HomeMy WebLinkAbout05-14-07
~-
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
Estate of Donna J. Allender
also known as
CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 21- D1 - ()4.., L
, Deceased
Social Security Number
174-40-8879
Richard V. Allender
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~'or 'B' BELOW:)
I!J A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor
last Will of the Decedent, dated 0410311995 and codicil(s) dated
named in the
State relevent crcUmst8llC9S, 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:
o B. Grant of Letters of Administration
(It 8pp/lC8lJle. enter: C.t.B.; a.O.n.c.l.a.; peaente lite; aurante BDStmtl8; durante mlflOl1t8te)
Petitioner(s) after a proper search haslhave ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.b,n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Residence
: ...)
(COMPLETE IN ALL CASES.) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his I her last principal resld~nce at
44 Tory Circle, Enola, East Pennsboro, Cumberland, PA 17025
(List street address. town/city, township, county, state, zip code)
,::.:.;.:..::.
-..I
:~
-...
r-
r'- -\
:;:-:"'1;
C:l
C,)
-
Decedent, then 55 years of age, died on 08/0212005
Holy Spirit Hospital, Camp Hili, East Pennsboro Twp., Cumberland
at County, Pennsylvania
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
30,000.00
Wherefore, Petltloner( s) respectfully request( s) the probate of the last Will and Codlcll( s) presented with this Petillon and the grant of Letters in the appropriate form to
the undersigned:
Typed or printed name and residence
Richard V. Allender 44 Tory Circle
Enola, PA 17025
717-732-3252
Form
Rev. 10-13-2006
Copyright (c) 2006 form software only The Lackner Group. Inc.
Page 1 of 2
t
.....
Oath of Personal Representative
} SS
}
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
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. ~J. /71 II () ;J
Sworn to or affirmed and subscribed ~
Signature of Personal epresentatlve Richard V. Allender C)
'I r+\......
before me this ..,
day of
':0;:;0
.--~ 2-~
r ';.~~
c~~~,
1,,__~~J
-..J
~.....
(\'1Lu ~
,~I
OJA~.;;(: k C\. ^. I..
For thEf"Regist~r.~
Signature of Personal RepresentatIve
, ,
~,I.~- ~~
rT~
--
_.!:t.-
::::-:<
..............
Signature of Personal Representative
: I ) - ;',
C:)
C',
File Number:
21- Di- 0412-
Estate of Donna J. Allender
Social Security Number:
, Deceased
174-40-8879
Date of Death: 08/0212005
AND NOW, \'<\n 'lSn \ 4- . cOt(:) I . in consideration of the foregoing Petition. satisfactory proof
having been presented befor e,IT IS DECREED that Letters Testamentary
are hereby granted to Richard V. Allender
in the above estate
and that the instrument(s) dated 0410311995
described in the Petition be admitted to probate and filled of record as the last Will (and Codicil(s)) of Decedent.
w.\l
~~
~+IU'f'\
FEES
Letters............................................ $ <10 ,m
Short Certificate(s)........................ $ ~ .()O
Renunciation(s)............................. $
$
$
$
$
Attorney Signature:
< ~k ~~ ~~"..-% ~'J
~
raig A. Hatch Esq.
\6"".00
\0' ao
5-~o
Attorney Name:
Supreme Court I.D. No.: 76361
Gates, Halbruner & Hatch, P.C.
Address: 1013 Mumma Road, Suite 100
$
$
$
$
$
TOTAL.................................... $
Lemoyne, PA 17043
Telephone:
717-731-9600
C.Hatch@GatesLawFirm.com
E-Mail:
Form RW-D2 Rev. 10-13-2006
Copyright (c) 2006 fonn software only The Lackner Group, Inc.
Page2of2
H 105.805 REV 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.
Fee for this certificate, $6.00
E-ll735896
No.
~~~~~ >tr,f~"
( Local RegIStrar
AUG 0 5 2005
Date
;:")
~fiS
"{j: ;;~ -,
\- -~.
