HomeMy WebLinkAbout10-03-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYL VANIA
Estate of Richard A. Gilds, Jr.
also known as
File Number
,9, \ b 'l 05'1 Q)
, Deceased
Social Security Number 181-60-1394
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'R' BELOW:)
IZ] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the Executrix
last Will of the Decedent dated 5-3-05 and codicil(s) dated n/a
named in the
(State relevant circumstances, e.g.. renunciation, death 0/ 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
(lfapplicable. 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 spouse (if any) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a.. enter dale o/WiIl in Section A above and complete list a/heirs.)
Name
Relationship
Res idence
(COMPLETE IN ALL CASES.~ Allach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his / her last principal residence at
768 Magara Road, Enola, East Pennsboro Townshio. Cumberland County, Pennsvlvania 17025
(List street address. town/city, township, county. state, zip code)
Decedent, then
years of age, died on June 17, 2005
at East Pennsboro Township, Cumberland County
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(Ifoot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
13,000.00
$
$
$
$
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:
T ed or rinted name and residence
.
Amy'" Hardy a.k.a. Amy Lynn Gilds, 768 Magaro Road, Enola PA 17025
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
COUNTY OF
Cum bfrla. Vl. cJ
SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and conect to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
3
day of
Sworn to or affirmed and subscribed
Signature of Personal Representative
~ \ blf\ r:RAfJ
.
G;\ \d~ ~y-
( '6 '9L(
, O\\)b\
, Deceased
File Number:
R\~O- ~
Social Security Number: \<6, Co 0
\) C\t~ 'f f(:)
Estate of
Date of Death:
AND NOW,
having been presented before me, IT IS DECREED that Letters
are hereby granted to ~ G-
, in consideration of the fore oing Petition, satisfactory proof
~e
in the above estate
and that the instrument(s) dated '\f\CLL\ 3 dOOS-
I
described in the Petition be admitted to probate and filed of recor
~~::tr~e~:i~~~:e~~)': :L:0.. ~
Renunciation(s) .......... $
L0\\\ ... $
, \c r .. . $
.~-\u ... $
.. . $
. .. $
. .. $
... $
.. . $
... $
TOTAL.. .. .. .. .. .. .. $~
(0 Dot>
Sex>
u/"11t "'1ft? (J, '2>1<:s/"C;e r-
&77.5 7
'fib .s SiC( fe
Il1Ct v y.s l.n' ((e
I?c/
pJ4 176S3
FEES
Attorney Signature:
\SOD
lOoO
,c.::;O 0
Attomey Name:
Supreme Court I.D. No.:
Address:
Telephone:
7/7- f5/~ :5L)7<-!
,
Form RW-IJ2 rev.IO./3.IJ6
Page 20f2
HIOS.80S REV liDS
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.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
11560946
No.
~/Jl~'
Local Registrar
Fee for this certificate, $6.00
p
JUN 21 2005
Date
105.143 Rev. 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
So
COUNTY OF DEATH
3 2 Vn.
BIRTHPlACE (CIty ond
Slate or Foreign Counlly) HOSPITAl:
Camp Hill PA -IX!
7. 8..
FACILITY NAME (If not institution. give street end number)
SEX
2. Ma 1 e
T
SOCIAL SECURITY NUMBER
3. 18 I 60
DATE OF DEATH (Monlll. Day. Veer)
4. June 17, 2005
NAME OF DECEDENT (First, MIddle, Lost)
1. R i c h a r d A. Gild s Jr.
. AGE (Loot Birthday)
.)
Ib. Cumberland
DECEDENl'S USUAL OCCUPATION
(c:-=~ct;:-~
. 11.. Manager llb. Pizza Hut
DE S MAILING ADDRESS (Slnlel, Ciy/Town. Stata. ZIp Code) DECEDENl'S
768 Magaro Rd. ~~NCE
Enola, PA 17025 ~~.
k.East Pennsboro
KIND OF BUSINESS IINDUSTRV
-0 ::"'1 0
RACE - American Indian. IIIack, White.
