HomeMy WebLinkAbout08-07-09PETITION FOR P//R~~OBA//TE A/ND G~NT OF FETTERS
REGISTER OF WILLS OFLifAmJ~.~' ja"u COUVTY,PEiv~iSYL~:ANIA
~'1~ar an ~ I~ r ~i ^ry'
Estate of y ~ ~avs~ File Number ~ I ~V / ~ ~~~'lQ
afso known as Yha.rlah {^ ~~ Kr ~~ ~7 '}'[/~~/
. ~~i- ~ ~~ i Sees , Decea ed Social Security Number ~ / ~~~~ V
Petitioner(s), who islare 13 years of age or older, apply(ies) far:
(CO~NPLETE :1 ' or 'B' BELOW:)
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / aze the ~7(~T~(~ - named in the
last Will of the Decedent dated O`t713 - t~CJ and codicil(s) dated
r- ~ c
0 7.;
(Stare relevnnf cir<wns[ancu, e.g., renunciation, denr4 ofexecutar, etc.) y~Q a ~7 i '~
fi
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Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution oft~~s a~tent(s~alTeredcr ,
fa' probate, was not the victim of a killing and was never adjudicated an incapacitated person: t.--, T_ rn 1 r .~
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^ B. Grant oC Letters oC Administration C ,:3
(ffapplicabte, enter c.r.n.: d.b.n.eta.: pendeuelire; darnnre nbsenria; durance mi. ore) ..
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Petitioner(s) after a proper search has !have ascertained that Decedent left no Will and was survived by the following spouse (if any) and 140s: (1f
Administrations.t.a.ord.b.n.c.t.a., enter dare of Witl in SectionAabove and complete list ofheirr.J
(COrYLPLETE lNALC CASES:) Arrach additional sheets ifneee ary.
~^D~e~c,,e~dent was do iciled death in ~ h County, Pennsylvania with his /her last principal residence at ei~~
t~vscrt /X7 O
(List sh'eel ndAress. lowrJciry, lawns ip, county, stole, zip codz)y/ (/~~~,, ~ ~ ~/~,~ ~ _
Decedent, then ~~__ years of age, died on ~~ a ~~ at ~ 71 ~/Ll ~--t~t.l~ rr"'a~~( ~7~o~s
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Decedent at death owned property with estimated values as follows: I
(If domiciled in PA) A11 personal propmy $ ~~ t~
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County S
Value of real estate in Pennsylvania $
situated as follows:
Form RW-0? r<~< ro.li.od Page 1 of 2
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with This Petition and the grant of Letcers in the appropriate foam to
the undersigned:
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
I SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affirm(s) [hat [he statements in the foregoing Petition are true and con'ect to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly
administer [he estate according to law. ,
Sworn to or affirmed ~ subscribed
I~
re me th r_ daygqof
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For the Register
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File Number: oG ~ " ~ - (J ~~n `~~ ~~ ~
fit'! ~I- ,,I,,~•~,I, QC
Estate of ~t-W I Q/~ L. _ 2Y I,~UI CJ(~J~'.lc(~ ~^y , DeceaQ~l~ _~
~~q- ~4- gel ~ Date of Death: " ( i~,U ~~ 1 ~
Social S~ecpur/ityy,Nu/m~ber:
AND NOW, n7 Q~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, I S DECREED that Letters '~.OGF77J1~1 P/l f~VL~ __ - _
are hereby granted to
Signatnre of Persona! Representative
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in the above estate
and that the instrument(s) dated 4 " ?i - ~~ 9
described in the Petition be admitted [o probate and filed of rec}or(d~as~ the last Will (an,.~~fd~Codicil(s)) of Decedent.
FEES CC ~l K1~~~Q ~ /t,C/t/~0/L~ Q~ .~.~G'
Letters ............... $__~ Register ofWilfs (/i0r Q~
Short Certificate(s) ........ $ (7 Attomey Signature: ~`-' a
R..e``nunciation(s) .......
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Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
.. $
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TOTAL .............. $,lLf'LV(/
Form RW-0? rev (0.13.06 Page 2 of 2
Signature ofPersanal Representative
105.805 REV (u1N71
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 15606317
Certification Number
This is [o 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
Rec rds Office for ermanent filing.
c.ut.~1i Gt ~ d 8"
Local R istraz Date Issued
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i.AST . AND T T M NT
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MART N OTT .BR T1~OW KY `_i~~ ~ c',-"r';
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I, MARIAN LOUISE BRUDOWSKY, of 3 Kelly Court, Enola, Perry~~uTnty, ~ _i
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Penns lvania bein of sound and dis osin mind memo and understandin do hereb ~ ~ `
Y g P g ~ rY g Y cn '~
make publish and declaze this my Last Will and Testament, hereby expressly revoking all
other writings in nature testamentary by me at any time heretofore made.
