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HomeMy WebLinkAbout05-14-08 PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF C V""'- ~ f I'l L '\"" j COUNTY, PENNSYL VANIA Estate of 00A,.0 h ~"i-v..J'1 File Number uPl -c2lX1S' - 053;< also known as , Deceased Social Security Number [C)Z- 30 "i LLO Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the A v'--\.-L...; J' Sc",-B- PI'" nA l last Will of the Decedent dated I M4\"1 '1-c:>O'Y and codicil(s) dated named in the (State 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 execution6 the instrum~s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~~ g ~"') ) -0 ~ c; :> ~. TO -< (. .,:_.-~ o B. Grant of Letters of Administration '5: 5 J;"" ~;J ~~J (If applicable. enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; dzm:ur0~/1!.I~ate) C) '_J t....)):lIo -'q Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following ~~~ {FIany) aiIl1 heirs.:.jJf:~',,; Admiflistratioll. c.t.a, or d.b.fl.c.t.a., enter date of Will in Section A above and complete list of heirs.) .,'- :0 o' o. ~i -'0 -4... ) Name Relationship Resia'~~ce ~ (COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary. Decedent was domiciled at death in CJ",^,~P r I !A..., J County, Pennsylvania with his / her last principal residence at 2> CvrtJ-~ A-~~ .v'i......,)(),c.JA.~ t-IOPiW-(LL. {,/./1^b71J..1../\-,v~ (/..I")N ,1,+- \?2..'-{O (List street address. townleit)'. township, county. state. zip code) ) Decedent, then b 7 years of age, died on I \ Nt",! W~t 3 ~ 0 j ~ A--oIY'I 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 P A) Personal property in County Value of real estate in Pennsylvania $ '),)"0, tJ=o $ $ $ situated as follows: 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: Ty ed or rinted name and residence ..... -rr f'i ,.) 1>", 12'1 /...H !OAN\{f- {) .1-rlMTiL /ilL. l~~-' I Form RW-02 rev. 10.13.06 Page 1 of2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA luna tiA Y I 4 AM II: 53 SS COUNTY OF Cc)""\..~\A.L. +-0 tJ CLE(=;i< OF - R""'H/'I'~ r'nl'RT .. . . ..ni' \i\U',A,j I. The PetltlOner(s) above-named swear(s) or affirm(s) that the statements 111 the foreg0111g Petltth~~:i1!Ieil.lndjC6~~~t~the best of the knowledge and belief of Petitioner(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 affirmed and subscribed ;1cfh Signature of Personal Representative Signature of Personal Representative File Number: ~(-, e:JcJ.f6 - 053-;J '-- P Lv ,v '-( , Deceased Estate of 00 t\,V Social Security Number: ) t:)L 3 0 <it 2.... L D AND NOW, '-hl ~ I <{ , ~ b , in consideration ofthe foregoing Petition, satisfactory proof havmg been presented bewre m T IS DE~ED th~tters -ri.2Jti..J)\..(d~ are hereby granted to ~-thLL{ 0"...-0..4-- ~1..I()Y Date of Death: , I rl"l I'Iy '2.. 0 0 '?' o~ 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 Attomey Signature: 5t ~ Letters ............... ~__ (J r Short Certificate(s) . . . . . . . . $ <6. OU Renunciation(s) ..... .: '1'[ ~ I GtJ i~J:~ . . $ 5, FEES Attomey Name: Supreme Court 1.D. No.: Address: .. . $ ... $ .. . $ . .. $ .. . $ TOTAL .............. $ 5/t,61) Telephone: Form R W-02 rev. 10.13.06 Page 2 of2 HIOS.805 REV WI/07) 06- S-3A 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 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. P 14528640 ~. ~b,.)...~~y 12/2008 Local Registrar Date Issued o ~n~ ''':::fO ~} ~ F;; L-:; X) : (J) :?' )(JQ c.") -n C . :::0 -0-1 ):~ "" c::;:) = CX) ::It x- -< ,4:"" ::go. :x c (~ ".'.1 C) rT1 c..n CN (c-') , H105-143 REV 1112006 1YPE f PRINT IN PERMANENT BlACK INK COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE FILE NUMBER . 