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HomeMy WebLinkAbout12-09-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF c>ct~lc,Ft-ln.~ COUNTY, PENNSYLVANIA Estate of I I Iq.~ [~ o~Cp -~. m 1~Q t.~.~ File Number ~ ~ O ~ ~ C /~ also known as Deceased Social Security Number ~~~ ~~ -a~3 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 Petitioner(s) is /are the 1± Xet" v {.o C last Will of the Decedent dated ~ t~ 1 ~ ~ ~ )c1$~1 named in the ~ and codicil(s) dated (State relevant circumstances, e.g., renunciation, death ojexecutor, 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. Crant otLetters of Administration (Ijapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; dwante absentia; Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followi Administration, c.t.a. ord. b.n.c.t.a., enter date of Will in Section A above and complete list ojheirs.) ._..., d ~=~ ~: ~r-y~-d he 1 J, '~ (COMPLETE /NALL CASES:) Attach additional sheets ijnecessary. ~ .... !Decedent was~omiciled at death in ~~r;~;l County, Pennsylvania with his /her last principal residence at ~ L ~ ~~ eC- ~ ~ /4~ 17o SS' (t p~z A 1 l4n To~'151,,p (List street address town/city township county state ztp code) • v----- Decedent, then ~ years of age, died on O~'~ie-~1- r,,,,CI at I-~~~t`iS~tvw. 1-1tx~ a t ~q Decedent at death owned property with estimated values as follows: (Ifdomiciled in PA) All personal property (If not domiciled in PA) $- ~O~ OGO Personal property in Pennsylvania g (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania situated as follows: 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: Si nature T ed or rinted name and residence ~ ' ~ ~ J ~ ~i 1h ~ 1 y I-a~cc ivy vet CR s~ Form RW-02 rev. !0. /3.06 Page 1 of 2 t~v55 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF 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 b ore me the ~ day of 2ooq For the Register Signature of Pe~naf Representative Signature of Personal Representative Signature ojPersonal Representative 2 (- Z ot~ 9° b o ~ i 3c~ a ~ ~,7 ~, File Number: p / ~ Estate of~ Y - (Ya'G~(~~.f 1v L • I\P If~l~l ,Deceased Social Security Number. OCJ ` I ~" Z ~J? ~ Date of Death: ~~~.(P/2 z C R~ ZCn9 AND•NOW, ~kt.A,A=1 ~^~-cr~~0~,~n6,y/t> , having been presented be o , IT IS DE REED hat 1 are hereby granted to ,ovwy ~ . '~t~ and that the instrument(s) dated ~ I ~ 1 / described in the Petition be admitted to probate and Filed of FEES ~//~ Letters ............... $ 1 V . (Ib Short Certificate(s) ........ $_ ~ .00 Renunciation(s) .......... $ .$ S ...$ 23.,0 ... $ ...$ ... $ ~O in the above estate record as the last Will (and Codicil(s)) of Decedent. Regis er of Wil[s Attorney Signature: ~{~.,~ Attorney Name: ~n1At1~~n ~ ~'-' `~E Supreme Court I.D. No.: ~g ~ 1 Address: ~s ~• ~Gc/~ skf~,at A/c~W Btrx~~i~.\~ } ~/~ I~~b' ...$ • • • $ Telephone: ... $ TOTAL .............. $~~. S~ ~4 in consideration of the foregoing Petition, satisfactory proof C.'~ :"~ a ~-. .