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PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~~J. COUNTY, PENNSYLVAt\IA
Estate of~Q. r"f
also known as
E___
B eo.. f"
File Number
021 ~Jl(j)g~ J 03
, Deceased
Social Security Number Z 0 7 - 3 '1- &. 8 I 3
Petitioner(s}, \\ 110 is/are] 8 years of age or older, apply(ies) for:
(CO:HPLETE ',-/' or 'R' BELOW:)
~ A. ['rohale and Grant of Letters Testamentary and aver that Petitioner(s) is / are the
last Will of!l1e Deced<:nt dated 5" - Z/'- 'tq and codicil(s) dated
.....tJ h ~ r..-
named in the
(Slate 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 execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
o B. Grant of Letters of Administration
r-
(If applicable. elller: c.t.a.; d.b.nc.t.a.; pendente lite; durante absentia; dur[//tie~ninoritate)
..-,e,
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following sPO~~~~rJl~Y) arlfl:beirs: (If
Administratioll, c.t.a. or d.b.ll.c.I.a., eJlfer date of Will ill Section A above and complete list of heirs.) ,;....: :D
I")
R~id""~ ..' ';~
-~' :..;
Name
Relationship
. r.....
, ~
Decedent, then 7 5' years of age, died on 1- 3/- 08 at Cal'hs/~ R.,"~"41
/1}e~r~/ /~nr~r
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(lfnot domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Pet'sonal property in County
Value of real estate in Pennsylvania
~()~()(')().-
situated as follows:/'t'l ~ RJ ~t:.t.e.
/2 So 0 ()O . -
q. ~'f4 ~ RJ. 4. ~ ~~ .,.",p.
$
$
$
$
Wherefore, Petitioner(s) respectfully request(s) the probate ofthe last Will and Codicll(s) presented with this Petition and the grant of Letters in the appropriate form 10
the undersigned:
c::=
~
Ty ed or printed name and residence
J" Q,e b
B Q(l. r
Form RW-OJ rev /0/306
Page I of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
'\
,I (,.)
.-.; ,.....
\... L-,
COUNTYOF ~
, .
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition(~~'lrue artd cQmecft"j) the best of
the knowledge and beliefofPetitioner(s) and that, as personal representative(s) of the Decedent, P~if;6ner(s) will well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
a:uVA-
day of
Signature of Personal Representative
Signature of Personal Representative
File Number:
(\2/- 62$- u / gf
AND NOW,
Estate of m ary E . Sea r
207-34- !'SJ 3
(jj{J c2dJt
, Deceased
FEES
Letters ............... ~ () C?
Short Certificate(s) 'r' . . $ "'-~ cJrJ
RenunClation(s) . S. . . . ."JI $ I.r) CO
1($ ,IJD
$ /(J,/p
$ 15 6U
$
$
$
$
$
$
TOTAL .............. $
Date of Death: J - 3/- 0 8
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
351 (!!----
Form RW.02 rev. 10.13.06
Page2of2
HIIJ5.K05 REV Wl!07i
0'1 - 153
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
Certification Number
This is to certify that the information here given i
correctly copied from an original Certificate of Deat
duly filed with me as Local Registrar. The origin,
certificate will be forwarded to the State Vit,
Records Office for permanent filing.
P 14125260
~.~~~~FFk 2/ 20D
Local Registrar Date Issued
.)
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\ ~1~'43 REV 1112006
TYPE I PRINT IN
PERMANENT
BLACK INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
f')
\ tJ
8b. Collntyol Death
\. Cumberland
11.Dec:edenfsUsual tionKindofworkdone
Kind of Work
Homemaker
. 16. D9:edenrs Mailing Address (Street, city (\oWn, stale, zip code)
199 Barnstable Road
Be:!. Facility Name (If not institution, give street and number)
Carlisle Regional Medical
Carlisle PA
OOlhe'-Soecl~'
10. Race: American Indian, Black, White, etc,
(Spec;ryl
White
1. Name of Oecedenl (FII'Sl, middle, last, suffix)
Ma Bear
5. Age (last Birthday)
v".
6. Date of Birth (Month, day, year)
75
July 31, 1932
12. Was Decedent ever in the
U.S. Armed Forces?
o Vos lJINo
Decedent's
Actua!Aesklence 17a.Slale Pn.
17b.Couoty Cumberland
17c.[XI Yes,DecedenlUvedin w. P~nnRoor(')
17d. D No, Decedent Lived wilhin
ActuaIUmitsol
TWO.
c;ty/Boro
19. Mother's Name (FIf'Sl, mkkIe, maldeo surname)
sarah Hollenbaugh
2Ob. Informant's MlliIW1g Address {Street, city I town, state, zip code)
334 Shed Road, Newville PA 17241
21c. Place 01 DIsposItion (Name of cemetery, crematory Of other place)
CUmberland Valley Memorial Grdns
Hoffman-Roth Funeral Home &
Ca li 1 PA 17013
2td. location (City floWn, stale, zip code)
Carlisle PA 17013
Crematory
23c. Date Signed (Month, day, year)
Item5 :~4-26 ITUI: be COO1lIeIed by person
whopl'OI'1OUI1C8lIdea1h.
