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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 C7 ~ -'`~- ~ ,_~7 _a: - r- ' z _ a r?-7 r a7 v`~ -x- r-- r-. , ; Q1 :' 7 t _ ti ~ ~ ~ ~ ; _ -, ~ i] i .. Vi 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