HomeMy WebLinkAbout03-05-09i'
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~A~m~/C.~.~G~ COLINT~', PENNSYLVANIA
Estate of 771 C~ M Q.S+ 1->f - ~n_/(.c.lG~ File Number _ ~ ~ - ~ ^ ~~ ~~
also known as
,Deceased Social Security Number ~ I~j . 3~_ C~,~/~
.~(~~ n ~MO~: 2. Al ~-cx C1
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
_ ~xeC,~ fs1 s.~ .
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / aze the ~~i )~t1~- Q/; Q ~~Ci'1~named in the
last Will of the Decedent dated y • a~ -~-`-( and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted afi;er 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.; pendence life; durance absentia; durance minoritate) o
n o
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following (if any) ~d heir
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ ~~ ~ A~
:~ ~ r--
Name _ Relationship Residt~ic`e; ~? U t 't's i:.;~l
- --I f V ~ r"7.1
/(COMPLETE INALL CASES:) Attach additional sheets ijnecessary.
Decedent was domiciled at death in County, Pennsylvania with his /her last principal residence at
c~`;'*~~c ~,. iJr CGtr.~ ~,1,It A 1^tf~ l l
(List street address, town city, township, county, state, yip code)
Decedent, then ~_ yeazs of age, died on ~. - r7-$ ~ (~ at ~-11Ca,(' c i ~3 ~i 1~ (,~}~-CYS ~ ' ~C~,
Decedent at death owned property with estimated values as follows: ~ ~ t Q~
(If domiciled in PA) All personal property $ ~j
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 1(~l Q+~~~
situated as follows: O i1i. 4.w ~ 4 •~- ~1 r1 ~~4_.. "It ,Cl
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 4ndersigned:
Si afore T d or rinted name and residence
.~-
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Form RW-02 rev. 10.13.06 Page 1 of 2
RW-02
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
'nn ~n I n'n ,~~ SS
COUNTY OF ~ ,~/I,A Y UI~)P~`l~-1' lL'~-
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
before me the ~ day of
F the Register
Signature o Personal Representative
Signature of Personal Representative o
C7 0
Signature of Personal Representative
File Number: oG ~ -V`~ " (JOS ~ ~ ~
_ ~
Estate of
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Deceased
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W
Social Security Number: 1 d ~ ' 3 ~ "'~ ~ ~~ ~ Date of Death: o~- ~ ~ 1~ ~~
AND NOW, ~~ ~~ ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before m , IT IS DECREED that Letters ~Q~ QVh etil ~~~_
are hereby granted to
in the above estate
and that the instrument(s) dated ~ "02 ~ ' q
described in the Petition be admitted to probate and filed of record as the last Will (and Codici:l(s)) of Decedent.
FEES
Letters ............... $ ,
Short Certificate(s) ........ $ . ~~
Renunciation(s) .......... $
... $
... $
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $ ~0
Register of Wills
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-02 rev. 10.13.06 Page 2 of 2
RW-02
i'r5.;:r,c ;Ztti nr';r-, ~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
~~ 15187638
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly fi-led with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
~ MI(R 0 ~?p~,g
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Local Registrar Date Issued
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3 REV 11/2006 COMMONWEALTH OF PENNSYLVANIA • DEPORTMENT OF HEALTH • VITAL RECORDS ~
(PRINT IN
+~"E"T CERTIFICAI F DEATH
ACK INK (See instructions and examples on reverse)
ESTATE FILE NUMBER
1. Name d Deceaent (Firw, mMdle, IesL sulfa) 2. Sex 3. Social Seuudy Number 4. Date of Death (Month, tley, year)
Thotsas H. Snyder Male 181 - 32.x-4811 Februar 2 7
5. Age (law 81rMtlay) Under t ar Untler 1 da 8. Date d Birth (MOnm, day, year) 7. Bwhplece ICi and stele or fore country) 8a. Place d DuM (Check only one)
75 Monms 0.ys "°"" xrwtas Hwpilel' omen.
vrs. Oct. 30, 1933 Berrysburg, PA npanem ^ERl Outpatient ^DOA ^NUrEirlg HOme ^Residence ^Other Speciry.
