HomeMy WebLinkAbout02-08-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of Harry Ross Rollins, Sf.
also known as
File Number
~\ DIOI:13
, Deceased
Social Security Number 206-10-8373
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZI A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the substituted executor
last Will of the Decedent dated December 26, 1990 and codicil(s) dated
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 instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
D 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 ~2'~ and 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.) _, c.:
Name Relationship ~~i~?C~ =:~
_.!~_ S'~_~) C,)
~.
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
I
Decedent was domiciled at death in Cumberland County, Pennsylvania wit@herlastprincipa{residence at ~
20 N. 12th Street. Apt. 102. Lemovne. Cumberland county. Pennsylvania. 17043
(List street address, town/city, township, county, state, zip code)
Decedent, then 85
years of age, died on November 30. 2006
at Holy Spirit Hospital
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 P A) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
~'rll..JU..J {~i)
130,000.00
situated as follows:YMC Ly e"J+m .f::nts (a..p i +0--1.. J)ir€ c...-R en 5
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
Harry R. Rollins, Jr. 214 Westview Drive, Mechanicsburg, PAl 7055
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the 'l day of
re\:>'-V-O-.~l
~( \ 1./,--
r the Register
~"m,b.~; ~~
Signature oj Personal Representative
Signature oj Personal Representative
~~)
. :JJ
File Number:
0/\
D l. t:> \d. ~
Estate of Harry Ross Rollins, Sr.
, Deeei.'>ed
-,
Social Security Number: 206-10-8373
AND NOW, \-' (2.\::)(Uafl..\ ~ , d- DD 1
,
having been presented before me, IT IS DECREED that Letters
are hereby granted to Harry R. Rollins. Jr.
Date of Death: November 30, 2006
c~
, in considemtion of e foregoing Petition, satisfactory proof
--, e -s -\- Cu"f\e~
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed ofre~o^dhas the la~t.W~~d Codicil(s)) Of~~~deT~
FEES v~ ~l..J'.j.A---> Di JW)'rf,{ _ / ^. ^
~ l,r)OcC Register oJ Mils ~l~'
J ~ 00 Attorney Signature:
'\'S.Ob
l "S -c.:/)
tOClL)
~0pm~,(
d.,~ \CtqO
~::~~e~~~~~~(~; : : c:~. . ~
Renunciation(s) ... .~?>,/. ., $
~\ \\ . . . $
')CO
L. \ . . . $
\~~ ... $
... $
... $
...$
... $
. .. $
... $
TOTAL. . . . . . . . . . . . .. $33300
Attorney Name:
Supreme Court I.D. No.:
--c.D
~
Address:
Telephone:
~
Form RW-02 rev. 10.13.06
Page 2 of2
H !():",XD) RE\' 1/fJ"
This is to certify that the information here given is correctly copied from an original ce:~ific~te of death dul)~. filed with me as
Local Registrar. The original certificate will be forwarded to the State VItal Records OffIce for permanent hlmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
a~IJl~~~
Local Registrar
Fee for Ihis certificate. $6.00
p
12841964
Ole () 2, 7.\)\10
Date
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PRINT IN
IAN8'<T
:KINK
1. NlI11e of 0ecedenI (Rrst. middle, last, sulIixl
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
.-
STATE FILE NUMBER
()Ot~
85
Vrs.
Sa. P1a:;e of Death Check one
H""",,: 0Il1er
1iI1n_ D ER / ClulpDnI D DOA D N"rsing Home
g, W..DecedentofHispanIc~n?:{]qb DVes
J -1- l (If,,,,,specifyClJban,
'I ,\.c- ,) \ l (\, M"""",, Puerto RIcan, e".)
~hlgtoslgradeco~ 14, M_Stalus:Manlad,N_MM1ed,
College (1-1 or 5<) WIdowed,~(Spedl'yJ
marr1.ed
D _eo", D Olher. Sped~:
10. Ra:e: American lMian. Black, White. etc
(Specify)whi te
102
DId Oealdont
P a . Live In a He. 0 Yes. Decedent Uved in
17b.County Cumberland TOWlIlIhIp? 17d.D ~=ofUwd-
~'.~ 19. Mothefs Nane (Firsl, midcle. rnaIden sunane)
. Mabel Schaeffer
Twp.
8b Countyofllealf1
Cumberland
11. _lsUsua ndofworkdooedtBil _01 Hlo.DoI1lll__.
KindofW~ Kmdof_/lndllSlry
steel maKer Bethlehem Stee
City/Born
Pa. 17319
26. Was Case Referred to Medical Exaniner f Coroner for 8 Reason Other than Cremation or Donatbn?
D Ves No
17111
Coolplele!em ZlK anlywhen certifying
phystian isl1lll_alfimed_1D
cerfiIy""",ofdealh.
