ~genc CDnnOC deslgnnce
himself bcncEiciory of slife insurQnce policy unless tMe 8Bent is the
spouse, child. gr~ndchild. parentI brother or sister of the
principal.
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F' . 07/"08
11. To re:eive gove~nment benefics, which sholl mean the Dg~nt mny
III!' prepare. sign and file any clsim or 'application fOT Social Securi.ty.
! unemploymenr, militory service Or other governme~t benefirs: collect snc
I re<;l3ipt Eor all gover'C'O'lCnc benefits or assistance; and, in gener.al. exercise
I all powers with rcspact co government benefits tnat the principal could if
I present.
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~'lEeHAN I eSBURG I t't3 sue
7177E.E.52?1
(t.) Inst:ltuce, p-rosecL!t::e, defend., 'If;lbandon, arbitrate, CCA'r.promise.
settle or otherwise dispose of, and appear for the prl~c1pn] in, any
legal p~occcdings before any ~ribunal regarding Bny claim Lcla~ing co
the principal or ot Bny property inte~est of the principal;
(if.) Collect Dna receipt for any clai~ OT aetclcmenc proceeds; woive
or release rights of the principal; employ end dischorge atcorncys a~d
others ore ~uch tor.na (including contingent fee 8rrE.lngt.'rr!8nts) as tne
agenc deems appropriate; and
(iii.) !n gene~al, exercise all powers with respect CO cluimc ond
litigation ~hDt tne principal could if presenc.
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to puniut! tnx mat:cers. which shall reem the agent m,sy;
(i.) Pre?a~c, Gign. verify end file any tax retur~ on behalf ot ~he
pLincip~l. including. hue not 11~ited to. joinc returns and
declarB~ion$ of escUnDtcd tQX; cxsmine and copy D11 ~he principJl'e
tax retu~n9 snd tax ~ecordg;
(ii.) Sign en lnte~nal R2venue Service power of atcorney form:
(iii.) RC?rC9~~t the prlnci~l before any taxing ~uthoritYi protest and I'
li.tigate tax BGr.e$srnents; cle~, sue for and collccc tDX r~f~TIds; w~ive,
~ight:s and si.gn 011 dOCUlMnta requit'ed to aecl:le. pay EJnd determine II
tax liabilities; sign w6ivers ext:endit1g the period of tirrc for [he
asse9~nr of taxa9 Or ta~ deficiencies: and
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(iv.) In general. e~et'ci8e ell po~e(s with respect co ~~x m~t~cr9 rhac1'
the prlnctpal could if presenC.
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,I S~~. 1 (urther give and g~ent u~to my A~ent full power Dnd.
',I!I aur.horicy to do ~nd ?crfo~ every Bet necessary 8nd~prO,per to he done in the
exet'ciee of any of the foregoing powers as ful~y as r might or could do if
I) personally present.,
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THIRD. 1~is Power of Attorney shall not be afE~c~ed by my
6uo6eq\.lent disaoilicy OT;' 1ncDp~:;:ity, and chi. Powet' of Attorney sholl
constitute a Durabl~ Power of Attorney. All aces done by my Agent. whecher
che oLiginel o~ successor6, pursuant ~o ~nis Ournble Po~er of ACtOrncy
during any period of my dissbility Or ineapacicy shall have the S6me effect
and inU1"e 1:0 tny beneHt ot"ld bind me and O'l)' sucee990rs in i,n::Ncst; as if 1 were
c~~eten~ end not di~ablcd.
FOURTH .
Xli the event tho t it"lcspac it}' proceed i.ngs src herc;if tcr
~UG-30:2Q06 13:00
t'lECHAH I CSBURG I ~'.l~; slJe
7177665271
P . 1218/08
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Ii! commenced, which resulc in ao adjudicacion~ I hereby noninnte GERALD E.
IISCRITCHFIELD for appoinl:tnent by the Court as GUBt"dilJn of my Estate pursuant
, to che PEF Code:.
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: . IN ~TNESS WHEREOF and intending to be legally bound hereby, I have
hereunto set' my hand and seal chis 10th day of November 2000
I; W!rnESS:
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~7J.JU<UkW L.S.
RUBY . CR1TCHFIELD 7J~ P'R1NC"1P'AL
Cll+ONtJEAL'l'li OF PENNSYLVANIA
55.
I COUNIY Of' BEDFORD
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On en 1 s. the ] Or:h cluJ' of NovaDber, 2qOO be fo'rc me. a
Notary Public. the undersisred officer. personally appe~iad RtffiY N. SCRITCH-
FIELD . Principal. knowa to me (or satisfactorily proven) to be
~Me poTion ~hose nWle is subscribed to the within document. and acknowledged
that execuced the same for rne purpose therein ccntalr.ed.
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. My Comm ssion Expires:
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IN WrTIrl:.SS v1HEREOf, I have hereunto set my hDnd and NOl:ode1. seal.
02'~4bl~
NOTARIAL SEAL
RICHARD W l.lNS JR. No.rAAY' PUBLIC
BEDFORD BOROUGH, sEOFOAO CO.. PA
MY COMMISSiON eXPIRES ose. '9, 200"
... '\,.It...llloo _r ......OlW
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TOTAL P. El8