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HomeMy WebLinkAbout08-17-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVAN/I~A/~ Estate of PFTER A BU HY File Number 21 09 /U/ also known as ,Deceased Social Security Number 194680706 Petitioner(s), who islaze 18 years of age or older, apply(ies) for: (COMPLETE 'A' OR B' BELOW.) N O ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the n P amerlin t)1 last Will of the Decedent dated 5123108 and codicil(s) dated nerve a ~~ ' ' David Barwood Andrews Matthew Rippev and Jef&ev Detweiler have renounced then nght to serve ~t~ ~7~_' .,. ~, r. . r-> (State relevant circumriances, e.g., renunciation, death ofexecutoq etc.) ~ ~~ ~ _..._ :, Except as follows, Decedent did not starry, was not divorced, and did not have a child born or adopted after execution o~~sttvmen (~ offered- ' r. '9 -~ for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ,~, ~ N B. Grant of Letters of Administration r t a - (Ijappltcable, enter: c.t.a.; d.b.n.at.a.; pendente lire; durante absentia; durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Wil] and was survived by the following spouse (if any) and heirs: (/j Administration, c.t.a. ord. b.n.c.t.a., enter date of Will in Section A above and complete list ojheirs.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with his! her last principal residence at street address, town/city, township, county, slate, Decedent, then 32 years of age, died on 7/11/09 at Hershev Medical Centet Hershev Derrv Township PA 17025 Decedent at death owned property with estimated values as follows: (IF domiciled in PA) All personal property $ 2.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ sitaated as follows: 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: Typed or printed name and residence kr--eS'(~1n _ (~ ~- I Renee Paris-Bushy 706-631-7065 '~~~C~ p t_(~~( 258 N. Enola Drive. Ant. IsEn 1~ PA 17025 Form RW-02 rev. 10.13.06 Page 1 of 2 (COMPLETE LN ALL CASES:) Attach addUional sheets ij»ecessary. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA I _,r ~~ r SS t~7;;i iS ~„ __ COUNTY OF CUMBERLAND ~CC9 A~ 17 ASP ~~ ~ The Petitioner(s) above-named swear(s) or affum(s) that the statements in the foregoing Petition aze a and co a to best of the lrnowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitione~~~ll~ell and truly administer the estate according to law. ~~QN~S CURT ~,-, n cul~e~>rP~~~~o co. Pa Sworn to or affumed and~bscribed before me the ~ day of Signature of Persona[ Representative file Reglst¢i ~ Signature of Persona(Representative File Number: ' yt _ ! Estate of PETER A BU HY ,Deceased Social Sec 'ty Number: 9464480706 Date of Death: 7/11/09 AND NOW,~l~i41q 1 , 2009 , in consideration of the foregoing Petition, satisfactory proof having been presented before } e, IT IS DECREED that Letters of Administration c t.a aze hereby granted to Renee Paris-Buchv in the above estate and that the instrument(s) dated Mav z3 zuUts described in the Petition be admitted to probate and filed of record FEES Letters ............................. //yy~~~, /,~ $ ...... Short Certificate(s) ~••• Renunciatipt~) ~•~•••• $ ~ $ ' ! . l .$ Q~ ~v~v ... . g ... . $ ... . $ ... . $ ... . $ ... . $ ... . $ TOTAL ............................ . $ of Attomey Signature: ~- ~~"'oJ Attomey Name: No V Otto III Supreme Court I.D. No.: 27763 Address: 10 East Hieh Street Carlisle pA 17013 Telephone: 717-243-3 341 Form RW-01 rev. Po.13.06 PagE 2 Of 2 fws eos Rev mlrovY - - _ - - G- ~/ / '~~ / LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph,, Fee for this certificate, $6.00 This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will he forwarded to the State Vital n Records Office for~rmanen[ filing. P 15656742 Certification Number Local Registrar y~~ .t 1::.; ;~:i ~ - ~ a ~ . W nlosm xEV II,N'4 rvvE Pgwr:x PERmWEXi satl{w ~ I a COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS CERTIFICATE OF DEATH Isaw IrotruetlamA And AxAmPMA rm rererwl ....~ ........... r M„„gbaYilP[t nY1. Wl[IMI 3. 1u lSmx SiwM Nnbw [. qYq 0.Mlmaal M. „„I Peter Andrew Buch y Male 194 - 68 - 0706 my 11, 2009 ].y, ls.b Lawn Imabl w.l do.mgam wiu. T c .„arn r„r.aa.n wl anw o.w Im.. u,,,, Iq,p„I.. Q,y,. 32 r„. 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L2 r[4„x ]m.OY l9m11WIn. vY~lmb IPwWq„rNw„}.a,Ma[WMmMIYS.a„.Wpa„.wY«ww~le YMaY,~„a,1,0 ^ ~C~ t 1009 ww ,<.•„[ I ~ wl« a„m..a„m„a.„tlmwu..r.„rr+.wsmmw„wu.