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Home My WebLink About06-15-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C UfY\ her J t1 fld Dolor e~ ~. Fe Q. ~ r COUNTY, PENNSYLVANIA fv1;cheJle , Deceased File Number d /-01-G'5GJ 112-30-77& 7 Social Security Number Estate of also known as D q II (h eve r , Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~. Probate and Grant of Letters Testamentary and aver that Petitioner( s) is / are the E)C t c "" fr ;)( last Will of the Decedent dated Jltne :2' -z.Oo.~ andcodicil(s)dated~L." M. named in the (State relevant circumstances, 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: D B. Grant of Letters of Administration (if applicable, 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.-syouse (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.).~ ,.., _, '-'< c::..::: Name Relationship Residence, .. r ',-1 , I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in C IA/h b er J 'ill ~ L 'l I Lru .,. (List street address, town/city, township, county, state, zip code) , , ----\ ~ ~__l -r:"~ , --.... Decedent, then ~~ years of age, died on J \.A () e b 2..001 at 15 hrhtl\l1l L..tillI-! Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in PAl Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value of real estate in Pennsylvania $ $ $ $ nhd '0 ~O situated as follows: " 0 f?~ 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 lmdersigned: rinted name and residence En.lG... D(d l/Yl e. er l) r (Ie. S+- r7'1~ Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEAL TH OF PENNSYLVANIA SS COUNTY OF 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 administer the estate according to law. IS-"'-- ~il 1D IY\. Signature 0 ersonal Representative . ~ (^J.t/Vl~Q/\. l Sworn to or affirmed. and subscribed before me the day of Signature of Personal Representative Signature of Personal Representative File Number: C)/-()c- 5'8'3 Estate of fu\c>re~ b!:bel 1\ <--, , Dece~d ~'.. "l _, -'-.1 Social Security NumbedQ<9.- &'\- ilg-J Date ofDeath:V- fJ' Of -t- -...l AND NOW~ ~-e- \ ~ , (3c;C>( , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ are hereby granted to . I \ l in the above estate and that the instrument( s) dated lo I d ?l1.;lOO ~ described in the Petition be admitted to probate and filed ofrecord as the last Will (and Codicil(s)) of Decedent. FEES Letters ............... $ :JD . DC> Short Certificate(s) . . . . . . . . $ ld.- .CO Renunciation(s) .......... $ W'j II .. . $ J 5 . vO -J~P ... $ ID.dD ~ +~cch ItA.. '" $ S,Qt) .. . $ .. . $ .. . $ .. . $ .. . $ . .. $ TOTAL.............. $ ~.OO ~ Attorney Signature: Supreme Court I.D. No.: 8 t'IlJ' Q/YI'^ J. B l{t-/fr C)'lqc.J'i >00 N' jJ,.rq 5+ f<. -K Fl- Attorney Name: Address: Telephone: l-Iarr,'sbllf'O fA '7 I 7. 2? (; . J'II'S- I' /6/ Form RW-02 rev. 10.13.06 Page 2 of2 H1Il5.805 REV (01/07) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 Certification Number 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. P 13670411 ~ru.:'L't~~Cf f?' fo? Local Registrar Date Issued C"J -; C;S UJ .'} r,) Hl05-143 REV 1112006 TYPe I PAINT IN PE_T IllACl< INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and examples on reverse) --J 1 Name"_IFin;I._.IosI._1 Dolores E. Peair S.Afl8llaolBil1hday) 8 1939 irardville ad F-*y Homo II... _. jjvo _ ~....mo.) ...._Of STATE FIlE NUMBER 4._..00alII~",,_) JWle 6 2007 68 v,. 8Il CounIy "1leaIl '1. 0tcedInI'l UIuIl most of We. Donol stale 1Qnd..- 1Qnd..-.I......., ~. cL N:ili.c Wllfare 1'1\ state <bamat: . ,. -.-.g-I-.dly/-.-...,-I 15 Fortuna Lane Ei'X>la, PA 17025 1& F_..NameIF...._.IosI._1 John Kowalick 12. Was 0ecedenI: ever In'" U.S. Annod F.....? o Yes [!(No ~ AcNaI ReIid8nct 17a. saa&e 17b. CounIy 17e.1it Yes. _lMd in East Pennsboro 17d.O "'-""lMd_ kWLiniIs.. T.... COy/- ~ ~ 19._.NImolfbl._.__ Anna Sundae 2llhWonnanf.-.gAdlhuI-'dly/-'_...,_1 932 Hawthorne st. Ei'X>la PA PA '-24.26......._.._ . wtloplOf'lCU'lC8SdeaIl. 2S.1laIo P_llNdl_. cloy. year) 4:05PM. JWle 6, 2007 CAUSE OF DEATH Is.. _ ond..........l Item 27. Part I: EnIIf.. ~ -dileasea, quries, Of ~ -lIaldndy caused lie deaIh. 00 NOT ....1enni1al8Y8l'1ts such as caniac arresl. respifaklfy 1rr8II. (X venricu&ar rilriIaIion wiIlOti 5howIng Iht eIiaIogy. U&t only one cause on eadlline. 24.11moollleall .,.. ="~=I~ ~isI_"any. =-=-.J:d~" =-~n-:"'~u.. (V\d4.~-J....J.l( Due 10 (Ot as a consequence 01): Co 10" C Q v)(' t" r .v yJ 26. WosCaM_~e-nrIColonlr"'o_OlIII<_C4molionOf_l o V.. lBflO Part M: Entef <<*8' siDniDnl. cordIimI MnWKlIrlR to .... 28. DId T<lIlc:o UII Ccntue 10 Dellh1 ......lOIIllIinQin...UIldsItying......givoninPollI. 0 Yes O"""""r J:3NoO- 21. MF_: }g...--postyoor o "'-<Illlmo.._ 0..._....__....." ..- o ....._...._........,yoor -- o _M__"'postyoor 320:. ~........: Homo. FInn. -. F""'Y. 0IIc0~0lC.