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HomeMy WebLinkAbout08-20-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF ,~,~,~ V)~ ~ ~~~ COUNTY, PENNSYLVANIA Estate of ~JCh~C'. ~ ~ ~ o `,~`t L ~ File Number ~~~'~/y ~ ~~ a so sown as Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (CONtPLETE A' or B' BELOW.) Deceased Social Security Number ~ ~ ~' ~ ~ - ~~6~ ^ A. Probate and Grant of Lette~s~Tl tamentary and aver that Petitioner(s)/ are the ~ K e- ~-''~ ~ O ~ last Will of the Decedent dated G ~J~Z'o ° fe and codicil(s) dated named in the (State relevant circumstances, e.g., renunciation, depth of executor, etc.) Except as follows, Decedent did not marry, 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: ^ B. Grant of Letters of Administration (tJapp[icable, enter: c.t.a.,- d.b.n.c.t.a.; pendente lite,- durante absentia; durante minoritate) Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (ifauy) and Heirs: (If Administration, c. t. a, ord.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) C7 `~ _.~ Decedent, then ~ ~ years of age, died on ~ ~ 3 ~ 2 0 l o at ~l- av~p a ~0.~~ ~ u e S`~ „~ S ~ p t„~~ Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania situated as fo $ S©tddv ~~ 1,Z0 Form RW-02 re,~. /0.!3.06 Page 1 of 2 _, ..-- (COMPLETElNALL CASES:) Attach additiatal sheets if necessary. ~ ~ -'~ .> ~'> Decedent was domiciled at death in ~""'^~' a` ~`~-`'"~` County, Pennsylvania with his /her last principal residences , ' '72S `~~^~°S~a he ~ c 1. S~ $ow~c~. i~.i~~~o,r~ f C~-*tib~rl0.r.c~ Pal \`i 0 ~S (List sh eet adds css, town/cuy, township, county, state, ztp code) Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with [his Petition and the grant of Letters in the appropriate form to the undersigned: Oath of Personal Representative COMMONWEALT OF PENNSYLVANIA SS COUNTY OF The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and con•ect to tl:e 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 re me the subscribed day)) ~~ofll ~/U Signature of Personal Representative Signature oJPersonnl Representative ~- ~ ~ ~ ~,,, - ~~ ~ , °:~, ::~ rn ~~ ~_ , c~ ~ - ~ n c ~-y __~ ~; ~~~ • (~ ~ Date of Death: ~I,GJ ~O'~tkY/ ~ - /~r t~ Register File Numbe Estate of Social Security Number: ~`7 /~ AND NOW, having been presented are hereby granted to _ ~U ~ 1 ~'', IT I DE RE !- ~ ~ ,that Letters 1 and that the instrument(s) dated_~~d~~ (~T described in the Petition be admitted to probate and filed of FEES Letters ............... $ ~'O ~- Short Certificate(s) ........ $ ~" Renunciation(s) .... .... $ ... $ i ~~ $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ecor a the~t Will n ,~(~ Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: of the foregoing Petition, satisfactory proof of in the above estate of Wills Farm RW-0? rev. 10.13.Oh Page 2 of 2 UlS.iU~ k~.V 101/(171 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 16535413 Certification I~lumber l~ ~~ This is to certify that the information here given i correctly copied from an original Certificate of Deati duly filed with me as Local Registrar. The origins certificate will be forwarded to the State Vita Records Office for permanent filing. ~..~irL ~~t-e-~ac!~~D.~t-a~ AyG 4 /201_0 Local Registrar Date Issued rtlosla3 REV 11/1Wh COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS TYPE /PRIM w ~K ~ CERTIFICATE OF DEATH (See inetruaxbne and examples on reverse) J {'~ n.~ Q -ri . ~ 0 a~ -r r .:-~ 'D C r^-; ' _~ '. ~7 _ .~ ~ ~ 1G-' T 7 ~~t'r1 -~ ~ ~ ~7 "'U _ ~ -/ ~-- _~ - - i '~~ CJ ~~ ~~ 1. 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Rsdmefe - ~ I ~ I I' I <2 I I I O I 3& Dw Fled (Maas, day, yeaA ~ /x~/ S4- f~~: ~h~.' r~` - L?-~PLeS[,C } ~ , Dlsprlda PemM No.. `. 0_~' I ~`i'S' \ 1 LAST WILL AND TESTAMENT OF KATHERINE GOLLICK ZQI~ ;~Ua ~ 0 P~? IZ~ O:s /~ J~~i CLtRi{ ;Jc ~`' I, KATHERINE GOLLICK, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. SECOND: It is my desire that, upon my death, I be buried at Arlington National Cemetery beside my husband. THIRD: I give the sum of Four Thousand Dollars ($4,000.00) to the Marist Brothers of the Schools, in Laredo, Texas, for the care, maintenance, and needs of MARVIN GOLLICK, if MARVIlV GOLLICK survives me. FOURTH: I give the sum of Three Hundred Dollars ($300.00) to BRIAN EDER, if he survives me. FIFTH: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: A. I give 40 percent of my residuary estate (the FIRST SHARE) as follows: (a) If KAROL CHANEY survives me, to KAROL CHANEY. (b) If KAROL CHANEY does not survive me, I give the aforesaid 40 percent of my residuary estate to the other beneficiaries of my residuary