HomeMy WebLinkAbout05-11-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of
also known as
Ann L. Boust
N/A
File Number
cQ (/' <900, '
~7
, Deceased
Social Security Number
205-12-7997
':.:..;.
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
, '
c~-; 91
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-
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-
Q A, Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated June 27. 2000 andcodicil(s) dated N/A
Executor
- named in the
,- --j
,- "
"
-
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
c.,)
c.
Except as follows; Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrurnent(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: N / A
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 / have 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
(C.o?JPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in Cumber land County, Pennsylvania with his / her last principal residence at
210 Big Spring Road. Newville. West Pennsboro Township. Pennsylvania 17241
(List street address, town/city, township, county, state, zip cade)
Decedent, then 82
Pennsylvanla
years of age, died on May 2, 2007
at Green Ridge Village, Newville,
Dececlent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(Ifnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$ 20,000.00
$
$
$ None
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:
Charles M. Boust
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
CUMBERLAND
The Petitioner(s) above-named swear(s) or affirm(s) that the state~ents 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
administer the estate according to law.
Sworn to or affirmed and subscribed
~~~
before me the 11 th
day of
Signature of Personal Representative Charles M. Boust
~" ,2,,"
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....-"" F or the R .
Signature of Personal Representative
Signature of Personal Representative
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d\r 01r- qv~
File Number:
-'.j
-.-1
Estate of
Ann L. Boust
, Deceased
c '
Social Security Number:
205-12-7997
DmeofDemh: May 2, 2007
AND NOW, May 11 2007 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Charles M. Boust
in the above estate
and that the instrument(s) dated June 27 2000
described in the Petition be admitted to probate and filed of recor
Letters
$
&O,(D
(; (). CO
/.5 CL
/0, Co
. s- 0
i
FEES
Short Certificate(s) . . . . . . .. $
Renun ia i n(s) .......... $
.. . $
.. . $
... $
.. . $
...$
.. . $
.. . $
.. . $
.. . $
TOTAL .............. $
Attorney Signature:
-
Attorney Name:
Keith O. Brenneman
Supreme Court J.D. No.:
47077
Address:
Snelbaker & Brenneman, P.C.
44 W. Main Street
Mechanicsburg, PA 17055
Telephone:
(717) 697-8528
(50, ~
FormRW-02 rev. 10.13.06
Page 2 of2
H105.805 REV 1105
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
p
13354431
No.
\ 1TEM' :/CJ 4-
SHOULD READ AS FOLLOW~
c!.4a-~ I7J ~-'-' -C
;~fr;~g
thm-I'l ~-
Local Registrar
MAY 0 72007
8ate
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REV 1112006
1 PRINT IN
lAANEKT
ICK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
19. Molhet'. N"", IFiIsl. _. __I
Florence L. Folmer
2lIl._.M8I1ng_l_cily/_....te.ZIl_)
290 Center Road, Newville,
21~PlaceolDlspo8lllonINM1eol_.CIIlllIIIlI'for_pIacol
Evans Crematory
6. _ 01 Birlll {MonIh. day. year}
82
VIS.
May 18, 1924
Bb. COunty 01 Death
Cumberland West PennsboroTwp.
11. Oecedenrl UIu8I d WOfk done lTDt ol .... 00 nat IIItt
KnlolWor1< Knlol_,lnduslry
Re istered Nurse Healthcare
. 18.1lecedonf. M8I1ng_I_ clIy 1_. _. ZIl-)
290 Center Road
Newville, PA 17241
18.__._tRrsl._......IUIIx)
Donald Jose h Gensemer
2Oa.1nformanI'. Nome [Type 1 Print)
Chuck M. Boust
211. _01 DiIpoIlIion I IXlCntmalion ODonalion 21b. DalaolDlspo8lllon (Mordh. day. year)
. 0 Burial 0 _"""'Stale Waa~"__
o QlIIer.Sp<<:I/y: by__/CImw? OOVesONo
~ 221. of perIOO acting IUUeI'l) 22b. Uc8nIe Number
. ~ / FD 013 340 L
llec:edaot'.
AcIuaI_17a.S!ate
Pennsylvania
Cumberland
17b. Cou1ty
22<. Nlmt and __ 01 FadIIy
3. _ Sec:uriIy Number
205 - 12 - 7997
Sa. Place 01 Death (CI1eck one)
HoopItaJ: Olher/
o InpIIienI 0 ER 1 Oulpolienl 0 lJOA [B'Nurslng Helma 0 --.. OOlher. Specify:
9.WasOocodontolHilponlcOligin? 5ilNo OVes 10. Aoce:'_I-'.__.elc.
