HomeMy WebLinkAbout04-16-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cv~ M.~~e, ~ ~0,,, ~ COUNTY, PENNSYLVANIA
Estate of ~ t~ ~ Q n ~ ~ e> ~A ~ ~j ~ - V 1 ~ </~ ~ ~~
File Number ~
also known as
Deceased Social Security Number ~ ~ •- ~, ~ ~- ~ P
Petitioner(s), who is/are 13 years of age or older, apply(ies) for:
(CO~tiIPLETE A' or 'B' BELOW:)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~ y ~ ~~~__,{ati named in the
last Witl of the Decedent dated and codicil(s) dated ~J~
F)hatTJ,r.~ ~x tom.. ~~.-. ~._ v_~._~.,.
(State relevatt ci~'t~mstances, e.g., remtnciation, 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:
^ S. Grant of Letters of Administration r~
(Ijnpplicable, enter: c. t. a.; d. b. n. c. t. a.: pendente life; durante absentia; durnnt(t7nr~a -itntej ~ _:_ ~
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spAit~e~f~a~y) and irs:
Administration, c. t. a. ord. b. n. c.t.a., enter date of Will in Section A above and complete list of heirs.) ~_~ ~ rn _ -
,~
i
Name Relationshi Resides`
' C7 -r~ -
, -_ -i
T>
W
(COMPLETE IN ALL CASES:) Attac/: additional sheets if nec/essary. t
Decedent was domiciled death in ~.~.,w r p~na County, Pennsylvania with his /her last principal residence at ~/QtrC'M~~,~~
c1 t'S > h 0. ~ ,~
(List street addres w~nr/cioty, lorvnship, count), state, zip code)
Decedent, then (d years of age, died on ~ ~ ~ at C',0.,r ~ \~~C[,
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $_ 3~O mQ) a t!7 Q7me~ , c!~ ~7
(If not 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:~~~.~ ~- C~0.~.e ~ ~~`~`
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:
Si<~nahire Ty ed or rioted name and residence
' 11flUiV ,E, UOl~(~'~
/G 0 .I'TN~~I~HT TE.P.PAC'~ ~ ~E.S'QulTE /i/!/ ~90.~~f
Form R6V-0? r~~~. 10.13.06 Page I of 2
Oath of Personal Representative
COMiV10NWEALTH OF PENNSYLVANIA
SS
COUNTY OF ~g) r,.~~ e y ~ b h
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con~ect 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
adi;linister the estate according to law.
Swain to or affirmed and subscribed
before me the ~~~~ day of
For the Register
1 ~~
Signature ojPersonal Representative
Signature ojPersonal Representntive
Signatcu~e ojPersonal Representative
File Number:_ ~ i - ~Cj -
GJ
Estate of ~ ~ ~- ~ ~•~ ~ ~ ~ ~ ,Deceased
Social Security Number: oZ-~~) - ~~-- ~¢~ Cf 4 Date of Death: /z'~.- .) ~ ~, ~ p p
AND NOW, __~~~ (~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters ~ ~ s~'~ .~, P '~ pr, r .•~
are hereby granted to ~cT ar ~ ~ ~ ~ p p1 G e,
_ in the above estate
and that the instrument(s) dated _
described in the Petition be admitted to pro
FEES
Letters ............... $
Short Certificate(s) ........ $ ~ ~ ~
Renunciation(~S~ .......... $
... $ .j ~ c~c~
... $
... $
... $
... $
... $
... $
TOTAL .............. $~ 3Z-~.>l~
filed of record as the last Will (a~d Codicil(s)) of Decedent.
Register
Attorney Signatur~____~~j~..~ J1 .,,y" - !~
Attorney Name: f.~" tx ~C' r~ ~ , ~~ S ~' Z,
Supreme Court I.D. No.: ~ q 7
Address: ~ ~ ,~. ~~ "~
~~,~~~~~ ~ ~~ 1r7Dt3
Telephone: ~ l / ~ ~t ~ 1 LQ 1c
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r-~,~,n Rw-nz rw 10.13.0 Page 2 of 2
LAST WILL AND TESTAMENT
OF
HELEN M. DODGE
I, HELEN M. DODGE, of 3831 Brisban Street, Swatara
Township, Dauphin County, Pennsylvania, being of sound, disposing
mind, memory and understanding, do hereby make, publish and
declare this to be my Last Will and Testament, hereby revoking
any and all wills by me at any time heretofore made.