:':~,
.::;:)
:105.143 Rev. 2/87
(~)
1.
AGE (tell BlrthcIay)
NAME OF DECEDENT (FInl. Middle, t..t)
Donna Jean Allender
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
~T
SEX
~f.ema 1 e
T
STATE t:1LE HUMBER
SOClAt SECORITY NUMBER
3. 174 40 - 8879
. 5. 55 VB.
COUNTY OF DEATH
HOSPITAL:
....... I!I
RH_O :-~l 0
RACE. American IndIen, Black. Whlle,
(Spadfy)
White
I .
DECEDENT'S
ACTUAl
RESIDENCE
(see InIInldion1
on other lido)
17.. SI81e
PA
J,4ARITAt STATU!!. M...Ied,
Nev~5=.'
1... Marti ed
SURVlVIN~ SPOUSE
(" wfr.; gIW inalclM ....,.)
17b. County
Did
decedanl
Ive In .
Cumberland IQWnahlp? 17d.O ~:==of
MOTHER'S NAME (FlrIt_, Malden Surnama)
1.. Bett Dauberman
INFORMANT'S MA1LIN~ ADORESS (StreIt, CityIT..... Slel., ZIp Codel
~Ob. 44 Tor Circle Enol a PA 170~5
PLACE OF DISPOSITION. Nama 0/ Cemetery, eremotary tOCA TION . CllylTown, Stele, ZIp Cod.
or Other Place
170. IX] Ve,,_nlivedln East
twp.
cllylboro.
2005 ~10.
- L
IM_CIATE CAUSE (FInal
d1_ or condition
nIIulllng In de.thl_
23b, ~30.
WAS CASE REFERRED TO A MEDiCAl EXAMINER ICOROHER1
Ve. 0 No OJ
PART': Other Ilgnlllcant condition. conllil>utlng to deeth, but
notrelUlllngin the unde~ cause given In PART I.
..
Sequenlielly IiI1 condlIiono I b.
. .ny, Ieedlng to lmmadlale
cau... Enter UNDERLYING
CAUSE (Di..... or Injury c.
1heI1n_ avenle
nlluIIlng on death) LAST d.
WAS AN AUTOPSY WERE AUTOPSY FINDINGS
PERFORMED? AVAILABLE PRIOR TO
COMPlETION OF CAUSE
OF DEATH?
MANNER OF DEATH
VOl 0 Nol5!l
VOID
NoD
Naturel
Accident
SuicIde
ra
o
o
Homk:ide
Pending Invel1lg.tion
Coukt not be determined
DATE OF INJURV
(Monlh, D.)'. VHI')
o
o ~ONoO
O 30.. 3Ob. M. 30e.
PlACE OF INJURV . AI homo. "om, ,_,. fectoly, oIIIce
~,.Ic,(lipectfy)
300.
TIME OF INJURV
INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
21.. 21b.
CERTIFIER (Check only one)
l:~J'::~~el.'=.":.~g~..=:(:r=r~:'.':~c:l'~~~~.~~~~.~~.~~~~.~.~~~................. 0
21.
IJVIJI71~1
~ .
LAST WILL AND TESTAMENT
OF
DONNA J. ALLENDER
I, DONNA J. ALLENDER, a legal resident of Enola, County of Cumberland,
Commonwealth of Pennsylvania, being of legal age and of sound and disposing mind and
memory, and not acting under duress, menace, fraud or undue influence of any person
whomsoever, do hereby make, publish and declare this instrument to be my Last Will and
Testament, hereby expressly revoking any and all former Wills, Codicils and Writings by me
made, to wit:
FIRST: I order and direct that there shall be paid out of my estate, the expenses
of my last illness, if any, and the expenses of my funeral.
SECOND: I order and direct that there shall be paid out of my estate, all claims
properly allowed or properly presented, and expenses of my estate administration.
