HomeMy WebLinkAbout01-10-08~_-
t~
,~,
PETITION FOR PROBATE AND GRANT OF LETT~~ ~'
== -, _ _
REGISTER OF WILLS OF ~ L~ /n,b ~[GtJ~GC COUNTY, PEi~NSYLV,~~i I:1
='r._
/~ / / ~ ,c // c N1 ;,,:,
Estate of ~~f,e /~ ~ G~, ~ ~(~~ ~/V~ File Number OJ~"QD ~U~ ~ .+
.,
also known as
/
Petitioner(s), who is'are 13 years of age or older, apply(ies) for:
(COtYtPLETE '.d ' or 'B' BELOW:)
^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the~~~ ~f~~'~"~ named in the
last Will of the Decedent dated ~/~ ~ and codicil(s) dated
(State re[evmu circumstances, e.g., renemcintiat, 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:
^ B. Grant of Letters of Adm
(Ifnppticable, enter: c. t. n.; d.b.n.c.t.a.: pendente life; durnnte absentia; durmae minoritnte)
Petitioner(s) after a proper search has /have ascet•tained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Adtrtinistration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
L_ _ Name Relationship Residence ~
(COMPLETE IN ALL CASES:) Attac/h~~adtlitiotta! sheets if necessary. `/
ecedent was pmict d at death it(i(iC!/~,~jj/i!( /1~~ County, Pennsylvania with his /her last principal residence at~~ I l f• ~~
~.~-~~~~
(List street address, town/city, township, county, state, zip code) ~r
Decedent, then ~ years of age, died on ` ~ x ~ ~~ at~~~ `J ~~ ~r/c-l!(~.G~ / `r U~%~
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
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
situated as fo
$ 6d ~~s
~ O- O~
Wherefore, Petitioner(s) respectfully request(s) the Petition and the grant of Letters in the appropriate form to
the undersigned:
Si~nanire Typed or printed name and residence
Y
Fonn RW-03 rev. 10.13.06 Pa~e I Of
-,,,>
_ w..~
(_~
Oath of Personal Representative °~ ~w
.~ -~~~,
- ~-_.
COMMONWEALTH OF PENNSYLVANIA ~~~ ~~-~
SS _ ~ c~
f ~r.,
COUNTY OF b~'~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true aiad con-ectlSthe best of.'
;,-; ..
the knowl.;dge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioners) will well asSLbtruly
J
administer the rotate according to law.
Sv~orn to or afttirr.~ed :end subscribed
beige me the ~_ day of
~~ ,
or the Register
Signature of Personal Representative
Signature ojPerso+tal Representative
Signature ojPersonal Representative
File I~tmber: ~~ " ~~o ~ ~~I
Estate of
Social Security Number: "~~~ Date of
AND NOW,
having been presen before me,
are hereby granted to ~;/"~
DECREED that Letters ,L
in the above estate
and that the instrument(s) dated ~z~~Y~~~
described in the Petition be admitted to probate and filed of record as the last Will (an Codicil(s)) of Decedent.
FEES
,,',~}• (~ Register Will • .
Letters ............... $ ~.i`-' d
Short Certificate(s) ........ $ o~Q • oc~ Attorney Signature:
Renunciation(s) .......... $
/~tl; l ~ ... $ a~
...$ 5~
... $
... $
... $
... $
... $
... $
. OQ
TOTAL .............. $ ~ •
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Deceased
in ~onsiderajion of the foregoing Petition, satisfactory proof
Form RW-0? rev. 10.!3.0( Page 2 Of 2
IO~.H05 KEV f(11;07~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $6.00
P 13889017
Certification Number
This is to certify that the information here given i
:orrectly copied from an original Certificate of Deat
3uly filed with me as Local Registrar. The origin
certificate will be forwarded to the State Vit Kecords Office 1'or permanent tiling.
• ~~C~wew,.ok2,~..~1A~ 4~ 200!
Local Registrar Date Issued
r~.~
t7 ~~-y
T ~ ,
=z~ c-.
