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HomeMy WebLinkAbout12-17-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Estate of Gwen Bower File Number 21 - 09 - ~ also known as ,Deceased Social Security Number 177-52-6453 Beth B. Grayson Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE A' or `B' BELOW.•) ^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix named in the last Will of the Decedent dated 02/2112005 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 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 Administration app rca e, en er, c..a.; ..n.c..a.; n e; wren e a sen ra; uren a mrno a e 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.) Name Relationship Residence ,~, i ~% ,;~', _ 3. - `;~ _ _ --- (COMPLETE 1N ALL CASES:) Attach additional sheets if necessary. ~ :. ~. ;;, ,_.3 W `-"ra Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residencat r n 4131 Darious Drive, Enola, PA 17025 (list street address, town/city, township, county, state, zip code) Decedent, then 51 years of age, died on 12/12/2009 at Holy Spirit Hospital, Camp Hill, PA Decedent at death owned property with estimated values as follows: (If domiciled in PA) (If not domiciled in PA) (If not domiciled in PA) Value of real estate in Pennsylvania All personal property Personal property in Pennsylvania Personal property in County g 200,000.00 situated as follows: 4131 Darious Drive, Enola, PA 17025 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 this appropriate form to the undersigned: Beth B. Grayson 610-743-3873 Typed or printed name Sinking Spring, PA 19608 Form KW-UL Rev. 10.13-2006 Copyright (c) 2008 forth software ony The Lackner Group, Inc. Pege 1 of 2 r 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. /~ , Swain to or affirmed anid~subscribed before rise this- _ I~ `, day of ~ ~ . For the Re star Beth B. Grayson Signature of Personal Representative File Number: 21 - 09 - ~ ~ ~ q Estate of Gwen Bower ,Deceased Social Security Number: 177-52-6453 Date of Death: 12/12/2009 ~ rv c a~ _~ ,., !1 ~-• ~ 1 0 ~ f;...., 'y, ~'= =ri ._ , l w :. . , Cj'b , .f AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters Testamentary are hereby granted to Beth B. Grayson in the above estate and that the instrument(s) dated 02121/2005 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. IS BOND REQUIRED? ~ Yes ~X No ARE THERE ANY MINOR HEIRS? ~ Yes ~ No FEES Letters ............................................ $ Short Certificate(s) ........................ $ Renunciation(s) ............................. $ Cf $ $ $ $ $ $ TOTAL .................................... $ ~ C~~ - ~~ AMOUNT S Supreme Court I.D. No.: 21529 Law Office of William R. Bunt Address: 109 South Carlisle Streat P.O. Box 336 New Bloomfield, PA 17068 Telephone: 7171582-8195 E-Mail: wrb~pa.net Form RW-OY Rev. 10.13-2006 Copyright (c) 201 form software onty The Lackner Group, Inc. Page 2 of 2 Attorney Signature: ~..-~.~ Attorney Name: Wllllam R. Bunt, Esq. ARNING: IT IS ILLEGAL TO ALTER THIS COPY OR 01t-~`J'- ll~~ H105.112 REV. 1/05 (FEE FOR THIS TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. CERTIFICATE$s.oo). COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS LOCAL REG'ISTRAR'S CERTIFICATION OF QEATH ~P~ZH OF pF~~lll ~VI~~ Mar CERT. NO.' T 62g1~6~ ~io~~-~ ~'•~s% December 14,`2009 l~ FA., ~~ --- ',~~r9A_ 4Q~'~ Date of Issu& of Th s Certiticali m Name'of Decedent ` Gwen Bowe Fiist ' ' - Pdlddle -T ~ Last - Sex Female Social Security>~ No. ~- 7 7 - 5 2 - 6 4 5 3 _ Date. of Death December 12 2 0 0 9 Date of Birth June 23, 195'8 Birthplace Carlisle, PA Place of Death 'Holy Spirit Hospital Cumberland E.Pennsboro T wp: Pennsylvania Facility Name County _ City. Borough or Township' Race ',White Occupation Gov't Affairs Manager Armed Forces? {Yes or No) Nd 'Decedent's rius Marital StatusNever Married Mailing Address 4131 Dar Drive Enola PA `17025 _ Number Street City of Town State Donna B. Bower Informant funeral Director. James F. Nickel Name and Address of Funeral_Establishment Nickel Funeral Home>, P.O. BOx 910., Loysville, PA 17.047 Interval Between Part L Immediate> Cause Onset and Death (a) Gram positive septic shock (b) Pneumonia ~ ; o ~ `° r,. Part II: Other Significant Cgnditions Mu tip a<myeloma, Pancytopena, Acute Renal fa ---~ --s Manner of Death Describe how injury oceurr~:' Natural" Homicide ^ _;. Accident ^ Pending Investigation O Suicide ^ Could not be-Determined ^ Name and Title of Certifier Franklin J. 'Myers (M.D., D.O:, Coroner, M.E.) Address 163'.1 N. Front S't. , Harrisburg, PA 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. / ~ ~• ~r/~~-~ 50-455 cal Registrar of Vital Records DislFici Ne December 14, 2009 101 Barnett St. ,New Bloomfield,;PA 17068 Date Received by Local Registrar St ct odor=ss City, Eiorough Township 3 ~ ` --i-; ,.. .; w <r'~ ~ 1") M.D. LAST WILL AND TESTAMENT ~ ..~_. (~ T`j~, t.... C~J P'+l S.; , r .. OF r-n c7 c-~ t_-n , ~ I ~~ GWEN BOWER ono c _ , _ :...