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HomeMy WebLinkAbout12-19-07 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CVMIoe("\fA.~J COUNTY, PENNSYL VANIA Estate 0 f ~v ;c\ 6. NCJSON _YJeIA-N JJ6..60AJ , Deceased File Number c:9\ - 01 Il5 0 Social Security Number \ 2> ~ - 64 - d6~ also known as Petitioner(s), who is/are i8 years of age or older, apply(ies) for: (COMPLETE '4' or 'B' BELOW:) ~. Probate and Grant of ~.:!.ters Testament~y and aver that Petitioner(s) is I are the G-ecu.\-o;- last Will of the Decedent dated t-Gb /18. 11'('1 nd codicil(s) dated O-r~ d S llo\. 'C\c...oc.. IJrSIl'\ . named in the e , }( (State relevant circumstances. e.g., renunciation, death of executor, etc.) Except as follows, Decedent did not malTY, 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 absen/;{lr;) durante millOiie) ~,::J ~ 0 -..I -- 11 Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the f01l6~~spouse (i~y) an~\~~ (If Administratioll, c.t.a. or d.b.lI.c.t.a., ellter date of Will ill Section A above and complete list of heirs.) . ~ p n (':, cj ~::"m r" t-"'-' I Name Relationship .. ",CJ UJ ..' l,..,J I ..R.egi~ce :C'V -0 > 71 . .s,."" -- .. c' .' (-) '- n=i I:! r ". . ", _. .......::0- Decedent was domiciled at death in I ~ Lo..,k-el'\. ~e . (List street address, townlcity, township, cOllnty, state, zi co County,pnnsylvania with his I her last principal residence at Pit 70b':::. Decedent, then &'3 yearsofage,diedon 6c.r JS, dID, at 13 l.Ar~tll f.q.~ ./Il.t-.lIoJlf{ !fflIlJ''> tPA- 170&:,'5: 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 $ I,C(X),OO $ $ $ d I QUO.QD 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 &lItD ~5:11J 35 G<...nt tr'u~ C",-"I;ste PI! 17013 I For/ll RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONVVEAL 1 fl elF PENNSYLVANIA SS COUNTY 017 The Peliti'~i;cn)1 ar.,;\':;,!u::id ~'''C~lI\~) l1r <l:lill11(S) that the statements in the foregoing Petition are true and conect to the best of 1i1,~ k'hW. kd~e Jm] be lid of Petitioner( sJ am] th~tt, as personal representative(s) 0 f the Decedent, Petitioner(s) will well and truly administer th~ estate according to law Sworn to or affirr'ned and subscribed ',. ~q betore me the, , day of ~CQ VV) Ql.L., /)(jJl fit fLt ~ J~LQ m For the R gl ter Signature q/ Personal Rt!presentative Sigllol1lre of Persollal Representative C") ;::;0 -:TJ .~~~~ ,~::_.l ::: ~..<'.... ,.....---, ~ = <...;.> --.l CJ f'T1 n , I)~ ') c:::> 'U "7 , ,"'I <.J C) '::q - C') rTl \.0 File Number: rR I - 07 - ( I 50 Estate of )..-- . ::0 c ~eciased J:.. -0 3:. N .. c-.....,) Social Security Number: Date of Death: \.0 AND NOW, having been presented before me, IT IS DECREED that Letters are hereby granted to , in consideration of the foregoing Petition, satisfactory proof in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. ~ AAI1, EJ ~~ <- 'leAD{ nrvV ( .Jt{~b0La R2gisler of Wills' . .{,2Q I V Letters r?O U() ILl .DO Attomey Signature: FEES TOTAL $ $ $ $ \5 .uu $ /U.ULJ $ '5.0 u $ $ $ $ $ $ $lQ (J . UO Short Certificate(s) . . . . . . , . Renunciation(s) .......... WI \\ JCD FhJ '\-G rn u r-; Cf\'\ Attorney Name: Supreme Court I.D. No.: Address: Telephone: Form RW.()] rev /0./3.06 Page 2 of2 9 I - r', 7 ,,( I F=;r' ," :......: - t:-/ ",-". ant JYur8/ :\Q;~ ~ ~~ Q~ CJ ?