HomeMy WebLinkAbout02-06-08
Estate of C sf h ~Y'
also known as
t/"he,
, Deceased
File Number J./ - n8 - J J. q
Social Security Number / &' J - I f - if I / 9
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BEL01V:)
J2r A. Probate allt.! G rant of Letters Testamentary and aver that Petitioner(s) is / are the -H e Ie 11 fVl. ~c;'; a r 11 ~ r named in the
last Will of the Decedent dated and codicil(s) dated
p- )
(State relevaflt circumstances, e.g., renunciation, death of executor, etc.) C) G
(- c:::c.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution o(t~instrume~) offete,d.
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: : I p OJ (' .
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o B. Grant of Letters of Administration
.~-) (-) ~
(If applicable. enter: c.t.a.; d.b.f1.c.t.a.: pendente lite; durante absentia: duranteJ,;ti,(o;}t~te)
::0 0
Petitioner(s} after a proper search has / have ascertained that Decedent left no Will and was survived by the following spol,lseiif any) ans!l1eirs:
Administration, c.t.a. or d.b.lI.c.l.a.. enter dale of Will in Section A above and complete lisl of heirs.)' C1
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(If
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attaclt additional slteets if necessary.
Decedent was domiciled at death in
G
(List street address. townlcity, township, county, state, zip code)
Decedent, then q CJ
years of age, died on Fe h J
at Ge t/js bu "f f?~ f/r~ h1 ~+
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Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(I f not domiciled in P A) Personal property in Pennsylvania
(I f not domiciled in P A) Personal property in County
Value of real estate in Pennsylvania
$
$
$
$..50,000
,
6 !'J -I,
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:
T ed or rinted name and residence
Form R~V-OJ reI' /0. /3.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
�` (.,,, ,.J : SS
COUNTY OF Urobp ��ind
The Petitioner(s)above-named swear(s)or affirm(s)that the statements in the foregoing Petition are true and correct 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 -
administer the estate according to law. �/
Sworn to or affirm ''�'/ed and subscribed _/'(-d i 9 / 4
,a.{t Signature of Personal Re resenlnllve
before me the�_day of n,a
ar °
Signature afPersona7 Repr esenmtivez 'r'i rTi-i C:
C7 W L 5 S
For the e lSter Signalur'e of Personal Rep,esentative ','rte C� 1+r�-r�3'
70 n _ ri
File Number:
Estate of ,Deceased
Social Security Number: Date of Death:
AND NOW, -F.P bcua U ( ' �,in consideration of the foregoing Petition,satisfactory proof
having been presented before me,IT IS DECREED that Letters �A-Q VLU 0 4-(A
are hereby granted to µ,E' P r) M S team (-
in the above estate
and that the instrument(s)dated
described in the Petition be admitted to probate and filed of record as the l{asst,Will(and Codicil(s)) Decedent.
FEES o0 J'1/y��l�,lY'a (^ 1 ylJ'- 1 ��xu t '
Register of Wills b 0 r
Letters . . . . . . . . . . . . . . . $
vv
Short Certificate(s) . . . . . . . . $ Attorney Signature:
Renunciation(s) . . . . . . . .. . $
Jul I t t $ Attorney Name:
C $11 y Supreme Court I.D.No.:
fltllvTnGtfi`UYl $
$ Address:
$
$ Telephone:
TOTAL . . . . . . .. . . . . . . $
Form RW-0? rev. 10,13.06 Page 2 of 2
1)"iW"i 1\1:\ 1II!f(l71
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
:ee for this certificate, $6.00
P 13638782
Certification Number
This is to certify that the information here givEn i
correctly copied from an original Ce11ificate of Oeatl
duly filed with me as Local Registrar. The origina
certificate will be forwarded to the State Vita
Records O~ice for permanent filing.
