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HomeMy WebLinkAbout09-09-10PETITION FOR PROBATE AND GRANT OF LETTER REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Estate of Emilie S. Replogle also known as FileNwnber ~l ~t~' d 9~~~ Deceased Social Security Number 211-18406 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) ~A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the t~~C -e. C [w ~ art named in the last Will of the Decedent dated and codicil(s) dated (State relevant circransta~eces, eg., re~aurciatiion, death of exeerdor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instnumertt(s) offered for probate, was riot the victim of a killing and was never adjudicated an incapacitated person: © B. Grant of Letters of Administration (IfappNcable, enter: c.ta; db.n.c.t.a; pendente life; drvmrteabsentia; durantentynorhate) sw Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the folio us$ (if '~any~d heirs: (~ Administration, c.t.a. or db.n.c.t.a., enter date of Wilt in Section A abo-~ and complete list of heirs.) ~', °~ ~ --j to „~' ur ~.~.: ~ . D ~ `~~ Q (COMPLETE I1V ALL CASES.) Ausck additional streets iJ'trecessary. ~ Decedent was domiciled at death in Cumberland Cotmty, Pennsylvania with his /her last principal residence at 336 Messiah Circle. Messiah Village Mechanicsburs. PA 17055 (List street address, town/city, township, county, state, zip code) Decedent, then 86 years of age, died on Se>~em~' 2, 2010 ~ Messiah Village Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property S 4,500.(10 (If not domiciled in PA) Personal property in Penmsylvania $ (If not domiciled in PA) Personal property in County S Value of real estate in Pemnsylvania $ situated as follows: Fo~Rw-o2 rev. ro.ls.o6 Page 1 of 2 Wherefore, Petitioner(s) respoctfully request(s) the probate of die last Will and Codicil(s) presented vvidr this Petition and the gent of I.ettets in the appropriate form to dre rmdersigted: Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA //~~ SS COUNTY OF ~~/n91.P9 ,~ The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the lrnowledge and belief of Petitioner(s) and that, as personal representative(s) of the Deceder-t, Petitioner(s):will well and truly administer the estate according to law. Sworn to or affirmed autd sobxribed before me the ~ day of ,~0 For Register Sig-wtrve ofPersannl Representc#ine SYgmteve of Persono/Rep~rsenlativr t ~,- t0 ~ ~;e a ~- _ ~::~: File Number. ~~"~~" /J 9Z7 _9 ' p ~~~ Estate of Emilie S. Replogle ~ Social Security Number. 211-18-4405 Date of Death: September 2, 2010 AND NOW, ~ ~,, o in consideration of the foregoing Peti~imn, satisfactory proof having been presented me, D C D at are hereby granted to and that the instrument(s) dated described in the Petition be admitted to FEES m me aoove estate and filed Letters ............... $ ~ ,U °" Short Certificate(s) ........ $ . Q° ens iation(s) .......... $ _ _ .. $ .ate ... $ 23.56 .. $ ,eve ... $ ... $ ... $ ... $ ..$ ... $ TOTAL .............. $ x.50 ~ Form RW-02 rev 10.13.06 as the last Will Attorney Signature: Attorney Name: Codicil(s)) of Deced~t. Register Supreme Court I.D. No.: Address: Telephone: ~~ ~~ Page 2 of 2 __ H~os.aos [sEV (oirov~ l ~! /O ~ ~~ LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy ay photostat or photograph. Fee for this certificate, $6.00 P 16644063 Certification Number This is to certify that the information here given is correctly copied frpm an original Certificate of Death duly filed with m6 as Local Registrar. The original certificate will b~ 'forwarded to the State Vital Records Office fot permanent filing. b Local Regis Date Issued ~ ~ ~ t _ ~ ~ ~ Z 7 Rws,w REV ttJSOa CpMYONYYEAL7M Of PlNNSYLYAI~pA • f1EPARTMENT OF HEALTH • YfTAL RECORDS TYlE/RMtM ~M~c (iiC'~~A~ of DEATM (sN kN$IICi~01N ald Ofl.IWMM) - STATE FR.EN4Ml~R'~,., 1.Mwdpri~r_t~w, rfYn YlrA9 L8r alo2r111~W ZV -4405 ~IILIE S. 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I order and direct that my just debts and funeral expenses, expenses for admi>aistration of my estate and any inheritance and succession taxes; state or federal, upon my estate shall be pjaid afs sgon after my death as may be practical. Third. I give all my estate to my husband. In the event that my said husband sh gce a or-- fails to survive me for sixty (60) days, I give all my estate to my children, if any, who survive e~qualres per stirpes. If I am survived by neither my husband, nor children, then I give my estate' ~ ''~ 'o i to be his/hers/theirs in equal shares or their survivor. ~ ~ ~-~. ,~ _ t~t~ 30. -~r-I Fourth. I nominate and appoint my husband as Executor of this Will. In the eve~t~t t my h>~7ran shall predecease me or fails to survive me or fails to serve as such Executor then in such ev;, nbmm~le and; appoint nwT(`NT R RF.P .o ,r.F. ,Executor/BtGe~tx~tcof this m~ Last V~ and Testament. I further direct that no,appointee hereunder shall be required to give any bond; for the faithful performance of his/her duties. Fifth. I hereby authorize my Executor/~ to exercise all the powers, rights, di~cretions, duties and immunities conferred. upon fiduciaries to the extent permitted by law with full power to sell, lease, mortgage, invest, reinvest, or otherwise dispose of the assets of my estate. I subscribe my name to this Will this 2 5th Day of NOV . , 19 9 ~. . (Sign here) Signed, sealed, published and declared to be her Last Will and Testament by the within named Testator in the presence of us, who in her presence and at her request, and in the presence of each other, have hereunto subscribed our names as witnesses this 2.~ } ~ day of ivnv , 19_9.1-. ~, (1) ~~ of ~,~~,/ y) ~ (State) (2) of (City) ~ (S ate) ®1989 by AFBP. All rights reserved. ~~'.~c~~'t ~f .axe ~'+ a ~Att~~ti~n I sign my name to this, my Will, and being duly sworn, declare that I sign voluntarily for the purposes expressed therein, and am of lawful age, of sound mind and under no undue influence. (Testator) The undersigned witnesses being duly sworn,. each declares that the Testator signed this Will consisting of one page with writing on both sides thereof, at the end thereof, and on each side thereof, in our presence, and signified, published and declared in our presence that this instrument is her Last Will'and Testament, and that at the request of and in the presence of Testator and in the presence of each other and in the presence of a Notary Public each has subscribed his~exname to this Will as witness to Testator signing this 2 `th day -~ , f9-~1-> and to the best of histknowledge Testator is of lawful age, of sound miian~ t~tta~r: gib undue influence. (1~ r' residing at `~j~n--~~ ~~ ~ (2) residing at ~--fir--- (3) ~ i~~ ~ residing at State of P uN^~+YLVANTA County of RLA T R City or Town D n a v T~r_ gpg„~ H~ , p n Subscribed, sworn to and acknowledged before me by the Testator FMTT TF S $FPj,O~T.E and J. KENNETH OVER ___ __ and TORN H OVFR ,and CHESTER R ERB ,the witnesses, this Z~.t<1L day of NOV . , 19~L. ~--~ ,r - (Seal) ' (Notary Public) ~~~ #RAI~N~K ~Q.1M *. dtfMdE1'.IID~M4Y P1~IE t~~no~~~ ~c~~y~ ~~yy~ s_ ~~~~ y,~ ~~/~~,qq W.wt~~J~A~ CA~J l9Jl-. ~c.i, Imo, P~ Irsdrar- d MNrier