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HomeMy WebLinkAbout02-27-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMRERI OND COUNTY, PENNSYLVANIA Estate of nnRnrl-1v M e1 gERT File Number ~ i ~ ~~ ~ Q ~ ~s also known as Deceased Social Security Number 167-34-0890 Petitioner(s), who is/aze 18 yeazs of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW.) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXECUTOR named in the last Will of the Decedent dated 11 /29/2007 and codicil(s) dated NONE (State relevant circumstances, e.g., renunciation, death of executor, etc.J Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration (If applicable, enter.• c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritate) Petitioner(s) after a proper seazch has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (!f Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) Decedent, then 85 yeazs of age, died on 2/20/2009 at GOLDEN LIVING CENTER 46 ERFORD ROAD CAMP HILL PA 17011 Decedent at death owned properly with estimated values as follows: (If domiciled in PA) All personal property $ 4.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ 44.000.00 364 COFFEETOWN ROAD, DILLSBURG, YORK COUNTY, PA 17019 situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: /~ ~~ Signature Typed or printed name and residence I ROBERT D. ALBERT Page 1 of 2 Form RW-02 rev. 10.13.06 (COMPLETE lNALL CASES:) Attach additional sheets if necessary. ~~~ CIt Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal residence at GOLDEN ~ itnur_ rra as ~aGnRn Rn CAMP HILL PA 17011 E. PENNSBORO TOWNSHIP (List street address, town city, township, county, state, zip code) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF r~~NIBERt AND ' '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, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed ~~ ~~"~ . Signature of Personal Representative before me the day of ,G~- Signature of Personal Representative r- <_' For the Register Signature of Personal Representative "•''' i~~ ~ ~ ~ ] ....} 7~h ~... ~1-D9-C~14~ coo-~: File Number: ~~ ~ _ _~ --{ -~ Estate of nnRnTNV iu ei BERT , De~ased Social Security Number: ~ ~7-8a_n890 Date of Death: 2I2n/2009 AND NOW, ~ ~~ , 2009 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS DECREED that Letters TFSTeMFr`1TARY are hereby granted to onncor n w~ gERT in the above estate and that the instrument(s) dated "t'Ol07 described in the Petition be admitted to probate and filed of record as the last W' (and Codici s)) of Decedent. FEES Letters ............................. Short Certificate(s) •••••••••••• Renunciation(s) •••••••••••••••• ~ 9..)..~ ~ Q .... ~ ~ ~ .... ~U.`~DIYIiCi'~" l 6Y1 .... $ ~O •c~ $ ,t~~ $ 1 ~_ ~~ $ zc ~, c~ $ ~ . c~17 .... $ .... $ .... $ TOTAL ................... .... $ .... $ .... $ Register of Wills Attorney Signature: Attorney Name: Supreme Court I.D. No.: 24849 Address: ~a EAST !~!!AIN STREET Telephone: 717-697-4650 Form RW-02 rev. 10.13.06 Page 2 of 2 IIIO~.~~US KI A "I n LOCAL REGISTRAR'S CERTIF~'ICATION OF DEATH WARNING: It is illegal to duplicate this cop} by photostat or photograph. Fee tier this certificate. `~(~.(11) ~~ 1.~2~0740 Certificati~in '~lumb~cr ~rn~s ~~ <<~ ~~~t~fy I~,aI she inronna,ion here ~~~~~en ~~ ; correctly c~~picd fr~nn an ~~ri~~inal Certificate of I)ead~ ~ i= duly tllf'.d ~A'lIh nle aS I_OCaI {Ze~.'_IS(rar. The Orl~?II1111 _ z certificate will be f<~r~~~ar~le~3 t~~ the State Vital n~ Rer<~rds (.)Bice tier permanent filing. \ r,~~'' ~~~ ~~ 3 09 L~~cal Reglstt~ l1a~t~ Issued ~. © ~„~ _~ ~ ~ ~ -- i i - ' ~ N - ~ TJ - J , ^ ,`'C - _ 's ~ C . ~. t: ,~ ~i ~~ ~- ~ -~ .. D W CT1 CpIEM1pNVYEALTH OF PEN CERTIFICATE OF DEATFI ~ HEJ1lTH • VITAL RECpRp! N16-6gliEY 11[706 MElPIOlf N 4TATE iLE MIR.lEII PEP1WEMf (a6~ IwstneetfeM MI/ ~~b M Pl91NNI aVd. N[ rt Female 167 - 34 - 0890 February 20, 2009 -- - U.v ww - ~ ter ¢ v MA+r o~ 65 ws da,n Cumberland fi. Pennsboro T ud dyer et •rnr rar p•6 r Nurses Aid Health Care w•. 