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HomeMy WebLinkAbout12-14-09PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~u~~`0e-r''atid COUNTY, PENi~1SYLVANIA Estate of V It~,a1, ~• ,~"`--"~. File Number ~/ - ~d ~~ ~~ (~ also known as 4~ ~ . ti~y ~ Sy 62 ,Deceased Social Security Number Petitioner(s), who is/are 18 years of age or older, apply(ies) for: PLF.IISI ;NOTE: DUF.1'O AN (COMPLETE 'A' or 'B' BELOW.) II,ECTRONIC MALFUNCTION WITH TI'~iL'CLOCK -THE CLOCK DATE ON THIS DOCUMENT IS 12 HOURS BEHIND ^ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the _ 'I'IIE ACTUAL TIME. last Will of the Decedent dated 5r a g and codicil(s) dated --R[:GISTF.R OF W'[L.iS/CLL'RK OF ORPHANS' CRT (State relevant circumstances, e.g., renunciation, denth ojexecutor, etc.)~~. Except as follows, Decedent did not many, was not divorced, and did not have a child bom or adopted after execut~rt~the instt~nt(s) t~~tedr for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~`'`` v ` ~ ~ C!~ ~ ^ B. Grant of Letters of Administration ~.. /~ . (If applicable, enter: c.t.n.; d.b.n.c.t.n.; pendente(ire; durantenbsentin; quitu{{rflT/AOriLat C~~ Petitioner(s) after a proper search has /have ascertained that Decedent ]eft no Will and was survived by the followin~v dose (if an~and Administration, c.t.a. or d.b.n.c.t.a., enter date of Wil! in Section A above and complete list of heirs.) ?~' W .~" (List street address, towaYcity, townsl~p, county, state, zip code) Decedent, then ~~ years of age, died on ~ ~ ~dJ ~~ at ((~~ J a~ ~ Decedent at death owned property with estimated values as follows: b (If domiciled in PA) All personal property $ /o ~~ (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ ~ ~t14' situated asfollows:_ ~~S ~.(,ub~~ry ~ ~~,r-llf,~ ~~ ~~~~~ 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: 5i nature T ed or rioted name and residence ~~z~`.' Geo~(~e til~8el~e 72ak .cull<-~sPt. By*kt /,q 2~d~r Form RW-0? rev. f 0.13.06 Page 1 f 2 J (COMPLETE IN ALL CASES:) Attach additi11otta! sheets if necessary. De~den~was c~omic~ed~at death in ~ ~sDt<\0.^~ County, Pennsylvania with his /her last principal residence at Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF C vT~ C~IA~'~ The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoin the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Dea administer the estate according to law. Sworn to or affrmedd and subscribed before me the " ! ~ day of ~S_ For the Register Signature ojPersona! Representative 1= ~ ~ z- -° -` '--' ~ t!~ T ~ :` ~~i Signature ojPersonnl Representative ~. ;~' ~- File Number: Z I-~ Oa q ~ ~( 1 Estate of I6'Gt ~` . ~ OC1k~ ,Deceased Social Security Number: ~ U 1 v °y- ~ y t'' Date of Death: ~ 4 ~OJ o9 AND NOW, , i considera~ion of the foregoi P tition, satisfactory proof having been presented be re me, IT REED at Let s are hereby granted to . in the above estate and that the instrument(s) dated ~~Q ~~ ,2~ described in the Petition be admitted to probate and filed of recor~jas the last Will (and Codicil(s)) of Decadent. FEES _ Letters ............... $ ~ - a 6 Short Certificate(s) ........ $ ~fb .W Renunciation(s) .......... $ , $~ o v ~ C~ ... $ 23.~-a ~Illll ... $ .sa ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~ ~ 3. 5b PLF?ASE NOTE: DUE TO AN ELF,CTRONIC MALFUNCTION WITH T'I:vIECLOCK - TI IE CLOCK DATE ON 'I'IIIS DOCUMENT IS 12 IIOURS BEHIND 'I'IIE ~~C1'UAL TIME. --REGISTER OF ~C'IId.S/CLERK OF ORPHANS' CRT Signature ojPerso~l Representative C © ~ } - =~ ?'. ~ f ~r t.J Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Register Fa+vn RW-0•' rev. tv.l3.oh Page 2 of 2 PLF.~ISI~. NOTE: DL1E? TO ;~N ELl?CTI20NIC N'IALI'UNCTION WITH 'I'IiviECLOCI: - TI IE CLOCK DATE ON THIS DOCUNIEN7' [S 12 HOURS BEE-IIND RF.(UiSTER OF \X'IIJS/CLFRh OF ORPHANS' CRP n hJ ~ :c'3 C ~~ ~ «~-,~ RENUNCIATION :77 'L7 ~ ~ m iTt " ~c' •-~ r ~~ ~~ ~ 72 REGISTER OF WILLS r~~ ~'- ~ ~.~ ~von~ ~4^a COUNTY, PENNSYLVANIA ~~ :° L,~~ ?> c.a Estate of I, ~~a~a (Print N ,~ r A . ~a ~~k~ Deceased in my capacity/relationship as ° n of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to G ebc`c ~ . (L.oe~rc~ 1 ~ 1 a. I ~l 0 (Date) .._-. (Signature ~- '"' l o~ .,«r-.o~P ~ (Street /Iddress) /'~+ 1~ ill ~ 5~-~ s ~~ 1 ?~S- (City, State, Zip) Executed in Register's Office Sworn to or affirmedp subscribed befor s this ~ /`I day of ~ 2C6 ~ Depu for Register of Wills Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this day of 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.) R. doe\~ Form RW-06 rev. 10.13.06 r rLEf~sI~. ~oTE: I~uI: To ~N I~.LF~.C:TRt)NIC MAI.FUNCT'ION WITH 'I'Lbil?CLOCK - TI [I's CLOCK DATE ON 'I'FIIS DOtaJn1FN'I' IS 12 HOURS BEHIND TI~IR, ~CTUAL'iIME. --REGISTT?R OF \C'II.IS/CLERK OF ORPHANS' CRT N O .~ p ~_ , _~=f~ ~ _~ RENUNCIATION r~` ~' " ~- '' fr' ,~_ ~ ~... f'S i e '?..i \ REGISTER OF WILLS ;;jam ~" ~c --- --T~ C UM~e~ and COUNTY, PENNSYLVANIA ~ ~ `•° r -~ ~" b W i.,~ p Estate of V 1 D\G ~ . ~oe'~~~ Deceased I, ~ ~o ~ St ~ . R.ae~~Q ~\~ in my capacity/relationship as ( int Name) Us~ ~`'~~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to Geo~Sc f1. l~oelke ~J (Date) Executed in Register's Office Sworn to or affirmed an~ subscribed befo me this ~~ day of , ~. Deputy for Register of Wills __--- (Srgn 2/~- ~, ~'N1 S~ (Street Address) .~~, o.~ek 5 ,~~~~ f%~- i~~s 7 (City, Stkte~Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this day of Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date ofexpiration ofNotary's Commission.) Form RiY-06 rev. 10.13.06 PLF_.ASE NOTIs: DUI? TO AN F.LI3CTRONIC M,AI.hUNCT'ION WITH '1'I:~IECLOCK -'I'IFE CLOCK DA'I'S ON 'I'IIIS DOCUMEN'T' IS 12 HOURS BEIIIND 'T'H}? AC'T'UAL "I'Ib~fE. --REC:IST:R OF lX7LIS/(;LFRK OI' ORPHANS' CRT RENUNCIATION c~ O REGISTER OF WILLS C VM ~1~ ~~~ C COUNTY, PENNSYLVANIA ~ ti ~,~ r~ r~-•, Estate of ~ ~ ~, ~ ~' Rai `~e ,v ~~ rn t. '; {" _" " `., T, a _ i.'