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HomeMy WebLinkAbout08-07-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Louise H. Roth also known as File Number `"'~ `O ' Deceased Social Security Number 177?~J_ J %~~~ ~ C_:: ._ ' _ Petitioner(s), who islare 18 years of age or older, apply(ies) for. '70 `n ~ _ (COMPLETE 'A' or 'B' BELOW:) ~ ~ _ T<~ a ~~ ~.. ~>,-, © A. Probate and Grant of LettOrs Testamentary and aver that Petitioner(s) is !are the Executor ~ named ihi[hc last Will of the Decedent dated April 18, 197] and codicil(s) dated John E. Roth, decedent's spouse, died on June 17, 1978. (State relevant circumstances, e.g., renunciation, death ofexecu(or, etc.) Except as folbws, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the insttwnent(s} offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: Q B. Grant of Letters of Administration (lfapplfcable, enter: c. t.a.; db.n.c.t.a.; pendente T(te; durance absentia; durance minorilate/ (COMPLETE IN ALL CASES:) Attach additionNsheets ijnecessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence a[ _ __ _ _ _ __ n~ m_.. _,.v_ r~...~r.e_t...,,r r,, nA 17055 (List street address town/city, township, county, state, tip code) Decedent, [hen 86 years of age, died on July 28.2009 at Holy Spirit Hospital, Fos[ Pennsboro Township, PA 1701 I Decedent a[ death owned property with estimated values as follows: (lf domiciled in PA) All personal property $ 1 ~•~~~ (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 Wherefore, Petitioner(s) respectfully request(s) the probate of the last W ill and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: ' f ~~ ~ (Kerry L. Roth, 9 Autumn Drive, Dillsburg, PA 17019 Farm nw-oz rev. 10.13.06 Page 1 of 2 Petitioner(s) after a proper search has (have ascertained that Decedent left no W ill and was survived by the following spouse (if any) and heirs: (!f Administration, c. t. a. or d. b. n. c.t.a., enter date of Wil! in Section A above and complete list of heirs.) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND and subscribed 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 representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or before the the day SS Signature o rsonol Representative Signature of Personal Representative Signature of Persona[Representative File Number: ~ - L/ / - ~~~ - Estate of Louise H. Roth ,Deceased Social Securi ~ umber: 17 -24/6502 ~ Date of Death:July 28 2009 AND NOW, l ~ "' t in consideration of the foregoing Petition, satisfactory proof having been presented before 1 e, IT IS DECREED that Letters Testamenr_ are hereby granted to Ke L. Roth in the above estate and that the instrument(s) dated April 18 1971 described in the Petition be admitted to probate and filed of record pts the last Will FEES Letters ............... $ Short Certificate(s) ........ $ ~~~_ Renunciation(s~~ ..... $~ ..$/ ..Ds~Co .. $ .. $ .. $ .. $ .. $ .. $ ... TOTAL . ~ Attorney Signature: Attorney Name: Andrew C. Sheely Supreme Court LD. No.: 62469 Address: Telephone: 127 South Market Street P.O. Box 95 Mechanicsburg, PA 17055 717-697-7050 Farm Rw-oz rev. /0.13.06 Page 2 of 2 losaos aev ~olrovl 09- 7~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 15659441 Certification Number t~.T 0 ca r )S i" G'~ ~.:i r E __ m 1 rte` ~ L~ Z1 J -,, --;o-r, s _- --t ~c ~, ,_~-., xla l 3 r~ ~ ~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF NEALTN • VRAL RECORDS "elFP1Ai~cIL" ,"E"a,T CEflTIF1CATE OF DEATH t6N Inam1CDON alld NNIIIMa pl layalNl STATE FYF M1MBEfl I.xrbdo•waNlFm.