~ c. ..a ---1 .. f ":~: r-r I, GWEN BOWER, of Enola, Cumberland County, Pennsylvania, being o~ound mind, memory and understanding, do hereby declare this to be my Last Will and Testament, revoking all former wills or writings in the nature thereof and any codicils thereto made. FIRST: I direct my hereinafter named Executrix, or alternate Executor, as the case may be, to pay all of my just debts, funeral expenses, costs of administration and inheritance taxes out of the corpus of my estate as soon after my decease as is practicable to do so. SECOND: A. I give and bequeath the sum of five thousand ($5,000.00) dollars unto the Church Without Walls of 229 Lewis Street, Harrisburg, Pennsylvania. B. I give and bequeath the sum of one thousand ($1,000.00) dollars unto Compassion International of 12290 Voyager Parkway, Colorado Springs, Colorado, 80921. C. I give and bequeath the sum of five thousand ($5,000.00) dollars unto my niece, Megan K. Grayson. D. I give and bequeath the sum of five thousand ($5,000.00) dollars WILLIAM R. BUNT CHRYSTAL L. PROSSER ATTORNEYS AT LAW 109 S. Carlisle Street New Bloomfield, Pa. 17068 unto my nephew, Jack B. Grayson. E. I give and bequeath the sum of ten thousand ($10,000.00) dollars unto my sister, Beth B. Grayson. Tel. (717) 582-8195 FAX (717) 582-7521 THIRD: I name, constitute and appoint my brother-in-law, Richard Louis Grayson, as the Guardian of the Estate of any bequest passing to a minor beneficiary under this my Last Will and Testament. In the event that my brother-in-law, Richard Louis Grayson, is unable to serve as Guardian of the Estate of any bequest passing to a minor beneficiary, then and in that event, I name, constitute and appoint my sister, Beth B. Grayson, as the alternate Guardian of the Estate of any bequest passing to a minor beneficiary under this my Last Will and Testament. FOURTH: I give, bequeath and devise all of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever situate, unto my mother, Donna B. Bower and my brother, Logan M. Bower, in equal shares, share and share alike. In the event that my mother, Donna B. Bower, predeceases my decease, then and in that event, I give, bequeath and devise eighty (80%) percent of my residuary estate unto my brother, Logan M. Bower and twenty (20%) percent of my residuary estate unto my sister, Beth B. Grayson In the event my brother, Logan M. Bower, predeceases my decease, then and in that event, I give, bequeath and devise eighty (80%) percent of my residuary estate unto my mother, Donna B. Bower and twenty (20%) percent of my residuary estate unto my sister, Beth B. Grayson. FIFTH: Any person who shall have died within thirty (30) days of my death, or WILLIAM R. BUNT CHRYSTAL L. PROSSER ATTORNEYS AT LAW 109 S. Carlisle Street New Bloomfield, Pa. 17068 under such circumstances that the order of our deaths cannot be established by proof, shall be deemed to have predeceased me. Tel. (717) 582-8195 FAX (717) 582-7521 SIXTH: I name, constitute and appoint my sister, Beth B. Grayson, as the Executrix of this my Last Will and Testament. In the event of the renunciation, death, resignation or inability of my sister, Beth B. Grayson, to act for any reason whatsoever, as the Executrix of my estate, then and in that event, I name, constitute and appoint my brother, Logan M. Bower, as the alternate Executor of this my Last Will and Testament. My Executrix or alternate Executor, as the case may be, is hereby excused from the posting of any bond or security notwithstanding any provisions of the law to the contrary. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament this 21ST day of February, 2005. (SEAL) Signed, sealed, published and declared by the above named Testatrix, as and for her Last Will and Testament, in our presence, who, in her presence, at her request and in the presence or each other, have hereunto set our names as attesting witnesses. ~l~,~iJ/~.~~. WILLIAM R. BUNT CHRYSTAL L. PROSSER ATTORNEYS AT LAW 109 S. Carlisle Street New Bloomfield, Pa. 17068 Tel. (717) 582-8195 FAX (717) 582-7521 Page 3 of 4 pages i • , ACKNOWLEDGMENT AND AFFIDAVIT Commonwealth of Pennsylvania SS County of Perry We, Gwen Bower Testatrix in, and William R. Bunt, Esquire and Chrystal L. Prosser, Esquire, the witnesses to the Last Will and Testament of Gwen Bower, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, Gwen Bower, the Testatrix do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament, and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. (b) that we, William R. Bunt, Esquire and Chrystal L. Prosser, Esquire, the witnesses, were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as a witness; and that to the best of nur knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Gwen Bower, Testatrix Will m R. Bunt, squire, Witiness Chryst I L. Prosser, Esquire, Witness Sworn to or affirmed and acknowledged before me this 21St day of February, 2005. WILLIAM R, BUNT CHRYSTAL L. PROSSER ' ATTORNEYS AT LAW 1 ~ 109 S. Carlisle Street New Bloomfield, Pa. 17068 Page 4 of 4 pages Tel. (717) 582-8195 ~ ~~ ~~ FAX (717) 582-7521 ~~ ~~" PERRY ~ f~MM13$ION EXPIRES Udl. t!, 40N