HomeMy WebLinkAbout08-27-07
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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYLVANIA
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Estate of L.:;~( I':) jC\I\\'lS 1?:v\'kfC;t~it'Jl\
also known as UJ/AI S J. BO\-;I -r~biC"ll Lm., ',S j. wl!;;>1r<l\
, Deceased
File Number ;}.I- b 1 - 6791
Social Security Number SS5 -Ci Y -1 Z- 4'"
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COil-/PLETE 'A' or 'B' BELOW:)
)5]. A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the bC'bL~v"/ / ~iJ('..\-ci::t,(l1 (l!tCC-LtbTnamed in the
last Will of the Decedent dated :; }, 1<1 ;2001- and codicil(s) dated I
(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:
o 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::;'p01l('e (if anYUnd heirs: (If '
Adm',,''','''''' do. "' d ::":,' 0, Ci"", do" of Will ,,, S,,,,"" A ":::,:::::,"P'''' Ii" "f 'ein) . R"'::~>/~~, ~
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County, Pennsylvania with his / her last principal residence at
\101 \
Decedent, then J52-
years of age, died on
l 3 (lu~ at
\2.1 S. 2"1t-h 51' CC;-"""p H,\ l?A no \ \
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(lfnot domiciled in PA) Personal property in Pennsylvania
(lf not domlciled in P A) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$
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sltuated as follows:
Wherefore, Petltioner(s) respectfully request(s) the probate of the last WiI] and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature
Typed or printed name and residence
() <5--r~~O';1"r--~
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A fJ\'1 L- &, 11- 'FABIA N
I:?-I S 27 +\.., 'St [Qf'r,p H1I1 PA no 1\
Forlll RW-02 rev /0. /306
Page of2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: a IS illegal to duplicate this copy by photostat or photograph.
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REV 1112006
i PRINT IN
~ANENT
.CK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE FILE NUMBER
1. Name 01 Decedent (First, middle, last, suffix)
Louis James Bohl-Fabian
5. Age (Last Birthday)
80'. Facilny Name (II not institution, give street and number)
121 S. 27th Street
6. Dale 01 Birth (Month, day, year)
July 27,1955
52
Orange Co.,CA
yrs
Bb. Counly of Death
Cumberland
11. Decedenfs Usual Occu alior'l Kind of work done durin most 01 workin life. Do not state retired
Kind of Work Kind 01 Business/lnduslry
inst.research higher edu.
12. Was Decedent ever in the
U.S. Armed Forces?
DYes No
13. Decedent's Education (Specify only highest grade completed)
EI91e2ary I Secondary (0-12) 12 College (j-4 or 5+)
. 16. Decedenfs Mailing Address (Street, city I town. stale, zip code)
Decedent's
Actual Residence 17a. Slate
ppnn~Y'"\T;::t,niri
Cumberland
19. Mother's Name (First, middle, maiden sumame)
Marlene Albrecht
121 s. 27th Street
Camp Hill,PA 17011
17b. County
16. Father's Name (First, middle, last, suffix)
20a. Inlrnmant's Name (Type! Ptin!)
20b. Inloonanfs Mailing Address (Street, city f town, state, zip code)
121 S. 27th St., Camp Hill,PA 17011
21d. Location (City I town, state, zip code)
Leola,PA17540
Amy Bohl-Fabian
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4. Date of Death (Month, day, year)
Aug. 11, 2007
9. Was Decedent 01 Hispanic Origin?
(If yes, specify Cuban,
Mexican, Puerto Rican. etc.)
10. Race: American Indian, Black, White, etc
~te
14. Marilal Status; Married, Never Married,
Widowed, Divorced (Specify)
arried
Oid Decedent
Liveina
Township?
17c, 0 Yes, Decedent lived in
t7d. ~'No, Decedent Lived within
~Actualllmi1S of C am p
Twp
Hill
City/Bore
21 b. Date of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemetery, crematory or other place)
Evans Cremation Service
FH&CS,324 HU'lFnel
200 '/
Approximate interval:
Onset to Death
~~~e~St~~~~~~~~~dise~ r14J J: N...a/('~
a. Doe 10 (m as ~'nseQuenoe oD" ' .
