HomeMy WebLinkAbout10-20-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~~ ~~~r?~ COUNTY, PENNSYLVANIA
Estate of
L ~ ZA 1~c ~ SYl v ~ Z.
also known as 5~~-T.~ Ma'F2-
Deceased
.~u1c Z=L Z[x,Q
File Number ~ l ~ L ~ -' ~ ~O
Social Security Number }~3 ' ~Z-' ~S~
Petitioner(s), who is/are 13 years of age or older, apply(ies) for:
(CO.tiIPLETE 'A' or 'B' BELOW:)
U' A. Probate and Grant of Let ers T~jstamentary and aver that Petitioner(s~~i /are the
last Will of the Decedent dated (~ ~ Z`-~ 1 ~~~~ and codicil(s) dated
(State re(evmit circumstances, e.g., renunciation, denth of eseeutor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of the instrument t(,) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~''~ ~ 1
. ,-~ ..~
_ ,
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^ B. Grant of Letters of Administration - -
(ljapplicable, enter: c.t.n.; d. b. n. c. t. a.; pendentelite: durance absentia; durnnte minbti~ate) N
- C? _.._.
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spbi7sE ,(if,any) a~ heirs( (If'- .?
~~
Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) -' ' } ~ - ~ r
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(COMPLETE IIV ALL CASES:) Attach additiatal s/reefs if necessary.
~~eEC-TVZY named in the
Decedent was domiciled at death in C~~X`~~eJ~'J ~ County, Pennsylvania with his /her last principal residence at L1'L=~-~
O/C~t-.,at i, L-~~J~. , M{:~.e+AJ. L.~ 3.Y1, ~~e,- /a ~.~.c.~; Cy^~'Jcl'~1i.Y> ~~~'~ lZi
(Lac street address, town/cily, township, county, srnte, zip code) n
v'~-~ 1
Decedent, thenr~_ years of age, died on -~~~ Zz;2 at HJ~-`~ 5 ~ ~'~ ~ ~`~5~~ ~~~-
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
(lf not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
~;~~- ~ ~ 7j , ate.'
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
t}rqundersigned:
G 1 Sienature Typed or printed name and residence _ ~
~''1C0J'.`~F~'c-C M~~z 33NS P~I.LE~`!.c..> J~ , M~-c~.~v~c.>"3.~ ~ ~M,
Form R6V-01 rerc !0.13.06 Pale I Of 2
Oath of Personal Representative
CONI~IONWEALTH OF PENNSYLVANIA
SS
COUNTY'OF~~~IL~~~'~~~C~~~ .
'The Petitioner(s) above-named swear(s) or affirm(s) drat the 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) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law. ~~
Sworn to or affirmed and subscribed
before me the ~~~ day of
For the Register
~nnture ojPersonnl Representative
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Si~natwe of Personal Representative f '~ 7
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Si~nnture oJPersatal Representative
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File Number: d r ' U ~ ' ~~~~ _ ~
Estate of ~ 1 i 2~ hr~tG 1 t y I ~ ~--- _, Deceased
Social Security Number: I~ 3 ~ ~~-' ~ ~~ ~~ 5~' Date of Death:
AND NOW, d~'r~7 ~!(,{ 1,J7 ~~ , S^~, inconsideration of the foregoing Petition, satisfactory proof
having been presented before me, IT DECREED that Letters _TPS~~~i'l "t
are hereby granted to
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Dece
FEES
Letters ............... $ ~ , ~~
Short Certificate(s) ........ $~
Renu~ci tion(s) .......... $
... $ ~
~,- '~, . $
... $
... $
. ... $
... $
... $
... $
... $
r•,
TOTAL .............. $
in the above estate
of wins
Attorney Signature:
Attonrey Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form R6V-0? rev. (p.l i.0( Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for thiti certificate. 56.01)
P 15656089
Certilication Number
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ --
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CERTIFICATE OF DEATH -`'
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(See instructions and examples on reverse) srArE FILE NUNtaER ___..
