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HomeMy WebLinkAbout02-09-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Robert N. Frey also known as Deceased File Number ~ ~ ! ~ d '- ~ ~ 0 Social Security Number 192-30-7432 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 Executrix last Will of the Decedent dated January 30, 2010 and codicil(s) dated (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 execution of the instrument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration (If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter 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 Will in Section A above and complete list of heirs.) C~ 4 Name Relationshi Res~e c- ~: - _P. t ~ l ~ r ~ C .'~.7 _,.i. _ f \ i ; l t.... ~ _~ ~ _.~_t ~ ~ `. ti.. • ~ 5 ~~ F (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ _f ~ - ~ ~ ~ ~~ Cumberland Decedent was domiciled at death m County, Pennsylvania with his /her last pnncip residence ~ r-µ ~~ a~„ ~ , 1 Lauehlin Mill Rd. ~ e~ r~ (List street address, town/city, township, county, state, zip code) Decedent, then 70 years of age, died on February 2, 2010 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 $ 1,000.00 $ 50,000.00 situated as follows: Lancaster County Form RW-02 rev. 10.13.06 at 1:30 p.m. named in the 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 .~., ....a,....:.....,a. 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 cr affir(m`'~ed and subscribed before me the `~ ~ da of Y alr .~~ Get ~' ~~ ~~7~ ~, ~ ,~ r^~ `=....µ~ Signature of Personal Representative '.'~ ~' tom'- ~ L'' -ti `.. ~.~ .. ~,. ~_ f t,./~ ~ ~ .' ! 7 7 .'~ .., For the R 1 ter Signature of Personal Representative ,: 4, C.~ ~ C;:''+ t,-r ' ....~'~..,. i -...,,..k ~ ~~ i,~ t"`~ File Number: r%' ~ ~ ~ ~ ~' ~t~ Estate of Robert N. Frey ,Deceased Social Security Number: 192-30-7432 Date of Death: February 2, 2010 AND NOW, ~ ~ Q ~ ~ ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IS DECREED that Letters Testamentary are hereby granted to Suzanne E. Fret/ in the above estate and that the instrument(s) dated January 30, 2010 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of ecedent. ~ ~ ~~ FEES ~ _ , Letters ...... ....... $ 135.00 Register o Wills n ~' _ Short Certificate(s) ........ $ 16.00 Attorney Signature: Renunciation(s) .......... $ ` Will $ 15.00 Attorney Name: Wayne Melnick - JCS Fee $ 23.50 Supreme Court LD. No.: 53150 ... $ Address: 2 West High Street ... $ ... $ Carlisle, PA 17013 ... $ ... $ $ Telephone: (717) 249-0900 Automation $ 5.00 TOTAL .............. $ 194.50 Form RW-02 rev. 10.13.06 Page 2 of 2 1o5sus kr:v ~oinr, t LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Fee for this certificate, $6.00 P ~~~~-~-~5~ Certification Number ' H10S143 REY 1112006 TYPE /PRINT qi PERMANENT euclc ~ 3 1 ~I 0 This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate. will be forwarded to the State Vital Records Office for permanent filing. v-.,~.~ut,v~c.E Q _ ~~;e~~.s,-~ FEB~O 5 010 Local Registrar Date Issued C ~~ ~ ~~~ M ~ ra ca ca _.s..) "ti i"i ; .'" j f-i'1 ~`.` w.'7~ C~ 4 F t"7 I `" <, -`-; -'f~ .. ._ p..~ ~. t~ •---.~ 4~/ _._ ,# `~..~ ~ ~~ COMINONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS - ~ CERTIFICATE OF DEATH -p ~ ~$eB (YIS1MlICt(1~e1w end wYwmnlec nn rovwroal ~ '?.