~-. r ~.i 7 ~~ - ~S~ -vl~a For,n Rw-az rev. /0.!3.06 Page 2 of 2 H105.905 REV.r3/09? ~ _ _ _ _. _ This is ~ to certify that this is a true copy of the record which is on file in the Pennsylvania Departm~ ~ o ~Heal~ , in a ordance with the Vital Statistics Law of 1953, as amended. WARNING: It is illegal to duplicate this copy by photostat or photograph. 5266242 H106117 REV 11/1006 PI O. rPE / PRIN7IN PERMANENT BLACK INK ~- y f •r ~y i$ COMMONWEALTH OF IF HEALTH • VITAL RECORDS Date CERTIFICATE OF DEATH (See inatruationa and examples on reverse) _ eTC ~~~ ~ u~ w,o~o . ....~...,..,,,.w..,r~m. mm., ea, aural 2. Sex 3. Social Security Number 4. Date m 1 wy, yep) 6. Age cLU+ ~ y) char 1 Unae 1 B D ~ Female 2836 9 D C mO m~ ~ eb d 8Nh (Monts. w . 7. Ideww Oays saws hwwer u G sp ebe w rare M. Pb e Deam CMck l ona ~ 85 vre. Jul 29 1924 cw^h d Deem ac. ciy Bwa Twq d Deem Hoepeel: Omer: r\Ty Inpetbni ^ER/ayetiem ^DOa ^Nwan Homo a ^ Re9idsnce ^olMr - spaciry: , , . /b. Fxalry Name Ia nd inetlbaon, pro avail Bra number) B. Wee Deuwm d Hiepenic Origin? ~ No ^ Y 10. Race: Arteeaen Irgien Black WhM am DdUpl'lin Harr1S Harris 11 O ' . , , . IB yea, epeory Cuban, ISpecwyT HOS ltal Mexican,Pww Rican,arol W111te . awwm a llauY tlan Mire d work due evn mop d ~ ae. W M ante 12. Wu 09eadeM ww in the Nits d NM Nntl d 6WIetl / aduYiy U.S. Armed Forces? 13. Decswnt8 Educiaw (Spec6y onty highut gnaw mmPlped) 1/. NYabl Staau: Meded, Never Marriatl. 15. Survivbg Spouu 10 wile, give maltlen name) E W HCrtlena]cP-Z' Own HOnle ^vee ®NO itloweQ Diwrtetl bmenbry / 3econwry (0.12) Cdl 12 ege(t-4 ors+) isvecM 18. Deutlenfe Maanq Atldreu ISaep, dIY / torn, stela, zip cotlel Decedent's Wi'~OIWed Dm Decedem 914 Lancelot Avenue Aabel Reaieenca n.. sbb Pennsylvania uro m a „c. e9 v , ~,,,,, Lnse ro ripper Allen Mechanicsburg, PA 17055 t76.caany Twp Cumberland rownnip? I7d.^ Na,DeceapnLweawimin IB. fpMr's Name (Hrp, mine, lap, auaq Acbp umib d cry r Bao Thanes McLau hlin 1 B. Motlefa Name (FYat, nadde, maiden wrteme) z6a Imwrriara'e win. (Type / Prinry Katherine ~~ William J Reith 206. mhurten0s Meting Awrus (Strap, dfy / bwn, able zip cwel . 21 MW tl 914 Lanoelot Avenue ^7echanicsburg PA 17055 a. p d Dlepoptim ^ DrpnWOn ^ Dorrtlon 21b. Ope of Diepukbn [~ BuMI ^ Ramwp from Stem i °H:.a ° ° A" , (AbMh. wy, yuq 21 c. Pbce d Deposabn (Name d cemet•ry~ crematory u ame• place) 21d. Locelion C / bxm, abb. z code (al' b ) wbrY ^ °m"- ~ MwiEapa cwaa. " ^vm^Na October 23, 2009 Indiantawn Gap Nat'l Cemet Annville PA ?Za d d " c° aMp ffi each) 226. License Number ~ 22c. Name and Awru6 d Facgly 8 Market Plaza Way FD - 014889 Mal zzi FLTnesal Hone Mechanicsb PA 17055 . ants when 29a. To de bail d my mwwbeAe, tlaph omlmtl n me tlma, date entl place etpetl. ISlpnabre end tltle) b rel er.MbbaMed wamm / 9/o~'i f//f- 136. Lken6e Number 7 : d 5 ~ - ~ /O / z3a Date signed (Momh, day, year) Wra n d a m ~ ' y w. aa . ~-~ r~ ,tia~~~a9o~-L .~~~y/2ooy ~ Mme 2428 map M w nwbbtl by penan wM Iroriauieu tleMh. 