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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 ~J -0'7- O'-//~ , Deceased Social Security Number / YA -IP/ - ~,?/ ..:? . C) c::-y G:::> ... ~.. 1,__.) . :[.] , l; T' ..,:~ 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 --.0 7"; - -..../ .' J :: (.) IDifned in the . :) ~ .:U ....0 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.) ..N=_ ----f; .1f4~ ~ ~"''''''';'' ,-- - ~~ ~i_. ~ftI I.~~~~~.~ . (COMPLETE IN ALL CASES:) Attach additiollal sheets ifllecessary. at tJ2fJ~1 0l~r . . ,~~: , $ $ $ -%~ -~ 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 SS administer the estate according to law. Sworn to or affirmed and subscribed eme~e~daYOf ry Signature of Personal Representative C") ~,~~ -f'~~ ::::_"3 L~ :::'0 , , '-.,~---' C) '"'t:"Dl :2/- 07- Ol./IL/ E,tatoof /tJ~ 4~'!'l/P.c 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: -~,-- , _\.) -.-, '-0 . Deceased G. Sh011 Certificate(s) . . . . . . . .$ Renunciation(s) .......... $ -W,\\ .., $ ~ ...$ . y1i\T\ Dn .. . $ ." $ .. . $ .. . $ .. . $ .. . $ ...$ CJD TOTAL.. .. . . .. . .. ." $~d. l5.Q() jO,D/) ,~.CXJ 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. tkn- /J;~ Fee for this certificate, $6.00 Local Registrar p 13353015 ~1PR n 9 2~ w'''-:; u_ ot)are :-.::.'~ o , , '..-^-..' J:,-:::" '..0 -I lEV 1112006 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) 00lher. Specily: 10. Race: __.IIlack. While..... (SpocII)1 llb. County 01 Ooalh o CUllberland _01 ".00001_ 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+) 2 Widowed --... AduII_ 17Llj'lIle 17b.Colrlly Pennsylvania ew...'h,.,-rl Sind Old_ LhIoIn. Townohip? 17c.0 Yeo._lJ'IOdln 17d.ONo._lJ'IOd_ M h i h 'X AclualLimlllof ~~ ::In t-A uTg Top. 16.F......Homo(Rrsl._.1osl. CIy/1Ioro 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 (Month. dsy. yoa~ s. .:J:fl/LVt i ""0,.,] Due 10 (or U I coneequence of): L>u~ &vra.t OI.eIo{or"S_oI): 26. Wu Cue Refend to MedIcal ExamIner I Coroner for a Rea80n Other lhan CreI'l1ltim or Donation? OVes ONo ~i_: P.rtll: EllIor__"'-'_kl...... 2! DidTabocco LIes Conttb.leklDoslh? 0n00I1o Oastl but 001 --.g In lha <<IdorlyIng causa gIvon In P.rt I. 0 Yes 0 Probollly l::i}1lO 0 Unknown ~~=~ OMo ~lstcondllons.Wony. to ClUllIIIId on In8 a. EnIor UIlDEIILYIlG CAUSE =-..:n:n~~ b. <?4..tA.(~ ~ 29.II~: [d1id _ wllNI] pastyoar o Prognontalllmool_ o Nell PfOPIlI. but_ wiIin '2 dsys ol_ D Nell _ but PfOPIlI <3 dsys kl 1 yoor -. deslh o UnknownIl_wilNnlhapastyosr 320. PIo<:eol "*"r _. Film. SIr8eI, Foctory. ~ BuIdng. ole. (Spedty) c. Due to (or as. consequence 01): d. OVes ~ 301>. Woro Aulopsy RncIngI - - kl CompIoIlon 01 Couoe 01 Doafl? o Yes [;IfIo 31.Momorolllooll ~ D- O -. 0 Pendng "-lga1lon O~ OCou~Nellbtllolom1lnod 32d.l'moollljury 30L Woo .. Aulopsy -- "- Penn" No. 32f.WT--.Iljury(Specl/)1 ODriYer/Oponlor Dp_ 0- Olhar . Spoa1y: 3:11. /lIgnaluresnd11llo0lCorllllor 32g. LocoIlon 0I1..;.y (SIr8eI, clly ,-. 8ll1a) M. 33LCorlIflar("*'<orIyonel . Cortllytng~(~CIllllyIngcausaol__onoI1orphyslcionhaollf1ll1OU1Cld_ondCClll.,talodll8m23) Tothoboa1olmy.,.-..., -......... ......thoClllOO{.lond _.. ___ _ __ __ n _ _n_ _n _ __ _ _ _ _ _ _ _ _ _ __ _ _ D ...............ond ~ p/IploIon (~boIh pIllllllOOCing _ ond COl1ifylng to couse 01_1 To tho bootolmy.,.-..., __.....altho -.-. ond ~ and ....tothoClllOO{.)ond _.. a1olocL_ _ _ _ _ ___ ___ _ _ ____ . __/ConIow On tho - 01_ ond lor '"'-' In my _. _ _" tho -. -. ond ~ ond duo to tho CIllOO{o) ond _ II a1olocL 0 35. Roglslrar's ~ ,;f II ~ /1 /j . ! '.;..,~;_:) '''_c: LAST WILL AND TESTAMENT of Wyanema E. Wampler .., ~:',_J ~ _,-~.1 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-( [f:\v,.r\dgj\doclwiil3... ] -6-