~ LJ ~~ Deceased I, ~ G1n~~,S p . ~aC.~k~ in my capacity/relationship as SD ^ (Prins Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to . ~, ._ ..~ (Date) -.... .. _._-___...___.. ~:~ '. ~i , ~~~ ~~ ~ ~G ~~ ~~ ~~C i ,~...__.is - -~ Executed in Register's Office Sworn to or affirmed r;d subscribed befor r.Ie this•~~ day of _, ~. Deputy for Register of Wills (city. state. zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this day of 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.) Form RW-06 rev. 10.13.06 T I OATH OF NON-SUB SCRIBING WITNESS(ES) REGISTER OF WILLS Ly+~~e.-1~~-~ COUNTY, PENNSYLVANIA Estate of y 1 ~ I ~^ ~ ~ `~ ~~~~ Deceased L~hC-ri Gr,L~~hal and , (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /.were well- acquaintedwith U~a,A (~o~lke and am/are familiar with the handwriting and signature of the decedent, and that the signature of ~ l bl A ~ oe ~Fe to the fornegoing in~s~t"rument purporting to be the Last Will and Testament/Codicil of V ~ °1~` +~' ~`'oe.,~~ is in his/her own proper handwriting. ~~ u~~~ (Signature) 1~3 I,-1-"t l lfow br i Ve (Street Address) Mt• ~( ~V Svri -~4S~ IAA 1-{C~ccF" (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this J,~ day of ~ ?~~ ~. ~~~~ Deputy fcr~egister of Wills !J Form RW-04 rev. /0.13.06 (Signature) (Street A ress) (city, score. zip) C ~ -r~ „~ c~ -~ , •.- ,.,;, - c7 c ~ ~ ~ m ~ ~~ ~, ~ C ~ ~;%C~ *~ z" ~ ~~ *° ~") a w t.r7~ rLr:ASr: Nary,: I)vl~: z'o :>,N P,Lh,CI'RONIC i~tALFUNCTION WITH 'rI1~;CLOCK -THE CLOCK DA'I'S ON 'PHIS L>OCDMENT IS 12 IIUURS BEI IIND 'rl Its, AcrvAL ~I'In-II:. --RIi.GISTER OF WILIS/CLERK OF ORPHANS' CRT OATH OF NON-SUBSCRIBING WITNESS(ES) l ~ REGISTER OF WILLS CAM be r ~ ~~.~ COUNTY, PENNSYLVANIA Estate of U-DI~ '` Rae'~k~ ,Deceased ---, t ~Q~'~G.t'C•.. ~ J ~~~ and (each) being duly qualified accordir acquainted with Uic~~ 2 ~ d2 with the handwriting and signature of the decedent, and that the signature of c ~~ ~.V t-~ f"~" f~~~ ~-:_ ~ ~ t..7 C"3 ~ JC~~~ b to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ~~~,~ ~ae"'~'~' is in his/her own proper handwriting. (Signature) (Street Ad ress) (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this l~ day of ,~Q%. ! ~~ ~L Deputy f Register of Wills Form RW-04 rev. !0.13.06 to law, depose(s) and say(s) that she / he /they was /were well- Pl,l?ASI? N01'f3: DUI: TO AN F1.i?CTRONI~C i`.IAI,FUNCTION WITH '1'I~II~,CLOCK -'I'[ Iii CLOCK D,~'11.ON 'i'fIIS DOCUhiEN'1' IS 12 HOURS BEHIND 'I'IiE: ACI'UAL'TIME. and am/are familiar Vole, ~belkc y> Q r~ A 3 W .C` _,y_ t ~) U. _ ~ ~' 7 }r-~ L..' ~,~ -a-t _' 7`I t:~ ~...) ~-z --RI'sGISTftR OF lC II1S/CLERK OP ORPHANS' CRT __ _ _ H105905 REV./3/09) . - This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with the Vital Statistics Law of 1953, as amended. L 'L~ d ~~ ~~~~~0 WARNING: It is illegal to duplicate this copy by photostat or photograph. Linda A. !Caniglia State Registrar ~,. M11IS113 REV 11rmBB TYPE / PRIN7 IN PERMAfENT BLACK NK fn v .