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HomeMy WebLinkAbout12-07-09PETITION FOR PRnOBATE A(ND GRANT OF LETTERS REGISTER OF WILLS OF t,L~~'Yba~l1 COUNTY, PENNSYLVANIA Estate of ~ ~ no`-~ ~' k ~ fir' ~-+~ also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or B' BELOW.) File Number L ~~ 4 ~ ~ D ~ 133 Social Security Number 1 q~- a a- 3~ q ~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / aze the ~. X ~t,r ~ r t Ct S named in the last Will of the Decedent dated b~~ • 14 ~ 2,;0~_ 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) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B. Grant of Letters of Administration (Ijapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lire; durnnte absentia; durante minoritate) ~1 Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followings if any) a rrs: (If Administration, c.t.a. or d.b.n.c.t.a., enter date o Will in Section A above and com lete list o heirs. ~~ f P f ~ i~ -' "~:3 Name Relationshi Resi ~ (~ r'~:' ~ i' l r::, ~„i ~~ ~ ~ " c,~ (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ ~ ~ M ` •~ rr Decedent was domiciled at death in (~ Litlty~~krnLl County, Pennsylvania with his /her last principal residence at 3 d a C'Y l~ v` d G.l~ ~ r. <~ lht rw ~.~-~ s+v w t~ , P A ~ z o 1 I (List street nddress, [own/city, township, county, state, zip code) l ` Decedent, then $S1 years of age, died on ~~~ a~gat ~ C) ~{ ~Y ~fhG1 al-P r1r, C'~Q1j r~o.aYtGi.~'tS ~D ~ ~~ 1~a6/ Decedent at death owned property with estimated values as follows: r (If domiciled in PA) All personal property $ a`~ )..~ ~ D (If not domiciled in PA) Personal property in Pennsylvania ~~ $ (If not domiciled in PA) Personal property in County ~ $ Value of real estate in Pennsylvania $ /S4 , o o ~ situated as follows: SOq ~~~~a ~t ~!'~ ~t~uhc~mtr:/tS{~~r` ~ l~.h ~ t"Zull Forru RW-0? rev.10.13.oe Page 1 of 2 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 r SS COUNTY OF~It m .nand . 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 7 ;h day of ~t c e. vrbe r ~~, ao ~ For the Register Signature of rs naY. Signature ojPersonnl Signature ojPersonal Representative 1 ~ '~: F t"! ~.-? ~"~ Cf + . 1 ~ r'i-i T ~~ C'' r" r ~.~ ~ {` ^ - ~~. - File Number: ~ ~~ ~ / d ( ~ ~ ~ Estate of ~ o r~ o. ~c~ k • ~~~2 v ,Deceased Social Security Number: ~ G o -~ a 3 ~ ~ ~ Date of Death: ~ 0 ~ + .a ~~ Zoo ~ AND NOW, ~ Zoo9 , in consideration of the foregoing Petition, satisfactory proof having been presented be ore me I I DEC ED that Letters are hereby granted to -~~~~~^'-,u ~ y /1~ /li~,.,.~i ~ .G^~ -Sn) / ~ / ~ in the above estate and that the instrument(s) dated .c7F~tf~P~t) ~gt Zd'd7 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)1 of Decedent. FEES Letters ............... $ 2/Q D , on Short Certificate(s) ........ $_~, CIS r~uvuicy .~isuaauia.. Renunciation(s) .......... $ '- ~ ~ I .. - $ j . o ~ Attorney Name: _-- _ • • • $ C~ ' dy Supreme Court LD. No.: ... $ 5-00 $ Address: ... $ ... $ ... $ • • • $ Telephone: ... $ TOTAL .............. $ ~~ ~ Q U Farm RW-U? rev. lU.13.06 Page 2 of 2 _._ _ _ __ _ ,(o~.~o~ RE o ,,,, ~l - ©i-Of133 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat ar photograph. Fee for this certificate, $6.00 P 15861237 Certification Number i~ t 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 ~ecco~rds c ,~~~~ent filing. ~'~ ~ ~ E C A 3 ~00~ Local Registrar Date Issued - n r ` .