(SpedIy)
White
17b. Countv
DId
decadellt
live In a
Cumberland township? 17d.0 ~~::::of
MOTHER'S NAME (First, Middle, Maiden Surname)
1'. Sally A. Hostetler
INFORMANl'S MAILING ADDRESS (~ Cltyrrown. Slata, ZIp Code)
2Gb. 768 Ma aro Rd. Enola, PA 17025
PLACE OF DISPOSITION- Nama of Camolart. Crematory LOCATION - Cltyfrown. Slata. ZIp Coda
or OIhOf Place
21c. Perry Heights Cemetery
NAME AND ADDRESS OF FACILITY
u~Richardson F.H. 29
LICENSE NUMBER
MARITALSTATUS-Manted,
_Manted,_.
Otvorced (SpedIy)
14. Married
17~ IKl Yea. dacedantlved In Ea s t
SURVIVING SPOUSE
(If". g1v. mIliden MrM)
Wirt
\wp.
cilylboro.
Sr.
21d. Marysville, PA 17053
LICENSE NUMBER
Ub. FD 012774-L
_ 01 my knowtedga, dealh occurred at lIle lima, data and place slated.
andTltla)
K or ruplfakKy ."..to .hock IN' hart ........
S.EnolaDr. Enol-a PA 17025
DA SIGNED
(Monlll. Day. Year)
23b. H . ______ _ __ __ __2_30... ~__ __
WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER?
D. Vas 0 ~..... __________/l".A....__.........
: Approximata PART .: 0Ihar ~CDndiiiOiiO-coniriilUting-iO daalIi. -bUi -
. _ nol.-.g In "'" undefIyIng ...... given In PART I.
: onset Ind delth
~Q...
DATE OF INJURV
(Month, Day, Vew)
o
PendinG Inva.ligation 0 Yes 0 No 0
Cou/d not be dele<nW1ed 0 ~~~(=V. At home. ::,:;, street. ladoIy,~3Oc'l:",Ti6N i::.,CityfTown, Statal
o TITLE OF CERTIFIER
.~:=:tGoI~=s:.~~:3==:r:\'tn\"'.=a:.":~~.~~!!'.~~.~~.~~.~~~................~ 31 . ()O~.> 'fY'fO
.p~~~G:~~"'=~~~.~:.:::~.:~~~=~...tat.d...................... 01~1~'M~b4-b\ , \ _\-'~:.EGlJ5'Tb"~ear~_=-n
'IIEDlCALEXAII..EWCORONER =1:rf~~~ 'tC:SON WHOMPLE~dU~~fo-\i\'~.
31L=~::.:~~~~.~~~~~~:.~.~~~~:.~~~~.~~~.~.~.~.~~:.~~~:.~~.~~~..~~.~~.~~.~~.~~~~.(.~~.~~~.. 0 3~Q_~ ~ 'U.~ ~ Y1. 1\ \ . ~)).. \)q)..) .
33~~SIGNATUR~UIl8ER ~v~I/(1 :TEFILED~:;1 ~d~;;~~. .
7'
MANNER OF DEATH
TIME OF INJURV
INJURV AT WORK? DESCRIBE HOW INJURV OCCURRED.
Natural
a
o
o
HomIcide
AccIdent
Ve.O
NoD
SUicide
21.
a \ D'l DBq<0
Will of Richard A. Gilds Jr.
PERSONAL INFORMATION
I, Richard A. Gilds Jr., a resident of the State of Pennsylvania, declare that
this is my will.
REVOCATION OF PREVJ:OUS WILLS
I revoke all wills and codicils that I have previously made.
MARITAL STA'l'US
I am married to Amy Lynn Gilds.
CHILDREN
I have the following children now living: Grace Ruth and Hannah Marie.
FAILURE TO LEAVE PROPERTY
If I do not leave property in this will to one or more of my children named
above, my failure to do so is intentional.
DISPOSITION OF PROPERTY
All beneficiaries must survive me for 45 days to receive property under this
will. As used in this will, the phrase survive me means to be alive or in
existence as an organization on the 45th day after my death.
All personal and real property that I leave in this will shall pass subject to
any encumbrances or liens placed on the property as security for the repayment
of a loan or debt.
If I leave property to be shared by two or more beneficiaries, it shall be
shared equally by them unless this will provides otherwise.
If I leave property to be shared by two or more beneficiaries, and any of them
does not survive me, I leave his or her share to the others equally unless this
will provides otherwise for that share.
