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HomeMy WebLinkAbout01-25-10PETITION FOR PROBA``~~T,, E AND GRANT OF LETTERS REGISTER OF WILLS OF ~~ l) tM.'IJl° 1"'~,~_ OUNTY, PENNSYLVANIA Estate of ~~~~ Y ~~•, ~~ `{ 1 File Number ~7t-1 '~Q - d~~ 0 also known as ` ,Deceased Social Security Number ~10~' ~" Z `p ~ ~"~ 9 Petitioner(s), who is/are 13 years of age or older, apply(ies) for: (COILIPLETE A' or 'B' BELOW.) /C~ A. Probate and Grant of Letters Testa entary and aver that Petitioner(s) is /are the ~ () named in the last Will of the Decedent dated ~_ and codicil(s) dated (Stare relevant circumstances, e.g., renuaciatiorr, depth of executor, etc.J Except as follows, Decedent did not marry, was not divorced, and did not have a child bom 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: ^~ . r-' _ +. r- '~'+ ^ B. Crant of Letters of Administration ` !~ `B~ A !; ` ~: :~ (If applicable, enter.• c.t.n.; d.b.n.c.t.a.; per:dente lire; durante abseatin; ~~~a~oritate'~ `'-- Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followi~tg~~its~(if any) and hers; d`} Adrninistration, c.t.a, ord.b.n.c.l.a., enter date of Will in Section A above and cornplele list of heirs.) r-~ ~-~ ~ ~ 't? "_ . Name Relationship i~esi ce "- ~_t (COMPLETE IN ALL CASES:) Attach addit_ioreaLl sheets if necessary. Dec dent was domiciled at death in_ ~V ~ Cou tY, Pennsylvani with his her last rincipal r sidence at ^8 Q o'k1 L' (List street address, towrdcity, tow p, coung+, state, zip code) Decedent, then ~f-L years of age, died on 1~4_ at ~- O U Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (lf 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: $ ~`~' O$. (o~ Wherefore, Petitioner(s) respectfiilly 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: e. ~- or printed name and residence ~ oC~ y a l f~.y ~~,acl..~. ENO I~+ ~ (lJ,a ~ I `2 0~• .~ Form RSV-U? r~N. to.t3.o6 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA n IImo^, SS COUNTY OF I ~ ~~ ~~1 n ~_ The Petitioner(s) above-named swear(s) or affirnl(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 before me the ~ day of For the Reg ste L ; , 1~irtit ~ • ~ o Signntrrre ojPersona! Representntive ~ rV C~ Signature ojPersonni Representntive ~ ~ ~ 'p~C~ ~ - -ra Sigrtnhu•e ojPersona! Representntive ~. C~ ~ ~ GJt `.a~~-~ ' Z7 ;> C7 ~ ~U -- Q07U ~~ M File Number: pp Estate of { ~~ 1'YlG '~_..I ~Yl Q ~ ~ ,Deceased Social Security Number: ~ ~ 0 R ' ~~ Q - U~, ~.P Date of Death: ~ -~ ' ~-CS ( O .~~ ', :C7 , r r~ _7 ~: - ~±7 ~.. -`z n _- ~~ - ;-.:.~ r ~.. ~ '~ AND NOW,~I ,~~, in consideration of the foregoing Petition, satisfactory proof having been presented before me, T IS DECREED that Letters ~ f2LP i~ ~' ~ v1 are hereby granted to wr ~~ f ~ l'~ C 2-e 1 G~'L~ t -~ in the above estate and that the instrument(s) dated ~ - ~ -~ ~ QQ 7 described in the Petition be admitted to probate and filed of record as the last Will (and Codici](s)) of Decedent. FEES Letters ............... $ .~(•~~-`~ Register ojWills Short Certificate(s) ........ $ ~ •v V Attorney Signature: Renunciation(s) ...... ~t~~ :~L~ ~~1/tC.l~1C1n TOTAL .......... .. $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ _ Attorney Name: Supreme Court I.D. No.: Address: Telephone: r-~r,n Rw-o? rev. 1U.13.U( Page 2 of 2 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 15934634 Certification Number 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. JAN O B 010 ~s g' - Date Issued -- ~ rv 0 p -A-n r ' _ _ rn `~ ~ FV c1t t r-, ~) ,- , _x~ C.7 t~ ~ __ ~ 3 REV 112006 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS - ~ ~ '.