24. T of Doh ~-7 (~ / O J L~ . M. 25. Date ProMenutl De Mamh'dry, % d ~/ 9 ~ i7 L7 ,Wf,^a/ 26. Wu Case RebrLM to Matlical Examaier / Coroner la a Reason Omx men Crematbn ar Danatim? ^ Yes CAUSE OF DEATH (See N1atnleaene entl ezamplx) r Approemae imerval: Part II: Einar oiler 2B. OW Taba¢o Uu CorNiuM to Deem? Ibrn 27. Pan I: ErMr tl1e chain d errw -dbeuu, NQurlu, or cmpYnOOre -11e1 tllecBy Waco tle dsetli. DO NOT anbr terteMl aroma such a urdac artu6 reepkebry amp, w wntrialer fiMMem wheat pewkq me eealagy. Llp oMy ou nuee an uM line. Orop to Dealh by nd ruUBi ng in me wwrtying uuu Baron m Pen I. ^ Yee ^ P m 6a hy OIA7E Fnal 6eease w rou~n"a~b..a,) ~ e Pti.4 ~~ ~'' ~~..yy ~ ~ F' ~ ^ No L}.onvwwn Dw m (q ae a cgpamuawz op: Sa4+naa~' M wriptlona, i erry, C_t'% f~ ff 6 zs. n [~Fbt Prprura wimp pp ysu ~~@~ 9 . ~ay~o b ola ceie8 Yled an aria a. -' ^ Pregnam et une of wain 1Enw ie UIaiFALYBNi CAMSE Dw to (w B ~on~l a Dry. eaeMe ruWgrynB~ I~NMted pe c, ~,/~ /- ~ ) LA87. ,~ ~ ^ Nol Drepiam, but P~eBnem witlYn 42 tlays d w~ Ow ro (w ea a caneequenw op: d. ~ ~l %~~ .Q.( KC. / rr i 4 ,Q.L ~ ® ^ Nol pApiam, bd pregnenl 43 drys fa t year r behae wets 3h. Wu an Aubpey 30b. Wan Aubpy Fn6ge 31. Mennery papn r ^ Wlomtw~ if pagnam wimb me pap yep / 32a. wu a INuY (Moran, day. year) 32b. Ikaui6e How Iryury occwed Pewmred? AvW WM Prior m 32c P ry: me, Fem, Street, Feciwµ ~ y`17a L d Guae d pulh7 bras ^ Hamicitle ~ ~~ M •p• lspaa+rl ^ Yes No ^ yu Flo ^ Mddenl ^ Pending Imepigeten 32d. Tama m Inlury 32a. InWry N WaM1? 32f. N Tra nepoMtbn INury (sLea'~TY1 329. Lo atiui d INury (Street. Dry /town, alga) ^ Sukiw ^ Codd Not M Debmened ^ Ye6 ^ No ^ Dm'er / Operemr ^ PessenBer ^Petleemen M' Oiher- S ecA ' 33a. Grant IcnaG orgy ma) Y p ~B P6Yebien IPhypdan urtlrybg aauee d wain wnen endear phyeitlen nee prueuriced wain one To 1M ant d aompbletl Item 23) mybswpetlge,tleMhaeewretltlwromeuuee(elaea 33b. 3igebre em rw d c•rmbr ~~z - __ A.. ~ . /I" ""` mmwrupebd._________________ and wrtllying phybdan (Wryacbn bdh pmrourtlng wain ant certityirp m uuae d wain) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , l To ~ ~ my browletlpe, Mom eaaurted Nits iMe,wy utlpleu, mtl tlwrolM Uwelq and mannarutlaMd ' ^ ~. ~a Number ~ 33d. Dab Sigretl (Mmm, wy. Y•N) ________________ • Yeelul l vaniner/ Gorman -- .fi/Q 0 70~ 9 0 ~ - L / v / / 9 / p c On tle beeb d esanine6m mtl / w mr.pgeibn, m my opmbn, wain oceumtl p its tlme, tltle, ens Pbu, arcl dw ro its uuee(e) ant Wainer u ebted ^ _ 3a. Name and Awruc d Perpn Yma CwryMed Cause d D9eth IM m 27 T pe / Prbl 3s Rea ;rtaoiamd ~/ y ~- iN c ~ $n s,y Zvi} ~ ^~- / iJ ~ n. l"` ~ ~ ~ / ~ o`'I ~ I ~ ~ K 36. D.b Fu 31 , fp~,j , ti'9 vv Lop'tY~n~ ~/~ .-r e t /2~ ff~I1 " f ~ . `~ [l~Ja~ . ~ r i 7 ~ JA f - ~ ~ G' 1 ~ N Q C~ _. ~ Q Q .. ~" L.t_ .:_ U .~~ ~ Q LL. (~C3 ~',~L.µl ,~~y t.Yr Q1 ~ ~ ~:F ~' : J 1 LJ.J , ~ c~ c ~ t,J q,, .C © ~~ ~, v CV Dispoptbn Peme No. 0399666 `~. ~~~ Linda A. Caniglia State Registrar N4V 0 22009 ,, r na C') °o ~ .a i~ ~ ~ "' 1 r..Yr~~ ~~ ~.'