The URL can be used to link to this page

Home My WebLink About09-17-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF e lV(h ~.:\ fA ,,~, COUNTY, PENNSYLVANIA Estate of ~ {' 0 '4-~f also known as <C, J-Io /J P ,/ , File Number cO \ Ot Ox<--\-g /q,5'~dg ~107~ , Deceased Social Security Number Pewioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~<\. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the ScL'r\ ~ 'CCl. Q I L..,..&' named in the last Will of the Decedent dated 0 and codicil(s) dated (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: t........:;:. (j g o B. Grant of Letters of Administration ::= 0 _, (If applicable. elller: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durallleillTifiJrilate) ~ -:r.:: C) \J Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse:(1~y) 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.) ._ :"~ 52 --.I Name Relationship Residen~e~~ i'~ ..J i> ~ I, ; 0"\ (COI'rIPLETE IN ALL CASES:) Attach additio/lal sheets if/lecessary. Decedent was domiciled at death in C 4 "I Q Decedent, then8a years of age, died on '1/a.:lJ 07 at I ( ~o~ Co \..\.. (\ ~'r'" !'<\ e 000 V-i.3 R e.-k'il? me. .v ./- (;1- r . Decedent at death owned property with estimated values as follows: (If domiciled in P A) All personal property (If not domiciled in P A) Personal property in Pennsylvania (If not domiciled in P A) Personal property in County Value of real estate in Pennsylvania $ $ $ $ cqo OOD, no I 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 form to the undersigned: Ty ed or rinted name and residence D SU-,<\~"'(Q. Le i \ ~ O"-t.. C~'<'L L SL-f' 0r {) 3 Form R W-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are hue 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 \ 1 day of ~~~ Signature of Personal Representative Signature of Persollal Rep,'esentative ';2 i"',) c::.;_~ c:;.,) --' .,~(~~ (/) rrl -0 File Number: ~ \ (")( ()~~ ~DY- ~U\ <c.. \6\\ey l q s ~ '%" I 01'), ,-().,6b) -u . :. _.-,-' 'J >;... -..J ,__J ~joo Estate of , Decei~~ \:1 ;:..:... w .. Social Security Number: AND NOW <=1 \ \ I. , . having been presented befo~e me, IT IS DECREED (hat Letters are hereby granted to ~\f/)_ l ((.;\.p ~ Date of Death: (J1 en , in consideration of the foregoing Petition, satisfactory proof \&~rre1\~(V\_ a in the above estate FEES (J Letters .......... C' ~ $ Short Certificate(s) . . . . tJ . $ Renunciation(s) .......... $ LO)11 $ ~~ : $ $ $ $ $ .,. $ TOTAL.............. $ 9400 4c,) S<f Attomey Signature: ,"S' 10 E;"' Attomey Name: Supreme Court LD. No.: Address: Telephone: Fonll RW.02 rev. 10.13.06 Page 2 0[2 H105.112 REV. 1/05 (FEE FOR THIS CERTIFICATE $6.00) WARNING: IT IS IllEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS a \ 01 0 ~ C) LOCAL.REGISTRAR'S CERTIFICA TIONOF DEATH CERr. NO. T 6148245 July 25, 2007 Date of Issue 0,1 This Certif~callon Name of Decedent Female Dorothy E. Holley First Middte Last Sex Social Security No. Aug. 22, 1924B'rth I I pace - 1072 Date of Death July 22, 2007 Date of Birth Newport, PA Place of Death White Country Meadows Cumberland Hampden Twp. Pennsylvania Facility Name County City, Borough or Township Race Occupation . Decedent's W~dowed M 'I' Add a.1 109 ress ArmedForces? (Yes or No) 4837 East Trindle Rd. Mechanicsburg No Marital Status FA 17055 Nl..tl:f:lb~r Street City or Town Slate Informant Name and Address of Funeral Establishment Sandra Riley Funeral Director Sally A. Myers David Myers Funeral Home, Newport, PA 17074 Part I: Immediate Cause Interval Between Onset and Death (a) Failure to thrive (b) (c) (d) Part II: Other Significant Conditions Alzheirners () .~~'j~ ;f' Describe how injury occurred: '.<t~ '~.~) i.:~) ('-_~i -'l-j t-~...) ~.; --' (/) (...."'4 " . -0 " Manner of Death Natural ~X Accident 0 Suicide 0 -..J Homicide Pending Investigation Could not be Determined o o o -u --:..'