HomeMy WebLinkAbout07-03-07
PETITION FOR PROBATE AND GRANT OF LETTERS
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REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
Estate of
File Number
;A\
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114 -lJ5 - 61or;)D
also known as
-
, Deceased
Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~. Probate and Grant ofL~rs Testamentary and aver that Petitioner(s) is / are the ~ (b -~ I ~amed in the
last Will of the Decedent dated . - df - ) qru and codicil(s) dated -
.
(State relevant circumstances, e.g, renunciation, death of executor, etc.) ,.....,
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution Q~nstrumer@ offe~i ::=r;
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: --- '.; ~f p ~ ~~3
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o B. Grant of Letters of Administration .... en =-... W__. CJ
(If applicable, enter: c.t.a.: d.b.n.c.t.a.: pendente lite; durante absentia; dUrant!~ate) -U (". i ~
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Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spo~(ifany) ~heirs~ M~
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) :0 --j .. r. --, ,-,
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Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
(List street address, town/city, township, county, state, zip code)
Decedent, then ~4 years o~lle, died on 6}.-1 \- dtOI
'T)At tPW_ (IVI,D..ti, PA
at _~I<'~~!J- Ht,(PlTItL)
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
(Unot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
,0 I CXD . oJ
situated as follows:
&.
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) resented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
rinted name and residence
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Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
eu~1 PrrD
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 of Petitioner( s) and that, as personal representative( s) ofthe Decedent, Petitioner( s) will well and truly
administer the estate according to law.
before me the
.3
day of
Sworn to or affirmed and subscribed
Signature of Personal Representative
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Estate of
, Deceased
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in the above estate
and that the instrument(s) dated b& - bq - jC)'ld-.
described in the Petition be admitted to probate and filed ofrec
Letters ......... .~. 4' $
Short Certificate(s). .)).. $
Renunciation(s) .. L\. , . .. $
Wtl\ ...$
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_m ... $
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TOT AL .............. $ d.~
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FEES
Attorney Signature:
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Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
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Form RW-02 rev. 10./3.06
Page 2 of2
Hl05.112 REv, 8/88
(FEE FOR THIS
CERTIFICATE $2.0m
WARNING: n IS ILLEGAL TO ALTER THIS COpy OR
TO DUPLICATE BY PHOTOSTAT OR PHOT9GRAPH.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
a \ () '1 ~\S)30
CERT. NO. T 4 800 315
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Name of Decedent
(}u ful(/lAv AJ
First .. Middle Last
sex%~.: Social Security No./7'-!-05.... ()6:2 (J Date of Death 1-.eJN' I {- :LcJo I
Date 01 Birth 4- -]- {q 'f Birthplace ~"'(1 Jj;.''''f J;J ,.R.....< ~ ' ·
PlaceoIDeath~~~ll~ ~~ ~~~
Race tA 4.'4..) ~ccu~ano~;7:::~.) ~rme~d ~~es? (;}fe~_ s or No) ~ ( _
Marital Status ma.^ /1A1l-fN . Mailing Address' 7!t Ii 4 .~ .f~ ,~tJ1; -."<<4 .~ . . 7 ()S-~~
mber 5t et 'I / ' lty or Town .tState
Informantv1d~f{A.H~ 1.1\....0. . Funeral Director ~ .
Name and Address of.
Funeral Establishment
.~
Pennsylvania
Part I:
Immediate Cause
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Suicide
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Homicide
Pending Investigation
Could not be Determined
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Describe how injury occurred: ,;8~
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(b)
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Part II:
(d)
Other Significant Conditions
Manner of Death
Natural
Accident
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Name and Title of Certfier _ ~... ~. [)~~;J O~,/)rJA4i4.)
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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.
Address
(M~.O., COI VI !!:" , ]A.E.)
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Da:1cfw&~J~r: Wo I
mast mill auh (TIpslam-eut
I, CREEDON L. WITMER, of R. D. 1, Mechanicsburg, Cumberland
County, Pennsylvania, declare this to be my last will and revoke all
wills which I have previously made.
I I give, devise and bequeath my entire estate, real
and personal, wherever situated, unto my' wife, Mildred L. Witmer, abso-
lutely and in fee simple', if she shall survive me.
