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08-12-09
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of Helen B. Johnson also known as COUNTY, PENNS LVANIA File Number 21- - Deceased Social Secudty Number 383-12-8436 Pebdoner(s), who is/are tts years of age or otter, appiriies) ror: (COMPLETE A' dr'8' BELOW:) ^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix named in the last Will of the Decedent, dated 06/13/2000 and codicil(s) dated George C Johnson died March 5 2007 Stare releverrt cfcumsrencea, e.g., rerxn¢lerion, desrh o1 axecuror, etc. Except as follows, Decedent did not many, was not divorced, and did not have a child bom or adopted after execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration w e,e c..a.; ..n.c..a.: a a: e e em a Petitioner(s) after a proper search haslttave ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (1/ Adminishabon, c.r.a. or d.b.n.c.4a., enter date of Will in Section A above and complete Ifst of heirs.) Name Relationship Residence N r_ ~ ~~ci~ s r_?_i r'r, (COMPLETE IN ALL CASES:) Attach additlonal sheets if necessary. ro ~ Decedent was domiciled at death in Cumberland County, Pennsylvania with his (her last principal resid3Tlce at 5225 Wilson PA 17055 ~-~ Lower Decedent, then 90 years of age, died on 08106/2009 at Decedent at death owned property with estimated values as follows: situated as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsyvania All personal property Personal property in Pennsylvania Personal property in County 2,000.00 ~e~51 P aUOner(s) respectlully request(s) the probate of the last Will antl Codicil(s) presented with this PetlOOn and iha grant of Letters in the appropdate form to or name Lake Ariel, PA 18A36 Copyright (c) 2008 form software anty The Lackner Group, Inc. Pege 1 of 2 PETITION FOR PROBATE AND GRANT OF LETTERS (Continued) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYQLV~ I~ Estate of Hel@n B. Johnson File Number 21-- 6 / also known as ,Deceased Social Security Number 383-12-6436 Name Barbara J. Brumagim Ann K. Johnson Relalionshio Residence Daughter 1656 The Hideout Lake Ariel, PA 18436 Daughter 427 Hogestown Road Mechanicsburg, PA 17055 ro 0 ` ~~zc~ c~ i'7 ~ c„ ;.~, ~`=gym - r-~' ~> ~.1 -c,:~ f V _i i-~ __ t O~ -v c. '`ri ~ -~~ W , n~ ~ ' __. Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF Cumberland } The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are We 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. Swom to or affirmed and subscribed be~re me this / 61 day of Register 2,- File Number: Signature of Personal RepresanfaHVe Estate of Helen B. Johnson Barba"ra J. Brumagim ~.~ ' ~ -nom w > n , W Deceased Social Snnacudthy /N~u,'mber. 38/3~-12-6436 /l Daie of Death: 08/06/2009 AND NOW, I'(X~ V tlM a . ~'/,~ , in consideration of the roregcing Petition, satlsfactory proof having been presented before me, IT S DEC ED that Lelers Testamentary are Hereby grented ro Barbara J. Brumagim in the above estate and that the instrument(s) dated 06/13/2000 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent FEES O~r~ Letters ............................................ $ short Certificate(s) ........................ $ ,i~Q6 Attorney Signature: ~-` Renunciation(s) ............................. $ t $ Attomey Name: Ga / Ja a Sq. $ l~ q~ Supreme CouR LD. No.: 277$2 $ () James, Smith, Dietterick & Connelly, LLP $ Address: 134 Sipe Avenue $ $ $ $ TOTAL .................................... $ ~'7 • OO Hummelstown, PA 17036 Telephone: 717/533-3280 Form RW-02 ftev. 7afs20oe ('gpy~ight (c) 2JOBfam soR++e,e ony The Lackner GrauO~ Inc. Page 2 of 2 105 x05 ftF,'f01 /OJ) ~ ~ ~ 1 ~© / V~ LOCAL REGISTRAR'S CERTIFICATION OF DEA'~H WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 15657807 Certification Number This is to certify that the information here given is correctly copied tiom an original CertiScate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Officc for permanent filing. oc egis ~ o .o <y -; a rrr ~ ~ C~ - c`7 U -n G> =- ~~rve vnwi :oas COMMONWEALYH OF PENNSYLVANIA • DEPARTMENT Of HEALTH • VITAL RECORDS - ~ xPYa.xt CERTIFICATE OF DEATH b eucx w! 