HomeMy WebLinkAbout12-02-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of DELL H. GOUSE
also known as
Deceased
File Number L~ ~ ~ 2aO~' (1
Social Security Number 176-34-9231
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 Testamentary and aver that Pedtioner(s) is /are the
last Will of the Decedent dieted 09/20/2007 and codicil(s) dated
CO-EXECUTORS
named in the
(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 born 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 Administratioe
(If applicable, enter.• c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate)
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 ofheirs.)
JOHN H. GOUSE SON 1526 PINE RD., CARLISLE, PA 17015
REBECCA SUE PERRY DAUGHTER 823 WINDY HILL RD., SHERMANSDALE, PA 17090
(COMPLETE WALL CASES:) Attach additional sheets if necessary
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at
5016 ERBS BRIDGE RD. MECHANICSBURG PA 17050
(List street address, tawrr/city, township, county, state, zip code)
Decedent, then ~ years of age, died on 11/23/2009 at HEALTHSOUTH SPECIALTY HOSPITAL
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 25,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 160,000.00
situated as follows: 5016 ERBS BRIDGE RD., MECHANICSBURG, PA 17050
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the gn;nt of Letters in the appropriate form to
the undersigned:
i wea or punted name and resin
JOHN H. GOUSE, 1526 PINE RD., CARLISLE, PA 17015
REBECCA SUE PERRY, 823 WINDY HILL RD., SHERMANSDALE, PA 17090
Form RW-02 rev. 10.13.06
~~rwr.L vrri~.r• yr
REGISTER OF WILLS
2009 DECEMBER 2,,~~
CLERK OF '~~
ORPI-L~,NS' COURT
CUIv1BERL:~IvD CO., PA
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA .
SS
COUNTY OF CUMBERLAND
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
before me the ~_ day of
~~~~r ,~
4 1 ~ W
For the Regi t r
File Number: LI ' ,C.(J~q' ~ I
Estate of DELL H. GOUSE ,Deceased
Social Security Number: 176-34-9231 Date of Death: l l/23/2009
AND NOW, ~ o•L ~O.cov~,1(~P ~i., 2O(J~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT I DECREED that Letters TESTAMENTARY
are hereby granted to JOHN H. GOUSE & REBECCA SUE PERRY
in the above estate
and that the instrument(s) dated 9/20/2007 '
described in the Petition be admitted to probate and filed of rec d as the last Will (and Codicil(s)) of Decedent.
FEES `~~>~~,'
Letters ............... $ . ~U Reg~srer ills
~
(
Short Certificate(s) ........ $ ~ - ~ uU/
Attorney Signature:
Renunciation(s) .......... $ --
VV i (~ . • • $ ~-5' ~ ~ Attorney Name: PAUL B. ORR
-1~l' ~ • ~ • $ ~ ' O ~ Supreme Court LD. No.: 71786
$ Address: 50 East High Street
• • • $ Carlisle, PA 17013
... $
... $
" ' $ Telephone: (717)258-8558
... $
TOTAL ..........
.... $- ~ ~~.? _ ~ ' `r
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Form RW-02 rev. 10.13.06 P~~W~~~
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Signature of Personal Representative
--
LOCAL REGISTRAR'S CERTIFICATION OF DEATF~
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15932554
Certification Number
This is to certify that thc; information here given is
correctly copied from an original Certificate of i/-eath
duly filed with me as Local Regisd~ar. The oriinal
certificate will be for~~arded to the State Vital
Records Office for perm<Inent filing.
~~vr.~~ NO Z 5 2009
Local Registrar Date Issued
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Last Will And Testament Of
DELL H. LOUSE
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I, DELL H. LOUSE, of the TOWNSHIP OF HAMPDEN, COUNTY OF
CUMBERLAND, COMMONWEALTH of PENNSYLVANIA, being in good
bodily health and of sound and disposing mind and memory, and not acting under
duress, menace, fraud, or undue influence of any person whomsoever, merely calling to
mind the frailty of human life, and being desirous of disposing my worldly goods while I
have the strength and capacity so to do, I do make, publish and declare this my LAST
WILL AND TESTAMENT. I herebv revoke. cancel and ar,n„1 all ,,,~, f,,.,.Y,o.- wrn..
and Testaments, including codicils thereto, by me at any time made, and declare this
alone to be my LAST WILL AND TESTAMENT.