~=n n L~~ -C7 LAST WILL AND TESTAMENT ~`~ ~ rn ~ ~_,-' ; :~, pF ''~ ~ t7 ss c:; ~~ -~:~ ~:s MARGARET M. KEITH ~---~ ~ ~~ D I, MARGARET M. REITH, now of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils made by me. ITEM I. I direct that all of my just debts and funeral expenses, including the cost of my gravemarker, if any, shall be paid from my residuary .estate as soon as practical after my decease as a part of the administrative expenses of my estate. ITEM II. I give and devise all of my estate of every nature and wherever situate unto my husband, WILLIAM H. REITH. ITEM III. Should my husband, WILLIAM H. REITH, predecease me or die on or before the thirtieth (30th) day following my death, I give and devise my estate as follows: A. My engagement ring to my daughter-in-law, JOAN KEITH; B. My ruby ring to my niece, KATHERINE NAULT; C. My long fur c oat to my niece, DONNA JOYCE; and D. My fur jacket to my cousin, KATHLEEN SALVATIERRA. E. All the rest, residue and remainder of my estate of every nature and wherever situate to my son and his wife, WILLIAM J. KEITH and JOAN KEITH, or the survivor of them. ITEM IV. I appoint my husband, WILLIAM H. REITH, Executor of this my Last Will and Testament. Should he fail to qualify or cease to act in such capacity, I then appoint my son, WILLIAM J. KEITH, as Contingent Executor. Should my son also fail to qualify or cease to act in such capacity, I then appoint my daughter-in-law, (Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine.) A. To retain any property received and to invest any funds held by him during the term of my Personal Representative's service in any stocks, bonds, notes or other securities or property, real or personal, within the limitations of the law. B. To continue the operation of any business in which I am engaged or in which I have an interest at the time of my death for the term of his service as he deems advisable, with the power to borrow money and to pledge the assets of the business and to do all other acts which I, in my lifetime, could have done, or to delegate such powers to a partner, manager or employee without liability for any loss occurring therein. C. To hold investments in the name of a nominee, exercise and dispose of warrants. D. To sell or otherwise dispose of any property, real or personal, at any time forming a part of my estate, during the term of his service, for cash, property or credit, in such manner and on such terms as my Personal Representative deems advisable within the limitations of the law. E. To manage, operate, repair, improve, mortgage or lease for any term any real estate at any time held or owned by my Personal Representative. F. In general, to exercise all powers in the management and settlement of my estate which any individual could exercise ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF DAUPHIN I, MARGARET M. REITH , testat rix 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 T signed it as my free and voluntary act for the purposes therein expressed. ~` Mar aret M. Veit Sworn or affirmed to and acknowledged befor~me, by Margaret M. Reith , testatrix , this /J day of April r 19 89. .~._ Notary Public I `"~ My Commission Expires: AFFIDAVIT COt~IP40NWEALTH OF PENNSYLVANIA SS: COUNTY OF DAUPHIN we, /~iC~1C~~ ~,. ~IQC~~/ GnC~ ~.