HomeMy WebLinkAbout12-18-08r
PETITION FOR PROBATE AND GRANT OF LET ER5
R
E
G
I51'ER OF WILLS OP COUNTY, PEN~S~ LVANLq
'.
~t
,,
Esta(e of ~,V /4 y ~/,
~~~ M ~/ /
Fite Number
also k
nown as
,Deceased Social Security Number ~ ~ ' U ~ ~ Q
O (~
Pe~.itioner(s), who is/are 13 years of age or alder, apply(es) for
(COMPLETE 'A' ar 'B' BELOW:)
~A. Probate and Crnnt ol'Letter Tes men[ary and aver that Petitiocer(s~/ are the (.~- ~ (LII~
last Will of the Decedent dated ~~
~~"" and codicil(s) dated /
named in the
N
(Smte relevant circumstances. e.g_ remusintim; demh a/eeecutor, etc.)
Except as follows, Decedent did no[ marry, was not divorced, and did not have a child bom or adopted after exeeutioo-fq
f ~~77 ci
t[t0 i
nume~) offe`re~' ~
or probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~
,
~. y m ~ _
[
^ B. Grant ol'Letters of Administration cI 7:1 Q~ (..
"t. vC~ A
-n
(Ifnpp[icnble, enter: c. t. a.; d. b. n. c.La.: pendente lire; durrmte absentin; dun i~ritate)
Petitioner(s) after a proper search has /have ascertained [hat Decedent left no Will and was survived by [he followings
Admiais[ration. eta. ord. b. n. c. [. a., enter date of Wifl in Section A ¢bove
d
l ~
se (f any) ardFTieirs: (q
CSS
an
comp
ete (ist ofhelrsJ
Name Relabonshi Reside ce
(COMPLETE IN ALL CASES:) Attnch additiona[s6eets ifnecessary.
Decedent wns domiciled at death in CuM ~~~Lfl9(~
ounty Pennsylvania with his / her las~principal re
rJOr~ K/ L / GL idence at
-----
(ListstreetnddrKSS, tmvn/city, tmvnship, coon!)=, state, zi codej
y~ n, ~~ ("
Decedent, then __~,~ years of age, died on ~~~ • mar/ at r/~.~ 'W .~(.T~,~ ~{ /j`]
~,~ i ! J~
l J-
z
Decedent at des[h owned property with estimated values as follows:
(If domiciled in PA) All personal property $
(lf no[ d
i
il
d ~'1
Z y.` n c
om
c
e
in PA) Personal property in Pennsylvania $
(If no[ d
i
il
d
om
c
e
in PA) Personal property in County $
Val
f
l
ue o
rea
estate in Pennsylvania
$
situated as follows
Wherefore, Petitioner(s) respectfid ly request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Len
the undersigned: a in the appropna[e form [o
~` ~~Si~manaC Ty ed or rimed name and residence
C ~'~/'K'~- ~~O C L ~ , ~d !t tC/~
QUO L//~SOaJ Sr'
Farrn RW-0? rer. 10.13.06
Page i of 2
~~. v, '~'i,..
Oath of Personal Representative 2444 EC 18 AM 8~ 40
COM.~IONWEALT OP PENNSYLVANIt+. ,
ss c~E~h or-
couNrv oP ~ 0 PHa~~'S COt)RT
CUM
the Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are htie '~f~~l~~";Gf~`) P,4
^d coned to the bzst of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of tha Decedent, Petitioner(s) will well and truly
administer the estate according to law.
-- ~ ~ o
~
Sworn to or affirmed
a
n~/d subscribed
-
,,
"
yv~-- Si~nnture ersonnt Hepreserrlative
Fore me the O day of
t
~
~
~~~
Sgnntw~e afPersonN Repr esenmri ve
~
~
~~ ~ /d 0,~ . Dn
Oath of Personal Representative ZOU~
CObI~IONbVEALT OF PENNSY"LVANL4
SS
COUNTY OF ~f
CUt~
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are Irve
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Deoedent, Petitioners}
administer the estate according to law.
Sworn to or affirmed and subscribed
forre me the ~ d)ay of
` // s 7
-~i,
Signature ersannl Represen(at<ve
S<gnatw'e oJ'Personrzl RepresentatPoe
Signn(ure of Persann! Represen[utlve
File Number: ~I ~ V ~ ~ /p~~
Estate of ~'rlna V ,6~u +'~') ,
Soc-i-a~l-yS~ecurity Number: ~ ~ ~ '~S~Q~yy~~ Date of Death: ~~~~
AND IvOW y/~ Cem~ f ~, p.t~.~~ in consideration of the foregoing
having been presented beforre me, IT IS DECREED that Letters ~~~
are hereby granted to }iD~IN ~~ ~h~ U~ -~-
and that the instrument(s) dated- 17 ~~~___
described in the Petition be admitted to probate and filed of record ag rye,last Witl
CEEB
Letters ............... ~.//-
$ aN,
Short Certificate(s) ....... . $~
Renunciation(s) . . $
$ IUD"`
$ 7~
_ .. $
TOTAL .............
i
$
Attorney Signature:
Attorney Name:
Supreme Court LD. No
Address:
Telephone:
i 8 QM 8~ 40
CLE9~ ; r f
'HPu~:S COURT
''r.~ t ; ~~, ,''~ P.4
.~
d correct to the best of
well and truly
O
satisfactory proof
in the above estate
Form R4V.07. icv. 10.13.Ob
Page 2 of 2
I[LS.NUS plcV II]I /IA/
LOCAL REGISTRAR'S CERTIFICATION OF DEl~TH
WARNING: It is illegal to duplicate this copy by photostat or photogra h.