AS TO SUCH ESTATE. IT HAS PLEASED GOD TO ENTRUST ME WITH IN
THIS LIFETIME, I DISPOSE OF THE SAME AS FOLLOWS, VIZ:
ITEM 1. I direct that my Executors hereinafter named, pay and discharge all of my
just debts, funeral and testamentary expenses.
ITEM 2. I order and direct that my bodily remains be cremated.
ITEM 3. All the rest, residue and~remainder of my entire estate, wheresoever situate
~1
and whatsoever it may consist of, I give, devise and bequeath, absolutely
and in fee, to my dearly beloved children, REBECCA SUE PERRY AND
JOHN H. LOUSE to share and share alike, per stirpes.
ITEM 3. I hereby nominate and appoint JOHN H. LOUSE and REBECCA SUE
PERRY as Co-Executor and Executrix of this my Last Will. I order and
direct Executor to retain and appoint James M Bach, Esq. for legal
services.
ITEM 4. I direct that my personal representatives, as well as their. successors, shall
not be required to give bond for the faithful performance of their duties
in any jurisdiction.
DELL H. LOUSE 9/20/2007
1
r .
ITEM 5. I direct that all-estate, succession, legacy, inheritance or other transfer
taxes, however designated that shall become payable by reason of my
death in respect of all properly comprising my gross estate for tax
purposes, whether or not such property passesunder this Last Will, shall
be paid by my Executor out of my residuary estate.
ITEM 6. I grant to my personal representatives herin named, in addition to but not
in limitation of those powers vested by law, to be exercised without prior
application to or approval of any court, the power and authority to retain
indefinitely any property, to invest and reinvest any assets or the proceeds
derived from the sale of assets, although said investments may not be of
the character prescribed by law, to sell, convey, assign, transfer and
encumber any property, to pay, settle or compromise all claims, to make
distribution or divisions in cash or in kind, and in general to exercise all
powers in the management of any property hereunder which any
individual could exercise in the management of similar property owned in
his own right, and to execute and deliver any and all instruments and to
do all acts which may deemed necessary and proper.
------------------------------------END------------------------------------
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND
ss
I, DELL H. GOUSE, 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 that I
signed it as my free and voluntary act for the purpose therein expressed.
Sworn to or affirmed and acknowledged before me, by: the TESTATRIX this 20TH day of
SEPTEMBER 2007.
DELL H. GOUSE
NOTARIAL SEAL
JAMES M. BACH, Notary Public
Hampden Twp., Cumberland County
M Commlaslon Explraa Ma 13, 2011
NO Y PUBLIC
Me h 'csburg, PA 17050
My mmission Expires: 05/13/11
2
y
The preceding instrument consisting of this and three (3) other typewritten pages, identified by
the signature of the TESTATRIX, was on the date thereof signed, published and declared by
DELL H. GOUSE, the TESTATRIX therein named as and for his LAST WILL AND
TESTAMENT.
` Residing at 352 S. Sporting Hill Road
hristina L. Jensen Mechanicsburg, PA 17050
~~~ ~/. ~
Thomas W. Fleckenstein
Residing at 352 S. Sporting Hill load
Mechanicsburg. PA 17050
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND
ss
We, Christina L. Jensen and T h o m a s W. F 1 e C k e n S t e i n_ the 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 it willingly and that he executed it
as her &ee and voluntary act for the purpose therein expressed; that each witness in the hearing
and sight of the TESTATRIX signed the WILL as witnesses; and that, to the best of our
knowledge, the TESTATRIX was, at the time, 18 or more years of age, of sound mind and
under no constraint or undue influence.
Sworn to or affirmed and acknowledged before me, by: Christina L. Jensen and
T h o m a S W . Fleckenstein witnesses, this 20th day of September, 2007.
N(~'T'ARlAL
~1$M~~ M: SACl~; Notary Public
~~1~ `fi+~p;, Cumberland County
~ ~Af1~011 il'68 May 13, 2011
Y PUBLIC
anicsburg, PA 17050
Commission Expires: 05/13/11