HomeMy WebLinkAbout07-16-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYL VANIA
Estate of ROBERT L. MARTIN
also known as
File Number
.Q\
Dl OlolDt
, Deceased
Social Security Number 195-26-9186
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
I2J A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the CO-EXECUTORS
last Will of the Decedent dated DEC.6,2001 and codicil(s) dated
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 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
Relationshi
Resi
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principalles~nce at
23 FIREHOUSE ROAD. SOUTH NEWTON TOWNSHIP. WALNUT BOTTOM. PA 17255 .J.>
(List street address, town/city, township, county, state, zip code)
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Decedent, then 76 years of age, died on JULY 9, 2007
CARLISLE. PENNSYLVANIA
at CARLISLE REGIONAL MEDICAL CENTER
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
1,000.00
$
$
$
$
92,000.00
situated as follows: 23 FIREHOUSE ROAD, WALNUT BOTTOM, P A 17266
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 ed or rinted name and residence
ROBERT A. MARTIN
ROBERT A. MARTIN, 23 FIREHOUSE ROAD, WALNUT BOTTOM, PA 17266
KAREN D. WINTER 37 SUBDIVISION ROAD, NEWVILLE, PA 17241
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
~f/ASJ
SS
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
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day of
Signature of Personal Representative
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File Number:
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Estate of ROBERT L. MARTIN
, Deceased
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AND NOW,
having been presented b
are hereby granted to
and that the instrument(s) dated DECEMBER 6. 2001
described in the Petition be admitted to probate and filed of record as the last Will (a
in the above estate
FEES
Letters ............... $
Short Certificate(s) . . . . . . .. $
Renunciation(s) .......... $
~) \\ .. . $
-..JcR .. . $
~-\-o ... $
...$
. .. $
.. . $
...$
.. . $
.. . $
TOTAL.. ... .. .. .. . .. $
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800
Attorney Signature:
Attorney Name:
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Supreme Court J.D. No.:
Address:
Telephone: -.LJ, 11) S"3d-tJtI;"
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Form RW-02 rev. 10.13.06
Page 2 of2
HIOS.80S REV (0]/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
6 fl. LR(qrt
Fee for this certificate, $6.00
P 13774319
Certification Number
This i,s 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 permane t filing.
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TYPE/Pf'llNT1N
PEAMANENT
IllACI(INK
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions end examples on reverse)
STATE FILE NUMBER
1.NImool_(FinII. _.11II.....)
Robert L. ~tin
s. Ago iLMlllilllldoy) Undlrt
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76 VIS.
lb. ColI1Iy 01 0eIIh
6.11....,1lir81 -. .
7.
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September 5, 1930 Franklin Co., PA
8d. ~dIyNomo(lnol_.~_amllUll'bolj
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Cumberland S. Middleton
11.-'~ 01"""_ _01 ".00001__
Klndol_ _0I_/1n*lRy
Machinist SKF Industries
'6._,~_(SbeoI.dIy/-'_.llp_)
23 Firehouse Road
Walnut Bottom, pa 17266
18. FdIo(o Homo (Rrot, -.1o?i,....)
Charles H. Martin
200.-.. Nomo(7ypo/Prlnl)
Karen D. Winter
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8th
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Cumberland
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'&'t Will and g e6Uunent oj
9lo&Jd ~. JJtUvdin
I. ROBERT L. MARTIN. of South Newton Township. Cumberland County.
Pennsylvania. being of sound mind and memory declare this to be my Last Will and Testament
and revoke any will or codicil previously made by me.
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ITEM I: I direct that all my just debts and funeral expenses. including my gravemarker
and all expenses of my last illness. shall be paid from my residuary estate as soon as practicable
after my decease as a part of the administration of my estate.
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ITEM II: I give. devise and bequeath all of my estate of every nature and wheresoever
situate to my daughter. KAREN D. WINTER per stirpes and my son ROBERT A. MARTIN.
per stirpes. living on the thirty-first day follo\\'ing my death. in shares of equal value. share and
share alike.
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ITEM III: 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 part of the expenses of the administration of my estate.
ITEM IV: I appoint KAREN D. WINTER and ROBERT A. MARTIN, Co-executors
of this. my Last Will and Testament.
ITEM V: I direct that my Executors or their successor shall not be required to give bond
for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF. I hereunto set my hand and seal to this my Last Will and
Testament. written on Ol. sheets of paper. dated this ~ day of ~~R. 2001.
WL~~J;;, (SEAL)
The preceding instrument. consisting of this and I other typewritten page(s).
each identified by the signature of the testator. ROBERT L. MARTIN. was on the day and date
thereof signed. published and declared by ROBERT L. MARTIN. the testator herein named. as
and for his Last WilL in the presence of us. who. at his request. in his presence. and in the
presence of each other. have subscribed our names as witnesses hereto.
J (JJ ~ residing at AJ~ I -fAr
residing at 2 ~Jfl
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OATH OF SUBSCRIBING WITNESS(ES)
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REGISTER OF WILLS ~Q,i 0
CUMBERLAND COUNTY, PENNSYLVANIA'!"*g;
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, Deceased
Estate of ROBERT L. MARTIN
SALLY 1. WINDER
, (each) a subscribing witness to
(Print Namels)
the i21Will 0 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
the Testator / Testatrix III her / his
~'iAJIA)wft-
presence and in the presence of each other.
(Signature)
9974 MOLLY PITCHER HIGHWAY
(Street Address)
(Street Address)
SHIPPENSBURG, P A 17257 .
(City. State. Zip)
(City. State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
\ ~ day
, ~Ot.5) .
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
Of~~
before me this
of
day
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.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy ofinstrument(s) at time of notarization.
Form RW-03 rev. /0.13.06
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of ROBERT L. MARTIN
, Deceased
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and
(each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-
acquainted with --.R 0 btr~ L YV\a,,...+z i\ and am/are familiar
with the handwriting and signature of the decedent, and that the signature of 'Robet-e L ffl/J,,(f1;"
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
~f L. fn4,yh;" is in his/her own proper handwriting.
~.J!: ML-Cu~
;1.;/.1 VOlA,b IJ~4 bti(f 1Vl~
(Street Address)
l\)elVulJlF PA 11~L/ I
(City, State, Zip) l .
(Signature)
(Street Address)
(City, State, Zip)
day
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Executed in Register's Office
Sworn to or affirmed and subscribed
/ 01<<-
before me this :....p
of 0 ur;d
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Form RW-04 rev. 10.13.06