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HomeMy WebLinkAbout02-22-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUM 8C!K LA.IJ t) COUNTY, PENNSYL VANIA Estate of .IJ () I TJ.i also known as L . ~60R~F File Number <J I-og - OlqLL , Deceased Social Security Number ..< . Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COiIIPLETE 'A' or 'B' BELOW:) ~'A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is i are the last Will of the Decedent dated <JCTO 0GR ; I , :2005and codicil(s) dated . ;, .J c-:; ':.! ".:' named in the .:.::::) (.....l (State relevant circumstances, e.g., renunciation, death of executor, etc) -..: r..:~ r'v ., N Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution oYt&e irtstrument(s) offeted l .' --r-; for probate, was not the victim of a killing and was never adjudicated an incapacitated person: . __,'-': c.' __', ~. ( ) -" ,C 1 . ~ ....n ~ B. Grant of Letters of Administration &. c+ Q.. ~s i''",j (lfapplicable, enter: c.t.a.; d.b.n.c.t.a,; pendente lite; durante absentia; durante mllloritate) ,...t_._ Petitioner(s) after a proper search has i have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If Administration, c,t.a. or db.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Name Relationship Residence Decedent, then '5 ~ years of age, died on JA"-l 51 Zcdat \-\OMF 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 . 00 $ ":''D , 000 - $ -S15 I 0011 .QQ $ S'f) COo 00 I $ situated as follows: CDM,<1FRC/;. tsAwK:. , :YiJ C.I3AI0K. ) , (,t1r!7\1~ F1I?-ST F6t>~LCf61>IT UNtDI.j Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) etition and the grant of Letters in the appropriate form to the undersigned: (5 5~. Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF C UM~LNJl> SS The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tme and con-ect to the best of the knowledge and beliefofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and tmly administer the estate according to law. Sworn to or affirmed and subscribed before me the )'}.- fld day of \ 1ehtuIlJU_t/\, ~oog ~ iJ\hfi~ a LJAh~ for rtffteglster ~$.ct-h~ 9;r ignature of Personal Representative Signature of Personal Representative Signature of Personal Representative ~/-O~- ()/qL/ Estate of ---.J ( 1 d i th L. . (x("n rCJ E.. Social Security Number: ;) - Date of Death: \.JfJfUla..r:J 5; 02{f)R , 02fXJf , I D' :J5=.: File Number: r,-, , Deceased c.) AND NOW, having been presented before me, I are hereby granted to and that the instrument(s) dated Qio.ber-- II) :1()O 5 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. t1 in the above estate Letters ............... $ Short Certificate(s) . . . . . . . . $ Renunqation(s) .......... $ ~{)k~~: $ $ $ $ $ $ TOTAL .............. $ ~2 to/CD fB.~ /5 ()[) Attomey Signature: FEES Attomey Name: Supreme Court I.D. No.: Address: 501 1'6 5"'0 tf 2.12. Loco ST..5"7,q&e7 f/ ,4~/S tSr)I!:.(i./ PA /7/01 Telephone: 7/7- ;(.;:l/-/OC)() ,:3-Io.lJD Furm R W-02 rev /0./3.06 Page 2 of2 r /') i _r\~' ~ /,\'n', 1 .'.)1..-1 t.../ () v) "1., . LAST WILL AND TESTAMENT OF JUDITH L. GEORGE ~~ l\J l\J I'- I'- -." r'., CJ r0 N I, Judith L. George, of Mechanicsburg, Cumberland County, Pennsylvania, be.iJ!g of s1Wnd and disposing mind and memory, do make, publish and declare this to be my Last Wiltflnd ::;~ Testament, hereby revoking all Wills and Codicils by me at any time previously made::: I f'0 LD l\J l\J Ca.:: 1lI o I'- <( D- C) II: :J m III II: II: <( I LD l\J l\J >< o m o a: ,: '" '" II: >- (f) o z o u '" (f) J: >- II: o Z o o C') Ii o o ~ J: >- III U --' --' w z >-- (f) z <( '<l Z <9 <( I (f) ui '" u ... ... o ~ --' FIRST I direct the payment of my just debts and expenses of my last illness and funerai from my estate as soon after my death as conveniently may be done, SECOND I hereby give, devise