~ Pee for this certificate, ti6.0p
P 150000:
Certi ficalion Number
~~- ~a~~
'this is to certify tl m the information here given is
correctly copied fi~~ln un original Certi fiwtn of Deuth
duly Illed with me as Local Registrar. The ~.xiginal
certillcate will he Ibrwarded to the Slate Vital
Records Office tin' xrmanenl filing.
LS~~R~ _ o~L~oos
Local Registrar Da(c Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS
CERTIFICATE OF DEATH
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LABT iPILL AND TESTAMENT '.'~~
OF c->
ANNA V . SEAM ~~ m
a --a
r
0
I, ANNA V. BEAM, a legal resident of South Mi dleton
Township, Cumberland County, Pennsylvania, being of sou d and
disposing mind, memory, and understanding, do hereby ma e,
publish, and declare this as and for my Last Will and T stament,
hereby revoking all other wills and codicils heretofore ade by
me.
FIRST: I direct that all my just debts and funeral
expenses, including my grave marker, shall be paid from the
assets of my estate as soon as practicable after my dec ase.
BECOND: I direct that all taxes that may be assessed
in consequence of my death, of whatever nature and by w atever
jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of the administration of my estate.
THIRD: I devise and bequeath the residue
estate, in equal shares, to two of my granddaughters,
SHUTEK and HOLLY E. COHICK. Should either of said gr
predecease me, I devise and bequeath the entire resid
estate to the survivor.
FOURTH: I nominate, constitute and appoint n
granddaughter, HOLLY E. COHICK, Executrix of this, my La
and Testament. In the event of the renunciation, death,
resignation, or inability to act for any reason whatsoev
said HOLLY E. COHICK, I nominate, constitute, and appoir
E. SHUTEK Executrix of this, my Last Will and Testament.
hereby relieve my Executrix or her successor from the ne
of posting security in connection with their duties as
any jurisdiction in which they may be called upon to act
as I am able by law so to do.
IN WITNESS WHEREOF, I have hereunto set my ha.
seal to this, my Last Will and Testament, consisting of
typewritten pa es, each of which bears my signature, th
day of ~~~'U~9/?Y 1995.
V. Beam
my
BRA E .
aughte
f my
t Will
of the
DEBRA
I
ssity
h in
insofar
and
C/ 7T/r~
EAL)
Signed, sealed, published, and declared by th above-
named Testatrix, Anna V. Beam, as and for her Last Will and
Testament, in the presence of us, who, at her request, in her
sight and presence, and in the sight and presence of ea other,
have hereunto subscribed our names as witnesses.
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
I, Anna V. Beam, Testatrix, whose name is sig ed to the
attached or foregoing instrument, having been duly qual'fied
according to law, do hereby acknowledge that I signed a d
executed the instrument as my Last. Will; that I signed 't
willingly; and that I signed it as my free and voluntar act for
the purposes therein expressed.
Sworn or affirmed to and acknowledged before a by Anna
V. Beam, the Testatrix, this / ~?~Y day of t,t. ,
1995.
Anna V.
Notary
NOTARIAL SEAL
SUSAN K. 6UYFR, Notary Publ!c
Carlisle. Cumberlantl County
„ rnmmiceinn E7c01r8S Seel. 4, 19
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
We, Edward L. Schorpp and C.Q(,C.l .:
the witnesses whose names are signed to the attached or foregoin
instrument, being duly qualified according to law, do d pose and
say that we were present and saw Testatrix sign and exe ute the
instrument as her Last Will; that she signed willingly nd that
she executed it as her free and voluntary act for the p rpose
therein expressed; that each. of us in the hearing and s'ght of
the Testatrix signed the Will as witnesses; and that to the best
of our knowledge the Testatrix was at that time eightee or more
years of age, of sound mind, and under no constraint or undue
influence.
Sworn or f i ed~gn5~ ~ubsc~ribed to before me by Edward
L. Schor p nd ~0 . rm /`C. ~-C~ , witnesses, his / ~~'
day of , 1995.
tness Edward T,. Schorpp
tness
Public
(SEAL)
(SEAL)
(SEAL)
NOTARIAL SEAL
SUSAN K. GUYER, Notary Public
Carlisle, Cumberland County
y Commission Expires Sept. 4,1995