ITEM I - I hereby direct my personal representative
to pay my debts, funeral expenses, estate and inheritance
taxes as soon after my death as may be found convenient.
ITEM II - I give, devise and bequeath my entire estate
unto my husband, ALBERT S. DODGE, if he survives me by sixty (60)
days.
ITEM III - If my husband does not so survive me, then I
give, devise and bequeath my entire estate unto my son, DAVID
EUGENE DODGE.
ITEM IV - If I am not survived by either my husband or
my son, then I give, devise and bequeath my entire estate in equal
shares unto my grandchildren, and in the event that any grandchild
is a minor, the share of such minor shall be paid over to the
Dauphin Deposit Bank and Trust Company, to be held and invested
on behalf of the minor until his or her majority. The Dauphin
Deposit Trust Company is authorized in its sole and absolute
discretion to apply the principal and interest from any ~-b}nd to
:~ Q ~_
the support, maintenance, medical care and education of ~~ '~" ~=
~ `~ ~
beneficiary for whom such fund is held. _`'`_i~~ a, ~ -"
CLECKNER & FEAREN ~~~~
_. _~
ATTORNEYS AT LAW '~ ~__~'
~^ i J xy
HARRISBURG, PENNSYLVANIA ~ ~`"}-~~~~
~-
....~ _
~~.~r
M
ITEM V - I hereby appoint my husband, ALBERT S. DODGE,
to be the Executor of my estate, and if he is dead or unable
to serve I appoint my son, DAVID EUGENE DODGE, as my Executor.
Neither of the parties just named shall be required to post bond
in Pennsylvania or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this my Last Will and Testament, this Q93t~. day of
1980.
~~
e~d(rt.Xa~~.1 ~ I i • it~'~' ( SEAL )
Helen M. Dod e
Signed, sealed, published and declared by the above
Testatrix to be her Last Will and Testament, in our presence, who,
at her request, in her presence and in the presence of each other,
we believing her to be of sound, disposing mind and memory, have
hereunto subscribed our names as witnesses.
~-~~- ~--
~~ 2dc' ~~ ~ ~av- ~~ o f ~ 3 ~_~ 70 3
CLECKNER 6 FEAREN
ATTORNEYS AT LAW
HARRISBURG, PENNSYLYANfA
-''1-
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF ~ `..k,~,x~.~ic-,.J j s s
`/1 ` ~
We , HELEN M . DODGE , -' ~+ i ~ I "~ M r e ~ r e `~` and
~y(~,2~Hp ~. `~S~tiel< the Testatrix and the witnesses,
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testatrix signed and executed
the instrument as her Last Will and that she had signed willingly
(or willingly directed another to sign for her), and that she
executed it as her free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and
hearing of the Testatrix, signed the will as witness and that
to the best of his/her knowledge the Testatrix was at that time
eighteen years of age or older, of sound mind and under no con-
straint or undue influence.
Testatrix l~Q,~,~.. /i1- d~-~/~,~ ~titness
W i the s s ~yL~Lk..~~. ~'bU . ~~i.Ir~~
Subscribed, sworn to and acknowledged before me, by
HELEN M. DODGE, the Testatrix, and subscribed and sworn to before
me by VJLI ~ i a ~ y~ ~e a Le n and ~~~ ~},~{ ~l A ~ . ~ Sc ~- e
Witnesses, this o25y~ day of _t.~-' 1980.
Notary Pu 1'c
My Commission Expires : ~~~'-'- ~ ~) ~ ~~ `~~
CLECKNER & FEAREN
ATTORNEYS AT LAW
HARRISBURG. PENNSYLVANIA