and bequeath any jewelry I own at the time of my death to my daughter, Samantha Gracey George. THIRD I hereby give, devise and bequeath the rest and residue of my estate unto my two children, William M. George, Jr., and Samantha Gracey George, in equal shares, per capita. FOURTH All shares of principal and income hereby given shall be free from anticipation, assignment, pledge or obligation of the beneficiaries and any of them, and shall not be subject to any execution, attachment, levy or sequestration or other claims of the creditors of said beneficiaries or any of them. FIFTH Any person who shall have died at the same time as I or under such circumstances that it is difficult or impossible to determine who shall have died first, shall be deemed to have predeceased me. Page 1 of 5 pages. SIXTH All death taxes (and interest and penalties thereon) imposed as a result of my death upon the property passing under my Will, and upon assets held in any qualified or non-qualified deferred compensation plan or IRA, and proceeds of insurance on my life, but not otherwise, shall be paid out of my residuary estate, each share thereof, to bear a pro rata portion of such taxes. (\J (\J ,.., ,.., I authorize my Executor, in my Executor's sole discretion, to make an election, in whole or in part, to cause a Pennsylvania Inheritance Tax to be payable by my estate on property passing to or for the benefit of my spouse or to defer the Pennsylvania Inheritance Tax on such property. My Executor shall be without liability to anyone for making or failing to make such election. III (\J (\J ll) o r::: ~ SEVENTH .,.- It " ~ My Executor shall have the following powers in addition to those conferred by law until all It ~ property is distributed: I III (\J (\J x o lD o a: ,: '" '" It l- ll) C Z o u '" ll) J: I- It o Z o o M Ii o ~ LL J: l- ll) U ...J ...J W z i= ll) z <( <(l z (9 <( I ll) ui '" u ... ... o ~ ...J (a) To retain any real or personal property in the form in which it is received. (b) To sell at public or private sales for cash and/or credit, to exchange, and to lease for any period of time, any real or personal property and to give options for such sales, exchanges, or leases. (c) To purchase all forms of property, including but not limited to stocks, bonds, notes and other securities, common trust funds, life insurance policies and real estate, or any variety of real or personal property, without being confined to so-called legal investments and without regard for the principle of diversification. (d) To purchase securities at a premium or discount and to charge such premium or credit such discount to principal or income. (e) To exercise any option arising from the ownership of any investment; to join in any recapitalization, merger, reorganization, liquidation, dissolution, consolidation or voting trust plan affecting any investment; to delegate powers with respect thereto; to deposit securities under agreements and pay assessments; to subscribe for stock and bond privileges; and generally to exercise all rights of security holders. (1) To hold property unregistered or in the name of a nominee. (g) To mortgage, divide, alter, repair and improve real property and generally to exercise all rights of real estate ownership. (h) To distribute in cash, in kind, or partly in each, and to cause any share to be composed of cash, property, or undivided fractional shares in property different in kind from any Page 2 of 5 pages. other share. (i) To compromise claims by or against my estate including but not limited to tax issues and disputes, without order of court or consent of any party in interest and without regard for the effect of such compromise on any interest hereunder. (\J (\J r-- r-- (j) To borrow money and to pledge any real or personal property as security for the repayment thereof. 