BD. Count' d DuM &. Ciry, Boro, Twp. of Deam 6d. FealOy Neme QI not mslFUlim, gWe wrul and number) 9. Was Decedent d His(~enic Origin? ~ No ^ Yes t 0. Rare. American Intlian, 81ack, Whlle, etc.
Qf yu, epeciry Cuban, tSpedlyf
Dau hin Harrisbur Harrisbur Hos its Maxken,PUerloRican,etc.) White
11. DecaderY's Usual Kind d work acne rtpsl d We. Do rid elate 12. Was Decedent ever n Me 13. Dacedem's Etlucatbn (speary only highest Bede compMedJ 14. Madlal Eitlllpa: Marred, Never Married, 15. Surviving Spouse (lf woe, give maiden name)
IOritl of Work Kntl d Business / IMUSby U.S. Armed Forcea7 Ebmentary / Secondary (P12) College (1-d or 5.1 VJWowed, Divorced (Speaiy)
Toll Collector a ^Vea Na Widowed
t6. DeceaenYS MaiFng Address (Brew, dry /town, state, zip code)
1931 Chatham Dr Decedent's Di0 Decedent
Adual Residerww t7e. seta Pennsylvania live trio t7c~]YU
Decedent LNed in T.OS:Ter ,411Pn T
.
Camp Hi 11, PA 17 011 ,
wp.
Cumberland TowmMp? na.^Na, Deceaeol Lroea w4hm
t ~ D«'^ry
Adual Limits of Ciry / fbro
16. FetMr's Name (Flrsi middle, lest, wflix) 19. Moltar's Name (First, middle, meiaen surname)
Eu ens Sn der
20a. InNnnanYs Name (Type / Pnnq 20b. Idorment's McFing AtlMess (Stree6 city! tarn, ware, bD wde
1
2020 Powderhorn Rd., Middletown, PA 17057
21 a. MaMOa d Dispowlien ^ Cremaom ^ Donation 21b. Date d DispowFon (Marsh, tley, year) 21c. PNce of Dlsposilion (Name of cemetery, memerory or other Itlecel 21tl. Location (Ciry t sown, stale, zip code)
® Bunel ^ RemaveltromSmte NhsCramatlanarllarutbnaathod:ea
^ March 4, 2009 Rolling Green Memorial 1?ark Lower Allen Tw
PA 17 011
Other - Specxy: i by xedleal Examiner 1 Coronar7 ^ yes ^ No P • r
22a. ~ F (a person acting u such) 22b. License Number 22c Name and AdMass d Facalry
~ FS 012 8 L
Complete Gans when certNying 23a. To me bell of my knowledge, deem attuned at tlta Nme, tlele aM place stated. (SpnaNre aM title) 23b. Liceme Numt~er 23c. Date Signed (Month, tley, year)
physipen B not at tare of death m
oM6y cause of deem.
aenu 24,26 real ce completed by person 24. Time of Death 25. Date Praqurcatl De
a
a (Month, tley, year) 26. Was Case Referred to Meaicel Examiner /Coroner for a Reason Other than Cremation or Donation
wM promuras death. A M. ((~~
l
~,
~ Y ~,~' `~~ Z lJ~ ^Ves ^ No
CAUSE OF DEATH (Sa4f inatruMlona amt axampba) t Approximate Inlervel: Pad II: Enter Omere~lif5ant cakiuons cane buana to death, 26. Did Tobacco Use Contribute to Deem?
Item 27. Pan I'. Enter me drmn d events - dixases, kryuriu, a canplicetions - Thal tlirectly caused the deem. DO NOT enter terminal events such as cardiac anesl, t Onset ro DeaM but rid revelling ro the undariying cause given in Patt 1. ^ Vas ^ Probably
respxalaY arrest, or ventricular ftbraWfon wAlaul showing Me etiology List only one cause on each Ikg. t
t
I
IMMEdATE CAUSE (Fi
l di
^ No ^ Unkrwwn
nia
sease a
cartdsron resulting kt deem)