„..w[., wma. ^ ][Ir„.n wncnrowuwaw,n lra:n lva. '~ IM9°` L! " °ia am"' a, rl M.S. Herahey Medical Ctr. Tetesr, c9 hones ~~ 0387056 ' 09 -~c~~ _., , ,-. ~~ ,~ LAST WILL AND TESTAMENT OF 264 AUG { 7 Aid 9~ 33 PETER A BUCHY CLERK ~3F ORPHAN'S COURS I, Peter A Buchy, of Hephzibah, Georgia, revoke my former Wills and Codicil!~l~t~ • PA to be my Last Will and Testament. ARTICLE I PAYII~NT OF DEBTS AND I direct that my just debts, funeral expenses and expenses of last illness be first paid from my estate. ARTICLE II DLSPOSITION OF PROPERTY Residuary Estate. I direct that my residuary estate be distributed to Renee Dhyana Zahmoul (Paris), Hephzibah, Georgia If such beneficiary does not survive me, my residuary estate shall be distributed to the following beneficiaries in the percentages as shown: 20.00% to Congregation Children of Israel, Augusta, GA. If this person does not survive me, this share shall be distributed proportionately to the other distributee(s) listed under this provision. 40.00% to David Barwood Andrews, Minneapolis, MN. If this person does not survive me, this share shall be distributed proportionately to the other distributee(s) listed under this provision. 40.00% to Steven James Buchy, Martin, SD. If this person does not survive me, this share shall be distributed proportionately to the other distributee(s) listed under this provision. 100.00 -Percent Total ARTICLE III NOMINATION OF EXECUTOR I nominate David Barwood Andrews, of Minneapolis, Minnesota, as the Executor, without bond or security. Iii such person or entity does not serve for any reason, I nominate Matthew Rippey, of Seattle, Washington, and 3effrey Detweiler, of Long Island City, New York, as Co-Executors (the "Executor"), without bond or security. Page 1 of 5 Testator's InitialsV~, ,~," ,, - ;.,, ; - RENUNCIATION 2U09 AUG 17 AN 9~ 29 REGISTER OF WILLS CLERK CF ORPHAN S COURT CUMBERLAND COUNTY, PENNSYLVANI~UMEF(~LFi'.~~ ~~., PA. Estate of PETER A BUCHY ,Deceased I, DAV D BARWOOD ANDREWS , in my capacity/relationship as (Print Nome) FxF~trrOR of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to RENFF PARiS-RiiCHY _ - . (Dote _~~/~~~9 Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , 6229 THOMAS AVENUE S. (Street Address) MINNEAPOLIS MN 55423 (City, State. Zip) Executed aut of Register's Office Before the undersigned personally appeazed the party executing this renunciation and certified that he or she executed the renunciation for the pofrpose~tat~d within on tluQS~~'1_day Deputy for Register of Wills Farm RW-06 rev. 10.13.06 Notary Public My Commission Expires (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVAMA NOTARIAL SEAL Victoria L. Otto, Notary Public Cazfisle Borough, Cumberland County My commission ezpires December 20, 2010 _I/ '-: .li i _ ~ ... ,,. ... RENUNCIATION REGISTEK OF WILLS cutvlBERLAND COUNTY, PENNSYLVANIA zoa9 auc i ~ an 9: z5 CLERK OF oRPr~uu's COURT CUhiBER(..~NC? ('Q., PP. Estate of PETER A BUCHY ,Deceased I, MATTxEW R?PPEY , in my capacity/relationship as (Print Name) et r~~FSa~R c'o-EXECUTOR of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to RFNEF p,~RIS-BUCHY cl~ g~~of~°d2 (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills (Signature) 10716 GREENWOOD AVENUE N (Street Address) SEATTLE WA 98133 (City, State. Zdp) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the rerunc,~atio~t for the purpos s stated within on this `Q ~ day of ~~ ;-~~ LOoT- Expires: 0`1-Z (Signature and Seal of Notary or other off administer oaths. Show date of expiration ~OTAq` N- Form RW-06 rev. 10.13.06 *; RENUNCIATION REGISTER OF WILLS cUMBERLANn COUNTY, PENNSYLVANIA 2009 AUG { 7 AM 9~ 29 CLERK CF ORPHAPd`S COlJRT CUMBERL~t~U CO., PA Estate of PETER A B CHY - -, Deceased I ,~rrr aFV nFTUtFrr Fu , in my capacity/relationship as , (Print Name) ~t lr~r;SmR CO-EXECUTOR of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~NFF PARTC_RTTCT-iV 4t' / ~3T~ (Dote) ,~ONC iSL.~ND CITY NY 11106 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Farm RW-06 rev. 10.13.06 Executed out of Register's Office Before the undersigned personally appeazed the party executing this renunciation and certified that he or she executed the renunciation for the purpose state within on this ~1~-day of Zaa Notary Public My Commission Expires: S ~ l -zU~.l (Signature and Seal of Notary or other official qualified [o administer oatiu. Show date of ezpi2tion of Notary's Commission.) SEONBROOME NOTARY PUBLIC, STATEOF NEW YOPoC OUALff1ED W K1N08 CIX1NtY N0.018R8205534 MY COMMISSION EXPIRES 05•T 1.2013