10 (\J (\J (k) To apply income for the benefit of any incapacitated individual to whom income may or must be distributed for any reason during the period of incapacity. Income not so applied may be distributed to a custodian or accumulated, invested and if not sooner applied, paid to such individual upon gaining capacity. ll) o r::: <( (L CJ 0: ::> m (j) 0: 0: 0( I 10 (\J (\J x o ID o a: .: ... ... 0: l- ff) o z o u ... ff) J: I- 0: o Z o o C') ri o o ..J "- J: I- m u ...J ...J W Z f- ff) Z <( l(j z ~ <( I ff) iii ... u ... ... o ~ ...J (1) To join with my spouse or my said spouse's personal representative in filing any joint income tax return, and to join in any gifts made by my said spouse for gift tax purposes even if this may result in additional liabilities for my estate. Any income or gift taxes due on such returns and any deficiencies, interest, penalties or refunds thereon shall be allocated between my estate and my said spouse or my said spouse's estate, or all to any of them, in such manner as my Executor and my said spouse or my said spouse's personal representative may agree. (m) To apply expenses of my estate permitted as income tax or real estate tax deductions and to value my estate for estate tax purposes by any method permitted. (n) To employ accountants, agents, attorneys, investment counsel, brokers, bank or trust company to perform services for and at the expense of my estate and to carry or register investments in the name of the nominee of such agent, broker, bank or trust company. The expenses and charges for such services shall be charged against principal or income. My Executor is expressly relieved of any liability or responsibility whatsoever for any act or failure to act by, or for following the advice of, such accountants, agents, attorneys, investment counsel, brokers, bank or trust company, so long as my Executor exercises due care in their selection. The fact that an Executor may be a member, shareholder or employee of any accounting, investment, legal or brokerage firm, agent or bank or trust company so employed shall not be deemed a conflict of interest. Any compensation paid pursuant to this subparagraph shall not affect in any manner the amount of or the right of my Executor to receive commissions as a fiduciary. (0) To invest any part of my residuary estate in, or lend money to, any closely-held business in which I may have an interest at my death for any purposes incident thereto, including but not limited to expansion and entry into new fields of business provided that only assets actually invested in such business shall be liable for the debts incurred in its operation. (p) To disclaim any interest in property without court approval. Page 3 of 5 pages. I EIGHTH (a) I appoint William L. George, Jr., and Samantha Gracey George, as Co-executors of this, my Last Will and Testament. If either fails to qualify or ceases to act for any reason, the surviving named Co-executor shall act alone. N N " " (b) My Executor(s) shall not be required to post security in any jurisdiction. In N N co o " <{ 11. " 0: " m Ul 0: 0: ~ I In N N X o m o Ii .... "' "' 0: I- (f) o z o u "' (f) J: I- 0: o Z o o f'l Ii o o ~ J: I- m U --' --' w z i= (f) z <{ <<l Z (!) <{ I (f) ui "' u ... ... o ~ --' IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and /'/~ day of f)-4-J ~ ~ Testament, this 6L~ , 2005 J~~(SEAL) Judith L. George Signed, sealed, published and declared by the above-named Testator, 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 said Testator and of each other. WITNESSED BY: (~M W1Mt ?~Jy Page 4 of 5 pages. I I, Judith L. George, 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 and Testament; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. N N ~L~ " " III N N COMMONWEALTH OF PENNSYLVANIA IX) o " COUNTY OF DAUPHIN On this Il!!day of _!