HomeMy WebLinkAbout10-27-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ZUM B,C/~L /}~(/ fl COUNTY, PENNSYLVANIA
Estate of C'1 ~} )~TO~f/ ,~ lJ~~/ /V~ /1 ~ (- VQ '" ~ V `~
File Number __
also known as p ~j /
Deceased Social Security Number _~ p .G "~ ~~'(~S~J
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COt4iPLETE 'A' or B' BELOW.)
A. Probate and Grant oC Letters Testamentar and aver that Petitioner(s) is /are the _ C, (J - ~~~ ; L V TO R s
last Will of the Decedent dated / named in the
and codicil(s) dated
(Store relevant circumstances, e.g., renunciation, death of executor, e1c.J
Except as follows, Decedent did not marry, 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 C"') _~
(fjappticabte, enter: c.Ga.; d.b.n.c.t.a.; pendentelite; durance absentin; duranf~x,tZ6~ritate) ~ S7 '''"i
~ '~` t ~)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived b the followin sou ~~„ ~ ~ ~
Administratiat. c. t. a. ord.b.n.c.t.a., enter date of Wiff in Section A above and complete list of heirs.) y g p ~.Y?'Y`y) ar~etrs 3~1~',r
yeceoen was omiciled at death in ~ _ County, Pennsylvania with his /her last principal residence at
(List street address, town/city, township, county, state, zip code)
Decedent, then -~ 9 years of age, died on (~t'T ~~o, z 009at ~ ~.~V RC N 4F GG h I-FG M~, ~A R L! SLC r~
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 follows:
Form RW-0? rev. !0.!3.06
Page 1 of 2
(COMPLETE IN ALL CASES:) Attach additiortaf sheets if necessary.
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 .
~ d : SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affirn~(s) that the statements in the foregoing Petition are htie 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.
Sworn to or affirmed and subscribed
before me the ~~ day of
'~~
_ Fcr the R gi er
SignnhtreR(Personn!Representatrve
Siganture oJPersonnl Rep,•esentn[ive
Signntu,'e ojPersonttl Representative
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Wit/ _~
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p ~J
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File Number: ~ - ~ ~ ~- ` ~ 1 1
Estate of __ ` ,~~t \~ ~-(') f1 ~ ~ ~ h ~~~'
,Deceased
Social Security Number: ~ ~~~ ~- ~ Q "„ ~~ Date of Death:~~~~~~
AND NOW, ±5_r~~'~.c ~ C~ QC~~( , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS ECREED that Letters ,Q
are hereby granted to __ (y (~_ C • ~j~hVlP f' ~.- -
J7a~lnr'r r' R r' . c ,.~c
and that the instrument(s) dated _ ~ - 1 ~ ~ j 9C~ ~ _ in-the above estate
described in the Petition be admitted to pi obate and filed of record as the last Will (and Codicil(s)) of D eedent.
FEES ~ ~ - ~ '
-_
Letters ............... $~~° Register of {3'i11s
~~fr ~ _ ~.
Short Certificate(s) ........ $ -~ _.
Attorney Signature:
Renunciation(s) .......... $
~_-________ ... $ . ~v
... $_
.. $
... $_
... $
... $
... $
TOTAL .............. $-S-Z~~
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Fornr RW-U2 rev. lU.I3.U(
Page 2 of 2
105.805 REV (01/07)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this cert~cate, $6.00
P 15856430
Certification Number
MtO6W IIEV 1L70r
T1YE
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17a 8i01 _/717 Wfil~ 17c IJ NR
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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 be forwarded to the State Vital
Record f e for per ent filing.
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Local istrar Date Issued
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CERTIFICATE OF DEATH
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LAST WILL ND TESTAMENT OF '' ~^`~
CLAYTON E . BORN .R ~ ~ : -,
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~~._.
I, CLAYTON E. BOHNER, of Cumberland County, Peylvan, - ;,
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do hereby make this my Last Will and Testament, revoking any and
all former Wills and Codicils made by me.
FIRST: I am not married. I have two children: Carl C.
Bohner and Donna Lou Brosius. Any person born to or adopted
by a child of mine is described in this Will as "my issue."
Provided, however, no adopted person shall benefit hereunder
unless the order or decree of adoption is entered before such
adopted person attains the age of twenty-one (21) years.
SECOND: I give my tangible personal property and all
casualty insurance that I am carrying on said tangible personal
property to my children who are living at my death to be divided
equitably among or between them as they may determine, or, if
they are unable to agree, the same shall be sold and the
proceeds added to my residuary estate and shall pass in
accordance with Item THIRD hereof. I have complete confidence
that my children will honor any written instructions that I may
leave with regard to said tangible personal property. Any such
property not so distributed shall be sold, and the proceeds
added to my residuary estate to pass as hereafter described.
~~~ ~ 7
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TIitBp: I give, devise, and bequeath the rest, residue, and
remainder of my estate, real and personal, to my children, in
equal shares, per stirpes and not per capita.
