HomeMy WebLinkAbout12-26-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ('.HJl'Y\ hOJ(I()-1'\J COUNTY, PENNSYLVANIA
Estate of.JVa /Yjfj ~ fi&,}J,
also known as
File Number -dJ - 01- llo q
, Deceased
Social Security Number
}f)- d.;;;L-O lf23
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE '.4' or fB' BELOW:)
~. Probate and Grant of Letters Testamentary and aver that Petitioner(s@1 are the , ~.er 11 ,.fy-; r
last Will of the Decedent dated 10 I f J 07 and codicil(s) dated II / C\.....-
, , I
named in the
(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 @he instrume~ offer~,d, i~R
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: "1 I ~ ::~ ~ ~ ~tj ;=j
o B. Graot of Letters of Administratloo'i ~ ~ ~ ~9 S~
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; duranJ]f)//!!"'PC!!Jte))> c-:) (~
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Petitioner(s) after a proper search has I have ascertained that Decedent left no Will and was survived by the following spoa~if any) a~leirs: 11J. ~:)
Administration, c.I.a. or d.b.n.c. t.a., enter date of Will in Section A above and complete /ist of heirs.)' ::-0 _~ .." -.. ,I.]
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Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additiollal sheets if Ilecessary.
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Decedent, then
xro
years of age, died on /)PC
situated as follows:
/~o
~liO'-7ve.
I
,9, d()/)7 at /d.O tPfOW'IJ & € Pnllr., (!~ M' /1, f-~
$~
$
$
$ FJO ( nor). 011
7 -5 \ uoO. 0 b
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
(I f not domiciled in P A) Personal property in County
Value ofreat estate in Pennsylvania
{l ~ j),'1 (( ffJ- 170 I(
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
L nc/t:t W. Le-e-
Form RW-02 rev, 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH UF PENNSYLVANIA
SS
COU~TY OF ClL~V\Cl n d
The Peliti(.~I1~ri-;1 ah..i\I::,,!u::I\~d S'.'.C:ll(S) llr <.l:Tirm(s) that the statements in the foregoing Petition are tIlle and COITect to the best of
[11;:: killh', kd~~ i.lJH..l bdict' of Petitioner(:;) :lnJ 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 methe .lif Q"
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(. W./U
SignalLlre of PerSO/lal Representative
day of
~.en:U2e r .~, [)Q07
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Signiltllre q( Personal R~presefltative
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Sigllature of Persol/al Representative
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Social Security Number:J~ ?- ~ ~- 04 ~3
AND NOW, AU 11\ d0.Aj ~ tXJar11f2g( 800/
having been presented before me, IT IS DECREED that Letters
are hereby granted to L y n cLa UJ. ( 0 0
Estate of
, Deceased
Date of Death:
rJ!,Q!61
, 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}
FEES
Letters ............... $ J 3 (j . DO
Short Certificate(s) . . . . . . . . $ gO 100
R,g;"",ofww, ~l .~..IDp.
Attomey Signature:
Renunciation(s) ..........
W 1-( l
JC~
A1 )+6 tv1crh '61'\
$
$
$
$
$
. .. $
$
$
$
$
. . . . . . . . . . . . . . $ t 8'0.. (JO
J 0-00
lO.Of)
6.oD
Attomey Name:
Supreme Court l.D. No.:
Address:
Telephone:
TOTAL
Forlll R WO] rev 10./3.06
Page 2 0[2
15.805 REV (01/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~e for this certificate, $6.00
p
14124628
Certification Number
~l- Ci -'\6Q
This is to certify that the information here given is
correctly copied from an original Certificate of Deatb
duly filed with me as Local Registrar. The origi~a]
certificate will be forwarded to the State Vita]
Records Office for permanent filing.
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HI05-I43 REV 1112006
TYPE I PRINT IN
PERMANENT
8I.N:K INK
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
STATE FILE NUMBER
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LAST WILL
OF
NANCY S. ROTH
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I, NANCY S. ROTH, now domiciled in Cumberland County, pennsylvan.ta:<1eclareJRis
to be my Last Will. I revoke all other wills and codicils that I may have previously made.
ARTICLE I
My just debts and expenses of my last illness, funeral, and administration of my estate
shall be paid by my Executrix from the principal of my residuary estate as soon as practicable
after my death.
ARTICLE II
All inheritance, estate, and succession taxes (including interest and penalties thereon, but
not including any generation skipping tax) payable by reason of my death shall be paid out of
and be charged generally against the principal of my residuary estate without reimbursement
from any person. This provision is not a waiver of any right which my Executrix has to claim
reimbursement for any such taxes which become payable as the result of any property over
which I have the power of appointment.
