HomeMy WebLinkAbout09-27-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF
Estate of IO$e'0h~~ e YV\.. B 1 e-VI N-s
also known as
, Deceased
COUNTY, PENNSYLVANIA
File Number d / -(J7 - af8&
Social Security Number ~6q - , ~ -1 ~"3 q
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COil,lPLETE 'A' or 'B' BELOW:)
~/ Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of the Decedent dated and codicil(s) dated
named in the
(StLlle 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 executi~fthe instrudiiJlt(s) offered
.- <:::3
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ~ ~ ~ I' ,i"j"
~~ I"Tl u
')0-'-0 -0 c
i:> r- __
_,7fT1 N ,i'j
(If applicable. enter: c.t.a.; d:b.n.c.t.a.; pendente lite; durante absentia; ~;iii?iiJiioritate :,~ ':.)
, C"J (-) " " C')
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the followil1~~~~1(if an~nd heirs: (ijj
Administration. c.t.a. or d.b.ll.c.t.a.. emer date of Will in Section A above and complete list of heirs.) ~ ~ ~ . ::~I:~
.....-
o B. Grant of Letters of Administration
Name
Relationship
Residence
,"
-.~~> I
' i
(COMPLETE IN ALL CASES:) Attach additiollal sheets ifllecessary.
County, Pennsylvania with his / her last principal residence a0h bY" n LJ 14.l..J:>
(List street address. towtllcity, township. county. state. zip code)
Decedent, then ? r years of age, died on ~k40 7
at
05)D
Am
"
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in P A) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value ofreal estate in Pennsylvania
$ Jj o;t!)Ob~
. -~J
$ )~Av~ - ..
$
$
$
-
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Co'dicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
T'r\wle
~ B~l=:~) :~nameandl~;n~'LL Jx -~tl'Slp (i,
I
8 f' /J M. J ~ tJ.,lf' w. Mdtl f'J~ D\t
'(
'\
OW/~
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affinn(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and belief ofPetitioner(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 affinned and subscribed
before me the '(A I(+t-...J day of <
~lMA.. . 6)00, . SiglUltureofPersonalRepresentative
~~U'~o,~ ~ ~_'I-.m,-_",
I-
J:EP
:7f1l
;:;-;;::t.J
.; ~
'S=2o
~11
:n
::p ---j
".
--I
-u
::IC
':?
File Number: G-\- 0--'\ - ~\.o
Estate of --JC~'P~ ~ \6~\v'\S . Deceased
Social Security Number: ?..o" -I Date. ofDeath:q-~ - 0'"
AND NOW, ~ .;l..""" .~() '1 . in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ~~-r 4\ f"f"t N\F\ Ql.(
are hereby granted t~ PI ~~ ~ \="" ~ \..e. U"\ f\.S <:\ Ef\.~ ~ ('\ ~~ ~\c-
en
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
. FEES ~n~(~~~r-
aD C:J.) Register of Wills
Letters ............... $ -, .
Short Comfi""te('j . . . . . ... I '-I. <P Attorney S;goature' .
Renunciation(s) .......... $
W'\ \\ ... $l~.CO
~ CL.P .. . $ JD.cD
c1u.f~1 cJv... . .. $ 5 j DO
.. . $
... $
... $
.., $
... $
... $
TOTAL........... ." $ 124.00
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW.02 rev. 10.13.06
Page 2 of2
TJ10~.~O~ ~SV (01/07\
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Certification. Number
ThisisJocertify that the information here given is
correctly copied from an original Certificate of Death
duly filed with. me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
Fee for this certificate, $6.00
P 13745853
......~.~...~..l~4~EPI....2....1-./2007
Local Registrar ... .' . Date Issued
(')
~O
.::0
~:EO
': ~~fB
'"Cf)^
---,C;C)
.- ';c(::J '"n
~.~::.)..;;
--l
:E
r-..;)
=:>
=
--'
en
rr1
-0
N
-..J
-0
:z
w
..
c..n
ij'a;.l~AEV1t_
lYl'EIPRtNT IN
PEAlWIeHT
IllACK INK
~LTH OF PENNSYl.V~~ QEPAR1'Ml!N'1'QIlHl$Al.TH. VITAL RECORDS
CER'nFICATEOFOEATIi
(See I~ andeiQlnlJilea on,.".,..)
STATE FILE ~
4, Dolo .. DooIh jManlIl, d1r, ,."
Se . 25, 2007
17C.Ol'oo,~_"
17.,DIIND,Doo!icIoo!~_ Carlisle
~~..
...
C1ly1-
~
~
PA 17013
21d.-lC1lr/_.....lip_1
..~TGIlaolJlo_li>_?
.0 la Ol'lollllllr
OND 0_
211.'_
tiiit""-_"",,..
0"'-......""'"
o ""-...._.....ot"'"
..-
0""-'Ilol_43""'1>'''''
--
0...........___...""',..
3k==~",",-FoiDy,
I
~
I
36.
.