1lems24-2lII111Stbe~bypelSOll
who (ltlnounce8 deaItt.
Hom'e'; ,.Inc., 1334 N.
23b. lfcans<t Number
,.
(/) f }J I r ....,... ~.., J""' ev.,--.o - ^ "',
Due to (or as 8 conaequenat of)c )
-/""!. r~);--.,.'f-,L, I, V~~...." q J/
Due fD (or as 8 COI'lS8qlNnC&cl'): _. 4 1
" vr\../t r-tf,v-r-"
a1 ~ i r
II V(,..- ;'-'//)-") ;';'1"
\' ~l(')J
rV))
28. DId Tobaa:o Use Contribuie 10 Death?
Dv~~
D No D Unknown
29. WFemaIe:
DNolpl9gl1l1ll_pestyaar
D Plegnant at... of dea~
D Not pt8Ql1'"~ blrt pregneol wIl!lIn 42 days
of death
D Not pregneol blrt pregnant 43 dajs 10 1 year
of death
D Unknown W pregneot_n the past yea<
32c. Place of Injwy: Home, Farm, Street. Factory,
OffIce BWlding.el<:. (Specify)
Paill: Enterol1ersbnilicanttmdltion'I'I'Dllrb.Jti~ 10 death
blrtnolf8Sllitiligilll1eundsr1yingceusegiveninPII1I.
emlst~,rrillY.
lD cause rldedoo h a.
En\lIr UNDBlLYIIlGCAUSE
~~~u:.u.~:.'
....) -' ('''')"'
-!l ;...
)vr)
Due to (at as a OOftlIl!IqUl!nce cl'):
d.
Dyes ~
Dves D No
31. Mennerofllealf1 32a. Caleoflnj1A'y(Mon1l1,day,Y88Il
~ DHomicile
DAcddent DPoOOfnglnvestlg'lkln 32Il. TrneoflrjlJ<y
D SlJIdde D Could Nor be Celermlned
M.
321. WTrane~ hjwy (Specify)
D llriw< / 0peraIDr D Pessenget D-man
D Other. Spec:i'y:
33b. Signebn and T" of Criier
32g. lacationoflriuYlS1nlel,dly/_,_1
30a Was an AutDp&y
PerloImed1
lOb. Were AulDpsy Fmdings
A_ Prior ID CcxnpelIan
01 Cause ofllealh?
33a Certilier(cl1eckontyonel
Cettffyfng phJolclon (Physician cer1if!lng ""'" of deefl1 wtJen __ phyliden hIlS pronoonced death eod com~eled ltllm 23)
Taibi belt of my knowItdgt,dIIth occurreddu8laftlecallll{s) and mIIIlHlru.Iatt1f__ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___
Pn>1lOIIIICIng Illd cortIlyIng pbyllcfon (Physician boll1 polI>llJlldng _ and ceI1Ifyfng ID cause of death)
To1he beslalmylmowtedgo, death....- a11he_. _end pIoce, and d.... t!Io..lII8(.) ond IIlIll1nar".~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _..D
=' === and I or InvMflgatJon, In my opinion, dNth occurrecl at the tIm., dste, and place, Ind due to thl cause(s) Itld ITtInnet II statK. _ ..0
33d. Cale Signed (Marth, day, V-)
o ! 1\ fj"'I..v- !
Z ~.::. (,;,
/
(See instructions and examples on reverse)
34. Nsne n Address of Person Who Completed Cause of Death (1lBrn 27) Type f Prinl
~o':)"""f (""'. '---( ".,-) ,.......'?
,.; ,::) .(3" If' Co', (Jt- 'V_-A.. A .j
"". , ~ .....,.....,)
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LAST WILL AND TESTAMENT
\
( :
OF
HARRY R. ROLLINS, SR.
~~I
206-10-8373
I, HARRY R. ROLLINS, SR., of Camp Hill, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any will
previously made by me.
ITEM I.
I give all my automobiles, and all other articles
of personal and household use, together with all insurance relating
thereto, to my wife, VIRGINIA M. ROLLINS, if she survives me by
thirty days.
If she does not so survive me, I give all such
property and insurance to my children who so survive me, to be
divided among them as they may agree or, in the absence of
agreement or if any of them is a minor, as my executor may think
appropriate; provided that articles which my executor considers
unsuitable for any minor children may be sold and the proceeds
thereof added to my residuary estate.
My executor may, without
further responsibility, distribute property passing to a minor
under this article to the minor or to any person to hold for the
minor.
