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HomeMy WebLinkAbout11-24-08r PETITION FOR PR/`OBATE AND GRANT OF LETTERS REGISTER OF WILLS OF l ~,~~ ~~ ~ ~ ~ COUNTY, :PENNSYLVANIA Estate of f~ ~• h~'~~i : J ~-G y ry ~ ~N ~2l '~i fr•J r~~ r'J also known as Deceased File Number ~ ~ ~ V X ~ ~ / l1 Social Security Number ~l ~~ - ~ ~ 7 ~~U Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ~t!1 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~= Y F G ~. ~ t GF. named in the last Will of the Decedent dated '~ ~ I G !Lcf,c~ and codicil(s) dated ~ ~ r-.1 ~~ ~ (State relevant circumstances, e.g., renunciation, death of executor, etc.) ' j ~ rte- N m Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of t~ ient(sj`vfferect ~ ~ . for probate, was not the victim of a killing and was never adjudicated an incapacitated person: _ ..-ate t-~ ~ ` ~ r' ©B. Grant of Letters of Administration -f (If applicable, enter: c.t.a.; d.b.rzc.t.a.; pendente liter duranteabsentia; duran minorttate) O C71 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.) (COMPLETE WALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Rr u 611 ~~LQJ.-{~ ~l ~l County, Pennsylvania with his /her last principal residence at ~ ~~' E ~~ t-.lc~)14) ; (List street address, town/ctty, township, cdunty, state, zip code) ~~ a Decedent, then ~ ~ yeah of age, died on r' G `~ ~ 2- v ~ ~ ~$ at ~~ r ~, ~ ~ ~~ ,, ~ r ~ ~a t t ~~t~tori.l cl -i'•Jf.~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ C~ L ~ r] C.F e (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: Form RW-02 rev. 10.13.06 Page 1 of 2 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the gant of Letters in the appropriate form to the undersigned: Oath of Personal Representative COMMONWEALTH OF PENTi NSYLVANIA ~ ~ ,ten ~' 1Q n(,~ ss COUNTY OF ~yU 1 I I'~ 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, Petiti r(s) will well and truly administer the estate according to law. -/ Sworn to or affirmed and subscribed ~~ '"~ before me the ~ ~ ~1 day of ,n ~ ~( ~~ V! ~ Forth egister ~tgnature of Personal Representative JYgnature of Personal Representah've -' ~ tCJ' ~.~-~'~ ~~ V ', ~ ~ File Number: ~- ~ - U ~ - /~ '~~ Estate of ~{. ~ U ~ 5 L ~~ r/ S t~YJ S(° ~ ,Deceased Social Security Number: - ' Date of Death ~ 1 - ,F - /) ~ c~ c- -¢. ~_ N - ~~_' ' ~ r Ci ~.: ~_., AND Now, y-~' ~'.~-! 0°_ I~1nJt.r~ ~, ~~~ having been presented ore rtYe, IP'IS DECREED that L tters _% pS fj yyr D~'~ ~ thA foregoing Petition, satisfactory proof are hereby granted to n _ ~~ C'C~ and that the instrument(s) dated described in the Petition be admitted to probate and filed of FEES Letters ............. .. $ -- L}~ Short Certificate(s) .... .... $ R''e''n11unciation(s) ...... ~ .... $ ~ ~ ... $ ,~~-i~. ... $ . ~ ... $ ... $ ... $ ... $ ... $ . .. $ TOTAL ............ .. $ ~ ~j-'b'QO Form RW-02 rev. 10.13.06 as the last Will (and Codicils j) of Decedent. n Attomey Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Register of T~'ills in the above estax~. Page 2 of 2 i ~'Y ~' ~~ 7~f LOCAL REGISTRAR'S CERTIFICATION OF DEATFI WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, X6.00 ~~J_~~~~i.~ 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 Recordy,Office for pent Went filing. Local Registrar ~ C~ ~~ ~~~ ~~J ~. r- ~rn ~n ,•:7 ©=Ti c;~ C Date Issued r.a ,~ ~ ..,: ~~ .