HomeMy WebLinkAbout09-13-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
COUNTY, PENNSYL VANIA
, Deceased
Social Security Number
D'l 0'6'::>'1
/ q/ -- j ~ - r1. 7 7 3
Estate of E VA-
also known as
/1 H()Lj..!)y~f=R
File Number a.. \
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
. A. Probate and Grant of LettersTestamentary and aver that Petitioner(s) is / are the CL aRe /lie: e. J5. HI) [.,L IN '"6 f?. named in the
last WlIl of the Decedent dated I 1;" if 1/ I Y /9' rr and codicil(s) dated ,I J) J& f y 19 '1 't
(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
(Ij applicable. enter: c.t.a.; d:b.n.c.t.a.; pendente lite; durante absentia; durante lIlinoritat~...;)
r=.)
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the followi~~se (if an~nd heirs: (l[
,"",i""&o""" 'ia a' d:::a """ do<, al Will i, Se,",," A '::,::::mp,,,, '""I he,,,) RJi~ ~ ... J
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(COMPLETE IN ALL CASES:) Attach additiollal sheets ifllecessary.
Decedent was domiciled at death in C v 111 f, e Q {~ih ..l County, Pennsylvania with his / her last principal residence at
If' ,T/)h~ c: DR..1ve FA/"" fa Pr /7t12..S'
(List street address. towl/lcity. towns/lip. county. state.{ip code)
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Decedent, then <ifrI
years of age, died on7SePI i..b07at I/oly 5 PI R,rT /losPITt:..{ I ('q~p II/Lt,.' r&.,.
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 ofreal estate in Pennsylvania
If ':J- 0 0, ~
$
$
$
$
situated as follows:
Wherefore, Petitioner(s} resl!ectfully 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
/-( tJ L L i/Y G .-.
rinted name and residence
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C~1-Rr3./tIct.
Form RW-02 rev. /0.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
r~~r'rutcl
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
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SIgnature of Personal RepresentatIve
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before me the L3 day of
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SIgnature of Personal RepresentatIve
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File Number:
Estate of ~~D.- ~ ~\ \ \.~er
Social Security Number: \ q \ I ~ :;} ""'fl~ Date of Death:
AND NOW, ~~~ 6-.r- , 3 , ::lba I , in consideration of the
having been presented before me, IT IS DECREED that Letters \ e,
are hereby granted to (' \ 0 ,e....(\ c e E. ~ \\~ 1"\ Qt'
, Deceased
q ).:4 C>(
in the above estate
and that the instrument( s) dated ~\W ~ \ c::;- \ ~~ 4
described in the Petition be admitted to probate and filed ofiecord as the last Will (and Codicil(s)) of Decedent.
~~ ~~~D
Register OfWillS-~~~
FEES
Letters .. .~:SQD.. . $
Short Certificate(s) .( .1..:\) . . $
Renunciation(s) .......... $
LU\\\ ... $
\~ ? . .. $
~L\.J ...$
... $
. .. $
.. . $
.. . $
. .. $
... $
TOTAL .............. $
30
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Attomey Signature:
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Attomey Name:
Supreme Court LD. No.:
Address:
Telephone:
IlLPO
Form RW-O] rev. 10.13.06
Page 2 of2
H 105.R05 REV (')1/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph..t~
Certification Number
.---------.
This is to certify that the information here given i
correctly copied from an original Certificate of Deat
duly filed with me as Local Registrar. The origim
certificate i~~ forwarded to the State ViU
RC#~ling
t/jJJ_Ja2
Local Registrar . Date Is~ueL\~,
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Fee for this certificate, $6.00
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERnFICATE OF DEATH
(See InatruclIona end eumpIM 011 _)
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.fA
~_No.
WILL OF EVA M. HOLLINGER
I, EVA M. HOLLINGER, of Camp Hill, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any will
previously made by me.
ITEM I. I give all my automobiles, and all other articles of
personal and household use, together with all insurance relating
thereto, to my husband, CLARENCE E. HOLLINGER, if he survives me
by thirty days.
If he does not so survive me, I give all such
property and insurance to my stepdaughter, MICHELLE DVORYAK, if
she survives me by thirty days.
ITEM II.
I have deliberately made no bequest in this will
to my only child, ROBERT WARREN KOCHER, who has caused me years
of grief and pain.
I have also deliberately but sadly made no
bequests to the issue of ROBERT WARREN KOCHER, as I fear that any
such bequest would cause ROBERT WARREN KOCHER to disown the
recipient of any such bequest, as he has so threatened.
