HomeMy WebLinkAbout01-26-07
PETITION FOR PROBATE AND GRANT OF LETTERS
ltl.Vvb 1;. ),Ay."P
REGISTER OF WILLS OF
Estate of .6 f'ffy j,
also known as
vJ iJ If't '
COUNTY, PENNSYLVANIA
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File Number
, Deceased
Social Security Number /~rJ - >-7--,f-;;L. 7.)'"
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
S A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the J~ "'..;)/t-frJ
last Will of the Decedent dated J- J;r,/b-it and codicil(s) dated
II OII-e1--f
!
named in the
(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 execution of the instJUment(s) offered
for probate, was not the victim of a kiHing 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 milloritate)
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spbusQifany) an~irs:
Admillistration. c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) :f! S.;~
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Residence~ [0 ~~
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(If
Name
Relationship
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(COMPLETE IN ALL CASES:) Attach additio/lal sheets if/lecessary.
Decedent was domiciled at death in '; 'v><- b~", J-k!,,,, {' County, Pennsylvania with his / her last principal residence at
t. J...uv,'-r )....,,(,-UV [1>"-',/-<:1 ,oR n~Y. C
(List street address,-townlcity, town1ilip, county. stat!!, zip code) .
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a
Decedent, then
..Fe,
years of age, died on
I,/LV /07
, r
at il tJ fa/"~ I .y
'fdv',/!~ (.
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
",
7 tf<.' (;
$
$
$
$
situated as follows:
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 appropriate form to
the undersigned:
T ed or rinted name and residence
Form RW-02 rev 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEAL TH OF PENNSYLVANIA
COUNTY OF bbi\ru0.
SS
The Petitioner(s) 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 Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
before me the
alo
~~@8
'0 re of ersonal Representa 've ~
Sworn to or affim1ed and subscribed
. day of
Signature of Personal Representative
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For the Register
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G.
Signature of Personal Representative
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File Number:
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IT IS DEC ED tl}{1t Letters
&~.tr(,l H 6 \ \e-y
oo~
en
o
Estate of
, Deceased
Social Security Number:
Date of Death:
AND NOW,
having been presented before me
are hereby granted to
and that the instrument(s) dated ~r+ ~ ~
described in the Petition be admitted to probate and filed ofrecor as the last Wi I (and Codic' (s)) of Decedent.
L- l
in the above estate
Letters
J-ts cO
.a~lXJ
FEES
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$MOO
Attorney Signature:
Short Certificate( s) . . . . . . . .
Renunciation(s) ..........
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Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Fon11 RW-02 rev. 10.13.06
Page 2 of2
105.805 REV 1105
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for pemlanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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Local Registrar (j
Fee for this certificate, $6.00
P 13105475
JAN Z 5 1007
Date
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Cumberland
11. Decedenfs Usual
KindofWOl'\(
Clerical
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COMMONWEALTH OF PENNSYLVANIA 0 DEPARTMENT OF HEALTH o VITAL RECORDS . >_~'il -0 ;..,.,
CERTIFICATE OF DEATH ''\~k (, -. .{) 0 ~?{
STATE FilE NUMBER O"I:'.l V l "
REV. 02J2006
'PRINT IN
MNENT
:KINK
1. Nam,of_(Fi1>I,middlo,IasI.SlJ!lix1
~CrT'I
5. Age (WI Bi1hday) under 1
"""'"
of Deelh (Month, day. yo8)o
en
(,
80 Y~
Bb. Coon~ oIDea1h
Twp.
ndof_donedurln _of llIe.Doool__
KildolS.-/1nduslry
L.C.B. of PA
. 16. Decedent's Mailing AddlllSS (Street, city IloWn, state. rip code)
6 Louis Lane
Enola PA 17025
18. Felh"" Name (FnI, midd~.Iast,_1
Harry L. Brocious
2Oa. InIormanl's Nerne [Type f PllnO
Sandra A. Olley
21a Method ofDispo6ilion
[}Bu1lal D__SllIOl
DOlher.SpeciIy;
213. Slgnallr8 of Funeral ~ Ucantee
. ...
Doc:edenf.
AcluelRosid""" 17a.SllIOl PA
17b.County Cumberland
Did1lecedent
Uvoln, 17o.l1!I V".llec:edenllMldil Eas t Pennsboro
T ownsNp?
17<1. D ~~J'8dwlt1in
rwp.
Q~fEloro
CoIr4>Ie\Io !\ems Z3&< orIrt when c:ertifyi1g
pI1ysician.oot_allimeof_1ll
ClIltify cause of_
I1ems 2.,26 must be oompleled by person
who prooounces dealtl.
19. MoI>el's N8ne (Fnt, middle. makIen sumerne)
Opel Baskin
2Ob.1nkfmenfsMafl1ngAddniee<Slnlet,cily/_._.2\>_)
6 Louis Lane Enola, PA 17025
210. Placeafllieposition(Nemeof_.""""*"Y.._placel
Rolling Green Cemetery
22c. N"", II1d Addrees of FdIy
F.R. Inc. 29 S. Enola Dr. Enola, PA ]7025
23b. Ucense_ 23c. DaleSlgned(Monlh,day,yeer)
21d. Locetion(CIlyf_......zi1>_J
Lower Allen Twp. PA 1701 I
~~ 1,lcondOOl19.! eny.