~ T~ c . - - O ~ _'_- O •..t PRIM w ~~ "R006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS A1NEHf caeac CERTIFICATE OF DEATH (See Instruetlona and examples on reverse) +. tWr d Oeaiaa,Fral nMW, rat aAfiq STATE flLE rA1MBER Kathryn Louise Christensen x r°" a soffit swa;,y Rp„,~„ .• ab a D.en IMar,, a,y, p,q s.A,en,re:,ntl,y, „ntl,r, ,,,,tler, s.oeraaru~nar,, ~ a~~rea female 225 - 32 - 7236 Janus 08 2008 re.. D,,, R„e eee.r _ 1 ea Rea d onm ar) ~: Oeur. 83 r~ June 19 1924 Gett sbur PA ~$~ngenaa ^ER/oup.r.d ^„a, ^ - °0. X01"+' d D°'tl' ~ ar• eaa Twp a Derh M r.aq yYnra p nd IrMam, yea aYar err nnear) e. Was Dsaafrt a 14Paip ~T Mre.q Ras ^ Rardarre ^DM-aperi,: T Qsnberland County Camp Hill Boro Hol S irit Ho ~""~'0"~'a"'"~ 13~ ^~ 'o.r~Aaa,aaba.tamsema..a y:' p spital Wrar4RarloRlarl,eb, I~"white +1. Deoededa Urd ar d eae sort mat a N. 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Feed (Maras say. yeeq ~ "' ~ 7!/~ ^~' dAH Ad a- H q - ~ I O I/ ID 10 IG I ae ~ ilae.aa ifii.. DISp051epl1 Pertnil No Ou / ~ (~ ' OF ~ ~ `='- KATHRYN L. CHRISTENSEN ~'-'-~ ~ - °,~,„ _- O G ~; ~. I, KATHRYN L. CHRISTENSEN, presently residing at 382 Wyatt: Road, Hari~rg, Dauphin County, Pennsylvania, declare this to be my Last Will and Testament, revoking all other`' Wills and Codicils pr~:viously made by me. 1. The expenses of my last illness and funeral shall be paid from my estate. 2. I give, devise and bequeath my entire estate wheresoever situate and of whatsoever nature to my son, David A. Christensen, and to my grandchildren, Jeffrey R. Fissel, Jennifer Fissel, Katie Fissel, and Kris Fissel, share and share alike to be divided among them in as nearly equal shares as practical. 3. I authorize any fiduciary, herein named, to exercise the following powers, in addition to those given by law, to be exercised in their sole discretion. A. To retain any real or personal property which may at any time form a part of my estate as long as deemed advisable. B. To invest in any real or personal property without restriction to legal investments. C. To purchase investments at premiums; to charge premiums to income or principal or partly to each. To subscribe for stocks, bonds, or other investments; to join in any plan of lease, mortgage, merger, consolidation, reorganization, foreclosure or voting trust and to deposit securities thereunder; and generally to exercise all the rights of security-holders of any corporation. To vote, in person or by proxy, securities held by them and in such connection to delegate their discretionary powers. D. To repair, alter, improve, mortgage or lease for any period of rime any real or personal property and to give option for leases. E. To sell at public or private sale, for cash or credit, with or without security, to exchange or to partition real or personal property, and to give options for sales or exchanges. F. To borrow money from any person or institution, and to mortgage or pledge any real or personal property. G. To carry on any business owned or controlled by me at death for whatever period of time they shall think proper, and they shall have the power to do any and all things they deem necessary or appropriate including the power to borrow and to pledge assets contained in my estate security for such borrowing; and the power to close out, liquidate, or sell the business at such time and upon such terms as to them shall seem best. H. To compromise claims. I. To make distribution in cash or in kind or partly in each. J. To apply directly for the needs of any beneficiary, in case of the disability of such beneficiary through illness or other cause, any income or principal that is payable to such beneficiary. ) / f~ K. To exercise all power, authority and discretion given by this Will after the termination of any trust created herein until the same is fully distributed. 