HomeMy WebLinkAbout07-16-08PETITION FOR P OBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~ COUNTY, PENNSYLVANIA
Estatf; of ~t.. ~~ d/ '~ /~dl~ ~, ~ /~ File Number ~I ~ O ~ ~ O~~
also N:nown as ~~~ ~. /~fc., /f f'~ N ~~
~, --~ ~' ,Deceased Social Security Number ~ 7L,r'-Syr""- /~.7 9'
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COrNIPLETE 'A' or 'B' BELOW.) //)~.,
~A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the {~1~lV i~i-/ ~ / /~fC i /'`~' S named in the
last Will of the Decedent dated and codicil(s) dated
s~ °° -k
(State relevant circumstances, e.g., renunciation, death of executor, etc.) _~ ~ ~
~ ~ ~ t--- -
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executbh~ ~ msh-u+~ent(s)vFfeE~ed'~
~+ p`s _,: ; ~_, ,
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ' u~ ~ ~=~_
":7~~v ro -.: r-i.
^ B. Grant of Letters of Administration ~7 N
(IJapplicable, enter.• c.t.a.; d.b.n.c.t.a.; pendente lire; durante absentia; cl~hnte minoritate~. '
1~' W
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Adtrrinistration, c. t. a. ord. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.)
(COMPLETE IN ALL CASES:) Attack additional shee[s if necessary.
was fiomicitedpt death in ~ ~ /K ~Gle }. ~Js<!~1 County, Pennsylyar~ia with hi her last principal
ll/tttl~Tl>` J T t~~/WL~-,1h ~~c 1~- C~ ~~.,i ~ ~-t~. 17a.1tU ~vr~l'-'/k~i-,19
(List street address, town9/city, towns/rid, coung~, state, zip code) ~ '
Decedent, then ! ~ years of age, died on )GYJ ~ ~ fat / ' ~ ~ ~'~ / ~ ~ ~y't'~l~i
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~'~ ~ 0 ~ ~
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvxa~nia ~j ,~n y~ $ fi~yo t Dd ~
situated as follows: ~~~ ~ ~ / Y ~'7~ -'" T ~'~7'`~~l L/~ ~0 / / / ~ l
Farm RW-0? ten. 10.13.06 P3be 1 Of Z
Wh,eretbre, 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:
n
CO ~ .
ice' ~
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(
Oath of Personal Representative ~ rn
~~j~ _.__ - -- -1
~ ~
~
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COMMONWEALTH OF PENNSYLVANIA ~ ? ~ ~ _
.;
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I,,/,,, SS
COUNTY OF ~~.~ XX~ I t'~l.~t -,~ -~-~ N ~ ~.
GJ •
T'he Petitioner(s) above-named swear(s) or affirms} that the statements in the foregoing Petitio n are tine and con•ect to the best of
the knowledge and belief of Petitioner(s) and that, as personal representatives} of the Decedent, Petitioner(s) will wel l and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the __ ) ~+~ day of
~-
ror th Register
Social
.AND NOW, ~
havilng been presente
are hereby granted to
File N
Estate of _ ~ ;
%~'
Signature of Personal Representative
Signature of Persona! Represenrative
Signatwre ojPersonal Representative
~[, D~jeceased
lQO
Number: 7S ~~ G/~Y.Jf Date of Death:
and that the instrument(s) dated (i(,[i
described in the Petition be admitted to probate and
FEES
Letters ............... ;
Short Certificate(s) ........ $ ~
Renunciation(s) ....... $
j .. $ ~
.. $ chi ~
... $
... $
... $
... $
... $
TOTAL ..............
Fm m RW-OZ rev. 10.13.0(
>0%(,( JO , in c n i~deration f the foregoi
that Letters
r
led of record as~l}e ~sj~ Will (mod Cod(s)) of
Register of Wald,
~~~
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Petition, satisfactory proof
in the above estate
Page 2 of 2
105.805 12L:V 101/071 ~~ 1J
~~~ ~~V~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, X6.00
P 14125464
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.
