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HomeMy WebLinkAbout01-07-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND Estate of MARCEL E. BLOUIN also known as Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) COUNTY, PENNSYLVANIA File Number ~ / r ~ V ~ ~/ Social Security Number 106-36-7905 ® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the EXECUTORS last Will of the Decedent dated FEBRUARY 15, 2007 and codicil(s) dated N/A named in the ___ _ ,. (State relevant circumstances, e.g., renunciation, death ojexecutor, etc.) `"= ~ .,~ '_~ ~ ' _ j C/'> Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution c>ft~rumep~s) offere_ d ~ `~` for probate, was not the victim of a killing and was never adjudicated an incapacitated person: `-~ ~ - -~ ' ~ ~ ~ , 7 C.~ B. Grant of Letters of Administration [~ ~ (Ijapp[icable, enter: c.t.a.; d.b.n.c.t.a.; pendente life: durante absentia: durante 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 Wil! in Section A above and complete list of heirs.) (COMPLETE IN ALL CASES:) Attach additiona/sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania with his /her last principal residence at (List street address, town/ciry, township, county, state, zip code) Decedent, then 87 years of age, died on JANUARY 1, 2010 at 122 STRAYER DRIVE, CARLISLE (SOUTH MIDDLETON TOWNSHIP), CUMBERLAND COUNTY, PA 17013 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 $ 100,000.00 situated as follows: 122 STRAYER DRIVE, CARLISLE, PA 17013 Form RW-02 rev. 10.13.06 Page I of 2 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: 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. Sworn to or affirm'~ef d and subscribed before me the / ~ `day of l11_V I O _ I vt w~ For Register lam, /' ~ of Personal epr~ati ~, 'e of Pe o al Representative r~ o T,T cr ~.w i ~ n 7.' ~~rn ., V7 ; Signature of Personal Representative ,, J `,~ C~+ ~' File Number: ~' / O ~ D O / ~~ Estate of iyIARCEL E. BLOUIN Social Security Number: 106-36-7905 Deceased -1(7 :~ hl W GJ Date of Death: JANUARY 1 2010 _~. I ~ > +~ -, _ 1''' ? r; _..r.? ~.; . =, AND NOW, ,~ ~~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof having been presented b ANIS meMARIE GIDLLARD AND SARA J. FLOODTAMENTARY are hereby grantel t _ in the above estatc and that the instrument(s) dated FEBRUARY 15, 2007 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Deced//ent. FEES Letters ............... $ Short Certificate(s) ........ $ Ren ci tion(s) .......... $ ... $ n ... $ O~ . $ .~ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $~~ Attorney Signature: Attorney Name: Supreme Court I.D. No.: 19373 Address: 10 WEST HIGH STREET CARLISLE, PA 17013 Telephone: 717-241-4311 Page 2 of 2 Form RW-02 rev. 10.13.06 105.805 REV (UI/U7) ~..~ ;~ - oo ~~... LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 16053317 Certification Number This is to certify that the information here given it correctly copied from an original Certificate of Dead duly filed with me as Local Registrar. The origins certificate will be forwarded to the State Vita Records Office for permanent filing. ~~.~~..>~.~- lA~l ~ / eta -__ _ Local Registrar Date Issued n ~ ,~© ~ _ o ~, ~~ ` _~ ''7 ~ ~ ~ ~ I1 . _' . r ,,r F"? • C fj ~+I - . T .~ t 7 + 7 ~ ~ , " '~~ a? ---! tV .