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HomeMy WebLinkAbout07-02-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of WILLIAM E. BENDER, SR. also known as File Number ;4/- 07- ()u;\ t/ . Deceased Social Security Number 161-3~~ ,,-j:D -'I~~J C:::"2 )> ~ "":> '2; ::0 - en 7'. 00 ,")011 ," -,C ,- ::0 ""U'-1 ..,. .....:> c:;) c:;) --' t- c: I Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE ~' or 'B' BELOW:) I N -0 i"n ~C) (7)0 -- :7J ~:'1 CJ en fTl :nQ (""")0 :;E:IIa -",", '-n :limed iJ1~~ 25 ;.:= en ..... [] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the last Will of the Decedent dated and codicil(s) dated w (J'\ , /j (:-;?< (State relevant circumstances, e.g., renunciation, death of executo;, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instnunent(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: IZI B. Grant of Letters of Administration RENUNCIATIONS FOR KATHY A. SMITH AND DELLA M. BENDER ARE AITACHED (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 spouse (if any) and heirs: (If Administration, c.t.a. or db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) I Name Relationshin Residence I WILLIAM E. BENDER SON 1590 LONGS GAP ROAD, CARLISLE, PA 17013 DELLA M. BENDER DAUGHTER 42 N. EAST STREET, CARLISLE, PA 17013 KATHY A. SMITH DAUGHTER 28 EAST MAIN STREET, NEWVILLE, PA 17241 (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal residence at 1590 LONGS GAP ROAD. CARLISLE. NORTH MIDDLETON TOWNSHIP. CUMBERLAND COUNTY. PENNSYLVANIA (List street address, town/city, township, county, state, zip code) Decedent, then 68 years of age, died on MA Y 27, 2007 COUNTY. PENNSYL VANIA at 1590 LONGS GAP ROAD, CARLISLE, CUMBERLAND Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in PA) Personal property in Pennsylvania (Ifnot domiciled in PA) Personal property in County Value of real estate in Pennsylvania 15.000.00 $ $ $ $ 80,000.00 situated as follows: 42 N. EAST STREET, CARLISLE BOROUGH, CUMBERLAND COUNTY, PENNSYLVANIA 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: WILLIAM E. BENDER, JR.. 1590 LONGS GAP RD., CARLISLE, PA 17013 Form RW-02 rev. /0.13.06 Page 1 of2 \... Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS The Petitioner(s) above-named swear(s) or affinn(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. Sworn to or affinned and subscribed before me the 7 f1t day of 8h~t/ll~ For the egister File Number: Estate of WILLIAM E. BENDER, SR. ~?,.-~ ~~ tL Signature of Personal Representative ' Signature of Personal Representative (") So <;~ :0 .,J-o :=~-LO ..,' 'J:> r- . ZrTI _, :0 tJJ^ 00 --) 0 -n ,.,C "-:0 --I ~ Signature of Personal Representative .2/ - 07 - Ol-P 2-4 . Deceased Date of Death: OS/27/2007 AND NOW, 7th f'.) =-> c;::::> ...... c:.... c= I .x] ::u r:n rn,-J G) c::> (. .U -~tJ r.'1 rrt :D ,-::J o l --n .' --n :_~ ,'-.'''--- r")""-l , N > ::.E: C5 (..,) 0"\ I~:; 1-:) f1 c:Jm 7 . in considemtion of the foregoing Petition, satisfactory proof that Letters OF ADMINISTRATION and that the instrument( s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. in the above estate FEES Letters ............... $ Short Certificate(s) . . . . . . . . $ Renunciation(s) .......... $ JCP ... $ AUTOMATIONFEE ... $ .. . $ ... $ ... $ . .. $ ...$ . .. $ .. . $ TOTAL .... . .. . .. .. .. $ 210.00 8.00 10.00 10.00 5.00 243.00 Form RW-02 rev. 10.13.06 Attorney Signature: Attorney Name: Supreme Court J.D. No.: 25476 Address: 60 WEST POMFRET STREET CARLISLE, PA 17013 Telephone: (717) 249-2353 Page 2 of2 U 1 05 }<:05 REV (f) 1/07' ~1-D7 - Of.J;d-'l~- \ LOCAL REGISTRAR'S CERTIFICATION OF DEATH . WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 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 13620.308 Certification Number (") ~o t.);g -::: ;:r: (") coc' .P; F; .<:::~ ::0 (I)^ 00 ---) 0 .,., .