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HomeMy WebLinkAbout06-23-09PETITION FOR PROBATE AND GRANT' OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Clara G. Rouse also known as COUNTY, PENNSYLVANIA File Number 21 - 09 O~q~ ,Deceased Social Security Number 172-01-5377 Gerald J. Brinser Petkioner(s), , o is/are 18 years of age or older, apply(ies) for: (COMPLETE `A' or `8' BELOW.) QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executor named in the last Will of the Decedent dated 05118/2004 and codicil(s) dated (State relevant circumstances, e.g., renunciation, 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: B. Grant of Letters of Administration app rca , en c..a.; .n.c..a.; en r uren a sen ra; uren mrnon a ~;;~ Petitioner(s~ after a proper search has /have ascertained that Decedent left no Will and was survived by the following spous~if~y) and he '`" (If ~,_. ~` Administration, c.t.a. or d.b.n.c.t.a., enter date of X11 in Section A above and com ete list of heirs. ~' ~ `Y ' ~~ ' r r' ~ __ Name Relationship Residence ~ ; ~-a• rn ~ r.;.~ ~ ~' : ~ _ _ _ ~ r~ lam. >`"7 ~ -"~"f !'~' .--». ~' " .. ~ _ , - , ~,. .. r C3i . (COMPLETE /N ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at Messiah Village,100 Mt. Allen Drive, Mechanicsburg, (Upper Allen Twp.), PA 17055 (usr srreer address, rowrVcfty, rownsnlp, county, state, zip code) Decedent, then 94 years of age, died on 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 $ 06/13/2009 at Messiah Village, 100 Mt. Allen Drive, Mechanicsburg, PA 17055 ~y~ ~ vy situated as follows: /~d ~/ £ 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: __. Signature Typed or printed name and residence Gerald J. Brinser 6 E. Main Street (, P.O. Box 323 r~~~ _ Q~~%~~.Z.~ (717)838-6348 Palmyra, PA 17078 Form RW-02 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 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 ~i~- ~, F the Register Signature of Signature of Personal Representative Signature of Personal Representative t Gerald J. Brinser File Number: 21 - 09 ~~ (~ Estate of Clara G. Rouse ,Deceased Social Security Number: ~~ 11172-01-5377 n Date of Death: 06/13/2009 AND NOW, \ \.1u(l.Q_ ~`t G.C)ta , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Gerald J. Brinser in the above estate and that the instrument(s) dated 05/18/2004 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)} of Decedent. FEES (7C~ L tt $ ~~ G~~ ers ............................................ e ~ S er o errs Short Certificate(s) ......................... $ p~Q ~ C3i.~ Renunciation(s) .............................. $ Attorney Signature: $ ''~ . C~ Attorney Name: Kei h D. Wagner $ ~ C~ ~ C_~ '~` C~ 1~`~ w~o~~-~ $ 5 X Supreme Court I.D. No.: 43891 . , - Brinser, Wagner & Zimmerman $ Address: 6 E. Main Street $ P.O. Box 323 $ Palmyra, PA 17078 $ Telephone: 7171838-6348 TOTAL .................................... $ ~ L.~ (} Form RW-OZ Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. R Page 2 of 2 N ~.",~ . ,~ l""~ ~~..ww~~ V./ ', ~4 '~ ~ J , 1 1j ~ WILL F.h ; ~~ , ~ ~ , ~ CLARA G. ROUSE I, CLARA G. ROUSE, currently of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any and all prior Wills and Codicils made by me. I. I direct that all my just debts and funeral expenses be paid from the assets of my estate as soon as practicable after my demise. II. I direct that all estate and inheritance taxes that may be assessed in consequence of my death, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate whether or not passing under this Will shall be free and clear thereof. III. I bequeath unto any of my individual beneficiaries mentioned in Paragraph 4 below any of my items of tangible personal property they may desire. The remaining items shall pass as part of my residuary estate below. IV. All the rest, residue and remainder of my estate, of whatever nature and wherever situate, including property over which I hold a power of appointment, shall be divided equally among the following: my nephews, Douglas Rogers, Wayne Rogers, Paul Rogers, Richard Derr, and James Derr; my late husband's daughter and granddaughter, Syndae Steinhart and Siri Lalime; and the Camp Hill Presbyterian Church, Camp Hill, Pennsylvania. V. I appoint Gerald J. Brinser, Esquire, Executor of this my Will. In the event that he fails to qualify or ceases to act as Executor, I appoint Keith D. Wagner, Esquire, Executor in his place. VI. I direct that no bond be required of my fiduciary for the faithful performance of his duties in any jurisdiction. ~~ -~- ~,6, ~~.- i IN WITNESS WHEREOF, I, CLARA G. ROUSE, herewith set my hand to this my Last Will, typewritten on two (2) sheets of paper including the attestation clause and signatures of witnesses, this ~~ ~ day of May, 2004. ~F~. (/-bs~~- (,SEALS CLARA G. ROUSE Signed by CLARA G. ROUSE, by her declared to be her Will in our presence, who have hereunto subscribed our names as witnesses in her presence and at her request, this /~~ day of May, 2004. ~~ residing at ,-~-~ residing at_, ~ _ QN ~'~~~~,,, -2- COMMONWEALTH OF PENNSYLVANIA COUNTY OF i..~' R ~ I~ D I~ WE, CLARA G. ROUSE, ~ ~ ~~ ~ ~ ~ ~ ~'~'ys ~~ and ~ ~4R 1 ~yns K . TYso~, the testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly affirmed, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she 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 witnesses and that to the best of our knowledge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~14L,/~1 • ~6r..ay CLARA G. ROUSE „~~ ITNESS 1 WI ES Subscribed, sworn or affirmed and acknowledged before me by CLARA G. ROUSE, the testatrix, G ~ ~,~-~-~ ~- R?~NS f~c and 1'Y-~-R I ~-yN iC . ?y SoPcl ,witnesses, this ~ ~ day of May, 2004. r SEAL) ary Public l~TARIAL SEAL WEIMO~Y!» CRAWFORO. 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