HomeMy WebLinkAbout03-20-09~.
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF,~ {~~.~: (' ~ ~~~~ COUNTY, PENNSYLVANIA
Estate of -.L-t~ ~IrA r-' , ~ ~~~ (~~ ~ `1
File Number-~' -~~~ - V~~
also known as S-r iC ~ ~= Yt ~~ ~,~ 2;)"
Deceased Social Security Number ~) ~ - ~ ~ -~,~ ~n
Petitioner(s), who is/are 13 years of age or older, apply(ies) for:
(CO,YIPLETE A' or 'B' BELOW:)
~ A. Probate and Grant of Ler~ters estamentary and aver that Petitioners is /are the _ I(j ` `~
last Will of the Decedent dated ~L/~0.yA ~L~~t~, O ~ ~--- "" 1 ``)Qm vm (~ named in the
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 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 o(' Letters of Administration
(If app/icable, enter: c.t.n.; d.b.n.c.t.a.; pendentelite; durmae absentia; durnnte mirtoritnte) ~,a
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followin s ~ ~
~:-~
Administration, c. t. a. ord. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) g p~~f any) aneirs: (If
_ C~
Name Relationshi Resid~n~e~?~' ~'
- ;%~ -
; `-~ C~l -~T 1 ~„
i.
(COlYIPLETElNALL CASES:) Attach additiona/s/reetsif necessary. ~' ••
t1'i
tL3
Decedent was domiciled at death in (~ I`Y~~it ~,;~~
~~~~ 1^~6~_QJ .~~~,~ Cotmty, Pe ylvania with his /her last principal residence at
(List sd eet address, sown/city, torvtrship, cocrnfj,, state, ziT p oo~ ~ Q ~~ ~\~' 'm 4~~~ (\ ~ 1 ~; t~ ~„~, UN~ ~~Ce HG~„
Decedent, then r ~ w~ years of age, died on u ~~ (~ q' .~. ~ ~~
at
Decedent at death owned property with estimated values as follows
(If domiciled in PA) Al] personal property
(If not domiciled in PA) $
Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $ ~~ U
Value of real estate in Pennsylvania ~ ~ ~
~ "~ \ ~, ~ ~'3~Jr OyU
situated as follows: Y~-4== ~~'~-+t~ ~ ~1{tl t,{ ~~ Q. ~~~ ~1 (~ ~ 11/1. ~ .
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:
` _ ry ed or rented name and residence
d(o~~ «1~GY-~i
Fonrr RW-0? rer< l0.13.06
Page I of 2
Oath of Personal Representative
COV1~10NtiVEALTH OF PENNSYLVANIA
SS
COUNTY OF ~J~~~~CZ..,+~G''
"The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tt~ue 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 tru]y
administer the estate according to law.
Sworn to or affirmed and subscribed
before me the ~ ~ day of
D1~ 1
~ ~ ~~
j For the Register
S'i~nature of Personal Representative
Si,;r:ature ojPersonnl Representative
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C .A
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File Number: ~ ~ -~ `I
Estate of ~~~ / / / Sj'}~ l ~ ,Deceased
Sociayl~Security Number:~0~ G,~ ~7~ )(a Date of Death: !-f'~j` ,( ,i /Q ~~
AND NOW, 1 ~~(~,(-~, ~~`~j ~~~q , iu consideration o//f the foregoing Petition, satisfactory proof
having been presented before me, ~T IS DECREED that Letters ~ S '~ /"Y)'~r"1 -f~~~ 1 ~
are hereby granted to _ ~~ / ~~/~ yl-t ~ , ~~~ ~~
and that the instrument(s) dated ~~~~~~
described in the Petition be admitted to probate and filed
FEES
Letters ..~,.~~~.... $ ~~O-~
Short Certificate(s) ..~.... . $ o?D • 00
Renuncia
tion(s) ......... . $
/
_ .. . $ lu
- .. . $
____ .. . $
- - .. . $
.. . $
.. . $
- ... $~
TOTAL .............. $
.~ t% ~
Personal Representntive
in the above estate
as the last Will (and Codicil(s)) of Decedent.
