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Home My WebLink About06-24-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~uM (jdtt L ~~ d COUNTY, PENNSYLVANIA Estate of /K ~,1 ~gA ~- IdG ~dY Fite Number also known as ,Deceased Social Security Number '1 ~ ~ OS'3Qir Petitioner{s), who is/are l8 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ^ A. Probate and Grant of Let~f rs T tamentary and aver that,Petitioner(s) is /are the last Will of the Decedent dated 1~'3 0 y _ and codicil(s) dated named in the relevant c,rcu,nstances, e.g., renunciation, death ojexecutor, etc.) Except as follows, Decedent did not many, was not divorced, and did not have a child bom or adopted after execution of the instnunent(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: e.t.a.; db.n.c.t.a.; pendentelite; duranteabsenria; durpnte'mknoritat~ Petitioner(s) after a proper searchhas /have ascertained that Decedent left no Will and was survived by the followi II tf ~ ~,~, Administration, e.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~~~ ( an~trd he~7 ~r - _ ~• ~ (COMPLETE INALL CASES:) Attach additional sheets if necessary. ', -- ' ~ ~~ r O od~ i w? ~ miciled at death in _ GUIt1~~ (,yyp County, Pennsylvania with his /her last principal residence at ~ S7. (_LrMaY~I,r ~ H ha (Lst street addres c m i ~ r p, county, stare, up code) + i Decedent, then Q f years of age, died on 5 r 3 ~ ~1 b at ~ a : w /~, r-- Decedent at death owned property with estimated values as follows: (If domiciled in PA) Al! personal property $ ~a o. ~ (If not domiciled in PA) Personal property in Pennsylvania a (If not domiciled in PA) Personal property in County S~ Value of real estate in Pennsylvania $ 5 ~ a~ situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters ~n the appropriate form to the undersigned: r 3 L 3 vi 0 1 a R ~- ICR ~ J "'~ C ~ I'r1 l3J ? t .O w Q . 8 lJ- I1 J~ Form aw o? rev.10.13.06 ', Page 1 of 2 . Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF , The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true ar~d conect to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) v~ill well and truly • administer the estate according to law. Sworn to or affirmed and subscribed before me the --~~~ day of For the egister Signature ojPersona! Representative Signature ojPersona! Representative Signature ojPersona! Representntive O ;;,fit C.: File Number: ~ ~ •`~ Estate of M -,R,,~ ,., /a . ~ e Ll,~~ ~, f , Deceas~d Social Security Number: l11' ~S- 3~g~ Date of Death: ~ r 3~ ~lo ', --r AND NOW,~j ~ ~ ~~ in onsideration of the foregoing Petitio~, satisfactory proof having been presented bef a me, I IS D at L tters are hereby granted to in the above estate and that the instrument(s) dated described in the Petition be admitt to p obate and filed of reco d as the last Will (and Codicil(s)) of Decedents FEES Letters ............... $ 40. ~ Register of Wills i Short Certificate(s) ........ $~ Attorney Signature: i, Renunciation(s) .......... $ -~-- ', $-~,.,,, Attorney Name: `S _ • • $- ~ ~~ Supreme Court LD. No.: .. $ dt7 $ Address: ,~, ... $ ... $ ... $ ' ' $ Telephone: ... $ TOTAL .............. $~ Faun RW-UZ rev. 1U.l3.U6 Page 2 of 2 urns gn5 qcV rm ~m~ _ ,.. _. - _ - -. _ _, _..,_., __ - !~ ~'~ ~~~~°~l ll~-D~{2~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 mswiEevnroe~ t1'!E/!MI-N ^/l0t ii ~ 16652609 Certification Number This is' to certify that the information here'. given is correctly copied from an original Certificate of Death duly filed with mo as Local Registrar: The original certificate will be forwarded #o the 'State Vital ~Recor~ds Office' for permanent filing. Local. 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J/~ l1 1 ~ 13 I t'r l0 1 aarwr +~w.f ~ • p, IW ~ 'rte / . f,. LAST MILL AND T83TAM8NT ~~ 't-- '-~ r ~ ~.~1 ~ •~ t-~. ._a OF i~ N r? , . rr MIRIAM A. ACHEY ~ aQ ~ _, ~,,E ~J "O~~ .... ~ 7 .~,, I, MIRIAM A. ACHSY, of Cumberland County, Penr~sylvani~';~being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. I. DI38T3 AND FtiNgRAt. ~7r~n~~teQe SAIDIS SHUFF, FLOWER & LINDSAY ATTORNEYS•AT•LAW 2109 Market Street Camp Hill, PA I direct the payment of my just debts and expennses of my last illness and funeral from my estate as soon after my death as conveniently may be done. II. PSR3ONAL AND HOU3$FIOLD SFFgCT3. A. Except as provided in paragraph II. B'. I give and bequeath all of my automobiles and articles of personal or household use, including household goods, furniture and personal effects and all family heirlooms, to my son, Thomais' L. Achey, if he survives me by thirty (30) days. B. I give such of my articles of personal or household use to those persons as are named on a written list made by me during my lifetime, if any. My Executor may make whatever arrangements my Executor deems appropriate for storing and deliue~ring articles of personal or household use to the beneficiaries, and may pay the cost thereof and any related expenses including insturance from my residuary estate. 1 III. SPECIFIC BEQUESTS. I give to such of my grandchildrer. Krista L. Achey, Alisa Quinn and Christopher Achey, who az living at the time of my death, Four Thousand Dollars ($4,000.00 each. SAIDIS SHUFF, FLOWER & LINDSAY ATTORNEYS•AT•IAW 2109 Market Street Camp Hill, PA IV. RESIDUE. A. I give, devise and bequeath all the refit, residue. and remainder of my estate to my son, Thomas L. Achey, ,absolutely and in fee simple if he survives me by thirty (30) days'. B. In the event that my son, Thomas L. Acchey, does not survive me by thirty (30) days, then I give, devise and bequeath all the rest, residue and remainder of my estate i~ equal shares unto my grandchildren, Krista L. Achey, Ali~!