~
121 r I~ II 101
__No.
OO~tl.",,";'Vh
F:IFILBS\DA T AFlLB\WILLS\93SO. WIL
LAST WILL AND TESTAMENT
I, JOSEPHINE M. BLEVINS, of 60 Media Road, Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare
this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me
made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamen~xpenses ~d all
inheritance taxes (whether such taxes may be payable by my estate or by any recipietit.~any pr~l '
. "";:rO -0 "".
shall be paid from my residuary estate as soon as practicable after my decease ~'<t:~art ~ the:~' : ",
administration of my estate. My personal representatives shall have no duty or obli~ to ebtain' .
._::'~'n =rr.
reimbursement for any such tax so paid, even though on proceeds of insurance or oti1~prope~ not'
passing under this Will. U1
If there be no cemetery lot available for my interment owned by me at the time of my death,
I authorize my personal representatives to purchase such cemetery lot with a contract for perpetual
care, using therefor funds from my estate, in such amount as they shall consider necessary and
desirable, and I authorize my personal representatives to cause title to or ownership of such lot so
purchased to be vested in such person as my personal representatives shall designate.
Further, in this connection, I authorize my personal representatives to expend funds from my
estate, in such amount as my personal representatives shall consider necessary and desirable, for the
purchase, erecting and inscription of a suitable marker for my grave.
2.
I give my eighteen-inch strand of 6 x 6.5 mm. pearls to my greatgranddaughter, KRYSTLE
SHUTE, and I give my ladies 14-K, white-gold diamond ring to my greatgranddaughter, MEGHAN
BEAM.
3.
I give, devise and bequeath all the rest, residue and remainder of my estate, both real and
personal property, in equal shares, unto my children, KAREN L. SHUTE, CYNTHIA A. BEAM and
JAMES F. BLEVINS, JR., absolutely. In the event that any of my said children shall predecease or
Page 1 of 3 Pages
~
fail to survive me, then his or her share shall pass to his or her children, share and share alike.
4.
I nominate, constitute and appoint my son, JAMES F. BLEVINS, JR., and my son-in-law,
EDWIN BEAM, JR., as Executors of my estate.
5.
I direct that my Executors shall not be required to file a bond to secure the faithful performance
of their duties in any jurisdiction.
6.
I authorize and empower my personal representatives, in their sole and absolute discretion, to
purchase or otherwise acquire and retain any investments of which I die seized or any real or personal
property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options
in regard to any or all property of any kind forming a part of my estate for such terms and such prices
as they may deem advisable; to borrow money for any purposes connected with the protection and
preservation of my estate; to mortgage or pledge any real or personal property forming a part of my
estate or to join in or secure the partition of same; to compromise any claims or demands of my estate
against others or of others against my estate; to make distribution in kind and to cause any share to be
composed of cash, property or undivided fractional shares in property different in kind from any other
share; to employ agents, attorneys and proxies and to delegate to them such power as my personal
representatives consider desirable and to pay reasonable compensation for such services as may be
rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as may
be necessary to carry out any of these powers. In addition, I direct that my personal representatives
shall have the power to conduct an inventory of any safe deposit box necessary to the administration
of my estate.
~
IN WITNESS WHEREOF I have hereunto set my hand and seal this I f"' day of
A ~It.. I {, , 1991'.
~ ~,;.t.;.. :V' ~(SEAL)
, sephin:e M. Blevins
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
OOJu:r;::;::; ilie_C.Ofili.s&~?/~
Page 2 of 3 Pages
I
COMMONWEALTH OF PENNSYL VANIA )
: SS.
COUNTY OF CUMBERLAND )
I, Josephine M. Blevins, 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.
~_ ~~A~~D 777. ~~;'?
J hine. Bevins
~ Sworn or affirmed to and acknowledged before me by Josephine M. Blevins, the Testatrix, this
/. day of IIpr/ I , 1998:
C~A)
Notary Public
COMMONWEALTH OF PENNSYL VANIA
Notarial Seal
Corrlne L. Myers, Notary Public
Carlisle Bora, Cumberland County
'ly Commission Expires May 27,1999
)
: SS.
COUNTY OF CUMBERLAND )
We, '2>a ~ e/ k )) earti or#- and '-yy) I ~a.eJ 3 ~-r-j-
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 Josephine M. Blevins, the Testatrix,
sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of us,
in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our
knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no
constraint or undue influence. <EL.J Cr.. fl. t7 ~ -//
OAIV/~f- It... ~
Address ({J €". 1.I"1~
c!41(U{l. Pr. 17f(;"~
./
AAJ,(J.),~
Add!ess ~ 7~"'/ ~,"r th~"" fMC'Er
CM..t..I's t-C' ;P.+- 17<>'-,
Sworn or affirmed to and subscribed before me this /S~YOf 4fn' J ,1998
~~~
Notary Public
Notari;;' Seal
Corrlne L. Myers Notary Public -
Carlisle Boro, Cun1berlarid CountY
My Commissior;: --",?S May 27,18"
Page 3 of 3 Pages