-- i ~ , I~.l W 1=C~7 W ~' Ntdbtl3 REV t720ne COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VRAL RECORDS TYPE I PRER IN rrc~ CERTIFICATE OF DEATH (See Inntruetlons and examples on Tetrorse) STAT£ FlLE NUMBER 1. Nm d Decedaa IFr4 mNdM, WI, suAhi z Sex s. seed s.o.sy Number <. Dab a Dean 1~. «y, year) Marcel E. Blouin Male 106 - 36 - 7905 Janus 1 2010 5. Ape had BYtlld.y) IAder 1 larder 7 & Dale d exn 7. erd deb a M. Rea d been aw raorde Drys yloue M«Ye HospiW: Oner: p 87 vm. Mar. 23, 1922 Montreal , Canada ^ ,,,~,,, ^ ER I OuprMa ^ DDA n1 Nurp Ibnn ^ Reda«w ^ onw - spealr• m. carat a Dean a. ay, earn, TeP• a Dean ed. Faary Name (n na xrrlaw~VAanyd eaf iaonrr( e. car Dewase a Inepub adpn? ~ Np ^ r« 10. Raw: Anwlcen car, erdc. WNe, eb Cumberland Carlisle Forest Park Health Center ( ~RIwA.IC.) ('White 11. Deaideda IyaW d wax d er maed M. Donaame 12 Wr Dewdsa ew n na 13. Dewdaa'e [4ueetlw (Seedy any hghd pads canp lebd( 1/. MrW 5tric Mentea, New Melded, 1s. SuvNYp Spa r (M cane, pMe nrxen car) IDna a wax IDM a aairwslxiauay U.S. Aimed Faroe? E~epby I Seaadery (4721 Canape (1~ a 5+) «tlo"a°' °Fiorti° (~•dNl Chemical loser Gas Mf ^ Y« [~ No 16.Dcards Maenp Adder (3aeet alylbrr4 dae, dp ads) 122 Strayer Drive Decease's qd DecedeM AaeW Rrdslw ne. see PA ua b, na.^r«,D«eaee twrh rep PA 17013 Carlisle ,m.caby Cumberland °"r"P~ 17d ~ ~ ~~+ Carlisle , a cnylearp iB. FdhMa Name (Fxal, nedde, eel, wink) John Mark Blouin 19. MonrM1 Ner (Rid, n«de, rridawi aumme) Wilda Phaneuf 20e. blamsda Name (type I Prxe) 2tlb. iNormards Maaq Adds (Shr4 dy I own, dr, dD eels) Janis B. Gillard 30 Long View, Carlisle, PA 17013 2ta. Menod d oepoadm r ®Crenstlan ^ 17 21a. Days d oiy«Mm (Mash, dry, year) 21u row a oYp«Nm (tone a aarwy, aamdoryaanwplew) 21a. Incetlu (Cxylmnn, dr, ap aqe) ^ saw ^ RsmNxansea i NrQeedldnaDaaebnAdlbNrd Jan. 4, 2010 Hoffman-Roth Funeral Home & C li l P 17013 ar s e, A ^ ~,,,. r 71yMhnrl7'reiYryCOyauR r«^ Np ~ 22e. slpn«.. d pow .d1 zzb. lkslee Number 22a Name end Adore d Feely Hof fman-Roth Funer8l Home & Crematory, Inc - 138425 219 North Hanover Street, Carlisle, PA 17013 ConOleh 23L M eN d my b~°pe, tledh a ~ 6«~ dr ad pew ehW. (eiprxas and tlna) 29b. Llcwr Number 2k. Deb Sipied (MdAi, drys year) ~ ereleeM tl tlme d dewr b carry ear a der. ~ (~ ~ S"L / oY0 ! d Me 2420 need r oanpeed by pence ZA. Timed 25. Pnrlanced Der (Mme, dry, yes) ~ ~ 2& Wr Ca« ~ b Medwl 5rriw I Cesar Rrai OM Cmesai a Daelan? eho pmnanwadWr. ~ ~ M. ! ~d ~ N a ^Yw CAUSE OF DEATH 19ee hrrrrtctlorre eaemrbel , Appmdnrly xeenex Fed e: Eller Oder Ze. pd ToDawp Ilr Caeder b Ion Zy. Peel t Fner Te ppeD~lemin-deeaaaa. • a mrplwUaw - Tel early nerd M . 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Fwd say, 0 y, r 14z1 SY'R•Nr; Raiy+~ cCd2CiS~c PiF i1o73 ~ , I oMpwBor, Pemd Nd. ~ Q~ w•~ LAST WILL AND TESTAMENT OF MARCEL E. BLOIIIN I, Marcel E. Blouin, (also known as Mike Blouin), of South Middleton Township, Cumberland County, Pennsylvania, declare this r~.a to be my Last Will and Testament and revoke all Wills anc~? `~ C.