_1 ~-~
,,, , ;
- ---
_..., -
r~ ..._ - -
,--~r ~ -;
`_ ,.i
--~. ~
tC= _w
%::~ ~-- _
-,_ 0
~H10S143 REV 11/2W6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE / PRINT IN
PERMANEM CERTIFICATE OF DEATH
BLACK INK (See instructions and examples on reverse)
~~
w
1. Name of Decedent (First mitlpe, lest, suAlx)
2. Sex 3. Sadn Security NaMer ~ _ ~ ~-- ~ ~- -~ 4. Date of Deem (MOmh, day, year)
Robert L. Owens M 201 - 16 - 3087 1 3/2008
5. Age (Lan BiMney) lMmr 7 year Under 1 day 6. Date of &M (MOnM, day, year) 7. BiMplaw (Coy and slate a bre' axrntry) Ba. Plea of Death (Check on one)
MdxN DaY• Hare MYxM HppMel: Olfmr:
78 Yrs. 4/5/1929 Carlisle, PA ^Inpnlent ER/OWpeMenl ^DOA ^Nursing Home ^Rpidance ^01her. Speciry:
p. CamN el Death &. City, Bao, Twp. of Deem
C
M
l . FeciGIY Name (If rid anMulan, give street and(/nym~,Y~ter)~ 9. Wes Dewpnt of Hispenk Ongln? ~ No ^ Yes 10. Race: AmerMan Indian, Back, Whore, etc.
M
~
n
P
~
ou
ka
T
j ~
(
~
~
umbex
and outh
iddleton Itap ex
ms
,
t
n
R
1S
f0Y)Q
I/p~u~l
n,eb.)
'
,r
B
11. DecedenYS Usual non K'xq of work done most d worMa file. Do not sate reti ,
lack
12. Was Decadent ever in 1 13. Decedent's Education (Specity Dory highest grade cwnWn9d1 11. Medal Satus: MaMaq Never Married, 15. Surviving Spase (If wife, gHe maiden name)
Kkd of Work Kkid of Dueir-ss / IrMuslry
Ma'or U
S
Air Force U.S. Amred Faces? Elementary /Secondary (412) Cdlega (iJ or 5.) Wbo~~ DNOrced (SPecily)
®
^
.
. Yp
No 2 Married Geraldine E. Kane
• 16. Decedent's Manklg Adtlrpa (Blreal, city /town, stale, z4 coda) DecpanYS Did Decedem
PA
.. lr
251 H Street Psaml Residence /7e. Slate
Live In a 1IC. ^ Yea, Decedent Uved in 7~_
Carlisle
PA 17013 TowmNp? 17d. Decedam Lived wMhin
,7b.ca,my CulTlberland
1; 1
'
,
.
nlsnneM r
city/13ao
16. Father's Name (FUSt mitlde, last, sulYi)
Benjamin Myoli Owens 19. Maher's Name (Frsl, midde, meitlen sumeme)
Sarah E. Gumby
20a. InbrmanYe Name (Type / Pnm) 2tlb. Inlomwnt's MalYng Atltlreee (Sbpt dry /tam, etch, zp code)
Geraldine E. Kane Owens 251 "H" Street, Carlisle, PA 17013
21a. Method al Dispoeioon ^ Crpafion ^ Danatkn 21h. Date d gspositlm (Manor, daY• Year) 2tc. %ew d 0
apwifion (Wore of wmelery, crematory a Dora plea)
27d. LowMOn (City /town, slate, Zip wtle)
® Budn ^ Removal hen Sale I Wp Geltletlon a Donslbn AutlmnzM
^ ah.r-svaan: t brI:~wMwr/caarerr ^vp^No
1 8 2008
Indiantown Ga National Canete
Annville PA
Yla. Sigaare of F Licerx ea (a pa 226. lkerae Number 22c. Name aMAddreas d FacYily
- - FD 012633 L Daing Brothers Funeral HctiLee Inc., Carlisle, PA 17013
Carryka hems 23ac Dory wren wmlYa9 23a. To Mw oast of my aimvlatlpe. el the ' a, aM pace atetl. (Slgrabm entl tlne) ~ 23h. liceme Number 2&. Date Signed (North, day, year)
phyekan a not avaeahle n Pore al death b
wnYywpe ofdpth.
- ,
,~„„
UJ'- G1~7/S3L.
~/-~/~4
Mora 24-2fi maq he wn9lneO M persm
who Dlanalwe death 24. Tore a D ~ ~~ 25. Dee Prorwax:ed Deed (MO ~ ZB. Wee CasaitefeO
b Mescal 6aminar / Coroner br a Reason OMer then Cremetlm a Daatim?
