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
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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
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File Number:
rR I - 07 - ( I 50
Estate of
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c ~eciased
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Social Security Number:
Date of Death:
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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.
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<- 'leAD{ nrvV ( .Jt{~b0La
R2gisler of Wills' . .{,2Q I
V
Letters
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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
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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,
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Amber L Mitchell BSW
Social Services
Dr. David Wenner
Physician
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fi service agency of Cumberland County
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LAST WILL AND TESTAMENT
OF
DAVID G. NELSON
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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.
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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.
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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
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Witness
(SEAL)
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Notary Public Y D 6 .