16. Decedent's MauingAddress (Street, city flown, stale, zip code) 67 Y<s. 152 -30 -9220 Ma Ba. Place of Death (Check only one) Hospila" 0tl1e< o "patien' 0 EA I Outpatient 0 DOA 0 N"""" Home IX! Aesldence 9. Was Decadent of Hispanic Origin? txJ No D Yes ('yes,_Cuba', Mexican, Puerto Rican, etc.) 11 2008 ,. Name 01 Decedent (FIISt. middle, last, suffix) 4. Date of Death (Monlh, day, year) 5. Age (Last Birthday) Bb. County of Death DOthe,. Spoc"" 10. Race: American lncian, Black, While, etc. (Specif}1 white ~ I . Curnb 12. Was Decedent ever in the U.S.ArrnedForce&? Dyes XlNo 3 Curtis Ln """"""', Actual Resideoce 178. Sate 17b. County 17,.Dyes,~Uved;' Hopewell 17d.D No, ~Uved_ ActuaIUmitsof TWO. Cily/Boro 18. Falher's Name (FIrs~ middle, , suffix) Horace Dowdin 20&. Infonnanfs Name (Type I Print) 19. Mother's Name (First, milXAe, maiden sumame) Blanche Carn bell 2al. Informanfs MaiUng Address (Street, city Ilown, stale, ~ code) P.O. Box 13, Atlantic, 21c. Place of Disposition (Name of cemetery, cremaIOIy or other place) 28511 ~ ';J, 'i Springs ,1';1. Funeral Home Inc Items 24-26 must be cornpIeled by person who pronounces death. 24. Time of Death :3:oS' 26. Was Case Refemtd to MedIcal Examiner I COItlI'1ef lor a Reason Other than Cremation or Donation? Dyes ONe CAUSE OF DEATH (See Instructions and exa 88) I Approximate interval: 1lem27.PartI: Enterlhe~-digeases.injuries,orcompllcations-that(iredlycausedthedeath.OONOTanterterminaJeventssuchascardiacarresl, I Onset to Oeath l'9Spiratory arrest. or ventricular libriIation withoLd showing Ihe etiology. Usl only one cause on each line. : fNet/Y..~~;~t,L ~d/ (Qlj it,I"J Ghf2A-1 Part II: Enter other sionilicanl mndRions r.mlrihutino to dHlh bulnotresultinginlheunder1yingcause~inParll. ==S~~)cI~ fJjo R y Q wI. G hW\. 28. Did Tobacco Use Contribute to Death? o y" 0 "-bIy ONo DUo"'"",, 29. " Female: o Not_....puIyeaf o P_a1time of cleath o Not_,,,",,,,.,"a,"""n"'..,. ol_ D ""'",","""-"",,,,,,",,,,"""10 'yes, """"'daath o """"""',_....lt1apulyaa, 32c. Place of ln~ry: Home, Fann, Street, FactOl'Y, OlficeBui<l~'''''.(_1 r.: ~ ",,\0 ---- ~~~=';~a. Enter fhe UNDERLYING CAUSE ~~~~~~ b. Due to (or 88 a consequence 01): Due to (or as a consequence 01): 308. Wu an Aulopsy Performed? d. 3lI>.w.caAutclpoyFilldc1gll Available Prior to Completion of Cause of Death? Dyes ONo 31. Marw'l8f of Death ~ z i ~ w ~ lri-I\ I~ 1\ 1(') 1 32d. TlfTI8 01 Injury 32g. location of Injury (S1r991, city I town, stale) -l .;:: ~ .j -- /' Dyes J2I No ~t"'" D- o- OP'"""""""""'" Ds,- DCa<dNolbeDele_ M. 338. CertIlIer (meek only one) Cet1lfy;"g ph"~iall(I'l1yslcien_"",,,of_ _"""""physloien"'PfO'IOUlll'Oddea. ""'","",,","" 'am 23) To the best of my knowtedge, duth occurred due to the cauae(a) and mamer as atatacL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ;:::m~:=:~=;==~~;.:r:.1o~== mannerasstatecL_ ___ _ _ __ __ __ __ _ _ _ 0 ~:' ~::'srn::~ and / or invfttIgatfon, In my opinion, de8th occUf1'9d at the time, date, and pEe. end due to the cause(s) and manner as stated. 0 011 Disoosition Permit No. 68, 3 Sd.- i ~-. ....j LAST WILL AND TESTAMENT OF JOAN LOUISE PENNY zqns MAY 14 AM II: 54 CLERK OF ORPHt,,~.rs COURT I, Joan Louise Penny, a resident of Newburg, Pennsylvania, being of sound ~j'J,!d.iSP9'$ifig(:(}, Pt\ mind and memory and over the age of eighteen (18) years and not being actuated by any duress, menace, fraud, mistake, or undue influence, do make, publish, and declare this to be my last Will, hereby expressly revoking all Wills and Codicils previously made by me. I. EXECUTOR: I appoint Arthur Scott Penny as Executor of this my Last Will and Testament and provide if this Executor is unable or unwilling to serve then I appoint William John Penny as alternate Executor. My Executor shall be authorized to carry out all provisions of this Will and pay my just debts, obligations and funeral expenses. II. ACKNOWLEDGMENT OF CHILDREN I have the following children, and all