IIJcause IisIed 00 Ine a.
En1er UNDERlYING CAUSE
(d....... iI1jtJ'( ll1a1 inlliated \he
evontsl1lSllltinglndeelh) LAS'!,
( j loCk 1.-
f 2hc;"I''''
'3day ~
26. W. Case Refem!d Ie Medical examiner I Coroner for 8 Reason OU\erthen Cremation or Dona\iOn?
o Yes iii No
Parl:1l:Enleroller~ID1I1tioM~Iode8th 28. DldTobaccoUaeContributetoDeath?
bul ooll9Sllling il\he undllllying cause giwn il ~ I. D Yes 0 ProbebIy
. . No 0 Unknown
IV! e.1..u1:1i!.\,tCl\,,' C)'\$!^rVC! 29. W_,
Il!I Not pregnant wIthm pest year
A,r ;;.T1.J({no../ fi,i'/'ufI(J D Pregn'ntaltimeoldealh
o Not pregnen\ but pregnMt wlthM2 days
of death
o Notp"'lInenl,buI_43daysfo1yeer
ol_
D Unknownltpregn""wlthmlhepaetyear
320. Place 01 Injury Home. Ferm. Sl!eet. Fec\oly,
0IIIc0 Buidng, elc. (Specify)
25. Ilale_Deod~.dey.yeer)
01 - .20 - .2 006
CAUSE OF DEATH (See 1__ and oxamploo)
ItemE. PARTt En1er\he~._.i1juries,..~,1haIdiI>dIy_lhe_.DONOTenlsrlom1inelevonts_"_aclml5l.
reepiraIO!y _ or W1nlriaJl..lib!illeItan wilhout lIhowi1g \he etiology. Ust only one cause... eech fin,.
=~~=-..... .VJ):!J;', Jyh.JJd<
Dueto(Ofa.~ceof'l~ C"
b. r;;: Vc-tfY\ J' h u.rct. .(J...u h s..
O,ek' I"'''l:' """"""'''''''J'!' . r I' .
Cf..()?fA/. ct< 'i.{ .(VI b )Th . rA) 0
Due to (or 86. consequence of):
.~_.
: Oneet III DeaIh .
d.
32f.IIT~~(Spaci/ij
DDn.erIClporalpO' Of>llssenger O"""'blan
M. DOIler-Spedy:
33a. Certlfler(~ontyone) 33b. SignalUrellldTilleofCerliJier r: --'-
. CertIfyIngpllyalcl,nIPhysiciancel1ify;ngcau"oIdoa\hYotoenanolherphysiclanh"pronoIIlt8ddealhlWlcomplelBdltsm231 .. .--r- '\\..l::,"/l C') I ~-
To'hobeslofmyknowfodge.__dutlolllo.....landJllll>no'...IldIjI_________ _ _ _____ _ _ ____ _ __ __ _ _ ____.D I I .
. Pronouncing .ndcartlfylng phyaIcIan (physician bolh ~ _ end certifying III cau" of -, fill 33c license Number 33d llal& S\Ined (Month day yeer)
To1hebestofmylmowtodge,__st1he_._'ndplaca.,nd d"'..1hecauso(.)eI1d_nerHsIaItd___________________I'_' ')h. . > . .' . C ,.
. Medlcal..-or I C"""'" Iv l) 2... '3..':>-s." I ,. 2 C' ..
On u.. _of __ and I orlnvoetlg,uon.ln my _. _ oecurtOll e11hetlm.. dato, and PD. and duo..lh. Cluso(.) ,nd "'_H ""I<L _.D 34. N"'" II1d Add!ess of Parson Who CompIeIed CalseofDealh litem 27) Type 1 f>tinl
"1\ P II Q::U t' (."'A:J:J7, /L I Iv II>
5c ~ ,..:; 21st' <;"t. CC~\') ,) h'
OYee DNa
,EI- D-
O- OPencli1gilNesl1gellln 32<1. Tmeolifiury
o Si.O:kIe 0 eood Not be llolermIned
32b. IleeC!ibe How Irlju1y 0c0uIl0d:
30a W" en AlIt>p6y
Perfooned?
301>. W... Autopey Findings
Avale!je _ to eompetion
otCause af~?
31. MannerofDealh
Dves mNo
3211. l=lIion of I~"l' 1_. cily 1 town, _I
C6
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\" A \'7 C' i \
LAST WILL AND TESTAMENT
OF
BETTY L. WOLFE
I, BETTY L. WOLFE, widow woman, of Enola, East Pennsboro Town-
ship, Cumberland County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do hereby make, publish and declare
this to be my, Last Will and Testament, hereby revoking any and all
Wills and Codicils previously made by me at any time heretofore.
FIRST:
I hereby direct that my personal representative,
hereinafter named, to pay all my just debts, funeral and testamenta y
expenses as soon after my demise as maybe practicable.
