HomeMy WebLinkAbout10-14-08PI~TITION FOR PROBATE AND GRANT OF LETTERS
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REGISTER OF WILLS OF L GI /n/Jdr-~~~~ COUNTY, PENNSYLVANIA
Estate of / {'"G~~ L°'T / '~a 1/ j/~ t(' ~q'!~ File Number ~ ~ ~ ~ ~ " 1~~~
also known as
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Petitioner(s), who is/are. 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B" BELOW:) //~
A. Probate and C>rant of Letters Testamentary and aver that Petitioner(s) is /are the Nke <U ~Tz'Y named in the
last Will of the Decedent dated a2 7 ,fy f ~ On 7 and codicil(s) dated
(State relevant circumstnnces, e.g., renzznciation, death 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:
^ B. Grant of Letters of Administratio
(lfapplicnble, enter: c. t. a.; d.b.n.c.t.a.; pendentelite; durante absentia; duranteminorrtnte)
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
Administration, c. t. a. ord. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.)
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(COMPLETE INALL CASES:) Attach additional sheets i neeessar . :-~ ~~
Deceden,t{ was domicile ,at death in _ f ~ County, Pennsylvania with his /her last principal res~nc~ at t
~I O /''~ ~'~ 5'i a ~r ~~ic'~1/ . / ~>u~ ~a~~.~ c.6 vc-c> /~~ i 7 0 ~ S" ~. ~-__ ~-~--M1,
(List sheet address, town/city, township, county, state, zip code --.'-~ ~„ -
Decedent, then ~~ years of age, died on ~f'f ~~ at ,~ 317 ~ : ~_-~
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Decedent at death owned property with estimated values as follows: `'
z' ~J7-
(Ifdomiciled in PA) All personal property $ .C ~~,~
(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 follows: ~JAA,~' Q CC'tl'u`J /IS
Wherefore, Petiti uest(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:
Fo+m RbV-0? r~,-. 10.13.06 Page I of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
f SS
COUNTY OF ~~ ~)~'!-/q~z d
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 ~~~ day of
1 ~ ~~ ~ ~-
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For the Register
Signature
Signature ojPersonal Representntive
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Signahu-e ojPersona/ Representative ~-- C7 W
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File Number: c~ ~ - ~~ ~ - ~U ~~ (~i ~ -p
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Estate of ~`l CI P-G1 q'I-f~ ~ ~•~~ y ~/~--`l~+lz1S ,Dec, fea~d .~ i
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Social Security Number: l ~~-.Z G" ~.2/ ~ Date of Death: CJ't
AND NOW, _ ~~~~ ~~.Y.(U ~~~~.C_C,l~~in consideration of the foregoing Petition, satisfactory proof
having been presented bef~ me, IT IS DEC ED that Letters 5 /71~/ ! Y( I
are hereby granted to ~~~l~j,(~~ 5
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 (and Codicil )) of Deced t,, ,
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FEES ,-~~G2'l~-ls-~ ~L~L l Z ~ ~ ~~ ; /C~ ~ Z ?--~
Letters ............ .-, ,
... $
Short Certificate(s) ... ..... $ ~ ~-~ • (/ E]
Renunciation(s) ..... ..... $
W~. i r _ ... $ /S ,OJ
~J ~~~' ... $ ~~. 0 D
_
... $
... $
... $
... $
... $
... $
TOTAL ........ .... $ K~,~. U (~
Register ojWills ~
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Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
F~»,», RGV-0? rev. !0.13.0( Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
~ 148286~~.
Certification Numher
This is to certify that the ~infonnation here given is
correctly copied from an original Certificate of Death
duly tiled with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent tiling.
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Local Re istrar Date Issued
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1105-143 REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CTl
TVPEi PRINT IN
PERMANENT CERTIFICATE OF DEATH
BUCK INK (See Instructions and examples on reverse)
STATE FILE NUMBER
7. Name d Decedent (Fttsl, middle, last, wdix) 2. Sex 3. Social Securiy Number 4. Date d Deem (MOnm, day, year)
192 - 20 - 4274
5. Age (Last Binntlay) Under 1 year Under 1 day 6. Dale of Birth (Month, day, year) 7. Birthplace (City and state or la ~ caxary) Bor. Place d beam (Check ony ale)
Mwxns nays ears urvnes HosltiWl: ghat:
Vrs. e ^ Inpatiern ^ ER / Outpatiarll ^ DOA Nursirg Home ^ Residence ^ghar ~ Spedty:
Bb. Canty d Death &. Ciy, Boro, Twp. of Death 6d. Facilely Name (II not instiltniat, give slreel ard ntmber) 9. Was Decedent of Nispank gigin? ~ No ^ Yes f 0. Race: Amerkan Insert, BWCk, While, tile.
