HomeMy WebLinkAbout04-30-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~ COUNTY, PENNSYLVANIA
E,"~of ~~~~E #o/~
also known as .
File Number
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, Deceased
Social Security Number / YA -IP/ - ~,?/ ..:?
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Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
k{ A. P"b.re 00' G".. of "'T )~m'.~ "'" >vu ""', P,tiOo.O<(,) "' = tho
Ila~ill of the Decedent dated - ~4; and codicil(s) dated
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(.)
IDifned in the .
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II
(State relevant circumstances. e.g., renunciation. death of executor, etc.)
01
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
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante' absentia; durante minoritate)
Petitioner(s} after a proper search has I have ascertained that Decedent left no Will and was sUrvived by the foIlowing spouse (if any) and heirs: (If
Administration, c.t.a. or d.h.n.c.t.a.. enter date of Will in Section A above and complete list of heirs.)
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(COMPLETE IN ALL CASES:) Attach additiollal sheets ifllecessary.
at
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$
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Decedent at death owned property with estimated values as foIlows:
(If domiciled in P A) AIl 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
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:
Form RW-02 rev. /0./3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTYOF qn;I!tJlul.
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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administer the estate according to law.
Sworn to or affirmed and subscribed
eme~e~daYOf
ry
Signature of Personal Representative
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Social Security Number: /;74 --tJ ( - ~ ~ 3 Date of Death:
AND NOW, . SO 7 . in consideration of the foregoing Petition, satisfactory proof
having been presented b~fore me, IT I DEG.~t Letters ~1lryI ~fam
areherebygrantedto~\e W. fb.U..oCk ~Cln1p\~Y-
in the above estate
and that the instrument(s) dated n ()y~ 1 I <Z ;;{X)3
~1
described in the Petition be admitted to probate and filed of record as the last Will (and Codici1(s)) of Decedent. .
L'"'~qqFE~ $ .9JdJ,OD iiLwda ('}fV1!}.~~M)~
S? .DD Attorney Signature:
File Number:
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. Deceased
G.
Sh011 Certificate(s) . . . . . . . .$
Renunciation(s) .......... $
-W,\\ .., $
~ ...$
. y1i\T\ Dn .. . $
." $
.. . $
.. . $
.. . $
.. . $
...$ CJD
TOTAL.. .. . . .. . .. ." $~d.
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Attomey Name:
Supreme Court LD. No.:
Address:
Telephone:
Form RW.02 rev. 10.13.06
Page 20f2
ro 1(','-' 1';(1"/
"'00..'00 'Z'OV '100 ..,1-/ .. ~I I - '-, . 1'1
This is to certify that the information here given is correctly copied from an original certificate of death duly m~d 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.
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Fee for this certificate, $6.00
Local Registrar
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PRINT IN
!ANENT
)KINK
COMMONWEALTH OF PENNSYLVANIA 0 DEPARTMENT OF HEALTH 0 VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions Rnd Rumples on reverse)
VII.
7.
lIld_or
STATE FILE NUMBER
I. Nomeol_(firII._.losl.auIIbc)
5. Ago (WI ~I
91
!It. Bolly Springs,P
8d. "-y Nome (If 001_. gIvo _ and runbor)
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10. Race: __.IIlack. While.....
(SpocII)1
llb. County 01 Ooalh
o CUllberland
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Kindollluslnoullnduslry
Banking
o 16.-.rtMllllng_(Slnel, cllyl_._. 2\>-1
100 Mount Allen Road
1'.-.r.UIuaI
KindolWOlk
Bank Teller
White
13. -.r (Specily ""~ h/Plt gnlde llClqlIoled)
Elem<<Mry / Socondary (0-12) CoIlogo (1-4 or 5+)
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AduII_ 17Llj'lIle
17b.Colrlly
Pennsylvania
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Charles Peter Eater
19. Molher'.Homo(FlrIl.__........)
21 b. Dolo 01 0Isp0siti0n (Mo1lh. dsy. yoor)
21~ LocalIon (CIly/kMn. _. 2\>-1
201. ,_. Homo (Typo I_I
Cremation Society of PA rrisburg, PA 17109
22c.Namoand_oIFodIty Aller Heaorial B<DIe & Cremation Services, Inc.
231>. Lk:8nIe
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Due 10 (or U I coneequence of):
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26. Wu Cue Refend to MedIcal ExamIner I Coroner for a Rea80n Other lhan CreI'l1ltim or Donation?
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l::i}1lO 0 Unknown
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to ClUllIIIId on In8 a.
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On tho - 01_ ond lor '"'-' In my _. _ _" tho -. -. ond ~ ond duo to tho CIllOO{o) ond _ II a1olocL 0
35. Roglslrar's
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'''_c:
LAST WILL AND TESTAMENT
of
Wyanema E. Wampler
..,
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I, Wyanema E. Wampler, of Apartment 732, Messiah Village, Mechanic3S'burg,
Cumberland County, Pennsylvania, 17055, declare this to be my Last Will and
Testament and do hereby revoke all wills and codicils previously made by me.
ITEM 1.
Cremation. I direct my hereinafter named Executors, or the survivor
thereof, to pay all my just debts and memorial service expenses. I direct that as soon
as practicable after my death, my body be cremated and my ashes interred at the Rolling
Green Cemetery, located at 1811 Carlisle Road, Camp Hill, Pennsylvania, 17011. I
would like my son, Robert K. Wampler, and my daughter, Gayle W. Pollock, to be
present at my interment.
ITEM 2.
Identity of Beneficiaries. I am a widow. I have two (2) children _
a daughter, Gayle W. Pollock (008: 06/26/1946); and a son, Robert K. Wampler
(008: 10/22/1953). I have no deceased children. All references in this Will to my
children include the above referenced children.
