HomeMy WebLinkAbout04-17-07
Estate of ~I..LI J
also known as (f
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~
&-uriJ
COUNTY, PENNSYLVANIA
FileNumber dl-Ol- 31/
. Deceased
Social Security Number .~I-- ~c07. 9.;l./)~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
.~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated 9 ,~tJ - /) (.I) and codicil(s) dated r~ ~
..~. rLi..u j"h ())d )
(J
named in the
(State relevant circumstances, e.g., renunciation, death of aecutor, 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:
o B. Grant of Letters of Administration
(If applicable. enter: c.t.a.; d.b.n.c.La.: pendente lite; durante absentia; durante minoritate) f"J
c::;)
Petit~o~er(s). after a proper search has / have ascertai.ne~ that r;>ecedent left no Will and ,,:as survi~ed by the following ~l!3 (if any) ~ heirs: (If.
AdmlfllStratlon, C.t.a. or d.b.n.c.t.a., enter date of Will In SectIon A above and complete lISt of heirs.)' '.... ::0 ,000
R~i~~~ ~
~. r' --
,iI..- _
=-:-=-t ./
Name
Relationship
L
(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in t.
o.
.::-
County, ~YIVania with his / her last principal residence at /.:;~
Decedent, then X"o
years of age, died on '/./-1-. tJ 7
at
II: ",,,0 fJl?)
Q A1.xL1 oU../LI1lJ )
.....
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) 'All personal property
(Ifrtot domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
$ ~,()OO. 00
$
$
$ Ql"'l~/MO.
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 fonn to
the undersigned:
m
rinted name and residence
Form RW-02 rev. /0.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affrrm(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and beliefofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
X \~0t~
Signatu e of Pusona(Jepresentative
;~-..)
Signature of Personal Representative
()
C::;o
<. ::0
, )....,...,
::t'o
. .!-....'
'/In
(~::~ ::.~.
{=.;:)
'."""'.
-...l
Sworn to or affirmed and subscribed
before me the J ~
~~
::::0
-l
-; :~ .~ ( ,)\
~
6
o
.::-
Signature of Personal Representative
j~
File Number: fll-{)7- ?/7/
Estateof f~ s. e ~
Social Security Number: 5 (Ql-t-3J..- 9 ~ Date of Death: ~-J4-0(
AND NOW, C!f1A~~ \ l .~CXn . in consideration of the foregoing Petition, satisfact~ry proof
having been presented before me, IT IS DECREED that Letters "l(~\'AME~'\Ar<-~
are hereby granted to r'p.r-ef'l .... J ~ (/"'-. .I
and that the instrument(s) dated q - Nn - ex 0
described in the Petition be admitted to probate and filed of record as the last Will (and Codici1(s)) of Decedent.
FEES ,1f~ar.~~t'P'~
Rister of Wills 7~ J;1;';
Letters ............... $310.00 'f'"""/7
Short Certificate(s) . . . . . . .. $ () 0 . LO Attorney Signature:
Renunciation(s) .......... $
\>0\ 1\ ... $\~ 05
,\(' P ... $ _l_
n.. 1 .Lt-ury-.p:t~ (Sn .. . $ ~,dO
... $
.. . $
... $
;.. $
... $
.. . $
TOTAL. . . . . . . . . . . . . . $ 3/nD . 00
. Deceased
in the above estate
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-02 rev, 10.13.06
Page 2 of2
:r--r1f)5.:-:1J5 R.:SV '/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.
No.
~/J;~
Local Registrar
Fee for this certificate, $6.00
p
13353328
r.-.J
AiR~ 6 2007~
'\~ -
--- , :;:0
-.j,> - -
.-;::"'71 II
2s'~
-J
r-'
.'- ./
Q
:D
--~
-0
~;>
?:?;
o
o
.r;.-
'REVl1l2OOl1
1 PRINT IN
MANEHT
ICKINK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions snd examp'" on rev_I
lb. Counly at 00IIII
Cumberland Pennsboro
11.-'UouII _at It.Donat_
KilcIatWlrk KilcIat_/1nclIIlry
Hom m ker m
Ill. -.r'MIInv_~clIy/_ _. zlpOodoI
1520 Seltzer Ct.
Mechanicsburg, Pa 17055
18. F-.Nnt 1FirII._. l1oi, oYIIx)
Id.FocIIIyNnt(1fnat_...._....1UlIbor)
STATE FILE NUMBER
80
- 9206
1. Nntat_(RIII._. l1oi._1
5. Ago (lIIIlMldoyl
7.