46 Erford Rd. Carp Hill, PA 17011 Chester Elicker Mr. Robert D. Albert 4 ° aEs Y ~ .Jun 2'!,1923 Adams Co., PA °~rrer ^euow.nr oa "'"" ~~~'° ""'~ , d~ +M+w++M dA• 6b Yn f~/ P>r.~Mrerr. Nhite r.r~.-w-wa,w1 _ 6Jp. Golden Living Center ~~ ~ ~ ~_ s ew,bb~ u.x,~.wroe.+ +~ ~ w pldo++ed pra. QqM° u.r~ ~ ~,~d~1iii6i East Pennsboro 7+rp. A- ~.~,wa,rwn: srr PA A.wr-~ 1i0'Q'~ru~.r.~'~'~ m. cti.•v Cumberland ~~~ Annie Kuhns r 500 Andersontown Road Mechanicsburg, PA 17055- e Ipudm..+b•NwdwnbN.errl7v a~. Fai tw. ~Ae•t~M/r.Adlr.draM LL D~bddY•db•Mb~b~dE.6+0 Dillsburg, PA 1?014 i1i~°re.°iq FeDrua ry 25, 2009 Cemete liosd wM.ww :a. Ib•rfMAMn~diaWry ..~iiy .~iurutz` Dine, ..~itG n~ ~.aCtif -I. 30 N. Chestnut Street, Dillsburg, PA 17019 .-..,.-......~~. °~"•~•~,•..~. x ar.do.w~ n. ar,n•rr•°uoe.~re..w~.,.., rwus.ewc.Arwrr+w February 20, 2009 12:37 P M °r•' ~ .wa..erwnbt.n m a6w~ssu.a,rd.rosT e +~ .~.r+r,+r+~ wrbYCO•r •n0 pw~pMS) rOA-~~~•~6MEr0.00WTMrberdwntlN~wodt ww4 .. : µo,,.;,,rrr»s r,~lEe.urfr . er r,w6r6+wwM~7,aw0+•6+asu. ^"~ 0^'o1a' : OnnlbOn! Q~ ~s rII./MT[ Er,M~ O°~ ~.~r6 dww6Mdr~b. ~idwi4obuw a eIQ Nr. ' .6~.~aaulE vu.aw•»w ~/~2UA>r~r+A- Of G~cdv a.,r,,.wuor~rl -~ • 2R Er~M ~~ErErrld6YNd/r ©aT~stdr.aw oubpsanr;.pwoNl: ~Megw6+rtMrM•M+~"Qb' y~igtw~!•Ri•rr. \ byreotiFMaeMt Orer hrn>or•Mwn••R Gi11E yipRwM d~ bl Ne~ tIM6~r<O~ 7~ ^ ~ M~ M~ wwarr7rArI6LST• ~ Oar Mw•arM~»dk d Urr~w EOw+r#MwNr1~w ~ . fa ~ri.l-x~ E wdE~c ~. w. ow,.n'iwM~.rv.~+rl Is. orew~.rl.ro~..~ ~r+- ' _ 7M. NSSM4q 70a 11wAM~t~rr• r• Nwr dD•~ p~.•I r+r-rarc«d~+ ~d °h,.+,r. T ~ nqu.radMr7fs~W/enwr~l rde. - dCwMdDesb y~,r,irap ^+~» ^..M.+ JM.ArdMIM) ws~ pw,.rar+. a-,.N- ^r.~rw - ~.. q«. p... °+ ^e.r« ^owbw.~e~o.r~.d M ° ~-°~ oor„-,~.. d _ y~b~p~ryrrr}troo~d~l./raa,MM~R~1sPrr~•~ •AM'~IE7~_i+~,~r~,~b~ervrfwbMUryigarAwrw s+rM____-_____________________ ~ .....,w+«~.r~.nr+u..r~.a.r.,.e+a.~.r.ra+,.pw.do~.o ---- M4~•~M•e-wdMYMrswlgMMww•c Md___-____- 6dMNr~ --- 2-23^04 OS~s '~(~-,. . AMMIIa-YwM44d~d6e~ • ~dgrwyrlfCMMr' yrMwA wr.rn.•w.M '.r 6rMar ~ .a d ,Q . ~ ~ ~~ ~ . . bErw+.....bu. wrfwbwAyr•~r ~fy;•r,~w~axww GREG R. EHGAFITPIEER, xwwrransdrrn+6~'w,w I C) I Q I p ' ' 890 Pppl3t (]ruck ROS'~d, Can-p IgD. PA 17011 ~ LIIi -=- - rr~ i ~~ ~~~ Of Dorothy M. Albert I, Dorothy M. Albert, a resident of the Township of Franklin, County of York, and Commonwealth of Pennsylvania, being of sound and disposing mind and memory and over the age of eighteen (18), and not being actuated by any duress, menace, fraud, mistake, or undue influence, do make, publish, and declare this to be my last Will, hereby expressly revoking all Wills and Codicils previously made by me. L EXECUTOR: I appoint my son, Robert D. Albert, as Executor of this my Last Will and Testament and provide if this Executor is unable or unwilling to serve then I appoint my son, Ronald L. Albert, as alternate Executor. My Executor shall be authorized to carry out all provisions of this Will and pay my just debts, obligations and funeral expenses. II. ACKNOWLEDGMENT OF CHILDREN: I have the following children, and all references to "children" in my Last Will and Testament refer to the named following: Name: Ronald. L Albert Date of Birth: April 18, 1941 Name: Robert D. Albert Date of Birth: Apri121, 1943 Name: Barbara A. Reffner Date of Birth: July 3, 1946 Name: Barry R. Albert Date of Birth: December 5, 1950 Name: Rick S. Albert Date of Birth: November 14, 1959 III. BEQUESTS: I will, give, and bequeath unto the persons named below, if he or she survives me, the Property described below: Name: ,~/zlzy' ~L/~~Q.~ Address: Relationship: .~j Property: C~~IV C'R(~/NE7". C02~ LAb~/l.