. (II yes, spedty Cuban, (Specryl
2S$ y r9 ~ („~ r 1 I yQ 4 . Mexken, Puerb Rican. etc.)
11. Decedent's Usual c lion Knd d wale d are Bur t of world life. Dona slate retired 12. Was Decedent ever in the 13. Decedent's Eduption (Specify ody hghesl grade mrrip lated) 14. Marital Status: Marne4 Never Married, 15. Surviving Spo use (II wife, give meitlen name)
Kind of Work Kind d Business I Irwustry U.S. Armed Faces? Elementary / Secardary (P72) Cdlege (1-4 or 5+) Wrnow'~• Otvorcetl (SpearyJ
Homemaker Domestic ^Vee ~po Unknown Widowed
16. Decedent's Maarg Address (slreel, my I town, stale, zip coda) Decedent's Did Decedent
2 2 5 2 P ine t own RD . Actual Ra:idanca 17a. solo pa - Uve in a nc ^ Ye:, oacedenl Liras ~ Twp.
Lewisberry, Pa. 17339 nb.canty York T°""~ap? 17d.p~~t
hraewkhin Lewisberry
d
city 1 Boo
16. Father's Name (FesL mi0dk, Wsi suXix) 19. Mother's Name (Elect, midis, maiden surname)
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20a. IMamant's Name (Type /Print) 20b. Inlarmant's MBkng Address (creel, pY /town, sMta, zp cotle)
Philip C. Richards 2252 Pinetown Rd., Lewisberry, Pa. 17339
21a. MemoO d Disposition ®Crematkn ^ Oonatbn 2/D. Date d Disposition (Month, day, year) 21c. Place of Oisposilkn (Name d cemdery, aemalary a shat place) 21tl. LeptiM (City / mwn, sole, zip code)
^ a,rw ^ RertwvalfranSlate wascrerardka«13anMknamh«;«drryy,, 10/8/08 BFH. Crematory Grantville
Pa.
^ Omer - Speciy: by Medkal Examirer / Comter7 r~ Ves ^ No , ,
22a. - Funeral Service Lkensee (a person x - as such) 22D. License Ntxnber 22c. Name and Addreu d Facilely
~;, ~ 0-10098-L Matinchek & Daugther Funeral Home, Middletown, Pa. 17057
Complete gems 23ac ady when centtykg 23a. To the of ledge, seam oaurred at tlae time, dale and Dlap stated. (Signatae and title) 230. License Number 23c. Dale Signed (Month, day, year)
physician is rid avaYade al lime d Beam to
pnily cause d deem.
Items 2426 must be canpkletl by person 24. Tim
e
of Deatn 25. Dale Praga,:ed ad
lMonm, day, year) 26. Was Case Relerretl b Metlical Examiner / Coroner br a Reasm Omer man Cremalbn a Danalgn?
who prawaxes deatR ~
7
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! D 0~ C O ^ Yes ^ No
CAUSE OF DEATH (See Instructions antl sxempba) r Approximate interval: Pen II: Emer other $I]rtifMaM corNitions contriddkw b deem, 26. Did Tdtexo llse ConsEtxe b Dpm7
Item 27. Pan L Emer die clreirt of events -diseases, irYurks, a uxllpliCalKKls -mat tiredly caused the seam. 00 NOT enter termirtB events stxtl as cardiac arreaL Onset b beam bd not resud'ag n me undettying pose given n Pan I. ^ Yes ^ PrWdMy
respiratory azresL or ventricular fmnllation without stowing the Biology. Usl ady one pose on each Ikw. ~ ^ ~ r,/,,.,
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IMMEDIATE CAUSE /Fire) disease a
corgiuon restating in seam)
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P~
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Fe
m
ale:
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Due (or as
a consequence op:
SequenltBry sal mrtdlti«ls, it arty, b, l
b
d
b d
le
t
d
li
4
~ ~8e / ~* 1e oCl~2c. 1_.
- gnat pregrlat4 wMwt pest year
^ Pregnant al btne d deem
a
sq
le pose
e
on
ne a.
s
Emer ha UNOERLYWG CAUSE Duo to (or as a crosequence ot): 1 7 ^ Na pregnwA, brt pregreM wklrin 42 days
(dspsa a injlxy mat initialed me ~ a
evems resulting n seam) UST
l d morn
.
Due to (a as a consequence oll: ^ Not pregnant, but preglen143 days b 1 year
d. Dalae deem
^ llnkrlown Y Ixegtlaz4 wimp me pest year
30a. Was an ABOpsy 30b. Were ABOpsy Findings 31. Manner d DeaU 32a. Date of Injury (Month, day, year) 32D. Deaxibe Haw DMn•Y Occurred 32c. Place of kMaY Home, Farm, sreeL Faclay,
Panamed? AvBlable Prbr k Completion
^ Nataal ^ Hanicitle Otlica Builrkng, tile. ISpeaHl
/ d cease a Daam?
