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HomeMy WebLinkAbout11-12-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~+-n ~ e -~ ~ ~ COUNTY, PENNSYLVANIA Estate of ~~ ~G ~- ~ ~ ~ S i S S ~~ also known as Deceased File Number ~ ~ L..~Y`~ 1 ~ ~ ~~ Social Security Number ~ ~ o~ ~ ~ ' ~~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or 'B' BELOW.) ~A. Probate and Grant of Letters Tes mentary and aver that Petitioner(s) is /are the ~X -~ ~ t,. '~- o.r named in the last Will of the Decedent dated l 3 chat U03 and codicil(s) dated (State relevant circumstances, 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 instrument(s) pffered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B. Grant of Letters of Administration (Ifapplicable, enter: c.t.a.; d.b.nc.t.a; pendente life; durante absemta; durante minorttate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and 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.) (COMPLETE INALL CASES:) Attach additional sheets if necessary. was domiciled at death i (List street address, town/cQi `ty, trnvn~hip, county, state, zip code) Decedent, then y ~ year~of age, died on ~` ~ G n ~, ~~ ~°~~- 7~ ~~d b O ~ ~ ~ ~ his /her last principal reside O 7d ~ ~ ~ _ 101.5' yy~~~o- O O`3 Af ~l G r 1• S C~- 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 OI s Forne RR'-02 rev. 10.13.06 Yl ~: ~,:3 r __. ,C-, i T_-r -"i ~, _ _.; s ~ 15~ O 00 , O O S '"~ - S '~ s~ o : a o Page 1 of 2 -•b'e~ Wherefore, Petitioner(s) respectfully request(s) the protmte of the last Will and Codicil(s) presented the undersigned: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF C u rn b -e :~ ~ A~ The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are 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 truly administer the estate according to law. Sworn to or affirmed and subscribed I before me the~r - ~ rr~~ daygof .C~oD . ~ r. ~ ., For the Register (.~9~ l~ of Personal Representative Signature of Personal Representative Signaho~e of Personal Representative File~,Nyum~ber. 2 ~~ ?~_t~~' Estate of i l G1Y' R ~L Y'e-'}~ ~ h OY~'1 G ~ ~1 5 S ~1~. Deceased Social Security Number: c~ ~ a. ~ ~ 'b ~ ~ Date of Death: c~ ~ 17 ~ t~ G ~ AND NOW, ~a ~~ . in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT CREED that Letters are hereby granted to in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed FEES (I-- Letters ............... $ l~ (~. W Short Certificate(s) ........ $ . 0 6 Renunciation(s) .......... $ S ~ 1~1i`ll ... $ o~ ~ma'~7~tTn .. $ ~a 0 ... $ .. $ ... $ ... $ ... $ TOTAL .............. $ J f . 00'~ as the last Will (and Codicil(s)) of Decedent. Attomey Signature: n N ~? Attorney Name: ~ C o [~7 o~n ~ ~ Supreme Court I.D. No.: t?7 ~,`~., r O Address: 7 ~ ~ ~ ~ ~ O~O~~~~ ~~~~~ ~~ t~'f^i ~ to O Telephone: Form RW-02 rev. 10.13.06 Fage 2 of 2 )~in~.~os are Ini/o-i ~ ~ _ ~!'IU / _~~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATt{ ~ WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 15256360 Certification Number This is to certify that thc; 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 O/ff~ic~e for permanent filing. ~' ~ '-ra7'~V.{if~.: ~~T (~ a/LUUs Local Registrar Date Issued n n~ r0 ~~n0 jr; ~, d n , ~ ° ° ~--; x--~, o ° ~, ~ ~ -.-=~.= y ~~o ..: Inostav nEV n/2ma COMMONWEALTH OF PENNSYWANIA • DEPARTMENT OF HEALTH • VRAL RECORDS TYPE / PIel1 M Pd'd""~ CERTIFICATE OF DEATH SIC ~ (Sss Inetnictione end sxem Iss on rovers ` P ~ 3717E FlI F NIwrIFN 1. Ilanr a Dawn (nak eddde. raC err) 2. Sal 0. Sodr 9easdy Mner a. 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Estate of Y~ G Y' G G ~r- E.. ~ ~' S ~ 5 5 ~---- ,Deceased I, ~ ~ ` 1 j-( ~ ~ Q- S S ~-''- , in my capacitylrelationship as (Print N ) ~.>C2 ~-v~y r- of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~j v.. l ~ e, rn arc ~, 3~g~o ~ (Date) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills Form RW-06 rev. 10.13.06 .~.~~- (Signarwe) l~Tl j Ti-r~ ~1~. /P~ (street Address) (City, Scare, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the ren iation for the purposes stated within on this day of t~Qnr- ~ _ _ aa~t 1 Notary Public C.'~~ My Commission Expires: ~(~-5-}(~ (Signature and Seal of Notary or other official iquali6ed to administer oaths. Show date of expiration of Notary's Commission) COMMONWEALTH OF PE N5YLVANf/! NO A lAl SE L MICHELLE POYVERS, Notary Public 0oro of Chambersburg, Fran County My Commission Expires act. 5, 2010 LAST WILL AND TESTAMENT I, MARGARET T. SISSON, of South Middleton Township, Cumberland County, Pennsylvania, declaze this to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. I . I direct my Executrices to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my Executrices to sell any realty owned by n7e at my death and not specifically devised herein at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I give, devise and bequeath all of my estate of every nature and wherever situate as follows: (a) Any automobile owned by me at my death to my son, MICHAEL HALDEMAN; and (b) All the rest, residue and remainder to my four (4) children, MOLLY RESSLER, JULIE MARCH, JEFFREY HALDEMAN and MICHAEL HALDEMAN, shaze and shaze alike, the child or children of any deceased n ~, child taking the share their pazent would have taken if living. ~ ~ ~ ~ O - ~~~~ ~ r ,;~_ dooms °p (...~~-~ b y ~ ,~ ~ _ ~~_~ ~= ~ O .~, '~ .;r~ 1 4. I nominate and appoint MOLLY RESSLER and JULIE MARCH be the Executrices of this my Last Will and Testament; they are to serve as such without bond. 5. I hereby suggest that my personal representatives retain the services of Irwin, McKnight & Hughes as attorneys in the settlement of my estate. IN WITNESS WHEREOF I have hereunto set m han y d and seal this ~~~ day of June, 2003. p ~ ,, ~~ / .J' ',~'"~'`~•./ (SEAL) GARET T. SISSON Signed, sealed, published and declared by MARGARET T. SISSON, the Testatrix above-named, 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 hereto. f 2 ACKNOWLEDGMENT AND AFFIDAVIT WE, MARGARET T. SISSON, JACQUELINE L. DRAWBAUGH and MARTHA L. NOEL, the Testatrix and witnesses respectively, whose names aze signed to the foregoing instrument, being first duly sworn, do hereby declaze to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament, that She had signed willingly, that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of their knowledge the Testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ,~ `_ ~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . SS: Subscribed, sworn to and acknowledged before me by MARGARET T. SISSON, the Testatrix herein, and subscribed and sworn tobe a me by JACQUELINE L. DRAWBAUGH and MARTHA L. NOEL, witnesses, this 12~'Sday of June, 2003. ,. '3. Notary Public Notarial Seal Roger B. Irwin, Notary Public Carlisle Boro, Cumberland County My Commission Expires Oct. ~, 2004 (Member. PetlnSVNaniaAsaoaationdf Notaries 3