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HomeMy WebLinkAbout08-20-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ~ ~A' 1t Estate of ~r ~ ~ ~~ \\ ~ " v ~ V ~~ ~ also known as `~~i,],~ e~~. .~ C'1 C, ~.. .Deceased _ COUNTY, PENNSY~,VANIA File Number ~L! ~~ r ~ U~ Social Security Number ~©I ~' ~ ~ ~ ^I ~ l Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ~ t '~ ~~ T~ {w~' iS A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~ E7~V~- ~ i ~~ -4NT LS named in the host Will of the Decedent dated and codicil(s) dated (State relevant circumstances, e.g., renunciation, death of executor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after executiptj of ~~ ~.` was not the victim of a killing and was never adjudicated an incapacitated person: for robate thb insttuieurtt(s) offered o ~~ ~ __. _ ~ p , _ __ ~ ~ y~ €r„ ~ Grant of Letters of Administration ^ B r~+- ~ h3 4 ~ ~1 ~e ~:~' . (lJapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lire; durance absentia; C Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followtn~g Administration, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ ', ornate "~ ` (if air~jand hems ~ ~. , 3'r~ Name Relationshi Re ide c " `' ' ~ y. (COMPLETE CN ALL CASES:) Attack additional sheets if necessary. ~ YV S ~ ~ ,r O W /.15 r11 r ~~~t- P ppecedent was domiciled at death in ~~ U v-1(3f /L LIB h ~ County, Penns lvania with his /her last rind (re~i~ence at C~v ~.ptN Lt tl t Nc~ n~-.s-cc=r~. 'Z~d Pc~P~A ~ Church i~t~n l+~ 1~ -7vtS (List street address, tow~r/city, township, county, state, zip code) //~~ //'~+r Decedent, then ~ ~ years of age, died on ~,~~at (9 (9 LbG l~ Ll V t N h t.. ~~ 1 ~ ~' 7 ~t~ P~P~ ~r Chi.-cM , Cr4-^n P h4-l 4 t Q~4 - T d 1/ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) of to Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as $~ aa~t ~~ $'', $' Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of l.ett~r9 in the appropriate form to the undersigned: ~I _ c~o„a~„~. Tvped or printed name and residence ~I (,~ ~G~AN 6 M ~N~ s ,~' C'~~-~l~ ~iz~,,~, Fong RW-02 rev. lo.li.o6 Page 1 of 2 __ _ ~ i_ 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 alnd 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 be re me the Ofd day of ~l ~ F~ r the Register Signature ojPersonal Representative o :2) ]~ [`~-i '-''3 C r;- ~ ") G"7 C:% ~ TJ N ~-4 t.; File Number: 1C.~^ ~ y U ~lv T c"J O aa• C~' t ~~ -1-i ~ __ -_ ~Q f-- ~ J Estate of 1! ~~ / I T ~ ~ t L~., \I ~ ~~ =` _ ~,~~ Socniarl uri ber: C~ I "~ ~' - (~ ~ 9 Date of Death: ©~1©~ ~~ U / d ~ a AND NOW~1 ~tO > , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters '~l' ES TA-N1EN?'i42~V are hereby granted to ~DO{LI~ ~ , YV( i4 >`lT't S l7 ~j4VU [~ , {'Y~j4 /l/7-15' J ! _ ___! _ _ _ in the above estate and that the instrument(s) dated described in the Petition be adm FEES probate and filed Letters ............... $ Q~ Short Certificate(s) ........ $ • ~ ~ e un iation(s) .......... $ $ D6 ... $ 23.Sa ... $ sow ... $ ... $ .. $ ... $ ... $ ... $ TOTAL .............. $ the last Will Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Codicil(s)) of ece~e ~. Register of Wills Farm RW-0? ,•e~. lu.r3.o6 Page 2 of 2 )OS.ROS RF_V fpt/p7~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate,. $6:00 'Phis is to certify ~at the mrormanon Here given, is correctly copied fr .man original Certificate of Death duly filed with and as Local Registrar. The original certificate will b~ forwarded to the State Vital Records Office. for' permanent filing. P 16588082 Certification Number a ~~ ~ ~ Local Registrar Date .Issued c~ ' .._ _ a 17r ~r ~ _ .r ~^ T~ . _..~ _.__ , `tom ` ,~ ~ ~ ~ ~ (~ fir ~~i'~.~ ....