HomeMy WebLinkAbout03-23-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF (' u ~ f> eY1.. ~1fl1I.D
Estate of fA) / 'j II ',.q- m fI
also known as ..5 A-- n1 ~
~P#11V5 Je
/
COUNTY, PENNSYLVANIA
01 0 "d-li
0\\
File Number
. Deceased
Social Security Number ~ I i- 0 '1 1 () d 1
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
o A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated .)., ...1 n V I 2nD 3 and codicil(s) dated
c ()- ~X /:2' 11Th -a..s
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:
f--...1
(If applicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; dur~ e:joritate) ~
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following sIla~ ~y) ~ heirs:
Admi.u,,","m ," "d::'" 'N" "",<of Will m $,,"" A ,:::~;mpl""U"Jhev.) "'1~;
o B. Grant of Letters of Administration
(1f~ ~
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0")
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent, then q 0
nty, Pennsylvania with his / her last 'ncipal residence at .S- () (! tqtvtrl. Jl LIV
('j ~R. L/H\I '
C ~ ~ (Z I 0 ~ E" V, L L It" e-
" q "100"1 ~ 10 t31G::> <;.tJ'€'llld.p 1<..0
years of age, died on . ') - -1:1- (at ~/~ LV V I '-I I~ ) (.JA / 7:t u"
SWftlm
J./E.IJ L. il~ C!..F1JThfe--'
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
o
$
$
$
$
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:
Si nature
T ed or rinted name and residence
. t..e. ~ I'J;J..'.
F orlll R W.02 rev. /0./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
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.
~\cwr"-~
Sworn to or affirmed and subscribed
before me the d.3 day of
(~~~ ,~l
~
gnature of Personal Representative
~ ~A 'Ii, fi,lVl")
. ature of Personal Re6entative r
Signature of Personal Representative
,,\... 0\ Od-'~
lk\\\\\o.rA. it. tJr~~ns J~
Social Security Number: J)tf 6 Cf7 0;;) f Date of Death: ma,-cfl q doo7
AND NOW, (');U-cl\ n ,,;c:b-l , in consideration of the for~going Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ---r, . "\ .""\ru
are hereby granted to W \ \ \ \OJ"~ P\ \-\u ~V\ S O-..:i'\ d Do <D~ :- ~
--.J 0 Y\. e.. S
File Number:
Estate of
, Deceased
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of recor
NC5'IeNl~{""
in ~ above estate
N
c....J
oo--<!
FEES
;;:p . Of;:)
~cf.:J
Attorney Signature:
0\
Letters
$
Short Certificate(s) . . . . . . . . $
Renunciation(s) .......... $
L0\\ \ .. . $
...JC~ . .. $
~\-D .. . $
.. . $
.. . $
.. . $
.. . $
.. . $
.. . $
TOTAL .............. $
\S.f:iJ
to, ()\)
~.OD
Attomey Name:
Supreme Court I.D. No.:
Address:
Telephone:
5~oU
Form RW-02 rev. /0./3.06
Page 2 of2
H105.112 REV. 1/05
(FEE FOR THIS
CERTIFICATE.$6.00)
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. .J
DJ2,\':1"1l{~ lIi\.P.' n':'v't~:J~'tc':,~D. ,,\ 01 0 ~1"
1..0CALREGISTRAR'S CERTIFICATION OF DEATH
In~:~~~.~
GERT. NO. T 6120762
NameNDecede~ W~ ..~."Y~L9.
Sex ~. . SDcialSecuniyNo. Q).l.~ - Dr ~ . 't/O.4"7 Dale of Death Ih~,,, 'Y",/
Date of Birth ............~ "1>... (fJ/~ ...8.. irt...... hplace ")k.b... ..~... ". ~. '. ..... . .I......mP..