°"3 ( ~i Y.' ~~ «--~ i'~ ~ 'iY ~ ~ ~ ~s~-i'~1 >~ N1os•,uREV 112806 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TrPE / FRM N elm Ac~icwc (Sea It stEryR HoniCa^dEXwnplDeEon roverse) STATE FlLE NUMBER 1. Neme q Ds[edes (Feq niedA tan, wd9 E Sex 3.3eclq Sewrey Nnbr I. DW d DagO lMOnb. dY.6~) 27 2009 190 = 22 - 3797 Nov . Donald E. Driver male s. Aq peer EHlgryl Umar 1 Unhr, 6. Dw d BYN IAOri~ 7. eq eW er 6e Plan a aqn CMtA w 08w: gels a+ ,we. Ir.ee. 80 Tz Mar. 2, 1929 Lock Haven, Pa. ^,,,~,,, ^ER/twpewa ^oaA ^w+a~ ®~ ^ww•swalr• Bb. CwnP/ d 0egh Ba nM• Sao, Tq. d DeMO Bd Fady Nan» (M M Yrauln d+• grM an0 numOSq B. Was DerrMe d tYprYe Oe81e7 ®Ne ^ Yes 10. Rea: Mrrtrn hdr4 BNdt WNb, qe. ( ~ • Ck~mberland Shiremanstown write 309 Glendale Dr. (11rd~ae.RrleR kr,MC.! 11.OsadeM1 Unel deatd7b nbgd i. DD nd Wb 12.WY Depedre eaerhlM 18. Depe6re's FdureYOn (3padly ~Y~~ ceeVbM~ 11.MWW Sees: N~aw,,rMnb4 15. Sunhep 8paee lB We, pee neYbn name) ~ -- Draft man Amp ,d~"~` U.S. NmeA FamesT / SeeargsF (0.12) Cdbpe (ti ar fie) "' " ®T.. ^Ne ~ Widowed co.as.~F.Y+aAeswlssq.aF/ne..m..av~el 309 Glendale Dr DK.a.r. obD.aaw AduY RrHS,u ne. aw Pa. INe h e 17a ^ rs, O.neae ure h Tw~ TaspHp7 . ,n.cowy C.tnn nand 'Ta® ~;NNiOi'"° Shiremanstown atylm,e Shiremanstown /0. FYrfs Name (FM; mUSS, rb eenYp.) 19'~"""""(a"'"'""'~ l`7ar Bret Reish Leroy E. Driver g 23a lgpmse's Nsne(lype / ~) Kathy A. Schaeffer 200. hbm,se's wEeEAaee.e ISrek dHlbea eYb, t4 ~) 1873 Verdilla Rd., Port Trevorton, Pa. 17864 2ta.Hglbdd dapoNlm ^CnnYlm ^ooneim 210. DW dDOpaellan pbmlt M. wd 2ta ReraddepaMOnlNemedamgw. aemgsy orwrrpea) 2te.lttglpn(~/bwn,gW.np mds) ~' ®"~^'~°^~"° ~~^~^^~"e^~"°^° Dec. 4 2009 Orchard Hills Cemeter Shamokin Dam, Pa. 17876 y otlw~sFwrr MIIs/egEsamhrlcaenrt ^rie^NO ~ d F aaip w ssi~l 27D. Uume NsnDer 22t Name sgAO~an a Fed11, 11404-L D T Zweier Funeral Home Inc. Sunbur Pa. 17801 73ec any q,en Utlr tsgdmy a,oabaa,awm oxmna aar se, aawpY. mra lsp~q~...g ar) zn un~w Nuro« 23c ow s~a9~,~i.wr1 phygdn @ ad eeeueb Y Yns d ern b ony ~... a eer. z1.ta.aD«m zs.owP~awaKeeo.m(wo~ay 2e.w,.cwRwmabwaaiE,o~wwlcaan.a.Rwa~auwancl«nq~on>oarsa~v wn.z1-nmrn.m.wbaMP~ • rhopmoesaaYa 10:.~ P M. avFiw~~ a~ R~ a~ ^rb CAUSE OF DEATH (See Ine,ruetlsne end exempbe) ~ kpw+nb Yesnrt ' era 27.PMt FtYres ~es0a-deseseA O~abs. or aa~lpess-tlM dnxly crsMlM awn. DO NOT mar eenew svsY erAUOetb sreet a pegb Oesb ~ Ps1 p: Enbr dMr Outnd nedaphh Ydehi'9 ease ¢~nhPsll 20. ObTe6etce Ihs Comaub b OwaT ^ Ya ^P,aesOb n a1Y e,s case an MCO M. nepiasY ansat avreenW aAMonNeise dodnp 6s dioloec 14 ^ No ee + ~7E ~~ , mi3on nriAlnlhaaa) ~JV`t'\•~'J`1n. \ t^UN\ (~ 112a y.-t e 28.MFande sN weih W YSs ^ Nd s __ -~ . - ~ O1s b (a Y • mwgNnn d): ~ ~ lYemdess ~rry o ~ p p p ^ Rgs+eg8nwddWO . , , i ~ ^ Nd pnpirl, be pteRstl sari 126eye IEE76LYIIE CAUSE O,sb(artlamwqusrca a): aEWi 1~ee~~aY~u~IW MYSd1r c i , MYneraiibaW OAS ^ ~~~e~~b1~ e Dwblareamagwna cQ: ~ d. , • ^ UdebepEpepsq eAlrlfES Feel Peer 30t Was anAdOpey 300. WasAUlepry Fillips 31. USasrd 3L.DW db(uy(lbglsery, year) JZD. D^cMHoe Yru,OwAnO 32e~agaq,abae. (Spa'7y1~Fmy. 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OF ~~ a~ DONALD E. DRIVER ~ : '~ .