HomeMy WebLinkAbout02-08-08
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WfLLS OF ~/J 1 bf /' /orJd- COUNTY, PENNSYL V A0 [A
EstJte ul_Y(!FCl,_J1~_&-J Z-
File Number
0.\
0"6 liO
also known J,
, Deceased
Social Security Number
~C;-30-1CJ.5 7
Petitionn(s), ,,110 is/arc loS years of age or older, apply(ies) for:
(COIIPLETF 'A' or 'Ii' BELOW:)
~ I'roil;i\c ;'!lld (,rant of Lettep Testamentary and aver that Petitioner(s) is / are the 60- e 'l-t!J!L0f r, ~ey
last \\ dlot l11,: Lk,-eJc:nt dated e5 / d a.. / C;Ot!L and codicil(s) dated NI A
, , . ,
named in the
(State relevant circumstances, e.g., renullciatioll, 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: }J / t-+
I
o B. Grant of Letters of Administration
(lfappticable, el1ler: c.t.a.; d.b.n.c.t.a.; pendellte lite; durallle absenlia; durallte milloritate)
.....-.,
Petltioner(s) after a proper search has j have ascertained that Decedent left no Will and was survived by the followingsp~e (if any)1l1ld heirs: (If
Administration, c.t.a. or d.b./l.c.t.a., elller date oj Will in Section A above and complete list oj heirs.) hi'. ';'1
.,
,
Name
Relationship
Residenc.e
" .:..~::::
~
(COi'rIPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in 6<-m
D ern er I ...... ve ca::
(List slreet address, townleil)'. township, count)', state, ZIp code)
Decedent, then a~ years of age, died onJl10 IjC)a)'i> at tin 11 Sp~ ,"';1- HoSpt'kl
"'-)
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Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
co
d,5, DO 0-
$
$
$
$
situated as follows:
Wherefore, Petltioner(s) respecttlilly request(s) the pmbate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate fOI'l11 t,-
the undersigned:
POI'II1 RW.IJ] rev to /3.06
Page I of2
Oath of Personal Representative
COMMONWEAL TH OF PENNSYLVANIA
COUNTY OF
~i;' rnjy(~d
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
administi~r the estate according to law.
Swom to or affim:ed and subscribed
before me the __L day of
"-
Signature of Personal Representative
a.. \ 0 % r y.O
/Jt(0- A (~el[
Social Security Number: c;< DC] a () / CIS 7 Date of Death: Fe b I ~{)fI
AND NOW, Fe bfU..OJ'L{ X , ~~ ~consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters / tc. \+ru.yy:7tllo 11{
are hereby granted to \_'1=Uldra g. hlifre11f fl/10 /3r;ver1r ~ /1C<Jl/G
in the above estate
o 7
File Number:
Estate of
, Deceased
FEES r
Letters ..... ~5.. Op() $ (d) Register of Wills
Short Certificate(s) . .3. . . . $ I~ Attorney Signature:
Renunciation( s) ......... . $
LJ/I/ $ /5 Attomey Name: -- .'".
.....-..\
J('f $ 10 Supreme Court LD. No.:
III iu '~ ~ - CO
$
Address: .,.
.. . $
.. . $ ~~ ,
., . $ iJ
-.. .
$
$ Telephone:
$
TOTAL ............. . $ /0;)..
and that the instrument(s) dated
described in the Petition be admitted to probate and file
Forlll RW-02 rev IO.J3~Oo
Page 20f2
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
CertIficatIoll :\u:noer
--:1/1111:'(',' (~;,/,.;/ ;-~:~
</,il(~\.\tlOLf{;-:c~
;, ~'."tn~.
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c~_JMEN1 \\'1: ,:,.,l/
~~2!!!!.!!!J.!!!.!-'.J:--/
fhj\ i~ 1,\\ l.frIlt', i'lal the 11l1ormali(li1 herl' gi\en J'
correctl) copied tnln an original C"rtifi,:ate of Death
dul:, filed vI ith illl' a, L(ICid Rl'gi,trlr. The orj~illai
certificilte \Iiit he fc'r\lardlfd to the State Vita!