ITEM II.
I give all the residue of my estate, real and
1
#11/
personal, to my wife, VIRGINIA M. ROLLINS, provided that she
survives me by thirty (30) days; if she does not so survive me, I
give the residue of my estate, real and personal, in equal shares
to my children, HARRY R. ROLLINS, JR., JUDITH E. RIZIO, AND STEVEN
M. ROLLINS, provided that the share of any child who predeceases
me or dies on or before the thirtieth day following my death shall
be distributed to his or her issue per stirpes living on the
thirty-first day following my death and in default of any such
then-living issue such shares shall be added to the share or shares
for my other children.
ITEM III. No interest in income or principal shall be
assignable by, or available to anyone having a claim against, a
beneficiary before actual payment to the beneficiary.
ITEM IV. All federal, state, and other death taxes payable
on the property forming my gross estate for tax purposes, whether
or not it passes under this will, shall be paid out of the
principal of my residuary estate just as if they were my debts, and
none of those taxes shall be charged against any beneficiary.
ITEM V.
I authorize my executor:
A.
to retain and to invest in all forms of real and
2
-;t/f!I
personal property, regardless of (i) any limitations imposed by law
on investments by executors or trustees, (ii) any principle of law
concerning delegation of investment responsibility by executors or
trustees, or (iii) any principle of law concerning investment or
diversification;
B. to compromise claims and to abandon any property
which, in my executor's opinion, is of little or no value; to
borrow from, and to sell property to others, and to pledge property
as security for repayment of any funds borrowed;
c. to sell at public or private sale, to exchange or
to lease for any period of time any real or personal property, and
to give options for sales or leases;
D. to join in any merger, reorganization, voting-trust
plan or other concerted action of security holders, and to delegate
discretionary duties with respect thereto;
E. to use administrative or other expenses of my estate
as income tax or estate tax deductions and to value my estate for
tax purposes by any optional method permitted my the law in force
when I die, without requiring adjustments between income and
principal for any resulting effect on income or estate taxes; and
3
1/#
F. to distribute IN KIND and to allocate specific
assets among the beneficiaries in such proportions as my executor
may think best, so long as the total market value of any
beneficiary's share is not affected my such allocation.
These authorities shall extend to all real and personal
property at any time held by my executor and shall continue in full
force until the actual distribution of all such property.
All powers, authorities, and discretion granted by this
will shall be in addition to those granted by law and shall be
exercisable without leave or court.
ITEM VI. I appoint my wife, VIRGINIA M. ROLLINS, executor
under this will. Should my wife, VIRGINIA M. ROLLINS, fail to
qualify or cease to act as executor, I appoint my children, HARRY
R. ROLLINS, JR., JUDITH E. RIZIO, and STEVEN M. ROLLINS, as my
executors under this will. No personal representative appointed
hereunder shall be required to give bond or furnish sureties in any
jurisdiction.
ITEM VII. The term "executor" or any pronoun used to
indicate the executor, any other fiduciary or any beneficiary shall
be deemed to apply to one or more than one person or corporation
and to the masculine, feminine or neuter gender as the case may be.
4
~
IN WITNESS WHEREOF, I have hereunto set my hand and seal to
this, my last will, this .;,~ day of .f)~ , 1990.
vi
UL ~(SEAL)
. ROLLINS, SR.
SIGNED, SEALED, PUBLISHED, AND DECLARED by the above testator,
as and for his last will, in the presence of us, who thereupon at
his request, in his presence and in the presence of each other,
have hereunto subscribed our names as witnesses.
h4~<:f~~
~0~ //) /:,~I / ://
I / f/ LJ >>> /~,
/ _ L/v lA' / /(l?L/-t'Z. / ~
I ?-/
Hi
5
COUNTY OF CUMBERLAND
}
{
}
ss:
STATE OF PENNSYLVANIA
We, HARRY R. ROLLINS, SR., 4740;;7: <5" -4~.
andI12L/I/cc..j tI/-C/<\/f0tifhe testator an witnesses,
respectively, whose names are signed to the attached or
foregoing instrument, being first duly sworn do hereby
declare to the undersigned authority that the testator
signed and executed the instrument as his last will and
that he had signed willingly and that he executed it as
his free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the
presence and hearing of the testator, signed the will as
witness and that to the best of our knowledge, the
testator was at that time eighteen years of age or older,
of sound mind and under no constraint or undue influence.
~- "2 2 (if! ~
~ - '/Clt;i (; ( . J..-"/)!&Vvj, . ,
HARRY R. ROLLINS, SR.
