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HomeMy WebLinkAbout03-10-10PETITION FOR PROB.-ALTE AN-D /GRANT OF LETTERS REGISTER OF WILLS OF C utr~er ~ a Y~ COUNTY, PENNSYLVANIA Estate of I Y ~ ~ (~, p_~ ~ (,~.~ ~ ~© ~,~, s5~ also known as __ ,Deceased File Number ~~ ' /Q ' ~~~ Social Security Number ~ ~/7 "~~~ V `~~7 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 esta ren^ts~' d aver that Petitioner(s) is /are thl~ t • ~ amed in the ast Will of the Decedent dated ~ C~ and codicil(s) dated (Stole relevant circumstances, e.g., renunciation, death oJexecutor, 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 (lJapplicable, enter: c.t.a.; d.b.a.c.t.a.; pendente lire; durance absentia; durnnte minoritate) N Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followi~s ouse (if a~ and Administration, c.t.a. ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ -~ s (COMPLETE IN ALL CASES:) Attach additional sheets ijneeessary. at death in ufYl QN ¢ County, Pennsylvania witjt his /her last (List street address, town city, township, county; state, of aged died on ~e3 ~a~~ t~•0 ~ ~ at oZ o~ Decedent at death owned property with estimated values as~lows: ([f domiciled in PA) All personal property (lf not domiciled in PA) Personal property in Pennsylvania ([f not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as ''' ipal residpp~ at W ~J7~ $ -~~. DB D . Dc~ 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 dre undersigned: ..,........ „_ .....,,.,.,.~„ Yage I OI L ~. ,, :u~~f t~~~ Oath of Personal Representati~0 MAR I 0 PM 2~ 59 COMMONWEALTH OF PENNSYLVANIA CLERK O~ ss ORPHAN'S COURT COUNTY OF C`~~yA~?C'.~I i;r;e' ~~ , The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are hue and con~ect to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me the ~~ day of ~-~ ~~ o Register Signnture of Persann! Representnrive Signnture ajPersonn! Represenrnrive Signnture ojPersam! Rzpresentative File N er: - V ~ L1""~ / Estate of r r!( T- ,Deceased 'SocialSecurit umber:_ ~~~-~~'"~~~y Date ofDeath:~~.(/[~ ~j ~Q~~ AND NOW, (f ~~ ill c ~eration o he fore ng Petition, satisfactory proof having been presented berme, IT JS DECREED that Letter 9~2e. ~XIIII . are hereby granted to and [hat the instrument(s) dated described in the Petition be admitted to probate and filed FEES "7/ ~ Letters ............... $ V t Short Certificate(s) ........ $ ~,~ Renunciation(s) ........ $ .. $ JC' ~ .. $ ... $ ... $ ... $ ... $ .. $ TOTAL .............. $ o rln~n~ Rw-n' rev. ro.li.oe record as t t ~l st Will (and Co icil(s)) Register aj 4Y Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: __ in the above estate Page 2 of 2 ,ns xnp esv I~,/),~~ ~~~~~ 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 16175791 Certification Number 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. Local Registraz Date Issued vBV~tvamoe COMMONWEALTH OP PENNSYLVANIA • DEPARTMENT OP NEALTH • VITAL RECORDS '"`~^ CERTIFlCATE OF DEATH x rec (Se>• 17atructlom end aYemplp /n TeIWeM) rv 0 '-`~ 37 3 i-r : c 7 ( a ~ ;• ~. ~ ~ ~ ~ ~ , ~~ C j ~~ 'C ~°~ ~i ., 1V ~ ~,-'1 ~ '~ ~ { ~ 'Ft ~D 7.74rra Dladrd ll•1ir •IOealK rriW sIaw s. r -.^._ a'.q wnh. R ~ 28r s ..~, .. ur.aorm daY.> `~. ~ L / c 0' c5 Jl T -/e~.y JO S. /ga(WIBMMry7 Urrt IFrrt e. araern T. rr tiro ea. 