Recmd, Ollice iC>l p,'rnnnent filll1'c.
el' !',,1' tlli', certlfi, iHc. "i,.ilO
P 14288343
w&lc(~__~__~L. 3~g._
L<X:il R<.'gi,triu
Date !\,lled
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COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reverse)
t'0
~-J
HlUS-HJ REV 11;~00ti
TYPE. PRINT IN
PERMANENT
BLACK INK
Il-f 0
2. C D'i(
T.p
City/BOfO
. ~
26. Was Case Relerred to Medical Examiner I COloner IOf a Reason Gloor Ihan Clemation Of Oonalion?
DV., ~
=~Je~~~S~~~\dlS€:;
fbn in 1.6""; t'C",p)~' -v:7/<-41
Due 10 (Of as a consequence 01):
,
~~<r
I Approximateiflterval: Partll:Entecolhersianilicantcondilions~JI!laIb,
: Onset 10 Death but not resulting in the underlying cause given in Pari I
i ~ ct50
: V
,
,
.
,
,
,
,
.
,
28. Did Tobacco Use CooItit.llMlIo Death?
o Yes DProbably
~No OUr"",,,,,,
29 " Female:
~ NoIpr~Qnantwllttinpaslyeac
o Pr~nl altllTle at death
o No! pregnant, but pregnanl within 42 days
01 death
o NoI pregnant, but pregnant 43 days to 1 yeal
belore death
o UnlInown if pregllant will1in the pa;;l year
32r.:. Place 01 Injury: Home Farm, ~reel, Factory
OUice Building, ele (SpecIfy)
r-1
t
41..
\.,
)
Sequenlaally 1Is1 coodltions. it any
~~~:1: JNDiR~I~~1:~U~ a
(dlseaseOflfljurylhatlfliliatedlhe
eventsr~SlJ,lInglOde",lh) LAST.
Due 10 \Of as a consequence of)
Due to (or as a consequence 01)
<<.
Dyes ~NO
Dyes DNo
31, Manf"ler01 Dealh
JZ} Ndturdl 0 HomICide
o Ae<:ldent 0 Pending Investigation
o SUIcIde 0 Could Not be Determined
32d Tune of Injury
~
30a Was an Autopsy
Perlormed?
JOb Were Autopsy Fiodings
AVilll",ble Prior to ComplellOO
01 Cause of Dealh?
M
321 II Transportation 1000ry (Specify)
o Drivel I OperatOf 0 Passenger Dpedesllian
~Other.Specify
)3b. SignatlJlll and Tille 0
~Ll
"
ld
33a Certifier (chad only ooe)
Certifying physician (PhYSICian cerulYlng cause 01 death ",ta.m dllolhel pli\,'sICkln has plOoounced death and cQfnplt:ted l1em 23)
To the besl 01 my knowledge, death occUlTed due 10 !he cause(s) and manner IS slated.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - 0
i~o:u:~~t~ ::~~~~hJ:~~~(:~~~'~~ :1~i:~~~I~:I;n~e:::c~~~~n~~~ol~d~:(~~~~ mannel as stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~
~~lb::~Sm~~::~;::~ and I or tn....estigation, in my opimon, death occurred althe time, date, and plaCe, and due to the cause(",j and manner as slale<L 0
I
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~
1J..i.lI:lIL ').1
Di;;po;;lhon Ptlrrnil No Co::?'ZfC? ~~ ~
LAST WILL AND TESTAME~T
OF VERA A. GETZ
..:...;;-.:,.
-r~
.
co
I, VERA A. GETZ, of 117 November Drive, Apartment 1, Camp Hill, CumberlancfCouaty,
Pennsylvania, being of sound mind, memory and understanding, do make and publish this my r.i$t
Will and Testament, hereby revoking and making void all former Wills by me at anyti~e ma4ii~
_.,i
FIRST: I direct that all my just debts and funeral expenses be paid by my Executrix
hereinafter named as soon after my death as may be convenient.
SECOND: I give and devise all of my tangible personal property unto my daughters,
BEVERLY G. KANN and SANDRA G. FILIPPELLI, or the survivor, to be distributed among my
family members at their sole and absolute discretion.