ARTICLE III
I give, devise and bequeath all of my property, real, personal, and mixed to my beloved
children, R. GARRISON LEE, SHARON LEE JENSEN and LYNDA W. LEE, in equal shares,
Page 1 of5
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provided they survive me by thirty (30) days. In the event that R. GARRISON LEE, SHARON
LEE JENSEN or LYNDA W. LEE fail to survive me by thirty (30) days, I give, devise and
bequeath their share of my property, real, personal and mixed, to their issue, per stirpes, or if
there is no issue, then the share shall be equally distributed to my remaining children, or their
Issue.
ARTICLE IV
I have made no provisions in this Last Will for my daughter, SANDRA LEE SMITH, as I
do not wish her to share in my estate for personal reasons known to her.
ARTICLE V
In addition to the powers conferred by law, I authorize my Executrix, in her absolute
discretion:
A. to retain in the form received and to sell either at public or private sale, any real
estate or personal property except that which I specifically bequeath herein;
B. to manage real estate;
C. to invest and reinvest in all forms of property without being confined to legal
investments, and without regard to the principal of diversification;
D. to exercise any option or right arising from the ownership of investments;
E. to compromise claims without court approval and without consent of any
beneficiary;
F. to file any federal income tax return for any year for which I have not filed such
return prior to my death;
Page 2 of5
. ~
G. to make distributions in cash or in kind, or in both, and to determine the value of
any such property;
H. to employ any attorney, investment advisor, or other agent deemed necessary by
my Executor, and to pay from my estate reasonable compensation for all their services; and
I. to conduct along with or with others, any business in which I am engaged or have
an interest in at the time of my death.
ARTICLE VI
I nominate, constitute, and appoint LYNDA W. LEE, Executrix of my Last Will and
Testament. In the event of her renunciation, death, resignation, or inability to act for any reason
whatsoever as my Executrix, I nominate, constitute, and appoint R. GARRISON LEE to act as
my Executor. I hereby relieve my Executrix or Executor, whether original, substitute, or
successor, from the necessity of posting security in connection with her or his duties as such in
any jurisdiction in which she or he may be called upon to act so far as I am able by law to do so.
My Executrix or Executor shall receive reasonable compensation for services rendered to my
Estate.
IN WITNESS WHEREOF, I, NANCY S. ROTH, hereby set my hand to this, my Last
Will, on this y"" day of {!l~ 2007, at Harrisburg, Pennsylvania.
~d~
NA Y S. H, Testatr.
Page 3 of5
In our presence, the above-named Testatrix signed this and declared this to be her Last
Will, and now, at her request, in her presence, and in the presence of each other, we sign as
witnesses.
Address: ~
/"U-~f!t~/(Jl /~~.3
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I, NANCY S. ROTH, Testatrix, who signed the foregoing instrument, having been duly
qualified according to law, acknowledge that I signed and executed this instrument as my Will,
and that I signed it willingly as my free and voluntary act for the purposes therein expressed.
COMMONWEALTH OF PENNSYLVANIA
N~~,~tri~
SSe
COUNTY OF DAUPHIN
On this, the r day of ~-f::aj,~ r- , 2007, before me, the undersigned
officer, personally appeared NANCY S. ROTH, known to me (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument, and acknowledged that she executed
the same for the purposes therein.
IN WITNESS WHEREOF, I hereunto set my hand and public official seal.
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
SUSAN M. HUDSON, Notary Public
Lower Pilton Twp., Dauphin County
My Commission ~s Oct. 12, 2010
~m.~
Notary Public
Page 4 of5
:
. .
We, the undersigned witnesses who signed the foregoing instrument, being duly qualified
according to law, depose and state that we were present and saw the Testatrix sign and execute
this instrument as her Will; that she signed and executed it willingly as her free and voluntary act
for the purposes therein expressed; that each of us, in her sight and hearing signed the Will as
witnesses, and that to the best of our knowledge, she was at that time eighteen (18) years or more
of age, of sound mind, and under no constraint or undue influence.
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF DAUPHIN
On this, the t)-+h da}\ of ~~.ve. Y , 2007, pefore me, the undersigned
officer, personally appeared ~cdr J 1 ~Y1 Zu::-~ and A n Jl\e.. M. &retj ,
known to me (or satisfactorily proven) to be t e persons whose names are subscribed to the
within instrument, and acknowledged that they executed the same for the purposes therein.
IN WITNESS WHEREOF, I hereunto set my hand and public official seal.
~m,~
Notary Public
COMMONWEALTH Of PENNSYLVANIA
NOTARIAL SEAL
SUSAN M. HUDSON, Notary Public
Lower Paxton Twp., Dauphin County
My Commission Upires Oct 12, 2010
Page 5 of5