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04-17-09
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF~~.+~.t~l~^ j,~ COUNTY, PENNSYLVANIA Estateof ~/~ ~~ ~„~.};'iQ..LC.~ File Number ~~ ~1C1 ~~ ~ `i also known as L~v^t'-R rnAJ'~-ctr~'" ~'at'I'L.~4~- A t~nir~.ut l~anw i K~~~el~a..J ,Deceased Social Security Number ~~ / - 22- X328 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) ® A. Probate and Grant of Lette s Tes amentary and aver that Petitioner(s) is /are the ~~`I named in the last Will of the Decedent dated 2.- ! and codicil(s) dated _ NON ~ o u•,y1~ (State relevant circumstances, e.g., renunciation, death ofexeeutor, 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: n ~ O do B. Grant of Letters of Administration ~~ • -ti (If applicable. enter. c.t.a.: d. b.n.c.t.a.: pendente life: duranteahsentia~` ~ttinontae) Petitioners} after a proper search has /have ascertained that Decedent left no Will and was survived by the follo~r'u~se (if an )and heirsr' (If Administrateon, c.t.a. or db.n.c.t.a., enter date of Will In Section ,4 above and complete list of heirs.) C ., ~ -r-~ "'t] '-. > C~c., ~ Name Relationship ~ srdence ~ i e .. (COMPLETE INALL CASES:) Attach additional sheets if necessary. Decedent was do idled at death in ~-t; =o•+,.+~~:c~, f>,.c,~OwS mil' -hccluod~~.., . (Ltst street a ress, trnvn/city, township, county, state, Decedent, then Ql p years of age, died on . , ~P.E,~.ci,e rb ir~~n _ ~cz.+*+1~.~„ L.~,.d Cn with his /her last principal residence at at _~t4 SP~~f~ ~OS~1-~ ioc i~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If aot domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as follows: wN $ ~~, `7?D ray s /adl ova , o~ 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: ~i mre T d or1rinted namean/d residence ~~ ~~~ ~~~,,,,~' ~Dl~l ~~4 ~ ~= ~ l~~iei~ 1 f~~n at~1:~ ~1~ ~~r~,~,,( pd I ~nr ~ Form 12W-02 rev. 10.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA f SS COL7NT"Y' OF ~u mbef'~~ ~Y~ 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 ~Z_ daygof ~~ / ~ ~~v For the Register ~. of Personal Representative Signature of Personal Representative Signature of Persona! Representative r~ ;!~ ;~ ~e ;7~7~ t File Number: oZ \ ~ q ~ J ~ ~ =A ca w 2s ~ ~.:' , ...,. .~ -.J -~ . _. _. w W Estate of ~ ~''-^''fV /3'? . ~A`>'/lC~f~. . Deceasged Social Security Number: ~ ~0 ! ` ~ 2-'' T3 ~ Date of Death: c3 ~`L~ ~ZOD ANI) NOW,~~ U~ /i ~ ~1 / , in cons}deration of~he foregoing Petition, satisfactory proof having been presented befor `e, IT IS D~~CREED that are hereby granted to ~/'7Ct. /C e f7/ in the above estate and that the instrument(s) dated ' described in the Petition be admitted to probate and filed of record as the last Will (a~}d Codicil(s)) of Decedent. FEES ~ ~ ~yj„~ ~"~ 1L~s~-=~- Letters .... ~~ ~t. ~1 ~~ $ °? (q d Short Certificate(s) ..01.... $ ~~ Attorney Signature: Renunciation(s) .......... $ Gc~tl ~ $ /S "~ Attorney Name: e~ ~ ~/I \\ • .. $ ~ Supreme Court I.D. No.: tv ... $ 5 $ Address: ... $ ... $ ... $ • • • $ Telephone: ... $ TOTAL .............. $ 02`3 $99' Register of Form RW-02 rev. 10.13.06 Page 2 of 2 OCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. 5E,.0O ~' x.5237772 Certification ?umber This is to certil~} that the information here given i correctly alpied from an original Certificate of Dealt duly filed with me as Local Registrar. The ori~~ina certificate will bc: forwarded to the State Vita Records Office for permanent tiling. ~_~ - ~ 3~a Local R ristrar Date Issued hJ r_> C© `° ~~ ~ -. .