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HomeMy WebLinkAbout04-07-08PETITION FOR PROBATE AND GRANT OF LETTERS RECiISTER OF WILLS OF (~ Estate of }~C-~` ~' CL-((L 1~ 11 ~~-r~ (/ t~ L K. also known as ~~ f IJl7 ~ c,~ ~~_7(~~ r~ C.-~ COUNTY, PENIv'SYLVANIA File Number 12 ~ - ~L ~r~ - U~~~ ~~ Social Security Number ~%~ U (,~ - `~ ~~ ` ~C 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: Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COiYIPLETE 'A' or '13' BELOGY:) L~J A. Probate and Grant of Letters Testamentary and aver that Petitioner(^~l~is`~/ are the ~-V..SU ~ ~ ~ ~"t ~e" 1"3~(Q-~n~named m the last Will of the Decedent dated _ I ~~ ~~ b , p ? and codicil(s) dated T- (State relevant circumstances, e.g., renunciation, dead[ 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: r~ C'> o _ . ^ B. Grant of Letters of Administration " -~ T°' -~ '- ~ -p -~ > C .7 (lfappiicable, enter: c. t. a.; d. b. n. c. t. a.; pendentelite; durance absen[in; durnf ~ horita e ~ `-j i fTl _ ~l Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived b the followin >~ tf an~and hens (~ y ~~ ( y :~ Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list ofheirs.) _ , ~ ~~~ -~ `. , `T .'_- ~ .rt Name Relationshir Resll~nce W - r r1 (COMPJ_ETEINALI. CASES:) Attach additional sheets if necessary. t was domiciled at death in (',(.(_t1'1('1~1 ~~4t (List sweet address, town/city, township, counh~, state, zip code) County, Pennsylvania with his / he~ last principal residence at I D!D C rte ne s .~ Decedent, then ~~ years of age, died on 13 r~1~.r~h pG~at ' 1`j (G C~r'c:.,~e 5 ~,u;0 ~~~ C1 ~~ (y ~~~ +~~ ` ~ 0 t Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as Poll ~( ~i' i3~a , ~~ $ N Si >nature ~, T ed or rioted name and residence k.Q.V1rl',l. ~rZY f i ~.. K~1'1Q.~ ~Ul~ ~. (ti~~S Gh Qd C'(~/ ~ t~S~-Q.. ~Ck . (ZU(3 Form R6V-0? rev. 10.13.06 P1be I of Z :~/ -~C1~)~~ ~'~cJ'7 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~~L~l (1.U1(~1 _/ The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are time and con-ect to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent Petitioner(s) will wel l and trul , y administer the estate according to law. Sworn to or affirmed. and subscribed ~,,,Q~~ 1~~-Cl ~/ `/~i7 befo me the / day of Signntau•e ojPersonn! Representalive '~ ,~y,~ dlVU ~ ~ _ t::7 Q ~ t , ~ Signnlure ofPersonnl Representntive ~ ~. Y ~ ' / ,, ~ ' ~ t:7 ~ - ~ ~ FOr the Regis r Signatzu~e of persona! Representative ~ ' ~~ 'v -~] 7 =;-~j ~ '~ ~ _ . _. ~ t File Nu;~ r: ~ ' oU~ ~~~ ~~ a © - Estate of r~ /~ ,Deceased Social Securit Number: ~C Ll ~ "~~' ~ ~~~~f Date of Death: ~' ~~ °-' ~~ AND NOW, _ ~ ~ , Cl~U 0 , in c nsider lion of the foregoing Petition, satisfactory proof having been presented befo, IT IS DECREED that Letters ~l3~ry/4sI~ / ~ i~ are hereby granted to.~i ~• and that the instrument(s) dated ~~ ~~ ~ described in the Petition be admitted to probate and filed o C in the above estate FEES Letters ............... ~/V' ~~ Short Certificate(s) ... $ Gv ., R n( U' ~~ . $ ~ S' ~... $Jc~ _ ... $ ... $ _ ... $ _ ... $ _ ... $ _ ... $ TOTAL .............. $ ~ Fam RW-0' rev. !0.13.0( -ecord as tl st Will (nd Codicil( of Decedent. ~sler of Wi!!s ~ ~ Attorney Signature: ,~ .,~ j ./ Attonrey Name: Supreme Court I.D. No.: Address: Telephone: Page 2 of 2 g- a~~/~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH VVARNING: It is illegal to duplicate th'IS copy by photostat or photograph. Fee for this certificate. $6.00 ,~/ ~-- This is to certify that the informati h i II on ere g ven is p~ZH OF pF-. 