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HomeMy WebLinkAbout12-08-08PETITION FOR PROBATE AND GRANT O:F LETTER>~ REGISTER OF ~VILI_S OF CU/!i/Pr~G/~~~ COt~TY, PEN~ISYLVA~IIA Estate of - ~ l.' c` ~ ~ , f ~ , i ' ~ ~ Fila Number _y~ ~ lJ J - I ~~ D _ also known as __ _ - ,Deceased Social Security Number ~` ~''~ '~ ~ ~~~~ Petitioner(s), who isiare l8 years of age or older, apply(ies) for: N (CO;ti1PLETE 'A' or 'B' BEL06V:) ~ ~ A A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the '-~ ~ t~_ named ttiat~te last Will of the Decedent dated / ~~ /°~O~ and codicil(s) dated ~o~ /0 / D 7 Y ~ ~ ` '"-~ s:+ r'r'i .. J (State relevant circumstances, e.g., renuncintion, dealt aJexecutor, elc.~ - l_: ~ TJ' ;~ -j 1 -- Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executitsnta~he insUur~gt(s) offeletl' ~~ --# for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ L~ - ^ B. Grant of Letters oC Administration (Ifnpplica6le, enter- c. t. n.; d.b n.c.t.a.; pendente lire; durarue absentia; durnnte mittoritnte) 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 canplete list of heirs.) Name Relationship Residence (COtY1PLETE IN ALL CASES:) Attack additional sheets if necessary. Decedent was domiciled at death in ~ c ! / ~~1 P ~Q~G1 County, Pennsyh~ania with his /her last principal residence at (List s6 eel address, town/city, township, cownp, state, >ip cor~ej L~ ~J A' / 1 I Decedent, then ---f--years of age, died on ;'4 U ~'. / % 2ui~Y" at ~//!i /'f'r .5 i L </ U 7 j ~~J~u /~~; ; /I, /" 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 Value of real estate in Pennsylvania $ ~/5[tU. CO g ~ o, o d ~s situated as follows: G / 5 % ~I /~~ PP ~{al- S~ /~/h,~,~ <lP ~,~~ ~~ /~~ /~.Z i Wherefore, Petitioner(s) respectfully request(s) the probate of the last W ill and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Signature Ty ed or tinted name and residence I •/ ~ t ~ / ' ~ y ``'~ t L // L~/ ~' 1'G /7 ~ _~~~; /~~i ~', i/, l~ i 7a ~ / Form R6V-0? rev. !0 13.06 Page I Of 2 Oath of Personal Representative COiuI~10NWEALTH OF PENNSYLVANIA ,-,j ~ ~ (~ SS COUNTY OF ~L~.~~~~~-`'~~Q' U\ `The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are h'ue and coned 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 affirm(~ed and subscribed before me the b ~~ day of 1'~ , '- , / ~ ~1/ -~ rv ca c~ Si~nnture of Personal Represznmtive _~:a~nr-- ~ s ~ti m ,. FOT t e ReglsteC Signnfure of Parsatnl Repi~esentntive ~ ,t ~..,, ' ~_~~ 3 ~ -~ o21-C~~' 1~2.u w File Number: ~ Estate of,~ ~ ~~~~ ~ • ~~`r`J U , De+cea(~sed Social Security Number:~l %~ ~ ~ ~ ~ ~1/"/ `'1~ ~ Date of Deatb:~- ~~~ ~ ~J O _ AND NOW, ~~ ~~ , ~ having been presented before e, I S DECREED that Letters inconsideration of the foregoing Petition, satisfactory proof are hereby granted to V in the above estate and that the instnnnent(s) dated _ Q -" ~ • " L_ __ described in the Petition be admitted to probate and filed of record as the last Will (aud Codicil(s)) of Deceder~ . i- f ~~ FEES ~ ~ ~ - _ '- egister i f Wills / ~ Letters ............... $__;r~ ~" ~ - ~,. Short Certificate(s) ........ $L Ren4nc~ ion(s) .......... $ ti ~ ... $ ... $ "L • - ~V $ ... $ ... $ ... $ ... $ ... $ ... TOTAL .............. $ L~,l 7 ~ ~ ~ of Personal Represenfntive Attorney Signature: Attorney Name: Supreme Court LD. No.: Address: Telephone: Form R6V-0_' rev. !0.13.06 Page 2 Of 2 I05_NO$ KFV t(tla~'7 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, X6.00 P 14810353 Certification Number I EV 112008 WM t4 ern twN This is to certify that the inform~ltion here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certifialte will he forwarded to the State Vitt11 Record>. Offyiye~ I~l~rmanent filing. LGwn~ ' 'l ~ NOV 3 0 2008 Local Registrar Date issued COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH lAas ilu4rudlens snd sYSmoles Oil !'BYBatBI •ret e.. o.. nanen r..~ C7 ~ - ,_ _- .Y- ~O , oo _... 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Deuedenfs Eafealun (>bedM OnM tagnat ~ N, hYdW >Anrs Wlded, Ness Mtnled, 15.5uvMrq ~a (d •Ile, g'^ maiden nema) Wddend dnreed I+:Owilll KYd d Wag IUd d BICnaN I ai0/1t7 U.S Mal Faas4 £lallsary I Beoadsy (o-12) f,`,oxege Ita a S.) , Divorced Computer Technician Hospital of U. PA. ^'~ ~Il+d 12 t8. Deceder[e meg IADtaa (9Ml etY I bsrt e9M, igrnk) Tlq Deasdeh PA l.~s'e bl t7c. ^ Yee, Dedtded and n ~A1~1r"e l»9me 6157 Wheeler St. roeronv2 ~~~ Philadelphia Philadelphia na® Philadelphia, PA 19142 1 clyfeoro tmca.+r 18. hxafa Nerve (iM mId11 s>< f>fd f8. Madfdl Name (Fits, mldde, makes aWww) Ibnald E. 'IYa son Vir inia Gutshall pe. irdwmr[t Neel. (7lge y rdro 200. Inbnrle~x'e Utitaq IYddvse 16nwt. dry! rose, sbb, xprade) Virginia W. Arter 1 Hunter lane, Enola, PA 17025 21e. -IeMedd Bl4edfon ~ ~CrensKon ^Oarutln 2/h. 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UCefae -- - aJa l7eb C9Kd (Mo}d4 tlaYyflarl .... ^. ietMtbnafyryxndelrfege,erxloemndahaa,mur,stdplra,aMasbdwwnep)endmusanswed-`--------- ~.r ^ o ~ -C; / [ r JoC u~'r~~ `~ , .`•L. 1 ~ Jt-~-.~ l%l ,j • taMOYCtefelnetlCwerw _ On h heeb d nenbedm wd 1 w Yessxgdfon, b my oplnbn de.m oeuarsd M the txA0. data and pbee, and den b h ewfw(e) eM Wanner m ehdd. ^ . Nsa erdybdntsd Peres MAb Candeled Ci1u d DBaM 81em 271 lype I Pdra ST ' ' 3s. ~'°a•ea^0°0a'fa of / i as.wbFledgeons,dry,yeirt . H M 3400 SPRUCE 1 ATNGR, GLlLA13~ PA 1910'1 A PH1L . ., l OF IRENE C. DORSEY I, IRENE C. DORSEY, of 6157 Wheeler Street, in the City of Philadelphia, County of Philadelphia and State of Pennsylvania, being of sound and disposing mind and memory do hereby make, publish and declare this to be my Last ~~Vill and Testament. FIRST: I hereby revoke any and all former Wills and Codicils, heretofore made (~~, by me. SECOND: I direct that my Executor, appointed hereunder, pay and discharge all ~~ of my just debts, including the expenses of my last illness, funeral and administration expenses as soon as shall be practicable. I further direct that any and <<ll federal, state, foreign or other estate, transfer, inheritance, succession, legacy and similar taxes, including interest and penalties thereon, if any, imposed upon any property required to be included in my gross estate under the provisions of any such tax law, and whether passing hereunder or by any codicil hereto or otherwise, or upon any person with respect to any such property, shall be paid out of my residuary estate as an expense i~f administration. and shall not be equitably prorated or charged against the gifts provided herein. THIRD: I give, devise, and bequeath all of the rest, residue aJad remainder of my property, whether real, personal or mixed, of whatsoever kind and nature and wheresoever situated, of which I shall die seized or possessed, and all property over which I shall have any power of appointment, remaining after the pa~iment of my debts, funeral and administration expenses and taxes, absolutely and forever to my dear, kind mother, Virginia W. Arter, who presently resides at 1 Hunter Lane, Town of Camp Hill, County of Cumberland and State of Pennsylvania. FOURTH: I do hereby nominate, constitute and appoint my dearest mother Virginia W. Arter, presently residing at 1 Hunter Lane, Camp Hill, Pennsylvania, as Executor of this Will. In the event of her death or resignation, or faihue or refusal to serve in said capacity as Executor, I hereby nominate, constitute and appoint my step- father, Patrick H. Arter, presently residing at 1 Hunter Lane, Town of Camp Hill, County ,~,, of Cumberland and State of Pennsylvania, as Successor Executor under this Wi~~ ~ - C7 t _ :> tT't ~ k .%~: _ . ii,j _ ::7 it _ ~ --; : '~ w f 1 .1; FIFTH: I direct that no bond, security or other undertaking shall be imposed upon or required at any time or in any jurisdiction of any individual named herein for the faithful performance of her or his duties. ~~ ~. Y ~~? C"' ~1 IN WITNESS WHEREOF, I have set my hand and seal this ~ ~,~`~' day of October 2007. .:~~. ~. ~~L ~~~k-.~~ IRENE C. DORSEY The foregoing consisting of 2 (two) pages inclusive of this page, the original of which was signed and executed by the above-named Testatrix prior to the ea:ecution thereof, was signed, published and declared by said Testatrix as her Last Will and Testament, in our presence and hearing, and we thereupon, at her request, and in thE; presence of each other subscribed our names as witnesses this /day of October 2007. J u .n Witness W tness n N n .J C= OATH OF SUBSCRIBING WITNES~~(E S}~~ ? } REGISTER OF WILLS _. ~ ~~ --~ t.' ~ ~+~ ~~ .~ /c« U~ COL7NTY, PENNSYLVANIA ~ ~ o r' 1~ ~ Estate of - L i't ~~ e C - ~~~~' S~c ~ ,Deceased ,~cR t-y y L L3dQ7~..r,' ,Tc,Nv r' /-1r ~l!ri// ~72 , (each) a subscribing witness to (Print Narne/s) the C~Will ^ Codicil(s) presented herewith, (each) being duly qualified accorciing to law, depose(s) and say(s) that she / he / hey was / .ere present and saw the above Testato estatri sign the same and that she / he / ~ signed the same and that she / he / he signed as a witness at the request of the Testator / estatr' in he /his presence and in the presence of each other. ~ ~~ - - - (Sign u-e) ~,1 ~~./m,~ryb,~vl /It/--t (Street Address) LJ ~o~~,S~sw r~ f~ l 1 y~~ (City, State, Zip) Execaated in Register's Office Sworn to or affirmed and subscribed before me this _ ~ day of ~ ~ ~~ o Deputy for Register of Wills Execaeted oast ofRegister's Office Sworn to or affirrrted and subscribed before me this _ ~ day of ~ Z- Z~ c~ CCjlvlf~9~ ,Pti^/Elt.1 T1~1 0:= PEr'~9VSY'iAYfiNd~ .. f l~~t-t3~y Fyt~~lic Nota Public . ,,_, ~4, r ; ~,~~1 .`.l ~ ' __._l My Commission EXp'lre~:"' . y'~ ``-: u~ 7t;on eat ~ ~ar,c~s (Signature and Seal of NoLny 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. Form RW-03 rev. 10.13.06 (Sb-eet Address) !~ (City, State, Zip)