FIRST: I direct that all my debts and funeral expenses be paid as soon after my
decease as may be practicable.
SECOND: I direct that inheritance tax on property disposed of herein shall be paid
from my residuary estate.
THIRD: I hereby give and devise my German Beer Stein to my Grandson, Thomas H.
Whitmyer, Jr.
FOURTH: I hereby give and devise my Five ($5.00) Dollaz Gold Piece Necklace to
my Daughter, Bonita 5. Heisey.
FIFTH: I hereby give and devise my automobile to my Grandson, John Schazdt.
SIXTH: It is my wish and desire that each of my Grandchildren living at the time of
my death shall receive Five Hundred ($500.00) Dollars, even if from non-probate assets.
~p,}1}.,Qi~~ ~ o~.u,oR- ~~ °-~. (SEAL)
MARIAN LOUISE BRUDOWSKY
Page one of two
SEVENTH: I hereby give, bequeath and devise all the rest and residue of my estate
and property, real, personal and mixed, of whatsoever nature and wheresoever situated of
which I may own at the time of my death, or to which I may be entitled or of which I may
have the right to dispose at the time of my death, to the following children: Bonita M.
Heisey, Jeffrey O. Sees, Patti M. Buxton, Kimberly D. Schazdt and Stephen P.
Brudowsky, in equal shares.
EIGHTH: I hereby appoint my Daughter, Bonita M. Heisey, as Executrix of this, my
Last Will and Testament, but in the event that she is unable or unwilling to serve, I then
appoint my Son-in-Law, Paul R. Heisey, as Executor of this, my Last Will and
Testament. I direct that they shall not be required to give bond or other security in any
jurisdiction wherein proceedings may be held in connection with my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 3rd day of
April, 2009.
MARIAN LOUISE BRUDOWSKY
Page two of two
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OATH OF SUBSCRIBING WITNESS(ES)
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REGISTER OF WILLS j~a-r, _ ~
v ~ y e~ I q Nc, COUNTY
PENNSYLVANIA ~-~i ° =
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Estate of M a ~ I u'M (-o v iSe ~-^ vdo ws K7 ,Deceased
(each) a subscribing witness to
~ ~ (Print Name/sJ
the W'lVill ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she /~' they ~/ were present and saw the above Testator / estatn sign the same
and that she / ~ they signed the same and that she / e / hey signed as a witness at the request of
the Testator / Te tatrix in ~/ his presence and in the presence of each other.
(Signature)
DJ C w ~~O~1-~ir(t~ (0~-1706~-
(Ciry, Stme, Zip)
(Street AddretsJ
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Executed out ofRegister's Office
Sworn to or affirmed and su scribed
before me this ,j day
of
Notary Public
My Commission Expires:
(Signature and Seal ofNOtary or other
administer oaths. Show date ofexpira
_~~
NOTARIAL SEAL
NOTE: To be taken by Officer authorized [o administer oaths. Please have present the original or copy of instrument(s) at ti a oefiBhlaM+dA0RR1$DN, NOTARY PUBLN:
BLOOMFIELD BORO PERRY COUNTY
C_OMMI$$ION ExPIRES AUGUST 9 YO10
Form RW-03 rev. l0./3,06 -'
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OATH OF NON-SUBSCRIBING WITNESS(ES)c° a r;;
~'~.Zm 1 !T i--.
REGISTER OF WTLL5 ='cri~ --r : i
~uwtlee~Llu.~ COUNTY, PENNSYLVANIA _o~i ~ r. ;_j
~~ a ; r;
a
Estate of ~ (z 1 lLW ~a t~1 Se ~ Qty ~ d ce7 ~ l ,Deceased
and
(each) being duly qualified according to law, depose(s) and say(s) that sh / he /they ~a~/were well-
acquaintedwith(~J~n ~w"~, r-cs Lgc~~i~~,v ~s~~~ and~are familiar
with the handwriting and signature of the decedent, and that the signature ofV ~ g1 ~lc~h ~o~, os z 1~Q~ow s1~"`
to the foregoing instrument purporting to be the Last Will and TestamentfCodicil of'M4~lt. ~~i~e c-~
~712u`G~>~C..~ is in hi~own proper handwriting.
(Street Adpreuj - -
(Ciry~mte, ~
Executed in Register's Ojftce
Sworn to or affirmed and subscribed
before me this ~_ day
of , ~,
Deputy for Register o ills
(5+8~~e1
(Street Address]
(CrN. Store, Z~Pj
Form RW-04 rev,/0.13.06
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