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HomeMy WebLinkAbout12-16-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Sara J. Allen File Number ~ U~' ' `~~~ also known as Sara Jeannette Allen Deceased Social Security Number 206-10-8442 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 EXeCUtrlX named in the last Will of the Decedent dated 9/10/2009 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 (If applicable, enter: c.t.a.; d. b. n. c.t.a.; pendente liter durante absentia; durance 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 of heirs.) Decedent, then 89 years of age, died on 12/13/2009 at Holy SDirit Hospital 503 N. 21st Street Camp Hill PA 17011 Decedent at death owned property with estimated values as follows (If domiciled in PA) All personal property $ 10.000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: 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: Signature Typed or printed name and residence Marlena L. Houser 811 Flintlock Ridge Road Mechani sb r PA 17055 Pa e 1 of 2 Form RW-02 rev. !0.13.06 g , _.. _.__ ~_•' _. _.. ,.~.~..,.........., ~.««.... «««.«o..«s unccw •J nca.w~uiy. '- ~.w7 ~: s7 ~,....~ ~., t 1 Decedent was domiciled at death in Cumberland County, Pennsylvania, with his /her last principal residence at 811 Flintlock Ridae Road Mechanicsburg PA 17055 Upper Allen Township (Ltst street address, town/city, township, county, state, zip code) Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS The Petitioner(s) above-named swear(s) or affum(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 afiYrm~e(d~ a~n~d subscribed before me the (~ + h day of ~ 64=~-- Signature of Personal Representative N o ..y,~ Signature of Personal Representative E.. For the R ster Signature of Personal Representative ~ j ~ ~"~ ~ C ' i~ f ~ C~ `T't Z ...r~ ~ r °-n v ~ .~ C;,) `` . i- File Number: _ ~ ~ _ ~ ~ ~ 1 Estate of Sara J. Allen ,Deceased Social Security Number: 206-10-8442 Date of Death: 12/13/2009 AND NOW, , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that LettersTestamentarv are hereby granted to Marlena L. Houser in the above estate and that the instrument(s) dated 9/10/2009 _ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) ofpecedent. ~ FEES Letters ....................... Short Certificate(s) •....~ Renunciation(s) •••..•.... ~,Ot .... $ -6~--~- .... $ .... $~U .... $ .... $ .... $ .... $ .... $ TOTAL ........................ $ l t ~- -'~'' - Re r of Wtl `() D-~" {~ V,' ~~_i4'~- Attorney Signature: ~ ~ - 9/ Attorney Name: David H. Stone. sot~re Supreme Court I.D. No.: 39785 Address: 414 Bridge Street New Cumberland Telephone: PA 17070 717-774-7435 n ~~ Form RW-02 rev. 10.13.06 Page 2 of 2 v,Snc 2°~~ rm r~~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 ~~pu~~'~~~~~""""". This is to certify that the information here given is ~'' ~ZH OF p "" rrt~'~E,p fitYy= correctly copied from an original Certificate of Death ~~°g = '~~ duly filed with me as Local Registrar. The original +~ s ~° ' za certific;ate will be forwarded to the State Vital ~o= v a~ Records Office fo permanent filing. *= *~ P 15981915- o~~99r..__._ ..ca~Q~? /Low ~/ D~i/~./ ~~ / ~~ % /~ Certification Number ''-%',!;[ry1~U~t,~,d'' / l/~/~ f/~ ocal Registrar Date Issued ~ C ° ~ G7 +`~ ~ ~~ ~ ~...~~ t„ t.,, ~! 1 ~.. ~..k i"~~ ~ ~ 3 " u tr<v ttrxxoa COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS r~ - ~ * rye ~--~ ,~`_.l"7'3 cw~wt ~rw CERTIFICATE OF DEATH ~ ~ ~ `=~ 3 ' !~ Nl is.. Inetreacelena a77d aramolaa on revuaa) •..,~ ~• ~ .• ` ~ t. two o.rar+lF.a..ea.. t.n+drt x. s.. x sod sa,.M ~ • ar. r owt pd+n. d7. >.rl Sara Jeannette Allen Female 206 - 10 - 8442 December 13, 2009 ! aY• 0.ar e.uea71 Ilttlar t Ilriotr 1 0. OaY d ~ 7. w rw a 4 Ptar d Ora r YpN Ilp, w•~ ~•~ W: Oew: 89 yr. 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Tealldaey trlrWp, err leoreeMrwar..tyw wr.rraw--------------------------------- 7x.tcaw wra 77a SOw(IWia. rr. wn • hwweoYywarl771e31rryral•lpylian lra panrer•i0 alga sea aard,iigbar•tlaMn1 bwtrrarrt..rreramasacs.wra.ea,erl.wpee.,wrrraaourlgwwwrrrrm------------------ ^ - ~~ si 3 6 5 3 '' / ~~i 3 > ~ ~ 7 • rrrrtl.r.w/carrrr aerlrrra•erralMsw/a' eyaeiWrterrroaarreerhall,rr.wWgwerrwmr.ygwewewralr< ^ rrtm~wdwrrewmCarrerrecawdoarrlraxTllprtFm >•.wa s ' •' ~li }~ft~-fi M~ ~ >6 Nayrrs' ar ^~~ ~ la l~"f 2 3F.Ow Frelt4n .,,,~ t ~~` ;o~NcR. t-. „S< S t« `T 1 ofin 10 • U orPal.arv«erw. 0425561 Fa. OATH OF SUBSCRIBING WITNESS(ES) ~o K .,ry _~ ~ - y ~ ` `. / ~y,.,, y r^ J REGISTER OF WILLS ~ ~ ~ 4~ ~~ ~3 . Cumberland COUNTY, PENNSYLVANIA ~"~~ _ °' i: ~ `'- ~ ~~~ ~ _ ~, ..