estate, in proportion to their interests under this Article FIFTH and subject to the provisions of this will. B. I give 12 percent of my residuary estate (the SECOND SHARE) as follows: (a) If CHRISTINA LITTLE survives me, to CHRISTINA LITTLE. (b) If CHRISTINA LITTLE does not survive me, I give the aforesaid 12 percent of my residuary estate to the other beneficiaries of my residuary estate, in proportion to their interests under this Article FIFTH and subject to the provisions of this will. C. I give 12 percent of my residuary estate (the THIRD SHARE) as follows: (a) If WAYLON TRIMMER survives me, to WAYLON TRIMMER. (b) If WAYLON TRIMMER does not survive me, I give the aforesaid 12 percent of my residuary estate to the other beneficiaries of my residuary estate, in proportion to their interests under this Article FIFTH and subject to the provisions of this will. D. I give 12 percent of my residuary estate (the FOURTH SHARE) as follows: (a) If BRANDI WOLAVER survives me, to BRANDI WOLAVER. (b) If BRANDI WOLAVER does not survive me, I give the aforesaid 12 percent of my residuary estate to the other beneficiaries of my residuary estate, in proportion to their interests under this Article FIFTH and subject to the provisions of this will. E. I give 12 percent of my residuary estate (the FIFTH SHARE) as follows: (a) If AMANDA CHANEY survives me, to AMANDA CHANEY. (b) If AMANDA CHANEY does not survive me, I give the aforesaid 12 percent of my residuary estate to the othet~ beneficiaries of my residuary estate, in proportion to their interests under this Article FIFTH and subject to the provisions of this will. F. I give 12 percent of my residuary estate (the SIXTH SHARE) as follows: (a) If AMBER CHANEY survives me, to AMBER CHANEY. (b) If AMBER CHANEY does not survive me, I give the aforesaid 12 percent of my residuary estate to the other beneficiaries of my residuary estate, in proportion to their interests under this Article FIFTH and subject to the provisions of this will. SIXTH: If none of the beneficiaries listed in paragraph FIFTH survive me, I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death to the Marist Brothers of the Schools in Laredo, Texas. SEVENTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of twenty-one (21) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article EIGHTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. EIGHTH: I appoint KAROL CHANEY to be my Executor. If KAROL CHANEY shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint CHRISTINA LITTLE as my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. NINTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. TENTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. This document was prepared under the authority of 10 U.S.C. § 1044 and implementing military regulations and instructions, by Captain Joseph Krill, United States Army, who is licensed to practice law in the State of Pennsylvania. IN WITNESS WHEREOF, I, KATHERII~ GOLLICK, si my name and publish and declare this instrument as my last will and testament this ~ day of , 2006. ' > KATHERINE GOLLICK The foregoing instrument was signed, published and declared by KATHERINE GOLLICK, the above-named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date above written. ~+ ~~ ' .~ ka.,r, N,e~, v~ ~'. v s~ ~ ~l~° '7iL having an address at s ~ ~~ ~ , ~~ having an address at r'~I,G~Z / 7~ ~J - ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. We, the Testatrix and the witnesses, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix, KATHERINE GOLLICK, signed and executed said instrument as her last will and testament in the presence and hearing of the witnesses, and that she had signed willingly, and that she executed it as her free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request of the Testatrix, in the presence and hearing of the Testatrix and each other, signed the will as witness, and that to the best of his or her knowledge the Testatrix was at the time at least eighteen years of age or emancipated, of sound mind and under no constraint, duress, fraud or undue influence. G~ , ~.~.G ..-'rJ..-~ KATHERINE GOLLICK Testatrix ,~ mt: y~1 ~E~rl~i Witness a ~. print: ~l~f'!¢ /Q . ~~ T Witness Subscribed, sworn to and acknowledged before me by the said KATHERINE~~.,LICK, Testatrix, and subscribed and sworn to before me by the above-named witnesses, this day of 2006. No Public My commission expires on ~2'J~, /~ ,ZOa 9 COMMONWEALfN OF PENNSYLVANIA Notarial Seal Betty S. Kistler, Notary Public Carlisle Boro, Cumberland Courriy My Commission Expires May 14, 2006 Member, Pennsylvania Association of Nptarlss