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Sequentially list conditions, ~ any,
~~~~~~o u~~h~~~i::::~~~E a
~ ~~~~I~~1n~~ail~rm+~e
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...
b.
Due to (or as a consequence 01)
Due to (or as a consequence of):
n
11-:1 30a. Was an Autopsy
~. Performed?
..
3Qb. Were Autopsy Findings
Ava~able Prior to Complelioo
01 Cause 01 Death?
Dyes ~
31. Manner of Death
Natural 0 Homicide
o Accident 0 Pending Investigation
D Suicide D Could Not be Determined
DYes~No
32d. Time 01 Injury
M.
33a. Certifler (check only one)
Certifying physician (PhYSICian certifying cause of death when another physician has prooounced death and completed Item 23)
To the best ot my knowledge, death occurred due to the C8uae{s) and manner as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Pronouncing and certifying physician (Physician both pronouncing death and certifying to cause 01 death)
To the best 01 my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manl"ler as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Medical Examiner I Coroner
On the basIs of examination and! or Investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner as stalecL 0
35. Registrar';)iiJlnatUfe and District Numbef
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leI)1 /1.01/ V
Disposition Permit No
ther than Cremation or Donation?
Part II: Enter other siontftcant conditions contribulina to death, 2B. DK1 Tobacco Use Contribute to Death?
but not resulting in the under1ying cause given in Part I 0 Yes 0 Probably
~o D Uc'cown
29. It Female
D Nol pregnant within past year
D Pregnant at time of death
D Not Pfegnanl. but pregnant within 42 days
ot death
o Not pregnant, but pregnant 43 days to 1 year
before death
D Unlmown il pregnant within the past year
32c. Place of Injury: Home, Farm, Street, Factof}',
Office BUlldmg, elc. (SpecIfy)
32g. location of Injury (Street, cily I tOWl1, state)
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LAST WILL AND TESTAMENT
OF
LOUIS J. BOHL-FABIAN,
also known as
LOUIS J. FABIAN
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LAST WILL AND TESTAMENT
I, LOUIS J. BOHL-FABIAN, also known as LOUIS J. FABIAN, do hereby publish and
declare this to be my Last will and Testament, hereby revoking any and all wills and codicils by me at
any time heretofore made.
FIRST: I direct that all my just debts and funeral expenses shall be paid and fully satisfied as
soon as convenient after my decease.
SECOND: All of the rest, residue and remainder of my estate I give, devise and bequeath to my
wife, AMY LYNN BOHL-FABIAN, provided she survives me for thirty (30) days.
THIRD: In the event my wife, Amy Lynn Bohl-Fabian, fails to survive me for thirty (30)
days, I direct my Co-executors hereinafter named to distribute in as nearly equal shares as possible, my
jewelry, household goods, equipment and personal effects among my children, ANNA ELIZABETH
BOHL-FABIAN, NOEL PATRICE BOHL-FABLIAN and CONNOR McDOWELL MORIARTY,
taking into account, to the extent my Co-executrix, Kathleen M. Bohl, is able to do so, the desires of
my children, but subject to the ultimate and sole discretion of the Co-executrix set forth above.
FOURTH: To the extent that there remain any items passing under paragraph THIRD herein, I
direct my Co-executors to sell the remaining items and to distribute the proceeds together with the
balance of my estate as hereinafter provided.
FIFTH: I direct that all estate, inheritance and similar taxes becoming payable because of my
death with respect to the property constituting my estate for such death tax purposes, shall be paid by my
Co-executors from the principal of the Remainder Trust passing under Item SIXTH hereof.
SIXTH: All of the rest, residue an remainder of my estate, real and personal, and wherever
situate, after payment therefrom of taxes, expenses of last illness, funeral and burial expenses, and
enforceable debts, shall be held by the Trustee hereinafter named, for the benefit of my children herein
named.
SEVENTH: From and after the Trustee receives such funds, Trustee shall invest and hold the
principal for the benefit of my children living, and shall pay to or expend for the benefit of such
beneficiaries, so much or all of the trust net income and principal in such equal or unequal shares as the
Trustee deems advisable from time to time for their comfort, maintenance, support and education.
