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HomeMy WebLinkAbout01-08-09PETITION FOR PROBATE AND GRANT OF LETTERS o R\EG[STER OF WILLS OF C u~~ ed-~0. ~ COUNTY, PENNSYL/~V~A/"NIA~~) Estate of 1\ O ~J ~' : t e K `1 C.k File Number ~ /~ v / ~ `-" also known as Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETEi 'A' or '6' LSELOW:) Deceased Social Security Number a ~ l ~ w ' (~ w+ A. Probate and Grant of Letters T stamen[ary and aver that Peti[ioner(s).ri? are [he last Will of the Decedent dated I ~ ~/ S ~ ~ y and codicil(s) dated (Srade relevan(eirewnslnnces, e.,., renwmia[ion, death of executor, eteJ Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after for probate, was not the victim of a killing and was never adjudicated an incapacitated ^ 6. Grant of Letters o[ (/.f aPPfimble, enlerr eLn.; d. b. n. c. t. n.: Pendenfe lire; dwnnfe nGsen[in; duix~r le mirtm~imteJ W :a Petitioner(s) after a proper search has /have ascertained [hat Decedent left no Will a¢d was survived by the following spouse (if any) and heirs: !!f Admtnistra[ion,c.l.a.ord.b. n. c.t. a-, enter dare of Will in Section.4 above and complete lis[ofheirs) - (COMPLETE LN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at dear in ~-l.lr^^.b C+f-(A`ti0 County, Pennsylvania with his /her last principal residence at__ -__-_..__30 _~~r_~ S`S~[~,.__Lf'~-CG~h,a~1C~Sure:lies-ip-•^~--~`"'p~--~'4-- 1-7OS-s- Gr..r slmcl ndrL pa's, rorvn/city, township, cavity, stole v}r coda) ii'' ,~J~ I ~ - Decedent, [hen_~_years of age, died on ta`/a ~~oSat y~7 V1f, ('I ~n1q ~ / xeG`^~ /~~CA.v. ~~. LKw~Pf(Cn~y ~~ Yp !1 t~~S f~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ <] ~ , ~ 0 (If not domiciled in P.4) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ ~ ~ Q~ sima[cd as follows: a ~ C)l ~ Sn+n{ >_y C O - e-T C G l.~ ~Q [f' S named in the Furru RVV-0? rev. 10.13.06 Page I OP2 Wherefore, Peu[loner(s) respect Fully request(s) the p~nbate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appmpnate form to the undersigned; Oath of Personal Representative 20U9 JAN _8 PM 3~ 38 COMMONWEALTH OF PENNSYLVANIA ss ~LER1C OF COUNTY OF ~~P~~~ ~.''A~,~^P~~p~{s~{~ (~~ j~ The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petitiol~at~'hRrS'khd Ebn~ec't ~fo the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of [he Decedent, Petitioner(s) will well and truly adminis[cr the estate according to law. Si~anture of Persanrt(Representntive File Num/b/e~j: tSC ~ - (X ~~ Estate of /~U ~~ ~. ~~(~~ /~ G// ""L~~"D~ecegased q~y~ Social Security Number ppC1~~~' ~U/ - ~qOy~ Dace of Death~~[~('~/RL.+~/ d~ cY-W~ AND NOW, ~~f,( j 0p ~ , p~..(i~~ , in consideration of the foregoing Petition, satisfactory proof having been presented be e n IT IS D4d ECR~))EED that Letters>~7}~ /t/ are hereby granted to ~~~ K ~ ~ ~ ~( n (1 (~ 11 i (~~ r in the abcve estate and that the instrument(s) dated ~'cOM b jJ y ~Cj ~CFj• Y _ . described in the Pei ition be admitted to probate and fil ed of recor ill (wind Codicil(s)) f ere FEES dm ~ /~ Letters $ ° ~~ Re ~ g'slei 4it hs~ ~` _ Sh01Y L_'er[I fIGffie(S) ........ $~~~~~ AIIn ITII. Si natUZe: y g ~.~ ~ ~~ Renunciation(s) .......... $ ~~ . _ $ ~6~ Attorney Name: .~~ ~ r ~ K i ~~.,~ .. $ I O. °° Supreme Court LD. No.: ~ ( ~ I iL $ ~ a' $ Address: ~ ~l S (~ra,vv U V ~ .