M. U
CAUSE OF DEATH (See Instructions and eumples)
hem~7. Part I: Enlerthe~-dlseases, IrfJrles.orcc:mplicallons-lhaldlrecllycausedthed8alh. DO NOT enter lerminalevents
respiratory arrest, orY8f1lricularllbrilallon without showing the 8tioIogy.lisI: ooIy one cause on each line.
~~l:r!)~ a'A L S
Due 10 (or as 8 consequence ot):
24. Tlme01 Dealh
t l..j t.f2..
'2. oe ~
Approxinala interval:
Onset to Death
26. Was Case Referred Io~l Examiner I Coroner for a Reason Other than Cremation or Donation?
o Vos Iid1G
Part II: EnterothersimilicRntCOOlllionsmririllulWlnlodllBlh
butootresultlng in the underlying cause giYen In Part I.
28.OidTobaccoUseContrtbutetoDealh?
o Yes Ofrobebly
~ 0 U""-
29."F~
[B1fot pregnant wtttlln past year
O_attime~de""
o "'pregI18l1\,OUlpregnenl'."'"42deys
~deelh
o "'pregI18l1\.OUlpregnenl43deys'Olyee,
-......
o lJJ1known'pregnenI_l11hepeat,..,
32c.=~:t~JStreet,Factory,
~
__"''''''''''''''''011\'.
Ieed""totheceuse.....",....
Enter lhe UNDERLYING CAUSE
~~~nu:a~~
b.
Due to (or as a consequence 01):
Due to (01' as 8 consequence 01):
d.
OVos ~
3ttb.We<e__
AvailablePrlorIoCompletlon
of Cause of Deeth?
OYos ~
31. Manner of Death
6!U1e1 D-
o- OP""","'_"'"
OSulclde OColO!"'bellelemtkted
32d. TIme of Injury
32g.location of Injury (Streel, clty/lown,state)
-:::a
3Oa.'ltasanAulopsy
p,-
M.
~
~
33aO_(check"'~oroe)
CetlIIyl"ll phyeIeleJ1 (Physdelt cef1ItyIJ1g ceuse ~ death _ .no"',,, physician haa """",_ deelh W1d """"eled It.m 23)
To the best of my knowIedge,deattloccurred duetotheca.t(s)lndnnneusstaled.. __ _ __ _ _ __ _ _ _ _ _ ___ _ _ _ _ _ _ __ _ __ _ ___ D
_....__(PhysIdeJ1bolhP"""'"""'llde.lhW1dcertJfyirtg'oceuse~death)
lothe belt of my knowledge, death occurred at lhetlme, dale, and pIIce, and due to the cause(s) and manner 8S stated- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~= =m~":,,~c: and I or lnvestlgatlon, In my opinion, death occurred al the time, date, and place, and due to the cause(s) and manner 85 slsteeL D
~
!il
o
w
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:Re7~~(t~~
,Id-IIIO-.IIIOI
Disposition Permit No.
001/1.5''77
0~ - /83
L.54STWILL.:A:N1J TTST5t:MTN~
I, MARY E. BEAR, of West Pennsboro Township, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
ONE: I direct my Executors to pay an of my debts, funeral and administrative expenses
as soon as may be done conveniently after my decease.
TWO: I give, devise, and bequeath all of my estate of every nature and wherever situate
in equal shares to my children, JACOB L. BEAR, JR, JOHN H. BEAR, DEBORAH K.
CAMPBELL, and STEPHANIE E. BEAR, per stirpes. If one of my children named herein
should predecease me, the share of said deceased child will be distributed equally to the issue of
said deceased child, provided that such issue have attained the age of twenty-one (21) years. If
one of my children have predeceased me without living issue the share of said child will be
distributed equally to my children who survive me.
THREE: If one of my children have predeceased me leaving issue under the age of
twenty-one (21) years, I then give, devise, and bequeath said shares in TRUST to FINANCIAL
TRUST COMPANY, as TRUSTEE for the benefit of said issue of my predeceased children
subject to the following provisions.
a. This Trust will be for the sole benefit of the issue of my deceased children who
are under the age of Twenty-One (21) years as provided herein.
b. The net income of the TRUST shall be applied at the sole and absolute
discretion of the Trustee to the support, maintenance, education and general welfare of my
children's issue, in such manner as the Trustee deems proper, without regard to any other funds
which may be available for the Trust purposes, or may be accumulated in Trust.
c. I further authorize the Trustee, to apply not only the income, but also so much
of the principal as the Trustee deems necessary, in, for, or toward the maintenance, support,
education and general welfare of my said beneficiaries, in such manner as it shall deem proper.
d. When each issue of my deceased child attains the age of Twenty-One (21) years
of age, the Trustee will distribute the balance of the Trust principal and accumulated income to
said issue.
e. The Trustee shall have the following powers, in addition to those vested in it
by law, for my property held for the benefit of my beneficiaries, whether income or principal,
exercisable without court approval and effective until the distribution of all property under the
2
terms of this Trust; the Trustee, at its discretion, may compromise claims, borrow money, or
retain property for such length of time as it may deem proper, sell, lease, pledge, mortgage,
transfer, exchange, convert or otherwise dispose of or grant options of all or any portion of
TRUST property for such prices, on such terms in public or private transactions as it may deem
proper; and invest Trust property and income without restriction to legal investments.
