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HomeMy WebLinkAbout08-27-10PETITION FOR PROBATE AND GRANT OF LETTERS REGISTER OF WILLS OF COUNTY, PENNSYLVANIA Estate of _ (~(/~~ ~ ~ /~4it r~ File Number ~I ' ~V ~ ~ LI ' y `~ also known as // ,Deceased Social Security Number ~ ~ I ~ 03 ~ C ` ~~ Petitioner(s), who is/aze I8 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ~A. Probate and Grant of Letters T tamers ary and aver that Petitioner(s) is J orathe ~~~~~ named in the last Will of the Decedent dated / ` "dad codicil(s) dated (State relevant circumstances, e.g., renunciation, death of executor, etc.J Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the itt~trument(s) offered for probate, was not the victim of a killing and was never adjudicated an incapacitated person: ^ B G ev ea rant of Letters of Admmts~rauun (Ijapplicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lire; durante absentia; dr~a' Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followin~ Administration, c.t.a, or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ Cif r-.-, inor 'i i ~tate)y~, ~! ', ~any~td heif9"?(;l tJNV r i ' ~ T -~•'.._ 7 Name Relationshi ~ R ' ^p _ , ~r -s (COMPLETE INALL CASES:) Attach add' 'onal sh/eet~s i~f~necessa~y. Decedent was domicile t death i~ ~-~/~'"~'*'~ County, Pennsylvania wit~,his /-her last rincipal resiQienc at (List street address, town/city, toownship, county, stare, zip code) Decedent, then ~ C years of age, died on ~ L ~y/O L at ~or- l a~C ~!'p. J''4ti 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 follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letteris in dhe appropriate form to the undersigned: ', Si nature T d or rioted name and residence fL' G~'/~c ~,'~ l~~Tsvir /l~ .~- / 7,~~ Form RW-0? rev. 10.!3.06 Page 1 of 2 -1--- _~ -r Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA COUNTY OF SS The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true an¢ correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) wjll well and truly administer the estate according to law. ~A /v( Sworn to or affirmed and sybscribed befo me the,~^ day of Fort c Register Signa a ojPersona! Representative N Signature ojPersona! Representative a .I7 A i 't`: ' J C t~, t_7 SignatureojPersona!Representative ~- ~ ` [U - '7 . ~> i, .~.'. C19 ~+d ~ f i ~ ~'~ c'~ File Number: ,~/~ ~~ "(' ~d ~ a ~ ', w ~ ~ pj ~ Estate of __ ~u-C`FA' J~`` _ ~r /'Ol .Deceased Social Security Number: ~ ~ ~ 3 l6 ~ ~ Date of Death: l Z r Y ~ ~I-„~ AND NOW, /O in consideration of the foregoing Petition, satisfactory proof having been presented befgrp me, IT~ ` /~~;F~ ~thay~ Lette ~ are hereby granted to l•~~'l/L~~ j ./,.Gi~', __ _ _ ', and that the instrument(s) dated described in the Petition be admitted to in the above estate and filed of record as the last Will (and~Codicil(s)) of Decedent.'', . ', _ FEES UU Letters ............... $ U. Short Certificate(s) ........ $ , oa Renunciation(s) .......... $ ~" ... $ OU ... $ 5.da ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ ~fS S a Farm RW-01 rev. lU.I3.06 v Register ojW' s Attorney Signature: Attorney Name: j Supreme Court LD. No.: '~ Address: ', Telephone: Page 2 of 2 i _J ~_ in5,gn9 Rcy m~~n7~ - _ - _ __ __ ~-, ~ _ ___ _._ 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 1932740 Certification. Number This is to certify that tt~e information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forVvarded to the State Vital Records Of"fi~ce for permanent filing. Local Registrar ! Date Issued ++;, +~ co~oN~Afni of nv~u~u- • n~am~rEHr of M~-~rn • virAi. RECOrtos CERTIFICATE OF DEATH re.. Mrln -° ,,,,, .- ------ -- - --- -~ - $ v rv o ~~ ~ ~ ~ . C G7~". ~, ~ G., ~~ rJ C •:, . 