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07-09-10
PETITIG~T FOR PRQB~iTE A~1TD GRA.'~'T OF LETTER REGISTER OF ~'v'ILLS OF COt~iT~', PE~"~iS~"LV:~~TI.~ Estate of f(' ~ ~ • ~ I ~r also known as Deceased File i~lutnber ~'- ~ ~ ' U ~JC (l 1 Social Security Number _ ~ 1 ~ ~~ ~' ~ ~a""~ Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (CO;~LPLETE 'A' or 'B' BELOW:) ~r`l • A. Probate and Grant of Lttet''ters Testamentary and aver that Petitiorer(s} is /are the . _,.._ d named in the last Will of the Decedent dated N 0~/ ~ b , a2~b~ and codicil(s) dated e -.--.--T.. (Stele relevant circwnstances. e.g., renunciation, death vjexecutor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the insttvment(s} offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B. Crant of Letters of Administration (ljapplicable, enter: c. t. a.; d.b.n.c.t.a.; pendente lire; durnnte absentia; d trte nrinoritntef `~ .~.. Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followi e (if any and hei( Adntutistratiott, c. t. a. ord. b.n.c.t.a., enter state of Will in Section A above and complete list of heirs.) ~ ,! ~+~~ { Name Relationship _ _ t>c"~ '^°i i-=~i . ~ c ~:~ , (COh1PLETE LYALL CASES:) AUaclr addi'tio~itrl sheets if necessary. '~ ced nt was don i fled at death in ~b-~,~ Cou 'e nsyly~ is witl~h's /her last principal resi ce at r 4.. 1 Q..ti,?V't ~.,, L ~ r.,p (Lists eta dress, tow~dcit"y, t ns p, coweh~, state, zip co ej ~~,~~ ~y~d ~1©, r ~ ~ '~ ~i~„~,' Decedent, then ~ J years of age, died on ~ rlot at 5 ' ~ P ~'- Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ ~ ~i ~0 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ t ~~- ~D~ situated as follows: ~ ~p.,V.9V i` ~„ p„d ~ ,Q.,al`S +` 1.~~' 1~ • ~ ~ ~~ _- --~ _' Where Fore, Petitioner(s) respectfully request(s) the probate of the last W ill and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Signature T ed or rint~d name and residence Foru~ R6V-0? rtn-. to.l3.06 Page 1 of 2 Oath of Personal Representative CO~I~~IGN',VE_aLTH GF PLN'NSYtVAVL~ SS COI,'NTY'OF (~,(ltl~fr~1~~ , The Petitioner(s) above-named swear(s) or affirnl(s) that the statements in the foregoing Petition are twe and correct to the best of the knowiedg~ and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(s). will well and tvly adglinister tl~ estate atveording to law. ~. . , ,_ _ L :Swat to ar~~ffirnre~ aiad subscribed ~.befi~ m~ ~E :..~~~ day of .~1 ~. ~~~I -. For the Re 'ste /r, ~ Signature of Persona! Rzp,•esentarive Signature oJPersonal Repruenta;ive Sig,tatu,•e of Perso,ra! Rzpresentative File Number: ~- `~ Q-~,,Q. Estate of ~7 ~ CQ 1,.. ~ ~~ , De ~s ~. 3 C""3 ,. © ,~.. lr ten, Social Security Number: ~ ~ ~ ' a ~ '-(.1 L'~~l Date of Death: l1 - ~ ~ ' ~ d ~. AND NOW, .~ [t~ ~,I ~{ , ,~b , iu consideration of the~fo.~re,~going Petition, satisfactory proof • having been presented before me, IT IS DECREED that Letters ~~j„~1~1~,,$ /'~.ru ~ ~/ are hereby granted to ~p If-rL j (\/- . in the above estate and that the instrument(s) dated __ I 1 - (Q - ~ Q Q ~ - described in the Petition be admitted to probate acid filed of record as the last Will (and Codicil(s)) of Decedent. . _. ^q FEES •: ~ w Letters ............... $ 7 ~ Regiuer of Witlsp~,,.~., ~~~_ Short Certificate(s) ........ $ Attorney Signature: ,~ Renunciation(s) .......... $ ~ _ ~ ~ ... $_~3 - ~ ... $ ... $ ... S ... $ ... $ ... S TOTAL .............. S Attorney Name: Supreme Court I.D. No.: Address: Telephone: r,,,~,,, R~vr1~ rrv. iu.~3.u~ ~ Page 2 of 2 - H105.805 RT'V (Ol/Q7) LQCAL REGISTRAR'S CERTIFICATION ~F DEATH WARNING: ft is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 This , ~s >to certify that the information here .given correctly copied from an original Certificate of Death '_ duly filed with me ;as Loeal Registrar: The original certificate will be forwarded to the Mate Vital • Reco s Office f ent f ling. P 1648763 ~ ~~' Certification Number al Registrar ~ Date Issued • c ., , t~ : ~ ~~'" ttteN.