,
,/
. M D N
L„r
p
CAUSE OF DEATH (Sea Insauetlorla and eaempba) to knenrel;
~ Appmxkra
Nam 27. Pen I: ErMer Itre>dljjp.g-diseases, h~urbs, a wnpuatlcra-tlat diectly caused tlw death. DO NOT erlar annirel ewms such p car3ec arrest, l Onset b Deetll Pen II: Ewer otlwr ' '
bM not rpWnng n Ma underlying cause given a Pen 1.
2& Did Tobeao Ike CaMLNe m DpN?
^ Yee $Piobedy
reepkearyarrest. a ventricuar fibrWeEOn wkhan alwMng tlw eliraogy. List any one sues an each Iina ~
NkkEDItkTE CAUSE (Peal daeeae a '
^ ~ ^ U~~
wnditlon rwAkig n deeds) _' a QY~ /~( i
~ (~ r .c
Co P Y ~Rl~~~ ~
~' 29. N Female:
^ Nd
l
nhn
Due b ( ore a op] ;
eAy kN calditldw, M •^'A h. 1- l (
aadno b 1M cause sled an fire a.
~ Or ~,(~{~(, prsgrwn
w
past year
^ Pregrunl el sore of deal6
EnM 8le UNDERLYINGGUSE Due to a ae oq: ~
- (tea resWa tln9~'n tl~'wMQ tA5r~ c. ~ ~ QYCti ~ ~ ~
I Gfs[Jhr_..+I.\ ~~gJx
~~-'xV ^ Na pregnant but pregant vAmin 42 days
a death
Due b (a p ueriw an: t ^ Na pregnant dA plaglant 13 daY9 to 1 year
d. mare daetli
^ IMknawn n pregronl wawa the pan year
30a. Wee an Auapey
Padomwd7 30b. Were Anapey Fnd ge
Avaneba Poor b Conglaeon 91. Mvner of Osm 32e. Daa a InN7lMonm. day, Year) 32b. Describe How Inlury Oxaretl 32c. %ece a In~wy: Hans. Farm. Street. Faday.
of Cause a Dean?
JQ ~I ^
~
L Omw Gul
kkg, ek. (SPady)
^ Yp y~-l .~-
L~'^' ^ Y~ }d~Y_
"~ L
J, AaXtlenl ^ Parlding IMastlgetion 32d. Time d Inlay 329. Irqury al Wak7 321. H Trampaletbn Inlay (Spetlly) 32g. Locetlon of lyday (Street, tlly / bwn, sea)
~ ^ Suidde ^ CouM Nd oe Detertnired ^ Yea ^ No ^ Ddrer /Operates ^ Passager ^Pedeslran
M Ddyr. ~qh.
33a. Certifier lrhedi only anal 33h. Signaare and T
• Certllyhp phyaban (Physician wIMIYaA wtm of dorm when aroMer physlaen has pmrounced death and completed gem 23)
To the 6pt of my krlowadge, tleeM OaareO duebtla wuse(s)and mrmerp sahd_________________________________ -
• Pronolllcing sM arlNying phyekW (PMYdpan bah pmrountlrg deem and wrfilYH9 b wusa of death)
To the bps W m
bwwNd
a
dpth accurtM M iM tl
d
s
M
a
d d
M th
^ 33c. Lkense Num6ar 33d. Dees ~ IMen d~y.Yprl
y
g
,
me,
e
, m
p
w, en
im
e ceuea(e) am manner as sated_ _ _ _ _ _ _ _ _ _ _
•
l
------ rn I~-~
kad
w tixenlirarl Canner
On th
w
t
b
l
tl
d /
k
ti
li
i
iM
w
^
e
e
s
exsm
p
m an
a
rvp
ge
on,
n mY op
orl,
orm acurred H tlta lime, da10, and paw, end dw to tM wuega) and morns p amled_ 3/. Name entl Atltlre9e of Person Wla Canpbted Ceuee of OeaN Qtem 27)
Typ9
Prvn
l
y
~
"
35
s 51 umber
D
l
Fl
d m ,
y/t(
~ r 'a f~ C
+~
~
y
~
.
- ~-~ la I I I ~ I I I (1 I .
a
e
e
, day. Ypr)
170~~r.> ~- 1 'Mq
~ . A `
DaposMbn Permit No. ~(~~' f ~Ji
c7
r_.~
LAST WILL AND TESTAMENT ~ °~ ~ _ '
,_
_ ,~ ~~ ,
OF ' -
.__,; ~
ROBERT LATHA I RE OWE NS ~`<; c, ~ ,-,,, ~~
u.. , .