~nd4. ~.. C~ri-'1 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 testatrix sign and execute the instrument as her last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testat rix signed the Will as witnesses; and that to the best of our knowledge the testat rix was at that time 18 or more years of age, of ound d a d under no constraint or undue influence. G. To engage in litigation and compromise, arbitrate or abandon claims and property. H. No interest of any beneficiary of my estate shall be subject to anticipation or to pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have power in any manner to charge or encumber his or her interest, nor shall the interest of any beneficiary be liable or subject in any manner while. in the possession of the Personal Representative hereunder for the liability of such beneficiary, whether such liability arises from his or her debts, contracts, torts or other agreements of any type. IN WITNESS WHEREOF, I have ereunto set my hand and seal this day of 1989. °~hairl,~.u,~ ~l1 ~ i~Q Mar ret M. Reith The preceding instrument, consisting of this and two other typewritten pages, identified by the signature of the testatrix, was on the day and date thereof signed, published and declared by Margaret M. Reith, the testatrix therein named, as and for her last Will, in th prese a us, who, at her request, in her presence and in the pre n e each other, subscribed our names as witnesses beret n ~ ~ .~ r w °a ~x ~ ~l -gyp F~T1 %,~ ~ u ~ rte- LAST WILL AND TESTAMENT n c~~ ;:- - ~ ~...} r"3 Q -n = _... --r-~ MARGARET M. KEITH ~ ~ 0 W= c.~ C -r ro I, MARGARET M. REITH, now of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils made by me. ITEM I. I direct that all of my just debts and funeral expenses, including the cost of my gravemarker, if any, shall be paid from my residuary .estate as soon as practical after my decease as a part of the administrative expenses of my estate. ITEM II. I give and devise all of my estate of every nature and wherever situate unto my husband, WILLIAM H. REITH. ITEM III. Should my husband, WILLIAM H. KEITH, predecease me or die on or before the thirtieth (30th) day following my death, I give and devise my estate as follows: A. My engagement ring to my daughter-in-law, JOAN KEITH; B. My ruby ring to my niece, KATHERINE NAULT; C. My long fur coat to my niece, DONNA JOYCE; and D. My fur jacket to my cousin, KATHLEEN SALVATIERRA. E. All the rest, residue and remainder of my estate of every nature and wherever situate to my son and his wife, WILLIAM J. KEITH and JOAN KEITH, or the survivor of them. ITEM IV. I appoint my husband, WILLIAM H. KEITH, Executor of this my Last Will and Testament. Should he fail to qualify or cease to act in such capacity, I then appoint my son, WILLIAM J. KEITH, as Contingent Executor. Should my son also fail to qualify or cease to act in such capacity, I then appoint my daughter-in-law, JOAN KEITH, as Second Contingent Executrix. No bond shall be required of my personal representative in any jurisdiction. ITEM V. In addition to the powers given to my Personal Representative(s) by operation of law, the following powers are herein given to him to be exercised by him at his sole discretion. ~~~.~.~ ~l1 • ~~ Marg et M. Keith