THIRD: I then give, devise and bequeath all the rest, residue and remainder of my estate,
be it real, personal or mixed, in equal shares, share and share alike, as follows:
A. One share unto my daughter, BEVERLY G. KANN,
B. One share unto my daughter, SANDRA G. FILIPPELLI,
C. One share unto my daughter-in-law, SHARON GETZ, and
D. One share unto my son, STEVEN D. GETZ.
In the event thdt any of my herein named beneficiaries fails to survive me, then that person's share
shall pass to their issue per stirpes.
FOURTH: I nominate, constitute and appoint my daughters, BEVERLY c.. KANN and
SANDRA G. FILIPPELLI, or the survivoL to be the Co-Executors of this, my Last Will <!!ld
Testament, without bond.
In witness whereot~ I, VE~ A. G5TZ, the Testa~rix above named, have hereunto subscribed
my name and affixed my seal, th~!:,~ day of May, m the year of our Lord two thousand seven
(2007)
Ci
(jr+-- S ')
V~;-A.'~et~~ _-=-:~'..Ult--_J' eai
Signed, sealed, published and declared by the above named Testatrix, VERA A. GETZ, as
and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names
at her request as witnesses thereto in the presence of the said Testatrix and of each other.
'--') '. .,
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1/' ce~l:-~
a I 060/'-10
OATH OF SUBSCRIBING \VITNESS(ES)
REGISTER OF WILLS
C It IV\... b 1> rJ {j ,^_J. COUNTY, PENNSYLVANIA
Estate of V Q..TQ A C-,. '< f 7--
, Deceased
U//;ClM 1/ C/~c knfZ-( , (each) a subscribing witness to
(Print Nall1e/s)
the ~Will 0 Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / gyhhey W.Jl.S / were present and saw the above Testator / Testatrix sign the same
and that she I he / they signed the same and that she / ~ I they signed as a witness at the request of
the Testator / Testatrix III her / his presence and in the presence of each other.
~~'R~
~:)
(Signature)
(Signature)
2& C/J-'cP.-!tZ.. p~ ~,e-
(Street AddresJ)
cc
(Street Address)
CLrl'r1p ~/~ j)/I /70//
(City, State, tp) /
!"'.....
; ......
(City, State, Zip)
before me this
day
(')
Executed out of Register's Office ~~(J) 0
03;1 31:
Sworn to or affirmed and subscribed ~ ~:g ~
:>5"J.Li1 3 E::> :z
P iii' - Z :E
before me this day~. g' ;:;; ~ >:
E :::Soz~!:j
f f' J~ 1'1 ' dco?:i. r.rl -
o rtAD_ ~ ~~~:::I:
} /_. c:: r- fe 0
~'Btr ,I /} / I O;~~~ ~
jl\U/jI1AJL / (vLLUC i==' ~~~ ~
, t rYPI~lic, , _ '-:' ?~"'tl ~
My CommIssIOn ExpIres: / :LS, ;)01/ ~ c '<
(Signature and Seal of Notary or other official qualified to . _ J. ~ ~
administer oaths. Show date of expiration of Notary's C0l111111 .~~ ~
Executed in Register's Office
Sworn to or affirmed and subscribed
of
Deputy for Register of Wills
NOTE: To be taken by Ofticer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notamauon.
Form RW-03 re:' /0./3.0.6
dl C55 DI'-/O
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
Ch1OC~L4WD COUNTY, PENNSYLVANIA
Estate of
~R.4 ,4 yep
, Deceased
(!t:...6?7.-=.AlT J r;~p/-/f='-c./ J.e, and
(each) being duly qualified according to law, depose(s) and say(s) that she / ~ / they was / were well-
acquainted with V6e.a familiar
with the handwriting and signature of the decedent, and that the signature of
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
is in his/her own proper handwriting.
11. Gz--7Z-
(Sigllalll~P '~~L~~'
7-fj II . a=dE:.,e~ KO
(){reel Address) / /
amP ;f/f'L'-/ /J;. /]0/1
(Cily, Slale, Zip) ,
(Sigllalllre)
(Slreel Address)
(CilY, Slale, Zip)
Executed ill Register's Office
Sworn to or affirmed and subscribed
before"" ~i5 ~ day
of '1e /)f1..ki I V c:.JOO~
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Form R W-IJ4 rev. I IJ. 13. IJ6