HomeMy WebLinkAbout06-01-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~%~{~iIID COUNTY, PENNSYLVANIA
Estate of ~ tM(: ~~A-(~~/'
also known as
Deceased
File Number ~ ~ - ~ U - ~~
Social Security Number ~f0 ~'7d "" ~~Sj~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(CO/tY1PLETE 'A' or 'B' BELOW.)
!Ll A. Probate and Grant of Letters Testamentary and aver that Petitioners is /are the E ~.~`02
last Will of the Decedent dated t~ ~N I~ 7 ) named in the
and codicil(s) dated
(State relevant circumstances, e.g., renunciation, death of executor, etc.) ~ Q
(~ M
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution •~ instrume~s) offe~~~? ;:
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: _~~ S ~ ~ _ -. ;:~
B. Grant of Letters of Administration '-•~~~'
-- C ;;--~
_ - •.. . t
(Ijapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente fife; durance absentia; durttijt`~-minoritnte) '~;; ~~ ±"~~
.._p-E
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following~ouse (if any)grid heirs: -~(1}r~~
Adntlrtistration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ C.~? '~-' C~")
IV _.,„;~
Name Relationshi Residence
.. , ...
(COMPLETE IN ALL CASES:) Attach additiot:al sheets if necessary.
~De~ceden~t was d mOi~i~d at~dea~th in ~ County, Pennsylvania with his /her last principal residence at ~O ~ __
(Listsh•eet address, town/city, township, county, sta e, zip code)
Decedent, then ~P ~ years of age, died on ~~fl ~~~ at ~~3 ~~~'~ QQ/~•D C~/bQp /f~~ ~ bl~
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ (S~ ~~
~.
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $~. "7sd. d~
situated as follows:_ (n~~E ~'(,(/ZN~~~/jiJG. ~ rq 8 ~~
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Fon,- R6V-O? reti-. io. r3.o6 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF Ct,~.~I.$EIZl.I41~ .
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are titre and con-ect 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 ttte estate according to law.
Sworn to ~r affirrried and subscribed
bt..fore me the day of
-~
of Persona/~Representati ve
Signature of Personal Representative ~ ~
l
For th a ister Signature of Personal Representative ~_ `_ ~ :~ C7 ~ ~==; ^_ ~a
1 ^~, i -,
_ t` ~~ t (' 1
t./ '~,i
~;-. _~'
W ..~rr~
File Number: ~ ~ ' ~ ~ - b ~ ~ , -~ ~~ - _. _ : ~ J
..
• ~ ~... r.~ (~ a
Estate of ~ ~ ~-~- M . ~' hn I'~,(JQ ~ ,Deceased N M'
Social Securit Number: 1 ~ ~ - y U ` ~ u '~
y ~ ~~ Date of Death: _ ~ ~ .' ~ U ~-~d
AND NOW, _~ ~[J ~ [ (~ ~ (~ in consideration
of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters J~-P~~[~ ~,Q }'~.~i ~/
are hereby granted to q (~ ~ h ILA / ~ h~,~x_P
~•--
,~ i.n the above estate
and that the instrument(s) dated 1 - ~ (o - ~ Cf Q ~ .
described in the Petition be admitted to probate and filed of record as the last Will and Codicils of Decedent. ~_ ~~
( ())
FEES ~~'rYt.~'7
Letters ............... $ 0 . ~~ Register of Wills ~~ ~ ~,.~}n,,,
Short Certificate(s) ........ $ (}~ v~'~' `
Renunciation(s) ........ $
~ ~ ~ 1 ... $ 1 ~ c~-U
r~CS ... $_ ~c~• ~U
... $
... $
... $
... $
... $
... $
TOTAL .............. $ 7 ~. U
Fur•n~ R6V-U? rev. IU.l3.U(
Attorney Signature:
Attoney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph..
~ Fee for this certificate, $6.00
P 16177944
Certification Number
ITEM # /'~
SHOULD READ AS FOLLOWS:
~11~.~~
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.
~...- I~AY 17 2010
Local Registrar Date Issued
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tEV 11!2008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
PRINT IN
~~~ 432-262 C (~ IN~cU n EaRnd~ex~ampTieEs o~n r ear eTH
- STATE FILE NUMBER
r. rams a uecedera (Flrel, rttl0de, lest, w1AU) 2 Sex 3. Soda) Securlry Ntmber 4. Date d Death (Month, day. year)
Robert M Remaley, Jr. Male G
e z
-c
/
f
4 Ma
5
A
L
t SkB
d 8, 2010
.
ge (
as
t
ey) Under 1 lAtder 1 8. Doe d Bkm 7. and sae a 8a. Phce d Dsam Cfteck ate
Marar flays Han MYUau
61 Nov . 29 , 1948 "°°P"~~ °ttar
• Yre. ~4
~~b~
.
