HomeMy WebLinkAbout07-25-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of
Mildred E. Horn
File Number cQ \ - 0-' -~'l 0 Y
also known as
. Deceased
Social Security Number 174-05-0272
Petitioner(s), who is/are. 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix
last Will of the Decedent dated May 10, 1984 and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
named in the
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:
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
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Co ::3
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~~: :0 c....
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County, Pennsylvania with his / her last principal ~~nce ~
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Decedent was domiciled at death in Cumberland
Thornwald Home 442 Walnut Bottom Road Carlisle. PA 17013
(List street address, town/city, township, county, state, zip code)
Decedent;..1ilen - 94' . years of age, died on July 12,2007
thomwald MOJ1le, 442WaInut BQttom Road, Carlisle, PA 17013
at
...
Dece?erit at death owned' property with estimated values as follows:
(If dorr$i1cld in PA) All personal property
(IfnoMomkiled in PA) Personal property in Pennsylvania
" .(If not domiciled in PA) Personal property in County
Vlllue of real estate in Pennsylvania
$
$
$
$
situated as follows:
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7,000.00
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:
T or rinted name and residence
Laura A. Bistline, 27 Goodyear Road, Carlisle, PA 17013
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 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 affirmed and subscribed
before me the ~ TO -to day of
~<1001
00~14
Fort~ Register
~UAAJa.fJJ~
Signature of Personal Representative
Signature of Personal Representative
Signature of Personal Representative
File Number:
&\-07 -(StoY
Estate of Mi 1 d n~d F.. Horn
, Deceased
Social Security Number: 174-05-0272
Date ofDeath:Julv 12.2007
AND NOW, J u \ ~ 1:1 G . //001 . in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Laura A. Bistline
in the above estate
and that the instrument(s) dated May 10, 1984
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............... $ 46 .00
Short Certificate(s) . . . . . . . . $~
Renunciation(s) .......... $ ~ ~ .OQ
Wi" ...$)~.OO
~ ...$\0.00
fhJ~o..l1'Oi) . . . $ '5.00
...$
...$
.. . $
... $
. .. $
.. . $
TOTAL .............. $::J9 . 00 ,
Andrew C. Sheely, Esqui~
Attorney Signature:
Attorney Name:
.'
Supreme Court I.D. No.: 62469
Address:
127 South Market Street
P.O. Box 95
Mechanicsburg, PA 17055
Telephone:
717-697-7050
Form RW-02 rev. 10.13.06
Page 2 of2
HI05.X05 REV (01/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
P 13621149
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.
Fee for this certificate, $6.00
~. ~~~~JuJ 1 412001
Local Registrar Date Issued
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTlt. VITAL RECORDS
CERTIFICATE OF DEATH
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STATE FILE NUMBER
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Mildred E. Horn
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JEct61 JlIt1l attb WtstcttlUttl
OF
MILDRED E. HORN
I, MILDRED E. HORN, of North Middleton Township, Cumberland
County, pennsylvania, make, publish and declare this to be my Last
Will and Testament, hereby revoking any and all former Wills by
me at any time heretofore made.
1. I direct the payment of my just debts and funeral
expenses as soon after my death as will be convenient to my
Executrix hereinafter named.
2. I give to my daughter, LAURA A. BISTLINE, any and all
bank accounts which I may own at the time of my death, including,
but not limited to, checking accounts, savings accounts and any
money market account.
3. All the rest, residue and remainder I divide in equal
shares between my daughters, BEATRICE L. LAUGHMAN and LAURA A.
BISTLINE.
4. I nominate, constitute and appoint my daughter, LAURA A.
BISTLINE, to be the Executrix of this my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
/On{day of ~~ 1984.
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Mildred E. Horn
(SEAL)
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Signed, sealed, published and declared by MILDRED E. HORN,
the above named Testatrix, as and for her Last Will and
Testament, in the presence of us, who, at her request, in her
sight and presence and in the sight and presence of each
other, have hereunto subscribed witnesses.
~9~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
: 58.:
)
I, MILDRED E. HORN, 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 Willi that I
signed it willinglYi and that I signed it as my free and
voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by MILDRED
E. HORN, the Testatrix, this 10th day of May
1984.
YJ1~ [ 7~
Mildred E. Horn, Testatrix
~
tary Public
Shirley Ahlers. NOTARY PUBLIC
My Commission Expires July 14, 1985
CtfIi..., PA Cumberland CounIJ
- 2 -
. '.
COMMONWEALTH OF PENNSYLVANIA
SS. :
COUNTY OF CUMBERLAND
We, JAMES D. FLOWER and JAMES D. FLOWER, JR. , 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 Testatrix sign and
execute the instrument as her Last Will; that MILDRED E. HORN
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 the
Will as witnesses; and that to the best of our knowledge the
Testatrix was at that time 18 or more years of age, of sound
mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by JAMES D.
FLOWER and JAMES D. FLOWER, JR.
witnesses, this 10th day 0 May , 1984.
.-
Y PubllC
Shirley W. lers. NOTARY PUBLIC
My CommissiOn Expires July 14. 19~
Carlisle. PA Cumberland Coun"
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