II If my wife, Mildred L. Witmer, shall not survive
me, I glve, devise and bequeath my entire estate, real and personal,
in equal shares unto my son, Ronold O. Witmer, and my daughter, Bonnie
Jo Witmer Hull, if living, and if either or both of them shall be deceas
ed, then to their issue, per stirpes.
III I appoint The First Bank and Trust Company of
Mechanicsburg, Pennsylvania, as testamentary guardian during minority
of any beneficiary under this will not of full legal age at the time
of my decease.
IV I appoint as executrix of this my last will and
testament my wife, Mildred L. Witmer,
if for any reason she shall
fail to qualify or cease to act as such I appoint as substituted co-
executors, my son, Ronold O. Witmer, and my daughter, Bonnie Jo Witmer
Hull, or the survivor of them; if for any reason both of them shall
fail to qualify or cease to act as such, I appoint as alternate executor
The First Bank and Trust Company of Mechanicsburg, Pennsylvania, or
its successor. I direct that no bond shall be required of any fiduciary
named in this will.
I~~tTNESS WHEREOF, I have hereunto set my hand seal this
14:- day Of-f~; L, 1{}72.
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(SEAL
Signed, sealed, published and declared
by Creedon L. Witmer, testator above
named, as and for his last will and testa-
ment, written on one sheet of paper, in
our presence, who, in his presence, at
his request, and in the presence of each
other have hereunto subscribed our names
as at.testing wi.t)ses:
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OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
~......, ,l....../,.,.,tI COUNTY, PENNSYLVANIA
Estate of
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, Deceased
..::r/:}i'1fAJ ~'"..~ ~.L r/,-(.....~ 4~;,I' , (each) a subscribing witness to
(Print Name/s)
the III Will D Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he / they was / were present and saw the above Testator / Testatrix sign the same
and that she / he / they signed the same and that she / he / they signed as a witness at the request of
(Signature)
presence and in the presence of each other.. t:J
h~,..-,/ ~~-~--
(Signature)
/C7~O /??,,,,.,~"/ /2J..
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the Testator / Testatrix 10 her / his
(Street Address)
(Street Address)
(City, State, Zip)
C/l/4)/.r-<-~1 j/Al-/7-3 ~'i
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
:3 day
,~t"
Executed out of Register's Office
Sworn to or affirmed and subscribed
of
. n day ~
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My Commission Expires::TJ ~ f)?
(Signature and Seal of Notary or othertlmcial qualified.tQ.
administer oaths. Show date of expiration of Notary's C0nmission.)
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before me this
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstrument(s) at time of notarization.
FormRW-03 rev. 10.13.06
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
~f}1Y'V:f I( ~ COUNTY, PENNSYLVANIA
Estate of
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6/)/)iE:h !-t;LL
and
, Deceased
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-
acquainted with
with the handwriting and signature of the decedent, and that the signature of
~e foregoing instrument purporting to be the Last Will and Testament/Codicil of
Li1:f1tJn 1. ) tJ, 1fhf.l is in his/her own proper handwriting.
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(Signature) \.
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(Street Address) T::i..Jrt'Jt-hlrJl)
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(City, Stat , Zip)
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ature)
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(Street Address)
mM{JLJ/u.i WA )1/)5.5
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
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before me this 3
of ~~~\
day
d..OJ\ .
Form RW-04 rev. 10.13.06
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RENUNCIATION
REGISTER OF WILLS
C /Lr1)Pi.i2-lPrnD COUNTY, PENNSYLVANIA
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Estate of C' ~ U ()/'';In L. kJ rf fY)f:..fZ
, Deceased.
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(Print Name)
~fb(JSf AN) ~f) Ey..EflJLTRJ '^
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~ l () (). }Jrrr(~ ~ &N1/ fJD ~LL A~ Prf.5E2..nffi"f (!t) - fY-fCLL T{J<S -
~~~
(Date)
~t110 ~J ;r ~~/V
(Si re
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciati9Jl for the
purpo s stated within on this ,16 f4t 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
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Kimberly A. Riedel, Notary Public
City Of Harrisburg, Dauphin County
My CommiSSion Expires Mar. 7, 2010
Member, Pennsylvania Association of Notaries