S F
P S I S i
29. II Female.
_~ a,
_ ^
Due b (or as a cansequertce op'. i Nol pregnant wimin pall year
Sequentlwry Wst coMilions, II any, b, ~
baArp ro tM cecee brae on Fns s ^ Pregnant al time of tleam
. Due m (or as a cons uence o
Emer 6e UNDFALMING CAUSE alt Q: ~
^ Not pregnant, but pregnant wimin d2 tlays
(6sa~ ~a~ryW tf~~Natetl me t r
)LAST of death
Due to for as a wnsequerrce e~: i ^ Nol pregnant, but pregnant 43 tlays to 1 year
d~ r belore deem
^ Unknown II pregnant witAln the pall year
30a. Was an AWOpey
Peno
nM? 306. Were Amopsy Fmd'ugs
A
il
bk Pri
C 31. Manner d Deets 32e. Dale d Injury (MOmh, tley, year) 32b. DesaXle How Injury Oceurred 32c. Place al Injury: Home, Farm, Sueet. Factory,
n va
e
or to
ompletion
oral ^ Homicide Otlice Building, etc (Spenly)
of Cause d DeaM?
^ Vas Id ^O ^ Yae [~'No ^ Accident ^ PeaFrg Invesdyelion 32d. Time of Injury 32e. Injuy al WorN? 321. If Trerepatation Inlury (Spedly) 32g. Location d Injury (Steel, city I rown, slate)
^ Suk:itle ^ Couro Not be Delermiriad ^ yes ^ No ^ DrNer /Operator ^ Pasurger ^ Puewrun
M omen ~ Spea'ry:
33a. Cemrier (duck onry one) 330. sprat de of Cettrfier
/
• Carllfyhg phyaklxn (Physician certlryirp cause d Beam wMn amUlar physk:ian has prandxced deem aM mmpbted Ikm 23) ~
To tlu bawd myluwwYdge,duM Oeelmad due to Nre eauae(s)and manneru eMad„________________________________
' PronouncFg and aMNyktg phyeklen (Pfiysidan bdn pronaxtdrg tleeM and cenilyag ro ceue d deeM)
To the best d my knowkdye, death accurrW w the Nme, dare, arts pNce, aM due b Me rsuu(q and manner es antea
_
_
_
_ ^ 33c. 33tl. Date ~ ( m. daY. Year)
_ _ _ _ _ _ _ _
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• kMdkel Examner I Coroner // 3 /~ [~
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On the bssla d
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on, In my oplnlon, daaM occurred w the tlme, data, end plan, and due to the cauee(a) aM manner u etwad_ 31. Name end ss of Peron FMO Can xa ease of Deam {Item 27
)
T
ype I Print
35. Regiw ignaWre aM ug~a[/ 7
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/ 36. Date Filed IMOnm, day, Year) ,,
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~ Disposition Permit No. ~~~ 2~ 4Q
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OF ;~ ~
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THOMAS H. SNYDER
;. ~;n c~
__
I, THOMAS H. SNYDER, of Lower Allen Township, Cumberland Catp,? ~
~ ~--i N
~
Pennsylvania, being of sound and disposing mind, memory and understanding, do makes
publish and declare this to be my Last Will and Testament hereby revoking all other Wills
and Codicils by me at any time heretofore made.
ITEM I: I direct that all of my just debts and currently due debts and
funeral expenses shall be paid from my estate as soon as practicable after my decease as a
part of the expense of the administration of my estate.
ITEM II: I give, devise and bequeath my entire estate, whether real or
personal, or wheresoever the same may be situate or located, to my wife, PATRICIA
JANE SNYDER, if she survives me. In the event that my wife, PATRICIA JANE
SNYDEP., should predecease me, then I dispose of my estate as follows:
(A) I give and bequeath the sum of Five Thousand
($5,000.00) Dollars to each of my grandchildren listed hereinafter and to any afterborn
grandchildren, namely, ASHLEY RAE BANKS, SARAH ELIZABETH SNYDER,
BRANDI LEE SPENCE and ANTHONY JOHN GARNER. The foregoing bequest to
my grandchildren shall be placed in an interest bearing sequestered account not to be
withdrawn until each grandchild attains the age of twenty-one (21) years.
