HomeMy WebLinkAbout04-12-07
Estate of
also known as
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CU~ ~\~
~ \1yA",n A~~()\d
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COUNTY, PENNSYLVANIA
. Deceased
File Number dl-{)1-()~8
Social Security Number \ q '3 -- \f(, .... 4- s-q '3
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
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~ 5?!. A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated 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:
~
.. B. Grant of Letters of Administration a~ ~
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia: durante minoritate)
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following S~if any) ~eirs:
Administration. c.t.a. or d.b.n.c.t.a.. enter date 0/ Will in Section A above and complete list o/heirs.} . -" :::::7 :,"'"
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Name
Relationship
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. a .
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Decedent was domiciled at death in f. uY"t'\~y~ County, Pennsylvania with Rif7her last principal residence at
~<.o S~. ~G\.'C"~. C,",v.<<..1r- ~cqczl <r~r l~\\ ()~ ''''0(( (fthW\~rWAI.'T~~~\i'J
(List street address. towlllcity. townslzip. county, state, zip code)
Decedent, then 50 years of age, died on J 'k. \10, 'U1o 1at 20(, S+. J \)"'~\ > C' \t\JlrC...~ ~ I C~\hl" , 'fit, no"
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
$ .,..~, 000
$ -
$
$ ~<<
situated ~ follows:
Wherefore, Petitionerijrrespectfully 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:
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Form RW-02 rev. 10./3.06
Page 1 of2
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Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF _r Vtc\" \J..,Q"(~
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 ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
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Signature of Personal Representative ~2 ~::,:::
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day of
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administer the estate according to law.
Signature of Personal Representative
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Signature of Personal Representative
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File Number:
Estate of ~ ~ ~ '0 ~ '<I\Q d , Deceased
Social Security Number: \q 3.... ,-\-Co ...-y..~'3 Date of Death: J~\1"~ '<0,""1.00 '1
AND NOW, (l-r.ll'. J...., I c9-- . i100i , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to ~ ,~~..... ~J~~ p,~c\, ~
in the above estate
and that the instrument(s) dated (\J~v.e In-.. ~< 1..- . L. DCI
.
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Attorney Signature:
Letters ............... $ [pD . 00
Short Certificate(s) . . . . . . . . $ ~, ro
... .. .. ... $ 10 .00
... $ 15.00
... $ lD,DD
... $ 5.00
. .. $
... $
.. . $
.. . $
.. . $
... $
TOTAL .............. $1 O~ . DD
Attorney Name:
Renunciation( s)
(1)-, \ \
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Clvd-~l ~
Supreme Court I.D. No.:
G-a Th-w..<>,1 m \'\~ ...
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C ~~ ~\ \ Q\\ \ CO{ 0 \(
Address:
Telephone:
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Form RW-02 rev. 10.13.06
Page 2 of2
HJ05.~0~ ttEV 1/05
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 permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
L13105193
No.
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Fee for this certificate, $6.00
Local Registrar
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
Il'AINT
N
ANENT
:K 11M
NAME OF DECEDENT (fll'_. MIddII, L.,
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STAlE FlU NUWIIA
SOCIAl. seCURITY NUMBER
ORE OF OERH ,McnI'l. ~ ...,
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'Van. 16 2007
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"""'8 NAME ,....., Middle. LJII)
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N'ONWIT"s_rr_
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PiilntlvY'U"'lia =......
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Cumberland _1 ....0 :"'-=::::01
UOTHEA'S_tf"'- -. _s.._
,I. Violet Fernbau h
~SIoWlJNG~lSIr_OIy/'bon._.n>~
al06 St. John's Church Rd.,Cam Hill,PA17011
PlACE OIF 0I8P08ITI0ll. _ oIc.n-y. c:..m-y LOCRION. C....-, _. n>
..ou........ '
2!Olling Green Cem. ~mp Hill,PA 17011
~~~=~~CS,324 HummelPl~~91~emoyne
llCEJo!SE _A ORE SIClNED
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arried
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,e,whi te
SUAVMNG SPOUSE
III ..... OM ."..,.1\ImIt
Cumberland
DECEDENT'S USUAl. occ
(';~.:.1. ":\".::~:'r
E. Arn.old
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VlNCASE AEFEAAe01O:O e.-NEIlICOAONElI? ~
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I~ II: OIMr~condMonIcannuangtoclllllh.buI
i = -== ......-.ng in the WldlrlrlnlCIUM....... PMT I,
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DUE 1O(OA AS' CONSEQUENCE Of):
WERE AIJ1OP8YF_
~PAIOfI1O
ca.umoNOIFCAUSE
OF DEATH?