111" ,,1'y>~.~-~~Y,y~;= correctly copied from an original Certificate of Death 1 ' p`' o~ ~ ~~ duly filed with me as Local Registrar. The original /`~` ~, ~ - i \o t - ,,~ zi cu ficate will be forwarded to the State Vital e~~ ~ ~~ a kecords Office for permanent tiling. P ~ ~ 3 ~ ~ 4 ~ ~ ?I ~ `~ l f - l ~~ F~`~~~ A ~ ~ s ' o e~c llll • -c,, 2ooe NT C crtification Number /lllllll / // Local Registrar ~ Date, issued -A "L7 C7 ~ ;, _.AJ ....J: - ...~ 1•.. `-, r-, -~ ~-, - ,1~ .; ~ j ~ .. ' ~ ~ ' N O itOS1+3 REV 1tf2009 TYPE! PRINT IN COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PERMANENT SLACK INN CERTIFICATE OF DEATH (See Instructions and examples on reverse) STATE FILE NUM 1. Name d DecetleM (Pint. piddle, lea! earn) BER A s A e (tam&~ um t 2. Sax 3. Seim Sew Number Barrick my +. Dendoeem (Moon, my, year) Female 200 - 26 - 5019 March 1 3 2008 , p . ar r) rrr unmrt day e. Daled&nh (Manm,m, Y Yrr) 7. &rtlgiace (Coy and mate a roreign wurit7) 0e. Place d Deem (Chetlc Doty ene) i~'"I" °"' "°"' ""'""°° 73 vre. Punxsutawney, Hal: omen Feb . 1 1 , 1 9 3 5 - a,. cants d Deem ac. riry Twp p a . ^ Irryetiarn ^ ER / oaryatmnt ^ Doa ^ Naminp Nana Igl Itesiknce ^arar Drm , , . ad. FaraFy Name (n red InBlNulbn, pve mrem end naMer) 9. Wee Decemnl d Fieparic Origin? ~ No ^ Yee 10. Race: Ammkan Indsn, BNCk. Whxe, eh. Cumberland N, Middletown 1010 Cranes Gap Road °'''~~'P°a''`~"' (sv~» Melocml, Puerro Rk:an, ero.) Whit e 11. Denmrq'a llaual tlcn Kxq d was dart most d Rfa. Do red eaa reared 12. Wee Decedent ever h Ba 13. Decwdent'a Emcetlon (Spetlly ooh hiphem pen caroNndl 14. Manml Sable: Marmd, Never MartieQ 15. Survhing SPour (II wile, Siva marten name) Klnd d Wale KYm d Birhar! Fmumry U.S. Amad Fames? vy Registered Nurs Nurs Ebmenbry / Secamery (0.12) CoNega (1< a 8+) Wroowwd, DNaced (Sped/y) ing prr LafNa 12 rs 2 v ~ 18. DecwdenYe MWmg Adage (Shat. dly / awn, mad, zip cede! y . yrs. Divorced Deoemnt's O 101 0 Cranes Ga :Road P Did Decakm "a"°l R°'"ar`ca 178 °ate va - tmema tlc. $7Yr,De~edariuxeah N. Middleton Twp U Carlisle Pa. 17013 Towmhb? y +7b. coantY Cumberland ,Ta.^Ne, a~emnt LNad w;,Na b 18. Famar's Nana (Fleet. nitlae, ~ rNrc) Actual Larma a City / Som 19. Homers Noma (Flrel, nimle, maitlan sunarne) 20e. 1111amed•s Name (Trp./Pnm) Esther Peffer Terri L. 1Keeney lob. Infomaae MmYrp Aamae (Slree4 ells /tam, slaty. zp cotla) z.M.modd DkPOeihri g] Cremation 1010 Cranes Gap Road Carlisle, Pa. 17013 ^ Doralion 27b D l d Dk a w ~ . a e pa on (MmU, my, year) 21 c. Place d Dkpoeitlpn (Name d cenMary, aemalay a atlar place) 21Q Laralbn ^ 8unar ^ Removal fmm San wr Cnnatlon a Dorrtlon AuUgrtrea (City /loan. male, 3Ip wde) ^~»r-so.nr tlrM.a lExrNrlarrcororlar? ~yas^Np March 18, 200 Hollinger FH/Crematory Inc. Mt.HOlly Spgs, Pa.1706 5 ~ 22e d Funerm Service tlcerleae la u 1 - ??b. lxxnr NanWr 22e. Name and Adara d Faciay 501 N. Ba image ve. FD-011932-L Hollin er FH/Cremator Inc g Y Hams 23sc aiy wtan prNylnp 23e. Tome hem d my , Mt. Holly Springs, Pa. 17065 , loam occurtatl m me INa, ma arm phce Bated. (SigraNre art tqk) • W7aitlaa m gal eveilseN m tlma d man a omurynwaarm zib. Licaae Namber 23c. Dale Signed (Ham, der, soar) Name 2+-26 mum a oonigaed by pereon 24. Tape a Deem Z5. Dan Ptaunxed Dead (Momh, day, year! wln prawxes deem. /,y o 3.o M. .l. CAUS~_EVI OF DEATH (See inetructlone art examples) r ~~~ Inarn Item 9. Pan 1: Error tta rAmn d evade- drrr, aglines, a arnpYmior -Bat directly caused tla deem. DO