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Home My WebLink About08-28-07 PETITION FOR PROBATE AND GRANT O}-' LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Estate of PHYLLIS A. BOLDOSSER also known as File Number d.. \ ()'\ ~\ q~ , Deceased Social Security Number 182-22-9241 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 / are the EXECUTRIX last Will of the Decedent dated NOVEMBER 21, 2002 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: o B. Grant of Letters of Administration (If applicable, enter: c.t.a.; db.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 Rffi_, ; ;~5 : l.fj .:C:,- CO I -.. ._', " - . i....--) (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. ~3 ~ Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his / her last principal iesiikbce at 1420 BRADLEY DRIVE, CARLISLE, NORTH MIDDLETON TOWNSHIP, PENNSYLVANIA 17013 7 --1 (List street address, town/city, township, county, state, zip code) ,..---.., :r.... "'v ~ .. .. ~.. ) <?? U1 r- Decedent, then 79 years of age, died on AUGUST 12,2007 CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA at SARAH TODD MEMORIAL HOME 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 1.600.00 $ $ $ $ 69,000.00 situated as follows: 1420 BRADLEY DRIVE, NORTH MIDDLETON TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA 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 PATRICIA S. WEBER, 2156 DOUGLAS DRIVE, CARLISLE, PENNSYLV ANIA 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) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed @ fJatvVO~. ~ SignaturJ of Personal Representative before me the d. % day of ("') ::U . .:~ ::D 3-D 1 :;.r ("') .",;~ , .:---:: :.tJ - \"~../J;>:'" CJQ -( ;"2 -n .J~ :)--1 ':;,;';" Signature of Personal Representative Signature of Personal Representative File Number: ~ \ D'l D'lQ9 Estate of PHYLLIS A. BOLDOSSER , Deceased r--, ::::;':) = -... :J:no C G1 r0 0:> --0-'1 :) :P> :J:C co c..n ... Social Security Number: 182-22-9241 Date of Death: AUGUST 12,2007 AND NOW, (}, ".J:, ~ ~ . ~"1 ' inoonsidemtion of the foregoing Petition, ..ti,faoto'l' proof having been presented before e, IT IS DECREED that Letters TESTAMENTARY are hereby granted to PATRICIA S. WEBER and that the instrument(s) dated NOVEMBER 21, 2002 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES $ 135.00 ~ ~~~L~~ ~:::~e~i~~~~~(~; : : : : : : . . $ 4.00 Attorney Signature: 0 .cL Renunciation(s) .......... $ JCP ... $ AUTOMATION FEE ... $ WILL .. . $ .. . $ .. . $ .. . $ .. . $ .. . $ .. . $ TOTAL . . . . . . . . . . . . . . $ in the above estate Attorney Name: , ESQUIRE 10.00 5.00 Supreme Court J.D. No.: 6282 Address: 60 WEST POMFRET STREET 15.00 CARLISLE, PA 17013 Telephone: (717) 249-2353 169.00 Form RW-02 rev. 10.13.06 Page 2 of2 H I05.WS j{~Y 101/(7) 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. P 13745208 Certification Number t:\. ~~~,. ~~UGJ 1 4 P.007 Local Registrar Date Issued o Co .t;g ';,'-0 ,"~,-- ':'~93 rJ)7' 00 ") C) -.. JC= :::0 . "j--I -:P H105-143 REV 11flOO6 lYPEI PRINT IN PERllANENT BlACI< INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH (See InstructIOns and examples on reverse) 3.SociaISeaItIy_ Phyllis Boldosser 182 _ 22- 9241 6.OaIoolS/tll! 1......oI_I-._....."""'J s.1qo(lBolBlrlhdoy) 79 13._._(SpocIfycdyhf!1wl<lplo~ --.y I -.y ((}'12] ColIogo (1-4 or 5+) 11 Vos. May 18. 1928 lib. CounI)< of 008lh Cumberland 8d.FaclIly.....IUnaI_,.._""_ Sarah Todd Memorial Home IIlOlIId ".Donat... Knlof_/lIduooy De t. Store 16.-.rs-.g_fSlrool,clIy/-._..._1 1420 Bradley Drive Carlisle, PA 17013 11. OecedllnI's UIUII ca~r:r 12; Was Oecedenl ever In !tie u.s.__ Dv" (]f<o _. AduBI fte&Idenct 171. Stale 171>. Counly PA 17c. [l__LMdiJ 17d.C1~.Y'""- N Cumbl"rland 19. Mothef's Name (FlI'st,1ridtt8. maiden suname) Mable LivingSton '8.F___(fnI._,...._1 Howard A. Witmer 2llo.""""',_fT.../PrinI) PA 17013 t'-.,) = = -..I :;> c: G:l N ex> :t:b ::r.: '!? c.n ... 