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HomeMy WebLinkAbout12-23-09 (2)PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~ v ~~ ~~ ~-~9- ry A COUNTY, PENNSYLVANIA Estate of ~ (-~ 1~ (L ~ .J ~ ~ ~-~ ( 2 ~ 2 / File Number ~ ~ ~ ~ ~ ~ U l also known as ,Deceased Social Security Number ~ /~ ~ ~ - / ~ ~ `~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~ - ~ k ~ 2 u ~ U t2 S named in the last Will of the Decedent dated /'l~f +~ y' / b /y ~ 9 and codicil(s) dated -r--T- (State relevant circumstances, e.g., renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B. Grant of Letters of Administration nJ o ti instrut°s~ettt(s) offered-' N ~~: ~ ..z; (If applicable, enter: c.t.n.; d.b.n.c.t.a.; pendente lire; durnnte absentin; du'rah1~27yi~j•itate)Zs ~ '' ~ -,;-_~ -7~ _ - - -- Petitioner(s) after a proper search has /have ascertained that Decedent left no Wil] and was survived by the following~~ (if any):aad heirS`:"(ff'~s Administration, c.t.a. ord.b.».c.t.a., enter date of Will in Section A above and complete list of heirs.) -~p "'"t ~~ ~~~ ''.T :v ~ Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additiottai sheets if necessary. Decedent was domiciled at death in e~ NI 1~~ 2 L /9- aJ' ~ County, Pennsylvania with his /her last principal residence at '~y ~-1 S ~ U a tM~ ~ t+Q N~ ~ ~~ ! L L ~ / 7 1 r ~ (List street n dr~w~dcity, rownsliip, county, state, zip code) , / / Decedent, then ~ D years of age, died on ~" oZ at ~~ L Y ~~/ 2! l ~~/ / ~ L ~~~P Ott" LL. ~~~~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) Al] personal property $ f 3 ~~--r~ (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 follows: ~ /9-Q tt<D V i ~' ~ 2Q ! ~/e /'v ~-! ~~ L ~Ti6~~ ~ ~,-•S 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: Si nature T ed or rioted name and residence /~- r ~.f'.~nJ ~, ~~/K1~ ~~ CIDLUwttjUs ~di: ,~~L~u,~A2F~b)'f l~ ~/9'RB /L,~- /Q. ~ air ~?S7> 7 f%~-2i~Fr 5~. G~~•al~ h~ ~GL t /~~- Form RW-0? re~~. io.13.06 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA n' I ~ 1,, n f1 ~ ,r~ /~ SS COUNTY OF l ilM I IYJ.C.f ll.U ll/" 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/e~d and sudbscribed before me the d-~ n `day of For egister Signature ojPersonal Signnture ojPersonal Representative Signature ojPersonal Representative ~~ w r7 -e, -r - _ ___ File Number: ~ ~~ l s LQ ,a~ ~ `' ? ~; .i- tV Estate of~~~~u~.., ~fl ~~-i' ,, Deceased Social Security Number: I~~ ~~~~ ~ ~~ Date of Death: ~ '' o~, I "'w! AND NOW, ~ 3~0~ of `D-eC~ern ~ ~ , ~Q 7 , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ ,.$ Q.y'L~ . i_ .. n.. . ,. .-rte - _' _ - ~ - -- . are hereby granted to in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of reco as the last Will (and Codicil(s)) of D edent. r FEES _ /~I Register ojWills Letters ............... $ (J Short Certificate(s) ........ $ ~ Attorney Signature: ... $ ... $ .. $ ... $ ... $ ... $ . $ ... $ ... $ TOTAL .............. $ Fa•ui RW-0? rev. IU.13.06 Attorney Name: Supreme Court I.D. No.: Address: Telephone: Page 2 of 2 L_ _ H105.R05 REV 101/071 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 15187788 Certification Number tEV nrcaos 'RM 9e #~1-465 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. ~`'~c~c',al 'R gi r Date Issued N O ~Y. 7 ~ ~~ ' Va ~, `_ .~ . ' ~ ~. -yr~. l ~ ~ . ?.. r ~^-, i f~ ~] }.. ~ y ~ r~r W .~ ~^'1 ~J~ i`,7 v r`_. _,1 N COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITALRECORDS CORONER'S CERTIFICATE OF DEATH (Ses Instructions and examples on roverse) STATE FILE NUMBER 1. Ilenr d Dsadil(fir, neMe, bK wlNl) 2. Sr 3.9odd 9ecu9y Nutlhsr ~. Deb d Drm (Monet, day, year) Alphild Glatzert Female 196- 0 '* 2 February 27,.2009 0. Aye Nr ~Y) IMdx t lktder 1 8. Dab d Skm (Lbntli, 7. and eWe a M. Pboe d Osalh Check as 104 Yn. taw.w ~'" tte.. k`Y` October 30, 1904 Er1P. PA ,",,~°/A°,P"r Illkgener ^ ER l Oda9ent ^ ODA olMr : ^. Mn~ flotne ^ Rnidence ^Ctlter ~ Spetlly: 8b. Couey d Orm Be. Cay, 7 Drm Bd Fedky Nrr (M not MrYlutlon, pM street and rkniMr) 9. Wr Mcehnt d HNprk: Onpm'I [~ No ^ Yr to. Rea: American IMien,: Slsck, IfAde. em. Cumberland East Pennsboro Holy Spirit Hospital (tt yr. epraly Cues, Medan.PrtbRlcen,NC.) (Spealy) Ghtite it. Deadertfs lMiel d weA d ot mat d N. Do M Man 12. Wr DecadaN soar m the 13. DeaarYS EOUetlm (9pedy rMy fYplnr pads mnp MMA) 11. MeriW Stra: Merrd. Never Mercied, 15. SuVmng Spo use (N w9e, give mekbn name) IoM dWdk qd d Stumer I IMrb U.S. ArmW Forae7 g~rl~ 1 Sec ttde (o-tY) (id C N 5 WaONad, Di,aced y Teacher Mechanicsbur Sch ^Yr 4~ y ry o o apa a .) 4 4lidowed 18. Derdia'e MWpAdtlrw (9CM, dry I mwn, Mrs, zlp oob) 824 Lisburn Road DerdetCs Dd Daadrl AcmY Reeidenoe 17a. Sere PA Ll,.m a 17c. ®vr, Deaewvtlraa In I nwar Allan r„p, T " 7 Hill PA 17011 nd. ^ w, DeeadiN Uved wsYn ,,,, ~„,,, Cumberland °""" p AchW fAn9ea cwrll3om t0. FeBnfa NYr IFM ntmde, far, suIPoB 19. Homer's Nre (FML mldAe, maWil aanamel 20a. trYOrtteta'e Nrr (Type I Rkrq 2W. Manrnfe MMnp AdarW ISItr6 My' I bwn, eWe, =Ip seal 210. Memad d DhperOan I ['~Clanlrmn ^ Danadal 21b. Date d Diapoeltlon (Moan, dry, yaaU 21c. PYa d DiepeNSan IfMme d amelely. aemnory p alMr pba) 2ttl. t»adm tGN /man, rte, ap cMe) ^ ~, ~y^ `~'"°"°"~"~°'e I ,,,~~,,,,°vi"~°~,".,"~°''°0 Yr^,~ March 9 2009 Hollin er Cremator Mt Holl S tin s PA 2Yi SIpMn d F rtcnl 220. FJciw NmMer 22c. Nrb end Adtlrer d FadMy + 23at rMll/ when arWyYp 23e. Te Be seal d my knwNdp. deem ocpatW Y the iM, dab eM pha amid (Siptrtae eM title) 23b. Llanr NuMer 23c. Deb Sgbd (Mxah, day, year) plryrrin Y nd asaisele r tlnte d darn b ~1' sew d Oeam. 9sne 2428 oast r anpred b/ pens 21. Ter d Dee9t 25. Deb (erettmatced Dead (Motel, day year) 26. Case Refired m Medlal Ezemirer! Coroner tix a Beeson 091st then Crtmetfan p Doretion7 •~I~eaada+~. 