NOT Brier temirel evwne such ss mrdac anew, mpdtay arrem, a venlrkWar mrimidl wiBpd arawkig Ba mblogy. Lbl alty as caur w each lea. r Cream to Deem WMFDLITE CAUSE ((Fwl dmeax a caidaierl aedNrg h demh) -~ a. 1 ~1 4 V1 rT l (. Duero (a as a consaqumae oqv 'J -r-+-`- SspartlmN km an0lbna, q ery, b. r b tla cauN Mad on ins a. Finer UNDERLYBiC CAUSE Due la (ix r a wnseparlca oft; ~ ~wra readw~ip~ awi~°s~a ~ o. Du-1o x r a axmeauerv:e a). d. 3m. was r AuKpsY Sob. were Autopsy Fais+ps 31. Manner d Deem Sta. Dale d agar (Ham. my, rear! 326. Desalhe How I PMomad7 AVefabla Pna to CaryMaxn M^Y Oaurred d Cause d Deem? ®~~ ^ rlomidda -~ 26. Wr Car Refetr~red ro~ Medkal Examiner / Canner for i ^YBa b1'~ Par! II: EnNr other ~ pg. hd red remphg h the uakdying cause glwn h Par! I. ^ Yr ~'NO ^ Yes ~NO ^ Atddeix ^ Peraf g Invesageaon 32d. The a hyury 32e. IMurY m Wark7 32f. II Tnrepomtion i*ay lSpea'y) ^ s~:dm ^ cane Na as wlerm:aa ^ Yea ^ No ^ layer/ opareta ^ Pesserypr ^Pemmmn then Cremalhn a Daatlon? U Yes ^ Ptehedy No ^ UNnami 29. If Female: ~, Nd pregrant wNhh peat yrr ^ Pngram m ana d drm ^ Nd Pra9nanl, dx prepant wNMn 12 mss d deem ^ Nd Pre9rd, bd pregneM /3 mss ro 1 year before drm ^ llrAnown H pregrm wllhh ma pan rear 3211. Place d hwry. IWre, Farm, SrrL Fecrory, OMu &sdag, ale. (Seedy) ~ town, sma) `~ 334 cemiar (dleca arty aa) otlar 33bnature and rule d cerMier - L^AI~ D«BMaq PM.ICwr (Phnidan caaMn9 awe d loam wnan enonar panlden h.a ponaxxad roam and nonglaad lam 231 To me east of my lmowlrgs, men eaumaawrona aur(a)ane mannerum~~a---_--_-- m - • • PronBltrcYlp ana eerlryltq phyalden (Phyecan Odh pmrpamap deem arm cenllyitp b rear d men) 33c. license Number To tl1e ham d my anowNage, arm OCCI1maa el the tlme, dare, arm plea, and as to lM crae(sl arM IIIYIrxw r alsled_ _ ^ 33d. Data Siena (March, • IAetlkalErmlrrrl COmlx ________________ ~ ,1 3 / v On tla tame d axaminmion end / a invastlgeeron, in my oplMOn, aem ocaxrr at the thee, ma, and place, ana due ro the caur(q ana manger r stelae- ^ ~ -~ ,°~ 30. Name mm Adaaas d Person Who Canpleted Cause d Desch (hem 27) Tyye / PNN 35. Repimly~prature r Dsta Fl (Ham, mY. Yr9 t ,1 C~ ^'c re t .i`'tlt : iVL.~ ~ -~--71o•~•~t r'i • ~~e.a.~ I ~~, I l I a f l I b I ~ r N~~,< ~~ ~ n r+rn c, Dlapasilion Pennll N ` ~ ~ ~ ~rj^~ 2QQ8 APR -7 PM 3~ 20 LAST WILL AND TESTAMENT ~"~K ~~. QRPr'r^~'~ ~,`OJRT of ~, i1 ~,~- ;i. ,~,. ~a BARBARA A. BARRICK I, BARBARA A. BARRICK, a resident of the County of PALM BEACH, State of FLORIDA, do make and declare this to be my Will, and I revoke all my prior Wills and Codicils. FIRST: Declaration Concerning Family. I declare that I am not married and that I have four (4) children now living, namely KAREN SWARTZ, TERRY KEENEY, BRENDA HARREN, and NANETTE STEWART and that I have no other children living or deceased. The terms "child", "children" and "issue" shall include adopted children. I further declare it is my intention to dispose of all property I am entitled to dispose of by Will. SECOND: Nomination and Appointment of Personal Representative. I hereby nominate and appoint TERRY KEENEY to be my Personal Representative hereunder, to serve without bond. In the event my nominee fails to become or at any time ceases to be the duly appointed and acting Personal Representative hereunder, I nominate BRENDA HARREN as Personal Representative, to serve without bond. The term "Personal Representative" as used herein shall apply regardless of gender. THIRD: Last Illness and Funeral Exaenses; Powers of