-- 'J`:5 r'::...: 1 ^~ « IIN CERTIFICATE OF DEATH •' ~ i ~-, A (See Instructioes and examples on reverse) STATE FILE NUMBR~' -;. s I. Name d Depederll (F•ri nsdd•, leaf. eul6>V 2, Sas 3. Sadel Seclway NwiMr 4. Date d Deem (Mmm, day. ~- Thelma I. Reichert female 168 -26 - 4296 1-5-2010 5. Ape (tap Birpdey) UMr 1 Undr 1 8. DaM d BIM M de 7. BI arM ante a ea. Plea d DrN CMea or 94 ~"" °"` Iww. suer. 11-23-15 Harrisburg Nasp+tae Yrol~~har if S ^ R ^ ^ ^ ^ Oder . y: esidence pec DOA 1..~Nummg Florae mpatiam ER / Outpebent yra, . Bb. Cway d Drm &. Ciy, Bono, Twp. d Deem 6d. Facp6y Name (N nd IretlhNOn, gAa erred end maaber) 9. Wee Decedent d Fpepenic Origh? -l plo Yes tD. Rea: Amancan M,dien. Blacx. White, ek. ~X Cumberland Carlise (II yr, apadN CWUn, IsaedM Forest Park Health Care Center Mesieen. pUenp ~,,,,,~.) white • 11. Dacedrd'e I1rIN Nhddwak tlar ~ rnlald NM. Do rqt slab 12. Wes Deeded ever ro me /3. Decedsnfe Eduadm (Seedy only hlgMet 9rada coaiplelad) 11. Maaal Statue: Marred, Never Monied, 16. Surviving Spouse (If wife, gwe maiden name) KaM yf WaA ICmdd BaarerllMaay U.S. Armed Face? WUoewd, Dhrorad (Spw,ylyl Ekmenlary I Secaelery (P12) College ltd a y+l Supervisor Commonwealth PA ^y„ ®~, 12 - widow - 1p. Dxadenha MWIMIB Addrrs (Street, caY /lows. slap, zip Adel OecedenTs Perna . rv 8 inm 17 dent Loved in Twp CI Y Dec i Walnut Bottom Road . c es, e Aduel Res dence , 7e. State Township? Cumberland nd ~ ~ „~ ~ Da ~aLieedwmm~ Carlise ~I „y city/epm 76. Fatla(s Name (Fbat, midAe, lad, aumal 19. Motlafa Name (FUeL mlddb, meitlr+aumane) George H.ivner Viola Fenton 208. InMtum'a Name (Type J Pradl 20b. Inlananfa Meiling Address (Stree6 caY I tovm, aria, zip cede) Deborah R F ie 237 Hemlock Terrace Mountain Top PA 18707 21a. tdepiod d OMDOSpIOn i ^ Cnmegen ^ paagpn 27b. Date d DiepoaNlm IMenm, day, Year) 21c. Plea d DkDadia (Name of cemeNry, crematory a other Meal 21d. Location ICiy I town, state, zq code) ~&"°' ^ "°'"e""'°n'~°" ; ~ ^ 7 1-11-2010 Rolling Green Cemetery ~ ~~n T(ap ^ y~ ~d ~ • F (a Draan adaq ouch) 2~. Lkxae NurMar 22c. Name rM AdGese d Feday ~ C'`~` FD013945L Neumyer Funeral Home Inc 1334 N. 2nd Street Pa 17102 CamPM1e Game 23eK aey etwn caroMa9 23a. To da 1 d my IinovAedge, rlnth occurred d the arse, aM place e1-m..-rI7' (Slaanae and tltle) 23b. License Nlmibw 23c. Date Signed (Month, day, year) physidri a riot availade d 9rra of deem to N S-L ~ ?O/ d arer awe d Beam. YU DG• la1. ;~ creme 2428 mat be cerriPleled Dy person 24. Tme d Deem ~ 26. Prorowtetl Osed RAOam, day Yaar) '7~7 Qt ~ ~ 28. Wes Car Rdened b Mertkrel Eaemfar (Coroner fa Reason 0 then Cremation or Donation? ^ vas 1~M~' rAw pragw•r seam. M. CJc V / CAUSE OF DEATH ( In ntl atwmplaq ~ Approximate intarveF. rred v nt ds ardia ~ O d ro Dnm DO NOT l n l m B W p M N Pan It Edar Omer awe given n Pan I Dui net raeulDrl ro the uakd ei 26. Did Tobacco Use Conmbda to Death? ^ V ^ P h , en r em ne e s su as c e ns et drec . e y aus a Item 27. Pen I: EnYr tla ghIROIIYrIE - dieeaen, njudes, a axttplratiae ~ rrWarorY aunt. a venirlosar Abilletion w6had shoeing tla ewlogy. Lill omy one rave a nrJi ire. , . g y g re abry es ~ ^ Urenown i C SE F diseaea a /' ~ y //~g.