01. Ot'1 10._:__,-'~.ttc. I~ White M;r11'11otop T"Il. Ciy/llaro fil !!l ~ ii! 21d. LccaIon (ClIy1_, _, zip_I Carlisle, PA 17013 Crematory 32f."T_,",,~(Sp<<:Ky) ODriwfIOperaIOr OPIlSOSllgOI 0- on.er.Spdy: 330. ~ 1- ...,...) 33b. S9>fr....T.....~ c::1 . CortIfjIng~I__.....of___"""""'''''__''''''CCInjlleIOdIttm231 ~ ~Ut'), lIJ" '-J{'vIr...... TOlhttllltofmyknoWlecfgt,dIdt.occ:urNdcNIIOIheC8Ulll(.)Iftd..................,..,... ...___ ________ ___.......... ___ __.... __.. 12.. . ....................of\1nr_l"-_~_III1d_IO_of_) ,.- 330."""",_ .....__,day.jllIr) To mo...... rny_--.........._ond "'*'ond......mocouoe(.)oncI........___________________ 0 ~ \) 0 I ~ '2. '1 (Co FiI ""'3 \,)~1' I~ :l~<::ll .__1........ ~ o.mo_oI_oncIlor"'-tiplloo.~rnyopin/on,__..""....._..."'*'...dua..mocouoe(o)..............,,-- 0 ........""........ofP.....Who~""i"\of~(1Iom27) T...I.... rro :15. E,c:. c::.~... t'. '-01 .00~(..NIb .J... ~ :1t''*~~ I d-I I Id I \ 10 I ~So ~'tA.. @,'I::l~ Glt> c...-u'LQIoo ~~~=~ I ApproxinBtelnteMl': : Onset to Dealh I I : I..ml, I I , I I I I I I I Pllt( U: EnlrolwsimllblntllOrdbll ~ iD dMIh. bulnoll1OllOiJgiJlho~_,...,iJPortI. AS \.It> Oue 10: (or as alXll'lleqUll'lC ol): =111_,."'" 10 . cause lAId Oft .. a. _ UHIlERI.YlIIGCAUSE =--~u:...~"" b. Due to (or IS a ooneequence 01): Duelo(orasa~ol): d. ~ :!lb. __ RndinQo A_PdorIOConIploI\On of Couos of 00lllII? 31._oIlJoolO 1iIo!!- D- 0- O-.g_ O~ 0"""""'''''- M. 300.Wao.._ - 32d Tme of "'"'" 32g. LccaIon of I..... (_, clIy 1__1 OYot 0""' OYot L:i..""' ~ ~ t5 i ~-""'. orOonation? 28.!:IdToboocooUos_lODoolII? o Yot 0 p,.-y o to> uncno.n 29. If Female: . 0 ...,..,....-/lOSIYN' O~"lImoof_ o "'--'''''prognIWIl_42d1ys ..- o Not--'''''prognIWIl4:ldlyslol'f80/ bofIn _ o uncno.n.prognIWIl_"'''''''lN' 32c.:t:=:'"~SboelFoclOry. LAST WILL AND TESTAMENT I, PHYLLIS A. BOLDOSSER, of North Middleton Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my Executrix to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my Executrix to sell any realty owned by me at my death, at f'--;.,,) either public or private sale, and to give good and sufficient deeds therefor, in fe~1~ple, aa =n ==-- 'r:.; c: could do ifliving.. :-Eh ~~ . ..~ -', (.":) ~ .-~--'') ::>< ,,--) :r;;;. ) "'-.....i -~"'" "-..,....-.1 ~.l':= .,~ --r') 3. I give, devise and bequeath all of my estate of every nature and wherever ~te to ~ +" daughter, PATRICIA S. WEBER, or the survivor. 4. I nominate and appoint PATRICIA S. WEBER to be the Executrix of this my Last Will and Testament, she is to serve as such without bond. Should she die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint JOHN T. WEBER as substitute Executor, also to serve as such without bond, with the same powers as are given herein to my Executrix. s. I hereby suggest that my personal representative retain the services of Irwin, McKnight, & Hughes as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ll-M day of November, 2002. ~i t?~~~.(.z.I/ (SEAL) IS A. OLD SER Signed, sealed, published and declared by PHYLLIS A. BOLDOSSER, the Testatrix above-named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. ~~.~.Wk~ , V1{~~~ ACKNOWLEDGMENT AND AFFIDA VIT WE, PHYLLIS A. BOLDOSSER, MARTHA L. NOEL and SHARON L. SCHWALM, the Testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament, that she had signed willingly, that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of their knowledge the Testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ~,; a ~_-"',,~./ .~I;;::;LDOSSER .. MA THA L. NOEL ')/M~#f #~~~ SHARON L. SCWHALM COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by PHYLLIS A. BOLDOSSER, the Testatrix herein, and subscribed and sworn to before me by MARTHA L. NOEL and SHARON L. SCHWALM, witnesses, this 2-1'" day of November, 2002. 1.~ Notarial Seal Roger B. Irwin. Nowy Public Carlisle Bora. Cumberland County My Commission Expires Oct. 3. 2004 Member, Pennsylvania Association ofNotarles