/!.~) ,2005, before me, the undersigned officer, personally appeared Judith L. George, known to me (or satisfactorily proven) to be the person whose name is sub~2.ribed to the foregoing Last Will and Testament, who acknowledged that she executed the same"~ . ~ Notarial Seal . Shirley J. Uoyd. Notary Public -;/ City Of H.~sburg. Dauphin County _ .." . My """"""" E><p;"" "'" 23, 2llO9 Notary Publi 9 Member, Pennsylvania Association of Notaries <( a. " II: ::> m Ul II: a: <( I III N N )( o ID o a.: ~ '" '" a: f- lI) " z o u '" lI) I f- II: " Z o o <'l Ii o o -' LL I f- ID U ...J ...J W Z l- ll) Z <( '" Z (9 <( I lI) ul '" u "- "- o ~ ...J We, ~e-~o. L - A'Ioe.rt and ,the witnesses whose names are ~ gned to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his Last Will and Testament; that the testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the will as a witness; 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. [) . (1 htxt 300 u. 2. f\SI S~ I ~!! Floor ~.Q (SEAL) Residing at: HOJt\I1~bL'rtj) PA \ 1 \0 \ ~>/~ (SEAL) Residing at: .~o 0 }V. Se t{(Y\oI st ~ ~ PL , ~~ pfi 1"7(0 I Subscribed and sworn to before me by both witnesses, this~daYOf-,!~_ ~4 Notary Publi . 9 y COMMONWEALTH OF PENNSYLVANIA Notarial Seal Shirley J. Uoyd, Notary Public City Of Harrisburg, Dauphin County My Commission Expires May 23, 2009 Member, Pennsylvania Association of Notaries Page 5 of 5 pages. ~1-l"f'\<::.9"-<; FC.V (n'/I''', J 1-()~\~Q/9Y LOCAL REGISTRAR'S CERTIFICATION OF DEAlti WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. $6.00 P 14125189 Certification Number HIOS. 144 REV 1112006 - TYPE I PAINT IN PERMANENT BLACK INK #31-178 1. Name 01 Oecedenl (First, midcIe, last suffix) Judith This is to certify that the information here given is correctly copied from all origmal Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded 10 the State Vital Records Office for permanent filmg. ~~, h. o~~)&t f\tocal Registrar {)~ () "'-1 :. j (-) C::J r-'~ N j ,,- . v , '. '-......- COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CORONER'S CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUMBER 5 Age I..... ""'''''y) 53 19. Uolher's Name (Fim, midcie, maiden sumamej ArIa J. Benedict L George 6. Dale of Bir1h Month, da. at) April 28, 1954 Rcx::hester, and state or y" Bb. County of Death Cumberland ad Facility Name {II 001 instilJtion, ~ streel and ronberj 2603 N. Rosegarden Boulevard 11. Decedenrs Usual lion Kind at WOIk done KiodolWork Hcmemaker moslol liIeDonolstatere Kirldol8osioess/lnduslry Hare 12. Was Decedent 8Yef in !he US. Armed Forces? DYes IKlNo Decedent's ActuaIResidence lla. SIale 17b.Coul'lty '3 Decedo.... eWcallon ISpecily on~ _Ifade comple1edl e-f2Seconclwy10-121 ~11-40(5+1 . 16. Decedent's Mailing Address (Street City I town, stale, zip code) 2603 N. Rosegarden Blvd. Mechanicsburg, PA 17055 18. Father's Name (First milde. las.!, sutfiJl.1 Samuel D. Grace 20a Inlormanf's Name (Type I Print) William M. Pennsylvania Cumberland Q ~ ~ ., 'iii 21c. Place of 0isp0siIi0n (Name 01 cemettHY, Clemaklly or oller place) 21d. location (Cily f lawn, 5t.iIte, lip code) Hollinger Crematory Mt. Holly SpringE, PA 22cName.",_...~F""'<y 8 Market P aza Way Malpezzi Funeral Hare Mechanicsburg, PA 17055 """"",,, 0.-. Speaty, 10. Race: American hIan, Black. While, Me IS,MCd)ol White Did Decedenl Live In a T"""""" William M. .70 ~ Y". """"~lN"~ Upper Allen 17d. 0 No, Deced8rd l~ed wiIhin AdualliniIs 01 City/Boro Gee e Top 21a Method 01 Oisposdioo 21)). Informant', Maililg Address (Sbeet, city /Iown, 5&aa8, 41 code) 2603 N. Rosegarden Blvd. Mechanicsburg, PA 17055 23a. To the besl 01 m~ know~dge, death occurred at the bme, dale and place staled (5qla1l1"8 and tide) l1ems 2H6 musl be completed by person ': v.ho pronounces dealh .