HomeMy WebLinkAbout06-02-09PETITION FOR PROBATE and GRANT OF LETTERS
Estate of William L. Wolf. Sr. No. ~ ~'~~'~~
also known as
Deceased
Social Security No. 178161493
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
(staze relevant circumstances, e.g. renunciation, death of executor, e[c.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h1S_ last family or principal residence at RR1. Box 127. Loysville PA 17047
(list street, number and municipality)
Decedent, then $`,~_ years of age, died 1/28/2006
at Manor Care-~ .ae/is/a /PA
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in PaJ All personal property
(If not domiciled in Pa.) Personal property in Pemsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters administration
theieon. "°°'°mentary; administrazion c.t.a.; administration d.b.n.c.t.a.)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA l SS
COUNTY OF Cumberland J
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition aze
true-and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and trul minister the estate according to law.
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Swomao or aff~f9~~d,,and subscribed r _
bsf rs the th~a ~" day of
Register
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The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/aze 18 yeazs of age or older and the execut named
in the last will of the above decedent, dated
No. ~1- a9-.AS~~
Estate of William L. Wolf Sr ,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~k l kl V 1 l0 ~ , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT [S DECREED that the instrument(s) dated 6/8/2001
described therein be admitted to probate and filed of record as the last will of William L. Wolf Sr
and Letters administration
aze hereby granted to
Karl E. Rominger, Esquire
Probate, Letters, Etc..
Short Certificates
Renunciation .... .
TOTAL _ ~ U
FEES ~
.. $
-~~ $ /s~
Filed .................p / gyp.. .
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Regisrero '° F c'/N~~~
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Karl E. Rominger, Esquire
81924
ATTORNEY (Sup. Ct. I.D.~No.)
155 South Hanover Street
Carlisle pA 1701't
ADDRESS
717-241-6070
PHONE
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105.905 REV.(6/06)
This ~is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is Illegal to duplicate this copy by photostat or photograp~h/.'
Calvin B. Johnson, M.D., M.P.H.
Secretary of Health
4367746
No. .
Frank Yetopoli
State Registraz
MAY 17 2008
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LAST WILL AND TESTAMENT
OF
WILLIAM L. WOLF, SR. n ~ ,
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I, WILLIAM L. WOLF, SR, of the Township of Hampden, County ~~ ? ^'
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Cumberland and State of Pennsylvania, being of sound and disposing mind, me'm~y ands, _ ';
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understanding, do make, publish and declaze this my Last Will and Testament, hereby "~
revoking and making void any and all former Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and fixneral expenses as soon after my
decease as the same can be conveniently done.
2.
I give, devise and bequeath all the rest, residue and remainder of my estate, real,
personal and mixed, whatsoever and wheresoever the same may be situate, to my wife,
GERTRUDE A. WOLF, absolutely and unconditionally.
In the event my wife, GERTRUDE A. WOLF, should predecease me or should she
die within thirty (30) days from the date of my death, then in such event I, give, devise and
bequeath my entire estate of whatsoever nature and wheresoever the same may be situate, to
my three (3) children, to wit, ARDELLA J. KOIiR, WILLIAM L. WOLF, JR and
RANDY L. WOLF, SR, share and share alike per stirpes.
-1-
LASTLY, I nominate, constitute and appoint my wife,GERTRUDE A. WOLF,
Executrix of this my Last Will and Testament and in the event that my said wife should
predecease me, or should she die within thirty (30) days form the date of my death, then in
such event, I nominate, constitute and appoint my daughter, ARDELLA J. KOHR and my
son, RANDY L. WOLF, SR, Co-Excutors of this my Last Will and Testament, in her
place and stead, and in either instance, I direct that my personal representatives be excused
from posting bond or other security for the faithful performance of their duties, in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this b'~ day of
June, A. D. 2001. ~`
(SEAL)
i i L. Wolf, Sr.
Signed, sealed, published and declared by the above-named, WILLIAM L. WOLF,
SR, as and for his Last Will and Testament, in the presence of us, who, at his request and in
his presence, and in the presence of each other, have hereunto subscribed our names as
witnesses.
-2-
COMMONWEALTH OF PENNSYLVANIA )
SS
COUNTY OF CUMBERLAND)
I, WILLIAM L. WOLF, SR, the testator, 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 same instrument as my Last Will and Testament; that I signed
it willingly, and that I signed it as my free and voluntary act and deed, for the purposes
therein expressed. ~/ QQ~~,~'`~
----~-~~Z "91'~ ~ (SEAL)
William L. Wolf, Sr.
Sworn ands scnbed to before
me this day of June, 2001. ~~ ss~
~~ Med er adn9C~ C0~'
My camm~lw, e.wra Nov. a 200
Otary PUb1iC ~~, ps~yyy„ny Associ~Aion d Nomrks
COMMONWEALTH OF PENNSYLVANIA )
SS
COUNTY OF CUMBERLAND)
We, the undersigned, J. ROBERT STAUFFER and SUSAN A. McCOY, the
witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, depose and say that we were present and saw the testator,
WILLIAM L. WOLF, SR, sign and execute the instrument as his Last Will and
Testament; that the said testator executed it as his free and voluntary act for the purposes
therein expressed; that each of us, in the hearing and sight of the testator, signed the Will as
witnesses; and that, to the best of our knowledge, the testator was, at the time, eighteen (18)
or more years of age, of sound mind, a~d't~nde~no constraint, duress or undue influence.
