HomeMy WebLinkAbout05-15-09PETITION FOR PROBATE AND GRANT OF LETTERS
nREGISTER OF WILLS OF COUNTY, PE~,".VSYLVANIA / /
Estate oC 6,otL~y ' ~i~r ~ ~/ /'1 ~j ~'~
~ File Number LJ
also known as
,Deceased Social Security Numbe~~' - 2 ¢ ti ~ g ~ ~
° y e~s~
Petitioner(s), who is/are 13 years of age or older, apply(ies) for
(COtLlPLETE 'A' ar 'B' BELOW:) /
^ A. Probate and Crant of Letters Testamentary and aver that Petitioner(s) is /are thy / 7L C (,! /-O /'`
last Wi(1 of the Decedent dated ~ jz. ~-renamed in the
_ and codicil(s) dated
c,~-4
m ~., ~ :i
(Stale relevant circumsfnncet, e.g., renurzciation, death oJexecufor, etc.) -~.- ~ r a
Except as follows, Decedent did not ma ~ CJ7 :-: -'
try, was not divorced, and did not have a child born or adopted after executirii~-p~~hsstmment(s) offti`red -'
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: -; Q ii A __
~~
^ B. Crant of Letters of Administration y _ ~r
' (IJapplicable, enter ct.n.: d.b.n.at.a.; pendente lire; durance absentia; durnnte minoritnte
Petitioner(s) after a proper search has /have ascertained that Decedent left no Wil( and was survived by the following spouse (if any) and heirs: (If
Administration, c. t. a. ord. b.n.c. t.a., enter dale of Wi[! in Section A above and complete list of heirs.)
domiciled^t de~th in^~ ; et ~+x ~~Q~ Co}tnty, Pennsylvania with his /her last
(List sbreel nddrm~s, fow,/cify, Township, county, state, zip code)
Decedent, then years of age, died on at
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
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
situated as
Pmru RW-02 ter. 10.13.06
residence
s (oo s_ o0
Page 1 of 2
(COfYlPLETE lNALL CASES:J Attach additiatal sheets ifneeessary.
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:
Oath of Personal Representative
CO~IbIONWEALTH OF PENNSYLVANLA
~,," SS
COUNTY OF _ ,I,t {'~ 1 {'Y~ Yu~~
The Petitioner(s) above-named swear(s) or affirnr(s) that the statements in the foregoing Petition are hne and con~ect to the best of
the knowledge and belief otPe[itioner(s) and [hat, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
Sworn to or affirme~dT/and subscribed
before me the /!! day of
the egister
Signatw~e ofPersonnl Representative
D
Q
r
in the above estate
and that the instrument(s) dated `~~~_~~ ~G
described in the Petition be admitted to probate and filed of record as
FEES ///yyy
Letters ............... $
Short Certificate(s) ........ $ ~/ /1~
Renunciation(s) ........, i ~--"-'_
$ </•'"_
.. $
.. $
... $~ /~
TOTAL .............. $-1/yer1JL~-T
Will (and
Attoney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
r-n~,,, 2w-n~ ,ev. ro.ls oh Page 2 of 2
AND NOW, ~ i' _~~, in cons eration the foregoing Petition, satisfactory proof
having been presented before I~IS DECI2E.ED [hat Letters~p- /i,
are hereby granted to ~-'}~i(p/
OCAL .REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15493769
Certification Number
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This is to certify that [be information here given is
wrrecfly copied from an original Certificate of Death
duly filed with me as Local Registraz. The original
certificate will be forwazded to the State Vital
Records Office for permanent filing.
..u,.,+da~c, /I Q . LxlJ7.mr s '~ O
ocal Registraz ate Issued
COYYONWEALTH OF PENNSYLVANIA • DEPAPTYEHr DF NEIILTM • VITAL pECORDS
CERTIFICATE OF DEATH
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WILL OF
BETTY J. HART
I, Betty J. Hart of Cumberland County, Mechanicsburg,
Pennsylvania, declare this to be my last Will and hereby revoke all
prior Wills and Codicils.
I direct that all my just debts, funeral expenses,
gravemarker and administrative expenses shall be paid
from my residuary estate as soon as practicable after my
death.
2. I direct that all inheritance, estate, transfer, succession
and death taxes of any kind whatsoever which may be
payable by reason of my death shall be paid out of my
residuary estate.
3. I direct that my entire estate be distributed as follows:
A. I direct that my entire estate be divided into equal
shares between Jody L. Geiger and Dawn L. Bear.
B. **
4. I appoint Jody L. Geiger, as Executrix of this my last Will.
If Jody L. Geiger should predecease me or cease to act
in such capacity, I appoint Dawn L. Bear as alternate.
5. The Executrix of this Will shall have the power to
distribute my estate in kind or in cash, or partly in either.
6. I direct that no Executrix acting under this Will shall be
required to enter bond in any jurisdiction.
IN WITNESS WHER :~~,, I have eunto set my hand this
?,~ day of i ;G%/~~ , 2006.
WW OFPICES OF
STEPHEN J. NOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
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The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
Betty J. Hart 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 hereto.
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
WITNESS l
WITNESS
ACKNOWLEDGMENT
State of Pennsylvania
County of Cumberland
ss
I, Betty J. Hart, the Testatrix, whose name is signed to the
attached or foregoing instrument, having been duly qualified according
to law, do hereby acknowledge that I signed and executed the
instrument as my last Will; that I signed it willingly and as my free and
voluntary act for the purposes therein expressed.
~af oi~
Betty JE'Ha
Sworn to or affirm d and acknowle,bef~by Betty J.
Hart the Testatrix, this ~3day of ~~~~/~~
2006.
~.~,..,~
uv~~~C~n, ins Notary PubliC/A
Y
AFFIDAVIT
State of Pennsylvania
ss
County of Cumberland
We, ~~sT// ...' /~/~i, nand ,~'`//~ ~~i.~r,~the
witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and say
that we were present and saw the Testatrix sign and execute the
instrument as her last Will; that the Testatrix signed willingly and
executed it as her free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the Testatrix signed the Will as a witness; and that to the best of our
knowledge the Testatrix was at that time 18 or more years of age, of
/sound mind and under no constraint or undue influence.
Sworn to or afF d and
this ~ day of „~!~~~
to before me by witnesses,
~, 2006.
LAW OFFICES OF
STEPHEN J. HOGG „,~aw.,,,~,~
19 S. HANOVER STREET wr~eaoM0p4i~r
~Mn
SUITE 101 ~~~O~Ier~~~
CARLISLE, PA 17013