HomeMy WebLinkAbout11-13-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~~~ ~~n COLTITY, PENNSYLVANIA
Estate of ~ eel Cl.~.-~ ~ - ~ a~ ems, File Numbec C~` V '~ ~ ~ ~~ ~~
also known as
1 ~ ~ ~ ~ ~ .Deceased Social Security Number ~ ~ 3 _ ~ C3 v ~ ~ ~ ~/
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(CO>ti1PLETE 'A' or 'B' BELOW.)
~A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
last Will of the Decedent dated and codicil(s) dated
named in the
(Stnte relevant circurnstnnces, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of the insttument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B. Grant of Letters of Admin
(Ijnpplicable, enter.• c.t.a.; d.b.n.c.t.a.; pendente liter durance absentin; durnnte nrinorirate)
Petitioner(s) after a proper search has /have ascertained that Decedent ]eft no Will and was survived by the following s~egse (if any) andJ~eirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Wi11 in Section A above and complete list of heirs.) ~ ~ 4 f
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Name ltelationshi 2esi ~ n ~ ~ .x4 ~-
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(COMPLETE IN ALL CASES:) Attach additiottal sheets if necessary.
Decedent wk``s d~omiccil~ed ~at death in ~C-~.--c-.b-fie-~
p \ ~ --'c J ~C ~ it P O. Sr-~, ( ~1 ! \ ,
(List street nddress, tow»/city, township, county, state, zip code)
v--+ w rti- ;: f
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Pennsy]vaniawith his /her last principal residence at n ~ y •;~.. i,c ~C~
Decedent, then ~~ years of age, died on ;,.~ t1 at 3 P {~~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~ ~ C~ ~~
(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: ~ 15 ~ ' ~ i h ~ ,,_~~-c"~S~- ~ ~Gl ~ ~ l ~~ ~ ~ ~ '7 ~ l
Wherefore, Petitioner(s) respectfully request(s) the probate of the last W ill and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
or printed name and residence
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Form RW-0? re,~. to.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~,~ t r t ~.~ LU
SS
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are five 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 affirtmed and subscribed
before me the f~_ day of
For th R gister
Signature oJPersonal Representative
Signature ojPersonal Representative
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,.--~ ~ ` ~ -t f l l CJ~ ~~ ~ ~ t
File Number: ~_y ~ ~ , ,
.t~.. Cl~x W A J
Estate of ~P. )~ (-4 ~ ~ c o f {nil x"' `„° ~_;
Social Security Number:nlU J I~) ~~ Date of Death: ~ - ~ - ~ ~~ ~ ~.~~= P~~`
AND NOW, 1~(~L .p r ,~~~ ~ ~,/ ,inconsideration of the foregoing Petition, satisf~tory proof
having been presented before me, IT IS DECREED that Letters -1`~e ~--I~rn ~-kC
are hereby granted to ~~ ~,l ,~~ Lp
22 in the above estate
and that the instrument(s) dated ~1 -' ~ O - Q
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil( ) of Decedent,.,
FEES
Letters $~~~ [)U RegisteroJwilis ~. ~~r
Short Certificate(s) ........ $~ I n • C)~~
Renunciation(s) .......... $
... $ ~.~~
$
...
$
...
$
...
$
...
... $
... $
TOTAL .............. $E7Z~=l~j.-~~`
oJPersona! Representative
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Fm~m RW-U? rev. 1U.13.U( Page 2 of 2
~.cn> 2 ~ lQil?) C} 1 -L ~ ~ ~V
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 15932238
Certification Number
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
Records Office for permanent filing.
~~~ ~o s 200
Local Registrar Date Issued
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LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
WILL OF
BEULAH L. BAUM
I, Beulah L. Baum, of Carlisle, Cumberland County,
Pennsylvania, declare this to be my last Will and hereby revoke all
prior Wills and Codicils.
1. I direct that all my just debts, funeral expenses,
gravemarker and administrative expenses shall b+e paid
from my residuary estate as soon as practicable after my
death.
2. I direct that all inheritance, estate, transfer, succession
and death taxes of any kind whatsoever which may be
payable by reason of my death shall be paid out of my
residuary estate.
3. I direct that my entire estate be distributed as follows:
A. I leave everything to my daughter, Arla D. Basile.
Should she predecease me, I leave my estate to
my grandson, Heath Jones.
4. I appoint Arla D. Basile as Executrix of this my last Will.
If she should predecease me or cease to act in such
capacity, I appoint Heath Jones as alternate.
5. The Executrix of this Will shall have the power to
distribute my estate in kind or in cash, or partly in either.
6. I direct that no Executrix acting under this Will shall be
required to enter bond in any jurisdiction.
IN WITNES WHER F, I have hereunto set my hand this ~l.5 day
of , 2005.
Beulah L. Baum
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The preceding instrument consisting of this and one other page
was on the day and date hereof signed, published and declared by
Beulah L. Baum, as and for her last Will 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 hereto.
~--, ~~
WITNESS WITNESS
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
ACKNOWLEDGMENT
State of Pennsylvania
County of Cumberland
ss
I, Beulah L. Baum, the 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; that I signed it willingly and as my free and
voluntary act for the purposes therein expressed.
Beulah L. Baum
Sworn to or affirmed and acknowledged before by Beulah L.
Baum, the testatrix, this lG day of i~G~~~ ,
NoTARUU~ sEA~ //
STEPHEN J. Nona, NoTARr Pueuc l/(/
a~RUSt.E eoRO, cuMBERU~ co.. PA
~~~~a, Nota Public/A
State of Pennsylvania
County of Cumberland
AFFIDAVIT
ss
We, ~~Sa ~ , ~~ ~ ~ remand `i ~ ~~ the
LAW OFFICES OF
STEPHEN J. NOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and say
that we were present and saw the testatrix sign and execute the
instrument as her last Will; that the testatrix signed willingly and
executed it as her free and .voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the testatrix signed the Will as a witness; and that to the best of our
knowledge the testatrix was at that time 18 or more years of age, of
so mind and nder no constraint or undue influence.
Sworn to or aff d and s scribed to b fore me by witnesses,
this ~ day of p ,
NO'TARIALSEAL Notary Public/Att r ey
STEPHEN J. F10aa, NOTARY PUBLIC
CARLISLE 8080. CUMBERLANp CO., PA
MY ~ EXF'~i SEPTEMBER S, 9001