HomeMy WebLinkAbout09-11-09PETITION FOR PROBATE AND GRANT OF LETTERS
A ,,REGISTER OF WILLS OF ~(' COUNTY, PEnNNSY~LIVANIA
Esiate of I ~fJ . a~~~Q__ V_S File Number 0~ l ~ v~ ~~
also known as
Deceased Social Security Number ~ ! 7 '~ ~ `C/ tp ~i~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or 'B' BELOW.9
1~ a
A. Probate and Grant of L t ers T stament ry and aver that Petitioner(s) is / aze the ~.~ °LC Q 1rJt' C@ named in ther,
last Will of the Decedent dated 7 and codicil(s) dated °.T~ N r i
.,~ _ %~
~~~ ...t
S n~
(State relevant arcumslances, e.g., renurtctation, death of executor, etc.) ~. UJ ~ a7
_ C?
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of nthexnt(s) ~ered ~
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~~~ .n
D ~-i: i
^ B. Crant of Letters of Administration Q
(tfappficable, enter: al.n.; d.b.n.al.a.; pendenle /ite; durnnle absentia; durnnle minoritare)
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: (/f
Administration, c. t.a. ar d.6.n. c.t.a., enter date of Will in Section A above and complete list of heirs.)
at death
tslreet Mdress, lowrdciry, township, county, state, z.
Decedent, then ~~ years of age, died
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(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
YJ
~i3
r
C,.z
Chf~ l^~-m~'~
his
rfCk~r(~i 5 ~ ~,)g9-
B;~Of /' s
$ ~..~0(~ r nD
Ofl~~~,
form RW-0? reg. to.li.oa Page 1 of 2
(COMPLETE LNALL CASES:) Attach additional sheets ijnecessary.
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:
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
1 ~,I SS
COUNTYOF~ ~m~~.~10-~(7
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 tntly
administer the estate according to law.
Sworn to or affirmed and subscribed
'E~-'
before me the ~_ day of
JQ ~~.
For the Register
File
Estate
Signature of Persona! Representative
S.
-r;
Q1 ,~, p, .
Social Security Number: I / / -~oI'~~ 9 ~q Date of
AND NOW, ~~ ~~ , p~~U / in con 'deg
having been presented b e me, IT IS DECREJ/~I/y/~a~t Letters ~ ,
are hereby granted to ~ ~ r /lJ7X/~~
and [hat the instrument(s) dated ~.~A.l j~Q,/
described in the Petition be admitted to probate a~d filed of
FEES ~, ryes
Letters ............... $ `~"~'
Short Certificate(s) ........ $~
Renunciation(s) ..~ ...... $
~ .. $ /J. ...'
O $~
.. $~
.. $
.. $
.. $
.. $
.. $
... $
TOTAL .............. $
foregoing Petition, satisfactory proof
/- D9- o~So?
in the above estate
as the last Will
Register
Attorney Signature:
Attorney Name:
Supreme Court LD. No.:
Address:
Telephone:
Far,n aw-oz ,'ev. lo.l3Ah Page 2 of 2
IGS eos aev (D)rop
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for [his certificate, $6.00
P 15729848
Certification Number
Y+onu n9v nav!
1YPE./FPImM
RNI.IHET'I
AnuMa
COMMONYlEALTX OF PENNSYLVANIA • DEPARTMENT OF NEALTN • VfTAL RECORDS
CERTIFICATE OF DEATH
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This is U9 certify that Che information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanem filing-.-J
Local Registrar Date Issued
M+Pr9m wmaw i1~1(ll4'1~f,~
dQ ~~~
OATH OF NON-SUBSCRIBING
REGISTER OF WILLS
~~ ~
r3
WITNESS(E~oo
O~
~~
COUNTY, PENNSYLVANIA
Estate of
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to
3
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rn
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Deceased
S ~Uf 0~ ~ Pa~`ei.~~~ and WCnICI_Qf~ 5 i~(,tsgrc.tlL~t-'
(each) being duly qualified acc rding to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with
and am/are familiar
with the handwriting and signature of the deced ne t, and that the signature of Q -er-~ S / '1~~' 'emu ~~ S(` '
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of Q n b ~ t~ _s7 ~ U54r^gA/e s~'
is in his/her own proper handwriting. l/
k ~~
(Si lure
25~~ G S~'i~~~
(Str t A dr s)
(~slre, zrP~
Executed in Register's Office
Swom to or affirmed and subscribed
before me this ~ ~+~ day
of ~_, o?Q~,
17~.Q.~
uty for R ister of Wills
forvn RW-04 rev. /0.13.06
Cj~-g~~
RENUNCIATION
REGISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of ~ D '~1~ I'~f" S ~ 1 ~ U b(J} r A I1 ~
I,
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Deceased
/' / in my capacity/relationship as
~~ !I V \ t~nnuvame/ U
of the above Decedent, hereby renounce the right to
admiln-ister the Estate of t(h~e D/e/cedent and respectfully request that Letters be issued to
~V \ n f n r~ ~ I' ~1++~0 ~ „o r-
v
~ 9 ~1 / lr~ rev ~I
(Dore) -T
(StreerAddressJ
~~6R,Aw~ Pr9 i~~~
Executed in Register's Office
Sworn to or affirme and subscribed
bef e me this ~ day
~.4-~
uty for R gister of Wills
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this day
of
Notary Public
My Commission Expires:
(Signature and Seat of Notary or other official qualified to
administer oaths. Show date ofexpiration of Notary's Commission.)
Farm RW-06 rev. 10.!3.06
..
.. .
~~~k dill ~rt.dr C~.e~.t~rrrert~
I, ROBERT S. MUSGRAVE, of the Borough of Carlisle, Cumber-
land County, Pennsylvania, declare this to be my last will and revoke
all wills which I have previously made.
I - I give, devise and bequeath my entire estate, real
and personal, wherever situate to my wife, Dorothy R. Musgrave, abso-
lutely and in fee simple.
II - If my wife shall not survive me, I give, devise
and bequeath my entire estate in equal shares unto my two children,
Sharon L. Potteiger and Robert S. Musgrave, Jr., if living, and if
deceased to his or her surviving issue per stirpes, absolutely and
in fee simple.
III - Any share of my estate which shall become distri-
butable to a minor beneficiary shall be held in the name of said minor
in a federally insured savings account until the beneficiary attains
the age of 18 years, or on order of a court of competent jurisdiction.
IV - I appoint as executrix of this my last will and
testament, my wife, Dorothy R. Musgrave, and if for any reason she
shall fail to qualify or cease to act as such during the administration
of my estate, I appoint as substituted executor my daughter, Sharon
L. Potteiger and my son, Robert S. Musgrave, Jr.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this _~ day of August, 1974.
~~ ~
gc- (SEAL)
Signed, sealed, published and declared r/]~~
by Robert S. Musgrave, testator above named,
as and for his last will and testament,
written on one sheet of paper, in our
presence, who, in his presence, at his
request, and in the presence of each
other have hereunto subscribed our a
names as attesting witnesses: p .o _~,;
n m c 4.
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