Oy ^ InPetfent ^ ER I Oulpetlent ^ DOA ^ NWaing Home Reeldence ^Other • Spedly:
&l. CourNy d Deets 8c. CMy, Death Bd. FadMy Name (M rat ktetletdort, 91vi street end raartbsr) 8. Wes Decedem d OdginT ^ Yea
• 10.
A
rnericart ktdart, &ack, Wtdte
etc
Cumberland East Pennsboro 613 Mallard Road (If'~°°''~~"b"'' ~
~
,
.
/
Mezfcert, Puerto Rkxut, std.)
11
D
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./
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,
.
..
.
ecadent
t Vaud d work dtxw most d Nh. Do not ads 12, ytAaa DecederM ever h the 13. Deoedenl'r: Edtrcetlort (Speclly oNy Itlghea grade axrtpbbd) 1~. Mubd StsNa: Merthd, Nsver Menhd, 15. SurvtvMg Spouse (M wife, give rrtdden name)
IOrtd d work r lane d Bttdrteea I Irtdtraby U.S. AmtW ForesaT El
rt
/ S
f
wed (~M
Wao"'~
emer
ery
ecatr
ery (0-12) College (1.4 a 5+)
•
" Cos, ~'`c t na.
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.
o
e 4
.
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• 18. Deoedas
s MeiWq (Street ! bvm, stele.] code) Dscedant's w Dkt Decedard
/~
row w~
L Adual Resklxrce 17e
State ~~t Lh
M
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re
3 ~ ~
a
a 17c. ~ Yes, Oeoedent Lived kr
t
/ / / ~ TowrtehpT
• ~r1O ((~1, ~/q f 7 p 17b. Camty [ ; (,L~6Lr/ 17d. ^ No, Decedent Uved wkhln _
.
r
L~~(-~r~CL9cCv Twp.
e Adud Lkltib d
18. Femer'e NaLme (Fkd, rttidde, leaf, euMfx) 1g. MotMr'a Name (Fhtt, mldde, msldat aumertte)
~
~
l Cm, / Boro
~.QG/
/
i ~ G
P.. Rr r
20a.Jp~tttterd'e (Type / PrNrry
20b. Irttomwtt's MeiNrg Addreee (Strew, dy bwn, dab, zip code)
219. tvb8iod d Dlepodtlort ^ po,,.Na, 21b. ode d Dlepoeitlon (MonUr. day. year) 21c, Phoe d Diepaeitlon (Name d oxnetery, aentaory a dher place) 2 . LaxMon (CNy I torn, state, rip code) 1
• ^ l3txhl ^ Renaud trap Steh
~ ~
1Mas Crsstslfsn a Derrllotr Autlrorlxad ,.,/
^ Otltsr - SPAY by NNedlsel EtanrllNr / Cototrsr7 L~J Ysa ^ No 0~ ~~ ~^~ ~ afl l ~ / ~
v t7
71s. Sigrrbse of Funerel3Mvfa (w Person eding u each) 22b. Lfoertee Nrirtbe- 22c. Nwie end Addees d FedAty
y
' ~
a/a~7y L .' ~ / f~ ~~'f'
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• Memo 23ac sty whan..rwyktg To the krawledge, Bert acaxree a the doe, derv and phcs ehbd. (slgrteM. arts Btle) 23b. Lklerme Number -
pftyalden h nd evaNede a dos d deem ~ t<
23c. Date Sgrted (Momh, day, year)
antlly cause d deem.
•
thrtu 2428 etas be completed by peracn
etto P~a+roe. asset. 24. Time d Deem
UNKNOWN P 25. Date Prortaatced Dead (Momh, day. year) 28. Wee Case Referred to MerACal Examiner / Conxter ra a Reason Other than Crematbn or DonetbnT
. M. May 12 , 2010 Yea ^ No
CAUSff OF DEATH (Sts Instructlom and axampha) Intervd: Pert II: Erder other
i ADProe
Man 27. PeR 1: ErtNr tlw i~Ih.~dld01N - , mho, a ~ _ ~ dreg, catued Ste death. t)0 NOT solar lermktd event such as cardlec erred
28. Dkl Tobacco the Contribute to DeethT
,
reepirsbry street, a vemdtxlhr ilbtietbn wMlaut ehr>,vlrtg the eedogy. Lla only are cause on each Noe. r Orted to Death but rat rasulMng In Ba underying cause given in Pen I. ^ Yes ^ Probably
I~UITE CAUSE~Fk~ deaew a r
andtlonre~k, _~ e
Probable Myocardial Infarction ~
^ No ^ Unknown
. _
Remove MI, DM ~~"F'"ale~
Due to (a es a corteegrlertce on: ; ^ Not pregnant within pad year
NN axtdeats, M any, b. r
~
b
~
a" ^ Pregnant a doe d deem
Due to (a es a consequence d): i
UNi~DE
RL
~E~rrd~~,,ry ~
YNQ CAU y~~
rSventa reitflY
i
~rt deem) LAST
c•
^ m, but pregnant wMNn 42 days
.. _
p
.