references to "children" in my Last Will and Testament refer to the named following: Name: William John Penny Name: Arthur Scott Penny Name: David Earle Penny Date of Birth: 26 September 1962 Date of Birth: 3 January 1965 Date of Birth: 12 September 1967 III. SIMULTANEOUS DEATH OF BENEFICIARY: If any beneficiary of this Will, including any beneficiary of any trust established by this Will shall die within 60 days of my death or prior to the distribution of my estate, I hereby declare that I shall be deemed to have survived such person. IV. BEQUESTS: I will, give, and bequeath unto the persons named below, if he or she survives me, the Property described below: Name: William John Penny Address: Collegeville, Pennsylvania Relationship: Son Property: One third of the rest, residue and remainder of my estate of whatsoever nature or kind, and wheresoever situate, which I now own or may have the right to dispose of at that time of my decease. Name: Arthur Scott Penny Address: Atlantic, North Carolina Relationship: Son Property: One third of the rest, residue and remainder of my estate of whatsoever nature or kind, and wheresoever situate, which I now own or may have the right to dispose of at that time of my decease. y~ Name: David Earle Penny Address: Westminster, Maryland Relationship: Son Property: One third of the rest, residue and remainder of my estate of whatsoever nature or kind, and wheresoever situate, which I now own or may have the right to dispose of at that time of my decease. If a named beneficiary to this Will predeceases me, the bequest to such person shall lapse, and the property shall pass under the other provisions of this Will. If I do not possess or own any property listed above on the date of my death, the bequest of that property shall lapse. V. ALL REMAINING PROPERTY; RESIDUARY CLAUSE: I give, devise, and bequeath all of the rest, residue, and remainder of my estate, of whatever kind and character, and wherever located, to my children per share, but if any child predeceases me, then his or her share will pass, per share, to his or her lineal descendants, natural or adopted, if any, who survive me; but if there are none, then his or her share will lapse and pass equally as part of the shares of my other named children. VI. WAIVER OF BOND, INVENTORY, ACCOUNTING, REPORTING AND APPROV AL: My Executor and alternate Executor shall serve without any bond, and I hereby waive the necessity of preparing or filing any inventory, accounting, appraisal, reporting, approvals or final appraisement of my estate. I direct that no expert appraisal be made of my estate unless required by law. VII. OPTIONAL PROVISIONS: I have placed my initials next to the provisions below that I adopt as part of this Will. Any unmarked provision is not adopted by me and is not a part of this Will. # Any and all debts of my estate shall first be paid from my residuary estate. Any debts on any real ~ property bequeathed in this Will shall be assumed by the person to receive such real property and not paid by my Executor. se..- I direct that my remains be cremated and that the ashes be disposed of according to the wishes of _ my Executor. _ I direct that my remains be cremated and that the ashes be disposed of in the following manner: I desire to be buried in the County, Pennsylvania. cemetery in \( CYJ VIII. CONSTRUCTION: The term "testator" as used in this Will is deemed to include me as Testator or Testatrix. The pronouns used in this Will shall include, where appropriate, either gender or both, singular and plural. IX. SEVERABILITY AND SURVIVAL: If any part of this Will is declared invalid, illegal, or inoperative for any reason, it is my intent that the remaining parts shall be effective and fully operative, and that any Court so interpreting this Will and any provision in it construe in favor of survival. IN WITNESS WHEREOF, I, Joan Louise Penny, hereby set my hand to this last Will, on each page of which I have placed my initials, on this first day of May, 2008 at 3 Curtis Avenue, Newburg, Cumberland County, Commonwealth of Pennsylvania. ~ C' ~ ! I(1j a:D~'X, \ R _ oan Louise Penny ~ .., /' . 