_AOIFOEAtH
TlIolE OIF INJURY
....UAY III WORk? DE_ HOWNJUAYOCCUAfIED.
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Could naI bIi dIIerrNned
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LAST WILL AND TESTAMENT
OF
Betty Ann Arnold
BE IT KNOWN that I, Betty Ann Arnold , a resident of
Camp Hill, PA , County of Cumberland , in the State of
Pennsyl vania , being of sound mind, do make and declare this to be my Last Will
and Testament expressly revoking all my prior Wills and Codicils at any time made.
I. PERSONAL REPRESENTATIVE:
I appoint Janet Louise Arnold of 128 Bosler Avenue Lemoyne ,PA
, as Personal Representative of this my Last Will and Testament and provide if
this Personal Representative is unable or unwilling to serve then I appoint
Kimberly Michelle Leonowitz of Drexel Hill, PA
as alternate Personal Representative. My Personal Representative shall be authorized to carry out all
provisions of this Will and pay my just debts, obligations and funeral expenses. I further provide my
Personal Representative shall not be required to post surety bond in this or any other jurisdiction, and
direct that no expert appraisal be made of my estate unless required by law.
II.
GUARDIAN:
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In the event I shall die as the sole parent of minor children, then I appoih~J CJ :52
as Guardian of said minor childre~~ iIf thi; named
Guardian is unable or unwilling to serve, then I appoint '-:::: f'J ' '. I
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as alternate Guardian. :;;?
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III.
BEQUESTS:
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I direct that after payment of all my just debts, my property be bequeathed in the manner
following:
I leave all of my property and possessions to my husband, Douglas
Edward Arnold.
If Douglas Edward Arnold should predecease me then I wish for all of
property and possessions to be divided equally to:
Kimberly Michelle Leonowitz Daughter
And
Tabatha Marie Mercer Step Daughter
And
Sharon Nicole Gelsinger Step Daughter
gd?L
Execute and attest before a notary.
Caution: Louisiana residents should consult an attorney before preparing a will.
Page +- of L.
Testator's Initials
This product does not constitutll the rendering of legal advice or ..!Vices. This product is intended fur informetional use only and is not a substitut8 fur
legal aclvice. State laws vary. so consult an atlDmey on all legal matters. This product __ not prepared by a person licensed to practice law in this state. K 1 07 -1 A
ABAZ
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day of
IV. WITNESSED:
The testator has signed this will at the end and on each other separate page, and has declared
or signified in our presence that it is hislher last will and testament, and in the .presence of the testa-
tor and each other we have hereunto subscribed our names this \ ~ day of N6ve'<Y'~ ,
~
' ~ ~ WtJlJU:.. R.b (!fir;tfJ till"'- fJfr { 10 I I
Wit ess Signature' Address
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Address
Witness Signa
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WI s SIgnature
85co17'.~le~) r~"'f ~l) P1+-/7b~
Address
ACKNOWLEDGMENT
State of~vm?f')liCin.~. I }
CO~l.-~vvJpe...rla~lJ{J _
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\ )r~y\;.{1jr L J<'bh)4'" . and ~ I a r'7 tnf k5L
the testator and the witnesses, respectively, whose names are signed to the attached and foregoing
instrument, were sworn and declared to the undersigned that the testator signed the instrument as
hislher Last Will and Testament and that each of the witnesses, in the presence of the testator and each
other, signed the will as witnesses.