~,m., b,LbMl Louisa H n'~'~~ aabaaanoW"n ~Y'~ Roth Y F l . ema e 177 _ 24 _ 6602 JuIY 28, 2009 n.Mn+a s+wn Gwl IMWI e. Nba ern 1. wara NFbra"•an w 66 MM °°" """ ,wr, ouN,: May 30,1823 Summardata, Penneylvanle "°'°`~ Yrs ^nPLrY [tilrnlGw.+Oow. ^ - r.. f7 w,w.• l7 aY~.~ b.CmNIdr4W h. CYY. Ba'o,iW aFN nFmW WrtW nNMX6-n.VMYYWdnE/I P. MaL CaNra LlylY[GVY,] ru IaW:MwanfM.aLA.'Mi.M[. Cumberland East Pennaboro Holy Spirit Hospital IW~ °~ ~~ ~ ~~ Yyhite l]. GO,mrFUrd - d•aYm,P a '.G~MaW ]2 wr O"Nd rxbYb Ia Gn•YIY•EdrIM I&•oYr dy YN+a P•d mµbp n. MYY,ISw+: ~AYPM. ]L EunMe EP•In•aK,Wm,e•ma{ ~er"pcaal L~w~n{~ice ~Ient us~~~r eirM'YI~°iy-]u Ca1pi 1""t'I '~Wi~d d owa ^ YM Ir arnPaF IEwa. lbma WY.ryaJ~ ~ ~ o•raxlr• PA DODm+ U rAt en ppe 127 Eas Ls urn oad Am,all.wr[. ]».sw YN.bP Ilc fBrr,n•aa-rLarn T•a Mechanicsburg, PA 17066 lm ra,,,L, Cumberand '°"b"P' lla.~ o, ~a.eaY., ~ ~~ Ye. Fnnx„w..la.I,Fad..nx.nMl Guy E. HuN O4tl1"`a""ra"'ntl°`'"Yp1PN~ Fannie Lightner a•. wamnY'LxxN iirwrPmn Ker L. Roth h Ym. wxmwYYldYpMyr isu.a, aY,b•P, LUm.,eau 9 Autumn drive Dllleburg, PA 17018 31a IYYW dGWaYm I~G4rM ^~~i YId OW aplpWwlaLYtl. yy. ~,) nc %•[•dGpAYLVi1lEm•d pnw,ry,u[nWYwmrprel YI6 LxmarlC%Inwuw,,. apwbl ~' a.m. O wmualYm~sdn ' Wrawlbl,. oo.rr Aanaw Auguat 1, 2009 Rolling Green MemoHal Park Camp H81 Pa 17011 ' , . Gn,,. arvs erMxl Y ^rrQw m. dFUVY xWg4•xAI YlO. LrmW Mn4e 'Q[. 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M1x syrWP+n, M.mn L. y+ .o[r .M ., ra xr q.r.resxnMUryNw.w.F,r."w___________________ • a,enl E.rdrrcxxr MDp G/E1 4 '~ La JJ9 On MLWFdnrbrbn Wlxbr•dedbl.NmYMNr~Y•nr[amCaMM.rw.Wdr•.Ytlamb Merry EMmwwrxWi Q %Lyrnn MyardP,mltlMCa~MEWI~CwaMNlnm alllW l0.R Y Ii 6 P r~ ~ JN U1M ~GNNtl+//"[A /'ID - ~P~ , MY IIbO, E,Y.YW I ~I 1 I.Z I ( 17 1 ]'y - i ~ P/r/ ! L 90/ cou>hFn~ Dn.tt. MaUulFnrr..,bx ry ~"+» . . µ 1 , W k This is to certify that 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 filing. G+r~.1~ Y ''I / 3a/ 09 Local Registrar Dale Issued GwP.rnnn Pma xo. -'~3B 4 SGG ~ ~ . ~ ~~ ~ I ~~ LAST WILL AND TESTAMENT OF LOUISE H. ROTH I, LOUISE H. BOTH, of the Village of Bowmanadale, Township of Upper Allen, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament. 1. I direst the payment of all my ~uat debts and ~uieral~ T O ..o .,~ ~ - expenses ea soon after my decease as the acme aan b~ ~s~nve~.en4}~.f? t ";' ~J %'cri~ J n-f t done. ; ~ _ T _ t- C,c- 7C N ;~ w I give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, to my husband, John E. Roth, his heirs and assigns, absolutely and unconditionally. 3• In the event that my said husband, John E, Roth, should predecease me, or should he die at about the same time as I do, suah as in an aoaident common to both of ua, then in such event, I give, devise and bequeath my entire eatat®, of whatsoever natrue and wheresoever situate, to my son, Kerry L. Roth, his heirs and assigns, absolutely and unconditionally. Should my husband, John E. Roth, predecease me, or die at about the same time ea-'I do, such as in a common disaster, and should my son, Kerry L. Roth, also have predeceased me, then in such event, I give and bequeath my entire estate to my daughter-in-law, Denise Roth, and any grandchildren which I may have at the time of my decease, share and share alike, it being my intention that my said daughter-in-law and grandchildren -1- each receive an equal also, for the purpose distribution of my es hereinafter named, to own at the time of my or sales. share in my estate, and in this respect of facilitating the settlement and lust tat®, I authori2e and empower my Executrix sell any and all