ITEM III.
I desire a simple funeral with no open casket.
I should be buried in the cemetery plot my husband and I already
own in Marysville, Pennsylvania.
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Page 1 of 5 Pages.
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ITEM IV. I give all the residue of my estate, real and
personal, to my husband, CLARENCE E. HOLLINGER, provided that he
survives me by thirty (30) days; if he does not so survive me, I
give the residue of my estate, real and personal, to my
stepdaughter, MICHELLE DVORYAK, provided she survives me by thirty
days. If she does not so survive me, I give the residue of my
estate, real and personal, to the issue of MICHELLE DVORYAK, per
stirpes.
ITEM V. No interest in income or principal shall be
assignable by, or available to anyone having a claim against, a
beneficiary before actual paYment to the beneficiary.
ITEM VI. All federal, state, and other death taxes payable
on the property forming my gross estate for tax purposes, whether
or not it passes under this will, shall be paid out of the
principal of my residuary estate just as if they were my debts,
and none of those taxes shall be charged against any beneficiary.
ITEM VII. I authorize my executor:
A. to retain and to invest in all forms of real and
personal property, regardless of (i) any limitations imposed by
law on investments by executors or trustees, (ii) any principle
of law concerning delegation of investment responsibility by
Page 2 of 5 Pages.
executors or trustees, or (iii) any principle of law concerning
investment diversification;
B. to compromise claims and to abandon any property
which, in my executor's opinion, is of little or no value; to
borrow from, and to sell property to others, and to pledge
property as security for repaYment of any funds borrowed;
c. to sell at public or private sale, to exchange or
to lease for any period of time any real or personal property, and
to give options for sales or leases;
D. to join in any merger, reorganization, voting-trust
plan or other concerted action of security holders, and to
delegate discretionary duties with respect thereto;
E. to use administrative or other expenses of my
estate as income tax or estate tax deductions and to value my
estate for tax purposes by any optional method permitted by the
law in force when I die, without requiring adjustments between
income and principal for any resulting effect on income or estate
taxes; and
F. to distribute IN KIND and to allocate specific
assets among the beneficiaries in such proportions as my executor
Page 3 of 5 Pages.
may think best, so long as the total market value of any
beneficiary's share is not affected by such allocation.
These authorities shall extend to all real and personal
property at any time held by my executor and shall continue in
full force until the actual distribution of all such property.
All powers, authorities, and discretion granted by this
will shall be in addition to those granted by law and shall be
exercisable without leave of court.
ITEM VIII. I appoint my husband, CLARENCE E. HOLLINGER,
executor under this will. Should my husband, CLARENCE E.
HOLLINGER, fail to qualify or cease to act as executor, I appoint
my stepdaughter, MICHELLE DVORYAK, executor under this will. No
personal representative appointed hereunder shall be required to
give bond or furnish sureties in any jurisdiction.
ITEM IX. The term "executor" and "trustee" or any pronoun
used to indicate the executor, trustee, any other fiduciary or any
beneficiary shall be deemed to apply to one or more than one
Page 4 of 5 Pages.
person or corporation and to the masculine, feminine or neuter
gender as the case may be.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to
this, my last will, this I,~ day of July, 1994.
~ /h 1(,;~..-/
EVA M. HOLLINGER
(SEAL)
SIGNED, SEALED, PUBLISHED, and DECLARED by the above
testatrix, as and for her last will, in the presence of us, who
thereupon at her request, in her presence and in the presence of
each other, have hereunto
subscribed our names as witnesses.
V$~
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Page 5 of 5 Pages.
STATE OF PENNSYLVANIA
)
( ss:
)
COUNTY OF DAUPHIN
We, EVA M. HOLLINGER, 71ItJHAS.p. Gftc}(.../ and
Pev~I....OPE ;;r: J)E2JT2..L€Jf!.... the testatrix and witnesses, respectively,
whose names are signed to the attached or 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 that she had signed willingly and that she
executed it as her free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and
hearing of the testatrix, signed the will as witness and that to
the best of our knowledge, the testatrix was at that time eighteen
years of age or older, of sound mind and under no constraint or
undue influence.
w~CP9 ~t'
SUBSCRIBED, sworn to or affirmed, and acknowledged before me
by the above-named testatrix and by the witnesses whose names
appear above on
~ 1.5:
, 1994.
Not~4. ~
Notarial Seal
~ A. Zetllemoyer, Notary Public
Harrisburg, Dauphin County
My Commission Expires Jan. 29, 1995
Member, Pennsylvania Nisocialion of Notaries