Testator~ fln-t1 ~((\blc:L-
Witness: l"1ru.l, 1".l.e i -he II
WitnesS:4"':'i~ (i>~)~
WItness: ~L- _ )_~
on~ ),o~ Q)cof before me, 1P1-~ ;4)ei-t~ (Y,;JI ,
appeared ~ N\'I'n zt7rno/J) ~r'\4\ L.Lei-I-uJj J @Ytr) i ~ L J./bhhY: ~rt ;:-~~J1!!-tc.
personally known to me (or proved to me on the basis of satiaactory evidence) to be the persdn(s) whose n~e(J-
is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hislher/their
authorized capacity(ies), and that by his/her/their signature(s) on the instrument t e . upon
behalf of which the person(s) acted cuted the instrument. Notar1a1 Seal
WITNESS my hand and offic' seal. H~ ~~~~ ~ty
My COmmissIOn Expit'es Oct. 8, 2003
Member. Per\r18yMInIll~NotarI.-
Affiant _Known~Produced ID
Type ofID {Jfl..DL J 7 ~~~7L
Sig
Page 20f!1-.
ThIIi 1l"OCIlQ does not constituta the rendering oIleg11ll1dvice or services. This product is intended for informational use only and is not a substitute for
1egaI1Idvio<o. ~I...,. vary. SO consult an atlDmey on all legal mattllrs. Thia product was not prepared by a person licensed to practice law in this slate.
(Seal)
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RENUNCIATION
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REGISTER OF WILLS
_CUt't" ~I(\~ COUNTY,PENNSYLVANIA
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Estate of
--ge.'rt'1 ~'" ~ A-r'i' c.\\~
. Deceased
L ~,\ ~ ,;"LOO1
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I, \c,~~\h "'\'c.~H.e. \"E'.()t\O\u\'\")- .inmycapacity/relationshipas
(Print N-;t'e)
"'\~'I\In.<\-O{" 'C..'Jl: ~r\.J~ ~~\,J<y of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
'1:>04 ~ ~\ 6.~ \I..R'<tl Av "0\ l\ (c\<<<<Jl~ \ .~)
~~ mD'J1Jj;;t'~~
35 /(usf,'fer A v-e- -
(Street Address)
fhoeni~vi/~, fit (~1~O
(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 renunci~n for the
pun>Oses stated within on this ~ day
( ~.' .-'~"\. .
Notary Public COMMONWEALTH Of!' JII NSYLVAN!A
My Commission pires: NOTARIAL SiAL
MARY R. BIRD. NotaJy P.ubllc
(Signature and Seal ofN ~Coooty
administer oaths. Show cia 00; . . . . ~5
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
COMMONWEALTH OF PENNSYLVAKA
NOTARIAL SeAL
MARY R. BIRD. Notary Public
Schuylkill Twp,. Chester County
Commission E 'res June 25.2009
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RENUNCIATION
REGISTER OF WILLS
.c \J(Y\ ~ \~ ~ COUNTY, PENNSYLVANIA
Estate of
~MJ Ar\~f\y~~\c\
, Deceased
I, J ~~t\- L.. ou\'~ f\YY'a \cl
(Print Name)
E.)(.4('v 1V'\'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
\)C'\ll ~hs.5..v.J~~ ~'(n~\cl (d~(-t~vt\'~ ~~)
_A~\
(Date) ~
(p I "Leo '1
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\"t.. ~ '})Q5k-v ~\J-t'.
(Street Address)
L.e ~ 00--( n-e '< ~
(City, State,.Zip)
Deputy for Register of Wills
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that ~ she executed the renunci~o..gfor the
purposes stated within on this '. .,.-" day
O~"~'l.~_
Notary Public.
My Commission plres:NOfAAIALSEAL '",
(Signature and Seal of No l\oJtm ~cf~ Pu~ltc
administer oaths. Show da~i1~~
y commlUlon expires October 16, 2010
Executed in Register's Office
Sworn to or affirmed Jlpd subscribed
before m~ this C T") day
of A-tQl L , ~c.)I,\ ,
Form RW-06 rev. 10.13.06