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F • saoaa eunWarceror y i~33 (, 0 7 MwOYIFa•YMWgrw/Y a«,OI,IYI.a e„IIIettWryYbIMLY/.w Fa#w Yaw uu„I,jwwVWlr,I,YI Q ]I Nyry yar~q.,. a~M,«NOGonaWef.YaggYg!MnnlrYi•r t t Iiv~J ~ I r•~C C l A F I 'K ~ x PrelYaa. env. wl x. wq,rq, IDS ~~- ~ e'~ Ir~ I • v I . YY1 f • s~ i t?~cnxd Ca d A t P~t4 3 tt . - , n . t~ o OgpwYPaa NO. i' Last Will rJ O '° -'' _ ~ ' C. ~ ~. ,~ ~ ) C _~~m 4) ~ _ 'C17~ ~ ~~"') ~ ~ C7 ~) c'~0~~ --O ~ '~ i S HELEN B. JOHNSON O ~, w-~' ca ~ ~, ~,, I, HELEN B. JOHNSON, the Testatrix, a resident of Cumberland County, Pennsylvania, declaze that this is my Last Will. I hereby revoke all my previous wills and codicils. Article One Introductory Provisions Section 1. Marital Status I am currently married to GEORGE C. JOHNSON, and all references to my Spouse in this will aze to GEORGEC.JOHNSON. Section 2. Children All references to "my children", subject to the exclusion of any child under subsequent provisions of this Section 2, are to all of the children so identified in this Section 2, but only to those children and any children born to or adopted by me subsequent to the execution of this, my Last Will. a. My Children The names and birth dates of my children aze: Name ANN K. JOHNSON Birth Date March 31, 1950 BARBARA J. BRUMAGJM September 24, 1953 Article T~vo Appointment of My Personal Representatives Section 1. Nomination of My Personal Representatives I appoint the following to be my Personal Representative(s) in the order of priority in which their names appear: GEORGE C. JOHNSON; THEN BARBARA J. BRUMAGIM; THEN ALLFIRST BANK If, for any reason, the Personal Representative(s) named above aze unable or unwilling to serve, the next successor Personal Representative(s) shall serve in the order of priority listed until the list has been exhausted. Unless otherwise specified, if Co-Personal Representatives aze serving, the next named successor Personal Representative shall serve only after all of the Co-Personal Representatives cease to act as Personal Representatives. Section 2. Waiver of Bond No bond or undertaking shall be required of any Personal Representative nominated in this Last Will. Section 3. General Powers My Personal Representative shall have full authority to administer my estate under the laws of the Commonwealth of Pennsylvania relating to the powers of fiduciaries. My Personal Representative shall have the power to administer my estate under the Pennsylvania Probate, Estates and Fiduciaries Code. Article Tbree Disposition of My Property Section 1. Estate Planning Letter or Memorandum To the extent permitted by state law and not necessary to fully utilize my Unused Applicable Credit Equivalent, my Personal Representative shall distribute such of my personal or household items to such persons as I may direct by a written instrument signed by me and delivered to my Personal Representative. Section 2. Distribution to My Revocable Living Trust I give all the rest, residue and remainder of my property of whatever nature and kind and wherever located to the then acting Trustee(s) of my revocable living trust of which I am a Trustor known as the: GEORGE C. JOHNSON AND HELEN B. JOHNSON LIVING TRUST, Dated February 1, 1996, and any amendments thereto. I executed said revocable living trust prior to the execution of this Last Will. Section 3. Alternate Disposition If my revocable living trust is not in effect for any reason, I give all of my property to my Personal Representative under this will as Trustee who shall hold, administer and distribute my property as a testamentary trust the provisions of which are identical to those of my revocable living trust on the date of execution of this Last Will, or as thereafter amended. Article Four Death Taxes Section 1. Definition of Death Taxes The term "death taxes," as used in this will, shall mean all inheritance, estate, succession, and other similaz taxes that are payable by any person on account of that person's interest in the estate of the decedent or by reason of the decedent's death, including penalties and interest, but excluding the following: a. Any additional to the federal estate tax for any "excess retirement accumulation" under Internal Revenue Code Section 4980A. b. Any additional tax that may be assessed under Internal Revenue Code Section 