-- 1000 Claremont Road Carlisle, PA 17013-8805 main (717) 243-2031 fa>: (717) 240-1952 cf\.ehab ilitation Center December 13,2007 To whom it may concern: Sara Nelson is a resident here Claremont Nursing and Rehabilitation Center. She is not a capable resident due to her dementia dx. If you should have further questions please feel free to contact us here at 717-240-1924. Thank you. Sincerely, ~~~~ ~&-.l\W~ ~ o So :lJ '~o }~~ 1"0:1 = = --' c::J rt1 n \.0 ,~') rn '::-:> C) ,U C'J I,; ;[3 (-; ('-) -'----~ '~:'8 " C) ....r'..l Amber L Mitchell BSW Social Services Dr. David Wenner Physician ~':~5 ~f; -0 :x N .. ~ .....'1.....) ,'\ 'Xi CJ --j )> CX) fi service agency of Cumberland County .' LAST WILL AND TESTAMENT OF DAVID G. NELSON o :D "lJ -,--C) I:;~:r- ::---'''' ('1-' :1:J /'- r-.;l = ..:=::> --J Cl Pl C) I.D );:) 0 -0 I, David G. Nelson, a legal resident of South Middleton Township, Cumber~-to~, Pennsylvania, being of sound and disposing mind, memory, and understanding, do.f!'ereby m~, publish, and declare this as and for my Last Will and Testament, hereby revoking all other wilb and codicils heretofore made by me. (-1 rJ ." I -::-.'1 ,.--..., '-., ..J !-l-; FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. THIRD: I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my mother, Sara A. Nelson, provided she shall survive me by thirty (30) days. Should she fail to survive me by thirty (30) days, I devise and bequeath said residue to my nephew, Brian Nelson. FOURTH: I nominate, constitute and appoint my mother, Sara A. Nelson, Executrix, of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability to act for any reason whatsoever of the said Sara A. Nelson, I nominate, constitute, and appoint Brian Nelson, Executor, of this, my Last Will and Testament. I hereby relieve my Executrix or her successor from the necessity of posting security in connection with their duties as such in any jurisdiction in which they may be called upon to act, insofar as I am able by law so to do. IN WITNESS WHEREOF, I have hereunto set my hand a.1'J.d seal to this, my Last Will -rl-- and Testament, consisting of two typewritten pages, each of which bears my initials, this / e~ day of ~/?~t:/~~ ,1999. (SEAL) '.' . Signed, sealed, published, and declared by the above-named Testator, David G. Nelson, as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ?-~~~ ./ . .. Z ? Yvn~ ;j, / Ji/11 ACKNOWLEDGMENT COMMONWEAL TH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, David G. Nelson, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. G~Swom or a~~ed to and acknowledged before me by David G. Nelson, the Testator, this J I> day oJ:.d1.u~ ' 1999. ~ ~1fo~ Notarial Seal Susan K. Guyer, Notary Public Carlisle Boro, Cumberland County My Commission Expires Sept. 4,1999 9mb9r, Pennsylvania Aaoocillt on of omrllls , .. AFFIDAVIT COMMONWEAL TH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, Edward L. Schorpp and II N04 A, 'j{C)HM , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will; that David G. Nelson signed willingly and that he executed it as his free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time eighteen or more years of age, of sound mind, and under no constraint or undue influence. ___Sworn or affirmed and subscribed to before ~f~y Edward A, 'K:0NIV'. , witnesses, this J <6~day of lUVOA , 1999. ~~ Witness, Edward L. Schorpp (SEAL) /;:~dn _ It 7?rI!TY1 "'- Witness (SEAL) ~c\\ ~ (SEAL) Notary Public Y D 6 .