HomeMy WebLinkAbout07-24-07
, ..
-
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYL VANIA
Estate of Doris G. Nichols
also known as Nt A
File Number :J 1- D 7 - 0 tJ;Q K
. Deceased
Social Security Number 220-10-3798
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
IZJ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is t are the Executrix
last Will of the Decedent dated February 16,2006 and codicil(s) dated NtA
named in the
See renunciation of Lawrence D. Kiser
(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: No exceptions
o B. Grant of Letters of Administration
(Ifapplicable, enter: c.I.a.; db.n.c.t.a.; pendenle lite; durante absenlia; durante minoritate)
Petitioner(s) after a proper search has t 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 afheirs.)
Name
Relationshi
Residence
t-.:l
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
""(I)~
00
fJOil
County, Pennsylvania with his t her last princip~~ence at
::'0-1
);>
'~rJ
Decedent, then 92
years of age, died on July 12, 2007
at the above address.
:boo
::It
o
-
eN
U1
(") (~)
. ",-I
"Tl
. ;:-~
fTl
Decedent was domiciled at death in Cumberland
7 Abbev Court. Carlisle. PA 1701"'( South Middleton Township)
(Lisl street address, tuwnlcity, luwnship, county, state, zip code)
,)
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
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
150,000,00
situated as follows: 7 Abbey Court, Carlisle, P A 17013
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant ofLetters in the appropriate fonn to
the undersigned:
T d or rinted name and residence
Shirley A. Kiser, 400 Sutton Drive, Carlisle, P A 17013
Form RW-02 rev. 10./3.06
Page 10f2
, .
1#
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF Cumberland
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) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affinned and subscribed
before me the ~ day of
MilL
~~alerese~
Signature 0/ PersolUlI Representative
o
C:;O
;;j :::I.J
<1"0
.:.J:r: I
.~m
.:.,~VJ~
.""700
0.,
,--
~
. ::0
--I
~
~
<:::>
<:::>
.....
c.....
c::
r-
N
r
>
:JC
C5
[g~
r-:--j l-~~'
. .'-.-J
(~) C)
. "i ";'-\
Tl
c'S
. rn
Signature a/Personal Representative
File Number:
11-01-(J(Ag
UJ
U1
~ /...) ,-.--)
Estate of Doris G. Nichols
, Deceased
AND NOW,
having been presented before e, I IS
are hereby granted to Shirley A. Kiser
Date of Death: July 12,2007
t;1007 , in consideration of the foregoing Petition, satisfactory proof
ED that Letters Testamentary
in the above estate
and that the instrument(s) dated February 16,2006
described in the Petition be admitted to probate and filed ofre
FEES
Letters ............... $.~
Short Certificate(s) . . . . . . . . $ ,
~on(s) .......:::: .
... $~D.OO
rYilll~n ... $ .5. {JJ
.. . $
... $
...$
'" $
'" $
... $
TOTAL.............. $~ 5,"tr.UO
Attorney Signature:
Attorney Name:
Robert R. Black
Supreme Court 1.0. No.: 6267
Address:
36 South Hanover Street
Carlisle, PA 17013
Telephone:
717-243-3727
Form RW-02 rev. 10.13.06
Page 2 of2
HI05.R05 REV {011071
JJ .. 07 - ()b9g
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.
~. ~b.to-~~Ul/ 1 3/2007
Local Registrar Date Issued
P 13621109
Certification Number
o
~0
~:lJ
'1""'00
.J~r-
Zm
<:D
-,(1)7'
-'C)Q
) r;::) .,.,
:-)C
. ::n
u--l
J;>
b 110501<3 REV 11121lO6
lYPE I PIUNT IN
PEAMAHENT
IlI.ACKlNK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructlons snd ex.mpIes on _I
.._,,-~-.....-)
Doris G. Nichols
.... (....1llrhIIy) Undor'
-
STATE FILE NUMBER
'.Dolo"DooIII(Marlh.doy,,..,)
Jul 12, 2007
a_SocullyN_
220 - 10 - 3798
"'_"DooII
~, Olhor:
0.. OEl\I~ 01lOA ONlnnllHomo 11!1_ 00th0r...,.,
t.__".......,CllfgiI1 1Kl"" 0'" 10._____.....
(11 '"" "'"'" c.;." (Sl>ocIl!
7 Abbey Court ___.otc.) White
la-'E_( ..;,Npotflldo......-! ...=-_~(~_ '..SuMv!nOSl>ouoo(hMo.,...-.......l
EIoo1onlIIy2/SocoodIIy(O-") CoIogo (1-4 or 5+) -"
1 W ida,.,1ed
~
~
;/
S.Dolo"MI_.
to
ond_..
92
10/2/1914 Hagerstown, MD
8d.Foc1IIy_II"'_",,_ond_
VII.
... CounIy " llHIh
Cu:nberland
'1.Otc:IdIrtIUIuII
Khl"_
'7b. CounIy
PA
Cumberland
1Jd_
lMoln.
T_1
l1e.K1 ""__In South Middleton
17..0"".___
.........."