~ ...... j'q :::-=4 ,) Y! U1 0'\ Name and Title of Certifier George Azizkhan M.D. 388 Poplar Church Rd., Camp Hill, PA 17011(M.D"D.O" Coroner, M.E.) Address This is to certify that the information here giveniscorrectry 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 OHicefor permanent filing. July 25, 2007 50-455 District No New Bloomfield, PA 17068 Date ReceIved by Local Registrar Street Address City, Borough, Township ~ ~ ~ ~ LAST WILL AND TESTAMENT I, DOROTHY E. HOLLEY, formerly of Juniata Township, Perry County, now of Mechanicsburg, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking any and all Wills by me heretofore made. FIRST: I direct payment of the expenses of my last illness, funeral and burial costs from my residuary Estate, as an expense of my Estate, as soon after my death as conveniently may be done. All Federal, State and other death taxes payable because of my death, with respect to the property forming my gross Estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such tax, shall be considered a part of the ... administration of my Estate and shall be paid fr~ my residuary Estate without apportionment 6~rig~ to reimbursement. ._c :...J _I SECOND: I give One Thousand ($1, OOO)::;;~_; \7 Dollars each to each of my great grandchil~~n. (.,) ._;,~J -, ...;.-;~,. THIRD: All the rest, residue and remain~r of .my estate, whether real, personal or mixed, of which I shall die seized and possessed, and to which I may be entitled at the time of my decease, wheresoever the same may be situate, including all tangible personal property, I give, devise and bequeath in six (6) equal shares to my six (6) grandchildren: Kathy Steele, Michael Wagner, Michele Stoak, Keith Comp, Angela Miller and Eddie Compo ')----' ~'\-- -~ ~ HENCH AND CRESSLER ATTORNEYS AT LAW 224 MARKET ST. NEWPORT, PA 17074 TEL: (717) 567-3139 FAX: (717) 567-3130 MILLERSTOWN OFFICE: TEL (717) 589.7787 FOURTH: In addition to all powers granted by law, I give my Executrix, hereunder, the following powers, which may be exercised without leave of court: to retain and to invest in all forms of real and personal property; to compromise claims and to abandon any property which is of little or no value, if deemed appropriate to my Executrix; to sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property, or interest therein, and to give option for sales or leases, and to give a good deed of conveyance or bill of sale for the transfer thereof; to allocate any property received or charge incurred to principal or income or partly to each, without being obliged to apply the usual rules of Trust accounting; to distribute in cash or in kind (according to the fair market value prevailing at the time of distribution) or partly in each. FIFTH: I nominate, constitute and appoint my daughter, SANDRA L. RILEY as Executrix of this my Last Will and Testament and my Estate. In the event she is unable or unwilling to serve, then I nominate, constitute and appoint ~CHELE R. STeAK as Executrix of this my Last Will and Testament and my Estate. SIXTH: I direct that no Executrix acting under this Will shall be required to enter bond for the faithful performance of duties, in any jurisdiction. IN WITNESS WHEREOF, I, the said DOROTHY E. HOLLEY, have hereunto set my hand and seal, to this my Last Will and Testament, this d'li'h day of July, 2001. \ ..'::,-::-_/ DOR ) 224 MARKET ST. NEWPORT, PA 17074 TEL: (717) 567-3139 FAX: (717) 567-3130 The writing contained in this and th preceding sheets was signed and sealed by the above named, OOROTHY B. HOLLEY, and by her published and declared as and for her the Last Will and Testament, in the presence of us, who have hereunto subscr1bed our names as witnesses at her request, in, h,er presence. ~_ ~d- ~a.-01L ~~~/?J~ "1~es~ !J~l 356 ()wf7J~tl1j-bYR.~ ~\~~l~i~'1DbZ '-hf"J&UZJ.~l-47; -!J;:J 170(,,;;)- HENCH AND CRESSLER ATTORNEYS AT LAW MILLERSTOWN OFFICE: TEL (717) 589-7787