Due to (a ae a consequence d): r --'-'--`~
e
~
^
p
epnsm, but pregnerx 43 days to 1 year
d
r
• 30a. Woe en Auhpey 30b. Were Autopsy Fktdrtga 31. Manner d Deem
PerhmtedT AvaNdlh Pda k Corttph8at 32e. Doe d InMtry (Martlr, day, year) 32b. DsecrlDe How ~ Occurred ~
e
^ lMletown M wrtlwt pte pea year
Pin .
32e. Place d Inhrry: ttoms, Farm, Street F
~'
d Cause d DsathT ~ Natural ^ Horddde Once h~9, etc. (SoedyJ
^ Yea ~ No ^ Yes ^ No ^ Acddant ^ Psndktg Invedlpetlort 32d. Time d ~ 32e. Mwry a WakT 32t. M Trett~odalbn Irt)ury (Specl/y) 32p.
T ,stale
)
^ Yee ^ No ^ Driver / Operabr ^ Pees«ger ^P
^ Sukide ^ CouM Nd be Determined
~
~•~h"
330, Certlfar (dtsok qtly one)
~ ~hg PMT (~Y+Iden ~ykq ~• d deem when artodter phyaM,9en he prorautced deal, and oontphtad two 23) 33b. Signature and Title d CertlAer
Tolllabeaanly mowtedge,dosut«ae~ddassome.see(.).ndm.n»tea.N.N.a
^
-= ~ Coroner
.----
--------------------------
' hg ~ otartl7Mtg PhY~ (Phya~n tom prorauakt
deem
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en
ax
y
tg to sues d dadh)
1b the bad d my IopwMdpa, deepr aoourrad d ttte -
time, thNe, end plena, end duo to flte esuee(e) acrd rnwrr as ehhd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
33c. Llcertee Number
33d Doe Signed (Monet, daY~ y~1
• Meaal Illunttrrer /Coroner
On Mrs bash d sxanrYttAion sod I a Inrestlgatlon, M my oplnbn, thdlt ooerarad d the tlrne, doh. sod plies, and dw b the esueye) and tnerater u aided May 13 , 2 010
.
34. Nergs,ad~dOreas,d P°'~
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asehore Rd., Suite ill
Mechanicsburg, Pa. 17050
O Parrots No. b y 9~ 7 3~
`~1tts# tII ~txi.~ ~PB~~CZItEYt~
OF
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Yss y
ROBERT ffiERLT RSMALSY ~ ~ ~
=~= r
_
I , ROBERT MERLE REMALEY, of the County of Cumber aid . -~µ.
Commonwealth
of Pennsylvania, being of ~
sound mind and memory ~do
ire ....
k ~ i 1.+~
r -~ _,.:
and publish ~~
and declare this to be my Last Will and Testament, hereby 1
revoking and declaring null and void any and all Wills or Codicils by me
at any time heretofore made.
F?R-~T-: I direct my Executor to pay
mY just debts and funeral expenses from the residue of my Estate.
E ~~ I direct that all Estate,
Inheritance and other death taxes that may be assessed with respect to
property or interest passing under my Will by whatever jurisdiction
imposed, shall be paid from my residuary Estate as a part of the expense
of the administration of my Estate.
THIRD I give, devise and bequeath
all of my Estate, real, personal or mixed, of whatsoever kind and nature.
and wheresoever situate, of which I shall die seised and possessed, or
to which at the time of my death, I may be entitled as follows:
A• To my beloved children,
CHRISTOPHER MICHAEL REMALEY and JUSTIN RYAN REMALEY,in equal shares if
CHRISTOPHER and JUSTIN survive me by thirty (30) days; if not, in equal
shares to such of my children as survive me by thirty (30) days;
Page 1 of 7 ~~~
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provided that if CHRISTOPHER or JUSTIN fails to so survive me, but is
represented by descendants who so survive me, such descendants shall
receive, per stirpes, the share CHRISTOPHER or JUSTIN would have
received had he so survived me.
B • In the event there is no one
living who is entitled to receive my Estate under the foregoing
provisions, then to those persons who would take, and in such shares as
they would take, under the laws of intestate succession of the
Commonwealth of Pennsylvania, whether or not provisions have been made
for them in this Will.
