HomeMy WebLinkAbout05-21-10PETITION FOR PROBATE AND GRANT
REGISTER OF WILLS OF Cumberland OF LETTERS
COUNTY, PENNSYLVANIA
Estate of Debra Ann Payne
also known as ~ ( ~~l , ~~ ~~~
File Number /
Deceased Social Security fVumber C~ ~~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for: y ~ ~ ~ ~~
(COMPLETE 'A' or 'B' BELOW.)
A. Probate and Grant of Letters Testamentary and aver that Petitioner
last Will of the Decedent dated May 14, 2010
and codicil(s) dated (s) is /are the Executrix
named in the
(Stare re%1~ant circumstances, e.g., renunciation, death of executor, etc,)
Except as follows, Decedent did not man
Y, 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: N/A
B. Grant of Letters of Administration
(/f applicable, enter: c. t. a.; d. b.n.ct.a.; pendentelite; duranteabsenlia: duranteminoritateJ
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived b th
Administration, c. t. a. or d b. n. c. t. a., enter date of Will in Section A above and complete list of helrs.~ _ ~r~y,,
y e following sl~se (if any) ar~eirs: (If
Name - v ~.-} ems -~
Relationshi
.- ) --
(COMPLETE /N ALL CASES:) Attach additional sheets ifnecessarp
%.~ ~ _.
Decedent was domiciled at death in Cumberland ~ _! ~ - _
`ri
1 1 Heather Place N. Middleton Townshi County, Pennsylvania with his /her last principal residence at ~ 'f ` }
(List street address, town/city. township, county, C lmb pla~ d Count PA 17013 ~ ' t
--
Decedent, then ~~,ears of age, died on /~jJ q
tr.~~:L/5~ r- r}- 7~ _/'[RY ,/E> ;{CttC~ at %/ ,~
/f'f;A~ T/f ~-~
Decedent at death owned property with estimated values as follows:
(Ifdomiciled in PA)
(Ifnot domiciled in PA) All personal property ,
(Ifnot domiciled in PA)
Personal property in Pennsylvania $ ~ `tC~(/ i
Value of real estate in Pennsylvania Personal property in County $
~~ .9
situated as follows: $
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil s
the undersigned:
Opresented with this Petition and the grant of Letters in the appropriate form to
nature
Kathleen M. Johnson 10578 Mooded or rimed name and residence
y Road Cataraugus, NY 14719-9760
Form RW-02 rev. /0.!3.06
Page 1 of 2
Oath of Persona] Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
SS
The Petitioner(s) above-named swears .
O or affirm(s) that the statements in the fore oin p
the knowledge and belief of Petitioner s g g etition are true and correct to the best of
administer the estate according to law.
Oand that, as personal representative(s) ofthe Decedent, Petitioner(s) will w
ell and truly
Sworn to or affirmed and subscribed
before me the ~`
day of
For the Re i
g
of Personal
Signature of Persona! Representatii~e
Signature of Personal Rep---
~~ ~~
~T(~
.(.-~
-tT~
File Number: _ - , ~ =~'
~3 ~ _.
Estate of Debra Ann Payne 7 ''
~7
Social Security Number: if ~,/ -~2_ ~Lf > Dece~ed
ra
rs
~."
~__
'~"~
V
00
.1
AND NOW, Date of Death: ~2 ~ '
! ~~ ~r ~~ ~U_--~_
having been presented before me, I ~ ~ 7 f ~
IS DECREED that Letter~menta nsideration of the fore
are hereby granted to Kathieen M. Johnson ry g01ng Petition, satisfacto
ry proof
and that th
Letters
Short Certificate(s) .. , . , .
Renunciatio
$ . i;<;
$ (~ U
,,
J~'J ... $ j,J ~~
... $ ~;_
TOTAL ..,.,
Form RW-OZ re1•, / p 13 ~6
e instrument(s) dated May 14, 2010
described in the Petition be admitted to probate and filed of record as the last Wil
FEES ~~ l (and Codicil(s)) of Decedent.
- - v~:.
.. $
.$
.$
.$
.$
$ I Sv o.oo
in the above estate
Register of Wills - ~ G~
Attorney Signature: ~ ~ /
~~ ~~.G
!