real estate which I may decease, at either public or private sale LASTLY, I nominat®, constitute and appoint my husband, John E. Roth, Executor of this my lest Will and Testament, and in the the event that my said husband should predecease me, or should he be unable or unwilling to serve in such capacity for any reason, then in such event, I nominat®, constitute and appoint my son, Kerry L. Roth, Executor of this my last Will and Testament in his place and stead, and should both my husband, John E. Roth, and my son, Kerry L. Roth, predecease,me, or should they be unable to serve in such capacity as my personal representative for any reason, then in such event, I nominate, constitute and appoint my daughter-in-law, Denise Roth, Executrix of this my last Will and Testament, in their place and stead. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~ day of April, A. D. 1971. ~'w`'`-4''_ ~ ~ ( SEAL ) Louisa H. Roth -2- Signed, sealed, published and declared by the above named, Louiae H, Roth, sa and for her last Will and Testament, in the presence of us, xho have subscribed our names hereto, at the request of said testatrix, in her presence and in the presence of each other, -3- ~~J-7~~ L~ ,. OATH OF SUBSCRIBING WITNESS~G _~ pM ~: 28 REGISTER OF WILLS CLERK OF CUMBERLAND COUNTY, PENNSYLV~r~N,~,S COhRPA Estate of Louise H. Roth ,Deceased J. Robert Stauffer , (each) a subscribing witness to (Print Name/sJ the ®Will Q Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she /~ they and that she / he they the Testator estate (Signghm¢J were present and saw the above signed the same and that she /~e /they in !~/his (SlreetAddressJ Testator / estatrix sign the same signed as a witness at the request of presence and in the presence of each other. _ ~ atureJ _ 119 East Coover Street (Street Address) (Gry, Smte, zrp) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills NOTE: To be taken by Officer authorized to administer oaths. Form RW-03 rev. /0.!3.06 Mechanicsburg, PA 17055 (City, State, ZipJ Executed out of Register's Office Sworn to or affirmed and subscribed before me this l~ d% day of 5 , ac~C~g . Notary ~Pyfblic C/ - My Commission Expires: (Signature and Seal of Notary or other official qualified to adminis[tt oaths. Show date ofexpira[ion ofNO[ary's Commission.) Please have present ~ [ariza[ion. O o~ ~ ~~~ f^ ~r ;; f~,~ t ~~'- J rr v~^ OATH OF SUBSCRIBING WITNESS(~~~UG _ ~ ph x.28 REGISTER OF WILLS ~~~~~~OR"~pNq~~K OF CUMBERLAND COUNTY, PENNSYLVATSti'Yt1~F'?' ~ ~ u COURT Cr?., pp Estate of Louise H. Roth ,Deceased Gladvs P. Dean , (each) a subscribing witness to /Print Namels) the 0 Will ©Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was were present and saw the above Testator estatrix sign the same and that Q/ he /they signed the same and that she / he /they signed as a w>tness at the request of the Testator estatrix in er /his presence and in the presence of each other. ~~~ ~ ~~ (SlgnntureJ (Sigrta (Street Address) (City, State, Zip) Executed en Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills NOTE: To be taken by Officer authorized [o administer oaths. Form RW-03 rev. IQ.l3.06 826 Charles Avenue (StreetAddress) Mechanicsburg, PA 17055 (City, State, ZipJ Executed out of Register's Office Swom to or affirmed and subscribed before me this ~ ~k day of u Usk aoog "E!.' car m , ~-u.Qe,-Q, Notaiy Public `~J My Commission Expires: (Si®tature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Please have present the ori~j or,cgpy„p , CAll~d~pll NOYi 19f ~ "~4 ~ i?/~S`. ~i . +i ,~ r R ,':' r~x :+