• C'~i,~c~~e,~c~2~.~ ~ ~ 1 1 ~ 2008
Local Registrar ~~ Date Issued
H10S 143 REV 112005
TYPE! PRIM IN
PERMANENT
SIACK INK
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse) ,...__ ,
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LAST U1ILL AND TESTA"~IE~1T
OF
HELE?~i J . MOHLER
I, HELEN J. MOHLER, of 323 West North Street, Carlisle,
Pennsylvania, being of sound and disposing mind, memory and.
understanding, do hereby make, publish and declare this as and
for my Last Will and Testament hereby revoking all. the T~lills and
Codicils heretofore made by me.
FIRST: I direct that my just debts, all inheritance
taxes, both state and federal, and my funeral expenses be paid
for by my Executor as soon as oossible after my death.
SECOND: I give, devise, and bequeath all the rest,
residue and remainder of my Estate, of every kind and nature and
wheresoever situate, to my beloved children, RICHARD S. MOHLFR,
BARBARA WALTER and ,JANE CHILTON, in equal shares, providing they
survive me by thirty days. If any of my said children fail to
survive me by thirty days, then the share of_ those children
failing to so survive shall go to their issue per stiraes.
THIRD: I name and appoint my son, RICHARD S. MOHGFR, to
be the Executor of this my Last Will and Testament, and to so
serve without the necessity of having to post bond. In the evQnt
my son has predeceased me or fails to survive me by thirty days,
or for some other reason cannot fulfill the duties as ~'xecutor,
I then name and appoint my daughters, BAP,BARA WALTER. and ,JANE
CHILTON, co-Executrixes of this my Last Will and Testament, and
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they shall so serve without the necessity of `~~ing ~o nos
-~:; ~ ',
;ter i°
bond. -
_.,~, __ _
c. , rr,
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IN WITNESS WHEREOF, I have hereunto set my hand and seal
this Jy day of ~ ~ 1983.
HELEN J. M~HLER
Signed, sealed, published and declared by the above
named Testatrix, as and for her Last Wi11 and Testament, in our
presence, who, in her presence, at her request, and in the
presence of each other, have hereunto set our hands as attesting
witnesses.
o f Sf 3 i ~-(~.e~- .y'
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a8 750
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~QQ~ ~UL 16 P~ 2: 43
OATH OF SUBSCRIBING WITNESS( LEAK C)r
v~~. L~ '~ ~~i
.. ~,..
REGISTER OF WILLS
CnmhPrl and COUNTY, PENNSYLVANIA
Helen J. Mohler
Estate of _ _ _ _ _ _____ ,Deceased
Leslie Fields and Regina Mowery , (each) a subscribing witness to
(Print Names)
the O Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / '/ they was were ~ present and saw the above Testat /Testatrix j sign the same
and that she / he e signed the same and that she / he / e~l~ signed as a witness at the request of
the Testator Tistatrix in her / is presence and in the presence of each other.
f
~ ~.
~c9rnature)
(5'[ree! Address)
_ ~mo ~, / ,/{ / 7 0 ~~
(City, State, Z' J
1~xecuted in Register's Office
Sworn to or affirmed and subscribed
before me this
day
'1C'tGal~1 -
(SignatureJ
d~J~ ' ` ~i~Ae~Q~~~~
(Street Address)
m 'P l o
(City, State, Zip)
Executed oast of Register's Office
Sworn to or affirmed and subscribed
before me this ~ ~ day
Deputy for Register of Wills N Lary ublic
My Commission Expires:
(Signature and Sea] of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
MQMMEALTH OF F'ENNSYLVMttA
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original. or opy of in~u~et~~~, no ri tion.
1.M71~0Yy1~18~Y~~~ ++BWO,~itMTlbBt~BfK~
My Canmissiort Expires Mar ~ 7D10
Form RW-03 rev. l0.13.06
Memh+ar, Pertnaylvania Association fix NaWiw~