HomeMy WebLinkAbout12-22-09PETITION FOR PROBA/TE AND GRANT OF LETTERS
REGISTER OF WILLS OF C~-/n1j~-,C~ N~ COUNTY, PENNSYLVANIA
Estate of DG (J~ V ~. ~ //~~'i//! ~ /~ /Jl File Number
also known as
,Deceased Social Security Number l 1-{ - ~ ~ ~ 7~~7 f~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.) L ,~
Q A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the C ~ ` L~, ~ L t-'~~i~~ named in the
last Will of the Decedent dated w] " (O J ~ ~~~ and codicil(s) dated
.rt',
(State relevant circumstances, e.g., renunciation, death ojexecutor, etc.) .~ Q ~~: -'-`
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Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after executioh'dL~~strurrfitZi (s) ofi'efe~- ?
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ ~ N r _~, _ ,-~
CIS ~ F- ~'' -
t~ C~ 17e~ '.
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^ B. Grant of Letters of Administration
(ljnpplicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; durante absentia; durant noritate) ~ ~ ~ '~t
:~ N ~...: ~ ;'73
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) 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.)
Name Relationshi Residence
(List street nddress, towrr/city, township, county, state, zip code)
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Decedent, then ~_ years of age, died on 3 CC at f ~ I ~ jC ~j! ~~4 ~/Q 1 li ~~ , /r/G t- /). ~~ , ~ 7L~j ~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(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
Form RW-0? rev. 10.13.06
$ , '~-
Page 1 of 2
y
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
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:
lO5.R05 REV (0007) ~ ~- ~~ -•~~~~
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 15932863
Certification Number
This is to certify that the information here given i correctly copied from an original Certificate of Deati
duly filed with me as Local Registrar. The origina
certificate will be forwarded to the State Vita
Records Office for permanent filing.
L.~~~~c.1~1 ~r>~tr,Q.X~ ~ E (~ 1 5 ~ 2009
Local Registrar ~ Date Issued
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CERTIFICATE OF DEATH
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LAST WILL AND TESTAT~IENT OF DOROTHY I~. SCIiEIBELIiUT
I, DOROTI-IY P~. SCIiETBELHUT, of the Tot~rnship of Silver
Spring, County of Curiberland and State of Pennsylvania, being
of sound and disposing mind, memory and understanding, do make,
publish and declare this my Last Will and Testament, hereby
n ~_
revoking and making void any and all prior t°7ills by n4~c~t and y. ~.~
time heretofore made. _~~~ ~"' ~ }
_.... < r t
I direct the payment of all my dust debts and funeral ,x, "~_
expenses as soon after my decease as the same can be conveniently
done, including the payment out of the principal of my general
estate, of all inheritance, estate and succession taxes, which
may be assessed in consequence of my death.
2.
I give and bequeath my personal bedroom suite, consisting
of my bed and mattress, my bureau, chest of drawers, night stand
and two (2) lamps to my grandson, JASON I~~TASSIE.
3•
I give and bequeath my desk and my eight (8) plates and
frames, presently located in my bedroom, to my granddaughter,
JEAN LONGEZiECY~ER .
-1-
4•
I give and bequeath my Television Set and Stand, together
Frith my rocking chair and cedar closet, to my grandson, JOSHUA
P•1A.SS IE .
5.
I give and bequeath my cedar chest to my granddaughter,
CINDY' TAYLOR .
6.
I give and bequeath my personal 3ewelry, if I have not
otherwise disposed of the same during my lifetime, to my three
(3 ) granddaughters, to wit, JEATJ LOIdGENECFfER, CINDY TAYLOR and
PAI~LA DOUGHERTY, share and share alike.
7•
I give and bequeath all the rest, residue and remainder
of my household furnishings, including tools, equipment and
appliances, to my daughter SUSAN I%. I~'tASSIE and to her husband,
L•E!~-I5 C. M.4SSIE, share and share alike.
8.
I give and bequeath the sum of Two Thousand 02,000.00)
Dollars apiece, to my seven (7) grandchildren, to wit, JOSHUA
MASSIE, JASON MASSIE, JEAN LONGENECKER, CINDY TAYLOR, PAT~IELA
DOUGI3ERTY, GILBERT E. SCHEIBELHUT, JR. and JOANNE YOUKERS.
-2-
9.
Z give, devise and bequeath all the rest, residue and
remainder of my estate, of whatsoever nature and wheresoever
the same may be situate, to my son, GILBERT E. SCHEIBELHUT and
to my daughter, SUSAN K. I.IASSIE, share and share alike, per
stirpes.
LASTLY, I nominate, constii;ute and appoint my son,
GILBERT E. SCHEIBELHUT and my daughter, SUSAN K. P~ZASSIE,
Co-Executors of this my Last ti'~ill and Testament, and direct
that they be excused from posting bond or other security for
the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this M~` day of July, A. D., 1999.
(SEAL)
Do°~othy TAI. Scheibelhut
-3-
Signed, sealed, published and declared by the above
named, DOROTHY P~I. SCI~IBELHUT, as and for her Last t~Jill and
Testament, in the presence of us, who have subscribed our names
hereto as witnesses, at the request of said testatrix, in her
presence and in the presence of each other.
-4-
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND )
I, DOROTIiY T'1. SCHEIBELHUT the 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 and Testament;
that I signed it willingly; and that I signed it as my free and volun-
tary act and deed, for the purposes therein contained.
Sworn and affirmed to and acknowledged before m
_ DOROTHY M. SCHEIBELHUT , the testat ria this ~_
day of Tu y ~ A• D• , 1999.
DorothCM. ~cheibelhut
°~
Notary Public
COMMONWEALTH OF PENNSYLVANIA ) E WN ~ry Public
• S S . ~rq Boro, Cu ~~ 21
COUNTY OF CUMBERLAND ) ~ Cort+n+issb^ ~~ "
1Aemee~, "'~ "~"~0" a Non~i~s
We, the undersigned, J. ROBERT STAUFFER
and SUSAN A. I~ICCOY the witnesses whose names are
signed to the attached or foregoing instrument, being duly qualified
according to law, depose and say that we were present and saw the
testatriX DOROTHY P4. SCIiEIB:ELHUT sign and exe-
cute the instrument as ~~,/tier Last Will and Testament; that the
said testatrix DOROTHY Iii. SCHEIBELHUT , executed it as
Sher 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
testatr iX was, at the time, eighteen (18) or more years of age,
of sound mind, and under no constraint, duress or undue influence.
Sworn and su scribed to before
me this `~ ~ day of
July ~ 1999
~~=~i, c~
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~n E. ~• ~ry PubGG
Sao, CumbeAard CourM11
~j~~ ¢xpjreS Nov. 6.2001
Member PM>~ni~ ~ d NoWiK