Personal Representative. I direct my Personal Representative to pay my last illness and funeral expenses. I direct my Personal Representative to take all actions legally permissible to have the probate of my will done as simply and as free of court supervision as possible under the laws of the state having jurisdiction over this will, including filing a petition in the appropriate court for the independent administration of my estate. I hereby grant to my Personal Representative all of the necessary powers to discharge my directions under this Will and the power to do all other acts which in his judgment may be necessary or appropriate for the proper distribution of my estate and the pour over of my estate to the Trust. In addition to the powers conferred upon personal representatives by law, my personal representative shall have full power, without any court order or proceeding, to lease, or to sell, pursuant to any contract, option, or otherwise, at public or private sale, and upon such terms as my personal representative deems best, any real or personal property belonging to my estate, without regard to the necessity of such sale for the purpose of paying debts, taxes, or devises; or to retain any or all of such property not so required, without liability for any depreciation thereof; to make distribution in kind; to assign or transfer certificates of stock, bonds, or other securities; to adjust, compromise, and settle all matters of business and claims in favor of or against my estate; to continue any unincorporated business for the: period of administration, or to incorporate any business in which I may be engaged at the time of my death and to continue that administration; and to do any and all things necessary or proper to complete the administration of my estate, all as • fully as I could do myself. g-z (~ r~ ~ FOURTH: Debts. Taxes, and Administration Expenses. I have provided for the payment of all my debts, expenses of administration of property wherever situated passing under this will or otherwise and estate, inheritance, transfer and succession taxes, that become due by reason of my ^ death, un~ r THE BARBARA A. BARRICK TRUST, (hereinafter "Trust") dated 20~. If the Trust assets should be insufficient for these purposes, afte the pour over, my Personal Representative may elect to probate this Will and/or demand in a writing addressed to the Trustee of the Trust an amount necessary to pay all or part of these items, plus claims, pecuniary legacies, and family allowances by court order. FIFTH: Disposition of Residue of Estate. (1) All my personal and household effects were transferred to the Trust as a result of the Assignment of Personal Property to Trust signed in connection with the Trust. If there are any questions regarding the ownership or disposition of these assets or any other assets not listed therein, it is my desire that all my assets pour into the Trust. (2) Accordingly, I give, devise, and bequeath all the rest, residue, and remainder of my property of every kind and description (including lapsed legacies and devises), wherever situated and whether acquired before or after the execution of this Will, to the Trustee under the Trust. I direct my Personal Representative to transfer over to the Trust all of my right, title and interest in all property that I own or that I might have an interest in. The property is to be transferred to the Trust subject to all liens and encumbrances, if any. The Trustee shall add the property bequeathed