HomeMy WebLinkAbout02-09-09"'. A ,'K~..~ ~t
PETITION FOR PROBATE AND GRANT OF LETTERS ~~ ~ ~~
REGISTER OF WILLS OF ~u«O~~ .v ~ COUNTY, PENNS'Y'~VAEN~IA9 PF412~ Q9
Estate of ~/ (/.~4=~~f//yILC ~ ~p~ ~ /
also known as ~ V
Deceased
Petitioner(s), who is/are I8 years of age or older, apply(ies) for:
(COMPLETE A' ar 'B' BELOW:)
File Numbe~~C/~V ~ "a/ I^LL~1,` ( h
CU`R 'riA 1 ~ ` `~,-~-tea
Social Security Number ~ ~~ ^ .Z ~r-~j'
A. Probate and Gran[ of Letters Testamentary and aver that Pe[itioner(s is re the ~il~G-GGC-J~B/L
last Will of the Decedent dated Tr¢Nr /f" ZGCS[ and named in [he
_ --~-_r.. eadic+!{sj.dated_
(J[ate relevant circurrzsfnnces, e.g, renurscintion, death oJexecutor, eteJ
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adapted after execution of the inshument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person yo,. s
^ B. Grant of Letters oC
C/J~applicnble, eneer: et. a.; d. b. n. c. t. a., pendente Lte; durance absentia; durance mmoritatej
Petitioner(s) after a proper search has /have ascertained [hat Decedent left no Will and was survived by the following spouse (if any) and heirs: (!f
Administraeian.ct.a. ordb.n.cta.,enter da[e of Will in SectionAabove and complete list ofheirs.)
(COMPLETE /rV ALL CASES:) Attach/additional sheets ijnecessary. O~
Decedent was domiciled a[ death in L~».O ~ Count Pennsylwan~~ia~with his / er last principal residence at U'3 d
(List scr-eel nddracs. [arvn/city, lownsht ~, caunf 5 1 '
! ) stnte, n'p code) J'-- -y~-~~__.__
Decedent, then ~ years of age, died on 2 '~ f " `h / at ,Si'~,~,Q.t/c ,p ~G
'/ , l7fj ~l?~t,~Zr// L l~CrnC'
Decedent at death owned property with estimated values as Follows: ----77
(If domiciled in PA) A71 personal property S G--- ~ C~'Us G~
(IFnot domiciled in PA) Personal property in Pennsylvania
(!f no[ domiciled in PA) - $
Personal property m County $
Value of real estate in Penrsylvania
pp r~ L' ~+ $
situated as follows e,J~ / 2/~J/KGl i~ `7%~ Cjtf2 uj~ ~Ym /fir //~ / //GY%N~ ^ ,I
Whereloie, Pefitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and [he grant of Letters in the appropriate (orm to/7L
the undersigned:
Si~nauve
T ed or rioted name and residence
rnrnrew-oz rep, lo.ls_ae
Page 1 of 2
'_?l '1~.._,t~~
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Oath of Personal Representatlve
2ti69 FEB -9 PM !Z~ 09
CONIy(ONWF.ALTH OF PENNSY"LVANIA ~ , r, .
SS LLE'`ii'~ v(-
~. ~~,,~ d ORF ~a~ ~:~ ;BURT
(~?? ~ r Y1
COUNTY' OF [ tli'h~~ t'
The Petitioner(s) about-named swear(s) or affirm(a) that the statements in the foregoing Petition ere h~}~Gn1 ~niect~~ the-be f
[he knowledge and bel_ef of Pettioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and tmly
administer the estate according to law.
Sworn to or af5rm and subscribed
befog me the~__, day o.'
fne Register
of Perswml Represenranve
Slynamre of Personal Represenmtive
Siynnrure of Personn(Represenmrive
File Number:_ ~~~ ~~
Es[ate of '~s'G'/~~f~~'~'/~'-' 2~ ~~aw~~- ,Deceased
Social Se~ur/it~y ~N,u/m/bzr: ~8~-~'/Z/ ' 4 y /~9' ~ Date of Death: FG6 ~ 2~~
AND NO~`y~~~t- 1 / Q7O~ in consideration of the foregoing Petition, satisfactory proof
'~Ls 7~ry, G ~ r~2ct
having been presen[ed before me, I DECREED that Letters
are hereby granted to __ ~G'- ~ f~ ~~ L"' ' ~ 2G W~ -
and that the instrument(s) dated ~~^~ ~-<<~~
described in the Petition be admitted to probate and filed o
FEES ~
~~~
Letters $
$~
Shor[ Certificate(s) ....... .
Renunciation(s) ......... . $
~. / ~
$ , ~
$ ~
_ - cc $
. . $
$
_ $
$
'TOTAL ............ .. $ '
>_!i
Will
in the abo~re estate
~- - Reyisrer~j~of W}lls~~
~~ u
Attorney Signature:
Attorney Name:
~~~~
Supreme Court LD. No.:
,1 !N. ~~y`/S'T .
Address: ~j
*~
Telephone: ~~~ ~~7~ _> ~~/-
Page 'L of 2
r-orrrrR4v-a: ~~~ lo_ljoa
OCAL REGISTRAR'S CERTIFICATION OF DEATH ~ I J~5
WARNING: It is illegal to duplicate this copy by photostat or photograph.
fee for this certificate. X6.(10
P 1509396.7_
Certification Number
nos+aa eEV nrzuos
ttF£I PflINI IN
PEPIMNEM
&ACN INX
This is to certify that the inPormation here given iv
correctly copied t}ont an original Certificate of Death
duly filed with me .IS Local Registrar. The original
certificate will he forwarded to the Slate Vital
7~'~R~~ecords Office for permanent filing.
