HomeMy WebLinkAbout05-11-10r
PETITION FOR PROBATE AND/ GRANT OF LETTERS
REGISTER OF WILLS OF aj~(~t1 ~GiICO[ COUNTY, PENNSYLVAMA
Estate of _ C 11 ~ m . ~~ ~ Q a
also known as
Deceased
Petitioner(s), who is/aze 18 yeazs of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
File Number /1 / / " ~V ~ D ` O /
Social Security Number (T ~ - 3-z - ~ ~ 5~ 3
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the H C I R ^~ named in the
last Will of the Decedent dated and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death ofezecutor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B. Grant of Letters of Ad
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(!!applicable, enter: c.t.a.; d.b.rt.c.t.a.: pertdentelite; durartteabsentia; dura~78~ritate) •• ' ~
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Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) att~'4~tirs: (!f
Administration, c.t.a. or d.b.n.c.t.a., enter hate of Wi[[ in Section A above and complete list of heirs.)
(COMPLETE INALL CASES:) Attach additiotral streets ifnecessaty.
Decedent was domiciled at death in
County, Pennsylvania with his /her last principal residence at
(List street nddreas, towst/ciry, towns/tip, county, slate, zfp code)
Decedent, then ~_ years of age, died on o ~ - o y - 7, of vat ~ "1 ~, d
Decedent at death owned property with estimated values as follows:
(Ifdomiciled in PA) All personal property $ 3000
(If not domiciled inpA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $_ f~ QO p
situated as follows: ~~_~i.~~.TIMo.C 7= -P~1C t" Cet~Pa~tS~2.S ~~ 1'~ 3a~
Form RW-0? rrv. !0.13.06 PSgB I Of Z
Wherefore, Petitioner(s) respectfully request(s) the probate of [he last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Oath o#' Personal Representative
COMMONWEALTF~OF PENNSYLVANIA
/ ( ~~ SS
COUNTY OF _1L1' Iti,-
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 affirmed and,subscribed
before me the ~ day of
o?Oi ~
~. the Register
Representative
Signature ojPersannl Representative
Signature ojPersonnlRepresentative
v' ~A;:i
= rr-,,
ys C,
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ry;a
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File Number: ~ ~~ ~ ~ (/ ~ 1~~i ro .,;- ~ t~
_ ~~,
Estate of , Dece~e~i F ~~
L va ,~ .1 a~ ~ '~ - s
Social Security Number: ~ ~ ~~ c~ ~ ~~ ate of Death: U ~
AND NOW ~ ~ f ~/ . in onsideration of the foregoing Petition, satisfactory proof
having been presented before , IT I5 DECREED tJiat etters
are hereby granted to
in the above estate
and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record a last Will (a Codicil(s)) o cedent. ,
FEES
Registeroj ills 'lA/
Letters ............... $~~z ~X/`
Short Certificate(s) ........ $~ Attorney Signature:
Renunciation(s) $
.$ '
,$
.. $
.. $
.. $
.. $
.. $
.. $
TOTAL .............. $ '
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Fa'm RW-02 reg. lo.r3.oe 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 16534244
Certification Number
V
Nidb/q REV 1121m
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This. is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as 'Local Registraz. The original
certificate will be forwarded to the State Vit211
Records Office for permanent filing.
c R~ ~~xz>~>r M~fY 7 / 2010
Local Registrar Date Issued
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EVA M. LAIR ~
I, EVA M. LAIRD, of South Middleton Township, Cum~rland w
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County, Pennsylvania, do hereby make, publish and declare this.to
be my Last Will and Testament, hereby revoking any and all former
Wills by me at any time heretofore made.
1. I direct the payment of my just debts and funeral
expenses as soon after my death as will be convenient to my
Executor hereinafter named.
2. I direct my Executor hereinafter named to sell my prope
real and personal, at public or private sale, and to divide the
proceeds of sale equally among my children, GARY L. FICKEL, KAREN
Y. SHERMAN, SHARON E. GROUP, and JAMES R. FICKEL.
3. I nominate, constitute and appoint my son, GARY L. FICKEL,
Executor of this, my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
16th day of December 1982.
l ,
(SEAL)
a Laird
Signed, sealed, published and declared by EVA M. LAIRD, the
above named Testatrix, as and for her Last Will and Testament,
in the presence of us, who, at her request, in her sight and
presence and in the sight and presence of each other, have
hereunto subscribed our names as witnesses.
- ~ -
COMMONWEALTH OF PENNSYLVANIA )
SS..
COUNTY OF CUMBERLAND )
I, EVA M. LAIRD, Testatrix, whose name is signed to the
attached or foregoing instrument, having been duly qualified
according to law., do hereby acknowledge that I signed and
executed the instrument as my Last Will; that I signed it
willingly; and that I signed it as my free and voluntary act
for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me, by EVA M.
LAIRD, the Testatrix, this 16th day of December
1982. ., _
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Carlisle, Cumberland County
COMMONWEALTH OF PENNSYLVANIA ) ~Y Comroiscion Exptrer March 26~ 1981
. SS..
COUNTY OF CUMBERLAND )
We, JAMES D. FLOWER and JAMES D. FLOWER, JR., the
witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose
and say that we were present and saw Testatrix sign and
execute the instrument as her Last Will; that EVA Ai. LAIRD
signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed; that each
of us in the hewing and sight of the Testatrix signed the
Will as witnesses; and that to the best of our knowledge the
Testatrix was at that time 18 or more years of age, of sound
mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to .before me by JAMES D.
FLOWER and JAMES D. FLOWER, JR. ,
witnesses, this 16th day of December 1982,
tness
~~
,.votary runlic
NOTARY PUBLIC
Carlisle, Cumberland County
~Y Cammiulon txpira March 26, 1985
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