HomeMy WebLinkAbout04-03-09PETITION FOR PR/~OBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~~/ - ~ COUNTY, PENNSYLVANIA
Estate of /Y//~/li~L /C ZGIGGL/2
also known as /1 J/~-/~ ~ / '~'/.G ~ ~Y~
Deceased
Fite Number ~ ~' ~~ ~~~
Social Security Number ~~~" ~ ~ ^ ~ ~~ Z
Petitioner(s), who is/are I g years of age or older, apply(ies) for:
(COMPLETE A' or 'B' BELOW:)
A. Probate and Grant oC Letters Testamentary and aver that Petitioner(s) is /are the ~Gr~z-S'o~/ named in the
last Will of the Decedent dated 1~- / 2-~LDO / and codicil(s) dated ~
circurnstnrtces, e.g., rertuncintian, dend+afexecu[or, eteJ
Except as follows, Decedent did not marry, was no[ divorced, and did not have a child bom or adopted after execution of [he insharment(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B. Grant of Letters of Administration p - -. ~
(Ifapp[icnb[e, enter c[. n.; d. b, n.c.1. a.: pendente tile; Aurante absentin; dur ' aritn[ej S i-r'S ~'
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following s~}~ny) atl~heas ~(j' ;
Administra[ion, c. t.a. ord. b.n.c. [. a., enter date of Will irc Section A above and complete List ojheirs.J - ~ CA ~ to t r "_'
Name Relalionshi Resi 'd xr ~
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(COMPLETE IN ALL CASES:) Attach a~d7d~itional/sheets if Here/ssary.
Decedent was domiciled at death in (-.U+rr pirl/y+...C County, Pennsylvania with his /her last principal residence a[ /CCj0
(Lis[sn'eel address. [own/city, township, county, s[nie, z+p code) -_
Decedent, then ~ years of age, died on 3 ~2~-~'~ / at ~'Gg2C-veCN T L.-U~ r~ ti--
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $
(If not domiciled in PA) Personal property in Pennsylvania $ '~ ~~G ~ . / /
(If no[ domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows: /(/GN C-
Forrn RDV-oz ray-. lo_l3.od Page 1 oft
Wherelbre, Petitioner(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 form to
the undersigned:
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Oath of Personal Representative 2Q09 APR -3 Ph 12~ 20
COMb[ONWEALTH OF PENNSYLVt\NLA
couNTY or ~ ~ ~-~ ~ /.~r d ss CUM~~~IAND G0
'Lhe 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 oC Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or af5rmed and subscribed ' `(/ }?i4---
~~ Sfgnahrre of Yersoual Represea( r r// ~`~ ~ ^~~ s
befor me the ,, /J/d'ay /oyf~ /~
~LY CJO/ Si~na[m-e ofPersanal Representa«ve
the
S<gnntur'e of Persorrn! Representative
File Number: ~/ ~~ / '~//
Estate of ~~ /~- Q ~ L k • Z ~ ~ G L~-' ~- ,Deceased
AND N tory proof
having been presented before me, IT IS DECREED tltat Letters_ _ J~"E-Sr~JneivT>tt.r-~~
are hereby granted to Y/ Gwi} T, /V iS'G/a-\ ~
_ ~ ~ 1 in the above estate
and that the instrmnent(s)dated G'e74a 61I' /~ 2G6~
---- ---<---------~-------r-
described in the Petition be admitted to probate and filed of record as the
FE)uS 2~\
Letters ............... $ .~/' (~
Short Certificate(s) ........ $
Renunciation(s) .......... $
$ ~~, cJ
Ga$ ~, w
$
TOTAL .............. $
Social Security Number: s/ ~,,Z~9y'",~G~~'L Date of Death: .3 2.~~ ~-E'E' 9
OW , ~`-~ / , in consideration of the foregoing Petition, satisfac
Attorney Signature:
Attoney Name:
Supreme Court LD. No.: Z ~~'~
c
Address: ~ ~~r/-~ ~Z'~ V%~
2~.~
..s'J'~~ ~ v 3 ~.J
~is9/L~~LfU~a ~ ~ig / 7 `'" 3
Telephone: ~'~'` `3~ ~ g3~
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OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Pee for this certi fica[c. S6_I111
Certification Number
~~-,~~5
llri,s i,. trx ccrlil~ that thr inlixmation here given is
con'ectly axpieJ Iron an original C'ertifcole of Death
July filed will: nn: ^~ Lucid Negistrar. The original
rcrlilicalc will he lilrw;lydcd to the Slale Vilal
7~~RecorJs Olllcr lur permancnl lilina.
'---?a'M ~~~'~~~cab~~C' MA 2 3 2009
Loral Negistrar Dale Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
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I, MABEL K. ZEIGLER, of South Middleton Township, Cumberlan~5~ty, -o
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Pennsylvania, declaze this to be my Last Will and revoke any will previously v~ by ^.~
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me.
