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HomeMy WebLinkAbout03-08-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF CU~~t'/ ~~~ COUNTY, PENNSYLVANIA Estate of also known as ~j-tro v e tr (-~ dNc Lct u~ In I t h Deceased File Number ~ ~ _ ~~ ~ V~J Social Security Number i ~ S ' ~ ~ _ ~ I ~~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (-C-OM~PLETE 'A' or 'B' BELOW.•) L"1 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~ 1~~°f y~S named in the last Will of the Decedent dated Mat'Z-~ 3f ad0~ and codicil(s) dated .~ o~^o~~ F- ~ C.av I a n c e p a a. Z~ ao 1 p z~/1 e(, ss c ~ , ~ M2lcssc~ - vie r (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 (Ifapplicable, enter: c. t. n.: d. b.n.c t.a.; pendente life; drrrante absentia; dtrrante minoritate) r„J ~? ~ Petitioner(s) after a proper search has /have ascertained that Decedent left no V4'iil and was survived by the following ~ (if any) ttuttl heirs; r.(~f-r-'~ Administration, c. t. a. or d.b.n.c.t.a., enter dare of Will in Section A above and canplete list of heirs.) ~ ~' ~ ~_~.~ ~. .. -. Nano Relationship Re~i~ t"r~ I ~-; . -7 _...t : ,~::: t.. --~ .. (COMPLETE INALL CASES:) Attacfr additional sheets if necessart~. ,Q Decedent was domiciled at death in ~u1M~~v~la ~ Count}~. Pe?~ntyl Dania ~~~ith his /her ast rincipal residence at a l o o Bevy-~- Crt' e~ ~ f ~ c~ R rn a o 3 t~ec (~a ~ t cs ~ Ip~ St (pv ~ v~ 5 rt ~ ~Tw a a (List street address, town/city, to~~~n~:hip, county, stole, zip code) Decedent, then ~ years of age, died on `J Ju~v Z~ ~) ~_ at Decedent at death owned h: i~;~c~t ~y ~~~ith estimated values as fo;lcr,vs: (Ifdomic~'~~: ~~''.~! ,~!i f_er~-~or.~i' ~--i,~~.~~tv $ ~ 5' ~ OOG ,.~ (If notdor:~ ".~~', i?; 1'-~ f'cr~o:.,_ ,:rc, . _ in l'cnnsylvania $ (lfnotd0:.-; C., .:G 111 i~:~j t'.,,;,(~il3i ^i~)'` ~`' lii t_OiintV Value of l c~., ~ .._.....;~ C'~r??~svl~ ~;r~ia $ Qp~ D~fl , ~ situated as follows: ~ W_C ~~!_''~ _ Ih ~qtM p ~tl) ~oU ~ `V r-• ~J~2y~~a ~ CaU,n ~Q Wherefore, Petitioner(s) respectf,;; :~~,_~isl ,r. ,rate ;,f the ' s~ `.t%iii an: ~ . ~ c:i( ~ r ._...,~. ' ~~- ,...,._, .'~ ~:t,on _:r~d the grant of Letters in the ar>propriate ti~nn to the undersigned: Signature ~?~;' rie ,d residence . T--~ ~ __..____._.____..._.__-___ .~_._ ..~ , F'or~m R1~4'-OZ rev. 10.13.06 Melissa M~~o~u~ai;a1 nox~ 5y ~(~y'r~ct~ dMel~ss~ t-F~Mer- -------~ ~C~~,~~t___._~r~~~ ~(~te~c~dHres tN P~ I~vSo q,>~i~.•,,, Dents q, ~~Lavq~-Itr , ~a'+ Palms ~~ ~rrve, `~o~k, P~ 174c~ Pale 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CU~~ER~--~V ~ . 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(ed~a..nd~subscribed before me the C,.~ day of ~ cam- a~~~ ,..~ ~j - For the Register _~\_ Signatur oJPer 1 Representative ~ ~ r J Signature of ersona! Representative ~ , Signature of Persona! Representative File Number: ,~-,~ ~ - ~ (~ _ (~~,3,~ 1 Estate of ts~,,~.e,,,~ ~~ 'M+~.,~c~. ~l ~ Deceased Social Securi Number: ~ ~ ~ "` ~ ! ~' y ~ ~ i ~ ~ ate of Death: ~ 1 °? ~ ~ ~ C~ AND NOW, ~;;~-~~ Sg' Q /C~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that etters ~-~'~~ / ~ I'nC? i'1~Q.~ are hereby granted to ~~ ~ , ,~, ~ ~ ~ ~ , , ~~~,.., / , ,,, ,; _ ~ I M ~ ~ : ~ _ r _ _ _ Letters ............... $s~ l~l) •L Short Certificate(s) ...... .. $ ~~~' • c~C~ Renunciation(s) ........ .. $ „?~.~~ l'~ . .. $ ~ . C.~1..1 - -~ $ . ..$ . ..$ . ..$ . ..$ . .. $ TOTAL ............ .. $ (_~jt~ 0.68 Fo,-,,, R6V-0? rei' 10.13.06 ster ills ~ Attorney Signature: in the above estate Attorney Name: ~~ ~ .r Mo~'~'~,5~~ Supreme Court I.D. No.: a 3C~ ~ 3 Address: ~ ~ ~0 ~ z 3 ~ ~ ec~~ ~~~ ~ ~t~ P~q- (~~ ~ Telephone: ~`? `~ ~ ~'~-- Z 3 (Jb f'a~e 2 o f 2 1 t' ..