Register of Wills
Attoiztey Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-0? rev. /0.13.0(
Page 2 of 2
OATH OF SUBSCRIBING
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`VITNESS(ES);~~v~,r~
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REGISTER OF WILLS A -~
' r~~tGU'`~~ COITNTY, PEIs1~tSYLVANI.~1
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Estate of _S.C ' 1 ~-~1 • ~~~-~ ,Deceased
~-~~~ ~L'- ~ ~ ~-~ ~~~~~` , (each) a subscribing witness to
(Pri acne/s)
the Will ^ C'odicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he / he was / ere present and saw the above Testato /Testatrix sign the same
~.
and that she / he they signed the same and that she / he ~hey~ signed as a witness at the request oi'
thei Testat~ Testatrix in ;her his presence and in the presence of each other.
.~, J~z~~ ~ ~ ~-
(Signature)
(Street Address)
c~~m ~3~ ~st3 u RCS P~ ~ ~~~,,
(City, State, Zip)
~' ~ ' ~-~'
(Signature)
(Street Address)
~~ -~~ dz
(City, State, Zip) ~
Executed in Register's Office
Sworn to or affirmed a~}nd subscribed
before me this ,~j 6 ~fi da
_ _ y
o f ~ L°-~o ~~.~c~tir ~/ CTS ~ .
Executed ocit of Register's Office
Sworn to or affirmed and subscribed
before me this ~ ~~` day
of_~~jY~L~'~
U_~
Deputy for Register of Wills ry tic
My Commission Expires~~~ Lp `'j~ ( G
(Signature and Seal of Notary or other q ficial qu lifted to
administer oaths. Show date of expuahon of No ry's Commission.)
lf+dONtIVEALTH OF PENN9"t'LVA•
NOTC--: To be taken by Officer authorized to administer oaths. Please have present the original or copy of i. strument(s) at tim@IQTr~t~17§1ltfsfP.L
~UF_E! LFN `~f~,'=Y,~~,~~!T, N~IARY PtJ5L..1~.
Form RW-03 rev. 10.1'.06 ~ f,t1'1't:CeFldi~SlOtV i=XPIrZEFi JULY 6, ~y~F(k
I' I, Ida M. Smith, of the Township of Letterkenny, in Franklin County, Penn-
sylvania, being of sound and disposing mind, memory and understanding, do here-
by make, publish and declare this as and for my last will and testament, hereby
revoking any and all wills by me at any time heretofore made.
~~
FIRST C
~.~ ~ '~-:
I direct the payment of my funeral expenses. =n 'C C7
r-rf r.?
SECOND `~'_°c~~^~- o -;_'
-~; ~ <. ~.
t ~>C.~ -..~~
i I authorize my personal representative hereinafter named tQ~~cure ~ -;~
_a --+ ..
burial lot for my interment and to rovide for r ~• i
p perpetual care therefor, tp ing
such funds of my estate as my personal representative considers necessary or
I
desirable for these purposes.
THIRD
~i If my husband, William B. Smith, be living at my death, and if he survives
me for a period of thirty (30) days, I give, devise and bequeath my entire re-
siduary and remaining estate to him, my said husband, but if he does not survive
me for a period of thirty (30) days, I give, devise and bequeath my entire re-
siduary and remaining estate to my daughter, Kathy K. Smith.
FOURTH
Finally, I nominate, constitute and appoint my husband, William B. Smith,
as Executor of this, my last will and testament, but if he be dead at the time
of my death or if he fails to qualify as such Executor, or if having qualified
he ceases to act as Executor, I appoint my daughter, Kathy K. Smith, as Exe-
cutrix of this, my last will and testament, and, it is my will that no Executor
named in this will shall be required to post any bond or enter into any arrange
went of suretyship to qualify or to carry on the duties of administering my
estate, any law of the Commonwealth of Pennsylvania or of any other state or
jurisdiction to the contrary notwithstanding.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal, this
day of ,--7~°~? ~.,~:~ 1975.
r~
~:~c`C-d., ~~'J ~y~a ~~` (SEAL)
Ida M. Smith
Signed, sealed, published and declared as and for her last will and testa-
went by Ida M. Smith, the above named testatrix, in the sight and presence of
us, who at her request and in the sight and presence of her and of each other,
have hereunto subscribed our names as witnesses on the day and year last above
written.
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