` -- ~ ~ r rn - > 'cn~ v _ . 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C~ Lt ~ ~J_iuJri~ LT ~~ ~~ ~~ ~ ? ~ ~ - •~ ~~~ C`` ~ S C S ~'~-P ° ~ c t, I I, EMMA M. PATRICK, of the Township of Aston, in the County of Delaware and State of Pennsylvania, being of sound and disposing mind, do hereby make this my last Will and Testament, hereby revoking all Wi11s by me at any time heretofore made. FIRST. I direct the payment out of my estate of the expenses of my .__ illness and funeral, SECOND. I give and bequeath all of my tangible personal property, and any insurance thereon, in accordance with a memorandum prepared and signed by me and placed with this my Will. THIRD. All the rest, residue and remainder of my estate, real, per- = sonal and mixed, of whatsoever kind and wheresoever situate, I give, devise and I bequeath to my husband, JOHN R. PATRICK, if he survives me by three months; otherwise to my daughter, DONA LEE KNAUB, absolutely. FOURTH. I hereby nominate, constitute and appoint my husband, JOHN R. PATRICK, Executor of this my Will, or if for any reason he should fail or cease to act, then I hereby nominate, constitute and appoint my daughter, DON~A~L~EF I~~ _ Executrix of this my Will, and I direct that no security be required of either in whatever jurisdiction they may act. FIFTH. All taxes, interest and penalties thereon, payable by reason of my death with respect to property comprising my gross taxable estate, whether or not passing under this my Will, shall be paid from my residuary estate. I SIXTH. In addition to any authority given by law, I direct that my Executor and Executrix may retain any real or personal property owned by me and may invest in other real or personal property without being confined to invest- ments authorized by law, may compromise claims without Court approval, and may sell any real or personal property at public or private sales. IN WITNESS WHEREOF., I have hereunto set my hand and seal to this my last Will and Testament this 31st day of December, A.D. 1975. C. k,} iY ~~.S ~+id ~.~~oo s,N~H~~o ~c~ ~~~~~ ~~ ~ I ~~a L I ~dn 6Q~Z ,. _ - _ Signed, sealed, published and declared by Emma M. Patrick, the above- named Testatrix, as and for her last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, all being present at the same time, have subscribed our names as witnesses. ~~..~,r.~~- OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~_un~ ~'~u~ COUNTY, PENNSYLVANIA Estate of ~n'trrl ~4 !Yl ~ Pi~T/L,i G~ ,Deceased ~o~a- ~---~Pot~.iC~~ ~\na-~ and ~~ ~ ~ ~i~l~J ~~ , (each) being duly qualified according to law, depose(s) and say(s) that she / he they was /were well- acquainted with ~rn ma. !Y1 ~ ATE' ~K--. and ~ familiar with the handwriting and signature of the decedent, and that the signature of ~rn,Ma i'-1, ~~/~~ to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ~m ~~ (Y1 , ~~~'/~-l,U~- is in his er own proper handwriting. J~{3 ~ ~ Sc~i ~- (treet Address) ~~~~p;t.~pwJ ~~ hb~ 1 (City. State. Zip) rn. (Signature) (Street Address) M,,r~~wa~ ~Q, 1`~aS 7 (City, State. Zip) Executed in Register's Office Sworn. to or affirmed and subscribed before a this % ~~ day of /7 ~ ~ ~ . for of Wills C Q n.a ..°o j~c~ - - r ~ c rz ::~~-~~-, -v -, ~ ~ ~ w Form RW =04 rev. / 0.13.06