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01-11-10
PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ,~ 1,~ nn h~/r~~l. COUNTY, PE SYLVANIA ~~ ~ - ~~~ Estate of ~,!~,~J 2 ~ ~"1CC r C ~ h /~ File Number also known as ~ A/ ~ f~~ Deceased Social Security Number ~~~ - 2Z - 7`~ tad Petitioner(s), who is/are 13 years of age or older, apply(ies) for: (COIbIPLETE 'A' or 'B' BELOW:) 1~ A. Probate and Grant of Letters Testamentary and aver that Petitioner ) is /are the ~;L P C ~,i 1-r' / ~,, named in the last Will of the Decedent dated ~~1~- and codicil(s) dated(~iJ DN2 (State relevant circumslnnces, e.g., renunciation, dente ojexecutor, 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: ~_~ f,~-~~ N ~..~ O ^ B. Crant of Letters of Administration (ljapplicnble, enter: c.l.n.; d.b.n.c.t.n.; pendente lire; durante absentia; dur~( noritate) t_ F}'''~ '.:~ j Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following` z ~ e any)~iti herr~'~tlj Administration, c. t. a. ord.b.n.c.t.a., enter dale ojWi11 in Section A above and complete list ojheirs.) 1~,~ ~ ~, t_s , , ;~y'CIS ~ _ _, i Name Relationshi Re ~' ~ "t7 ~ `' •t L :jC ._.. --1 .. ~ - (COMPLETE IN ALL CASES:) Attach additional sheets ijttecessary. Decedent was dom fled at h in ~ ,~g ~ ottnty, Pennsylvania with his /her last principal residence at y ~ „r-, v.n ~ ~~, a i ~~-r 7~°_ n - t_~ ~ n ~a ~S o, ~ ~-~. utt t .I ~ ~~ . ~ ~ A) (List street address, towrdciry, township, county, state, zip code) Decedent, then $~ years of age, died on t at ~ ~ rr / ~ ~ ~ r~ ~ / r ~ , ["Ifat' / t~s.b(~A. Decedent at death owned property with estimated values as follows: ~ /~7/ DDS "'-'~-~ / (If domiciled in PA) All personal property $,.,_, r O (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of rCeal estate in Pennsylvania ~j /~~ ~$ situated as follows:~~/n S~ M tm 2~(-~[ e ~d s~~ ('-~/Ir ~ L~~D 1f/-i ~~~i Forn,R6V-Ud retc ID.13.06 Page 1 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 OyF~PENNSYLVANIA COUNTY OF ~~~,-~j ~ 1 ~,~~A~~ SS The Petitioner(s) above-named swear(s) or affirnl(s) that the statements in the foregoing Petition are hie arld 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 e ra °- -'~ be a me the ~ day of ignatu ojPersonal Rep sentative ~ ~ ~ ~ z. y , J ~~ , ~ ~' : ~, n x ~~3 ~, ~ .~/ L~1 ~ _ Signature ojPersonal Representative -~ d'- ~ ,~, y, ._I , ~ -For the e i ter "' R g S i r r r S g to u e ojPersonal Representative J~ ~ _. -' -ri a ~" - N File Nu mber: ~.L ~ ~~ / (~ ` (/~a~0 i Estate of ~ IP,~ _~ )1.1~~ n . ~ ,Deceased O~rrdd Social Security Number: yJ0 / ~ ••~' / /~ ~ (J1~ ~ / Y'~V Date of Death: ~ ~ ~ ~~ Q AND NOW, ~ ~ , ~, in consideration of the foregoing Petition, satis factory proof having been presented before me, IT I~S D D that Letters ~ l'Y1~ ~ U , ~~ are hereby granted to ~I 5 ~. ~~ iC.t.( 5 ~ 11 _._- in the above estate and that the instrument(s) dated a ' a o? - ~] ~ - described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES '' ' / (/ ~ Register ojWUls Letters ............... $ Short Certificate(s) ........ $ Renunciation(s) .......... $ ... $~tilSL ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $~ Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Faun RW-0? rev. IU.l3.Ufi Page 2 of 2 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ( ~L~/'YII~~Y'~~ COUNTY, PENNSYLVANIA 0~1 'lL~-~a-~ Estate of r~ ~ ~ 2 tJ ~~V-S c9 h/1 ,Deceased ,~ ~~ ~~~ JS'~,,Y~ ~'~ and (each) being duly qualified according to law, depose(s) and say(s) that she / he /they was /were well- acquainted with ~Q1{g~_, I'S ~J1 ~~ // and am/are familiar with the handwriting and signature of the decedent, and that the signature of t~ P~IP,.~J ~iv-zs~h-,el to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ~'~"(ZI,,~~~~('4~ is in his/her own proper handwriting. (Signature) (Street Address) (City, State, Zip) Executed in Register's Office Deputy for Register (Signature) (Street Address) (City, State, Zip) tv o o i, C ~; ,_' - ~ ;~ r- > ...