,.,/
,
^ Ves ~ ^ Yes ^ No ^ Aandenl ^ Pending Invesligalion 32tl. lone d Injury 32e. Injury al Wak? 321. a TrensporldGM IrMxy (Specxyf 32g. L«alkn of Injury (SIr6e1, uly! tarn, state)
//// [] Sukide ^ Could Nd De Detemtirned ^Ves ^ No ^ Dmer / Operat« ^ Passenger ^Pedestiiazn
M. ghat- Specify
33a. Certifier (check only one)
• CMitying physician (Physican certifying cause d Beam when anBner physician has pronounced death ant completed Item 23) 330. Sgreture ant title oilier / /~`
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To Uu beat of my trowletlge, death occurred sue to the cause(s) and manner es stated_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~. _
-
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- _ -
• PronouMlnp and <edlfylnq phyakian (Physician Doth pronouncing deem aiM cenitying to cause d dealhl .- ' ~ -
To Ur brit of my Nn«rkdge, death occurred at the time, date, and place, and due to the cause(s) and manner as afated_ _ _ _ _ _ _ _ _ _ _ ~..! _ _ _ _ ^ 33c. License NurMer ~~ 33d. Dale Sigrred IMOnm, day, yp0
~~~ ~ ({//f•'2__
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• Medkal Examiner I Coroner / v/ /O
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On Ina Dasls of examl tlon and / « inreallgation, in my opinion, death occurred al the time, date, sod play, and due la ttre pose(s) and manner as elated. ^ ~ Name arts Address d Perspn Who C tetl Cause of Oeam (Item 27) Type /Print
47/«~~
35. Registrar's ore and Dlst cl N~ ~
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r Disposiion Permit No. v ~ ~ ~' l
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LAST WILL AND TESTAMENT OF ~ ~ ~-~--~
.= - ~' ~_
MARGARET MAY RICHARDS _ '~
-~
I, Margaret May Richards , of Upper Allen Township, Cumberland County, Pe_nn~ylvania;
c~. ,, ,
being of sound mind and memory, do make, publish and declare this my Last Will and Testamen~,~
hereby revoking and making void any and all wills by me heretofore made.
FIRST: I order and direct that all of my just debts and funeral expenses be paid by my
hereinafter named Executor as soon after my death as may be found convenient.
SECOND: I give to my son, Philip C. Richards, all accounts which are designated "In Trust
For Philip C. Richards," provided that he survives me. If he does not survive me, then I direct the
assets set forth in this paragraph be given to my daughter-in-law, Laura D. Richards.
THIRD: I direct that all the rest, residue and remainder of my estate, real, personal and
mixed, of whatever nature and wheresoever situate, which I may own or have the right to dispose
of at the time of my death be given as follows:
A. Five (5%) percent to my grandson Adam J. Richards.
B. Five (5%) percent to my granddaughter Andrea J. Richards.
C. Five (5%) percent to my grandson Gregory S. Richards.
D. Five (5%) percent to my grandson Nathan D. Richards.
E. Eighty (80%) percent to my son Philip C. Richards, provided that he survives me.
If he does not survive me, then I direct that his eighty (80%) percent share of my residuary estate be
given as follows:
~. ~~r
1 Margar May Richar
1. Ten (10%) percent to my grandson Adam J. Richards.
2. Ten (10%) percent to my granddaughter Andrea J. Richards.
3. Forty (40%) percent to my daughter-in-law Laura D. Richards.
4. Ten (10%) percent to my grandson Gregory S. Richards.
5. Ten (10%) percent to my grandson Nathan D. Richards.
The share of any individual who has not yet reached the age of twenty-one
(21) years shall be held by my son Philip C. Richards IN TRUST
NEVERTHELESS, under the following terms and conditions:
A. In the event that more than one child is under the age of
twenty-one (21) years at the time of my death the Trustee
shall hold and administer each share as a separate and distinct
trust.
B. The Trustee shall hold, manage, invest and reinvest each trust
fund.
C. The Trustee shall pay the income and the principal of each
trust fund as follows:
1. The Trustee is authorized and empowered to expend
such sums from either income or principal of the trust
fund as he in his sole and absolute discretion shall
deem adequate for the maintenance, education and
support of the beneficiary of the trust fund until that
~' ~
2 Mar et May chards
child reaches the age of twenty-one (21) years.
2. The Trustee is authorized and empowered to expend
sufficient funds to provide apost-high school formal
education for the beneficiary of the trust fund.