I, ROBERT LATHAIRE OWE NS, a legal resident of Cumber,3~d `~ ,:
County, Commonwealth of Pennsylvania, being of sound and~dispo Ong
mind and memory, do hereby make, publish and declare this
instrument to be my LAST WILL AND TESTAMENT. I hereby revoke any
and all wills and codicils by me heretofore made.
I
IDENTIFICATIONS AND DEFINITIONS
A. I am married to GERALDINE ELIZABETH OWE NS, hereinafter
referred to as "my Spouse." We have one (1) child, TABITHA
OWENS-BA NKS. I have three (3) children by a previous marriage,
JEFFREY LYNN KIRKLA ND, ROBERT LATHAIRE THOMAS and ELIZABETH MARIE
WILLIAMS. References in this Will to "my children" include these
children and any other lawful children born to or adopted by me.
Except as otherwise provided in this my LAST WILL AND TESTAMENT, I
have intentionally omitted to provide herein for JEFFREY LYNN
KIRKLA ND, ROBERT LATHAIRE THOMAS and ELIZABETH MARIE WILLIAMS and
for any relatives or for any other person, whether claiming to be
an he i r of mine or not .
B. The following definitions obtain in any use of the terms
in this Will:
1. "Descendants" means the immediate and remote lawful,
lineal descendants of the person referred to, and it
means those descendants in being at the time they
must be ascertained in order to give effect to the
reference to them, whether they are born before or
after my death or of any other person. The persons
who take under this Will as Descendants shall take
by right of representation, in accordance with the
rule of per stirpes distribution and not in
accordance with the rule of per capita distribution.
Persons legally adopted when under the age of
fourteen years shall not be differentiated from
blood descendants for any purpose.
2. "Survive me" is to be construed to mean that the
person referred to must survive me by thirty days.
If the person referred to dies within thirty days of
my death, the reference to him shall be construed as
if he had failed to survive me.
3. As used in this Will, the words "Executor," "he,"
"him," "his," and the like shall be taken as generic
and applicable to a natural person of either sex or
a corporate person of other legal entity.
Page 1 of 4 Pages
C. I have served in the Armed Forces of the United States.
Therefore, I direct my Executor to consult the legal assistance
office at the nearest military installation to ascertain if there
are any benefits to which my dependents are entitled by virtue of
my military affiliation at the time of my death. Regardless of my
military status at the time of my death, I direct my Executor to
consult with the nearest Veterans Administration and Social
Security Administration office to ascertain if there are any
benefits to which my dependents may be entitled.
II
PAYMENT OF DEBTS AND TAXES
I direct my Executor to pay the following as soon after my death
as may be practicable:
1. All of my just debts and the expenses of my last
illness, funeral and of the administration of my
estate; but my Executor need not accelerate and pay
those unmatured obligations which, in his opinion,
it might be proper and more advantageous to retain
or renew and pay as they become due and payable.
2. All inheritance, transfer, estate and similar taxes
(including interest and penalties) assessed or
payable by
interest i
taxes. My
iary under
taxes paid
this Will.
reason of my death, on any property or
n my estate for the purpose of computing
executor shall not require any benefic-
this will to reimburse my estate for
on property passing under the terms of
III
RESIDUARY ESTATE
A. I define "my Residuary Estate" as all of my property
after the payment of debts and taxes under Article II, including
real and personal property, whenever acquired by me, property as
to which effective disposition is not otherwise made in this Will,
and property as to which I have an option to purchase or a
reversionary interest.
B. I give my Residuary Estate to my Spouse if she survives
me.
Page 2 of 4 Pages
C. If my Spouse does not survive me, I direct my Executor to
divide and distribute my Residuary Estate as follows:
1. thirty-five percent to my daughter TABITHA
OWENS-BA NKS, if she survives me;
2. the rest, residue and remainder of my Residuary
Estate to inlcude any lapsed legacies under sub-
paragraph 1 above shall be divided into equal
shares and distributed as follows: /J _.~
a. five hares e ch to my
MAR TT KI KLAN ,
ELI B H WILLi S
tie ur 'v rrre;
one share each
sur ive me;
~~~ - - .,
a n d c; i l d r e'n'rr~~-- VA 1~~3 S HA ~ ,> ,{
/ N`1'O I;N TTE
4
N L ZA B T B
to my remaining Grandchildren who
_ __.__
~, if any of my Grandchildren ail to survive me,
' then his or her share shall be distributed among
`~ his or her descendants who survive me;
,lG ~~, if any of my Grandchildren fail to survive me
~~ and leave no descendants who survive me, then his
or her share shall be divided equally among such
"~~~ of my Grandchildren.~'cnrho survive me, or their
6~'" descendants who survive me, as set forth in
'subparagraphs a, and above.