Attorney Name: .Jacqueline M. Verne
y. Esquire
Supreme Court I.D. No.: 23167
Address: 44 S. Hanover Street
Carlisle, Pa 17013
Telephone:
717-243-9190
Page 2 of 2
OCAL REGISTRAR'S CER - Z%-i~~v;~y
WARNING: It is illegal to duplicate this clop pCA,TlO~ QF' DEATH
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H1(l5.113 REV 1,
T'PE/PRINT INS a N •; C--~
PERMANENT COMMONW
BUCK INK EALTF{ OF PENNSYLVANIA • +
,. Named
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~ IIEALTIi • VITAL RECORDS
CERTIFlCATE O
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• pEATH
natrMCtlans and examples o
s. Ape rLa=, fir) ~, Debra Ann Payne n
reveroe~
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54 ~a+a o.,, „~ ~ a nm. a sim, Madh, 2 Sae ~ SeeW STATE flLE NUMBER
Female 09b
m. c«mry of Deem rrs. Oct . 8 z 1955
d ~` ~'' ~ rwP, abeam
Cimd~erla ~. Ds,e a Deem
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Dunkirk, Ny ~•aDeam ~wyare Ma 18, 2010
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LAST WILL AND TESTAN~NT
~..,
;~ ~~
OF ~;~ c~ _=~ -- ; a
';:.'.?
~~
~_~ -~ ,,-
t ~ i,_ c
DEBRA ANN PAYNE ~ ~ ~'
~,
. ,~_ _
-, ~ _:
-r -- i ~ ~
I, DEB zi ru ; ,_~_~
RA ANN PAYNE, of 11 Heather Place, Carlisle, Cumberland Co ~
Pennsylvania, being of sound and disposin mind memo unty,
g ~ ry and understanding, do hereby
make, publish and declare this as and for m
y Last Will and 'Testament, hereby revoking and
making void any and all former Wills, Codicils, or writings in the nature
time heretofore made. thereof, by me at any
FIRST: I hereby direct my Personal Representative to pay all m 'ust d
administrative expenses out of my estate, as soon as y ~ ebts, funeral and
practicable after my death.
SECOND: I direct that all taxes which may be assessed in copse uenc
whatever nature and by whatever jurisdiction im osed q e of my death, of
p ,shall be paid out of my estate as a part
of the administration of my estate.
THIRD; It is my desire to have my remains buried.
FOURTH: I hereby give, devise and bequeath items of personal pro ert
time of my death, in accordance with a memorandum si p y that I may own at the
gned and dated by Debra Payne,
attached to or included with this my Last Will and Testament. If there '
can be located at the time of my death, and one cannot be identi is no memorandum that
feed or located within thirty
days of the date of my death, then it shall be presumed that no such
devise and bequeath all such property to Kathleen document exists and I give
M. Johnson, OF 10578 Moody Road,
Cataraugus, NY 14719.
FIFTH: I hereby give, devise and bequeath all the rest and residue o
whatever nature to Kathleen M. Johnson. f my entire estate, of
SIXTH: I nominate and appoint my Kathleen Johnson, as Executri
Testament. I direct that m x of this my Last Will and
y personal representative shall not be required to give bond or
security for the performance of their duties in any jurisdiction.
FIFTH: In addition to the powers conferred by case law, by statute a
this Last Will and Testament, m nd by other provisions of
y personal representative, and any successors in that capacity
shall have the following discretionary powers applicable to all real est
held by them, which powers shall be e~'~'~ ate and personal property
active without Order of any Court and which shall exist
and continue until the time of actual distribution:
A. To retain any property of any nature received by them for whatever
be deemed advisable; period it shall
B. To invest and rei n v~; < <,; ; ,
statutes limiting the pi-o~;~,~,
C.