(ET (~U.Q/~ Name: ,~.l~lhE2T- .QL/~,e~r Address: Relationship: p n/ Property: /h,%uJEi2 ?QA/°Z'Q,P ~ Q~ Name: Address: Relationship: Property: Name: Address: _ Relationship: Property: If a named beneficiary to this Will predeceases me, the bequest to such person shall lapse, and the property shall pass under the other provisions of this Will. If I do not possess or own any property listed above on the date of my death, the bequest of that property shall lapse. IV. ALL REMAINING PROPERTY; RESIDUARY CLAUSE: I give, devise, and bequeath all of the rest, residue, and remainder of my estate, of whatever kind and character, and wherever located, to my children per stirpes, but if any child predeceases me, then his or her share will pass equally as part of the shares of my other named children. V. WAIVER OF BOND, INVENTORY, ACCOUNTING, REPORTING AND APPROVAL: My Executor and alternate Executor shall serve without any bond, and I hereby waive the necessity of preparing or filing any inventory, accounting, appraisal, reporting, approvals or final appraisement of my estate. I direct that no expert appraisal be made of my estate unless required by law. -t3-- ~O ;~ ~ -.~, ~ rn-. ~ co , .E rn N - ~-3. ~`~ 3 ~ ~- -r "i .. tJ CI7 ~' VI. SEVERABILITY AND SURVIVAL: If any part of this Will is declared invalid, illegal, or inoperative for any reason, it is my intent that the remaining parts shall be effective and fully operative, and that any Court so interpreting this Will and any provision in it construe in favor of survival. IN WITNESS WHEREOF, I, Dorothy M. Albert, hereby set my hand to this last Will, on this ~,[ / day of N o ~~~~2007 . s~~~/ [Signature] ~Jo,2oTNy' 3 ~ ~ ~D`~~~T~L(~ll/ /'C~) . [Address of Testator, Line 1] ~/ L L ~ ,bUle Gi ~ ~ 7~ ~ q [Address of Testator, Line 2] WITNESSES The foregoing instrument, consisting of two (2) pages, including this page, was signed in our presence by Dorothy M. Albert and declared her to be her last Will. We, at the request and in the presence of her and in the presence of each other, have subscribed our names belov~ as witnesses. We declare that we are of sound mind and of the proper age to witness a will, that to the best of our knowledge the testator is of the age of majority, or is otherwise legally competent to make a will, and appears of sound mind and under no undue influence or constraint. Under penalty of perjury, we declare these statements are true and correct on this ~_ day of ~) G y~ ~ ~~ , 2007 at .~ % L ~. S /3 UQ t i ~ ~~ ~ 7 Commonwealth of Pennsylvania. ' r [Signature of Witness #1] L ~~~ J ~ . ~G CK~~ [Printed or typed name of Witness #1] ~ ( ~ L~ ~IQ~~' ddress of Witness #l, Line I] ~( LLS ~(f ~ ~~ ~ ~~~ ~ [Address of Witness #1, Line 2] ~~1~ ~ ~,~~~~~ [Signature of Witness #2] L • ~=L~C~=-~~ [Printed or typed name of Witness #2] ~`~ t~j/-~/.$~ ~2 /l~y 5 ..ddress of Witness #2, Line 1] ~~ LL S /~'V Q ~ ~ 7Q ~ ~ [Address of Witness #2, Line 2] M ` A ` ~EQT [Printed or typed name of Testator] OATH OF SUBSCRIBING WITNESS(ES) ~ Q REGISTER OF WILLS ~;~ r~i ~ [:IIMBFRI oND COUNTY, PENNSYLVANIA ~~ ~=° rn __ ,;, , ~ir ~~..~ -- .. ~ ~7 ~.~ C - -- Estate of ~oROTHY M ALBERT ca Deceased =r.~ie ~ _~ ~~`~co ^~a ERMA L. ELIGKER , (each a subscribing witness to (Print Names) the ^X Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same and that she / he /they signed the same and that she / he /they signed as a witness at the request of the Testator /Testatrix in her /his presence and in the presence of each other. ~ j; 7 i' (Signature) (Signature) (17 WHISKEY SPRING ROAD (Street Address) nu i cRI~RG PA 17019 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed -~.- before me this ~~ day of ~~ ~U. D pu for Re ister of Wills 9f17 WHISKEY SPRING ROAD (Street Address) nll I SRIIRG PA 17019 (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this day of~ . Notary Public My Commission Expires: (Signature and Seal of Notary 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