HomeMy WebLinkAbout05-06-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Dorothy J. Harry File Number 21-09- t.~'Z9
also known as
,Deceased Social Security Number 184-26925
Carl Meyer
Petitioner(s), who islare 18 years of age or older, apply(ies) for:
(COMPLETE A' or '8' BELOW.•)
Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the EX@CUtOr
last Will of the Decedent, dated 06/17/2004 and codicil(s) dated
State relevant drtwmsfanoes, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom 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 of Letters of Administration
a , en r. c..a.; ..n.c..a.; a e; uren a ~e; uren a rrx a e
Petitioner(s~ after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (rf any) and heirs: (lf
Administratton, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
Name Relationship Residence
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ ' ~ 7 ~-y a ~ ; ~
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal res~~ at1 ~ = j~~
2077 Reservoir Drive, Carlisle, Cumberland, PA 17013 - ~°• '.''
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(List street address, town/city, township, county, state, zip code)
Decedent, then 73 years of age, died on
02/23/2009 at Carlisle Regional Medical Center, Carlisle, PA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
All personal property
Personal property in Pennsylvania
Personal property in County
situated as follows: 2077 Reservoir Drive, Carlisle, PA 17013
2,000.00
$ 57,000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codial(s) presented with this Petition and the grant Of Letters in the appropriate form to
the undersigned:
~ Signature Typed or printed name and residence ~
2077 Reservoir Drive
Carlisle, PA 17013
Form
Copyright (c) 2006 form software Dory The Lackner Group, Inc.
named in the
Page 1 d 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
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 this ~ day of
e Register
Supreme Court I.D. No.: 61886
SALZMANN HUGHES PC
Address: 354 Alexander Spring Road, Suite 1
File Number 21-09-
Estate of Dorothy J. Harry ,Deceased
Social Security Number: 184-26-4925 Date of Death: 02/23/2008
Carl Meyer
AND NOW, ZCX~1 , in consideration of the foregoing Petition, satisfactory proof
having been presented befo e, IT IS DECREED that Letters Testamentary
are hereby granted to Carl Meyer
in the above estate
and that the instrument(s) dated 06/17!2004
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................................ $ 135.00
Short Cert~cate(s) ........................ $ 4.00
Renunciation(s) ............................. $
Will $ 15.00
JCP $ 10.00
Automation Fee $ 5.00
$
$
$
$
$
$
TOTAL .................................... $ 169.00
Signature of Personal Representative
Signature of Personal Representative
Carlisle, PA 17015
Telephone: 717-249-6333
Form RW-OY Rev. 1413-2006 Copyright (c) 2008 form software only The Lackner Group, Inc. Pegg 2 of 2
Attomey Signature: ~~'~~ ~/~L~ v„ - ~ ~Q''4~ "~
Attomey Name: George F Douglas, III Esq.
I05.905 REV.(3/09)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with
the Vital Statistics. LavY of 1953; as amended: ~ ~ ~ ~ ~ '
WARNING: It is illegal to duplicate this copy by photostat or photograph.
a ~ . (~QALw q~Ax~
Linda A. Canigalia
State Registrar
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~ W 7- COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS Q ((~~
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,'~ ~ m (See instructions and examples on reverse) STATE FILE NUMBER
t: Name of Decedem (C~ ,last suffix) ~ 2. Sex 3. Social Seaxiry Number 4. Date d Death (MWh, day, year)
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Carlisle Regional Medical Center Mexicai,PuerbRzan,etc.) White
it. Decedents Usual Niq of wak dare mod d we. Do rid stab 72. Was Decedent ever n me 13. Decedent's Educetim (Sprvdly ant/ highest grade compkletl) 1/. MariW Staves: Marred Never Married, 15. Survmg Spouse (9 Brie, Siva maiden nafrie)
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Edna Rife
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2077 Reservoir Dr. Carlisle, PA 17013
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- - - Q FD-013592-L 3125 Walnut ST. Harrisburg, PA 171089
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Dorothy J. Harry
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~, Dorothy J. Hann presently residing at 2077 Reservoir Dr.ti Carlisle. PA
17013, being of full age and sound -and disposing-mind and memory, .hereby make,
publish and declare this to be my Last Will and Testament.