7:03 A. M. February 27, 2009 vas ^No CAUSE OFDEATN (Sw IrnbaacHpns as,d sxentgae) r Appradrts sl0ervek Pen II: Errr Deter 28. Dm iafepo llr Cagrmde m OerM Nets 27. Prtl: freer the tll~„d.C111d8-dieter, YrMNiro, ar canplWmrn-ihr dkaoyy causetl ru deem. WtlOT iqi temiW event aahraMae firer, r Oner m Urn Intl na mWng m the udipYp pope push m Pen 1. ^ rr ^ Prebady raeptamry amel a vilainei br69on wdtod ahow9q tle etldogy. Up asyw cim a eetll M. a t t ^ tb ^ Unlatown spry i~ ~9~in Or9ildwea p e. Pneumothorax ~ -~ ~~" ^ Dte m (a r a ar.ep.rbe d): Na pngnenl whin left year ~ut»,neM. b. Rib Fractures ~ M m ^ Pteznerdr9medarm E e. Dr m (a r a tmtreglraa d): ~ 111 E~ K YMI i C Ar 1 1B E ra s O ^ Nd pnpenl, od pyagbnt wfmin d2 days ~ tr y ~ r s d y ~d s ey, Y itwlb niapmd~ertm)IAST" ~. Fall r ofdrm IAte m (or r a cotwgitra d): i ^ Na Itrepenl, M pregneM U ay, to 1 yrr d. ; tenon arm ^ lheiown 9 prpnenl wkhn tlb peal year 3oa Wr r Attmpey 300. Wen Adopsy FYdrge 31. Abnw d Dart 37a DM d Mpry (Alotdl, day, yeaQ 32b. Deecrb How ~r Ocaelnd 32c. Place d Ir~ey: tiaa , Ferm, Smet Farkry, P"m'""d' ~°arpNAi A ~ ^N ae .r ^ Feb.22 2009 Fall €rom standing rs s is ed v d C iee , A Li 1n Cntr. ~~1 ^Yes ~NO ^rr ^ Ne a c ~a, ^ ~+9Irnryp9a 32a Tme a mMarAprx . 3~. miuy r Wak7 32L n7rrlepahemn Itgtry fspearl 3zp. tora9at d iMtay (Seel, dA' I town, abn) ^3ia0e ^CaietlNab'De1"n11°° 6:30 A M ^re° ~"° ~Dm"r/apirp ^P~~ ~ Lisburn Road, Camp Hill, PA . . omi • wary 39a Cattwi (tlrck ody aa) 330. 6ptelue ens Tllbd • ci9h+ql+n~t~farawc«aykwruedarmwhenaMmipnyrailhrptptpiaaaamaM~tr~I.mdlnmz3) _ Coroner - fitln rrdnr kanrlaapa,arn Drone anm dr awe(q anamaerr Mred_-------------'------------------ ^ • PIOn0latCmr ~ ~0 t>~ InA'~ ftam promntlltp deem file canMyYq m rear d dWh) t m w arn arww dr e b d d ^ 33c lloerrs fiareer 33d, Den Sigetl (Momh, tley, yai) te. s, ea,.n r. .,r p a,. awm narat•)rrmrnarrarra------------------ ~one era~r • MdwE e lc 2009 March 4 eraer rltt . On Be naela d aaara9etlort std 1 a fneaetlpallor4 m my opmbn, ern aecpnd r 1M tmr, dab, and pYr, aM dw m IM care(s) rd rrrser r sheed_ ~ , 34. I~d ~ ~~,r' ~~~7~,Type / PrM 3s. eslQtrrr ~ ~I ll`~ I~ I I ~q~ 38. yrr) ~ ' 6375 Basehore Road Suite Ilo PA X7050 M h i b - yyL, ~ ~ ~~ ec an cs urg, U Diepanbn Penal No. ~ l :~3~`~ CD t~ 1"'w] © ~i.1 `., OF ~ -moo .~ ~, ,--- ~-~ p ` ~ ~ ~ ~ -~ y`~ f ALPHILD J . GLATZERT ~ ___^ C~ ~ e _ ") i -a .. r ~ ;- ~- I, ALPHILD J. GLATZERT, of the Township of Lower Alen, N `~ ~ `-_ County of Cumberland, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all will or wills by me at any time heretofore made. As to such estate as I possess at the time of my decease, I dispose of in the manner as follows: 1. I order and direct my hereinafter named Co-Executrices to pay all of my just debts, legally collectible, as soon as conveniently may be after my decease. 2. I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever kind and nature, and wheresoever situate at the time of my decease, unto my daughters, Barbara Ruth Carey and Karen Pauline Rainey, in equal shares. In the-event either or both of my daughters predecease me, I give the share of such daughter unto her issue per stirpes. 