HomeMy WebLinkAbout08-25-08PETITION FOR PROB T- /E` AND GRANT OF LETTERS
REGISTER OF WILLS OF "-~~/~i ~ COUNTY, PENNSYLVANIA
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Estate of _L' 't`-~~~G~~~~
also known as _~ /~~~~
l1,~.5 ,Deceased
File Number
Social Security Number~~ ~~ ~`"~ ~~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(CONfPLETE 'A' or 'B' BELOW:)
E~. Probate and Grant of Le tees Testamentary and aver that Petitioner(s) is /are the ~~ named in the
' last Will of the~ecedent dated and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.) C ~ '-:
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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:Ate insriur~te t(s) offered
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for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
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^ 16. Grant of Letters of Administration -- ~`-'
(Ijappticabte, enter: c.t.a.; d. b. n.c.t.a.; pendente titer durance absentin; durd~itei,:inoritatef
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Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followingipouse (if an~~nd heirs: (If
Administration, c. t. a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
(CO4~IPLETE IN ALL CASES:) Attach additiar/al~s/:~eeQts if necessary.
Decedent was domiciled at death in ~, lti~ ~-''~-~13~ Cotmty, Pennsylvania with his /her last principal residence at
(List street address, town/city, township, county, state, zip code) ~'
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Decedent, then years of age, died on Jl G at ~/~JIlZ
Value of real estate in Pennsylvania
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
situated as follows:
g ~D G~~ ~,. G G
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:
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Fa~~.~i RW-03 re,,. to.r3.oe Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true 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 well and truly
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the aJ~ day of
~.
For the Register
Estate of
File Number:
Social Security Number:
Date of Death:
P,ND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Lette;rs ...aOU,(~.Q~ .. $ °~~~
Short Certificate(s) . ~..... $ ~~
Remu~ciation(s) .......... $
dill ... $ lS
JcP ...$ Io
c„ ... $ 5
... $
... $
... $
... $
... $
_ ... $
TOTAL .............. $ ~.~~ ~
in the above estate
Register of Wills
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Farm RW-OZ rev. 10.!3.0( Page 2 of 2
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. Deceased -~"
105.112 REV. 1/05 WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
(FEE FOR THIS TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
cERTiFicnTE s.oo) `COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
LOCAL REGISTRAR'S CERTIFICATION:OF DEATH
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CERT. NO. T 6 2 ®~ 2 7 1 (~~ ~ i ~~ August 6 2008
~~~~~A ~~~~~ Date of Issue of This Certificat(on
k~ I~~MENT OF~~~-'
Helen Carr
`Name of Decedent
Fust '. Middle ~_ast
Sex Female Social Security No. 234 - 34 - 3417. Date of Death August 5, 2008
April'7 1924
Date of Birth ' Birthplace Angean, WV.
Residence Cumberland W.Pennsboro Twp. Penns
lvania
Place of Death y
Facility Name County City. Borough or Township
White Seamstress No
.::Race Occupation Armed Forces? (Yes or No)
Decedent's
Widowed
40 Lime Kiln Road Carlisle PA 17013
Marital Status Mailing Address
Nw»6er StreeE City or Town State
Terry Swartz
Informant _ James F. Nickel
Funeral Director
Name and Address of Nickel Funeral Home, P.O. Box 910, Loysville, PA 17047
Funeral Establishment
Interva Between
Part L Immediate Cause Onset ahd Death
Bladder Cancer ,
(a)
c,
c
(C) ~ 4;3
_
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(d) i ~,
.
Part II: Other Significant ConditionsDiabetes {
-~,
Chronic Kidney Disease. ~ = ~-' .~.
, . .
-
Manner of Death _: ~;
--,
Describe how injury occur~d: iv ,
.~--
Natural ~X Homicide ^ i
Accident ^ Pending Investigation: ^
Suicide ^ Could not be Determined ^
Terry A. Robison D.O.
Name and Title of Certifier
(M.D., D.O., Coroner, M.E.)
220 Wilson Street, Carlisle., PA 1.:7013
Address
This is to certify that the information here given is correctly copied from an original certificate
of dE:ath duly filed with me as Local Registrar. The original .certificate will be forwarded to the
StatE; Vital Records Office for' permanent filing.
50-4.55
loc Registrar of Vital. Records Distiict No.
August 6, 2008 1 1 Barnett.St., New Bloomfield, PA 17068
Date Received 6y local Registrar Street Address City. Borough. Township
LAST WILL
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I, HELEN CARR, of Carlisle, West Pennsboro Township, Cumba~and Cou~~y,
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Pennsylvania, declare this to be my Last Will and revoke any Wills previo ~ade<~y
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me. - '
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I. I direct that any and all inheritance, estate and transfer taxes irt}sed u~o$
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my estate passing under my Will or otherwise, shall be paid out of the principal of my
residuary estate.
II. I bequeath any monies in the Credit Union at Member's First to TERRY
WAYNE SWARTZ.
III. I bequeath the set of Hess trucks to TERRY WAYNE SWARTZ.
IV. I bequeath my one-carat diamond ring to SHIRLEY MAZURAK.
V. I devise and bequeath the residue of my estate of whatever nature or
wherever situated to my four surviving children, RONALD EUGENE CARR, SHIRLEY
CARR MAZURAK, MAYNARD DEAN CARR, and TERRY WAYNE SWARTZ.
VI. I appoint SHIRLEY CARR MAZURAK, MAYNARD DEAN CARR, and
TERRY WAYNE SWARTZ, to be Executors of this my Last Will.
VII. I direct that my Executors need not file bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last
Will this .~~clay of ~~~.~ 2000.
~~Z~~ ~ C~'~-/ (SEAL)
The preceding instrument consisting of one (1) page(s) was on the date thereof
signed, published and declared by HELEN CARR, the testator herein, as and for her Last
Will, in the presence of us, who at her request, in her presence, and in the presence of
each other, have subscribed our names as witnesses hereto.
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STATE OF PENNSYLVANIA ::
SS
COUNTY OF CUMBERLAND ::
We, HELEN CARR, Frances H. Del Duca and Carol A. Morrow, the testator and
witnesses, respectively, whose names are signed to the attached or foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the testator
signed and executed the instrument as her Last Will and that she had signed willingly,
and that she executed it as her free and voluntary act for the purposes therein expressed,
and that each of the witnesses, in the presence and hearing of the testator, signed the will
as witness and that to the best of her knowledge the testator was at that time eighteen
years of age or older, of sound mind and under no constraint or undue influence.
Testator o rtness
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Witness
SUBSCRIBED, sworn to and acknowledged before me by HELEN CARR, the
testator, and subscribed and sworn to before me by Carol A. Morrow and Frances H. Del
Duca this~~day of ~,~~ , 2000.
Notary Publ'
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' ~3iG~~~Y A. Ci..~'~~;ING~~, fFC3i:4f4'f i?U~t.t~'
GrHt1Y ~pu~i, ~staext t~D61nl1yt
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