(~' W-inIoovol; Oosot .. 000Ih d ~ '+ b. Ouo.. {or os 0 """"","",01): c. Due to (or 1& a consequence 01): d. ! ~ l I~ I J Id... I I I~ I _P.....No Q/2367. 32d. Tmecl~ ~~""""1-0Iy1-'-1 300. Woo llI1~ Pe_ 3llb.__F_ AvailableP1iofkJCornp/e8on 01 Cause aI 0eaIl? U1 ~ "'- o o v.. IJt No OVos ONo 31. Manner oC 0eaIl 1&...... 0........ 0- Op-.gkwosligatioo o SUdde 0 Could ..... """"""'" M. 33&. CfNtifier (check any one) CotIilJlnIpIlpIcIon IPh'.....<>Wtiljing <auso..__IIlCllIle<,n'.........._doolh ond_llIm23j To ehebeltollRf 1IAoMIdgt..... occurrH ciullO "'ClUM(I) 1ACI1IIMIIIf................. _ _ _............ _.......................................... _.... ~: :::::::::-.l:"":::::: ~ "":.~ '::::Io"'::~= -os __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 :::' =-.= 1ftd/0l InvnUgltion, In My apUtfon, dNIh occ~ II UII UmI, ellie, II1d pIKti, Met.. to" ~a) lAd 1IWInII''' 11ItIcL 0 33<1. IlaIo S9IId 1_ cloy. ""') t.. - 7 - () 00 7 \"-~) 1fast Bill &tlb ffie/f1talnenf c. L. BE IT REMEMBERED THAT I, DOLORES E. PEAIR, of the County of Cumberland and Commonwealth of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking and making null and void any and all Wills and Codicils, or writings in the nature thereof, at any time heretofore made by me. 1. As my Personal Representative, I appoint my daughter, MICHELLE M. DALLMEYER, to be the Executrix of my LAST WILL. In the event MICHELLE M. DALLMEYER is unable to qualify or ceases to act for any reason as my Executrix, then I appoint my daughter SANDRA L. EVANS, to be Executrix of my LAST WILL. 2. I direct that my funeral expenses, burial expenses and my just debts be paid from my ESTATE as part of the administration of my ESTATE. 3. I direct that all taxes assessed and payable because of my death, be paid from my residuary ESTATE as part of the administration of my ESTATE. 4. For all purposes of this LAST WILL, my ESTATE shall mean and include all real and personal property of any kind and every nature whatsoever, wherever situate, in which I may have any interest at the time of my death, incruding any property over which I may have power of appointment. ~ ~ 5. I hereby give, devise and bequeath all of my ESTATE as follows: A. A one-third (1/3 ) share to my daughter, MICHELLE M. DALLMEYER, if she survives me, but if she fails to survive me, then her share, in equal shares, to her children who survive me. B. A one-third (1/3) share to my daughter, SANDRA L. EVANS, if she survives me, but if she fails to survive me, then her share, to MICHELLE M. DALLMEYER. c. A one-sixth (1/6) share to my son MAX JUNIOR PEAIR, if he survives me, but if he fails to survive me, then his share to his son, CHRISTOPHER D. PEAIR. D. A one sixth (1/6) share to my grandson, CHRISTOPHER D. PEAIR, if he survives me, but if he fails to survive me, then his share to my son, MAX JUNIOR PEAIR. 6. If any legatee, beneficiary or devisee, shall fail to survive me by thirty (30) days, I direct that I shall be deemed to have survived such legatee, beneficiary or devisee and that this Last Will and all its provisions, except where specifically stated otherwise, shall be construed on this assumption notwithstanding the provisions of any law establishing a contrary presumption. 7. I direct that no Executrix appointed by this LAST WILL shall be required to give any bond, notwithstanding any provision of law to the contrary; but if any bond shall be necessary no sureties shall be required. IN WITNESS WHEREOF, I have subscribed my name and affixed my seal this ~ day Of~~M( I ~oo3 I~;A E f?~ DOLORES E. PEAIR ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: I, DOLORES E. PEAIR, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL, that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. ~~, C,' &1:0 DOLORES . PEAIR Sworn or affirmed to and acknowledged E. PEAIR, Testatrix, thi s :<f2i1 day of NOTARIAL SEAL Charles E. Shields. 111. Notary Public Monroe 'IWp. CumbeItand County My Commission Expires June 20. 2004 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Sworn of We, Albert Z. Bogert, Esq. and ~~~~~ ,t. ~vAA/~ the witnesses whose names are signed to the attached or 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 DOLORES E. PEAIR 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 as witnesses and that to the best of our knowledge, the Testatrix was at the time eighteen (I8) years or more of age, of sound mind and under no constraint or undue influence. ~~ ~6~ / ~ ~. tuJlOM to a nd a cknowl edged before me t h 1 s ;(6/1 day , 2003 ~~~4~ Notary Public ~lrrned NOTARIAL SEAL Charles E. Shields, III, Notary Public Monroe Twp. Cumberland County My Commission Expires June 20. 2004 _...._...____~....,.., .-'H ,