~ 1. Name d Dawdara (FirM, midde. hsi. aruc) 2. Sea - n. c n~c rwem a SocW s.argy Nunrbar aCn - ~. Dw a bath (Mo~+. gay, year) ROBERT N. FREY MALE 192 - 30 - 743 FEBRUARY 2, 2010 s. Aps (t,a ergal.y> lkrdar 1 under 1 a 6. Date w Bkgr Moran, ~. and atria a 6e. Pha a bath (Chedr an ~ bw. Nw. tatnas. Iio~PM•b O gwr: 70 Yra. FEBRUARY 1, 1940 COLUMBIA , PA ^ Inawa ^ ER / t]tAp.gent ^ DOA O Nunrep Hans ~] Reeidarrw ^DBwr - svedry; Bb. Caudy d Dash 8c. CNy. Bao, Twp. d DaM Bd F.dly Nams (q not rrMiaabn, qM atrari grad raarrhar) 9. Was Dsosdara a -WPrac OAan9 ~ No ^ Ya 10. Ran: Amerlan rr6an, Bl.ck WtWe, ab. CUMBERLAND WEST PENNSBORO TWP 1 LAUGHLIN MILL ROAD (q~a'~~' ( Mealtarr, Pw+b Riven sb ) , . WHITE 11. DawdwM's Vaal qon d wodr daea mori d Iqe. Do nd Wh 12. Waa Dawdera ewer h 8w 13 Dewderrra Eduwlion (~ad1y any tapeew pads 11. MaAhl 9shw: MerMd, Nww Marrhd, 15. SurvNrq 6Pow• (q wqs, piw maiden rrame) tam a veal la us Amrd F 7 ve . aca nd d e r.. r rrdtrby ENnwreury ! SecaWary (a12) Cdboe (14 «s+) Wldowad, Divorced (sva'Y) MANAGEMENT TECHNOLOGY $]Ya ^No 4 MARRIED KATHLEEN O'DONEL - 1e. Dacadaret's wwrq Aadrw (6u.ri, o1y / bwn, ahta, ~ wd.) Ewa PENNSYLVANIA Did Dioede11 1 LAUGHL IN MILL ROAD +~ . ».. S.h -~. h. 1,o gJ Yp Dewdwa Lived r, WF'_RT PENNSHORn Tom. . , NEWVILLE, PA 17241 1ro.cauay CUMBERLAND TOWA°"P? nd.^ uwdwpNn ~ d Aawt cny/ego 18. Fellers Nanrs (FGft, midds, ha4 suAi+c) 18. Motler'a Naar (flra4 nadAe, neaiderr etrrtarrea) JOHN K. FREY LILLIAN CASWELL zoa. Idomearrra Name (Type / PrW) tab. Woment's wrong Addy... (Bleat, dlY / bwn, atsh, riP ~- KATHLEEN FREY 1 LAUGHLIN MILL ROAD, NEWVILLE, PA 17241 21a. Matlrod d OMpordtlon „teomshh ^ CrarrWiae ^ Darwtion 21b. DW d DMpotgbn (Month, day, year) 21a Plow d Dispaaltlm (Nems d canahry, amrbry a ogrr phw) 21d. lowtlon (CNy / bwn, ahN, tb cod.). ^ °""~ ~ ~'• rw>eti s«hoa waE~wcororw? ^Ya^No FEB. S, 2010 PROSPECT HILL CEMETERY NEWVILLE, PA 17241 ) zm. Ucww Nutrbar 22c. Name and Adaep d Faciry 'WORKMAN FUNERAL .HOMES , INC . - FD 013179-L 114 WEST MAIN STREET, MOUNTVILLE, PA 17554 ~ Conwb• Items 23a< x3.. To aw a my kyowl.dw. d.rin owemd qm., dw and phw ahkd. (13prawre and title) , N pleyakian k not aragabls 1 darile b 23b. Uoeroe umber 23c. Dale Slytad (Month. day, ye ar) \ / r ayuy awe a dyne. ~=C~ A/IV'~- ' ~J'~ ~ N V ~ ~J O L V I V / 1 - Nano 2426 mug bs cornpNled by parprr 24. Tbre d m Pronoueced Dad (Month, daY. Y•v) 26. wr Rriemd b Medical Eaerrarwr /Cornier for a Resaon Ogrr Been Cpneagore a Dorr0onl who prarounaa loth. ~ PIA - , . ^Yp ~No CAU8E OF DEATH (Brae Inatrtacslona awed ~:rampf.a) ~ APPS ~: Pert 8: Eller ogwK 2& Did Tabaooo the CararibeAe b Deeth7 gem 27. 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Plow d kyu Hans, Farm, 6traet, Factory, d Coup a Dath9 ~Nadud ^ FlonacR'e Olow Bugdirp, eb. (SPecil/q ^ Yp w1 No ^ Yp ^ No ^ Aasdsa ^ Parierp ~ 32d. Tirtw d kyay 32e. r9aY ri Wak9 321. q Trreepoaatlon rrjury ($oscYy) 32p. l ow0on d r(urY (Slnel, dy /tam, slate) ^ Yea ^ No ^ Drrva / Operate ^ Paaserga ^Pedeslrhn ^ Suicide ^ Could ild ba Detemrrrad M ~ - SP•~Y 33a CaNfisr (desdc oNy one) ' CMHyrq phyablan (Physidare osrUyirrp cauq d dpge when anagwr physidn hp Wonoamed death end cortplsled Item 23) 33b. Sipwbn and TNh d Certll ~ To tlrs bat d my laarladps. dssan