• `D '~" f..7 (~ k N Fonrt RW-04 rev. 10. / 3.06 Sworn to or affirmed and subscribed before me this ~ ~`~ day OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS (,^fLrY~ ~,~/t^~ ~ ~ COUNTY, PENNSYLVANIA ~,~ - ~ c~- ~a,c~ Estate of /~ 2- /P_r ~.,~s ~~ ~~ ,Deceased SSri~- and , (each) being duly qualified according to law, depose{s) and say(s) that she / he /they was /were well- acquainted with fIP- /~ .d ~~ f i~ ~ and am/are familiar with the handwriting and signature of the decedent, and that the signature of ~ (., /2 V ~) rS c~ A n to the foregoing instrument purporting to be the Last Will and Testament/Codicil of ~ P. le J Q ~~~ ~ is in hislher own proper handwriting. ~'Y (Signature) (S reef A ress) ( sty. State. Zip) - - (Signature) (Street Address) (City, State. Zip} Executed in Register's Office Sworn to or affirmed and subscribed I~~ da befo a me this y of lv . ~ ~ n ,~ (1 of Wills Form RW-04 rev. 10.13.06 o _ ., a Q ~ (-'1..s ~~ ~7 ~ , ~ ~ ~ i te ~ , „ ~ r '- c..~~", a --' . --~ ^'{ i..~~> ''~7 ~. b ~ r.k N i ~l b-~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 16053493 ~°~~ Certification Number 99TMENT~OE„ ~111os~tls REV nrmoe TYPE I PRNT N PFlI~IN1NEWY it i This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~;Y(,~ JAN 10 Oi0 ocal Registrar Date Issued C'7 e..s c C© o ~uS 7 ~ ~ ~ ~ {~a_ ~ '. ~- - r _,_t ~ i-1 : ~ C~ . ,_.: ,,_~ ~ ,. 'Yl ~ ro '::$ .l ~ ~ . ~~~ ~ ' i ~ ~ ~ _ ~ : ~„""j r ,n COYIMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS .t ~ ;~ ~ CERTIFICATE OF DEATH N Sri (See Instructions and sxsmpbs on reveres) e„r.rFa 1. IY1r d Deadwe (Rr. midde, br auliO 2. Sr a-SecW 9aauiY Nuder d. Der d' Orb (Hoch, deY~ Y••r) Helen Barsohn F 058 - 22 - 7480 1 8 2010 5. AA• (~ ~Y) lAlder 1 UMr 1 8. DW d BYY1 7. end ebb a eL Pba a Dads Checy aw rarr tw1. Role erer. HapiW: ~ Wier: 84 vre. 3 5 1925 Cairnbrook, PA fr1 Npetlwp ^ ER l oupeYal ^ DOA ^ Mucyp Hama ^ Reeidrre ^ Wrr - spxYy: ®. Oaaar d o.rl1 ea Ciy, Baro, T•p. d owl ,1.1mn roar, eldc nmib, eta. r . A ea Fadiy Hem. In rot betlluYOt1, We ener end melber) i. Wr Oecedri d Hrpedc Odpi1T ®No ^ yr 1a R sp ! ~ f Dau in Harrisburg Harrisburg Hospital ~ Prna R~r, ~) 11. Deoederi'e Ueul d arrk doles mora W. Do nd car 12 Wr DeoedrY ewa N Yr 13. Oemderde EduaYon (SpaoiY ady hipper grade aarybWq 11. Medal Sher: McIAW, Nwer Melded, '~15. 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T`sH~d E i 7/ C ~ , .., ~ / ~ r oNgaorbn Pe1mY No. ~~7 : J ( ~t J I, HELEN BARSOHN, residing at 735 Baven Pliace, in the City of Linden, Couaty of Union and State of New Jersey, being of sound mind, memory and understanding, do make, publish and declare the following to be bast Will aad Testament, hereby revoking all prior Wills by~me made. FIRST: I do order and direct that all my 3ust debts and funeral expenses be duly paid as soon as may be convenient after my decease. SIDCaND: All the rest, residue and remainder of my estate, ~_ ~. .. ~~, i of whatever nature, real, peaonal or mixed, I give, devise and bequeath w my beloved daughters, LISA NANCY BARSOI~T and RARffi~T HELENE BARSO'EQ1, of 735 Haven Place, Linden, New Jersey, in equal shares, share and share alike. Should any of my daughters predecease me, then the survivor shall take the share of the deceased daughter provided, that should any of my daughters p decease me leaving issue surviving, said issue shall take their parent's share, per stirpes and not per capita. THIRD: No beneficiary under the terms of'this my Last Will and Testament shall be deemed to have survived me uale$s they shall be living four months after mq decease. If they should die dozing such period, then it shall be considered that theq had predeceased me. FOURTH: I hereby give unto my Executrix herein named, or her substitute, the full uncontrolled right to retain any and all investments held by me during my lifetime and the power and right to sell any or all of my assets, including my real estate, at public or private sale, at such tim and upon such terms as may be deemed advisable for the best interest of the estate, and to execute such instruments and documents as slay be necessary to effect the puraose of the same, ,f _.. .... _ . . ~{ li ~{ t :; i, conatltute and appoint my beloved daughter, KAREN HELEN BARSOHI~1, as Euecutr of this my Last Will and Testament. Such Ezecutriac as shall qualify under the provisions of this Will shall serve without bond or other security, unlesd otherwise required by law. II1 WTTNffiS WHSEEOF, I publish and declare; this instrument, consisting of two pages, as my Last Will and Testament, and I have hereunto set my hand and seal in the presence of the subscribing witnesses, this 2~' day of ,~~,4j~,BE~ , 1975. (L.S.) ` HEI,RN BARSOHN The foregoing instrument, consisting afl'two type~rritten pages was an ~'y~T,~,rll~~~,[[ Z Z , 1975, signed, sealed ~ published and declared by __ ...,.,~..~, ~w ...__ _.