E4ii8TH: If any beneficiary and I should die under such
circumstances as would render it doubtful whether the benefi-
ciary or I died first, then it shall be conclusively presumed
for the purposes of this my Will that said beneficiary prede-
ceased me.
FIFTH: (1) I name Carl C. Bohner and Donna Lou Brosius
as my Co-Executors. If either one of them is unable or
unwilling to serve, the other shall serve alone as my Executor.
I direct that my Executrix or Executor, herein referred to as
my Executor regardless of number or gender, serve without bond
in any jurisdiction in which called upon to act.
(2) For services as Executor, my Executor shall
receive reasonable compensation.
~XTH: (1) I give to any Executor named in this Will or
any Codicil hereto or to any successor or substitute Executor
all of the powers enumerated in this Will and all of the powers
applicable by law to fiduciaries in the Con-monw~alth of
Pennsylvania and in particular through the Pennsylvania Probate,
Estates and Fiduciaries Code, as effective and as in effect on
the date hereof, during the administration and umtil the
~~ ~ ~'
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completion of the distribution of my estate. I direct that all
such powers shall be construed in the broadest possible manner
and shall be exercisable without court authorization.
(2) In determining the federal estate and income tax
liabilities of my estate, my Executor shall have discretion to
select the valuation date and to determine whether any or all
of the allowable administration expenses in my estate shall be
used as federal estate tax deductions or as federal income tax
deductions.
(3) My Executor is authorized and empowered to
acquire and to retain, either permanently or for such period of
time as my Executor may determine, any assets, including the
capital stock of any closely held corporation, whether such
assets are or are not of the character approved or authorized
by law for investment by fiduciaries and whether such assets do
or do not represent an overconcentration in one investment.
(4) My Executor is authorized and empowered to
disclaim any interest, in whole or in part, of which I, or my
Executor, may be the beneficiary, devisee, or legatee, by
executing an appropriate instrument (in accordance with section
2518 of the Internal Revenue Code of 1986, as amended and
supplemented, or such similar section as may then be in effect).
,.~,
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(5) My Executor is authorized and empowered to sell
at public or private sale, or exchange, and to encumber or
lease, for any period of time, any real or personal property and
to give options to buy or lease any such property. Addition-
ally, my Executor is authorized and empowered to compromise
claims, to borrow from anyone (including a fiduciary hereunder)
and to pledge property as security therefor, to make loans to
and to buy property from anyone (including a fiduciary or
beneficiary hereunder); provided that any such loans shall be
adequately secured and at a fair interest rate.
(6) My Executor is authorized and empowered to
allocate property, charges on property, receipts and income
among and between principal or income, or partly to each,
without regard to any law defining principal and income.
SEVENTx: No interest of any beneficiary under this Will,
any Codicil hereto, or any trust created herein, shall be
subject to anticipation or to voluntary or involuntary alien-
ation.
E~SHTH: All estate, inheritance, succession and other
death taxes imposed or payable by reason of my death and
interest and penalties thereon with respect to all property
comprising my gross estate for death tax purposes, whether or
not such property passes under this Will, shall be paid out of
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the residue of my estate, as if such taxes were expenses of
administration, without apportionment or right of reimbursement.
I authorize my Executor to pay all such taxes at such time or
times as deemed advisable.
IN WITNESS WHEREOF, I have set my hand and seal on
this my Last Will and Testament this 21st day of April 1998.
~ ( $F.AT,~
C YTON E. BOHNER
SIGNED, SEALED, PUBLISHED, and
DECLARED by CLAYTON E. BOHNER,
as and for his Last Will and
Testament, on the day and year
last above written, in the
presence of us, who, at his
request, in his presence, and
in the presence of each other,
all being present at the same
time, have hereunto subscribed
our names as witnesses:
,~
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SELF-PROVING AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND ,
WE, Clayton E. Bohner and Wayne M. Pecht
Shawn W. Weis , and N. Ray Fisher ,
the Testator and the witnesses, respectively, whose names are
signed to the attached or foregoing instrument, being first duly
sworn, do hereby declare to the undersigned authority that the
Testator signed and executed the instrument as his Last Will and
that he had signed willingly (willingly directed another to sign
for him), and that he executed it as his free and voluntary act
for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the Testatar, signed
the Will as witness and to the best of his or her knowledge the
Testator was at that time eighteen (18) years of age or older,
of sound mind, and under no constraint or undue influence.
~~ ~
1 ~ E. Bo~hni er, T~ for
~C~.~~
Witnes
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Witness
Witness
Subscribed, sworn to, and acknowledged before me by Clayton E.
Bohner, the Testator, and subscribed and sworn to before me by
Wayne M. Pecht , Shawn W. Weis , and
N. Rav Fisher witnesses, this 21st day of April
1998.
Not y Public
Notarial Seal
Cynthia J. Rule, Notary pub
- 6 - My Comrrni ss~oon~ExPl-e~s Jand24 2~p