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L caI Registrar ;/
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Date issued
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TVI'!: i PRINT IN
PEIlMM-IfNT
!!lACK INK
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse) STATE FILE NUMBER
o
I "- 01 ~ IF... _.last tulbl
Esther A. Cline
5 "". /W18olhcloy1
99
Vrs
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lll>. County 01 DoItII
Adams
20 Ppnch Glen Rn.
G~rcners P~. 17324
18 F_. .......,F.... _ lost. """"'I
ThOAa~ Paxton
20a 1nI_'_Il~'Pml)
Helen Starner
".. I.\tlIlod 01 0I0p0sI00n
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AduaI ~ 171. 91110
17b County
~~ 17cl9 Vfl.Oot-.'ollNtdr Di ckinson
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CIIy ( lien
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Mk~ Catherine Yetn st
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20 Peach Glen Rd. Gardners, Pa. 17324
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Gardnerr. Pa. 17324
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CAUSE OF DEATH (See Instruct"'n. .nd ...mpta.l
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( 72.2
LAST WILL AND TESTAMENT OF ESTHER P. CLINE
I ES~HER P. CLINE, of Tyrone Township, Adams County,
Pennsylvania, declare this to be my last will and revoke any
will previously made by me.
ITEM I: I direct that all my just debts and funeral ex-
penses be paid as soon as convenient after my decease.
ITEM II: I devise and bequeath all of my estate of every
nature and wherever situate to my husband, Lloyd R. Cline,
providing he shall survive me by thirty days.
ITEM III: Should my husband, Lloyd R. Cline, predecease
me or die on or before the thirtieth day following my death, I
devise and bequeath the residue of my estate of every nature
and wherever situate in equal shares to such of my children as
survive me by thirty days. I direct that items of personal
property be divided among my children by my executrix with due
regard for their personal preferences and in as nearly equal
shares as practical. In the event I have placed names on
particular items it is my wish that the named persons receive
such items. Those items that are not particularly desired by
any of my children may be sold at public sale and the proceeds
therefrom be divided as stated above.
::::>
ITEM IV: Should any of my children predecease me or die
on or before the thirieth day following my death, I devise and
bequeath the share of such child to his or her issue per stirpes
living on the thirty-first day following my death; and should
any of my children leave no such issue living on the thirty-
first day following my death, I devise and bequeath the share
of such child to my other ohildren or to their issue per stirpes
living on the thirty-first day following my death.
ITEM V: I direct that all taxes that may be assessed in
consequence of my death, of whatever nature and by whatever juri -
diction imposed, shall be paid from my residuary estate as a
part of the expense of the administration of my estate.
ITEM VI: I appoint my daughter, Helen Starner, executrix
of this my last will. Should my daughter, Helen Starner, fail
to qualify or cease to act as executrix, I appoint my daughter,
Nancy Mauss, executrix of this my last will.
...._L,
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PAGE -2-
If EM VII: I direct that my executrix or her successors
shall not be eequired to give bond for the faithful performance
of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this
2- 0 I-L' day of A- l--f q ~ s r ,1986.
/
t~1:~ P e~
The preceding instrument, consisting of this and one other
typewritten page, each identified by the signature of the
testatrix, was on the day and date thereof signed, published
and declared by Esther P. Cline, the testatrix therein named,
as and for her last will, in the presence of us, who, at her
request, in her presence, and in the presence of each other
have subscribed our names as witnesses hereto.
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tI-?{J'AAJ--tl- W I ~.y
residing at ~ d~~ &, /70' if
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residing at
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PAGE -3-
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF ADAMS
.
.
We, Esther P. Cline, 7/AleFA/ /h.~ and
~ d. ~~ . ' the testatrix and the
witnesses, reepee ively, whose names are signed to the attached
or foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the testatrix signed
and executed the instrument as her last will and that she had
signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed, and that
each of the witnesses, in the presence and hearing of the
testatrix, signed the will as witness and that to the best of
her knowledge the testatrix was at that time eighteen years of
age or older, of sound mind and under no constraint or undue
influence.
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f ~'YL9--
Testatrix
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VArr-./, 1ll. (JAJHMJA.J
, Wl.tness
:j~ Q~
Witness
Subscribed, sworn to and acknowledged before me by Esther
P. Cline, the testatrix, and subscribed and sworn to before me
by ~~CI 7). ~ and ~ a ~
witnesse$, this -10 day of ~Q.
1986. 0
,
,
LtJ~or- 7Q ~~~
Notary Publi
VIRGHHA M. lVISO'l'ZKEY; NOTA.RY P1:BLTC
30 REDDIUG L;AN-E, GE1IffYSBUHG. FA 17325
MYCOJOHSSION EXPIRES SEPT 0, 18, 1986