3. I hereby nominate, constitute and appoint my daughters, Barbara Ruth Carey and Karen Pauline Rainey, Co-Executrices of this my Last Will and Testament, to serve without bond or security, and I hereby authorize, empower and direct them to sell, mortgage, lease, pledge, manage, control, dispose of, and in any way deal with any and all of my property, real, personal or mixed, of whatsoever kind and nature and wheresoever situate, including, but not limited to, authority and power to borrow, without LAST WILL AND TESTAMENT OF ALPHILD J. GLATZERT personal liability therefor, for the benefit of my estate or in order to provide for payment of any taxes or duties, such sums of money, for such periods, and upon such terms and conditions, as they deem: advisable and to secure the repayment of the sum or sums so borrowed by bond, note, mortgage, pledge or hypothecation of the whole or any part of my estate, and to sell property for the repayment thereof. All real estate shall be sold and conveyed in fee simple estate (or with such title as I possess), at public or private sale. All powers enumerated herein, or referred to, shall authorize the transaction for such price or prices, upon such terms and conditions, as in my Co-Executrices judgment is best .for my estate, and to that end they shall sign, seal, execute, acknowledge-and deliver all deeds or other instruments necessary therefor as effectively as I could do if I were personally present. IN WITNESS WHEREOF, I, ALPHILD J. GLATZERT, the Testatrix, have to this my Last Will and Testament, typewritten on tw(o~~(2) cons cutively numbered pages, set my hand and seal this/~'"""day of ~ti~ , 1979. '~ (SEAL ) Signed, sealed, published and declared by the above named Testatrix, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix and of each other. residing at ~~-~x~C \7; ~~ residing at %~~~ ~~... -2- TESTATOR'S ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) ) SS.. COUNTY OF DAUPHIN ) I, ALPHILD J. GLATZERT , the Testator, whose name is signed to the attached or oregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ALPHILD GLATZE Sworn or affirmed to and acknowledged before me by the Testator this 10th day of May _ , 1979 . ` ~~ Notary Public CHRlST#NE M. MARS4, Notary P1i61iC Harrisburg, Qauphin Co., Pa. My Commission Expires May 2, 1981 WITNESSES' AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS.: COUNTY OF DAUPHIN ) We, _ /~-_ - - - and TY~~uzq,c~:-~ , ~.~-~z1i-mil , the witnesses whose n s are igned to th~ attached or f going instrument, bei duly alified according to law, depose and say that, we were present and saw the Testator sign and execute the instrument as the Last Will of the Testator, that the Testator signed willingly and that the Testator executed it as the Testator's free and voluntary act for the purposes therein expressed, that each of us in the hearing and sight of the Testator signed the Will as witnesses, and that to the best of our knowledge the Testator was at that time 18 or more Years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to an s cribed to before me by the witnesses, this /p~tt_._day of G~ .--.~ 19 ~f~'. Notary Publics CHRISTINE M. MARSH; Nc+ay PublfC Harrisburg, Dauphin Co., Pa. My Commission Expires May 2, 1981