HomeMy WebLinkAbout04-24-08
REGISTER OF WILLS OF
PETITION FOR PROBATE AND GRANT OF LETTERS
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IS. (,P\ R. L , ~
COUNTY, PENNSYLVANIA
Estate of
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File Number
~l- O~ J f11102,
Social Security Number ,
also known as
, Deceased
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE ~' or 'B' BELOW:)
6a A. Probate and Grant of ~7~ Tftt~m~n~ry. and aver that Petitioner(s) is I are the
last Will of the Decedent dated 1 and codicil(s) dated
~ nam~ci~p the
~
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(State relevant circumstances, e.g., renunciation, death of executor, etc.) '-, :J: r- \. . ',,, ( '-=; .'.
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution ~~~enif;) o~~ ~;
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: :::1) 8 ~ ," , . ~ -" . :.:::~
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(Ifapplicable, enter: c.ra.; d.b.n.c.t.a.; pendente lite; durante absentia; dura'Jte minoritate) ~
6.tvV71(~'~
o B. Grant of Letters of Administration
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: (Jf
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Relationship
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
(List street address, town/city, township. county, slate, zip code)
Decedent, then ~ years of age, died on A~ d. \ \ \ 7 ) ~ 0016 at
'10\ 3-
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
$ 0/9/ O. t) c)
$
$
$
situated as follows:
Wherefore: Pelitioner(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:
A
T d or rinted name and residence
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Form RW-Ol rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY Of L!u.mbr~
The Petitioner(s) above-narned swear(s) or affirm(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
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administer the estate according to law.
day of
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Sworn to or affirmed and subscribed
Signature of Personal Representative
Signature of Personal Representative
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File ~mber:
Estate of kQ.L
~/-m.- Ol/[P()/
E I CJullYl
Social secu~ri Numbe,r:
AND NOW, ________ ~)I
I
having been presented before me, [T [S DECREED that Lette
are hereby granted to .
Date of Death:
, Deceased
fl ptI L /7, JO()S
FEES
consi eration of the foregoing Petition, satisfactory proof
in the above estate
and that the instrument( s) dated
described in the Petition be admitt
Letters ..... _ . . . . . . . . . $ ~, 00
Short Certificate(s) . . . . . . . . $ I,;}. 00
IkmUlClatIOn(s) .......... $
VipJit! ... $
'" $
Ado ...$
.. . $
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... $
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TOT AL .............. $ 'Tnt. tiJ ~
Attorney Signature:
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Attorney Name:
Supreme Court 1.0. No.:
Address:
Telephone:
F Drm R W-02 rev. / O. /3. 06
Page 2 of2
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
61/-{$'- Otfffl J-
Suicide
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I, RAE E. CARLIN, being of sound mind, residing in New Ge15E.ntown, gg ',_ ;~J?
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Perry County, Pennsylvania, do hereby make, publish and declar~% a~nd~~!"~
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O -a"n
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I authorize and direct that all my just debts an~~eral~ ,'O:~
expenses be paid out of my estate. CO
for my Last Will and Testament:
FIRST:
SECOND:
I give, demise and bequeath all my estate, real and personal,
wherever situate, to my children: Eugenia P. Leskie, Patrick J.
Carlin, Michael J. Carlin, Rae Maria Zerby, Timothy Carlin,
Terence Carlin, Eileen C. Smith and Rita C. Rohm, in equal shares.
In the event auy of my children shc~ld predecease ms, then his
or her share shall be given to my remaining children.
THIRD:
I direct that all Inheritance taxes shall be paid from my
estate.
FOURTH:
I hereby nominate, constitute and appoint my daughter,
EUGENIA P. LESKIE, to be the Executrix of my Estate
without the necessity of filing any Bond. In the event
my daughter cannot act as Executrix, I nominate my son,
PATRICK J. CARLIN, to be substitute Executor of my estate
without the necessity of filing any Bond.
IN WITNESS WHEREOF I have hereunto set my hand and seal this
of ~ A.;. 1996.
Signed, Sealed, Published and
Declared by Rae E. Carlin, the
above named Testator, as and for
her Last Will and Testament in the
presence of us, who in her presence,
all being present at the same time,
have hereunto subscribed our names
as witnesses.
dol
day
~a..t.. C, C~(SEAL)
Rae E. Carlin
?lF~--e~
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(SEAL)
NO} ~/P",-
Address /70f1 ~
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. / II. Address . bl/:?
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(SEAL)
COMMONWEA.lfll'l OF J>>ENNSYLVANIA )ss
COUNTYOF ~ ~)' 0
Oatbis. the ~ I day of .A.D~97c:'. before me. '")
tile UDdersipecl omeer. penouaD /c:A ~ E CJ9..c... L / w
Down to me (or satisfactorily proveD) to be the person wbose name. is (are) subscribed to the within
IDIuumcat. aod acblowledpd that She executed the same for the p~ therein coataiDed.
In .ftm8 _maf. Ihereuatosetmybandaadofflcia1sea1. 1, ()
. ct:.~/'1t-+y :JJI';-ff,...
Notary Public
My CollllDission Expires:
NOtARIAL8EAL.
I<afMn MIIy ~ NalllyA.alo
~DarbyTwp.. Oeta..~
. . ~.~'lftll8Slu.1 ~Aprl26, 1QGG
COMMO~~F~VANIA >ss
COUNTY OF b ) ·
Oathis. the ;)-/ c1a.YOf . .4.1;).19 9~ beforeme.o i /L
the UDdersipecl omcer. penouaDY Pt/ '1/ N ~ If E. ,c:~/.s / N ~ .
taown to me (or sadsfactorily proven) to be the person wbose name. is (are) subscribed to the within
Iaatrumeat. aad actaowleclaed that She executed the same for the purposes therein coatained.
... .ftue8l1fJuaaf, IhereuntosetmYhandUl~offlcialseal. .1 I 0.
cj( ~ p, HJ :JJ f1;-rH-,
Notary Public
My Commission Expires:
NOTARIAl8EAL
KaHten MIry DeIOIamo. NaIBry Aao
\.WJerD8rbyl\llp.. ~lflJ ~
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COMMONWEALTM OF gENNSYLVANIA )ss
COUNTY OF ~ b ) ·
On this, the ..L I day of 'A~D q 6. before JD:e, /?J
the uacleniped officer, penoaally ~ ..u A L- ~ K. / . G v frJ ~.<L
blown to me (or satisfactorily proVeD) to be the n wbose name' is (are) subscribed to the within
iutrumeDt, aDd acknowledaed that he executed the same for the PurPoses therein c:oatained.
In .itntS. "am. I hemmto set my hand an~ official seal.
4~}., Mf :JJ /r H-n--
NoW)' Public
My Commission Expires:
N01 AASAl. $EAL.
.."., Mary 0eIQIcm:). ~~
~ Oerby'nrfp.. DI....aa.,
t.tt 00f f" r~' ec:na ApI_ 1GDD
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
,Q1-D~-()ItIJboUNTY, PENNSYLVANIA
Estate of
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E" GI<_L (,0
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(each) being duly qualified ccording to law, de
acquainted with E
C~A I (J
and
sees) and say(s) that
i/~
, Deceased
well-
i;J
with the handwriting and signature of the decedent, and that the signature of
to ~oregoing instrum)'Jt purporting to be the Last Will and Testament/Codicil of
K/I-t, E ~ 1-1 ;) is in his/her own proper handwriting.
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(City. State. Zip) )
Executed in Regist~r's Office
Sworn to Of. aJfirmed and subscribed
:;for~~yc~~W~ ~ay
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Form RW-04 rev. 10.13.06
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