I leave my entire estate, consisting of all property I own at my death subject
to this will, to my wife Amy Lynn Gilds.
PERSONAL REPRESENTATIVE
I name Amy Lynn Gilds to serve as my personal representative.
No personal representative shall be required to post bond.
PERSONAL REPRESENTATIVE'S POWERS
I direct my personal representative to take all actions legally permissible to
1'a'18 1
-.."'so ~iP ~,..-ftl-
Date:
J J.~)~"'!J~
Wil1 of Richard A. Gilds Jr.
have the probate of my will done as simply and as free of court supervision as
possible under the laws of the state having jurisdiction over this will,
including filing a petition in the appropriate court for the independent
administration of my estate.
I grant to my personal representative the following powers, to be exercised as
he or she deems to be in the best interests of my estate:
1) To retain property without liability for loss or depreciation.
2) To dispose of property by public or private sale, or exchange, or otherwise,
and receive and administer the proceeds as a part of my estate.
3) To vote stock, to exercise any option or privilege to convert bonds, notes,
stocks or other securities belonging to my estate into other bonds, notes,
stocks or other securities, and to exercise all other rights and privileges of
a person owning similar property.
4) To lease any real property in my estate.
5) To abandon, adjust, arbitrate, compromise, sue on or defend and otherwise
deal with and settle claims in favor of or against my estate.
6) To continue or participate in any business which is a part of my estate, and
to incorporate, dissolve or otherwise change the form of organization of the
business.
The powers, authority and discretion I grant to my personal representative are
intended to be in addition to the powers, authority and discretion vested in
him or her by operation of law by virtue of his or her office, and may be
exercised as often as is deemed necessary or advisable, without application to
or approval by any court.
PAYMENT OF DEB'fS
Except for liens and encumbrances placed on property as security for the
repayment of a loan or debt, I want all debts and expenses owed by my estate to
be paid in the manner provided for by the laws of Pennsylvania.
PAYMENT OF 'fAXES
I want all estate and inheritance taxes assessed against property in my estate
or against my beneficiaries to be paid in the manner provided for by the laws
of Pennsylvania.
IIIII
IIIII
Page 2
<oi_o, -d ~ jJL
Date: 5}3 ,o~
Will of Richard A. Gilds Jr.
NO CONTEST PROVJ:SION
If any beneficiary under this will contests this will or any of its provisions,
any share or interest in my estate given to the contesting beneficiary under
this will is revoked and shall be disposed of as if that contesting beneficiary
had not survived me.
SEVERABILITY
If any provision of this will is held invalid, that shall not affect other
provisions that can be given effect without the invalid provision.
A. Gilds Jr., the testator, sign my name to
day of ..M tt,/ .J.t?tJS- , at
I declare that I
instrument as my last will, that I sign it willingly,
my free and voluntary act. I declare that I am of the
otherwise legally empowered to make a will, and under
SIGNATURE
I, Richard
-=:f~'rA
this instrument, this
influence.
WITNESSES
sign and execute this
and that I execute it as
age of majority or
no constraint or undue
~j ~#r
We, the witnesses, sign our names to this instrument, and declare that the
testator willingly signed and executed this instrument as the testator's last
will.
In the presence of the testator, and in the presence of each other, we sign
this will as witnesses to the testator's signing.
IIIII
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-H~>
1J?fff rub!1 '('
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Toni A. Myers, Notary Pub!Io
~HlBaro.~COOfIlV
~(;;w)l...~E3cpiWMIr. ~,~
"~","\SIl~~~@f~
Page 3
Initials:
Jtiff.~ JL 0.", stk
Wi11 of Richard A. Gi1ds Jr.
To the best of our knowledge, the testator is of the age of majority or
otherwise legally empowered to make a will, is mentally competent and under no
constraint or undue influence.
We declare under
this 3
at I'-IL/b
the foregoing is true and correct,
, dCCf),
Witness #1:
Residing at:
17{)/ /
Witness #2:
Residing at:
~A
170/1
Witness #3:
Residing at:
If
~A~~
~/JC5t~ p~
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Toni A. Myers. Notary Public
Camp Hill 8010. Cumberland County
My Commission Expires Mar. 29. 2008
Member. Pennsylvania Associallon Of Notaries
_uo>., ~k rr-
Date: '/3Ja-
Page 4