....-..
VII.
6/1/26
Brunswick, MD
12. _ 00c0dInt _ in lhe
U.S.__l
o VII Glf;o
-.r.
__ 17L SlIII
17b. County
'P~nn!O:ylv..ni..
Cumberland
17c.:IClYll,O,,_,Il.lvodin
17d.ONa._Llwld_
AcIuIl~at
F...!O:t P~nn!O:hn,.n
Top.
Levi R. Frock
19. Mclher'I-IF1IIl._,_"""'1
Elva G. Kidwell
211>. -. MIInv-(-'cly/_. _. zlpccdol
1520 Seltzer ct. Mech Pa 17055
21c.PIocoat~{Nntat...-y._cr__l 21d.~(QIy/_._.zlpccdol
Clly/llcro
200. 1_. NntlTypo/Prinl)
Indiantown Ga Nat'l
Funeral
Lebanon
21.._at~
:f] IlurtII 0 _"""'SIoII
o 0fIII. Spoc//y:
221. S9I*n at
. ,,v}"
~- rrit-CIItf!i'CI
~ilnat IIIl1m1at_1o
CIIIIy_at-.
_24-2I_IlI~bypIIICII
....~_.
23<:. 0lIl S9'IId (Month. dIy. YIIIl
25.0lIl_ Dud (IIcnIh. cloy, YIIIl
11 :55 ~. 4/14/07
CAUSE OF DEATH (11M 1__ eumpIOlo)
111m 27. PIlI I: er.....l:IIlIiUII..mDI-_. .........~-lIIIdIoOl:Ily_lhI_. DO NOT___"""..__.
.........,-..._-_lIIooinglhe-...LII1cnlyCIII_CII_InI.
24. TIme at 00IIII
26. - ea.._ to _ _, CcrcrIII' lot. RIIocn 0IIIl' IIIIn CIImotIon or Donollcnl
0... XJNo
-w-_
0nIet 10 DIIII
Part II: Eder ofIIf IinbnI ctIdIona ~ 10 dMIh
IUnat~inlhl~ClUllii-inPll1L
~1III-"1lIy,
to ~lIIIdon"L
ENol' __ CAUIl!
=-~':..,~
b.
ALJ~~~ ~e.~1f~
Duo 10 (""'_01):
),'fJp&, ,p"J/.I1
~
~</)
CV4
(" ..>!f)
2Il. DId _ UII CcntrbH to OIIlhl
o VII O~
DNa ~
29."-~
B'1iat __ PIlI YIII
o PlOIJIII1lllllmlat_
o NcI_bul__<2d1"
ol_
D NcI_t.IU_"dIyoID1_
__III
o U-'_-lhIPlllYIII.....
32c.. ::=:""~ _.Fawy.
='~=~ a.
Duoto(....._oI):
c.
Due to (or... CCIrtHqU8nCe 00:
d.
0'"
OV. DNa
31._atOllll
~O-
o - 0 PIIIdng IIWIIIIgIIIcn
o~ OecuidNclIll~
32d.llnIoIlrPY
32;. Looollcnat&pyI_.clIy/_.....1
3llL Woo III "'-
-
3llb._",-FlndOlgo
__Io~
at CallI at OIIlhl
321. HT_1rPY (SpdyJ
ODrOor/Cll>orolor 0"- 0-
0lhIr. ~
33I.CIlIIIr(_rritCIIII ~./l91III1n""'oIJr'" ~ -'
. ~=:~==:..~..."':..c~':~~_~_~~~~~_________________ 0 ~ .y~ ~J
. --. 1Ild-,tng,..,... (~bath pIOlIClOIICing -.... COl1IIying to CIUII at -I . UcIIlII_ 33d. DIll S9lId~. "111'1
T....IlIIIICIl""..-..-_....._......pIIeI,....clultolheClUll(.)...._..IIIIId.._________________ 1111)0]1. 7 7' 0....... ., //(, /"")
. =.::::= IIldI or -...,,10 "" opinion, _ __"lhe _, _,.... pilei, IIld ciullo lhe CIUII('I IIld _.. __ 0 ' C;
34._....~at,....WIIo~atOllllI!Jpm27). Tl'PO/P'"
f(..(~'-'" L ,v"'1/ -?1P ~
'11(7J V'../6, ~ ,Ft.(","4- (7.!:J2./"
M.
lllopcdIotI P.rmlI No.