ClIIIIlol!>
r-..)
t:::)
.t:::)
....,
<-
c::
r-
N
+
:Do
::x
S?
w
en
.n
==f:~ ;:C;'
c-;-:iC>
2'") ::0
'':''11.'"
rnrTl
~. ,::1 CJ
, C")
I ""rl
'r,
h
...iTl
(-)
',',
Top.
.a--._~_._~
Anna Barnhart
2Ob.-....-.-'O_~d11I__...,,_1
400 Sutton Drive, Carlisle, PA 17013
21<_..~(NImo.._._.._pIICI) 21d.lDclIionICly/__...,,_)
Leola, PA
Carlisle, PA 17013
23c. 0olo SIgnod (Marlh. dIr. ->
24. T1mIof~
25.____.doy.jOOt)
6:53 PM. July 12, 2007
. CAUSEOf' DEATH (8M--_1
"'2?l'IrIt -"~-_""""_-,,,dioclIy_"_OONOT___._ ........-
__..____.._LlIl..;,__..._h.
Pat If. fnIIroiw -...u IDIdIIb. ariIUinB IDdMIh
blAnotflllllllngln"'~CUlP'MnInPatlI.
21. WII c... RItIn.:l tI MIdcII ExImNr J Can:Iner b'. ANIon 0Iw It.-. ClwnIIIon or 0r:IwIiDn?
0'" [XNo
21.DId'tclblccoU.CoriIIIulitIo~1
0"'0-
0"" ~-
21.._
l!iJ""_-....lW
0_........._
o ",,_boI__42doy1
,,-
o ..._buI_........'jllI<
-.....
0-.__......._
32t.==:-~_"-
--
aMinO DeIIh
~-==~
"
!IF.... ,.f
.. Gr)iC.-C5j>:",foI"V
eu.tDlor...~oI): .
b. COfJu
DUJlolor...CIOf'IIIqUIf'ICof):
X(_.I~
a..-.....
tD ..~lI-.ton..L
_ -._ CAUSE
=,"$':.."\'mt."
c.
OueIo(Ol'UICIlr'IIIqUtl1Cto4):
d.
.3IILw.IR"'*IPIr
--
---'"-
-"""..~
..c.."llooIl1
OVol 0""
31. ...... t1I DeIb
~- 0-
0- OPtndng_
0- OCauld.....__
M.
321.WT_"",/IllIoI'y)
0"",-/_0_0_
""".-
....~ond"""CIlIlIIt
~ cL--At-.. /-'1
33t. lIcInN. Nwnbet
32d._""",
0"" ~""
I
15
I
....~-..;,->
. CoIIf!IoIl~If'hItldooClllfl1ng-"---""""''''~_Illd_'''23)
To .......ot""lInowIIdgI,..... oce&IffM due to... calII(lllftd ............................. _...... _............~.............. __...... 0
. =-=~:"'.=::-~..."'":.:'.::t"::.:c=_..__u__ _u____n____ kI
. == ==- ex:..., or invHIgItton, In my opinion. dIIItl occun.d 1II1h1-" dIIt. end pIKe, and MID lit ClUle(I) and IfIIMII' U IIItIL 0
34. HIrnt II'ld "'*"- 01 Pmon Who ~ CauIe 01 o.tl (Item 27) Tp I Pm!
CL..A ~ _",'.' 1'1.0.
AIO F." < IZ.. J:.,.:'c
l:ll r 1;;1 I \ If) I
35.
~
--_No.
-:
LAST WILL AND TESTAMENT
OF
DORIS G. NICHOLS
o
c-
-:::;0
:0, ::0
j \:J
-T'O
0:-:-(-
I, DORIS G. NICHOLS, of South Middleton Township, Cumberland County,:: :~S8
Pennsylvania, declare this to be my Last Will, hereby revoking all prior wills and codm~~;
'.~: S-2 -,I
':.0
'TJ --;
FUNERAL EXPENSES
...::..:,.
FIRST: I direct the payment of my funeral expenses, including my gravernarker, as soon
as may be convenient after my death.
PAYMENT OF DEATH TAXES
SECOND: I direct that all taxes that may be assessed in consequence of my death, of
whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as
a part of the expense of administration of my estate.
BEQUESTS
THIRD: I give the sum of Five Thousand and noli 00 ($5,000.00) Dollars to Nancy L.
Miller, 307 Coffeetown Road, Dillsburg, Pennsylvania 17019. If the said Nancy L. Miller does
not survive me, this bequest shall become a part of the residue of my estate.
DISTRIBUTION OF RESIDUE
FOURTH: I give the rest of my estate to my daughter and son-in-law, Shirley A. Kiser
and Lawrence D. Kiser, or their issue, per stirpes, who survive me for a period of thirty (30)
days.
PROTECTION OF BENEFICIARIES
(Spendthrift Provision)
FIt....H: No interest in income or principal shall be assignable by a beneficiary or
available to anyone having a claim against a beneficiary before actual payment to the beneficiary.
