HomeMy WebLinkAbout07-16-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGIST®ERLO/F W /II/,LS`~OyF ~tUr~~P~r-~G~ t~ COUNTY, PENnNS/YL/V~A~jNIA / (~
Estate of ~eY In TAe ~7. /// y rS File Number !Y/ - CJ / ' Q t0 / ~D
also (mown as ~ u ~ e .S/.r.~ ~ or c, trs I q
Deceased Social Security Number 3~/- ~~-~~ 7~
Petitiorer(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or B' DELOW.9
~A. Probate and Gnat of Letters Tafamenta aid aver that Petitioner(s) is /are the B~Yt!CYi70/' namedm the
last Will of the Decedent dated'SZg~~~~'"~YU and codicil(s) dated
•- (State relevmrt circumstmxss, s.g., renvaiation, demh ofexecrdor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom a adopted after execution of the instrumetd(s) offered
for probate, was not the victim of a killing end was Dever adjudicated as incapacitated person:
C~ G
B. Grant of Letter of Admiaiatntioo _. _ C n ~
(Ijapplicable, errrer: c.ta; db.nc.ta.; perderde lih; dermas abseraia; d~v ' rate) C
`~ n r
Patitiona{s) after a proper search has /have aecertainod that Decedent left no Will and was survived by the followings si-~my) aodl
•Administmtion,c.t.a. ordb.n.at.a., enter date of Will in SeetionAabove and rnrnplete list of heirs.) K'(ju~ OS
(COMPLETE INALL CASES:) Aftadt addtBoaal sbetar ff n ary. '
Decedent was domiciled ~t death in ~ 91q Connty, Pennsylvania with his /her lest principal residrnca at
(Lett sneer oddness, rowr/edy, rovrrshrp, couNy. aroh, zip cods) / / / l /l J-
Decedeltt, then,~9 yeah of age, died on ~u µ e ~6, aoo 9 at dlD/J/ P~Q//O ( ~xT~'1
cr~Y~s c„o, /ufl
Decedent at death owned property with estimated values as follows: p
(If domiciled in PA) All personal Property S / ~ QQQ
(If ram domiciled is PA) Personal ~
property in Pemsylvaoia S
(If not domiciled in PA) Personal property in Coanty S
Value of real estate in Pennsylvania $
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the lest W W and Codicil(s) presented with this Petition end the grant ofl.etters m the appropriate farm to
the undersigned:
From RW-01 rev. 70.13.06 Page 1 of 2
Oath of Personal Representative ~ N
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COMMONWEALTH OF PENNSYLVANIA ~_~ r ~ `')
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COUNTY OF 1
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The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition aze tru~~c~rec[ to~4he begtaf'
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the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner~wi3l well ~C-
anrlKruly 'fS7
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...-
administer the estate according to law. rn .
; .
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Sworn to or affirmed and subscribed
before me the ~~~ day of
.~
For [h egis[er
Signature ofPersanal Represerttalive
File Number:~( - //// -- ~ ~//'~ V9~ ~~ / So
Estate of ~~ S~~ ~yK (~e~` ,Deceased
Social Sec city Number: ~~~~- ~~ ' /~! 0 Date of Death:
AND NOW, , ~, in c9ns' eration o the foregoing Petition, satisfactory proof
having been present efor e, IT IS DECREED [h t Let tiS !Y d A S
are hereby granted to i--r~~/ i! ~Q O.S ~~.4(~
and [hat the instrument(s) dated
in the above estate
described in the Petition be admitted [o probate and filed of record s e last Will (and odicil(s)) of De ht.
FEES ~~J~ 'A, //~~
Letters ............... $ (X(Q' ~ ~ rl~ 's~er,5 is
Short Certificate(s) ........ $~ Attorney Signature:
Renunciation(s) ... ..... $
... $ ~
.$ 5.
.. $
.. $
.. $
.. $
.$
.. $
TOTAL .............. $
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Farm RW-0? rev. 10.13.06 Page 2 of 2
1p5-q05 REV (UtlU9)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for [his certificate, $6.00
This is [o certify [hat the information here given is
correctly 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 Sling.
P 15476364
Certification Number
~s~~z4at.-~-i~-~I?1tt~p ~~N~~ 9109
Local Registraz ~ Date Issued
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IgEV Vaooe COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS
rPXINrN CERTIFICATE OF DEATH
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pga0vs PBrmX NO
LAST WILL AND TESTAMENT
OF
EDYTHE H. MYERS
I, EDYTHE H. MYERS, presently of Camp Hill, Cumberland County, Pennsylvania, being
of sound mind, memory and understanding, do make and publish this, my Last Will and Testament,
hereby revoking and making void all former Wills, Codicils, and Trusts previously made by me.
Article I
I direct my Executrix, hereinafter named, to pay the expenses of my last illness, funeral
expenses, and any taxes that may be assessed inconsequence of my death from the property passing
under this Will as an expense and cost of the administration of my estate.
Article II
I give, devise and bequeath unto my children, Mary Soderberg, Lynne Meredith, and James
Robert Myers, in equal shares, all the rest, residue, and remainder ofmy estate, of whatsoever nariu•e
or kind and wheresoever the same may be at the time of my death. The share of any beneficiary who
shall not have survived me shall be divided equally among the surviving beneficiaries.
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Article III
I hereby appoint my daughter, Mary Soderberg, to be and act as Executrix of this, my Last
Will and Testament. In the event that my daughter, Mary Soderberg, is unable or unwilling to act
as my Executrix then I appoint my daughter, Lynne Meredith, to be and act as my Executrix.
Article IV
My Executrix or her successors shall not be required to file any bond.
IN WITNESS WHEREOF, I have set my hand and seal to this my Last Will and Testament,
this o~O ~ day of A.D., 2000.
,QA-d.J (SEAL)
ED " H. S
WITNESS:
(~ -~ ~1.-
Name
Address ~`-
Name
a ~o ti_ ~ S ~ ~1a,,;t t~ P~
Address 1710
.. r ... _.... .. ~ „rs ./.;,~,;1'%s ~,.3~`EH6%~';irifi t Lhe.,„ - e ,... Z ~ .rv .. ... ..
COMMONWEALTH OF PENNSLVANIA
COUNTY OF
ss:
~I 1 ~,~e ll~d ~na~"F and
We, EDYTHE H. MYERS, W ` ~ ~ ~ 2Uh
~12u t I Vu Zt G(t ,the Testatrix an the witnesses, respectively, whose
names are~gned to the attac ed or foregoing instrumern, being first duly sworn, do hereby declare
to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will
in their presence, 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 of the Testatrix, and in the presence of each other, signed the Will as
witness and that to the best of their knowledge the Testatrix was at that time eighteen years of age
or older, of sound mind and under no constraint or undue influence.
~~~ ~ ~~
EDY ~ H. MYERS
L
W
Witness
`~~' l
Witness
Subscribed, sworn to and acknowledged before me by EDYTfiE~~ MYERS the Testatrix,
and subscribed and sworn to before me by t ~'1, t 1, ~ m A • FE~-If-e ho~ and
(Y1He ~ I V~ C. Z ~ I ~ ; ,witnesses, this ~ day of ~av£mec..+e , 2000.
Notary Public --r--
My Commission Expires:
8e~1 ~
po0ri0rrY
~ ~C~Yea Aler;s.lOCs
MenDer, Pe~wieyWeMnpeapclatlanoflM~ImMe
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