^ ~~ $ t -~-,~ S~; t ~e 1 ~ 3 $ ~ _ C~~ 1rs(e j~„~ 17c~r3 $ Tele hone: p ~I 7- ~3~- 3'~iU(1 $ ' TOTAL .............. $ l3(u `t,m Frt,>,~ Rtv-oz ,~~, m.(i_oa Page 2 oft Sworn to oraffnnedppand subscribed before me the U~ day of - LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fcc for this certi licate, ~`~6.00 I P 15021.920 Certification Number I NIm 1M REV 11/NM ttPE/PRIM IH PERAUlIEM ~~ {{31-425 I This is Ur certiFy that the 4nfornra[iun here given is correctly copied (rum an original Certificate of Dealh duly Illed with me as Local Registrar The originaP certilicatc will be li>nvardcd to [he Slate Vilal Records Office liar permanent Tiling. fa ~~LL4~~ ~~ ~ Local R ~,IStrar Date Issued N O a ~ a ~'3 a~ ~^ C ' r1 3 - _i W ~ mi W +,~-„i COMMONWEALTH OF PENNSYLVANIA• DEPAflTMENT OF HEALTH • VRAL NECORUS~ CORONER'S CERTIFICATE OF DEATH ,~ (See inatraotlona end examples on rwene) siaE PaE rvLxneER I.xmaowoml lRm,alma, wH wHnl Esea as«wswtly rvman a.omaoneb lnaWl, my ae1 g 2008 Robert C Klick Sr. Male 201 _ 16 _ 18gg December ZZ S.Iq ILW eMLLaYI aaHnl a IMWIW 60abaBLllilMa^IR 4e, ]W 1-eM Yle«Me «uqy) Ba.Pb olOClli Cl'eck «q) 82 "°"' °°" "°" ""°' July 31, 1926 Harrisbt]yp PA ~~~ are= _ Yn. 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Laweal Russell D. Klick 302 Pennsylvania Avenue Camp Hill PA 17011 zla. wmaaapymlon I~Cnnw ^p«nli«I nn Dares pmnom lwm,arl. r.ei zlu PlwaUquYmlxma.wiwry owreluiywan„pew) na.LwIIm ICiN/nm. m.aaadel ~ ~ M^m°'"«^a"° % ~ ~a~~~ DDC 31, 2008 I;Vans Cremsticer Service Schaefferstown, PA 17088 ~ µO~ >$ aP wu«nee l« I @a. Laww N,.pn za. rvaW wemmea Pwq Tre z 8 Bowser Funera Home, Inc. t7-013674-L 119 West Ma1n Street Hrmmelstown PA 17036 «F •bm awwg zm. ]o ue Dana .namoxumaad, mN.mrmgaw eNw.lsgremaw m.l rde.lwwe„um°~ zzc Dale sipaa lN«m~aar. w'I IMl eveiYY YHMd Hebb awalagdnnb. • Eyly&,YB mulywn{41M 0/ryn«i P<. TMad Caen ptX. 25. Cab Pnwro]Oatl INLWa, bY.YWI PB. WU Cw flnangbMq[al Fxe~arealCaw/WaPmw Onw bn Cl„reIM «IXreY.n1 "'°H°°^w°'"'~ 4:00 A. m. December 28, 2008 aQW° ^~ G,lU5E 0E OEITN (Eeelml,uclbm nM.ympxl ~ kpmlmab dxvN. Pm tl:EMl«M" r90giMmUw CaAYxaeb0.abP bn n. PN I: EaNH~yyp-JwuM. Yf+bS rtmrytwm-nW hwnl eeuW Va beA. 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LOSwaaNM19raa. oM1 lbrm.rm) /-' ^Sxb ^GW Nab WlnllnwJ ^YU QM ^pMx/C}aN*QPeer'W OPWWW N Cbw 9Peay 3Y CeaW lam WJmel aY.SgWwm 'I I • C.IINwa PnnblenlPlmdanaNryMadwae.m.nen mawwws.+ntr pnvxvnM eean.wwnwleu l.nzJl , ~ Coroner TobbylamY blolenw.Mm«.vlanalabmewygwmnlwu wlLl________________________________ ^ ' ttP~pp iYWtwtllYY ipreaian leHeden Mn PngaW MY1MLw«Wgbaue dEUN) ana.w m nnn Ia W w I wa l m ss ~ dpp p lk.L N~nta~ U]. WI, S4~IIMp1, hY.YW1 ~ r . . E.. Pm n, ., .a., M e ...°..I.I m a.