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Home My WebLink About10-29-08PETITION FOR PROBATE AND GRAlV'T OF LETTERS REGISTER OF WILLS OF COUNTY, PENNSYLVANIA Estate of ~~~ / t ~ ~~.~.hs File Number ~~ -~O ~ ~0~ ~ also known as ,Deceased Social Security Number ~ l~~ ~' L ~ ' 7~(Y f C7 c? ~, ~ m Petitioner(s), who is/are 18 years of age or older, apply(ies} for: = -- ~7 ~ ~-';- ; '- (COMPLETE A' or 'B' BELOW:) ; -? ~ C7 ,_ -~ c: ~? ~~ ~ : , ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the "~ ~name$ilti thc' last Will of the Decedent dated and codicil(s) dated ~=> c-~ ~ _~. __ t- •` "_~ = 7~, --- (Store reteva+t circumstances, e.g., remmciation, death of executor, etc.) -'~ v ' 7=y ..~ - z Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the insttum~r (s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B. Grant of Letters of Administration ((fappiicabte, enter.• c.t.n.; d.b.n.c.t.a.: pendente lire; durance absentia; durnnte mi+:oritnte) (COMPLETE IN ALL CASES:) Attach additiara! sheets if necessary. was domj„ciled_at death in l..:U/1'1 £S~,~t'L15~/Vl~ County, Pennsylvania with his /her last princip~residence at (List slree[ address, torvidcity, township, county, state, zip code) Decedent, then ~~ years of age, died on r~ at 1~~U~ ~i¢/e ,~ ~%Y~2L1.S1~ . Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ (!f not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ r~,~~r~. Value of real estate in Pem~sylvania $ situated as follows: Form RW-0? re+-. to.ls.o6 Page 1 of 2 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 Adntittislration, c. t. a, or d.b.n.c.t.a., enter date of Witl in Section A above and complete list of heirs.) 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: 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 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. ~~ ~ n Sworn to or aff.~rmed and subscribed /' ~//// t7 l ~I Signature oJPersonal Representative before me the ~~ day of ~~'p~ n !,~_ Signature of Personal Representative For the Register Signature oJPersonal Representative C? c..~ ~ ,~~! _'`z>r- -- =,t~ --L --~ -. .~ ~.~- -_-. -I r~ c N '.i ~! :7 C : ~ i_'i ]~» ~ - .- .r• File Number: ~.~n-Og' IO~I I ~ Estate of A . LkSS ,Deceased Social Security Number: i q3 - ~ z '- gOID ~ Date of Death: 10 - oZ3 -Og AND NOW, ~,t o ~ ~~ _, in consideration of the foregoing Petition, satisfactory proof having been presented efore me, IT IS DECREED that Letters are hereby granted to Q-- - - in the above estate and that the instrument(s) dated o(- oL I - © 1 described in the Petition be admitted to probate and filed of record as the last Will (end Codicil(s)) of Decedent. FEES Letters ............... $~~Q • t~ Short Certificate(s) ..... ... $ (oZ • Ulf Renunciation{s) ....... ... $ ~~ ... $ 1 S , cx~ ~.l erP ... $ t ~ . ~t~ ~.~ ~-4-am~~. .... $ 5 00 ... $ ... $ ... $ ... $ ... $ ... $ TOTAL ........... ... $ 1 ~. • Oc7 Register of Wills L7o." C ~'/"' ` ' Attorr-ey Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Form R6V-0: rev. 10.I3.Ob Page 2 of 2 ~f~~# `dill M1~i~ C~P~t~tlxiPnt OF BETTS A. ROSS I, BETTS A. ROSS, of Pinellas County, Florida, being of sound and disposing mind and memory and under no restraint, make, publish and declare that this is my LAST WILL AND TESTAMENT hereby revoking all my prior Wills, Amendments and Codicils. I. I direct my legally enforceable debts, expenses of my last illness, funeral expenses and administration expenses be paid in the order and in the manner prescribed by law. Ii. I direct my Personal Representative named herein to make the necessary N ERY, lofted arrangements to have my remains laid to rest in SLATE HILL CEN~T o n ' o in Camp Hill, PA.. ~ T ~ ~ ~ L f ~ ~ _.... ~ C r. '; r ~,~ - . :~ ~ IIt. - ~ +:., -- v .c ,. I HEREBY MAKE THE FOLLOWING SPECIFIC BEQUEST: `D The sum of $5,000 to SHARON LOPER. In the event she should predecease me then that share she would have been entitled to receive shall lapse and pass into the residuary of my estate. I give, devise and bequeath all the rest, residue and remainder of my estate of every kind, nature and description, wherever situated, which I now own or hereafter acquire, or have the right to dispose of at the, time of my death to my daughter, PENNIE A. BOHL and my son THEODORE E. CLEMENTS, in equal shares, per stirpes. ~U~ ., IV. I may leave a written statement disposing of certain items of tangible personal property not otherwise specifically disposed of in this Will. Any such statement in existence at the time of my death, dated and signed by me, shall be determinative with- respect to all items devised therein. If such a written statement is not found and identified by my Personal Representative within thirty days after Letters of Administration are issued, it shall be conGusive/y presumed that there is not such a written statement, and any subsequently found written statement shall be ignored. V. I nominate and appoint my daughter, PENNIE A. KOHL, as Personal Representative of my Last Will and Testament. In the event she is unable or unwilling to be appointed as Personal Representative, :or after having been appointed should she cease to serve, I then nominate and appoint my son, THEODORE E. CLEMENTS, as Alternate Personal Representative of this my Last Will and Testament. I direct that no bond or other security be required of any Personal Representative named herein. VI. I authorize any Personal Representative named herein in the settlement of my estate, without application to any court, to sell, transfer or convey any part of my estate of whatever kind and description wherever situated at such time and place and upon such terms as my Personal Representative deems expedient. This power is in addition to and not a limitation of, any of the powers conferred upon my Personal Representative by law. IN WITNESS WHEREOF, I hereunto set my hand on this ~ day of ,2001. BETTE A. ROSS, Testatrix In our presence, BETTS A. ROSS, the Testatrix , signed this instrument and dedared that it is her Last Will and Testament. In her presence, in the presence of each other, and at her request, we hereunto subscribe our names as attesting witnesses on this ~ day of 2001. Cam. C` MARC A. TENNEY, Witne ~~O BRENDA S. LEWIS, Witness SELF PROOF OF WILL STATE OF FLORIDA ) COUNTY OF PINELLAS ) We, BETTS A. ROSS, the Testatrix, MARC A. TENNEY and BRENDA S. LEWIS, the witnesses, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned officer that the Testatrix signed the instrument as her Last Will and Testament, and that she signed voluntarily and that each of the witnesses, in the presence of the Testatrix, at her request, and in the presence of each other signed the Will as a witness, and that to the best of the knowledge of each witness, the Testatrix was at that time eighteen (18) of more years of age, of sound mind and under no constraint or undue influence. BETTS A. ROSS, Testatrix MARC A. TENNEY, Wit ss RENDA S. LEWIS, fitness SUBSCRIBED and acknowledged before me by BETTS A. ROSS, the Testatrix , and sworn to before me b~ MARC A. TENNEY and BRENDA S. tEUVIS, the witnesses, on this ~ day of , 2001. . NOTARY PUBLIC ~~ ~-_ MY COMMISSION ~ CC~6~28 EXPIRES '+•. ' December ~ 2002 ''~„ of ri~ ` , BONDED iHRU TROY FAIN INSURANCE RVC m~ ••