I Nwne of DEtedcnl IFxsl. inWnl< asl. sunlxl 'Sex ! $JCaI $etwlry Num0er y Dale ul Dealn IAlw~ln. day. yedrl
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LAST WILL AND TESTAMENT ',_,
- ~~ __
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ELIZABETH MOTZ = ' =~' _=;
I, ELIZABETH MOTZ, a/k/a BETTY MOTZ of the Borough-~=~of ~ ~~
Mechanicsburg, Cumberland County, Pennsylvania, being of sound
mind, memory and understanding, do hereby make this my Last Will
and Testament, hereby revoking all Wills and Codicils at any ~irne
heretofore made by me.
FIRST: I give and bequeath unto my Daughter, ANN MARIA
(MOTZ) REED, the sum of Five Hundred 0500.00) Dollars, if she
survives me.
SECOND: I direct that all inheritance, estate, transfer,
succession and death taxes of any kind whatsoever (including
interest and penalties thereon), which may be payable by reason of
my death, shall be paid out of my residuary estate. Taxes on
future interests and remainders may be prepaid.
THIRD: I give, devise and bequeath all the rest, residue and
remainder of my estate, real, personal or mixed, of whatsoever
nature, and wheresoever the same be situate at the time of my
death unto my Son, THEODORE MOTZ.
FOURTH: I nominate, constitute and appoint my Son, THEODORE
MOTZ, to be the Executor of this, my Last Will and Testament. I
direct that no such Executor acting hereunder shall be required to
post bond or enter security in any jurisdiction.
IN WITNESS WHEREOF, I, ELIZABETH MOTZ, a/k/a BETTY MOTZ have
hereunto set my hand and seal to this, my Last Will and Testament,
this a~~ day of ~ 197.
- ---- -----(SEAL)
EL ABET
~_ ( SEAL )
BETTY TZ ---- ------~---
Signed, sealed, published and declared by the said ELIZABETH
MOTZ, a/k/a BETTY MOTZ, as and for her Last Will and Testament, in
the presence of us, who, at her request, in her presence, and in
the presence of each other, have subscribed our names as witnesses
thereto.
C~-~' ~t
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND .
I, ELIZABETH MOTZ, a/k/a BETTY MOTZ, Testatrix, whose name is
signed to the attached or foregoing instrument, having been duly
qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will and Testament; that I
signed it willingly; and that I signed it as my free and voluntary
act for the purpose therein expressed.
ELIZABE MOTZ
BETTY Z----- - ----------
Sworn or affirmed to and acknowledged before me, by ELIZABETH
MOTZ, a/k/a BETTY MOTZ, the Testatrix, this ~ ~=~~-- day
of ~'1 -- 1g~7 .
;t)UA SEMANCHII(, Notary Pubh.
My Commission Expires October 15, 1990
SChuylkiil County Frackville, Pa~
CO[+iMONwL;AL`I'li OF PENNSYhVA1V T A
SS.
COUId`l'Y C)l~' CUMBERLAND
and ~A7~-cth S¢.t~h~~4~-'
the witnesses whose names are signed to the attached or foregoing
in:~t,r•u~uent, being duly qualified ac co rdi_ng to law, do depose and
Say that, we were present and saw the `t'estatrix sign and execute
t,}~e inst,rument as her Last Will and Testament; that she signed
willingly and that she executed it as her free and voluntary act
for the purposes ~;tierein expresseii; that each of us in the
hearing and sight of trle `Testatrix signed the Will as witnesses;
and that to the best of our knowledge, the `Testatrix was at that
t.irue eighteen or more years of age, of sound mind and under no
con~t,rant; or undue influence.
A~+~t..t~'~
Sworn or affirmed t;o and subscribed to before me by
~-~1A~K~ S EMkNC H-t K and pl4-r'~. lG t,k SEwt~t NC.EN C ,
witnesses, t}iis o2~.z~ay of 19g7•
1Ut.1A SEMANCNIK, Notary Pubht
My Commission Expires October 15, 199l~
Schuylkill County frackviVte. Pa.