-j SECOND:
I hereby specifically bequeath ONE THOUSAND
($1,000.00) DOLLARS to my church, the Zion Lutheran Church of Enola.
THIRD:
BE IT KNOWN, that as of this same date, I have
conveyed my residence known as 6 Louis Lane, Enola, Pennsylvania,
o ."'.~
my daughter, SANDRA A. OLLEY, reserving for myself a\~fe-E~ate
, ; ~~:C} ~
~"\_; (.-.,-
Ownership Interest therein. THEREFORE, upon my demis:El:,U s~cific--ii l~
--; (]7 f'~~. ~- '~ ,
bequeath whatever household goods, furni ture and applia::.nce~,tha:t
.:' ( '. - .
:u
might own that are in said residence, to my daughter SANDRA A.
-
OLLEY.
"-.
..........,
"k FOURTH:
C:>
BE IT KNOWN that on or about July 1983, I loaned
money to my son, WAYNE, and his wife, MARY, to help them purchase a
mobile home.
Sould I die before this debt has been paid in full, I
hereby direct that the debt be cancelled as if payment had already
been made in full.
FURTHERMORE, I hereby bequeath to my son, WAYNE I
OLLEY, and his wife, MARY, whatever car(s) I own upon my demise.
FIFTH:
All the rest, residue and remainder of my estate,
I hereby give, devise and bequeath among my four (4) children, equa ly
and per capita.
A. BONNIE L. HOSTET1ER~
B. DONALD R. OLLEY
C. SANDRA A. OLLEY
D. WAYNE L. OLLEY
SIXTH: I hereby nominate, constitute and appoint my
daughter, SANDRA A. OLLEY, as Executrix of this my, Last Will and
Testament.
In the event that SANDRA A. OLLEY should predecease me,
fail to qualify, cease to act or for some reason is incapable of
performing such task, I then nominate, constitute and appoint my
(nee: OLLEY) HOSTET~, as Executrix of this my,
Last Will and Testament. X
daughter, BONNIE L.
SEVENTH:
None of the abovenamed persons shall be require
to post bond or surety in this or any other jurisdiction for faith-
ful compliance of the office of Executrix.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this
my, Last Will and Testament, the ~ day of
7
~14ut/;
I
, 19
~'
U I
'1 "- /7 ;
~ '-" /v~
;; v ~ c ".
BETTY i. WOLF:E!;'
(SEAL)
The preceding instrument, consisting of this and one (1) other
typewritten page, identified by the signature of the Testatrix,
BETTY L. WOLFE, in the presence of us, who at her request, who in
her presence, and in the presence of each other, have hereunto
1f~i~ w:::::::: ::rb~ . t~
OMMONWEALTH OF PENNSYLVANIA
s s .
OUNTY OF CUMBERLAND
I, BETTY L. WOLFE, Widow Woman, Testatrix, whose name is signe
o the attached and foregoing instrument, having been duly sworn an
ualified according to law, do hereby acknowledge that I signed
nd executed the instrument as my, Last Will and Testament; and
hat I signed it wi~ingly; and that I signed it as my free and
oluntary act for the purposes therein expressed.
SWORN or AFFIRMED to and ACKNOWLEDGED before me, a
ublic, by the Testatrix, B~T;t L. WOLFE, on this, the
_day of 1;YX- ' 19 . .
..,' DONALD B. OWEN. NOQ PUBliC i
EAST PENNSBORO TWP.. CIJM8fRlAtJ') COUNTY
MY COMMISSHJN tXP:f{[S .'i(},/ 24, i984
~mllfl\ Penllstlffni. AnQQiiltioo ltf Nfltllrrt,
not ary
S"" .
"'\ ;/'7
--- -7~ fficL
Notary Public
<~'
y Commission Expires:
****************************************************************** **
OMMONWEALTH OF PENNSYLVANIA
s s. :
OUNTY OF CUMBERLAND
1 L> 6\\
WE, ~ and , the
ITNESSES, whose names are s"gned to the attached and foregoing
"nstrument, being duly ~ual;fied according to law, do depose and
ay that we were present an~ saw the Testatrix, BETTY L. WOLFE,
ign and execute the instrument as her Last Will; that she signed
"t willingly; and that she executed it as her free and voluntary
ct for the purposes therein expressed; that each of us, in the
earing and sight of the Testatrix, BETTY L. WOLFE, and of each
ther, signed the Will as Witnesses; and to the best of our
nowledge and sight, the Testatrix, BETTY L. WOLFE, was at the
ime eighteen (18) or more years of age, of sound mind and under
o constraint or undue influence.
E~!J
/'Y"- J
CJ~'"
and SUBSC
a notary
and
---, 19
----~
~-_.....:: ot ary
y Commission Expires:
" DONALD B. OWEN. NOTARY PURUt.
EAST PENNS80RO TWP. cl.'~:r'YU;jf1 ;;): itJfr
\ MY COMMISSIOi<J DPlflb NUl ;.i ji1~~
Me"'her. Pennsylvania Ass()c.~f,w' ~I Nwi""l'$