HomeMy WebLinkAbout12-31-09PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY. PENNSYLVANIA
Estate of AUDREY W. JOHNSON File Number ~~~ O9~ ~ o~ I cZ
also known as
Petitioner(s), who is/aze 18 yeazs of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
Deceased Social Security Number 405-26-9701
^X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /aze the EXECUTRIX named in the
last Will of the Decedent dated 9/2311993 and codicil(s) dated NONE
DAVID R. JOHNSON, HUSBAND, DIED NOVEMBER 26, 2002. KATHY M. FRY MARRIED CHRISTOPHER M. DAVEY ON MAY
18, 2008 AND CHANGED HER NAME TO KATHY M. DAVEY
Continued on a Separate Page
(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 durance absentia; durante minorttate)
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Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his /her last principal res`d~q at _ ~: , ~~3
17 HONEY$~,1CKLEDR MECHANICSBURG PA 17050 SILVER SPRING T1MP -r-,`"~ ,.,
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Decedent, then 85 years of age, died on 12!2812009 at HOLY SPIRIT HOSPITAL
CAMP HILL. PENNSYLVANIA
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 5.000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 344.571.00
situated as follows:
17 Honeysuckle Drive, Mechanicsburg, PA 17050
8 E. Woodland Drive, Mechanicsburg, PA 17055
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
~ ~^d ~ ^ , ~ I KATHY M. DAVEY
Page 1 of 2
Form RW-02 rev. 10.13.06
Petitioner(s) after a proper seazch 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.)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
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 affirmed and subscribed
before me the ~ day of
, a~g
For the Register
Signature of Personal Repi'2~ive KATHY M. DAVEY
Signature of Personal Representative ~ ^~
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Signature of Personal Representative _
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File Number: oZ l - ~q - I ~ f a
Estate of AUDREY W. JOHNSON ,Deceased
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Social Security Number: 405-26-9701 Date of Death: 12/28/2009
AND NOW,~~Y~~~ O~ I OD , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters _ b'x"~-y aw~-~~
are hereby granted to ~. ~`~
in the above estate
and that the instrument(sl dated - a 3 -93
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............................. $ 3Coc7 . no
Short Certificate(s) ..•...•...•. $ aC7 • Ulm
Renunciation(s) ••••....•...•... $
W ~~.1. .... $ 1S, p0
JC.s .... $ Z3 •6Z~
.... $
.... $
.... $
.... $
.... $
.... $
TOTAL ............................. $ ~ 2 8 . S d
Attorney Signature:
Address: 54 E. MAIN STREET
Telephone: 717-69 7-4650
Form RW-02 rev. 10.13.06 Page 2 of 2
Supreme Court I.D. No.: 24849
105.805 RF,V l0110't
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.. ,
Fee for this certificate, $6.00 ,,,rrrr"""'-----.__ This is to certify that the information here given is
,,It~P`~H OF pfN-.
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°v - = n~ Record~~s Office fb ermanent filing.
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Certification Number .,.,, ENTe„11r.rr
Local Registrar Date Issued
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LAST WILL AND TESTAMENT
BE IT REMEMBERED THAT
I, AUDREY W. JOHNSON, a resident of Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this to be my LAST WILL
and TESTAMENT, hereby revoking any and all Wills and Codicils
previously made by me.
I
I declare that I am married to DAVID R. JOHNSON, and that I
have two (2) daughters, KATHY M. FRY and JULIE A. GILL.
TI
I direct that all my just debts and funeral expenses shall be
paid from my residuary estate as soon as practicable after my
decease.
III
I direct that all taxes that may be assessed in consequence of
my death, of whatever nature and by whatever jurisdiction imposed,
shall be paid from my residuary estate as a part of the expense of
the administration of my estate.
IV
I give, devise and bequeath all my property, whether real or
personal, wherever situate, including any property over which I may
have a power of appointment to my husband, DAVID, provided that he
survives me by thirty (30) days.
V
If my husband, DAVID, shall predecease or fail to survive me
by thirty (30) days, I give, devise and bequeath all of my
property, whether, real or personal, wherever situate, including any
property over which I may have a power of appointment, to my
daughters, KATHY and JULIE, in equal shares, per stirpes.
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VI
I nominate, constitute and appoint my husband, DAVID, as
Executor of this LAST WILL, to serve without bond. If my husband
is unable or unwilling to act in that capacity, then I nominate,
constitute and appoint my daughter, KATHY, as Executrix of this
LAST WILL, to serve without bond.
IN WITNESS WHEREOF, I, AUDREY W. JOHNSON, have set my hand to
this LA5T WILL this ~ 3 ~ day of , 1993.
Signed, sealed, published and declared by the above-named
AUDREY W. JOHNSON, as and for her Last Will and Testament, in the
presence of us, who, at her request and in her presence, and in the
presence of each other, have hereunto subscribed our names as
witnesses.
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ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
I, AUDREY W. JOHNSON, 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 as my free and
voluntary act for the purposes therein expressed.
~~
AUDREY W. JOHN
Sworn or affirmed to and acknowledged before me by AUDREY W.
JOHNSON, Testatrix, this oZ3/1~ day of ~y , 1993.
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My Comrn~sah ~tpines,-ix,e 9,1697
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
We, /~• ~Ga/^,~ ~jjdr!'lcts and ~/Q~2 /~ • ~rn ~~~ ,
the witnesses whose names are signed to the attached or foregoing
instrument being duly qualified according to law, do depase and say
that we were present and saw Testatrix sign and execute the
instrument as her LAST WILL; that AUDREY W. JOHNSON 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 Testatrix signed the Will as witnesses; and that
to the best of our knowledge, the Testatrix was at the time 18
years of age or more, of sound mind and under no constraint or
undue influence.
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Sworn or affirmed to and acknowledged before me
this ~~/~( day of 1993.
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Mec~ieN~ y~ County
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