3. When any child for whom a trust has been established
under the terms of this Last Will and Testament
reaches the age of twenty-one (21) years, the trust
shall be terminated and all assets in the trust shall be
given to said child forthwith.
4. In the event that a child for whom a trust has been
established under the terms of this Last Will and
Testament dies prior to reaching the age of twenty-one
(21) years, leaving issue to survive him, I direct that
all assets in the trust be divided among his issue, per
stirpes. In the event that Gregory S. Richards dies
prior to reaching the age of twenty-one (21) years,
without leaving issue to survive him, I direct that all
assets in his trust be given to his brother Nathan D.
Richards. In the event that Nathan D. Richards dies
prior to reaching the age of twenty-one (21) years,
without leaving issue to survive him, I direct that all
3 Mar et May 'chards
assets in his trust be given to his brother Gregory S.
Richards.
D. The interest, whether in principal or income, of any beneficiary
hereunder shall not be subject to voluntary anticipation,
incumbrance, alienation, or assignment, either in whole or in
part, nor shall any such interest while in the hands of the
Trustee, be subject to any judicial process to levy upon or
attach the same for or on behalf of such beneficiary's creditors
or claimants.
E. If my son Philip C. Richards is unable or unwilling to serve as
Trustee, I appoint my daughter-in-law Laura D. Richards as
Trustee.
FOURTH: I hereby nominate, constitute and appoint my son Philip C. Richards, as Executor
of this, my La:>t Will and Testament, and I do direct that no bond shall be required of such Executor
hereunder. My said Executor shall have full power at his discretion to do any and all things necessary
for the complete administration of my estate, including the power to sell at public or private sale and
without order of Court, any real or personal properly belonging to my estate, and to compound,
compromise or otherwise to settle or adjust any and all claims, charges, debts and demands,
whatsoever, against or in favor of my estate, as fully as I could do if living.
In the event that my son does not survive me or fails to qualify, then I nominate, constitute and
G~~
4 Mar et May 'chards
appoint my daughter-in-law Laura D. Richards, as the alternate Executrix. Said alternate Executrix
shall have all of the powers, privileges, duties and immunities as hereinbefore more fully set forth for
my original Executor.
IN WITNESS WHEREOF, I, Margaret May Richards ,the above Testatrix have set my hand
and seal to this my Last Will and Testament, which consists o/f five (5) pages, to each of which I have
affixed my si~mature this ~ ~ ~~ day of ~~ f ~ , 2007.
Signed, sealed, published and declared by the above named Testatrix as and for her Last Will
and Testament, in the presence of us, who at her request and in her presence and in the presence of
each other have hereunto subscribed our names as witnesses.
D
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5
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of Margaret May Richards
Deceased
John Craig Urich , (each) a subscribing witness to
(Print Name/s)
the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she ! he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that
the Testator /Testatrix in her /his
(Signature)
(.Street Address)
she / he /they signed as a witness at the request of
presence and in the pr nce of each other.
f
(Sig ure)
_ 568 Old York Road
(Street Address) G'`~
C J ~,-,
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_ Etters, PA 17319 ';, - 3
(City, State, Zip) ~,~_~ "~
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Executed out of Register's.ce - ,
>>
Sworn to or affirmed and subscribed
before me thi 3 ~ day
of ®~ 2~ 6(~
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Deputy for Regislter of Wills
ary Public `"
y Commission Expires:
ignature and Seal of Notary or other ot~icial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or co
MoTi~aM. >~u
u~c o sEC~r
Form R6V-03 rev. 10.13.G~6 ~r P~C
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COIIM1MJ11b11 Effpi(p ~ ~. ~fZ
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t';~iAii~~2 ~ .#3~t.
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S~QS..BS+E~ nr~»gx3 rto~ae~~~~3 rM
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Margaret May Richards ,Deceased
Joel O. Sechrist
(each} a subscribing witness to
(Print Name/s)
the ~ Will ®Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she ,/ he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in he presence of each
(Signature)
(Street Address)
(City, State, ZipJ
Executed in Regi'ster's Offcce
Sworn to or affirmed and subscribed
before me this _ day
of
Deputy for Regisl[er of Wills
568 Old York Road
(Street Address)
Etters, PA 17319
(City, State, zip)
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Executed out of Register's- ~( ~° -
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Sworn to or affirmed and su~iscnbed
v--` ~ -~
before me this ~ __1 day =~'
of ~ ~ f p Y~ ~/L ~,~~~J .
rn
G~
otary Public
My Commission Expires:7~3 I -O9
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
COMMONWEALTH OF PENNSYLVANIA
Form RW-03 rev. 10.13.0'6 ~~al `~~
Patricia A Goidon, Notary Public
Fairvieva Twp., York County
My Commission Expires July 31,2009
Member, Pennsylvania Association of Notaries