~9 :~ J ~-~ '~. :b ~~ W t: a'7 ~~ * Estate of Sara J. Allen a/k/a Sara Jeannette Allen ,Deceased Tina M. Burkey , (each a subscribing witness to (Print Names) the ~ Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she and that she . ~ - ' the 'Testatrix was present and saw the above 'Testatrix sign the same signed the same and that she signed as a witness at the request of in her , presence and in the presence of each other. (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of Deputy for Register of Wills NOTE: To be taken by Officer authorized to administer oaths. Form RW-43 rev. 10.13.06 -~~ ~~~ ~ (Signature) (Street Address) (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this ~ day of fl~yY\~~' , ~~1 . otary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) COMMONWEALTH OF PENNSYLVANIA Please have present the original or copy of instrum t s at time ,$EA S~NNIFER A. MEA KLE, Notary Public New Cumberland Boro. Cumberfand Co. My Commission Expires July 7, 2012 OATH OF SUBSCRIBING WITNESS(ES) ~ N --~, .;: REGISTER OF WILLS ~ ' ~ ~ .. , ~i3 Eli , Cumberland COUNTY PENNSYLVANIA ~ v~~ .,~ ~' `~' i r v 9 -- 1 1 ( ~ l ~° ~.._. I - .Q : ~, . , Estate of Sara J. Allen a/k/a Sara Jeannette Allen ,Deceased David H. Stone , (each a subscribing witness to (Print Name/sJ the (] Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that he ~ was present and saw the above Testatrix sign the same and that she . signed the same and that he _ signed as a witness at the request of the Testatrix in her , presence and in the presence o ea other. (Signature) (Si (Street Address) (City, State, ZipJ Executed in Register's Office Sworn to or affirmed and subscribed before me this of day Deputy for Register of Wills ~` -` ~NC~! J\ (Street Address) (City, State, Zip) Executed out of Register's Office Sworn to or affirmed and subscribed before me this I ~~ day Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) ~~ NSYt,VANIA NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copp~u1111QNi~A{~ N I Public Form RGR03 rev. /0.!3.06 JENNIFER A. MEARKI-E~ Notary New Cumberland Boro. Cumberland Co. My Commission Ex fires Ju 7 2012 F:\DOCS\EP\WILLS\Allen.Sara.wpd N n ~ p ~~ l~ ~ _.~.1 ~'''~, ~+ {,..,x 1. "L7 ~ 1 i C LAST WILL AND TESTAMENT 'r_iZr~- h c 1 i. _ OF ~ J ~ ~ rn ~::, ;:~. ;~ _: SARA J . ALLEN ~=_~ ~ ~ ~ -~- ~f - ~ ~ - :-~ ~ y I, SARA J. ALLEN, of Upper Allen Township, Cumber~nd Coty~-;~~ ~:. c, Pennsylvania, declare this to be my last will and revoke any will previously made by me. "' ITEM I: I bequeath my automobiles, household and personal effects and other tangible personalty of like nature (not including cash or securities) together with any existing insurance thereon to MARLENA L. HOUSER. ITEM II: I make the following specific bequests: A. Five Thousand ($5,000.00) dollars to my great granddaughter, MORGAN LEE HOUSER. B. Five Thousand ($5,000.00) dollars to my great grandson, LOGAN DALLAS HOUSER. C. Five Thousand ($5,000.00) dollars to my great granddaughter, REAGAN CODY HOUSER. ITEM III: I devise and bequeath the residue of my estate of every nature and wherever situate to MARLENA L. HOUSER. ITEM IV: I appoint my Executrix and her successors guardian of any property which passes, either under this will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, Page 1 of 2 ., without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM IV: I appoint MARLENA L. HOUSER, Executrix of this my last will. Should MARLENA L. HOUSER, fail to qualify or cease to act as Executrix, I appoint SCOTT B. HOUSER, Executor of this my last will. ITEM V: I have made no provision in this my Last Will for my daughter, NANCY MAE MORRIS, as I do not wish her to receive any share of my estate. ITEM VI: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his or her duties in any jurisdiction. IN WITNESS WHEREOF, I, SARA J. ALLEN, have hereunto set my hand and seal this /~ day of _ .S' o~r~Se~. 2009. SARA J. ALL SIGNED, SEALED, PUBLISHED and DECLARED by SARA J. ALLEN, the Testatrix above named, as and for her Last Will and Testament, and in the presence o us, who at her request, in her presence and in the presence of ~ac~i other, have subscribed our names as witnesses. tness y-.~ v ---..~~ Witness 414 Bridc1e St., New Cumberland, PA Address 414 Bridge St., New Cumberland, PA Address Page 2 of 2