Upon my daughter, Noel Patrice Bohl-Fabian, attaining the age of twenty-five (25) years, I
direct that my Trustee distribute the remaining principal and undistributed income equally to my
children living at that time.
EIGHTH: My primary concern is for the care and education of my children until they become
self-supporting, and while my general plan is to treat them alike, I recognize that needs vary from person
to person and from time to time. I direct that my children need not be treated equally or proportionately;
that one may be wholly excluded from any or all periodic distribution; that the pattern followed in one
distribution need not be followed in others; that income may be accumulated to whatever extent and in
whatever amounts my Trustee may think appropriate; and that my Trustee may give such consideration
to the other resources which my children have in making distribution to them.
NINETH: The interest of any beneficiaries hereunder in the income or principal shall not be
subject to assignment, alienation, pledge, attachment or claims of creditors until payment has actually
been made and received by the beneficiaries herein.
TENTH: I hereby name and appoint my wife, AMY LYNN BOHL-FABIAN, Executrix of this
my Last Will and Testament. In the event my wife, Amy Lynn Bohl-Fabian, is unable or unwilling to
act as Executrix, then I appoint my sister-in-law, KATHLEEN M. BOHL, and my son, CONNOR
McDOWELL MORIARTY, Co-executors of this my Last Will and Testament. I further name and
appoint my brother-in-law, KENNETH BOHL, Trustee.
2
ELEVENTH: I direct that my Co-executors and my Trustee shall not be required to give bond
for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I, LOUIS J. BOHL-FABIAN, also known as LOUIS J.
FABIAN, have hereunto set my hand and seal this Z day of ,2007.
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(SEAL)
Louis J. Bohl-Fabian, also known as
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(SEAL)
Louis J. Fabian
Signed, sealed, published and declared by the above named Testator, as and for his Last Will and
Testament, in the presence of us, who at his request, in his presence and in the presence of each other,
have hereunto subscribed our names as witnesses.
Address:
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Address: /::!--Z ~f: / J ~
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AFFIDA VIT
COUNT-OF 0uW\ 1?l~Y2.L{)tU)
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COMMONWEALTH OF PENNSYLVANIA
We, Louis J. Bohl-Fabian. also known as Louis J. Fabian. and
-1'clh\f((\~' G:('f[) \ ' and II .ve(m (~ (YUc" \~,(-
the Testator and witnesses, respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, to hereby declare to the undersigned authority that the Testator
signed and executed the instrument as his Last Will and that he signed willingly, and that he executed it
as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the
presence and hearing of the Testator, signed the Will as a witness and that to the best of his or her
knowledge, the Testator was at the time eighteen (18) years of age or older, of sound mind and under no
constraint or undue influence.
~l0~ ~~~
Louis J. Bohl-Fabian, also known as
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Louis J. Fabian
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Witness
Witness
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Subscribed, sworn to and acknowledged before me by Louis J. Bohl-Fabian. also known as
Louis J. Fabian. the Testator, and ,i.Desrt,rt'~ [':;l(ts~f'v and ~dtJ\.ie,(\ g. C?lSSc II
witnesses, this 2:> day of j IJt</(j , 2007.
(?1:~Q~.
." ,Notary Public
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:,,,:,,,:,~.,~.;:,~J rl fJf PENNSYLVA . .
I CHARLES :OJ:RIAL SEAL N1A
J MC.mp Hili BOfo R~~~~, ~otary PUblic
'I Commission Expires eof and County
ec. 30, 2010
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CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
REGISTER OF WILLS
CvkJI~6Q.L-AN'O COUNTY, PENNSYLVANIA
Name of Decedent: LLX,.I1S J' ex-"')(l\ -~b ,"0 G
Date of Death:
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File Number: /~ ( - () l- 1 Cf1
Date Letters Granted:
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
2..1 Awt us-\' 2061'
Name:
A M'l L- &)\i~f<"I?\t"I"
Address:
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S i 21 th 'Sf Ca f"l"'Ip HI \\; ?fI
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(lfmore space is needed, attach separate sheet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
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Signature of Person Filing this Fonn'
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Capacity: 0 Personal Representative 0 Counsel
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AM~ 1.- Eo I-h.. - 'FABIA N
Name 0 Person Filing this Fonn .
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Address
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