= Codicils previously made by me. ~~-~~-~; -~;~n ~ ITEM I: I direct that my legally enforceable debts,_a ~ funeral expenses, together with the expenses of the { ~~;---~;£-. administration of my estate shall be paid from my residu ~=' N estate as soon as practicable after my decease, as a parffi'of the expense of the administration of my estate. ~"' ITEM II: I bequeath all of my tangible personal property, including all household goods, furniture and furnishings, vehicles, china, silverware, jewelry, ornaments, works of art, pictures, wearing apparels, tools and similar equipment and personal effects (but excluding cash, motor vehicles, and tangible evidences of intangible property) together with any policies of insurance applicable thereto, in equal shares unto my four daughters, Sara Jane Flood, Janis Marie Gillard, Elizabeth Ann Blouin, and Patricia Kathleen Czarnecki, who shall be living on the thirty-first day following my death, to be divided among them as they shall agree. ITEM III: I devise and bequeath the rest, residue and remainder of my estate of nature and wherever situate, in equal shares, unto my four (4) daughters, Sara Jane Flood, Janis Marie Gillard, Elizabeth Ann Blouin, and Patricia Kathleen Czarnecki, who shall survive me by thirty (30) days. Should any of my daughters predecease me or die on or before the thirtieth day following my death, her share shall be added to the shares for my other daughters who shall be living on the thirty-first day following my death, in the same proportion in which they share in my residuary estate. _:. J ~~~~~-; .,-a ( ~ - t ~; - -, _.~-~ :.. t`rt ~_,~ ~: 'r; fi~~~ ITEM IV: All Federal, State and other death taxes payable because of my death, with respect to the property forming my gross Estate for tax purposes, whether passing under this Will or otherwise, including any interest or penalty imposed in connection with such taxes, such be considered a part of the expense of the administration of my Estate and shall be paid out of the principal of my residuary estate without apportionment or right of reimbursement. ITEM V: I appoint my said daughters, Sara J. Flood, and Janis Marie Gillard, Executrices of this my last Will. Should either of my said daughters, Sara J. Flood and Janis Marie Gillard, fail to qualify or cease to act as Executrix, I appoint my daughter, Elizabeth Ann Blouin, co-Executrix of this my last Will and Testament. ITEM VI: I direct that all fiduciaries acting under this Will, whether or not named herein, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this ~~ day of February, 2007. [SEAL] Marcel E. Blouin -2- The preceding instrument, consisting of two (2) other typewritten pages, each identified by the signature of the Testator, was on the date thereof, signed, published and declared Marcel E. Blouin, the Testator therein named, as and for his last Will, in the presence of us, who, at his request, in his presence and in the presence of each other, have subscribed our names as witnesses hereto. -3- COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We, Marcel E. Blouin, Dale F. Shughart, Jr., and /~lc~/ ~ ~j~{y~.-~ the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his/her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Testa J Wines Witness Subscribed, sworn to and acknowledged before me by Marcel E. Blouin, the Testator, and subscribed and sworn to before me by Dale F . Shughart , Jr . and ~tG~4 ~ C~ ~ ~~`i.~~'~'~ j` witnesses, this /~ day of February, 2007. NOTARIAL SEAL BONNlE L COYLE. NOTARY Pl1BUC ,~~~~~lssl~oN~E rnlR~aocTOBER n io 0 Notar blic -4-