~ ~.~~ and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last W~rll 'nd Codicil(s) of Decedent. ^^ j (~ / ( ~ f r^ . ,, FEES t ~,~ ~; _ 9_U' \ .~~`~~l LAST WILL AND TESTAMENT OF GROVER H_ McLAUGHLIN I, GROVER H. McLP,UGHLIN, of Camp Hill, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, revoking hereby all wills and codicils at any time heretofore by me made . ~' _ - ~-~= t i,' ~ . ~ r ! ~,+~ ;'~^ '--a x7 ~ ~ ' E ~ ~~7 ~ I direct that all of my just debts, ~.. j ~ ~-~ together with th~,~::.= ,~ . -r~l expenses of my funeral and the cost of a gravemarker, be mid a s ~ ~'' soon as practicable after my death. II. I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal, of whatever kind and wheresoever situate, of which I shall die possessed or of which I shall be entitled to dispose at the time of my death, to my beloved wife DOROTHY F. McLAUGHLIN. PAGE ONE OF THREE PAGES A A n 1 ill~ ~ I~~ V GROVER H. MCLAUGHLI III. In the event my wife DOROTHY F. McLAUGHLIN shall predecease me, dies simultaneously with me or dies within thirty (30) days after my death, my aforesaid devise and bequest to her shall lapse and, in that event, I give, devise and bequeath all the rest, residue and remainder of my estate to my beloved son DENNIS A. McLAUGHLIN and my beloved daughter MELISSA A. HUMER, per stirpes. IV. I hereby nominate, constitute and appoint my wife DOROTHY F. McLAUGHLIN as Executrix of this my Last Will and Testament. In the event she shall for any reason fail to qualify, or having qualified shall cease to act as Executrix hereof, then I nominate, constitute and appoint my son DENNIS A. McLAUGHLIN and daughter-in-law MELISSA McLAUGHLIN as Alternate Co-Executors of this my Last Will and Testament in her place and stead. In the event one of them predeceases me though I nominate, constitute and appoint the survivor as my Alternate Executor or Executrix, as the case may be. V. 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 estate as a part of the expense of the administration thereof, without apportionment. . ~ ~~ ~ GROVER H. McLAUGHLI PAGE TWO OF THREE PAGES vI. I direct that no person serving as Executrix or Executor of this Will be required to enter security in any jurisdiction in which they might act. ~~- GN IN WITNESS WHEREOF, I have this ,;~ ~~1 day of 2006 hereunto set my hand and seal. Signed, sealed, published and declared by the above-named Testator, GROVER H. McLAUGHLIN, as and for his Last Will and Testament in the presence of us, who, at his request, in his presence and in the presence of each other, all being present at the same time, have subscribed our names as witnesses. WITNESS: ~~ ~r~ of ~I~' P ' , C ~.oueh- ~ ~ GROVER H. McLA GHL PAGE THREE OF THREE PAGES COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN We, GROVER H. McLP,UGHLIN, . SS Herschel Lock and Thomas P. Lyon the Testator and the Witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority, that the Testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator signed the Will as witnesses and that to the best of their knowledge the Testator was at the time Eighteen (18) years old or older, of sound mind and under no constraint or undue influence. Subscribed, sworn to and acknowledged before me by GROVER H. McLAUGHLIN, the Testator, and subscribed and sworn before me by Herschel Lock GROVER H. McLAUGHLIN ~ ~/ WITNESS ~T - , WITN SS and Thomas P. Lyon witnessed t is ~ ~ day of , ~~ 2006. ~ ~. ~~- Notary Public SSAA' `~'~t"~- ~Wi ~ ~ 1