~ 24 Time 01 Dealh 25. Da1aP""""""",,lleadl_.day._1 January 5, 2008 CAUSE OF DEATH (See inltructlon. and ..ample.) Ihlm2l. Partl Enlef lhedlain.w.~ - Qi:teases, IIljUf1t)S, or complications -lhatdlf~l~causedthedeath. 00 NOT enlef lerminal evenls SlJCh as cardiac arrest, respiratory arrest or venlricoIarlibrillatiOn without showlOQ!he atiolog~ List ooIy one cause on each line I Approximate inlerval: : Onsel10 Dealh , , , , , , , , . , , , . , , ~J~~~~~ld;se~ Pending Investigation Due 10 (or as a consequence ol) ~1Is1~,rlan~, t:1: UNDEca:;~AU~ a (disease 01 injury lhal initialed tht. eV8I'll$ resul1irlg III deall11 lAST. Due 10 (or as a consequence ol)' Due 10 (or as a consequence 01) 301. Was anAu10psy Perlormed? 30tI Were Autopsy Findings ~vadable Prior to CompIeIlO/l 01 Cause 01 Oealh? DYes ~NO 31. Manner 01 Death o Nalural OHomicide DAccid&nl ~Pendu1ylnvestiyation o s..uda 0 COOd No< be Del."""",, M ~ Yes 0 Na 32d TlITl801kljury !< fil t!l Q ! 338. Cer1ilief (checIl ooly one) =::rJ:-"~==:"de~~~:.~.::=n:~~_~~_~:~~,":~~_________________ 0 iii' ~;=:~ -:: ~::'~thIanOC::=:: :'O::::::ICS~cer:,1oto:~:a: mlllntr II 1"-, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 MecIIcaI EJ.mInef I Coroner h bu'- Of ...mInation Wld / 01 klYftliglltion, in my opinion, de.lh oc,uned IIItle 1lme, Uti, .nd pIKe, Md du. to lht CoIUM(.) lAd lNnMI.. .!MM.. -1;(,/ I(~II L.1.J OisposllionPerffillNo 23b. license Number 23c. Dale S9l8d lMonIh, da~, )'Sar) 26. Was Case Aeferrecllo Medical Examinet I Colonel lor a Reason Other than Cremation or 00nIJl0n? ;&Y" DNa Par1 n: Enler OCher &icnficanI: ccndilim& oonlributinn 10 death, 28 Did Tobacco IJstl CoolrWe to 0eaIl? bulnot r8$IJIlingin Ihe underlplg cause given in Part I 0 Yes DProbabIy o No [J Unknown 29. II Female o Not pregnant wi1IlIn pW year o Prtigl'lanlallimtotdealtl o No! pregnant, tu pregoanl wlltM ~2 daY' ~...... ONolpregnar~,buIpr~43darsIll1ye1f beIonI deal. o Uoknownilpr8jJlirll witi'llhe put year 32c=~:~jSlteet.FaQoIy. 32g. location ot Injury (S1r88f, cAy/lown. $&ita) Coroner 33d. Dale S9*l (Month. day, reolr) January 7, 2008 34. Name and Adlbfi$ 01 P8I$OIl Who CompIeIed Cause 01 0eaIl111em 27) Type I Pm( Michael L. Norris, Coroner 6375 Basehore Roadi Suite #1 Mechanicsbur PA 7050 RENUNCIATION -", " REGISTER OF WILLS C vM~~ COUNTY, PENNSYL VANIA :2 ( -O~' - OIC/Lf t__.....! (~:) ;'q 0' 1"-) f',j I'..) (,) Estate of -J7; t> I Tf< L. Q C:O~(;,6 , Deceased I, uJ, L.LI AAf M. / (Print Name) ~curcJl.. , GEOeG~ . \ :re. , in my capacity/relationship as S~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ()J I U-I A <<A #<11. 6~faS,S ) S/Z.. (Date) 1JLII. b.f2 1;; (Signature) "7 U03 N. ~6~~avJ~/] p{vJ (Street Address) ,1--1 ~ClV1 'vS!ouvrt I 7?A (~7-o S-S (Cily, State, Zip) ([ Executed in Register's Office Sworn to or affirmed and tfbscribed beforeJ:1e this ~!) fl day of ,1l1a1uaJrij--, &CtJg . Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this day of CJ Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission) F Qrm R W-06 rev. 10.13. 06 RENUNCIATION REGISTER OF WILLS {}()M8~4 COUNTY, PENNSYLVANIA ~.i ,TI C7J r..) N ~/-- or; - ()/qLj N Estate of _.J0 blm L, c; G()t.~ (....-0 , Deceased I, 5AMAJJTffA <;;. ~~Gl; , in my capacity/relationship as (Print Name) }> ~d C;#trff;~ I ~F; c LJ T~ , Y of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to /JJ /L..L/A Itt ,t1 . C;it.;of>6 G 1 5 e . ~/~:</O~ (Date) . ~ft.~ (S ature) / ;l.ft,03 A). ~~I'-d.t:n Blvd. (Street Address) ~z,~(Cjb,,'(f fA Ir~5S Executed in Register's Office Sworn to or affirmed and subscribed before me this ~ 'J. nd... day of (1tbUillIc-LJ ' ~M . Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this day of Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission) Form RW-06 rev. 10.13.06