ITEM 3.
Property Being Disposed. It is my intention to dispose of all my
property. However, I do not intend to exercise any power of appointment which I now
possess or which may hereafter be conferred on me, unless such power is specifically
referred to herein or in any Codicil hereto.
ITEM 4.
4.1
Specific Bequest.
I give and bequeath the sum of Five Thousand Dollars ($5,000.00)
to Messiah Village, of 100 Mt. Allen Drive, PO Box 2015,
Mechanicsburg, Pennsylvania, 17055, to be used by the trustees at
their generous discretion.
ITEM 5. Gifts of Residue. I give, devise and bequeath all of the rest,
residue and remainder of my estate, both real, personal and mixed, of whatsoever kind
and wheresoever situate as follows:
5.1 One-half (1/2) thereof unto my daughter, Gayle W. Pollock, of 179
Spring house Drive, Lewisburg, Pennsylvania, 17837. Should my
daughter, Gayle W. Pollock, predecease me, then I direct that her
share shall pass to my son, Robert K. Wampler, of 1071 Country
Hills Drive, Harrisburg, Pennsylvania, 17111. Should both my
daughter, Gayle W. Pollock, and my son, Robert K. Wampler,
predecease me, then I direct that this share of my estate shall pass
to Messiah Village, of 100 Mt. Allen Drive, PO Box 2015,
-2-
Mechanicsburg, Pennsylvania, 17055, to be used by the trustees at
their generous discretion.
5.2 One-half (1/2) thereof unto my son, Robert K. Wampler, of 1071
Country Hills Drive, Harrisburg, Pennsylvania, 17111. Should my
son, Robert K. Wampler, predecease me, then I direct that his
share shall pass to my daughter, Gayle W. Pollock, of 179
Spring house Drive, Lewisburg, Pennsylvania, 17837. Should both
my son, Robert K. Wampler, and my daughter, Gayle W. Pollock,
predecease me, then I direct that this share of my estate shall pass
to Messiah Village, of 100 Mt. Allen Drive, PO Box 2015,
Mechanicsburg, Pennsylvania, 17055, to be used by the trustees at
their generous discretion.
ITEM 6. Executors Right to Dispose of Real Estate. I hereby authorize
and direct my Executrices, or the survivor thereof, without being required to furnish bond,
to sell and dispose of all or any part of my real estate, in whatsoever state situate, at
private sale or sales, for such prices or considerations and upon such terms and
conditions as my said Executrices, or the survivor thereof, may deem best, and by
proper deed or deeds, conveyances in law, to be duly executed, acknowledged and
-3-
perfected, to grant and convey the same to the purchaser or purchasers thereof, her, his
or their heirs and assigns, free from all liability for or on account of the application of the
purchase money.
ITEM 7. Survivorship Clause. No person named as a beneficiary in this my
Will shall be regarded as "surviving" me if such beneficiary dies within thirty (30) days
of the date of my death.
ITEM 8.
Executors.
8.1 Appointment. I appoint my daughter, Gayle W. Pollock, of
179 Springhouse Drive, Lewisburg, Pennsylvania, 17837, and my son, Robert K.
Wampler, of 1071 Country Hills Drive, Harrisburg, Pennsylvania, 17111, or the survivor
thereof, as Executors this my Will.
ITEM 9. No Bond Required. No bond or other security shall be required of
any Executor appointed in this Will.
ITEM 10. Headings. The headings above the various provisions of this Will
have been included only to make it easier to locate the subject covered by each
provision and are not to be used in construing this Will or in ascertaining my intentions.
-4-
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my last
will and testament typewritten on 01'{ ( ~) sheets of paper this 18{h day of
,2003.
WITNESS:
v1.lJ7.-.J VJ!~~,,)
~ J4I. j) M/k ~
1/ ~d C ?d.7~. (SEAL)
W6{nema E. Wampler I
SIGNED, SEALED, PUBLISHED and DECLARED by the above named
Testatrix, Wyanema E. Wampler, as and for her last will and testament, in our presence,
who, at her request, in her presence, and in the presence of each other, have hereunto
subscribed our names as witnesses in attestation thereof.
~Lo. ) \IJL ~'" /
residing at ~.h (J~
ilM 1;/$. ~
j{\prlr-of\i(sbJ(9,. PA IlOSS
residing at 11~# Vr/
N1tc'~\(~bl(~, p A /7055
-5-
ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENN5YL VANIA
)
( 55:
)
COUNTY OF CUMBERLAND
We, Wyanema E. Wampler, ,..k.JQ..f\ Ki ~ (tr , and
Lot'S k.). D. l)cd lac€- , Testatrix and the witnesses, respectively, whose names
are signed to the foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testatrix signed and executed the instrument as her Last
Will and that she had signed willingly, and that she executed it as her free and voluntary
act for the purposes therein expressed, and that each of the witnesses, in the presence
and hearing of the Testatrix, signed the Will as witness and that to the best of their
knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound
mind and under no constraint or undue influence.
1J1I~ t~
Wpnema E. Wampler
~LJ~
Witness
~Y/J: ~J'_
Witness .
(SEAL)
(SEAL)
(SEAL)
Subscribed, sworn to and acknowledged before me by Wyanema E. Wampler, the
Testatrix, and subscribed and sworn to before me by -ili
and . ~ ' witnesses, this 19 day of
~ 1. , 2003.
Notarial Seal
Jennifer A. Freeland. Notary Public
Upper Allen Twp., Cumberland County
My Commission Expires Dec. 13, 2004
Member, Pennsylvania Association at Notaries
My Commission Expires:
tlc. 13, aOO-(
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