HomeMy WebLinkAbout03-01-10 (2)h ~
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CV Mr~.RU1t~ COUNTY, PENNSYLVANIA
Estate of y~~~ (~ ~, ~Ht~q~..>~~,Z FileNumber_Q~/~~ -~~pf~.J~.~
also known as
Deceased Social Security Number ~~~ ~~ ,~~ fl
reneoner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
{,a A. Probate and Grant of Le era T tamentary and aver that Petitioner(s) is /are the
last Will of the Decedent dated and codicil(s) dated
(State relevant circumstances. e.g., renunciation, death of executor, etc.) - -~ ~_
~~,, (; ~ t"`
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution instrumea~~s) offe T
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ~ N %°='
~.. r.~
rp, . n
^ B. Grset of Letters of AdeileGtratloe
(lfopplicable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; duranteobsentia: duranteminoritate)
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.)
Decedent was do ciled at death in CU 1'Y) j'btCQp„S A County, P ylvania with his /her last principal residence at
~ ~l ~~ ~Z t~'~i.~ C~1111R gtE,{L~ae'Li1 ~C~ \'l ~'1
(Lut street address, town/c^tty, townsh p, county, state, ztp code) 1,_
l Decedent, then g0. years of age, died on ~~ at~PP.P.\L;Q,L 0.G Lo~PITAL H~RQ t~A,lj (Z[ ~-~
Decedent at death owned property with estimated values as follows: pp rr~~~~
(If domiciled in PA) All personal Property $_lQ~~. O`J
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania c
Farm nW-oz rev. /0.!3.06 Page 1 of 2
(COMPLETEINALLCASES:) Attachtrdditionaisheersijnecessaty.
situated as follows:~'tZ ~\~91~t ' ~~~ KID O(AW\L' N1."ZgW \.7i\~ 7 mU't\~~, ~gZ pg \y~ V*j\01.~
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:
1 ~ 4
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF ls~l~(
The Petitioner(s) above-named sweaz(s) or affirm(s) that the statements in the foregoing Petition aze 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 ~d subscribed
before me the ,`/~# day of
Register
File N\um~ber:_ ~~' ~(~ ' ~~
Estate of 1 Q~~f ~cc~~//, Sf~~'bGQr Deceased
Social Security Number: ~ ~ ' L'XO' I v , O Date of Death: ~«{ ~ ~ ~ p~} j Q
AND NOW, ~ c~-~~~ v~ --~`~~ consider/at~ion of the foregoing Petition, satisfactory proof
having been presented be me, I'T^ I^S ~D..ECREED that Lettt~~e~y
are he~ebV ¢tanted to Q~ ~ .~ ~nn~. ~.., r n ~ ~, C ~_ ~ n _ ., t_ !S , ,` i T
and that the instrument(s) dated L~~-~-p~or (~
described in the Petition be admitted to probate and filed of
FEES , 1
Letters ............... $ /~, UV
Short Certificate(s) ........ $ lJy
Renunciatio (s ....... $
.. $
.. $ , c~
.. $
.. $
.. $
.. $
.. $
... $
TOTAL .............. $ '
Form RW-02 rev. 10.!3.06
the last Wjll (and
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
in the above estate
Page 2 of 2
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 15935505
Certification Number
, ~l vase
r egxrt d~
w~M,o~rr
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent ftlin~.
LC~vrt. ~ ~~~ 13 ~ 10
Local Registraz Date Issued
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COMMONWEALTH OF PENNSYWANIA • DEPARTMENT OF HEALTH • VITAL RECORDS =-
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CERTIflCATE OF DEATH
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($N ImV66cLOn~ and g7W1111IM 099 8lVNM) STATE FlLE NIle1BE~ C{S
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LAST WILL AND TESTAMENT
m_
2/1lMdR -f PM ~= 44
OF
VERNA S. SHEAFFER S
I, VERNA S. SHEAFFER, of New Cumberland Borough, Cumberland
'iCounty, Pennsylvania, being of sound mind, memory and understand
do hereby make, publish and declare this as and for my Last Will
and Testament hereby revoking and making void any and all other
<wills by me at any time heretofore made.
J
I.
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a I direct that my Executors hereinafter named shall pay all
a
~my just debts and funeral expenses as soon as conveniently may be
done after my decease.
a
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Z II.
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I hereby give and bequeath my grandfather clock unto MELVIN
4
wSHEAFFER, or if he is not living, then unto his children.
z
°^ III.
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w All the rest, residue and remainder of my estate, whether
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oreal, personal or mixed, and wheresoever situate, I hereby give,
3devise and bequeath unto my three children, DAVID LAMBERT, DOREEN M
ISHULER and BARBARA A. LILLEY, in equal shares, per stirpes.
IV.
I hereby nominate, constitute and appoint DOREEN M. SHULER,
BARBARA A. LILLEY and DAVID LAMBERT as Co-Executors of this, my
Last Will and Testament. If any of these persons are unable or
unwilling to serve, then the remainder shall serve.
Page one of two Pages
~o-~aoo
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND
COUNTY, PENNSYLVANIA
o2i - ~~o . ~ac~
Estate of Verna S. Sheaffer
Deceased
/ - ~ W ,gyp
` ~, ~ L~ ~ ~ ,L~~ and GU,e.,~~ ~ s DyJisr~
(each) being duly qualified according to law, depose(s) and say(s) that she / he they was were well-
acquainted with ~" ~ n „e
with the handwritin and si °~
g gnature of the decedent, and that the signature of
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
~~~ ~ is in his/her own proper handwriting.
(i a re
(treetA ~s) ~ ~`
(Gry. State. Zrp) ~f ~~~~~
Executed in Register's Office
Sworn to or affirmed subscribed
before me this ~y
of ~~
~MDeputy fo3/l~lstb~of Wills
~~~/``~~
and am/are familiar
(S~gaatare) ~ ~ ~~
~0 ~ BR(~~ ST,
(Street Aaaress/
~~~ curcaECZC.~N~ P~+ 17070
(Ctry State. Zip)
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