oecrand dw b tM owe(s) and rrearrwr ss atwd_ _ - _ - - - - death and - - - - - - - - - - - - - - - - - - - - - - - - - ' ProaeoraeeMp end nrtNYrp PMMdwe ( bah prorgraare b a d ~ -- - _ _ ~' f'a~ p wws ew) To tles bat d m ~ ' daMh oaumd ri the tone, daY, and platy, and tap b Sae wa(s) grad awawr as strisd_ _ _ _ _ _ _ _ _ _ _ r Number 33d. Dab (Haan, aY. Y•arl _ _ _ _ _ _ _ • M.dbr Eaaere / On tfra bash d eaaMreriiore Bawl / a Invatlpa0on, In my oplrelore, data oa:urrnd ri the Wna, dale. and phw, and dw b tM eause(a) and eamwr a statsd_ ^ A•t 0 Y ~ ! Y y L 3+. Name erd Addrep d Pe rs m Who Cortpkbd Luse d Dsalh (Ite 2 y / b m 2~ Typ e / P rra 3s. fiagsuu'a Spnature dumber - 36, oah FYed (Month, a.y, Year) r ~ ~~ d , ~ ~ `-~~ l-f l"t t_X (V~ ~~ ~ ~i'irs ~. G V~~'/~N / /~ C ~ 3 I ~ I ~ IS I y I -~ _~ce ' , LCu'Li.~l{. ~A 170I~ Dhpwglon Permit No. 0351096 Last Wi I I and Testament of I, ~ ~~G ,,f2si~ ~ ,whose address is rt.C ~~ ! ~ (i~2 ~C~-C /,~~~,~~r/P ~1`-'J ~f ~ j / ,declare that this is my Last Will and Testament and I revoke all previous wills. G~ My marital status is that L~'~ ~ '~+~i~- ~~°~1 ~ ~~ I have 2 child(ren) living. My child(ren)'s names, addresses, and birth dates are as follows: ~~ c7 o ~ .-.r,, ~i-Z~~~9 X1/7 ~- ~ - y ~ rn f i ~, =; . ~~ ,._ .; .z3 N a--=" ~ri .~ ~ `"~ t~..~ 7 I have ~ grandchild(ren) living. My grandchild(ren)'s names, addresses, and birth dates are as follows: ~~/a~:~, ~jaxr~s ~r~ l ~~,~ ~~ Page of pages Testator's initials 'NOVA K307 Will w/Childrens Trust Pg. l (02-09) I make the following specific gifts: ~~ ~„ ~~~~~~~'~~ ~~ e ~~ ~~~~ rf sso~;~rJ~a ~"~ _ pujy ~u/~s a~ 9 . ~Q~ f ~~ ~~~~ /a ~ °~' ~~~~nJ ~~ _ %/ ,, ~~ ~ ~ ~ - w,. ~~~ f~~ I give all the r st of my property, whether real or personal, wherever located, to ~ , my ~ ~' or if not survivi , to ~ /i2 ~ Ziz %~~ v /~ , my / /~ ~~~ ~- All beneficiarie nam~ this will must survive me by thirty (30) days to feceive any gift under this Will. If any beneficiary and I should die simultaneously, Ishall be conclusively presumed to have survived that beneficiary for purposes of this W' . I appoint , my as Executor to serve without bond. If not surviving r otherwise unable to serve, I appoin ~~,' c_.°- , rr~y of as Alternat~Executor, also to servewithout bond. In addition to any powers, authority, and discretion granted by law, I grant such Executor or Alternate Executor any and all powers to perform any acts, in his/her sole discretion and Page of pages Testator's initials NOVA K307 Will w/Childrens Trust Pg.2 (02-09) without court approval, for the management and distribution of my estate, including independent administration of my estate. If a Guardian is needed for my/any of my minor child(ren), I appoint of as Guardian of the person(s) and property of or unable to serve, I appoint of my any of my minor child(ren), to serve without bond. If not surviving, my as Alternate Guardian, also to serve without bond. In addition to any powers, authority, and discretion granted by law, I grant such Guardian or Alternate Guardian any and all powers to perform any acts, in his/her sole discretion and without court approval, for the management and distribution of the property of my/any of my minor child(ren). If my/any of my child(ren) is/are under years of age, upon