/;;/.;J .' I /? ~
~.q;t7Ynf ~~ Pt/(;J/;1~
witness V /
~/~
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0~.?r Y ~'c-~~/;/~
~itness / //
SUBSCRIBED, sworn to or affirmed, and acknowledged
before me by the above-named testator and by the
n
wItnesses
~ JI/Lndu t.-
whose names
,j' /; , 1990.
appear above / on
/AL~i;~ I ?MV
Notary Public / .
NOTARlAlSl!Al.
MARILYN J. LANSER. Notary Ptmtic
Harrisburg, Dauphin County
My CoIr.,.:lisslon Expires Dec. 28. 1992
JfI
d. \ CJ"\ (j \ -;).3>
RENUNCIATION
C REGISTER OF WILLS
,)uYlbEtlllnd COUNTY, PENNSYLVANIA
,m'.J
~ 0... r r ~ 0 WI(l!> , Sr.
:~
Estate of
.___l'-)
- .I
.~ , 'i";
:-~::peceased
~_ ,.,I
I
c:;
I,.
:TlAd;+-h E. 5hLA-Ubf
ti (Print Name)
(lA,( 8h+-cr
administer the Estate of the Decedent and respectfully request that Letters be issued to
I,
, in my capaCity'/relalif,>nship as~
--
of the above Decedent, hereby r~unce ~ right to
cr"
-----811 rr-}~Ii(l"', Or.
~ / FJ/d 007
(Date) I
1urt ~o
j I i l' ! f\ " ~
\ LtR j t. / htLttu~)
(~ature) /
1~~5 YIA~oc.u:1
(Street Address) ,
Eit€(5) fA 1131 q
(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 remmciatic:9\ tor the
purpos~ed within on this ._.__.& fL-/"..- day
of r./ ZOo7 ,
AlSR OF flENNSYLVAi'>lli
Notarial Seal .
Shelly A. Gardner, Notary Pubhc
CkY of Harrisburg, Dauphin COunty
My Commiselon expires Apr. 19,2010
(Signature and Seal of Notary or other 0 . ylYanla Assocla1lon ,,~"
administer oaths. Show date of expiration ommission.)
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
d.- \ 0 't () \ d 3
RENUNCIATION
C REGISTER OF WILLS
,k,iYLbEllllnd COUNTY, PENNSYLVANIA
i
C:.J
Estate of
tJtl.u~LlZoWlnf>, Sr.
L)+~v€:n (Y\. (<oLUns
(Print Name)
.:.5 61\
cr,
, Deceased
I,
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
-----8 a. ........1---1L.JtJ I ill::; ,
d 1~/~o(j1
I I
9',
~
L-~~/ ,
(Signature)
(Date)
~) 6Lj brl ~htol'\ LAr1~
(Street Address)
~ no I c-l et) I '1 0;2.5
(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
purpo~~ted within on this ,_ (f ff'---day
of T-< /UQ,e;. -> '24)07
,1':;;': 'TE 'vF fE?{N,~) i i.;,-.";'{ci~~
Deputy for Register of Wills
Notarial Seal
Shelly R. Gardner, Notary Public
Citv of Hanisbu~. 9auphin COiJnty
My CommIesion ExpIreS Apr. 19,2010
(Signature and Sea) of Notary or other Association of I\Iot8ItI$
administer oaths. Show date of expiration 0 dtary s ommission,}
Form RW-06 rev, 10.13.06
d-' (:)-1 D)~~
RENUNCIATION
C REGISTER OF WILLS
lUi\.ber L llnd COUNTY, PENNSYLVANIA
(--.2
l~-) .' . i
"_".1
il
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Id~rr~olr,n~,
R6U.i(\S
Sr.
~Deceased
Estate of
I, Vi ( ~', n \ w (Y\.
o int Name)
.?;XP(\.1.<.trix- / lbif~
/
. 0"
, in my capacity/relatto'nship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
----1d 11, r nJ:_R~ I in"" 0 r.
:J-/ 57 J< Gu 1
(Date) ,
.102
(Street Address)
L~rY\O~tih PA 1'10'+3
(City, State, Zip) U '
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
~~:~',dni~"'!ii:.i.i.jb ''-'':....;;::t,:..:,.
Not5!i&1 ~.;". ,
Shelly R. Gafdne~, ':!ublic
Cilv of Harrisburg, Dau\.t(,c County
My tommlsslon Expires Apr. 19, 201
~~~~:it~:~ ~:~h~.eai~::~:~o~re~~~;:t~~~fN~~~iijK~16~:~ .'-1'F '.d"~;cj;. ";:~;""
Deputy for Register of Wills
Form RW.06 rev. 10.13.06