~a Aw ttaaoN 4hp1AMONMrEALTti o~ P~p~6XLV#11U1 ~ D~AW7~~IT 0/' HEAD TH • t~1'rJU.,R~COFIDS ~` ,~, TrpE l Harr N+ _ ~ .... Q ~~ rte': (s« INatructloNbs tNlIN) ~NCaNNNpMs tan iw.n.) BTATtE t~ t - ~~ t.Neteea (~nt,gbitM, wc.uNd s. ~« ~. sally Muu6er ~, oel, a oerb are>rn, Bye C lto~'.t~y Mace ' T7 _ 24 _ 61.2 t :June- i B, zP 10 tr. 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HOLTRY, presently residing at 111 Newville Road, Shippensburg, Southampton Township, Cumberland County, Pennsylvania, 17257 being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all Wills by me at any time heretofore made. FLRST. I order and direct the payment of all my legally enforceable debts and funeral expenses as soon as may be convenient after my decease. SECONTI. I give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever situate, to my beloved wife, NAOIViI M. HOLTRY, absolutely. THIRD In the event that the said NAOMI M. HOLTRY should predecease me or is not living an the 60~ day following my death, I then give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever situate as follows: A. I give, devise and bequeath the grandfather's clock in my home and any guns, rifles or shot guns, jewelry, watches, and other personal effects that I may own at my death to my son, LARRY B. HOLTRY, absolutely. B. I give, devise and bequeath any jewelry, rings and other personal effects formerly belonging to my wife, NAOMI MAE HOLTRY, to my daughter, MELODY M. DAVIDSON, absolutely. C. I give, devise and bequeath all the rest and residue of my estate of every nature and wherever situate to my children, LARRY B. HOLTRY and MELODY M. DAVIDSON, in equal shares, on a per stirpes distribution basis FOURTH. I nominate, constitute and appoint my wife, NAOMI M. HOLTRY, to be the Executrix of this my Last Will and Testament. In the event that she be unable to fulfill the duties of Executrix, I then nominate, constitute and appoint my son, LARRY B. HOLTR'Y presently of 5241 Molly Pitcher Highway, Chambersburg, Franklin County, Pennsylvania and MELODY M. DAVIDSON, presently of 194 Beach Tree Street, Shippensburg, Franklin County, Pennsylvania or the survivor thereof, to be the Co-Executors of this my Last Will and Testament. .~r FIFTH. I direct that my personal representatives shall not be required to give bond for °~, the f 'th~l performance of their duties in any jurisdiction. .mac ~' Q cr .,~ (SEAL) ~- N WEIGLE & ASSOCIATES, P.G. -ATTORNEY'S AT LAW _ 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 SIX'T'H. I direct that any and .all death taxes which become due and payable upon my death sha11 be paid out of the rest and residue of my estate. IN WITNESS WHEREOF, I, BRUCE L. HOLTRY, have hereunto set my hand and seal to this my Last Wi11 and Testament, written on two (2) pages, the first page signed for identification only, this day of ~~~~n~,ez, , 2008. (SEAL) This instrument was by the Testator, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses... WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, BRUCE L. HOLTRY, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instnuent as my Last Will; that I signed it willingly; and that I signed it a~s my free and voluntary act for the purposes therein expressed. ,7~„~.~, zip Sworn or affirmed to and acknowledged before me b UCE L, HOLTRY, a Testator, this day of , 200 . ~f~~~s ~, We~f®~ N~euy Public ~ipPa~~r9~ P Cumbe+~e~'r~ ;~urrty Ay Commission Expires C?~~'~~ "`~,~ ', 2010 WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHiPPENSBURG, PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We, ~ a 1`-~J`+2.~ -~C ,, ~ and_~~~~_t .,$~~~ ~ ~Q.~_ ,the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw BRUCE L. HOLTRY, the Testator, sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator, signed the Will as witnesses; and that to the best of our knowledge the Testator was ax the tune eighteen (18) or more years of age and of sound mind and under no constraint ar undue influence. Sworn or affirmed to and subscribed before me by r- ~~, r~s ~a8y of Zoos. NOTARI-- ~ 5~'_--- - Jerry q, Weigle, Pc'~~ Public _. ~~P~nsburg, PA Cumberland ~~ MY ssion Expires ~t~ber 7, 2010 WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397