F TH : If any beneficiary under this
Will in any manner, directly or indirectly, contests or attacks this
Will or any of its provisions, any share or interest in my Estate given
to that contesting beneficiary is revoked and shall be disposed of in
the same manner provided herein as if that contesting beneficiary had
predeceased me without issue.
FIFTH• No property passing under
this will shall be paid to any beneficiary who is under eighteen (18)
years of age or incapacitated for any reason. My Trustee, in his
discretion, may either retain the property and accumulate the income
until the taker reaches eighteen (18) years of age, paying over both
principal and accumulated income to the taker at the time, ~or may, at
any time, pay over all or any part of the principal and accumulated
Page 2 of 7 ~
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income to the custodial parent or legally appointed Guardian of the
taker. With regard to retained property and accumulated income, my
Trustee may, at any time, in his discretion, apply as much of the
principal or income as he may deem necessary or desirable to the
support, maintenance or education of the taker. Such application may be
made by my Trustee either directly or any payment of the principal or
income to said parent or Guardian of the taker or to the person with
whom the taker resides at the time of payment, in either case without
requiring any bond and without being bound to see to the proper
application of any payment.
IXTH: All principal and income
shall be free from anticipation, assignment, pledge or obligation of
beneficiaries or remaindermen and, while in the hands of my Executor or
Trustee, the same shall not be liable to any levy, attachment or
execution.
SEVENTH: I name and appoint ANTHONY
SAMUEL ABATE as Executor of this my Last Will and Testament and Trustee
of any trust created herein, to serve without bond in any jurisdiction
in which he may act.
EI HTH: My Executor and his
successors shall have the following powers with regard to the assets and
liabilities of my Estate or any trust created thereunder: to retain my
investments, invest and reinvest in legal investments, sell, grant
Page 3 o f 7 /~~~
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options for sale or otherwise convert any real or personal property or
interest therein and to deliver good conveyances for the same, borrow
money and secure its repayment by mortgage, pledge or otherwise,
compromise claims, make distributions in cash or kind or partly in each,
lease real estate and other property, file any tax or gift tax returns
that may be due on my behalf, retain such agents, accountants, or other
advisors and compensate the same from estate assets, associate with them
a corporate fiduciary with fiduciary powers in the Commonwealth of
Pennsylvania, delegate to said corporate fiduciary the exercise of any
powers, exercise all other acts and things necessary or appropriate in
the management, administration and distribution of my Estate and
exercise any other powers granted to personal representatives pursuant
to the applicable laws of the Commonwealth of Pennsylvania, including
but not limited to those enumerated in Chapter 33 B and C of the
Pennsylvania Probate, Estates and Fiduciaries Code, 20 P.S. §3311-3360.
NINTH: Words used in the singular
may be read and to include the plural or the plural may be read as the
singular. Similarly, the masculine form may be read to include the
feminine and neuter; the feminine may be read to include the masculine
and neuter; and the neuter may be read to include the masculine and
feminine.
Page 4 of 7 ~~
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this
_~ day o f ,cca.~ ~ .
~'7
ROBERT MERLE REMAL
Signed, sealed, published and declared by ROBERT MERLE
REMALEY, the Testator above-named, as and for his Will, in th.e presence
of us, who, at his request, in his presence and in the presence of each
other, have hereunto subscribed our names as witnesses hereto.
WITNESSES:
Name
Address ~j ~-_'~, ~ ~ ~,,
~ '~
ti-•~ ~
.._
.. ,
ame
;__. ~__.
.~~ , .-
Addre s s -X ~ ~~~.~. ~~ ~ t ~ ~ ; ; . ~, ~~ . ~ ~.
1 ~ t + ~`~.
`,.
Page 5 of 7 ~~'
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AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND ) SS:
WE , ROBERT MERLE REMALEY , .~/S~9 ,/LI, /~I~ .~j~,ri~ /~ and
iE't~Q~ ~.~~ w~~~ 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 that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
,~
_ ~~~-~-~
ROBERT MERLE RE LEY ;~ ,,
+--'
Page 6 of 7 ~
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Subscribed, sworn to and acknowledged before me by ROBERT
MERLE REMALEY, the Testator, and subscribed and sworn to before me by
,~/SA /~I. /~R~,~~~// and ~•~~ c~~er~+r~.r-~~ ,witnesses, this f~~_
day of ~,4~rv~ ~7,
~~
NOTARY PUBLI
Notarial SE,aI
Martin Ripon, ~:otary Pr~hlic
Hampden Twp., t;~yn~berl.:~r~;.i ~;ot,nty
My Commission Expires July 27, 2p00
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