(B) I give, devise and bequeath all of the rest, residue and
remainder of my estate; whether real or personal, or wheresoever the same maybe situate
or located, in equal shares, to my son and stepchildren, namely, MICHAEL THOMAS
SNYDER, RAYMOND WILLIAM SPENCE, BRUCE ALLEN SPENCE, RAE ANN
BANKS and JoANN MARIE ALFORD, per stirpes.
ITEM III: I nominate, constitute and appoint my wife, PATRICIA JANE
_~{
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SNYDER, as Executrix of this my Last Will and Testament. In the event that she is
unable or unwilling to serve in this capacity, then I nominate, constitute and appoint my
stepdaughters, RAE ANN BANKS and JoANN MARIE ALFORD, as Co-Executors of
this my Last Will and Testament.
ITEM IV: It is hereby directed that my Executrix shall pay all
inheritance, estate, succession and legacy taxes to which my estate for the transfer of any
property hereunder maybe subject, and to charge such taxes as a part of the expense of
the administration, payable out of my residuary estate.
ITEM V: I direct that no Executrix or other fiduciary named, nominated
or appointed in this my Last Will and Testament shall be required to post any bond or
give any security of any type for any purpose whatsoever, any law or rule of the Court of
the Commonwealth of Pennsylvania or any other jurisdiction to the contrary
notwithstanding.
Il~T WITNESS WHEREOF, I have hereunto set my hand and seal this ~' ~~lay
of April, 1997. a.---.
~, ~~
Thomas H. Snyder ~
Signed, sealed, published and declared by the said Thomas H. Snyder, the above
named Testat , as and for his Last Will and Testament, in the presence of us, who at his
request m his presence and in a presence of each other, all being present at~}e
same e, have hereunto subsc~ed our names as witnesses hex7eto. / ,~" 1
Residing
~(,~'
S ~ --_.__.~_._- Residing _ ~'' l-'~ ` '~~~'~~ _-~~Y ------
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
I, THOMAS H. SNYDER, Francis A. Zulli and Wendy S. Paul, the Testator and
the witnesses respectively, whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do hereby declare to the undersigned
authority that we were present and saw Testator sign and execute the instrument as his
Last Will, that he signed willingly (or willingly directed another to sign for him), and that
he executed it as his free and voluntary act for the purposes therein. expressed; that each
of the witnesses, in the presence and hearing of the Testator signed the Will as witnesses;
and that to the best of our knowledge the Testator was at that time eighteen (18) or more
years of age, of sound mind and under no constraint or undue influence, and I, the said
Testator, do hereby acknowledge that I signed and executed the instrument as my Last
Will and Testament, that I signed it willingly, and that I signed it as my free and
voluntary act for the purposes therein expressed.
~-
TATOR
S
n~
WITNESS
Subscribed, sworn to and
acknowledged before me by
Thomas H. Snyder, the Testator,
and subscribed and sworn to
before me by Francis A. Zulli
and Wendy S. Paul .
witnesses, this ~~~c~+ ay of
April, 1997.
Notary Pu, 'c
{~ NOTARIAL SEAL
ANN J. LONG, Notary Public
CIry of Harrisburg, Dauphin County
iJy Commission Expires Oct. 30,1999
RENUNCIATION
/~ REGISTER OF WILLS
~tt-'Y1~Q,rlQnd COUNTY, PENNSYLVANIA ~p ~ -~.~
r~rt=C7 :0 Lea ~''~?
Ua ~7 C11 ~ ~ _..t
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Estate of '~~~,,,,,,~~ ~ S ~~~~ ~ yDeceasecl
w
I, ~~-~R~~ ~'~=~'~`~-~ , in my capacity/relationship as
(Print Name)
~ ~ ~X ~~ ~ ~-~ of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~ 3 -~'- og
(Date)
~~ ~ o~~~
(Signature)
(StreetAddress)
Cc~s~r~ ,~~.1/ ~'/~ f dal/
(City, State, rp)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
of
day
Deputy for Register of Wills
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes te~ on this _ ~~ day
of ,
P ~-~
Notary Public
My Commission Expires: l/s//Q
(Signatwe and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06 RW-O6