Piace Df Death?;l{~." ~ . ~f}I1nS~IVania
::::al Stalus ~tiO~:~~::~~drt1~;~r; 1;f17~.~~
Informant ~ ..... '.'FL:~.;al Director" . .stree'.... UlY:rT~ State
:~:~a~~~~~~1:/I. .~~ fJj)~'
Part I: Immediate Cause "
(a)~~~."~
(b)
(c)
(d)
Part II: Other Significar'ltConditions
I
,
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Q:
'-0'
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-~~~
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Interval Between
t:<') "
On~t and DE:}~th
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Manner of Death
Describe how injury occurred:
Homicide
o
o
o
~~) .~o-:
~1~ 1721/-1
- ,
Natural
Accident
~
o
o
Pending Investigation
Could not be..Determined
Name and Title of Certifier
(M.D., D.O., Coroner, M.E.)
Address
This is to certifythatthe information here given is correctly copied from.an originalcertiHcate
of death duly Hied with me as Local Registrar. The original certificate wilLbe forwarded to the
State Vital Records Office lor permanent filing.
fh,!!;.:!J_ :!:.b't
.fa6t Will and g e6t:anwd oj
William a~ 9fup~ ,:Pt~
I, WILLIAM A. HOPKINS, JR., of Upper Miffin Township, Cumberland County,
Pennsylvania, being of sound mind and memory declare this to be my Last Will and Testament
and revoke any will or codicil previously made by me.
(;-2 c:;
ITEM I: I direct that all my just debts and funeral expenses, inclti~g my ivem~ker
:;;;.) ~ ..
and all expenses of my last illness, shall be paid from my residuary estate>as's-oon Mpracticable
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after my decease as a part of the administration of my estate.
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ITEM II: I give, devise and bequeath all of my estate of every nature and<Wheresoever
situate to my wife, RUTH E. HOPKINS, provided she shall survive me by thirty (30) days.
ITEM III: Should my wife, RUTH E. HOPKINS, predecease me or die on or before the
thirtieth day following my death, then I give, devise, and bequeath all of my estate of every
nature and wheresoever situate to my issue per stirpes living on the thirty-first day following my
death in shares of equal value, share and share alike.
ITEM IV: I direct that all taxes that may be assessed in consequence of my death, of
whatever natme and by whatever jurisdiction imposed, shall be paid from my residuary estate as
part of the expenses of the administration of my estate.
ITEM V: I appoint WILLIAM A. HOPKINS, III and DOROTHY ANNE JONES,
Co-Executors of this, my Last Will and Testament.
ITEM VI: I direct that my Executors or their successor shall not be required to give
bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and
Testament, written on ;< sheets of paper, dated this ~{)..I4day of November, 2003.
~C~
WILLIAM A. H K S
(SEAL)
The preceding instrument, consisting of this and I other typewritten page(s), each
identified by the signature of the testator, WILLIAM A. HOPKINS, was on the day and date
thereofsigned, published and declared by WILLIAM A. HOPKINS, the testator herein named,
as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the
presence of each other, have subscn"bed our names as witnesses hereto.
residing at
~M (1g
~~ /:1
residing at
2
COMMONWEALTH OF PENNSYL VANIA
SS
COUNTY OF CUMBERLAND
We, WILLIAM A. HOPKINS, the testator in, and the undersigned witnesses to, the
~ the attached or foregoing instrument, who have signed the instrument, having been qualified
according to law do depose and say:
(a) that I, the testator, do hereby acknowledge that I signed the instrument as
my ~ that I signed it willingly and as my free and voluntary act for the purposes
therein expressed; and
(b) that we, the witnesses, were present and saw the testator sign and execute
the instrument as his ~ that he signed it willingly and executed it as his free and
voluntary act for the purposes therein expressed; that each of us in the hearing and
sight of the testator signed the will as a witness and that to the best of our
knowledge the testator was at that time 18 or more years of age, of sound mind
and under no constraint or undue influence.
~-
WILLIAM A. 0
~ ;UL-~
~). /:c#~
Witness
Subscribed to and subscnDed or
affirmed and acknowledged before me
by WiUiam A. Hopkins, the testator
and the witnesses whose names are signed above
this;> () day of November, 2003.
~J()j~
Notary blic
3
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~=TEiPiRES MAReK to 2001