4. All interests hereunder, whether principal, income or remainder, while undistributed and in the possession of any fiduciary named herein, and even though vested ar distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. 5. I appoint my son, Gary M. Fissel, Guardian of any property which passes under this Will to a minor. 6. I appoint my son, Gary M. Fissel, Executor of this my Last Will and Testament. 7. No fiduciary named shall be required to enter bond or furnish sureties in any jurisdiction. IN WITNESS WHEREOF, I set my hand and seal this 10`h day of March, 2000. R y^ / v I~~ ti~r'yn L. hristertsen Signed, sealed, published and declared as and for the Last Will and Testament of Kathryn L. Christensen, the Testatrix, in our presence, who in her presence and in the presence of each other, and at her request, have hereunto set our hands and seals as subscribing witnesses hereto. ~~f9~t.-fl-~.-~ . ~ .2 Residing at ~ ~`~/~ `~~~~1 `~ Residing at COMMONWEALTH OF PENNSYLVANIA ) )SS: COUNTY OF DAUPHIN ) I, Kathryn L. Christensen, the testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will, that I signed it willingly; and that I signed it as my free and voluntary act for the purpose therein expressed. Sworn or affirmed to and acknowledged before me by Kathryn L. Christensen, the testatrix, this 10`'' day of March, 2000. DANIEL K. E3Al"F.R~ Notary Public Steelton Borough, Dauphin County My Commission Expires May 18, 2oc COMMONWEALTH OF PENNSYLVANIA ) )SS: COUNTY OF DAUPHIN ) '~ V athryn L., istensen We, Allen D. Smith and Bonnie A. Beyer, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her Last Will; that the testatrix signed willingly and that she executed it as her free and voluntar}~ act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the Will as witnesses; and to the best of our knowledge the testatrix was at that time ].8 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by Allen D. Smith and Bonnie A. Beyer, witnesses, this 10`h day of March, 2000 ±~+~ Notary NOTARI~EAL DANIEL K. BAYER, Notary Public Steelton Borough. Dauphin County Poly Commission Expires May 18, 2002 Witness f Witnes X11 .~ ~ ' ii lC' C~RTIFIC~TI~Oi`v ~~ ~O~IC~ ~Ji~~~'I~ Pa, O.C. yule ~.~{a) __ __ REGISTER 0~= bVILLS ~~ cll~i~ti.~ r, COUNTY. PE~~ISYLVANIA Name of Decedent: ~~A~~~i~ ~ ~-.~,.a ~j~ ~.1~!1~5i~„~J,~,t, ~ , Date of Deatl::_ ~' L`~ (Z ~ ~ ~~ _ ~,; ~., File Number: Date Letters Granted: To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule ~.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on L'` ` Name ~~~+~~ ~ CN~~ti ~~ S ,~ Address: ~~~~ ~ ~~'~7cx.1 C'~i.wC. ~ii , ~_~arJ ~1 Ste: ~:.~. ;'Jc J 1~L`7SS' ~F:i ~ E~~SOaJ ~,:~C.. `~'y~-~ ~~11b~°t 5 J. ~.z~.. ~.1C J ~ ~~ 5 (If more space is needed, attach separate sheet.) Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a} except: t'~ N Da;e~! r1, ~ ~ZC'~' O ~~ ~ ~C._ , `; ` -~' N Cry .;r u.t 6' .' tt r , rt_ ~ ~ c ~ O~ U ~ip arure ojP son rlin; e s.Fonn F/ Cap(ac~ity: personal Representative ~ Counsel :Vcmc ajPerson Alblin,~./his Form Address y~~ -7 Tzlepf~oa~e Form RW-08 rev. 10.13.06