HomeMy WebLinkAbout10-10-08PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CU m,~~(~.~n--~~ COUNTY, PENNSYLVANIA
Estate of 111'I /,ti [-~ t~1 1 , ~ ~~~ ~G ~ File Number _ o{ I " O $ -~ Q / "~
also known as
Deceased Social Security Number ! ~(
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 Testa ntary and aver that Petitioner(s) is /are the G14~'liA~'(L named in the
last Will of the Decedent dated l~'-1G ~ ~ and codicil(s) dated
Where Fore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant ot'Letters in the appropriate form to
the undersigned:
(Mate relevant circuenstances, 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 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 Administration
(Ifapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durance nrinoritateJ
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: (!f
Admittistratiot:, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name
Residence
-- ,.~ c:+
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. _ , s r- ---1
Decedent was d~ filed at death y~ C bt ~ '~l r
c,~ County, Pennsylvania with his /her last principal tes~~efiee at ~~
~_ , r-.
(List street address, [owrr/city, township, county, state, zip code) ~ t._ , ,,,.
_ /~ p T
Decedent, then ~ 1 years of age, died on ~Q v~Th, at 7 : ~ ~'yyj ~C~ `t ..
~.t
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ i' b
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
al estate in Pennsylvania $
situated as follows:
Si nature T e or tinted name and residence
/7
Fa~»e RW-0? r•er,. lo.ls.od Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct 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 6r affirmed and subscribed
before me the ~~t~ day of
Ste. ' u
For the Register R
~~ r~
~~
i azure oJPersonal Represe ive ' n --i
-:
ruin _
- ;
.
___
`;
Signature oJPersonal Representative ~ <"~ ~', ~
-'
Signntw•e oJPersonal Representative ~~;
O
File Number: 2. ~ _ C)~s ' l~ 1 ~
Estate of _ ~ -~ G. ZQ/ [ YYl ~'-~ )UISQr ,Deceased
Social Security Number. (~ ~e - l0 -~p'7'~- Date of Death:8 ` 3U-~~
AND NOW, ~ ~~,~.. ~ p ~g , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters
are hereby granted to _ I'` or1o, l ~ (t f-t0 ~ tZ r
in the above estate
and that the instrument(s) dated ~3 ~ 3 - 1 q ~ ~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............... $ ~C7 .O~
Short Certificate(s) ........ $ `f . v~
Renunciation(s) .......... $
.,I ,J , 11 ... $ f S . cx~
s1CP ... $ ~ O • c~c7
... $
... $
... $
... $
... $
... $
TOTAL .............. $ ~9 `F • CX)
Register oJWills
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-0? rev. !0.!3.06 Page 2 of 2
LAST WILL AND TESTAMENT
OF
HAZEL M. ROUSER
I, HAZEL M. ROUSER, of Borough of Newville , Cumberland
County, Pennsylvania, revoke my prior wills and declare this to
be my last Will:
FIRST: PAYMENT OF EXPENSES - I direct that all my just debts and
funeral expenses, including my gravemarker and all expenses of my
last illness, shall be paid from my residuary estate as soon as
practicable after my decease as a part of the administration of
my estate.
SECOND: RESIDUE OF ESTATE - I give, devise and bequeath all the
rest, residue and remainder of my estate unto my husband, John C.
Houser, provided he shall survive me by thirty (30) days. In the
event my husband fails to survive me by thirty {30) days, I then
give, devise and bequeath all to my daughter, AUDREY BOSSLER and
son, RONALD C. ROUSER, in as nearly equal shares as possible, per
stirpes.
THIRD: EXECUTOR - I appoint my son, Ronald C. Houser, Executor
of my Will. In the event that Ronald C. Houser predeceases me or
is unwilling or unable to serve as Executor, I then appoint
Audrey Bossler, Executor of my Will. Neither my Executor nor any
successor shall be required to give bond.
FOURTH: PROTECTIVE PROVISION - To the greatest extent permitted
by law, before actual payment to a beneficiary, no interest in
income or principal shall be (i) assignable to a beneficiary or
(ii) available to anyone having a claim against a beneficiary.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
t h i s ~~d a y o f G,ZG(.(,/ ~{S~- , 19 9 3.
i~-~r-~c-~af ( SEAL )
HAZ M. ROUSER, Testatrix
,/
In our presence, the above-named Testatrix signed this and
declared it to be her Will, and now, at her request and in her
presence and ~n~j~h~.,.pe of each other, we sign as witnesses:
~~'(IG~, ~,iV~'~°.d~30
~v ~i~l~
80 ~ ! ~'d 0 i 4~J ~~~~
- -~ ~- ;, ,
~~ _ . _.._
C~ t.~~.~,~Z~ %'~`~-(-C~~ZGZ~~~C~~
PAGE 1
STATE OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, HAZEL M. ROUSER, having
law, acknowledge that I signed
Will and that I signed it as my
purposes therein expressed.
been duly qualified according to
the foregoing instrument as my
free and voluntary act for the
~~ "~
HAZ M. ROUSER, Testatrix
We, having been duly qualified according to law, depose and
say that we were present and saw HAZEL M. ROUSER sign the
foregoing instrument as her Will; that she signed it as her free
and voluntary act for the purposes therein expressed; that each
of us in her sight and hearing and at her request signed the Will
as witnesses; and that to the best of our knowledge she was at
the time 18 or more years of age, of sound mind and under no
constraint or undue influence.
~ ~, ,
~~11e ~ ' i7Y~
Subscribed, sworn to or affirmed,
and acknowledged before me by the
above-named Testatrix and by the
witnesses whose name,~s~I appear
oppose a on t is 3-'C1 day of
~~(~1;1-~ 19 9 3 .
~,~~/ ~
Notary Public
Rldiarid L. Webber, Jr., Notary PubNc PAGE 2
Shippensb~xg Born, Cumberland County
tUly Comrnission Flies Dec. 2Q, ft~ffi,