~ a U O fV ~~ No. F OF HEALTH a VITAL RECORDS CERTIFICATE OF DEATH (See Instructions and e2lamplss on reverse) .....f D~.C 0 22009 Date t. Nam. d doMeil fRet n:ddb, bn, sure 1 z. &x S Sacbl Seaery Nlnder - _. a. om d Deem (MmR aaY, yesr) 481 - 69 -5462 5. Ape (Lw BhriaeY) UMar 1 UMr 1 m 8. db d rlh ae 7. aM aer ortu ei cou r . Pea d dam gteck o am MoMlu DaYS Noun Lerub HOtpml: Omer: 61 vd. Oct. 22, 1948 Des Moines IA. ^Illpenw ^ER/Ougbtlenl ^DDA Nmhp Nwne Rriaerce ^aMr•SpWy ' m. Courey d dam &. CM• own Bd. Fwety Name In M imlYUeon, Vn art •ntl nunibarJ 8. Wr daebnl d HYpenb OnplnT tb ^ Yr - 10. Rau: Armriun Irgir, Black, Weile, m. Cumberland North Middleton 105 Cavalr Road 1"'""°"~"`"°cR°^m) I White • 71. dnaee'e t1eW ~ ~ d work sane nnet d ale d red mb 12. wu DBCred ewr in me 73. drotlenl'e Eda:r m (Speay WnY hphrl pre0e conVblem 11. Msmal SbW: Manic. Never Marred. 15. Survbkg Spour IK wm, pM nwtlen rime) Ketl d Wuk IOM d duirrr/Indrhy Bank Mana er Bankin U.S. Annr Fadr7 Elementuy / SacaMary (612) Cdbpa 11-1 a St) Wk1Protl, Dlrarna (Spea/h/ ~7rr ^Na Marcie Geor a R. Roelke II 18. Derotlenrs Mnkrtp Adder (Sheet cdy/ban, nab, zip mtle) 1 05 Cavalry Road DecetleM'e On Deaetlenl AcbnReakbnro ,TASIeb pa _ LTw.Ina „a ~Cjrr.Or.artL;Wain N. Middleton T . Carlisle Pa 17013 llaedwi tn.cwdy CumhPrlanA °M~tlt~'T na.^N~oe ~ mkt , . . d ~~ 18. FameVa Nam (Fast Mtlde, fan, adAx) te. Moaera Name IFlM, nrEdb, meitlen sumrm) William Am Mar drat u 20A Inlornbd'a Nam (type! Perm 20b. beameme Aleilkp Atldau (Shed any / ban, eWa, ap coos) II 214 East Kin St Shi sbur Pa 172 7 21a. Ablhotl d DhponBU ~[] Cremeeon ^ Dorutlan 21h. db d Dbprohbn (Mash, rY~ yaeq 21c. Piero d OleproNWi (Name of romsbry, aernebry ordMrpbro) 27d. 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DO NOT arrr tameml earb arcs u arrest amd Onw m Dare da M wuilNq b me untledyYq Gur pavan b Port I. ^ Y ^ Pmeahly rrpirary enw, or vanbbmr tlbeb8on wend niowiry tits atlobpy. Lin ardl' aIN(r~ue al each Ne. ' ^ UnLnarm ( J o~, ar~lA ~r ~ oea.r a M~~~ L 1~7 n'GtJ~ CU ~1(.J!? I ~ ~ S c n F w Nd ai Due n (a r • ~~ pnpmnt w n peat yrr let aanaNanA n dry, m we wean knee o. ~ Prepnenl ntiM d drm ^ YIQEI1Lriq CAUSE dab (a u e urmaouerKe op: Na pepen4 bin Od9nrt welYn 42 days (tlYrr or ~Y mtl Yatletetl re ewes roJB>o m a.m) tear. ` d dam ^ d. b la r a oar.panro d,: Nd pnpent bd P89nad 43 mya m t yrr d. IMore rm ^ Unkrown K pnpnrit wlmF me past yrr 3d. Wr n Aumpry PMonnd/ 98D. Ware Arrpey Flndhap A tlbd Pe 31. Menmr of DaM 32a. Date d HaY (MOMh, dry, year) 920. Describe Haw Iryury Orcu~ Strsd Feabry, 32c Plan d I ~ ~ v e a b Complelbn d cr,r a demT ~ Nnaru ^ Hanitltla lI . Otrro ~ ^ rr ( No ^ rr ^ No ^''t ^ Peiaiq nredpaucri 3za. rme d mwy 9v. 