, #
, ,
LAST WILL AND TEST AMENT OF ETHEL J. PETERSON
I, Ethel J. Peterson, of Cumberland County, Pennsylvania being of sound mind and
memory, do make, publish and declare this my Last Will and Testament, hereby revoking any and
all Wills by me heretofore made.
FIRST:
I direct that my funeral be conducted in a manner corresponding with my estate and
situation in life, and that all my just debts and funeral expenses be paid and satisfied
by my Executrix hereinafter named, as soon as conveniently may be after my
decease.
SECOND:
I give, devise and bequeath all of my estate, both real, personal and mixed, of
whatsoever kind and wheresoever situate, in equal shares to my two children, Karen
J. March and Linda L. Rehm and their issue per stirpes. I specifically exclude my
child, Raymond S. Peterson, as a beneficiary and devisee of this Last Will and
Testament.
THIRD:
Anything herein to the contrary notwithstanding, if any issue of mine has not at the
date of distribution of my estate, attained 18 years of age, I direct that the share( s)
allocable to such issue be paid in Trust upon the following terms and conditions and
for the following uses and purposes:
~-)
o 2;;
(..; 0 -.I
a) The Trustee shall invest and reinvest the Trust assets. 7- ~ 0 ~
_ .~~~;: F~~'~ ,
b) A separate Trust shall be maintained for each issue ofrillne:1vho~share
-~ ~~~3 ~~ ~
is paid to said Trustee.
~>J
::;::J-~
.j....-
o
Cl
~
~
Page 1 of 4
,c 9 .c:?
v
E.J.P.
FOURTH:
FIFTH:
SIXTH:
f ,
c) The Trustee may in its sole and uncontrolled discretion pay any amounts
of income and/or principal for the health, support, education, welfare
and maintenance of said Beneficiary(s).
d) All payments by the Trustee relating to a particular Beneficiary(s), or
expenses charged or paid allocable to a particular Trust, shall be paid
out of and from that Trust.
e) The Trusts shall be managed and the Trust funds invested in accordance
with the provisions of the Pennsylvania "Probate, Estates and
Fiduciaries Code", its supplements and amendments, except as
otherwise provided herein.
t) Upon a Trust Beneficiary attaining age 18, that Trust shall terminate and
the Trustee shall pay to such Beneficiary, free and clear of the Trust, all
remaining assets of that Trust.
I hereby nominate, constitute and appoint my daughter, Karen 1. March to be the
Executrix of this my Last Will and Testament.
I nominate, constitute and appoint Karen 1. March to be the Trustee of any Trust
established pursuant to this Last Will and Testament.
I direct that such Trustee may compensate herself out of any Trust over which she
is Trustee but that such compensation shall not exceed I % of the net asset value of
the Trust per year.
Page 2 of 4
~ q-. cY?
t7 E.J.P.
SEVENTH: I direct that any fiduciary of mine herein named, be permitted to serve without bond
in any jurisdiction where a bond would be required for the faithful performance of
his or her duties, in the absence of this provision.
I, Ethel 1. Peterson, the Testatrix whose name is signed to the foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed the
instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the
purposes therein expressed.
e~?f1 cP~
Ethel 1. terson
(Seal)
Sworn to or affirmed and acknowledged before me by Ethel 1.
Testatrix, thisZ-v ~ day of 5 &PhI/lI.brs/' , 2006.
COMMONWEALTH OF PENNSYLVANIA
flr11/fJ,J
t7N TA! YPUBLIC
Member. Pennsylvania Association of Notaries
Peterson, the
Notarial Seal
Jeffrey N. Yoffe. Notary Public
East Pennsboro Twp.. Cumberland County
My Commission Expires Oct. 23, 2008
My Commission Expires:
We, )Mn~y and ~N'~, the witnesses, whose
names are signed to the foregoing instrument, being duly qualified according to law, do depose and
say that we were present and saw the Testatrix sign and execute the instrument as her Last Will;
that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes
therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the
Page 3 of 4
~A(P
E.J.P.
I .
. .
will as a witness; and that to the best of our knowledge the Testatrix was at that time 18 or more
years of age, of sound mind and under no constraint or undue influence.
jti1~h
h/tJ,HIz
ltne
Sworn to or affirmed and subscribed to before me byl1tl/l~f'i ~e~J~r and
~, witnesses this 20fh day of {efw/Ilhrtr ,2006.
//01:.. >>t 't1~
NOTARY PUBLIC
My Commission Expires:
Page 4 of 4
~ /) ,A=!./
~Ip.