FIRST: I hereby revoke any and all Wills and Codicils by me anytime heretofore
made.
SECOND: My funeral expenses have been prepaid to the Central PA Cremation
Society, Alan L. Colbert -Mgr. on 6/16/04 (June 16, 2004) 3125 Walnut Stnret,
Harrisburg, PA. Phone: 717-545-6626 Fax: 717-545-2325
THIRD: tam presently not marred.
FOURTH: I hereby give, devise and bequeath all of my estate, real, personal
and mixed, of every kind and nature whatsoever and wheresoever situated, to Carl
Mever - 2077 Reservoir Dr.. Carlisle. PA 17013.
FIFTH: In the event that I am not survived by Carl Mever, I give, devise and
bequeath my said estate equally divided in 3 parts to Judith A. Saphore, C. David
Meyer, and Leslie A. Sims.
SIXTH: I nominate and appoint Carl Meyer as Executor of this Will. In the event
he shall predecease me, then in such event I nominate and appoint C. David Meyer
Executor of this my Last Will and Testament. I further direct that no appointee
hereunder shall be required to give any bond for the faithful performance of his duties.
SEVENTH: 1 give to my Executor, authority to exercise all the powers, duties,
rights and immunities conferred upon fiduciaries by law with full power to sell to
mortgage and to lease, and to invest and re-invest all or any part of my Estate on such
terms as he deems best.
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IN WITNESS WHEREOF, I hereunto set my hand this f~,~ day
of ~'y N~ , 2004.
~~..Sl:,-..- ~~ .
v+ai was
My oanre~on o.o. 2006
M«,~er.~a~'~"' ( GN HERE)
Signed, sealed, published and declared by the above named testator, as and for
here Last Will and Testament, in the presence of us, who at her request, in her
presence, ark` iri `the pre~+ence ~f .ane another have hereunto aubscritiad our names as
attesting witnesses, ~daSr, and.: year Gast written :above.
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Estate of D a Ro fihy J • >~-}AI`RY ,Deceased
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HR~STi IJC ~• ~-IOLSTON, Nohl ~..}~~~ , (each) a subscribing witness to
(Print Name/sJ
the Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
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(Signature) (Signature) L` K R ~ S'(1 NE ~ d L S'f ONE ~ u in/
'~3 MARS ROAD
(Scree[ Address) (Street Address)
(City, State, Zip) (City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of ,
Deputy for Register of ~
R OOUaA4 ~ NOIIM9'MJ~IC
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MY OOON D(~IEB ~ ~ i ,
NOTE: To be taken by OtTcer authorized to administer oaths. Please have present
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ~~~ day
of ~`- , SOS
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Notary Public
My Commission Expires:
(Signature and Seal ofNotary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
the original or copy of instrument(s) at time of notarization.
Form RW-03 rev. l0.13.06
'. ~ ~ - ~ o ~ = OATH OF SUBSCRIBING WITNESS(ES)
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R h1 ? H 0 ~-Y ~ • ~N ~H , (each) a subscribing witness to
(Prin[ Names)
the~l Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the
the Testator /Testatrix in her /his presence and in the presence o ach-et~ ..
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(Signature)
(Street Address)
(City, Slate, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Deputy for Register of ills ~
R DOUaJIa N, NOrfMr
CARLISLE BORO; CUIYIBE~JINDOOUNtY
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(Signature) ~ U '1" /=( ~~Y VV • N ~,~ cN
~3 ~ MA r~E Rai ~
(Street Address)
C~RUS~ . P~ -Fors
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ~ ~ H day
of ~ f~K , Z00q
Notary Public //
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Forne RW-03 rev. !0. /3.06