-'-------------- P .m.Wme c December 29, 2008 • xawEamww/ eW. Ontlle W, anenYUlbn W Ix MvWgHPn. F mr a(Yi°n. EW eawH nIM Ww.nab. W p4w,el0ble b M uaWq W ernn u eWi rm N„ ~1fle~~~ 4 aPa9n ~ ~ x. wb PtlM lbaXlnJb: wt 6375 ad i[e N1 1 ~ ~- d - Mechanicsburg, PA 7050 u„°,,,«, P«mn „a. 0316104 • t LAST i~JILL ATdD TESTAT4LNT OF ROEiERT C. I;ZICK I~ ROBL'f?T C. hhICK, of the Township of Silver Spring, County of Cumberland and State of Pennsylvania, being of sound N 0 a.nd disposing mind, memory and understanding, do m pub~ish,_;,_; a ~, and declare this my Last l~fill axid Testament. ~ _ '`Z C!) ~ ~ ~'~ "~ ~~ -p w -~. ,n y Ca ~'~'' i....,/ I direct the payment of all my lust debts and funeral® expenses as soon after my decease as the same can be conveniently done. 2. T Sive, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever tYie same may be situate, to my dear wife, RACHEL C. hZ ICK, absolutely and unconditionally. 3• In the event that my t~rife, RACHEL C. Iff,ICIC, should Y~redecease me, or should she die taithin thirty (30) days from the date of my death, then i.n either of such events, I give, devise and bequeath my entire estate, of whatsoever .nature and wheresoever the same may bo situate, to my ttro (2) sons, to ,ait, RUSS'~~LL D. I~,ICI. and ROBL^'ItT C. I'~LICK, JR., share and share alike, per stirpes. -1- LASTLY, I nominate, constitute and appoint my wife, RACIIEL C. hLICI<, ;±,.cecutrix of this my Last I~Jill and Testament, and in th.e event that my said wife should predecease me, or should she be unable or unwillin to serve in such capacity for any reason, then in such event, I nominat©, constitute and appoint my t~to (2) sons, the aforementioned RUSSELL D. KLICIC and RCBL'RT C. i~LICI~, JR., Co-Executors of this my Last Z^Jill and Testament, in her place and stead, and. in all instances, I direct that my said personal representatives be excused from posting bond or other security for the faithful performance of their duties in any 3urisdiction. II h?I`PIIESS l^IIIERECP, I have hereunto sot my hand and seal this ,~~ day of December, A. D., 199-. (SEAL) -2- Sinned, sealed, published and declared by the above named, nCT_f.~RT C. Iff~ICIC, as and for his Last [Jill and Testament, in the presence of us, tiaho have subscribed our names hereto as ~ai.t.nesses, at the request of said testator, in his presence and in the presence: of each other. -3- •. COMMONWEALTH OF PENNSYLVANIA ) , SS. COUNTY OF CUMBERLAND ) I, Tlv~~'~T C. ZIC.°> the testat Or 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 and Testament; Clrat I signed it willingly; and that I signed it as my free and volun- Cary act and deed, for the purposes therein contained. Sworn and af.finned to and acknowledged before me by ,;, iT/ ~~v''3'R'1' C, iLIC:. the testator this day of December > A. ll. ~ 199.. _.~ i ~-~ ~~ J_ %~~ < ; ~ - 1. r `~ COMMONWEALTHI OF PENNSYLVANIA ) ric': a=' ~ '' '"~~'~ ~y, ~ t , r ti ,~. 'o i<~4/'. SS. - COUNTY OF CUMBERLAND ) '~'Y'~e~~r~,ytvan~~~~~~'~~m~~'a'~`S We, the undersigned, J. ROBIT;T S'TAliI'Fr;F2 and SRIIiA L. L~ri~?Va11CiLI'T _, the witne~s whose names are signed to the attached or foregoing instrument, Bing duly qualified according to law, depose and say that we were present and saw the testat or RCBr`~t^i C. LICi~ sign and exe- cute the instrument as his/k8~ Last Will and Testament; that the said testat or RCBEP~T C, iLICi> executed it as Ir.is~~[ free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testator signed the Will as witnesses; and that to the best of our knowledge, the testat Or was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. Sworn and sub~sc~ibed to before me this ~ 7 / day of December _ 1994. / ~ --. I ~ ,~ ~C -~