>~a Quinn and Christopher Achey, per stirpes. v. nsATx TAxES. All taxes imposed as a consequence of my death'shall be paid out of the residue of my estate and considered as a part of the cost of the administration of my estate. VI • NANAf3EIdENT PROVISIONS . In addition to the powers conferred by law, I' authorize any guardian, executor or executrix acting under this instrument, in any such fiduciary~s absolute discretion: A. To retain any investments I own at death and to invest in all forms of real and personal property,.. without being confined to investments authorized by a statutory fist, without being required to diversify and regardless of any priinciple of law limiting delegation of investment responsibility'. by any such fiduciary; 2 SAIDIS SHUFF, FLOWER & LINDSAY ATTORNEYS•AT•IAW 2109 Market Slreet Camp Hill, PA B. To compromise claims and to abandon any propert~ which, in any such fiduciary's opinion, is of little or no value; C. To sell at public or private sale, to exchange o: to lease for any period of time, any real or per~sbnal property and to give options for sales or leases; D. To join in any merger, reorganization;, voting-trusl plan or other concerted action of security ho]iders, and tc delegate discretionary duties with respect thereto; E. To borrow from anyone, even if the lender is fiduciary hereunder, and to pledge property as secu~riity for repay- ment of the funds borrowed; F. To make loans to, and to buy property from, m~ spouse's executor or administrator; G. To employ and to rely upon advice given by investment counsel, to delegate discretionary authority to make changes in investments to investment counsel, and to pay invest- ment counsel reasonable compensation in addition to any fees otherwise payable to any such fiduciary; H. To employ a custodian, to hdld property unregistered or in the name of a nominee (including the nominee of any institution employed as custodian), and to ply reasonable compensation to the custodian in addition to any ,Bees otherwise payable to any such fiduciary; I. To hold two or more accounts he~rieunder as a combined fund (allocating ratably to such accounts all receipts from, and expenses of, the combined fund) for ~dnvenience i investment and administration; provided that any combination of 3 accounts for this purpose shall not alter their status as separat accounts; J. To distribute in cash or in kind; K. To renew or extend the time for ,payment of an obligation, secured or unsecured, payable to oar, by any suc fiduciary for as long a period or periods of time and on suc terms as such fiduciary may determine and to adj>~s$t, settle any arbitrate claims or demands in favor or against theim; and L. To exercise all elections which any such fiduciar, may have with respect to income, gift, estate, inheritance anc other taxes, including without limitation, execution of joins income tax returns, election to deduct expenses in computing one tax or another, election to split gifts and electic~r~ to pay or tc defer payment of any tax in all events without any'~uch fiduciary being bound to require contribution from any other ~e~rson. VII. RxsctrroA ?N TN~rIPQ~*nn OTTa T17s A!'• SAIDIS SHUFF, FLOWER & LINDSAY ATTORNEYS•AT•LAW 2109 Market Street Camp Hill, PA The fact that my Executor is active in tMe investment business shall not be deemed to be a conflict of interest, and purchases and sales of investments may be made thirbugh any firm of which my Executor is a partner, shareholder, associate or employee, or through my Executor directly or ass, part of my Executor's business. VIII. ~CUTOR3. A. I do hereby nominate, constitute and apipoint my son, Thomas L. Achey, to act as executor of my estate. If he is unwilling or unable to act as executor, I do he~eeby nominate, 4 constitute and appoint my granddaughter, Krista L. Achey, to act SAIDIS SHUFF, FLOWER & LINDSAY AT7'ORNEYS•AT•LA W 2109 Market Street Camp Hill, PA as executrix of my estate. B. I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performajnice of any such fiduciary's duties in any jurisdiction. IN WITNE33 WHEREOF, I, MIRIAM A. ACHEY, have ~lereunto set my hand and seal to this my Last Will and Testament, ltlhis 23rd day ofl July, 2004. Testatrix and of each other. ADDRESS MIRIAM A. EY Signed, sealed, published and declared by ~Y}e above-named Testatrix, MIRIAM A. ACHEY, as and for her Last Wil~.,and Testament in the presence of us, who have hereunto subscribgd our names at her request as witnesses thereto, in the pre>~~nce of said) ~- - ~ ~ ~-~e. ADDRES S COMMONWEALTH OF PENNSYLVANIA ~~ P~ SS. COUNTY OF CUMBERLAND WE, the undersigned, the Testatrix, and t~rie witnesses, respectively, whose names are signed to the foregoing instrument, 5 - - being first duly sworn, do hereby declare to the undersignec authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she signed. willingly (oz willingly directed another to sign for her), and that she executed it as her free will and voluntary act for the pwrposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix signed the will as witnesses and that to the best of their knowledge the Testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. . . MIRIAM A. ACHE Witn~4s Wi Subscribed, sworn to and acknowledged before me by the Testatrix and subscribed and sworn to before me by both witnesses, this 23rd day of July, 2004. Ncj~ary P~fl.ic SAIDIS SNUFF, FLOWER & LINDSAY ATTORNEYS•AT•!AW 2109 Market Street Camp Hill, PA ~Aerriber, ~ of Na#ries 6