~ P.:J ~ w~ a,rd411maoA COMlONMffALTN OF PENNSXLYAlUA • GEMARTMENT OF HEALTH • VITAL RECORdS -••• < ~~ ~- ~ 4 ceRnFlC~TE ~ o~-ni . ``' rs.. x,~ttouot,. ^taxdNaaa. «t ~.rr..- .~.~ a~~..a.~ 1. NwdOtri~tpYd. ~Mla NN, ro a E~ a ~odr Bbu1r NuMa <. or. Betty J. Willey. Bemale 201 _, 18 _ 1849 Au d A~ aY. 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', r . , .r LAST WILL AND TESTAMENT I, BETTY JANE WILLEY, of 512 North Front Street, Wormleysburg, County of Cumberland, Pennsylvania, do hereby make, publish, and declare this to be my LAST WILL AND TESTAMENT, revoking any and all p~ipr wills and codicils, in manner following, that is to say, FIRST, that I direct that my Personal Representative shall pia X11 of my just debts and funeral expenses as soon as this shall be practicable'. SECOND, that upon my death, I give and bequeath all of mty ~r, operty, real, personal, and mixed, to my sister, DORIS J. MANTIS, and h~rT sband~, _,.. DEAN G. MANTIS, or to the survivor of them. ~t~ ~ ~ ~,',~, rn €~ ~~-; THIRD, that if both DEAN G. MANTIS and DORIS J. MANTIS '~- ~~ ~ predeceased me, then I give, devise and bequeath all of my proper ' $al, © = ~ _~ ;- personal and mixed to the following beneficiaries in accordance w~tl~ ~.he '"' ' following percentages: a. I give and bequeath Twenty-five Percent (25%) of rdylnet distributable estate to DEAN G. MANTIS III and JESSICA MANTIS. b. I give and bequeath Twenty-five Percent (25%) of my net distributable estate to GUSTY MANTIS. c. I give and bequeath Twenty-five Percent (25%) of my ~~t distributable estate to DIMITRI MANTIS. '~ d. I give and bequeath Twenty-five Percent (25%) of my $~~t i distributable estate to CONNIE and DAVID LAMBERT, or to the sur~ilvor of them. _ _. ., '- ~~ FOURTH, that I hereby appoint DEAN G. MANTIS and DORIS' MANTIS as the Co-Executors of my Estate. If either is unable or unwilling to perform in this capacity, then I appoint the other as Executor. If both are unal~~e or unwilling to perform in this capacity, then I appoint DEAN G. MAN'I~I~ III and JESSICA MANTIS as the Co-Executors. If either is unable or unwill~r~g to ~,~ perform in this capacity, then I appoint the other as Executor. I dir~~t that my Personal Representative shall not be required to post bond in this o~ ~n any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and ~e~~ this 29~ i day of July, 2002. L~.t_~ ', WITNESS T ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN I, BETTY JANE WILLEY, testatrix, whose name is signed to th'~ attached or foregoing instrument, having been duly qualified according to l~v~, ., do hereby acknowledge that I have signed and executed the instrument as my I'~,Last Will and Testament; that I signed it willingly and that I signed it as my fne~e and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by BET'f~i' VANE WILLEY, the testatrix, this 29~' day of July, 2002. ', q~ ~ ~U BETTY E WILLEY TAR PUBLIC - - P. BoMO Nollry PYblk 1dy C~~ Jen. 2"l, X006 Manoer, PlOnnsMvdnia Aston d Nok~s AFFIDAVYT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN R~ ~ `v WE, CHARLES E. PETRIE and DEAN G. MANTIS, the witness~~ whose names are signed to the attached or foregoing instrument, being du~y~ qualified according to law, do depose and say that we were present and save tlestatrix sign and execute the instrument as her LAST WILL AND TESTAM~I~pT; that BETTY JANE WILLEY signed willingly and that she executed it as'h~r free and voluntary act for the purposes therein expressed; that each of us in ',the hearing 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 a~g~,, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed before me by CHARLES ~. PETRIE and DEAN G. MANTIS, witnesses, this 29~ day of July, 2002. TAR PUBLIC P. Beef f~e11e ' , \ ~~!- C~iion ,fen. 2T. X006 ~ Manber, Pew Assoc~etlonot tvaieutes