HomeMy WebLinkAbout08-22-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cl f1/I h t:"f2..lA IU t6
COUNTY, PENNSYLVANIA
Estate of M!}?Lf ]:... joff jJ SO,u
also known as
File Number
~\ blDl~
, Deceased
Social Security Number dCJ / - 4 ~ -~ 70 )
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is lare the "") IJ 7:> ,Tiff If. S~II(/L / c:
last Will of the Decedent dated g -II - ~ I and codicil(s) dated
,
named in the
(State relevant circumstances, e,g., renunciation, death of e.tecutor, 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:
o B. Grant of Letters of Administration , (') ~
(If applicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; d~Oinoritate)-.J
....~ -.0 ):>>0 )
Petit~o~er(s) after a proper search has / have ascertai.ned that I?ecedent left no Will and w.as survi:<ed by the fOllOWing~~~~f any~d heirs:ji-i
AdmLllLstratlOll, c.t.a. or d.b.n.c.t.a., enter date of Wtlllll SectlOn A above and complete Itst of heirs.)' "-7 c:::' N ;' .
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r Name Relationship Reside{i:deC) ..... ,''') ..1
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County, Pennsylvania with his / her last principal residence at
e. 17o_ro
Decedent, then qo yearsofage,diedon 8-/~- O/) at /Co F<uvio lI~s~ tt{6'L~H,.Jlc.sI.>u~9 1417t.J,;;o
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 P A) Personal property in County
Value of real estate in Pennsylvania
/!J .5"00. 0 cJ
$
$
$
$
situated as follows:
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 fDlm to
the undersigned:
Form RW-02 rev. 10. /3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
~6u-1cud
SS
The Petitioner(s) above-named swear(s) or affim1(s) that the statements in the foregoing Petition are true and con-ect 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 affirn1ed and subscribed
before me the ad. day of
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Signature oj Personal Representative
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Signature oj Personal Representative
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File Number:
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Social Security Number: d. ~ \ 4:). lDlO\
AND NOW, ~ u..S t ;;J:'d- , :J..d.Fl
having been presented before me, IT IS DECREED that Letters
are hereby granted to .J l..t d rI1-1 il ScJ.., c/Y'l
8111(~
Date of Death:
, Deceased
'K lIS- }t>i
Estate of
, in consideration of he foregoing Petition, satisfactory proof
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and COdic~edent.
13stl()FEES )jIV1dL~"ifWi1J' ~L-c~
Letters............... $ LoD.CJ6
Short Certificate(s) . . .(0. $ ~ Ot>
Renunciation(s) .......... $
lA:) 1\\ .,. $
_\ ( r .. . $
Q...AtJ .., $
... $
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.., $
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.. . $
TOTAL ... .. . .. .. .. .. $
Attorney Signature:
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Attomey Name:
Supreme Court LD. No.:
Address:
Telephone:
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rf.Jrm RrV-()] rev IO.i3.06
Page 2 of2
H]05805 REV (0]1071
(fj
LOCAL REGISTRAR'S CERTIFICATIONIOF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph. ,..~..,
Certification Number
"-.
This is .to certify that the information here given is
correctly' oopied 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.
AUG 1 6
Fee for this certificate, $6.00
ITEM # ~ J~.
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ARNOLD, SLIKE & BAYLEY
AlTOIlNEYS AT LAW
CAMP HILL,PENlfSYLV4HLI. 17011
LAST WILL AND TESTAMENT
OF
MARY I. JOHNSON
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I, MARY I. JOHNSON, of the Borough of Dillsburg, York
County, Pennsylvania, declare this to be my Last Will and
Testament, hereby revoking any will previously made by me.
I - I direct the payment of all my just debts and
funeral expenses out of my estate as soon as may be practical
after my death.
II - I devise and bequeath all the rest, residue
and remainder of my estate of whatever nature and wheresoever
situate unto my issue per stirpes.
III - I appoint my daughter, Judith A. Schork,
Executrix of this my Last Will and Testament. Should my said
daughter, Judith A. Schork, fail to qualify or cease to act as
such, then I appoint my granddaughter, Lisa R. Gilbert, to act
in this capacity. Neither of my personal representatives shall
be required to post bond in this or any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
on this, the 11th day of August, 1981.
~~_.~
Mary I .~ohn on
(SEAL)
Page 1
f\.RNOLD, SLlllE & BAYLEY
ATTOR.NEYS AT LAW
QlQe 1U...ET aT.E!!:T
CAMP HILL,PIUOfSYLVANlA 17011
Signed, sealed, published and declared by Mary I. Johnson,
Testatrix therein named, on this and one (1) other sheet of
paper as and for her Last Will and Testament in our presence,
who, in her presence, at her request and in the presence of
each other, have hereunto subscribed our names as attesting
witnesses.
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Addres '
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A res. /
Page 2
COMMONWEALTH OF PENNSYLVANIA)
5S.
COUNTY
OF
CUMBERLAND)
l.fE, the undersigned, the testatrix and the witnesses,
respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned
authority that the testat ri~igned and executed the instrument
as h erLast Will and that she had signed willingly (or willingly
directed another to sign for h e:Q, and that s he executed it as
h erfree will and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and
hearing of the testat rixsigned the will as witness and that to
the best of their knowledge the testat rix was at that time
eighteen years of age or older, of sound mind and under no
constraint or undue influence.
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~ Testatrix)
5P'~'.# ~uw
W~tness
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Witness
Subscribed, sworn to and acknowledged before me by the
testat rix, and subsgibed and swo;.a to before me by both
witnesses, this II - day of ~ ~ ' 19 ffl .
~~rAu~
ARNOLD, SLIKJ!: Be BAYLEY
ATTOJ.NEYS AT LAW
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CAwp H1U.PalrwIJYLVAInA '?Oil
Thefma S. McCausfin. Notary Public
My Commission Expires July I. 1984
Camp "/II. PA Cumberland C-ty