~y 1~<trt of the assets of my Estate without regard to
which a fiduciary may purchase;
To sell, transfer, exchan <,c or otherwise dispose of, an
Y Pad of the assets of my
Estate, for cash or on terms, publicly or privately, or to lease, without 1' '
purchasers to see to the ap~~lication of the proceeds, and to give options for ity on the
purchases without the o!, ! i ~ ~ ~ ~ ~ i on to repudiate them in favor of a hi her off these
g er,
D• To execute and deliver an
y deeds, leases, assignments or other instruments as ma
be necessary to carry out the provisions of this Will;
Y
E. To borrow money, if necessary to facilitate the adminis
Estate, including the right to borrow
pledge any asset of the estate as security;
money from any bank and tom rtga e ory
g
F• To loan to, and to purchase assets from, my Estate, eve
thereof; n if also acting as Executor
G. To assume continuance of the status of any beneficiar
man'iage, divorce, illness, incapacity and similar incidents or m
of information deemed reliable without lia y with regard to death,
assumption;
bility for disbursements madeton suchnce
H• To make any distribution hereunder either in kind or in
or partially in money, considering of course the reasonable wisher
beneficiar , partially in kind
y Distribution in kind shall be made at the a s of the
property distributed, as it is set forth in the Inheritance Tax Retdurn lue of the
Estate;
filed in my
I• To exercise any subscription right in connection with an
y security held hereunder,
to consent to or participate in any recapitalization, reorganizati
merger of any corporation, com an on, consolidation or
p y or association, the securities of which may be
held hereunder; and to delegate authority with respect there
investments under agreements, to pay assessments, and ento, to deposit
rights of investors; g erally to exercise all
J• To continue in any partnershi
p, joint venture, joint ownership or other business
enterprise of which I am a part at the time of my death;
K. To compromise claims;
L
M.
N.
O
To continue for whatever period of time my personal re rese
necessary any ownership as a tenant in common or as a partnerain r shall deem
other property and to act as I would have done had I been livin
eal estate or
To do all other acts in their ud g,
management, investment and digstnbutnoneofthe ar desirable for the proper
ssets of my Estate;
I direct that my personal representative may be compensated
render as Executor under this my Last Will and Testament;
for the services they
Should any changes occur in the Internal Revenue Code or P
after the date of the execution of this Will which affect the to
ennsylvania statutes
x liability of my estate,
then to the extent possible and as may be permitted b
representative shall have the
administer m polder and discretion to interpre thisrW 11 and t
y Estate in a manner which results in the lowest tax liabil'
0
1tY possible;
IN WITNESS WHEREOF, I hereunto set my hand an
d seal this /~ ~I-t=- day of
~ `~
2010
~,
DEBRA, ANN PAY E
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of
~ -, ti..~_. V1,1. ~--~
~~ _~ ~;
~~
ACKNOWLEDGEMENT
I, DEBRA ANN PAYNE, the Testatrix whose name is si
foregoing instrument, havin
acknowledge that I signed and exe uted the instru geed to the attached or
y qualified according to the law, do hereby
that I signed it willingly, and that I signed it as my freet and ~ Last Will and Testament;
therein expressed. oluntary act for the u
p rposes
DEBRA ANN A N
Sworn or affirme and acknowl
Testa ix, this ged before me by DEBRA ANN PAYNE, the
day of
2010.
~. ~ ~
otary Public
COMMONWEALTH OF PENNSYLVAN~q
NOTARIAL S~F.AL
VALERIE F, GSELL, Notary Public
Carlisle t3oro., Cumberland County
My Commission Expires October 9, 2010
AFFIDAVIT
We, DEBRA ANN PAYNE, ~~~ ~ ~-4 "ug ~` V •
~ ~ -~<34~vn,~ _ _
Testatrix and the witnesses, respectively, whose n ~ K ~ ~~~Y ~ the
foregoing instrument, being first dui sue, ames are signed to the attached or
Y orn, do hereby declare to the undersigned
authority that the Testatrix signed and executed the instrument as
Testament and that she had signed willin 1 her Last Will and
g Y, and that she executed it as her free and
voluntary act for the purposes therein expressed, and that each of
presence and hearing of the Testatrix signed the L the witnesses, in the
ast Will and Testament as witness and
that to the best of their knowledge the Testatrix was at that time
age or older, of sound mind and under no constrain eighteen (18) years of
t or undue influence.
~~ ~~
TESTATRIJ,~;l'C~_ ~~ ~ ~~e~~sZ,
residing at C~~c...~t~ L~ ~~
WITNESS, `'ti,~ I,~
~'~ " ~ esiding at ~-~ c:-~ ~,~
:".1 t
WITNESS, ,~, ~ _
residing at •-
:~{.tt~
Subscribed, sworn to and acknowledged before me by DEBRA A
and subscribed and sworn to before me by~<.:~~~,,,,, . ~ PAZ'NE, Testatrix,
and -D~~~,~,~ KG~~~ -~ S
„the witnesses, this ~~
'°~ ~_ day of
2010.
~~~ ~
Notary public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
VALERIE F. GSELL, Notary Public
Carlisle Boro., Cumberland County
My Commission Expires October 9, 2010