I. I direct that my funeral and burial be conducted in accordance with pre-
arrangements which I have made and paid for at the Hoffman-Roth Funeral Home
of Cazlisle, Pennsylvania, with my interment to be in Waggoners United
Methodist Church Cemetery, Cazlisle, Pennsylvania.
II. I devise and bequeath all of my estate of every nature and wherever situate in
equal shazes to my two nieces, VIONA NISLEY and DONNA MAE
GRESHAM, providing they shall survive me by thirty days.
III. Should either of my nieces, Viona Nisley or Donna Mae Gresham, predecease me
or die on or before the thirtieth day following my death, I devise and bequeath the
share of such niece to her issue per stirpes living on the thirty-first day following
my death; and should either niece leave no such issue living on the thirty-first day
following my death, I devise and bequeath the share of such niece to the other
niece or to her issue per stirpes living on the thirty-first day following my death.
IV. I direct that all taxes that may be assessed in consequence of my death, of
whatever nature and by whatever jurisdiction imposed, shall be paid from the
principal of my estate as a part of the expense of the administration of my estate.
V. I appoint my niece, VIONA NISLEY, executrix of this my Last Will. Should my
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niece, Viona Nisley, fail to qualify or cease to act as executrix, I appoint my
niece, DONNA MAE GRESHAM, executrix of this my Last Will.
VI. I direct that my executrix or her successor shall not be required to give bond for
the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this /~ ~f/
day of Q~~/ , 2001.
~il~ ~ ~ . {~~.-~,~c., (SEAL)
MA EL K. ZEI R
The preceding instrument, consisting of this and one other typewritten page
identified by the signature of the testatrix, MABEL K. ZEIGLER, was on the day and
date thereof signed, published and declared by MABEL K. ZEIGLER, 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
heretic-`~.-``."'~~
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OATH OF SUBSCRIBING ~VITNESS(I/S) ~ ~ `'
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R)iGISTER O1~ \~V[[.1S 8 Z - ~+~
n-'~ti'~~7"'~°~ COUNTY, PENIVSYLys~'v'IA ~ N ~~ Tr
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Estaceof ~/y,Q~~.. ~~• ~G~/GGG.~ ,ll~cea~~~l
(each) a subscribing witr~ess to
(Pr:nr :w„~etr~
tha'TQ tV'ill ~ Codicils) presented herewith, (each) b~•ing duly qualified according ro la~~, depose(s) and
say(s) drat sh / he they wu ,were present and saw the about Tescaco i "I est:llri>: si .n thr ~a:nc
mid that l sty / he i they signed the s2me and that she ~ they signed ~s a witne» ~t the regcc,t oh
[he Tescato ~ Testatrix in her his presence and in the presence of each ocher.
f~:g~~ata,;i
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rSiy/n~nm~r~J ~ ~1 ~ ~ J ~ L ~'
(S~ree! Addrea'sl
CiF~iLG.t,T~ ~ ~`~ / ~~
rc;~y, s,a«, z~p~
Executed in Register's Office Execatled a~~t ofRegister's Office
Sworn to or ;,formed and subscribed Sworn to or afYirmed and subscribed
befor me ti~i~ dday before me this _ day.
of of ,
~~__1~' // ~ /9
//~ Deputy for egis of ills 1~otary Public
O~ My Commission Lxpires:
(Signature and Seal oC ~o~ary or other oir¢inl quaIlGed to
administer oaths. Show dale of expiration oLVo;ary's Commission 1
,`.OTC To be taken b OlGccr mnhonzed ~o admin islet oohs. Please haee resent the on
Y p ~,inal ormpy oClnAivvnent(5)al tsme of nou~is-oon
. ~i,n KIV.Oi r,.. . ~ J.06
6 ~ - ~/S
O_~TH OF NOS-SUBSCRIBING iVITNESS(I/S)
REG~STER 01= Vdll.,LS
~~`~'~'' COUNTY,PEi~(NSYLVA~IA
1=Mate of ~/~-8~~- ~-~. ~C-/G C.L~/L
`i 6 iv/a- V ~. N/
and
Dccea,ai
~.eaCh~ being duly- qualified according to law, depose(s) and say(s) that sh 7 he /they ~tia !were ~~'ell-
acquainted ~~ i[h ~~'~i~'L K. z e/L L~'L. an am re tamiliat
with the handwriting and signature of the decedent, and that the signature of /!7/p-~CL K• ZGIGLG'~
to the foregoing instrument purporting to be the Las[ Will and Testament/Codicil of ~~~`~ ~~~
is in hi er wn hroper handwriting.
6Neze Add. e,UJ
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(.S ~n~ ~ / ~..
ya„~.'c ,/ /!~/SAG' ~ r
(S<r~ee( AHdr'essJ ~
C/~2ut~~ /~~ / ~'~/ S
(Gry, State, Lip)
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Executed in Register's Office
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