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Nr) 9 a/D ~ ' ~ y ~ ~ 1 ( J ~ - t V ~t17G~ Y`/~ Q~ / E. ~ E CAMP t,L-IT> uaderm PsmYl No. O 5f S'3 /'/G 6 007492-00001/8.30.02/RWS/KLT/162286.1 /C r ~~ r ~;~ ~r,,~{~ G G~-F , Or- r~t ~ ~ ..,~, r;r_ ;,~ ,~ ~ v C~'i tJi ~'if. ~~ 20(0 MAR I 0 PM 2# S9 ' C~ ERK a~ ~~t ~trt ~crtb ~e~t~rr~ertt aRPr;AN-~ couR~ cu~r~~~~,;~fl ca.. of NADINE R FOUST I, NADINE R FOUST, of the Township of Hampden, County of Cumberland, and Commonwealth of Pennsylvania, declare this to be my last Will and revoke any Will previously made by me. ITEM I. I bequeath the sum of Ten Thousand ($10,000.00) Dollars, to my friend, KAREN LEONARD, now of Palm Beach Gardens, Florida, if she survives me. ITEM II. I devise and bequeath the residue of my estate of every nature and wherever situate in equal shares to such of my children, BARBARA F. KRIEBEL, TILMAN H. FOUST, JR., and EMILY ANN FOUST, as survive me. Should any of my above named children predecease me, I devise and bequeath the shaze of such child to his or her issue, per stirpes who survive me, and should any such child of mine leave no such issue who survive, I devise and bequeath the shaze of such child to my issue, per stirpes, who survive me. ITEM III. I direct that all taxes that may be assessed as a 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 of my estate. I~'EM V. I appoint my daughter, BARBARA F. KRIEBEL, Executrix of this my last Will. Should my daughter, BARBARA F. KRIEBEL, fail to qualify or cease to act as Executrix, I appoint my son, TILMAN H. FOUST, JR., Executor of this my last Will. ITEM VI. I direct that my Executrix or her successor shall not be required to give bond for the faithful performance of their duties in any jurisdiction. 007492-00001 /8.30.02/RW S/KLT/162286.1 IN WITNESS WHEREOF, I have hereunto set my hand this ~ day of 5.~~}~~„~r~r , 2002. (SEAL) INE R. FOU T SIGNED, SEALED, PUBLISHED AND DECLARED, by NADINE R FOUST, the Testatrix above named, as and for her Last Will and Testament and in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses. ~uX ~x~~ Witness ~- W ~ ess ?arc- p~ Address Address ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA :SS: COUNTY OF CUMBERLAND . I, NADINE R FOUST, Testatrix, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby aclmowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. . ~~ INE R. FOUST 007492-00001 /8.30.02/RW S/KLT/1622ee.1 Sworn to or affirmed and aclrnowledged before me, by NADINE R. FOUST, the Testatrix, this ~o~day of , 2002. NOTARIAL SEAL DIANNE LENIG, Notary Public Lemoyne Borough Cmmberland Co. My Commission Expires Dec. 21, 2005 Notary Public ~- AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA :SS: COUNTY OF CUMBERLAND We, ~ ~ct.a..rl~ W $fcNa~` and .C...~~c~1S the witnesses whose names aze signed to the foregoing instrument, bein duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our lmowledge, the Testatrix was at that time at least 18 years of age, of sound mind and under no constraint or undue influence. ~~ ~ %,G.-C~/-~ Sworn to or affirmed and subscribed to before me by .~ .~~_d ~ ~t,~,,,,,, ~~i and \<'J,.rl_.. a ~ ~~ ,witnesses, this ~~ day of , 2002. Notary Public NOTARIAL SEAL DIANNE LENIG, Notary Public Lemoyne Borough Cumberland Co. My Commission Expires Dec. 21, 2005