{" yes, specily Clml. (SpecH)j
MolCican.PUOltORk:8n.oIc.) white
14. ~~~s;,:; Married. 15. SulVMng Spouse (II wife. gNe m'- name)
Widowed
~~ Hc.K] Ves._Livedn Upper Frankford
Township? Hd. 0 No. _ Lived_
AcIuaIUmilsol
Twp.
CltyIBoro
PA 17241
21d.L.ocallon(Clty/_._.ZIl_)
Schaefferstown, PA 17088
FH & CS, Inc., P.O. Box 431, New
23b. UorInse _
RAf 1,/1,3 / D I-
iiams 2<1-26 .... be coorc>Ieted by person
. who pronoooces deaIh.
I AppoxinaIe inIeMI:
: Onset to Death
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Enter UIIIlERlYING CAUSI!
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Oueto (or II "_01):
3Oa. Waa '"' Ai*lFf
PIIformed?
OVes ~ No
d.
3Ob. _,,- findings
A_PrlortoCornplellon
01 Cause of Oeath?
31.....,..,oIDeslI1
B' NaItual 0 HomIcIde
0- 0 Pendnglnvestigalion
0- OCouldNolbelletenninod
M.
OVes ONo
32d. T"",oIkju<y
33a.CerlIfier(_rn,one)
. CortIfytng phyaIcIan l~ cortIIyiog cause 01 _ _ '"""'" physician has pIOI1OUIlCOd _ andcoorc>leted Item 23)
ToUlebeslolmy~. __duo to U. cauae(.)... _II __ _ n _ _ __ _ _ _ _n _ _ _ _ _ _ _ _ _ _ _ _ - - __ - n
. =:=,"'::'"''==::::~and~=:=~:manneres__n___n___m____ 0
. = =:-..= ..., or l...olgallon. In my opinion. _ _ at thol1me, dale, and pIKe, and duo to U. CIUII(.) and manner 11.__ 0
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Part II: Enter oIher !IitIrliI'dnt r.ondIitlrrA IXll'lII'tlUIin 10 dMIh 28. Old Tob8cco Use ContJI:Jute to Death?
Il\IlnolresullilgnlllaundellyilgcauesgiYennPartI. 0 Yes OProbebly
ijJ..H6 0 um.r-
29.K~:
~NotlJlOlllllnt_pas1year
o PlOgIIInIaltlmeoldaoll,
o Not Pf'Plll. but pregnant within '" days
oIdaalh
o Not prognanl. bu'lJIOIlIIInt 43 days 10 1 year
belen deslh
O~i_ntwlthnlhepas1year
32<. Place 01 kjuly: HamIl. Farm. _ "-Y.
omce Buiding. ole. (Spoc/fy)
LAW OFFICES
SNELBAKER.
BRENNEMAN
Be SPARE
LAST WILL AND TESTAMENT
.:::;
OF
ANNL. BOUST
I ANN L. BOUST. of Mechanics burg, Cumberland Countv. Pennsvlvania. heiml ofsnund
, . - ~~., '" -
and disposing mind, memory and understanding, do hereby make, publish and declare this as and
for my Last Will and Testament, hereby revoking and making void any and all wills by me at any
time heretofore made.
1. I direct that all my debts and funeral expenses be paid as soon as practical after my
death by my Executor hereinafter named.
I direct that all taxes that may be assessed as a consequence of my death shall be paid
from my residuary estate as part of the expenses of the administration of my estate.
2. All the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath as follows:
(A) One-Third (1/3) to my son, ROBERT A. BOUST, of Dublin, California;
(B) One-Third (1/3) to my son, CHARLES M. BOUST, of Newville,
Pennsylvania;
(C) One-Third (1/3) to my daughter-in-law, DIANE J. BOUST, of
Dillsburg, Pennsylvania.
3. In the event my son, ROBERT A. BOUST, shall predecease me, I give, devise and
bequeath the share my said son, ROBERT A. BOUST, would have received hereunder in equal
shares to his sons namely, ANDREW BOUST and BRYAN BOUST, now or formerly of Dublin,
California.
4. In the event my son, CHARLES M. BOUST, shall predecease me, I give, devise and
bequeath the share my said son, CHARLES M. BOUST, would have received hereunder to his
wife, LETHA BOUST, of Newville, Pennsylvania.