~ YIEBU T E A U ' J y' ~ ~ ~ ~ F 29. II em aie: I , ~ , // ~~~I , ~ ,, 7. ,, , eondllarl "'""'"'* m -~ a ~ / L l~C ~ l L~ L~~ ~~J ~~'~-' "~~ ~ ' ~ C'l , r - t ~ r~ rvot re nem within eel ear . ~._.... ( r e oq: ' ~, /jam r Id corldeaa, 9 any, b p y p g Pregnant d time d deem ^ . b crag 6sbd m W a. ~UNOEIIIYple CAUSE ro ,~° a conaaq~wia on~ _ _ _ ~ (dense a MraV tlid aapakd the p ~L" ~ . ~ .: (~,,, i ~ Nd pregnam, Dot pregnant wdhin a2 Days of deatn ro 1 r b t nant 13 da ea ^ N t , evads rewpaq N duet) LAST. y u preg ys r o p egnenL Dw b (a n a o0: ~ d before deem ^ Urwrwwn if pregnant wahin me pest year . 3w. Was an Adepay 30b. Wero Autopsy Fsdsyp 31. Mannar d Deem 32e. Dale d Injury (MOnM, day, yeaA 32b. Describe Now Injury Occurred 32c. Place d aMaY~ Have, Fenn, Shed. Factory. OIGce BuikFng, dc. (Seedy) Penamed? Avaark Prbr to Cmplelbn d Ceuae d Deem? eta l ^ Fbmidde LJ't'latlaa ^ ~ /~ ^ ^ AccMent ^ Pentlap Invrlipedon 32d. Time d kryury 32e. injury at Was? 321. Il TreaWnation Injury (sparM9 32g. Lacatbn d injury (Street, city /town, state) Vea Yr 1-Ywo ^ ^ ~ ~ ~ ~~~ M ^ Yes ^ No ^ Drrvar/ Dperelor ^ Peesenger ^ Petlednen Opar ~ Speciy: 338. Certl6er (check arq' ar) 33b. Spa k d Carli6er ~ / ~ -~ " ~ ~) • CarINYYp PNY•ktaa 1PDyeiian awMyklp awe d drm when anopar physidr hn pronaamad drm and ponpletetl Irm 23) rM lh M bd d ~~ ; /~r _ ~„(; .( -~- /(.. a earw(a)• mamwr a _________________________________ w to Te 1M Erldmy RswwYdp•, daatlreararW 33c Llcenee Number - .Dace ( day, Year) • PraneuraFg andeetltyllq PEYa~ (MYa"d•n betls Proaaaasa9 drm and amymg b tune d deem) ht ^ rot d d d d ` ^t ('` j ~ ~ ( ~ iC. manner.. a ------------------ pea, an M awa(s)an e dw To nr Erlet mylalowlaega. daMh aeeurndMpre tlnr,daM, an , 1.) /` L. Ov (,(.' • WdW EardrwlCaalr On pM Erb d ramaratlon and I a Inrrlgatlon, M my opmwn, drtli oalrrad r tM tints, der, and plea, and dr to tla sun(s) and mrrrr a atr•d. ^ 3/. N ~M Addrar d Portion Ca of Deem (ke 7( Pnnl .: spa " ~a~~ a ,; ~' t ~ ~ e ~77 35. Rapaaela and ~ xl / I~ I/ ~ I 36. Dar ( m, day, yea) G ~ , .- . --- ., 11 f / '~. -~ ~ ' k"1 0 ~~ (° •-'r` ~~--~ / :~C'~ ~` ~ c l is ~~ G jl e - C / ~ ., r .~ U Diaroaicen Puma No. lJ '~\n `1O ~ ~, 094999-0000SJMat~ch 31, 1997htl~itPARl62t193 ~~~~ i1I ~cn~ C~P~t~cmPnt ~_ OF ~+a ° ~~ ~ rn Z C'7 ~. ~ i, ~~ ~y f i v. ~? f~) CJ'`f l . n©-~, THELMA I. REICHERT ~~ `~'`~' -~ ~ v ..,~ ~ :. :a> ._. __ ,,,, , . I, THELMA I. REICHERT, of East Pennsboro Township, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will preWiously made by me. ITEM I: DEBTS. I direct the payment of all my legal debts, and the expenses of my last illness and funeral from my Estate as soon after my death as conveniently may be ddne. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my Residuary Estatee as part of the expense of the administration of my Estate. ITEM II: TANGIBLE PERSONAL PROPERTY. ,~v, _~_, =, , ~- ,-, . _.:., __ i-~"~i _`,j I may leave a written list in my safe deposit box or elsewhere displosing of certain items of my tangible personal property. The Executor shall dispose Hof items of my 099999-00005/March 21, 1997/HAJ/PAR/62093 personal property as specified in the written list. If no written list is found in my safe deposit box or elsewhere and properly identified by the Executor within thirty (30) days after the probate of my Will, it shall be presumed that there is no other statement or list. ~,'ll Any subsequent discovered list shall be ignored. I give and bequeath xny household ~~, furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing '~ apparel and all other articles of household or personal use or adornment not mentioned in the written list, and all policies of insurance thereon, to my son, WII.LIAM 1 I 1 CHARLES REICHERT. ITEM III: REST, RESIDUE AND REMAINDER. I give, devise and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, unto my son, WILLIAM CHARLES REICHERT, provided that should he predecease me, I give, devise and bequeath said rest, residue and remainder unto his issue, per stirpes, by representation. ITEM IV: MINORS. I name, constitute and appoint, DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, guardian of any property which passes to a ;minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to a minor or to another for the minor's benefit. Such guardian shall have the power to -2- 099999-00005/March 21, 1997/HAJ/PAR/62093 i i use the principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate and vocational training) without regard to his or her parents' ability to provide for such support and education, or to make payment for these purposes without further resplonsibility to the minor or to the minor's parent or to any person taking care of such minor. ITEM V: PERSONAL REPRESENTATIVE. I name, constitute and appoint my son, WILLIAMS CHARLES REICHERT, Executor of this my Last Will and Testament. Should my son, WILLIAM CHARLES REICHERT, fail to qualify or cease to so act, I name, constitute end appoint my granddaughter, DEBORAH R. FORGIE, Executrix of my Estate. Should she fail to qualify or cease to so act, I name, constitute and appoint my granddaughter, ANGELA BANKS, Executrix. ITEM VI: BONDS. No person serving as Executor shall be required to give bond for the faithful performance of his duties in any jurisdiction. -3- ~ ~ 099999-00005/March 21, 1997/HAJ/PAR/G2093 IN WITNESS WHEREOF, I hereunto set my hand and seal this mod( day of .~1'~ , 1997. (SEAL) THELMA I. REI T Signed, sealed, published and declared by the above-named Testatrix, 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 subscribed our names ~s witnesses. ~'~~~~ ~ -4- 099999-00005/March 21, 1997/HAJ/PAR/62093 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, THELMA I. REICHERT, ~ v-'~u. -~d, G ~`L c~ t~ s and I(t' o~ ~ ~ ~ ~ - ~ K- ~' ~,.~ ,~k. ,the Testatrix and the witnes es, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly and that sloe executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signer the Wild as witness and that to the best of his/her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. THELMA I. I T Witness luiass Sworn to or affirmed to and subscribed to before me by' THELMA I. REICHERT, Testatn~, and ~~ ~r-1c~ ~ 6'- V Ul ~ and aC ~ id - ~ ~ ~` ~ 1~- witnesses, this S day of , 1997. C ~,1,,,~.k,c.-.~; Notary Publi My Commission Expire: _____ Notarial Seal Nancy L. Bistline, Notary Public Lemoyne Boro. Cumberiaad Coun My Conanission Expires Nov.23,1 AA~rtd~er, Peu~aeylven-e Aseoclatton d Notarbs