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