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07-30-09
3odlso~ sn N p .- ~~ (~ 0p ~.. c~ ~ ~ (V ~, I.(') (~ o ~- ~ N lL ~ j ~ O 'ea 2i3lSb'F-~ ~. O N o ~ H ~ ~ O C~ ~ W ~ LLi Q Z ~ o M ~` o .. U W ~ =Z ~ r-- ~a _ ~ = LLI J = W ---m~ LL' ~~ J .=jJ ~~ =U~ ~--V •~. ~~ ..; f! t~f ~~ t •r~! }~ ~} .+..x N tM ~ O ~~"'"' C vJ ~ -L ~ w ~ a ~ o °'° z `~ oo~ ~n a; c~ n aoinaeg id!~aa uan~aa 6uisn aof nod ~IUeyl RETURN RECEIPT REQUESTED LISPS MAIL CARRIER DETACH ALONG PERFORATION ., ~.. -----------1--------~ ----- Thank you for using Return Receipt Service r 50 North Fifth Street P.O. Box 942 Reading, PA 19603-0942 Te1610.376.6651 Fax 610.376.5243 www.barley.com Cumberland County Register of Wills 1 Courthouse Square, Room 102 Carlisle, PA 17013 Janice M. Strauss, Paralegal Direct Dial Number: 610.376.6651, ext. 2240 E-mail: jstrause@barley.com July. 29, 2009 CERTIFIED MAIL RETURN RECEIPT REQUESTED Re: George R. Lake Estate Dear Sir or Madam: ~ © pr ° ;-~ ;.` `; . .... J S Y ; t y~ Enclosed for probate are the following: ~ ^ i'~` rte`" r" ~ `} .' ~ .+ 1. Petition for Grant of Letters; ~~~ cn ~ ~~ -~ `- ~ ~ ` ~~~-= ~ ; ~~ ' ~ ~j 2. Estate Information Sheet; =_'° = ~ , ` ~ ~ : ~ ' J/ ~+~~I~(J~ •.i..~ l~ . ...' ~ !~ 3. Original Death Certificate; ,~ 4. Original Will of George R. Lake dated October 20, 2008; 5. Check payable to Cumberland County Register of Wills in the amount of $54.00, the cost to probate. In addition, we would like to request for one short certificate. If you have any questions regarding this matter, please feel fee to contact me. Thank you for your attention to this matter. Sincerely, ~~mS:2659645_1 Enclosures Janice M. Strauss Paralegal Reading • York • Lancaster • Berwyn • Hanover Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of George R Lake No. ~ I ' ~ ! - U l I also known as George Robert Lake Deceased Social Security No. 228-32-1003 Petitions(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR 'B' BELOW:) ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the executrix named in the Last Will of the Decedent, dated October 20, 2008. 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 documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: ^ B Grant of Letters of Administration (d.b.n.c.t.a.; pendente liter durante absentis: durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: ~ ~ Name Relationshi `residence -.5, ~ :-= ` r _~=- ~~ >~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. `.~„~~~ = i .~ c:'~ ~ --_~, ~ -- , Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal resider at 41 Vest M~t%x '::F i> Street, Mechanicsburg, Cumberland County, Pennsylvania 17055.. ,...~~~ ` v~: Decedent, then 79 years of age, died June 14, 2009, at Golden Living Center, 10 House Avenue ,Camp Hill, Cumberland County, Pennsylvania 17011. 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 follows: N/A. 1, 000 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: Marie„~1G, Lake 137 Peacock Road Mohrsville. PA 19541 Form #RW-1, Page 1 of 2 - 2659613_1 Prepared by Chester County Register of Wills Office from Pennsylvania Bar Association, 1991 Standardized Probate Form RW-1 Oath of Personal Representative Commonwealth of Pennsylvania County of Berks 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 the 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 July, 9 F r the Register No. -0`111 Estate of George R. Lake a/k/a George Robert Lake, Deceased Social Security No.: 228-32-1003, Date of Death: June 14, 2009 AND NOW, ~ ~ , 2009, in consideration of the Petition on the reverse side hereon, satisfactory proof having een presented before me. IT IS DECREED that Letters ®Testamentary ^ of Administration are hereby granted to Marie J. Lake in the above estate and that the instrument(s) dated October 20, 2008 described in the Petition be admitted to probate and filed of records the Last Will of Decedent. FEES Letters ............................. p C7~ $ Short Certificate(s) $ `1- •~ R gister of Wills Renunciation $ ( ) ,~,~~„~,,,,,,... $ ~ ~ , (~~ Attorney: Charles F. Fitzpatrick, Esquire JCP Fee .......................... $ ~d , (~ I.D. No.: 10234 Inventory .......................... $ 'hS~ Address: 50 North Fifth Street, Second Floor Record Improvement Fund .. $ 1~ P.O. Box 942 Inheritance Tax Return .... $ '~9~!99- Reading, PA 19603-0942 Commission ..................... $ Other ~~~?M~~.l~l $ ~ . C~ Telephone : 610-376-6651 TOTAL ............................. $ ~'~- - C~ Form #RW-1, Page 2 of 2 - 2659613_1 Prepared by Chester County Register of Wills Office from Pennsylvania BarAssociation, 1991 Standardized Probate Form RW-1 Last Will and Testament Of George Robert Lake I, George Robert Lake of the Township of Upper Bern, County of Berks anh~e State~f Pennsylvania, being of sound and disposing mind and memory, do make, publi~d dec'e -;~;, , -: the following to be my Last Will And Testament, hereby revoking all Wills by .',n '~iy tie ~ ~ ~ ~7 heretofore made. ~ ~~= ~; ~' ~ ,~ T x :~T First: I direct my Executrix, hereinafter named, to pay all my expe>~es, _ ~. _t administration expenses of my estate, including inheritance and succession t~x~, state~nd .4~ ~= ~ ; ~,~ federal, which may be occasioned by the passage of or succession to any interest in my e,ate ' ~ ~' ~ ~ ~~, -~ under the terms of this instrument, and all my just debts, excepting mortgage notes secured by mortgage upon real estate. Second: All the rest, residue and remainder of my estate, both real and personal, of whatsoever kind and character, and wheresoever situated, I give, devise and bequeath to my wife: Marie Lake, to be hers absolutely and forever. Third: I hereby appoint my wife, Marie Lake, as Executrix of this Last Will and Testament. In Witness Whereof, I have hereunto set my hand and seal at Mechanicsburg, Pennsylvania this 20th day of October, 2008. George R. Lake coMMONwE~urH of ~~srvAtvw Notarial Seal Beth M. Herr, Notary Public SINer Sprinfl Twp., Cumberland County My Commission f~xpires Sept, 11, 2012 Member, Penn:yhrania AssoGation of Notaries w ~~. ~... , Register of Wills of Berks County, Pennsylvania OATH OF NON-SUBSCRIBING WITNESS Estate of George R_ Lake No. ~ ~ ' ~ ! ~ l 1 also known as George Robert Labe ____ ,Deceased We, Charles F. Fitzpatrick and Marie Lake (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that ewe are) familiar with the signature of George R. Lake , testat or of (one of the subscribing witnesses to) the will/mQdiQtl presented herewith and that theg believes the signature on the will/amt is in the handwriting of George R. Lake to the best of their knowledge and belief. Sworn to or affirmed ~nd~sscribed before met is (/~ ~ day of 20 For the Reg' er Swom to or affrrmed'~nd subscribed before me this day of , 20 For the Register Form #RW-2C Prepared by Berks County Register of Wills Office (Signature) r.a C7 ~ C7 -~• ~ :- -r (Signature) ' ~ 'v EWi ~ ~ ;~-,' ; ,..~ r7`t W __. 7 ~J }~ ~_~*AR ° J ~ ~ ~C - .. .. CT1 :,