Sworn and ed to before
me this day of June, 2001.
otary Public %~ ~
Notarial Seas
Marilyn E. WilNams, Ndaryry PuWk
Meohanicabury eoro, Cumberland County
My Commiaebn Expiroa Nov. &2001
Member, PennsyNenia Association o1 Nogrbs _ 3 _
RENUNCIATION
Estate of William Wolf, Sr. No. ~/, / O / -W r
also known as
Deceased
The undersigned,Adrella J. Kohn Daughter Co-Executor of
(Relesonshlp) (Capaaty)
the above Decedent; hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration be issued to Karl E. Rominger, Esquire
Witness
Sworn to or affirmed and subscribed
b°ef~ore I ne this day of
~.L- ~. ~/60'7
Nota¢fy Publjfa'
My Commission Expires
(Signature antl seal of Notary or other
aflicial qualified to administer oaths. Show
date of expiretion of Notary's commission.)
hand thi:
(Signature)
(Address)
(Signature)
(Address)
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NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
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(Address)
RENUNCIATION /~Q /~[-/
Estate of William Wolf, Sr. No. /`(/ % ` //J /
also known as
Deceased
The undersigned, William L. Wolf, Jr. Son of
(Relaaorwhip) (CepaulY)
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration be issued to Karl E. Rc+minger Esquire
N a.
Witness hand this.~_ day of F~° b, , ~QZ,
(Signature)
~~..'. .. (Address)
(Signature)
Sworn to or affirmed and subscribed
nce
before me this day of
Ft ~ , aoo
~~'!t:~n~ Ot. YY1o~npDD
Notary Public
~~~ ~~~s`~ ~1`"NSYLVANIA
NO'iANIA~;:c .:
SHARON A. MORRELL, NOTARY PL'~:_:C
TOWNSHIP OF HOWE, PERRY COUN iY
isi9nam?e`jda9MAt~ldply~ $ NOV. i8, 2009
o~cial qualified to administer oaths. Show
date of expiration of Notays commission.)
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NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
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RENUNCIATION /~~-7
Estate of William L. Wolf, Sr. No. ~ ~ -D~ ~ (JJ f
also known as
Deceased
The undersigned, Randv L. Wolf, Sr. Son Co-Excutor of
(Relabonahip) (CeDaaty)
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration _____ _ be issued tc Ka=! F. Romin.;er, Esquire
Witness hand tt
(Signature)
(Atldress)
(Signature)
(Atldrebs)
Sworn to or affirmed and subscribed (7
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before me this,._,Z___~ day of ' ~r2 x
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Cl(~
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My Commission Expires: NOTARIAL $~ n,
KITTY M. f3LAti8l3ir Napry P~No
SiHer Sprklg TMIp., Clsnberland Coutry
My (brrtmiaaion Explrea July 27, ~
(Signawre and seai or Notary or other ~ ~~ NOTE: RenuetWations executed outside the Office of Register of Wilis are
onicial quaiiried ro administer oaths. Snow required in some counties to be notarized.
date o' expiration ar Notary's wmmission.)
RW-3
COMMONWEALTH OF PENNSYLVANL4
DEPARTMENT OF PUBLIC WELFARE
BUREAU OF FINANCWL OPERATIONS
DNISION OF TH[RD PARTY LIABILITY
PO BOX 8486
HARRISBURG, PA 17105
Date: May 8, 2006
ROMINGER 6 WHARE LAW OFFICES
ATTENTION: KARL E ROMINGER
155 S HANOVER STREET
CARLISLE, PA 17013
RE: WILLIAM WOLF, SR.
CIS: 630175698
SSN: 178-16-1493
DATE OF DEATH: 01/28/2006
Dear Mr. Rominger:
The Department of Public Welfare is responsible for the implementation
and operation of Pennsylvania's Medical Assistance Estate Recovery Program.
(62 P.S. 1412.) The Medical Assistance Estate Recovery Program.is a
Federally-mandated program requiring recovery of medical assistance from the
estates of deceased individuals age 55 and older who received nursing home
care, home and community-based services or related hospital and prescription
drug services on or after August 15, 1994.
In operating the program, we must dispose of estates that remain
unadministered throughout the Commonwealth. The Department's new regulations
authorize referral of these cases for administration to the probate and
estates sections of local county bar associations.
In previous conversation with you, you have agreed to handle the cases
for Cumberland County. We are now forwarding to you the unadministered
estate cases; with all the attached information we have in our file.
A reasonable administrator's commission and attorney's fee may be
charged to the estate as expenses of administration, but may not exceed a
combined fee of ~q or 68 of the gross assets of the estate, whichever is
greater. (Other administrative costs associated with filing for
administration will be dealt with on a case-by-case basis.)
Thank you for your willingness to cooperate with the Department in this
matter. You may receive referrals at a later date as they are identified. If
you have any questions, do not hesitate to contact Carol Beery at (717) 772-
6245.
Sincerely,
/~~~ // /~ f
Charles Jones
TPL Administrator
Enclosur