-...e ,---- ::0 '0-1 )> )ft, . Hll5-14aREV 11_ l'lPE11'fIIHt1N _llT IUCl( 1M( 68 v... .. CounIy 01 000II CUllberland 11.-'UIuIl 1CInIl0l_ 1590 Longs Gap Rd. Do&. CuRberland r-.) <= c::;:) -.I c.... c:: r- I N ";:J :::Ol"l'"l rhC"J G) C.> C'") ~ -"-1 '-....... rnrn :.nC:J C)Q I --n -)", ('J en :r> ::z: S? (.0) 0\ ,lFtitlon-(AII,_"","""l Wilbur L. r Sr. ~.~r Jr. 1I.--'-1RI1l.___1 17c.12Voo.__~ N M;nt'n..fonn 170.0",-___ __01 ClyIIlclD ....--.-I_cIy __IIp~ 1590 Longs Gap Rd, Carlisle, PA 17013 21._0I011pc0110n_0I~.--,cr_...) 21d._(CllJ'_....IIp_1 Plainfield Cemetery Plainfield, PA 17061 Hoffman-~h Funeral Haae & Crematory 230.DoIo__....'""" Mc..L Oll zeD I 2ll~:-"1l,:__,ea......""._0lhIr..._cr_7 ............ PIIt 1I~\'1IIr aIhw........ ~ ~ IrIdM11 28. Did TobKco lIII CordueIIO DIdl? OrIIIlklOldl .........-.g~...""""""...gMn.,""'l 0 VII o~ oNoo_ 17b. CounIy ~ 3 , -ti.J eu.1O(or...~oI): Dullo(or".~oI): d. _'-01"""'(_""_0I0Io) _......~ -- ""-~-. _Plfcr"~ 01 CuI 01_ 31......d DIelh ~ D- o- 0-.._ 0- OCcuklNclbO__ __01""'" 0.... [iI1€ 0.... ONo Top. 21. . Ftm* o Ncl____ 0"'-.....01_ D .....-.........._.....,. ol_ 0.....-..................,_ -- 0_.__...__ -===)--" I i5 ! 321.HT_""",(I1pec/Iy) 0""""0p0n00r 0_ 0- ... """ . $IcOy. &Io.CMIIr(_"'Y"'" asv-""TfIoolc.tllr _ . Coo1IfllOf_I"'-CIlffJ'1g_oI___~""__""_IIom231 ~.---:._ _._-::::> To"'" 01.,.......... ....OIOUn'lIII......C8UIII(.JtnIII_.IIIIIlL;.. __ __ ____.. ___ __ __.............................. C-_~.,'___ . --..."'"""'-l"---....._""CIlffJ'1g.....oI_ 330..-_ 33d.O'S9IIlI_....'I'f' . =..==---...............-.................,...-._______u___u_____ 0 ~p.., N,; 't t. S- l- 9/ f)? Oll..-..-...,..~.."'___................_..........._oJ..._.__ 0 ...-lIId_oI_Who~CuloIOIIIIIIlom27} rIP"","" Paul Varahrami, M.D. 3 Sprint Dr. Carlisle, PA 17013 l,.;ll (1.;)1 (101 __No. RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA /)1-07-(9&;{ { ('") So ~;:j ::n '~'1 -0 ('") ")$r- :;::z;m .~." (f) :0 :.~ ^ jOo '.10.., ',.:JC : ::0 "0--1 ::l> Estate of WILLIAM E. BENDER, SR. I, DELLA M. BENDER (Print Name) DAUGHTER I"-,;) <::::I <::::I ...... (... c: .- I N :.nd:: [Tll. ) C1C) .. .... ::0 ~~ r-...:J rri rn ::Cl CJ C) c") i"j -n ...- .., ;:~~~ c.,') (-:) ::Do ::r: S? w -.J , Deceased , in my capacity/relationship as of the above Decedent, hereby renounce the right to Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciatio&!,or the purp..Q,S.es stated within on this 029 day 1!l:;rlJ'2 -f 02<>>7 . otary Pul:) IC My Commission Expires: administer the Estate of the Decedent and respectfully request that Letters be issued to WILLIAM E. BENDER, JR. O~(1,~du (Signature) (Date) 42 N. EAST STREET (Street Address) CARLISLE, P A 17013 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 COMMOmvEALrH OF PENNSYlVANIA v ~_ S Notarial Seal C ~n . Noel NntD~, P bl' M ~1i'le ~o~. eu'm~~~d ~ Ie Y OlnmISSlon Expires Dec. B:iW07 RENUNCIATION REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA , (") S;;o -;"-:0 ; 0-0 qI(") '<ehi """:::-:0 ;'7 ,.;5 ^ 'c>o Oll C :0 '-0-1 J> )/ -{)7- O&:A tf Estate of WILLIAM E. BENDER, SR. I, KATHY A. SMITH (Print Name) DAUGHTER ~ c::> c::> -.I <- c:: I I N :rJ '0 I'll rr'jC) G)C..:> ~~~ es rn fTl :I'J C:J C) ,'" :r; ~5 --. rl'j > :J: '2 "" ,,-, ("7~ , &ceased , in my capacity/relationship as of the above Decedent, hereby renounce the right to Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciaf on for the purpo~stated within on this day of administer the Estate of the Decedent and respectfully request that Letters be issued to WILLIAM E. BENDER, JR. d'u...-: .2 ~ .2 oCJ 7 (J!fate) ~.aj 4~ 28 EAST MAIN STREET (Street Address) NEWVILLE, PA 17241 (City. State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 COMMONWEALTH OF PENNSYlVANIA Notarial Seal Karen S. Noel, Notary Public Carlisle Boro, Cumberland County My Commission Expires Dec. 8, 2007