`--~'O`'~~ ~-~~~o~'FE~' 2 2009
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Inetructlone and exemplea on reverse)
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STATE FILE NUMBEfl
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I, JOSEPHINE R. BROWN, of the Borough of Carlisle, Cumb~r~~d~our~, --
p-~ .. -~
Pennsylvania, declare this to be my last will and revoke any will previously made by me. ~
I. I give, devise and bequeath all of my estate of every nature and wherever situate to
my son, FORREST L. BROWN, providing he shall survive me by thirty days.
II. Should Forrest L. Brown predecease or fail to survive me by thirty days, I give,
devise and bequeath all of my estate of every nature and wherever situate to my sister,
CONSTANCE E. HILL and my brother, WILLIAM B. BROWN, in equal shares, or to the
survivor of them living on the thirty-first day following my death.
III. All federal, state and other death taxes payable because of my death, with respect
to the property forming my gross estate for tax purposes, whether or not passing under this
will, including any interest or penalty imposed in connection with such tax, shall be considered a
part of the expense of the administration of my estate and shall be paid out of the principal of my
estate without apportionment or right of reimbursement.
IV. I appoint my son, FORREST L. BROWN, executor of this my last will. Should
my son fail to qualify or cease to act as executor, I appoint my friend, CHARLES E. HALL,
JR., as executor of this my last will.
V. I direct that my executor or his successor shall not be required to give bond for the
7' _._
faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~,~
of J.y~93:~ 2OO y,
7~ 7+~ (SEAL)
JOS PHINE R. BROWN
The preceding instrument, consisting of this and one other typewritten page identified by
the signature of the testatrix, JOSEPHINE R. BROWN, was on the day and date thereof signed,
published and declared by JOSEPHINE R. BROWN, the testatrix therein named, as and for her
last will, in the presence of us, who, at her request, in her presence, and in the presence of each
other have subscribed our names as witnesses hereto.
~~ ~ ..~
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/OS'G /~J~/ rs7`csiq/ /~
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N_
OATH OF SUBSCRIBING `VITNESS(ES) `~ ~ =° ~~
m
t c~ a~ '::
REGIS/TER OF WII.LS n ~ ~'
C ~ //~ivd n~
rL~7 ~~ COUNTY, PENNSYLVANIA 7r- "° ,~
;.) ~ N '.,,..~
- --1 r
___- ~
W
` "' " ~ " ,Deceased
(Prm[nanee%•~ , (each) a subscribing witness to
the Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) Chat she 1~ they wa were present and saw the above Tes.,~_ /Testatrix sign the same
and that ~e~/ he /they signed the same and that s e / he~they signed as a witness at the re uest of
the T~st~ator /Testatrix in ~her~/ is presence and in the presence of each other. r
Estate of
_~ //// ~
(Signalm~eJ
(Slree( Addrus)
rc«,,. ware. zv~
Executed in Register's Office
Sworn to or affirme and subscribed
befor me this ~~ day
o ~ e ,~?UO~
(Signature) - ~/~ - -
~~ ~ 0 may/ `~ L /-S'.y`-~'~-r~~G~ /G~t
(Street Address)
(C(ry, stare, ZtV1
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Notary Public
My Commission Expires:
(Signature and Seel of Notary or other official qualified to
administer oaths. Show dale of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized [o administer oaths. Please have present the original or copy oC instmment(s) at time of notarization.
Forne RW-03 rev. 10.1?.O6
O° ~- /~~-
OATH OF NON-SUBSCRIBING ~VITNESS(~~
?=IJ
/ RE ISTER OF WILLS ~ vf~
CGc~i,~ar/i~,~ ~ m
COUNTY, PENNSYLVANIA
'c ~~-,
?U`
Estate of ~~5~"~'l~/N C }~, ,~ ~2p,GV.~
_~'O~/Z~~s'J-1 ~~'~E~Cvti and
1~
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Ci
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m -'
a ~,
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~ r
~o ' -,
~ ~ , __>
,'
s ,r
tV ,. ',
O ,'';__
~ ,.r
_, Deceased
(each) being duly qualifted according to law, depose(s) and say(s) that sh / he they ~a~/ were well-
acquainted with ~as~~ ~.r.~- r2 ~~~2.~ w„v
an~a~are familiarq
with the handwriting and signature of the decedent, and that the signature of J'os~. ~~ -~%~- <"2 /Si~~r^"~
to the foregoing instrument purporting to be the Last Will and Testament/Se~ei}of / os~ .,-~C- v~ ~_
Y`-~`w ~' is in hi er wn proper handwriting
(Sh~ee(Address)
(Gq. Smn, Lrp)
Execrated in Register's Office
Sworn to or affirmed,and~ubscribed
before n this ((77~~'~ day
o ~~
4
~,
eputy or is[ of Wills
!'
~d'ignnmr e~~~' ~-----
/1 `/ .~ fizig ti i~c.,.~ -ST,
(Street Address)
C'~iLUl ~, ~~ i ~G/ 3
(Crt~~, State, LiP)
ForrnRW-04 rrv. /0./9.06