IV
APPOI NTMENT AND POWERS OF EXECUTOR
I nominate and appoint my Spouse, GERALDINE ELIZABETH OWE NS,
as Executor of this my LAST WILL AND TESTAMENT. If my Spouse,
GERALDINE ELIZABETH OWENS, is unable or unwilling to serve in this
capacity, I appoint my daughter TABITHA OWENS-BA NKS to serve
instead. I request that my executor be permitted to serve without
bond or surety thereon. I authorize my Executor to do any and all
things which in his opinion are necessary to complete the
administration and settlement of my estate, including full right,
power and authority, without the order of any court and upon such
terms and under such conditions as my Executor shall deem best for
the proper settlement of my estate; to bargain, sell at public or
private sale, convey, transfer, deed, mortgage, lease, exchange,
pledge, manage and deal with any and all property belonging to my
estate; to compromise, settle, adjust, release and discharge any
and all obligations or claims in favor of or against my estate;
Page 3 of 4 Pages
and to borrow money for the payment of inheritance and estate
taxes or for any other purpose. Without in any way limiting the
scope of the powers enumerated herein of my executor, I hereby
specifically give to him full power to retain any and all
securities or property owned by me at the time of my decease
whenever, in his absolute and uncontrolled discretion, such a
course shall seem to him to be best, without liability for
depreciation or loss, and free from investment restrictions
incident to executorship, whether imposed by common law or
statute. In the execution of his duties and powers as Executor he
shall have the power to comply with all legal requirements as to
the execution and delivery of deeds and all other writings,
documents or formalities without the order of any court; and he
shall furnish a statement of receipts and disbursements at least
annually to each person then entitled to receive income or
property from my estate.
IN WIT NESS WHEREOF, I have at Carlisle Barracks,
Pennsylvania, this 1'8 day of~~~^~L»,~E_~, 1987, set my hand and
seal to this my LAST WILL AND TESTAMENT consisting of four (4)
typewritten pages.
ROBER THA I RE OWE NS
Testator
Signed, sealed, published and declared by the Testator,
ROBERT LATHAIRE OWENS, as and for his LAST WILL AND TESTAMENT, in
the presence of us, who at his request, in his presence and in the
presence of each other, have hereunto subscribed our names as
witnesses.
~E ADDRESS
_ ~ ----
~~
Page 4 of 4 Pages
Acknowledgment
COMMONWEALTH OF PE NNSYLVANIA ) SS
COUNTY OF CUMBERLAND )
I, ROBERT LATHAIRE OWE NS, Testator, 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.
Sworn or affirmed to and acknowledged before me, by ROBERT
LATHAIRE OWE NS, the Testator ~ day o~~f ~~~~~, 1987.
ROBERT LATHAI OWE NS, Testator
(SEAL ) __ ~_ _ _ -_ __
Notary Public
ROSA A. RODRIGUEZ, NOTARY PIISLIC
A f f i da v i t CARIISIE 80?;OI1GN, CUM9;:F.S.,'~ND COUNTY
MY COWI~IS510N EXPIRES OCT. x8, 1989
MgmpQ~, PQ~nsylvania Rsaesia~+on of NAtafiA6
COMMONWEALTH OF PENNSYLVANIA) SS:
COUNTY OF CUMBERLA ND )
~ e/
W e , ~ %~lei~J~ ~ /~m~T -_ a n d t~_ ~~1 /y 1 S R~ - ~,o X ----- '
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 ROBERT LATHAIRE OWE NS, signed
willingly and that he executed it as his free and voluntary act
for the purposes therein expressed; that each of us in the hearing
and sight of the the Testator signed the will as witnesses; and
that to the best of our knowledge the Testator was at that time 18
or more years of age, of sound mind and under no constraint or
undue influence.
Sworn or affirmed
~u,ei ~L 2 ~n~scc
witnesses, this ~~
(SEAL)
to and subscribed to before me by
fi` and ~1.~-~~c e<.('~~
day o
1987
ROSH A. RODRIGUEZ, NOTARY Pl1SLIC
CARLISiE 30ROUGN, CUMSEI~L,?W!; COUNTY
MY CCJr"~I;SION EXPIRES OCT. ~2, ?989
Membsr, Per;~gylvania Associa4;on of Notaries