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 ' ~~ '
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Name Relationship Residence ~ ; ~-a• rn ~ r.;.~ ~ ~'
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(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
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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_~
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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
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WILL F.h ; ~~ , ~ ~ ,
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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.
~~
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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 ~'~~~~,,,
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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
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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.
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ary Public
l~TARIAL SEAL
WEIMO~Y!» CRAWFORO. Hot~ty P'~~
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