2032A or 2057; and c. Any federal or state tax imposed on a Generation Skipping Transfer, as that term is defined in the federal tax laws, unless the applicable tax statutes provide that the Generation Skipping Transfer Tax is payable directly out of the assets of my gross estate. Section 2. Payment of Death Taxes Pursuant to the terms of my revocable living trust, all death taxes whether or not attributable to property inventoried in my probate estate shall be paid by the Trustee from my Trust. However, if my Trust does not exist at the time of my death or if the assets of my Trust aze insufficient to pay the death taxes in full, I direct my Personal Representative to pay any death taxes that cannot be paid by my Trustee from the assets of my probate estate by equitably prorating and apportioning those taxes among the beneficiaries of this will. Unless specifically provided otherwise in my Trust, all death taxes incurred by reason of assets being transferred outside of my Trust or probate estate shall be assessed against those persons receiving such property. Section 3. Waiver of Right of Reimbursement Under Code Section 2207A I hereby waive my estate's right of reimbursement under Code Section 2207A. Article Five General Provisions Section 1. No Contest Clause If any person or entity singularly or in conjunction with.any other person or entity, directly or indirectly, contests in any court the validity of this Last Will including any codicils thereto, then the right of that person or entity to take any interest in my estate shall cease and the demise of that person (and his or her descendants) or entity shall be deemed to have occurred prior to mine. Section 2. Captions The captions of Articles, Sections and Paragraphs used in this Last Will aze for convenience of reference only and shall have no significance in the construction or interpretation of this Last Will. Section 3. Severability Should any of the provisions of this Last Will be for any reason declared invalid, such invalidity shall not affect any of the other provisions of this will and all invalid provisions shall be wholly disregazded in interpreting this Last Will. Section 4. Governing Law This Last Will shall be construed, regulated and governed by and in accordance with the laws of the Commonwealth of Pennsylvania. I signed this, my Last Will, on ~p - ~ ~ a .~.~ Q- HELEN B. JOHNSO ATTESTATION CLAUSE On this JUN 1 3 2000 ,HELEN B. JOHNSON, Testatrix, personally Published and Declared the foregoing instrument, as and for her Last Will and Testament, in the presence of each of us and all of us together, who, at her request, in her presence, and in the presence of each other, also signed the said instrument as witnesses. We farther state that each of us believes that at the time she executed the foregoing instrument she was of sound mind and memory, of lawful age, and did so execute it as her own free act and deed and not under the constraint or undue influence of any persolIn.'' ,A~ ~ l/`~`" ~ . itn~~e//s~~s eet Address ~ P-~ ~ X033 city, state, z' Witness ~'( ~~ /C11UW Street Address t ~~ X20 S ty, state, zip COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN We, HELEN B. JOHNSON, ~GU, `~' ~ and ~a21 ~-, the Testatrix and the witn see, respectively, whose names are signed to the att ched or foregoing instrument, being duly first sworn, do hereby declaze to the undersigned authority that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will; that the Testatrix signed it willingly, or directed another to sign it for the Testatrix, that it was executed as her free and voluntazy act for the purposes therein expressed; that each subscribing witness in the presence and hearing of the Testatrix signed the Last Will as a witness; and that to the best of our knowledge the Testatrix was at the time of sound mind and memory, of lawful age, and under no constraint or undue influence. SUBSCRIBED, SWORN TO and AC NO/WLEDGED before me, a of ry public, by HI~E;; "LEN B. JOHNSON, the Testatrix, and (~kVJ~b` ~ ' and yl,~su,t'i ~ - ~~aU iD06 j~_, the witnesses, on this JUN 1 3 2 Notary Public (SEAL) Notarial seal Lintle L. Fettarhoff, Notary Public Derry IWp., Dauphin County My Comrnlsslon Expires Nov. 8, 2003