FOUR: I appoint JACOB L. BEAR, JR., JOHN H. BEAR, DEBORAH K.
CAMPBELL, and STEPHANIE E. BEAR, to serve as Co-Executors of this my Last Will.
FIVE: My Executors may, at their discretion, compromise claims, borrow money, retain
property for such length of time as they may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as they may deem proper; and invest estate property and
income without restriction to legal investments.
SIX: No Executor or Trustee acting hereunder shall be required to post bond or enter
security in this or any jurisdiction.
3
IN WITNESS WHEREOF, I have hereunto set my hand and seal thisd l,~ay of May,
1999.
0;~ i;".~
MARY E. BEAR
(SEAL)
Signed, sealed, published and declared by MARY E. BEAR, the above named
Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and in
her presence and in the presence of each other have subscribed our names as witnesses hereto.
~~dl
ti / o!i' -,'. ./f<d/
~ad~/X ot }x;;0;~)p(j-rA-/
4
ACKNOWLEDGMENT AND AFFIDAVIT
WE, MARY E. BEAR, CHERYL L. CLELAND, and SHARON L. SCHWALM, the
testatrix and witnesses respectively, whose names are signed to the 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 his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in
the presence and hearing of the testatrix, signed the will as a witness and that to the best of their
knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under
no constraint or undue influence.
(0a e.. E-'!--v
MARY E. AR
Pii l/,ic%h~J
CHER;~.CLELAND
yfAa~ I-Y.: y-d~d~
SHARON L. SCHWALM
COMMONWEALTH OF PENNSYLVANIA
: SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by "MARY E. BEAR, the testatrix
herein, and subscribed and sworn. ~o before me by CHERYL L. CLELAND and SHARON L.
SCHWALM, witnesses, thi~ayof May, 1999.
~~.~
Notary Public
6~ ~ (8'3
r'~ 3 ~~~' J
,
,-... "
RENUNCIATION
,GISTER OF WILLS
CU/IIb.erkn COUNTY, PENNSYLVANIA
E,tateof mar) z;:. Bear ,Deceased
I, Sf~htiJl i'.e Z f /3R-a r , in my capacity/relationship as
<;' (Print Name) / ~u
c.J( -e c ~ t:-ri X / Da l<J h ~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
:Jacob L(
~r, 0Y'.
~
d!/3;0&
~O~C.~
(Signature)
~ 0 f t& j Sft1i75;4:e
(Street Address)
(Date)
!ltP/Yi lie II} 17;2'11
(City, State, Zip)
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
Executed in Register's Office
Sworn to or affirmed and subscribed
befor;e-mr this /3 day
of f- e f;Yu0--1'1 ' ;20()?{ .
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.)
FormRW-06 rev. 10.13.06
6 ~ ' I 6'3
:'. ~.~
-,
.;"
,;
RENUNCIATION
REGISTER OF WILLS '
C,^~..J~..w I~"" L COUNTY, PENNSYLVANIA
Estate of
m().J"''t
lOk~
SOY'\. (Print Name)
LS .eA V-
, Deceased
L,
~~'V
H.
I,
, in my capacity/relationship as
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~(k'-C) b L-<-h~", ~v "Tet.
d- J'i- O?
~~#~
~3 b~" k. ~ ) Its~ R~.
S~VV'A~d ~,
(Date)
(Street Address)
~ I 170'0
(City, State. Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
y.. 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
s stated within on this ~ day
~. ,~.
J~
~
Deputy for Register of Wills
Nota 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. lO.13.06
COMMONWEAL TH Uf ?E:NNSYlVANIA
Natalial Seal
Julie D. Shannon, Notary Public
Carroll Twp., Perri County
My CommissiG'1 Expires Jw,e 14, 2009
Member, Penn~:1,'Iv.':;~!'~L,;.."\,,c;~'S\>~.;~;:~tic,n of Notaries
Oy- (25~
'. .J
RENUNCIATION
REGISTER OF WILLS
CVwnblC""\Cl.t'\(t COUNTY, PENNSYLVANIA
Estate of m 0... ~ ~ €. 6 ~\ , Deceased
I, ~~'c~'~..I \<. \:_0.. ~~b~\ , in my capacity/relationship as
~ \ \ (Print Name)
t') CA... Q~ ':'t-lU('" of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
-=s- o..C_:~ b 1.. ~ } ~ ".
~-t\-CJ~
(Date)
-S:(O W:\\\)\;0 C~\,-}f(
(Street Address)
J....!b~<; \J : \\"
(City, State Ip)
~A
} '7()Y7
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
~ ,,\ .~ \.-: ,.-, ,', ,,'.,"- ~
(Signature and Seal trnot<UY-Jlr other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
FonnRW.06 rev. 10.13.06