HomeMy WebLinkAbout12-28-09PETITION FOR PRO/BATE AND GRANT OF LETTERS
REGISTER OF WILLS OF C..[,c~--.-~ e _.-/~ ~/ COUNTY, PENNSYLVANIA
Estate of _ QL!~ .~ r-.P nL Sr+-. ~
also known as
File Number ~ ~' ~ ~ b / L ~ -
Deceased Social Security Number ~ ~~ eZ~ f 5 7
Petitioner(s), who is/aze 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 niimed ir, the
ast Will of the Decedent dated 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 life; durante absentia; durance mtnoritate)
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.)
(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was d.otmiciled at death in ~ U.wt ~ t,-~Ll.~.d County, Pennsylvania with his /her last principal residence at
(List street aadress, tox•n/city, township, county, state, zip codee)
Deced'ei1t, then years of age, died on 1 s1 / ~ ~ ~ at ~' D'Tn .`r c'f ~"~ mStAt'F-a,~
~.'/ 'D p M
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ ~Q,% 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 $
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:
~~
Form RW-02 rev. 10.!3.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF t/~h~tr, r~C a/
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
.~~
For the Register
~%~~~E%e~~e-
Signature of Personal Representative
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of Personal
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Signature of Persona! Representative
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File Number: ~' ~ I - ~ ~ 9 ~D ~-~'~~ ~
c.~ ~ tV
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Estate of~ \(.c_~i / sir,. ~ , Deceas~
Social Security Number: /~ 7 ~ /,~'~~ Date of Death: / Z/ 5~ ~ Zaa S
AND NOW, (~
having been presented
are hereby granted to _
that
in consideration of the foregoing Petition, satisfactory proof
in the above estate
and that the instrument(s) dated Of~
described in the Petition be admitted to probate and filed of reco~ as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............... $ 2~.(3Z7
Short Certificate(s) ........ $ 2 ~ ~ 6U
Renun iation(s) .......... $ ~-
... $
... $ 3-5a
... $
... $
... $
... $
... $
TOTAL .............. $ 3ZJ• `So `~
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Register
Form RW-02 rev. 10.13.06 Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15884597
Certification Number
ITEI~AtS~ i._ _ _
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This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly failed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
~. ,~~ - ~ ~ .aD E C p 9 ;~UU9
Local Registrar Date Issued
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DMpwtlon Psmr No. V T 1 J (~ ( ~
LAST WILL AND TESTAMENT
OF
RUTH I. SMITH
I, RUTH I. SMITH, of the Township of East Hempfield, County
of Lancaster and Commonwealth of Pennsylvania, do make, publish
and declare this as and for my Last Will and Testament, hereby
expressly revoking all wills and codicils made by me heretofore,
and dispose of my estate as follows:
ITEM 1: I direct the payment of my legally enforceable
debts and funeral expenses, including a suitable and proper grave
marker, as soon as conveniently can be done following my decease.
ITEM 2: I direct that all State and Federal Transfer
Inheritance Tax, Estate Tax, Succession Tax or any other taxes, of
any kind whatsoever, including any interest, assessments or
penalties thereon, that may become due and payable by virtue of my
death, or by virtue of the passing of any property either under my
Last Will and Testament, or in any other manner, shall be paid by
my estate, just as if such taxes were my debts, and no beneficiary
shall be required to pay or refund any part thereof. Taxes on
future interests may be prepaid.
ITEM 3: All of the rest, residue and remainder of my~astate ~'
=~ c~ ~ ~~'
of whatsoever nature and wheresoever situate, I give, dev~~~e~~nd n ~,~
i .,, ~ m N , r,Y:
bequeath as follows : ~cn~ oa : ~.`_J
;-'3G~~n ~ '. --;-j
r:.~ C
~,_: ;-:
,~+~ C,'S
N 'r~
A. Five (5~) percent to the SALVATION ARMY, 131 South
Queen Street, Lancaster, Pennsylvania 17603-5317.
B. Five (5~) percent to the MENNONITE CENTRAL
COMMITTEE, INTERNATIONAL PROGRAM, 221 South 12tH
Street, Akron, Pennsylvania 17501-0500.
C. Ninety (90~) percent equally unto my children,
JERRY RUPPERT, JUDY RUPPERT, JAMES RUPPERT, JOLENE
LIEK, DEBRA HEIKES and DEANNA WINTERLING. The
share of any thereof deceased at my death with
issue surviving shall pass by representation to
such issue surviving. The share of any thereof
deceased at my death without issue surviving shall
lapse in favor of the others, if surviving, or if
any of the others is not surviving, but leaves
issue surviving, his or her share shall pass unto
his or her surviving issue, per stirpes.
ITEM 4: I nominate, constitute and appoint my daughter,
DEBRA HEIKES, and my son, JAMES RUPPERT, be the Co-Executors of
this, my Last Will and Testament. I direct that my Executors be
paid the normal commission for fulfilling their duties hereunder.
No Executors shall be required to give bond.
ITEM 5: Wherever the context requires, the masculine gender
shall include the feminine and neuter gender, and vice versa, and
the singular shall include the plural, and vice versa.
2
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
15th day of December, 2008.
r
RUTH I. SMITH
Signed, sealed, published, acknowledged and declared by the
above-named Testatrix, RUTH I. SMITH, as and for her Last Will and
Testament, in the presence of us, who, at her request, in her
presence and in the presence of each other, have hereunto sub-
scribed our names as witnesses thereto.
~_ ~- of , ~n
" of LP+~~ ~~
3
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF LANCASTER
I, RUTH I. SMITH, Testatrix, who signed the foregoing instru-
ment, having been duly qualified according to law, acknowledge
that I signed and executed the instrument as my free and voluntary
act for the purposes therein contained.
Sworn to or affirmed
acknowledged before
RUTH I. SMITH, the
Testatrix, this 15th
of December, 2008.
and
e by -
RU'TH I. SMITH
day
COMMONWEALTH OF PENNSYLVANIA
VW~I ~La~~~
Notary Public
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF LANCASTER
Notarial Seal
Cynthia A. Claxton, Notary Public
Manheim Twp., Lancaster County
My Commission Expires April 4, 2009
SS:
We, the undersigned witnesses who signed the foregoing
instrument, being duly qualified according to law, depose and say
that we were present and saw Testatrix sign and execute the
instrument as her Last Will and Testament; that she signed and
executed it willingly as her free and voluntary act for the pur-
poses therein expressed; that each of us in her sight and hearing
signed the Will as witnesses; that Testatrix is known to each of
us; and that to the best of our knowledge and observation the
Testatrix was at that time of sound mind and under no constraint
or undue influence.
Sworn to or affirmed and
subscribed to be ore me by
~~,r~AA,,n~C C h~S~~rrS and
witnesses, this 15th day of
December, 2008.
l:
Nota?~ Pub is
COMMONyI(F,ALTH OF PENtVSYI-V+~ 4
Notarial Seal public
Cynthia A. Claxton, Notary
Manheim Twp., La"caster County
My G41nLLTtladon t*xpirea Apri14, 2009
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