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.)
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^ 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: ,~, ~
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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~) ~•~••••
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... . $
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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-
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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
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CERTIFICATE OF DEATH
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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~,
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- ;.,, ; -
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