Provided, however, any beneficiary may assign any part or all of the beneficiary's interest in my
estate to anyone or more of my descendants or to anyone or more of the beneficiary's
descendants. {)p 'Y\
initials
ro-.)
<::::>
=
--'
c-
c:
r
N
+"
J>
:JC
o
c...>
U1
""""':']
61
C'")
;:,:)
''')
;;-~~~
C:J
(''''-~~ r=r~;
" ~Tl
:_ f~
1_,~f~.J ~~;
<
. 4
MINORS AND INCAPACITATED BENEFICIARIES
SIXTH: If any income or principal shall be payable to any person who shall be a minor
or who shall be incapacitated for any reason, my executor as trustee shall hold such income and
principal during minority or incapacity and shall be entitled to apply such income and principal to
the health, maintenance, support and education of such person during minority or incapacity
without the appointment of any guardian or committee or any authority of court. My executor as
trustee shall be entitled to make direct application hereunder or to make application by payment
of income and principal to the parent or other person in charge of such minor or incapacitated
person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act.
Any remaining income and principal to which such person shall be entitled shall be distributed to
such person upon the termination of minority or incapacity. My executor as trustee shall have the
same powers as my executor.
POWERS OF EXECUTOR
SEVENTH: I confer upon my executor the right to sell or otherwise convert any real or
personal property at public or private sale, at such time or times, in such manner, and for such
price or prices, and on such terms and conditions as my executor shall determine, and to execute
and deliver good and sufficient conveyances, assignments and transfers of the property, without
liability of any purchaser for the application of any consideration; to borrow money and to secure
its payment by mortgage of real or personal property, pledge of investments, or otherwise,
without liability on the part of the lenders to see to the application thereof; to retain any
investments at discretion; to invest and reinvest at discretion, without restriction to so-called
"legal investments"; to make distribution in cash or in kind; to allocate and distribute different
kinds or disproportionate shares of property or undivided interests in property among
beneficiaries, in cash or in kind, or partly in each; and to do all other acts and things necessary or
appropriate in the management, administration and distribution of my estate.
APPOINTMENT OF EXECUTORIRIX
EIGHTH: I appoint SHIRLEY A. KISER or LAWRENCE D. KISER, or the survivor
thereof, as Executors of my Will.
WAIVER OF BOND
NINTH: I direct that no fiduciary hereunder shall be required to furnish bond in any
jurisdiction, and if any bond is necessary, no surety shall be required.
:fJ1~
initials
,
,
~
INTERCHANGEABILITY OF LANGUAGE
TENTH: Words used in the singular may be read to include the plural or the plural may
be read as the singular. Similarly, the masculine form may be read to include the feminine and
neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read
to include the masculine and feminine.
BEADINGS
ELEVENTH: The headings used on the various paragraphs of this will are included for
convenience only and shall have no legal significance.
I have signed this will this
((P1Jt daYOf~bW ,2006.
t3 ~ ~ Yt.< cA /--,
Doris G. Nichols, Testatrix
ACKNOWLEDGMENT and AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND
)
We, Doris G. Nichols, the Testatrix in and the undersigned witnesses to the will, the
attached or foregoing instrument, who have signed the instrument, having been qualified
according to law do depose and say:
(a)
(b)
...
,
.
that I, the Testatrix, do hereby acknowledge that I signed the instrument as my
will, that I signed it willingly and as my free and voluntary act for the purposes
therein expressed; and
that we, the witnesses, were present and saw the Testatrix sign and execute the
instrument as her will, that she signed it willingly and 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 the will as a witness and that to the best of our
knowledge the Testatrix was at that time eighteen or more years of age, of sound
mind and under no constraint or undue influence.
~
r
J-ud~
Doris G. Nichols, Testatrix
~-;::~
_' Witness
~~
Notary Public
COMMONWEALTH OF PENNSYLVANIA
Not8rtaI Se8I
Robert R. BlIck, ~ PublIc
Carllsle Boto, CumbeMiid CountY
My Commieaion ExpINe Sept. 28. 2b08
RENUNCIATION
o
S;o
~;=j~
,.::JIO
" ,
-".~m
, :0
en ;x;.
no
'JOIl
. )c
- :0
:;0 -4
>>
REGISTER OF WILLS
Cumberland COUNTY, PENNSYL VANIA
~\~ Dl, OLDq~
Estate of Doris G. Nichols
l'"-.)
=
=
--.I
c-
c:
I
N
,f:"
-:D
1'1')
C)
:-:J
-:J:J
'.J
f ',''',
CJ
C)
; -rj
2-~R
<~)
f'l
:::-
:x
9
eN
c.n
, Deceased
I, Lawrence D. Kiser
(Print Name)
, 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
Shirley A. Kiser
July 17 ,2007
(Date)
Q ~ ~ JL
(Signature)
400 Sutton Drive, Carlisle, P A 17013
(Street Address)
(City, State. Zip)
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciatioJlJfor the
purposes ted ithin on this ~ day
of ,.
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.)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Robert R. Black, Notary Public
Carlisle 8oro, Cumberland County
My Commission Expires Sept. 28, 2009
Form RW-06 rev. 10.13.06