THIRD: I order and direct that there shall be paid out of my estate, all estate,
inheritance, succession and other similar taxes which may be assessed in consequence of my
dea tho
FOURTH: I give, bequeath and devise all the rest of my estate, whether real,
personal or mixed, of whatsoever kind and wheresoever situate, together with any existing
insurance thereto and thereon, to my husband, Richard V. Allender.
FIFTH: If my husband does not survive me, then I give, bequeath and devise my
diamond rings and oil painting (I Love You) to Wendy L. Derr. I give, bequeath and dev~~~ my
hand made cedar chest, curved glass photo of great grandfather, and ruby rmgjO -_.l
~ ~:,1
c
Sha wn C. Barto.
/....,
-~ -,
;~ :
C-:J
c.')
SIXTH: If my husband shall fail to survive me, then I give, bequeath and
devise the rest, residue and remainder of my estate, as aforesaid, to my children Wendy L. Derr,
Timothy R. Allender, Joy E. Allender, Isaac J. Allender, Shawn C. Barto, and Hope A. Allender,
in equal shares, or to their issue per stirpes.
SEVENTH: I hereby nominate and appoint my husband, Richard V. Allender,
as personal representative of this my Last Will and Testament. If my husband, Richard V.
Allender, shall be unable to serve for whatever reasons as personal representative, then I
nominate and appoint Wendy L. Derr, as alternate personal representative of this my Last Will
and Testament.
EIGHTH: I hereby order and direct that my said personal representative shall
have the powers conferred by law. I expressly give my said personal representative that fullest
power and authority in all matters and questions and to do all acts which might or could do if
living, including, but without limitations, complete power and authority to invest, without
restrictions to investments permitted by law, sell, at public or private sale, for cash or credit,
with or without security mortgage, lease and dispose of and distribute in kind, all real and
personal property at such times and upon such terms and conditions as he deems advisable and
to make any required division or distribution in cash or in both and at such values as he may
fix.
NINTH: I further order and direct that my said personal representative shall
not be required to give bond for the faithful performance of duties in any jurisdiction.
2
- .
d-
IN WITNESS WHEREOF I have hereunto set my hand and seal this.3 day
of April. 1995.
~) t' (J.1L~CJ.f.)
Donna . Allender
The preceding instrument. consisting of this and 2 other typewritten pages (3
total pages) was on the date thereof signed. published and declared by Donna J. Allender. the
testatrix therein named. as and for her Last Will and Testament. and in the presence of us. who,
at her request. in her presence. and in the presence of each other. have subscribed our names
as witnesses hereto.
~/"7tA-~ ,&. ~~~?7~<-
Wi tness
~lr. ;1.... ~,tl1lY\~OJIQ
WItness
3
'"
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF SNYDER
We, Donna J. Allender, Barbara B. Berkheimer, and Jennifer L. Shingara, the
testatrix and the witnesses whose names are signed to the attached or foregoing instrument,
being 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 and Testament; and that she signed willingly
and that she executed it as her free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the testatrix signed her Last Will and Testament as
witnesses; and that to the best of our knowledge the testatrix was at the time 18 or more years
of age, of sound mind and under no constraint or undue influence.
.LO.c7U)-Ut) ~. at~~~)
Donna J. Allender
~-L-I~210~L~/,,<-
Witness
,
Qemllli~~tn~s . S}um~~
Subscribed, sworn to and acknowledged before me by Donna J. Allender, the
testatrix, aJ}.d sworn before me by Barbara B. Berkheimer and Jennifer L. Shingara, witnesses,
this ~..v::( day of April, 1995.
C?J:/!::;;:;li:6 ~
NOTAI~'AI..l'}Mt .
JO ANNE BOWERSOX, NowyPy[i!t€
Middleburg, Snyd@f OtJ!Jnly
M Commis51onf..j\i*~.;ii!y,j!l I
4