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Dab ( ,tlay, yav) , , p , mnnar _______ • IlrkelEawlnerlCOdrw ___________ ,rO 1~ I ~ 1~ On tlrehrb demnndbneM/ar hnnnlttiMn, In my opmbn,arth oCCreretl ntM Ber,hb,nn pbro,eM dlrerolM nur(m eM nbmerr elebtl.. ^ w.~uaM Atlderdpanm WhoGurdDem lM \ .. m27fT ! y ~p'A W , l ss. lbplaafs aM devld ~~ I~ I I la I I I ~ I dteFeealMam,aaY.reeo 1` 1., t " ]~I n 1 ~~ ~ ` , rlnJll~ ~^^ T~ I I iT ~ 7 DkpoeM1bn hnrln No. ~ `"~~ n C~ f~~n fry' r~rt U] i~7 ~ C^~~~ !~ PLEASE. NOTIs: DUI?. TO AN I:I.ECTRONIC M.~.I:taUNCTK)N VUITLI TIMECLOCK -1'HI: CLOCK D\TI? ON 'fH]S DOCLIiVIF.N"1' fS 12 HOURS BEHIND THE ACTUAI, TIMI ~:. 5303216 r..> 0 .a Q f~'i C'7 .~.~ W r ~1 't'; : r C:, } ,~ r -• t,7 r'r" t "T'7 C... _.,r w_ !_ i_1 ~:.~ ~a~ 'T"] --RI3GIST'IiR OF' a'ILLS/CLERK OF ORP! LaNS' CR'C Ho:23 13Q 650 Dups:00 LLJ Doa: 0511511973 Sex: M Z crass: C Eyes: GR81 W Endorse: ---- Height: 5'10' (~ ComfMed Rstr: `/" J Issues: 03/13!2009 (~ Expires:0 511 6/20 1 3 ~ ~ti A~ w ~ GEORGE R ROELKE IV 108 BATTLE STREET SE k ~ viFruNn vn ~~~Rn ~{ Ve L /'7 ~j~Q~ ~ ~~~ ~~/lAas // - /S ~ Ala.-~f,/~7;ddi~~i 1.u~.sKVxdao:~o xa;:i-i:)/srnk~ Rio xays~,~,~r-- QI~IIII:Ig S2If10H %I SI .Li!\I,dlh 7pQ SII~I, 1~I0 ~.L6'Q }IJCYTJ HILL - ?I70'IJ~IIII.I, H.LLk11\IOLL~!sIfld'[~'L~ JII~I02LL~I"[I l~N O.L 311Q ~LLO1~I ilSt/'r3'Id N a _'c3 s+ -~s'; ~.'-~ ~ •7 ~ ~_t ~`, 1_,' t __~ ~' ' t Last Will of Viola Rcelke 4/15/08 Savings bonds made payable to George and/or Viola Rcelke will be split equally between my sons Christopher and James Rcelke to be placed in an saving account paid jointly to Christopher and James. PNC life insurance policy to be spliy between all my sons George, Christopher and James. All savings and checking and CD's are to be split joint between all my sons. George, Christopher and James. Any further funds will be split between all three sons. Met life policy to be used for funeral expenses, my burial to be at closed cemetery to my home. Viola Rceike 4/15/08 Value of bonds approximately $8000.00 or more cT ~. u7 ~ c~ __w - - ~- ~. Q ~o l.l_J :_ l: (.~.J ~ _.J tS. ~--:? V V 41-.. i •.._`~ lsJ ~LLI U o tV PI,EASF. NOTF,: DUF_, TO AN IiI.FCTRONIC ~L11,FUNCTION WITH TIMFCLOCK -'I'IIF, CLOCK D,1'PE ON THIS DOCU~'~iFN'I' IS 12 HOURS BF.,IiIND 1'I [F. AC'I'U11L 'TIMMI. -Rf~GIS'I'ER Or \~-'ILIS/CLF,RK OF ORPHANS' CRT ~ ~.~ ~/~. ~~~. yes/o ~ ~~ ~ ~ . ~~ .~ ~- ~ ~ ~ ~~ ~ ~~~~ ~~ ~ ~~~~ ~~~ ~~ w~ ~~ ~ ~ ~ ~ ~~ ~ ~~ ~~-~ ~~ ~ ~:_ c-~ ~ - ~, r' ~- ~ ,,/ u..; ~_ c7T - ~~ i c.~J , ~ ~ ©E.3 r~ .. _ ~ cn cwt , ~- ..r ~ - , ~- .~-'.a ~ cc , ... ~: ~ v PI,E,jSF', NOT7: FIIiC llUE'I'OAN s IRONIC MALI-UNC770N NTH TL~IECLO('K -THE CLOCK D ~/~ TI IIS DO(; C 1~ENT IS 12 IIOU ATE ON c~~ "I'I IE ,1CTU~lt, TL,11E, RS BEHIND --Rf,C;1S77iR OF lC'IIJS ~/~~~~ /CLERK OF ORPHANS' CRT v,~ ~ ~ ~DoD. ~ ~/yyL~~ .. „~