and devised by this will to the corpus of the Trust and shall hold, administer and distribute said property in accordance with the provisions of the Trust, including • any amendments thereto made before my death. (3) If for any reason the said Trust shall not be in existence at the time of my death or if for any reason a court of competent jurisdiction shall declare the foregoing testamentary disposition to the Trustee under said Trust as it exists at the time of my death to be invalid, then I give all of my estate including the residue and remainder thereof to that person who would have been the Trustee under the Trust, as Trustee and to their substitutes and successors under the Trust, described herein above, to be held, managed, invested, and distributed by the Trustee upon the terms and conditions pertaining to the period beginning with the date of my death as are constituted in the Trust as at present constituted giving effect to amendments, if any, hereafter made and for that purpose I do hereby incorporate such Trust by reference in full in this my Will. SIXTH: Partial Invalidity. Should any part, clause, provision, or condition of this Will be held to be void, invalid, or inoperative, then I direct that such invalidity shall not affect any other provision hereof„ which shall be effective as though such invalid provisions had not been made. • ~A~ 9-3 • I sign and publish this as my Last Will and Testament, the same consisting of pages, each page of which bears my initials or my signature, all in the presence of two individuals witnessing and attesting the same at my request in the State of Florida. // DATED this /T day of ~ ~~`~~~-~-~~ , 20 ~ 7. QJ, CJ Q/~ ~'~ ~ ~J Ql> i1~ BARBARA A. BARRICK, Testator The foregoing was published, declared, and signed by BARBARA A. BARRICK, in our presence, as and to be his/her Last Will and Testament and we, at his/her request, in his/her presence, and in the presence of each other, hereby subscribe as attesting witnesses. Witness o ~ - Witness Print Name S> ~~- h~~`~V Print Name ~L ~ ~ ~i~ ~ ~ ~~~D ~ ~ ~~ Address a~ (2 ~Ks l~y~ -wi~~ r2~ ~7 ~, Address ~~ ~ !~~/_ ~~ ~/~~}-~~~1 ~j,~ ~ ,> ~ ~ ~~ ~ t 3 C ~ ~~ ~ ~ I ~~1 ~/ ~ , ~ ~ ~(~ END OF WILL • 9-4 }3 ~ • SELF-PROOF OF WILL STATE OF FLORIDA COUNTY OF ~~L~'l ~I~~L+ I, BARBARA A. BARRICK, declare to the officer taking my acknowledgement of this instrument, and to the subscribing witnesses, that I signed this instrument as my Will. BARBARA A. BARRICK, Testator I~ We,~5+-+V ~ 1 d~.~'~~ ~ ~ L- ~ ~ 1(~,/ and rti`~- ~ have been sworn by the officer signing below, and declare o that officer on our oaths that the Testator declared the instrument to be the Testator's Will and signed it in our presence and that we each signed the instrument as a witness in the presence of the testator and of each other. Witness Witness ~~~~ y Signature: ~ ~ i nature: /J ~9 Acknowledged and subscribed before me by the Testator, BARBARA A. BARRICK, who is personally known to me or who has produced a Drivers License or as identification, and sworn to and subscribed before me by the above named witnesses who are personally known to me or who have produced a Drivers License or as identification, and subscribed y me in the pre ence of the Testator and the subscribing witnesses, all on this ~ day of 20~. ~~~~2~ 'of 1 ~~ j, f Printed Ne J{e a/me {e ``\~~~~~;NYOUN~F ~~i/. •~ q \ % . o~M oN 99. ~~~ ;* ~`•t #DD 628319 ~ Q $~99A~;yd~ ~~Q\~ ~~~ii.~!/n ~~r~tc OF~:~~~~~ My commission expires on 9-5