5. In the event my daughter-in-law, DIANE J. BOUST, shall predecease me, I give,
LAW OFFICES
SNELBAKER.
BRENNEMAN
& SPARE
devise and bequeath the share my said daughter-in-law, DIANE 1. BOUST, would have received
hereunder in equal shares to her children namely, JENNIFER KOlll.,ER, RYAN BOUST and
MICHAEL A. BOUST, of Dills burg, Pennsylvania.
6. In the event any beneficiary of my Estate has not attained the age of eighteen (18) at
the time of my death, I order and direct that the distributive portion of my Estate attributable to
said beneficiary shall be paid over and delivered unto my son, CHARLES M. BOUST, as my
testamentary Trustee, IN TRUST, NEVERTHELESS, to hold, manage, invest and reinvest for
the use and benefit of said beneficiary upon the following terms and conditions:
A. I authorize my said Trustee to pay so much of the income arising
thereon together with so much of the principal thereof as in the
opinion of said Trustee is necessary or desirable to be expended for the
support, maintenance, health and education of said beneficiary to the
proper payee, including any Guardian of said beneficiary, for such
purposes.
B. When said beneficiary attains the age of eighteen (18) years, I order and
direct that the Trust shall terminate and the then remaining net balance of
principal and accumulated income shall be distributed to said beneficiary,
absolutely.
C. During the existence of the said Trust, I order and direct that the
beneficiary thereof shall be prohibited from pledging or assigning any
assets in said Trust or from otherwise anticipating any distribution
hereunder and that no creditor of said beneficiary shall have the right
to levy upon, attach or otherwise obtain any assets in said Trust.
Should the principai of the Trust herein be or become too small in the Trustee's
discretion so as to make establishment or continuance of the Trust inadvisable, the Trustee may
make immediate distribution of the remaining net principal and accumulated income outright to
the beneficiary and if the beneficiary is a minor, distribution may be made to the appropriate
-2-
Guardian, at which time the Trust shall terminate.
I hereby nominate, constitute and appoint my son, ROBERT A. BOUST, as an
alternate Trustee hereunder in the event CHARLES M. BOUST shall predecease me or fail to
qualify or serve in such capacity.
7. I hereby nominate, constitute and appoint my son, CHARLES M. BOUST, as
Executor under this my Last Will and Testament. In the event he should predecease me or fail to
qualify, I nominate, constitute and appoint my son, ROBERT A. BOUST, as Executor under this
my Last Will and Testament. I further direct that no Executor or Trustee appointed hereunder
shall be required to post bond to secure the faithful performance of his duties in the
Commonwealth of Pennsylvania or in any other jurisdiction.
8. I am not unmindful of my son, TIMOTHY L. BOUST. It is my express intent that
TIMOTHY L. BOUST not share as a beneficiary in my estate. In the event any portion of my
property should pass by intestate succession, I expressly exclude TIMOTHY L. BOUST from a
share of such property.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and
Testament written on three (3) pages this 27th day of June, 2000.
tL -J'~~l-LIA;/-
Ann L. Boust .
(SEAL)
Signed, sealed, published and declared by ANN L. BOUST, the Testatrix above named, as
and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in
the presence of each other, have hereunto subscribed our names as attesting witnesses.
-J2i2i rfJJ-- e
(SEAL)
_2,J)c.~ ~. ~SEAL)
LAW OFFICES
SNELBAKER.
BRENNEMAN
Be SPARE
-3-
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY
OF CUMBERLAND
)
We, ANN L. BOUST, PHILIP H. SPARE, ESQUIRE and SUSAN L. ZYCH, the
Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
l'estatrix signed and executed the instrument as her Last Will and Testament 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 his or her knowledge the Testatrix was at that time eighteen
years of age or older, of sound mind and under no constraint or undue influence.
Uu--- 7 ~~
Testatrix
<iZ4~~
--ttM. ?f.1;r;iJ-
Witness
Subscribed, sworn to and acknowledged before me by ANN L. BOUST, Testatrix, and subscribed
and sworn to before me by PHILIP H. SPARE, ESQUIRE and ANN L. BOUST, witnesses, this
th
27 day of June, 2000.
~~~ 1:. pIA
Notary Pu c
LAW OFFICES
SNELBAKER.
BRENNEMAN
& SPARE
NotaItaI 8eeI
Susan L~. Notary Public
Mt1chan~ Boro. Cumberland County
My 0.. n ExpIres Nov. 24, 2003
Mambsr, ~nIa ASsocIaIIO!1of NotarieS