7 Ci . ~ 1.IMird O~e~~IMrt aIllt lrL rbp - aer s1Alt ra.t nUr aaew Mu1P14iMr eE71 I.ob alprl~ at1••A It wr 201- 03 -1 163. Deem er 4„ 2009 a+~MR++r~al r~ urr~ a a ~. rtlwMx r... '". „ „` a ,.Ploaar~ Wartin ton Twp, u°'°rt °,,,~ 89 ~ ra, Dec. 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Myyr waKf 87f. ~fltnrnr,n Mjry fehMhl ~.lae/r aMY.y 18IrL bY~ rrd ^ara. ^arreawrmaa ^n. ^IM ^o~tv~60.ror ^vwgr ^pwMr -~ ~, ar. aarleraca+raw &p • +~aMArMl+ar~ra~Mao.~aa.nwrn.cu.an~.M~rtraoruc.aaanwm~gwlarrzp f16 rw rd7i wrrwawMwMy+wra.wrrrw...r)gwrwrrrrt.-°--°--°- ^ ~ -------------- • ^~Yw•aF~tM+ArhMtM+M~M -----. rar.~ISr~wa.rri aa..ae~rp g ~ wlirlria w rwMMa wr~..e.~w.e r M rr, w IMr, w er r a •ry.) w w.wr r.YM{, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ • IYiIl - ae ua«wraew JId ~: r.Yar/Ltirr 0•l~MrM M.errrwlaMwlyAp~M~rwY+w+w~amwrrhlYiS draw pMer,wNrrwar~)w wwNrr wNl ^ .2 ' r ' / t~ Kr (! tl lY w m mr . i r~a M+n Crp~Ml Crwaorli lMS~27) i ' 30 /~ ~ 6 _ ~YOr~Mn Prmllb ~ ~-t~o3~r ~.. ?. 5 ~ , .: I ~ixst 3~i11 mca C~esYxn~ent OF WALTER A. LAIRD I, WALTER M. LAIRD, of South Middleton Township, Cupmb~erland County, Pennsylvania, do hereby make, publish and declare Ithis to be my Last Will and Testament, hereby revoking any and a'll~iformer Wills by me at any time heretofore made. 1. I direct the payment of my just debts and funeral'I expenses as soon after my death as will be convenient to my Executor, hereinafter named. 2. I give to my son, RONALD M. LAIRD, my gold pocket watch and my diamond ring. 3. All the rest, residue and remainder of my estate ,, of whatsoever nature and kind, and wheresoever situate at the~time of my death, I give as follows: (a) One-half to my son, RONALD M. LAIRD, c ~© if he survives me for Thirty (30) days and if not ~~ z ILa~~ to his children who survive me in equal shares; ~ ~' "~C7~ (b) One-half to my daughter, CYNTHIA R. IAA ~ ~' ~ -„~ LAIRD, if she survives me for Thirty (30) days '~ ca and if not to her children who survive me in equal shares, if any, and if none, to my grandson, JEREMY SEAN LAIRD. -~ ;-, c:7' 1 .'1 ,- -~ _~ ~. l ~:~~ ~j _, -...~ _ .: - 1 - 4. I nominate, costitute and appoint my son, RONALD M. LAIRD, to be the Executor of this, my Last Will and Testament, provided he is able and willing to so act, and should he not be ab~.e or willing, I appoint my daughter, CYNTHIA R. LAIRD, to act 1s such Executrix in his place and stead. IN WITNESS WHEREOF, I have hereunto set my hand and deal this ~~ ~~ day of , 1982. a.„,~ ~ ~ i (SEAL) a er A. L ird Signed, sealed, published and declared by WALTER A. I}AIRD, the above named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request, in'ihis sight and presence and in the sight and presence of each other, have hereunto subscribed; r names asr--w~/i}tnesses . t,, 1 1--5~ 1 J -H'~~ ~~17r~ ~~ ~ • - 2 - COMMONWEALTH OF PENNSYLVANIA ) SS.. COUNTY. OF CUMBERLAND ) I, WALTER A. LAIRD, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that ~ signed it willingly; and that I signed it as my free and voluntary act for-the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by i~ALTER A. LAIRD, the Testator, this 16th day of December 1982. e COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ,.votary YUAllC NOTARY PUBLIC Carlbk, Cumberland County ) it Cwomissian ~« March 26r 198!`- . SS . . We, JAMES D. FLOWER and JAMES D. FLOWER, J~.2. , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will; that WALTER A. LP~IRD 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 at that time 18 or more years of age, of sdulYd mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by J~MES D. FLOWER and JAMES D. FLOWER, JR. , witnesses, this 16th day of December , lgg2. s Notary Public NOTARY PUBLI~ Carlisle, Cumberland Couely _ 3 _ Ny Commission Exp6a dAarcb 26, 1985 I ~i