my death, I direct that any property that I give him/ her/them under this Will be held in an individual trust for my/each child(ren), under the following terms, until he/she/ each shall reach years of age. In Ia of I appoint of my ,~~~~J'`- as Alternate Trustee; also to serve without bond. In addition to all powers, authority, and discretion granted by law, I grant such Trustee or Alternate Trustee full power to perform any act, in his/her sole discretion and without court approval, to distribute and manage the assets of any such trust. In the Trustee's sole discretion, the Trustee may dis- tribute any or all of the principal, income, or both, of any such trust as deemed necessary for the beneficiary's health, support, welfare, and education. Any income not distributed shall be added to the trust principal. Any such trust shall terminate when the beneficiary reaches the required age, when the beneficiary dies prior to reach- ing the required age, or when all trust funds have been distributed. Upon termination, any remaining undistributed principal and income shall pass to the beneficiary; or if not surviving, to the beneficiary's heirs; or if none, to the residue of my estate. I pub ish and sign this Last Will and Testament, consisting of C., typewritten pages, on .j 4 , 20 !f~ ,and declare that I do so freely, for the purposes expressed, r no constraint or undue influence, and that I am of sound mind and of legal age. Si nature of Testator ~..~G~Off /UQ ~s~ `~ Printed Name of Testator We, the undersigned, being first sworn on oath and under penalty of perjury, state that: Page of pages Testator's initials NOVA K307 Will w/Childrens Trust Pg.3 (02-09) as Trustee of an~rand all required trusts, to serve without bond. If not surviving, or otherwise unable to serve, then On ~l~ ~ rJ , 20 ~y , in the presence of all of us, the above-named Testator pub- lished and signed this Last Will and Testament, and then at Testator's request, and in Testator's presence, and in each other's presence, we all signed below as witnesses, and we declare, under penalty of perjury, that, to the best of our knowledge, the Testator signed this instrument freely, under no constraint or undue influence, and is of sound mind and legal age. Signature Witn # 1 QhC V,.. , m~~ Printed Name of Witness # 1 -_~ (~ o r' Address of Witness #1 ~ ~ ~ ~ (p Signature of Witness #3 Printed Name of Witness #3 Address of Witness #3 ~7 ~~ Notary Acknowledgment State of Pennsylvania County of On -~~ Jan 30 and Nancy E. Smith 2010 Edith M. Ressler Pamela L. Harmon ,the witnesses, personally came before me and, being duly sworn, did state that they are the persons described in the above document and that they signed the above document in my presence as a free and voluntary act for the purposes stated. ~ COMMONWEALTH OF PENNSYLVANIA Notarial Seal Signatur f Notary Public Zachary D. Kuhn, Notary Public Blain Boro, Perry County My Commission Expires Tan. 7, 2014 Member, Pennsylvania Association of Notaries Notary Public, In and for the County of State of My commission expires: Notary Seal Page of pages Signature of Witness #2 Printed Name of Witness #2 l~ ~ I Address of Witness #2 I ~ ~~ Perry ,the Testator, Robert Nelson Frey Testator's initials NOVA K307 Will w/Childrens Trust Pg.4 (02-09)