~ I, DONALD E. DRIVER, of Shiremanstown Borough, Cumberland County, Pennsylvania, declare this to be my Last Wih_ and Testament and revoke any and all wills and codicils heretofore made by me. ITEM I: My personal representative shall pay from the residue of my estate the expenses of my last illness, funeral and burial debts duly allowed against my estate, and all death taxes (Pennsylvania inheritance tax and federal estate tax) occasioned by my death and incurred with respect to all property taxed to my estate regardless of whether such property passes by this Will or passes outside of this Will. ITEM II: I bequeath my automobiles, personal effects, household goods, and other tangible personal property of like nature (not including cash or securities), together with any existing insurance thereon, if any, as set forth in a separate memorandum which I shall place with my Will to the persons therein designated. If I shall leave no separate memorandum, or with regard to my automobiles, personal effects, household goods, and other tangible personal property of like nature (not including cash or securities) not referenced by such memorandum, I bequeath such property to my daughters, BETH E. SHEAFFER and KATHY A. SCHAEFF~R, to be divided among them by my Executrices with due regard for their personal preferences in as nearly equal shares as practical. z w ITEM III: I devise and bequeath the residue of my estate, of every nature and wherever situate, in equal shares to my daughters, BETH E. SHEAFFER aid KATHY A. SCHAEFFER. I do not include my beloved daughter BRENDA K. DRIVER in this distribution Because of her circunYStarYCes as a long-lime patient in state hospitals in Pennsylvania. It is my desire that my daughters, Beth and Kathy, shall be attentive to the needs of my daughter, Brenda, and they shall be generous in her support with the funds that I have provided for them here. ITEM IV: I appoint my daughters, BETH E. SHEAFFER and KATHY A. SCHAEFFER, Executrices of this my Last Will and Testament. Should either daughter fail to qualify or cease to act as Executrix, I appoint the other as Executrix of my estate. ITEM V: I direct that my Executrix and her successors shall not be required to give bond for the faithful performance of her duties in this or any other jurisdiction. IN WITNESS WHEREOF, I, DONALD E. DRIVER, have hereunto set my hand and seal to this my Last Will and Testament, consisting of four (4) printed pages, each of which bears my signature, this 18th day of October, 2007. _ ~ c7 .hs---~-c.~ DONALD E. DRIVER, Testator Signed, sealed, published and declared by the above-named Testator,. DONALD E. DRIVER, as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA ) . SS. COUNTY OF CUMBERLAND WE, DONALD E. DRIVER, TAYLOR P. ANDREWS, and RONALD E. JOHNSON, the Testator and witnesses, respectively, whose names are signed to the foregaing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as and for his Last Will and Testament and that he signed willingly and that he executed as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the gill as witnesses and that to the best of their knowledge the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~ a DONALD ER for T .Andrews, Witness onald E. Johnso i ness Subscribed, sworn to and acknowledged before me by DONALD E. DRIVIER, the Testator, and subscribed to and sworn or affirmed to before me by TAYLOR P. ANDREWS and RONALD E. JOHNSON, witnesses, this 18~' day of October, 2007. _ ~ _ fii OF PENNSYLVANIA TARIAL SEAL SHELLY SEXTON, Notary PubNc Carlisle Boro, Cumberland County Commission Expires 'I 26, 2011 (SEAL)