1\. " L t//'+'~ nvc..l'l-Y<. ;V{..v8v-tU' tJ./t- (7 L yo [Signature] [Printed or typed name of Testator] [Address of Testator, Line 1] [Address of Testator, Line 2] WITNESSES The foregoing instrument, consisting oW- pages, including this page, was signed in our presence by Joan Louise Penny and declared by her to be her last Will. We, at the request and in the presence of her and in the presence of each other, have subscribed our names below as witnesses. We declare that we are of sound mind and of the proper age to witness a will, that to the best of our knowledge the testator is of the age of majority, or is otherwise legally competent to make a will, and appears of sound mind and under no undue influence or constraint. Under penalty of perjury, we declare these statements are true and correct on this first day of May, 2008 at 3 Curtis Avenue, Newburg, Cumberland Co ty, Commonwealth of Pennsylvania. [Signature of Witness # 1 ] [Printed or typed name of Witness # 1 ] [Address of Witness # 1, Line 1] [Address of Witness #1, Line 2] [Signature of Witness #2] [Printed or typed name of Witness #2] [Address of Witness #2, Line 1] [Address of Witness #2, Line 2] ~i: Z f.~~'1 i.j8J3 tlqfjtnt1Jd Lar1r ~ COLf-(j-lvd/r PA ,qte(p / [Signature of Witness #3] [Printed or typed name of Witness #3] [Address of Witness #3, Line 1] [Address of Witness #3, Line 2] SELF-PROVING AFFIDAVIT Commonwealth of Pennsylvania County of Cumberland We, , and , the testator and the witnesses respectively, whose names are signed to the attached instrument in those capacities, personally appearing before the undersigned authority and first being duly sworn, do hereby declare to the undersigned authority under penalty of perjury that the testator declared, signed, and executed the instrument as hislher last will; he/she signed it willingly or willingly directed another to sign for him/her; he/she executed it as hislher free and voluntary act for the purposes therein expressed; and each of the witnesses, at the request of the testator, in his or her hearing and presence, and in the presence of each other, signed the will as witness and that to the best of his or her knowledge the testator was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. (~,*n.- ~~~.Q ~A'Li Joan Louise Penny \ 3 C U '"',l j Au'? -vu't.. IV i-""'; .1........- ~ ~ J> A-- (7 2.. ''C 0 [Signature of Testator] [Printed or typed name of Testator] [Address of Testator, Line 1] [Address of Testator, Line 2] ~~ I ~ II "lill fl 1) r- .\1<- _€-H-eulllL P ~ l, ~d- [Signature of Witness #1] [Printed or typed name of Witness # 1 ] [Address of Witness # I, Line 1] [Address of Witness #1, Line 2] ~;Af /~S7nh2~ iY l.4stL //0 IS- [Signature of Witness #2] [Printed or typed name of Witness #2] [Address of Witness #2, Line 1] [Address of Witness #2, Line 2] rl" /;;}JJN:. [Signature of Witness #3] JU1tu'kv L 6i1huf [Printed or typed name of Witness #3] '/t;t9~pe~r/'}k1.a IN; (L> l~=: ~i:~:::: :;t;: ~l S~ribed, sworn, and. acknowledged before me, Slab o/IJ...,/~ d:v-rJ; .{jb:.~ 1.1/,:]) f"- Q IJ--'ld ffl r fA ' a notary public, by J /, A .'_ Ai _ ~ ~1JLLn LOL1ISe. ~lU7v , the testator and by J.J..LCJ (lLLO.. (2 ~ . ~ {}Jzd , , ,and the witnesses, this ,20 ~ [NOTARIAL SEAL] My Commission Expires: ":OMM . WE Notarial Seal Beverly 0, $andera, Notary PubIc 51. l'hornasiWp., FrankRn County My ComlTilsslon'E.,. Jan. 7,2009 Member Pennsylvania As9OCiallon of Notarfe..