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HomeMy WebLinkAbout07-27-10PETITI©rT FOR PROBATE AtiD GR~'~T OF LETTERS REGISTER GF ~'v'ILLS OF COUV 1 Lr~ PE~~iSYL~'.`l~r l.^1 Esta:e of o/'/~"~ 4_ ~ ~ U ~ FileNwnber ~l ~~r~ ~~r~ also known as ,Deceased Social Security Number _ // ~ Y ~ ~ ~ ~ y 5 ~ Petitioner(s), who is/are 13 years of age or older, apply(ies) for: (COi>-IPLE]'E 'A' or 'B' BELOW:) A. Probate and Crant of Letters Testamentary and aver thst Petitioner(s) is /are the named in the last Will of the Decedent dated and codicil(s) dated (Stete releva,t circumstances. e.g., renunciation, death ojexecutor, etc.) Except as follows, Decedent did not marry, was not divorced, and did not have a child bom 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: tN 0 ^ B. Crant oC Letters of Administration (ljapplicnble, enter. e.t.a.; d.b.n.c.t.a.; pendente life; durante absenti a rninorit r~C ~') y ~ C >~ ~wj Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the folly a (if Say) and ~iss." Adminislratiat, e.t.a, or d.b.n.c.t.a., enter date ajWill in Section A above and complete list of heirs.) .-~~. ~ f'!"; ~. ~ r~ -- e ~C7 ^,; Nan:e Relationship ="" (COMPLETE GV ALL CASES:) Artnch additiortnl sheets if necessary. Decedent was domiciled at death in Cu.. t 6C..^ ~~^'~ County, P nnsylvaniawiQt his (her last principal residence at ~ G _ ~/~ilrq~/>L S~rea~ ~ /~~~ / 7~ i~ (Lill sheet address. townlcity, towns/tip, cow,ty, state, zip codej ~ r7dlU Decedent, then ll 6 years of age, died on ~[/ ~ti.?.2 at ~ G .~ ~ C ~~r9 ~ ~ S~r~ ~~ C9 ~ ~'r ~< ~A iar /_3 30 0 oa.. 0 0 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 ' $` 9f X00. QrJ situated as follows: ' Wherefore, Petitioner(s) respectfully request(s) the probate of the last W ilt and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to the undersigned: Si~~nature T ed or rioted name and residence Fora, RdV-Q? re,-. !0.13.06 Pale 1 of 2 Oath of Personal Representative COdI~IONb4'EALTH OF PENNSYLVANLa SS COUNTY OF ~~ "''r ~~' !`~" The Petitioner(s) above-named swear(s) or affim7(s) that the statements in the foregoing Petition are uve'and con•ect to the best of the knowled;e and belief of Petitioner(s) and that, as personal representative(s) ofthe Decedent, Petitioner(sj will well and tvly administer the estate according to law. Sworn to or affrrmed and Jsu.bscribed before tnz e ~ dsy of iv For the Register Si !ure ojPersan2f Representntive tV -i-^~i Signnlure oJPersa,nJ Rzpresentn:ivr S•'gnntur•e ojPersonnl Rzpresenrarive 7 ~ C "7 :~2Q "D -r ~7C~ ~, ' ~ ~ ~ '/ ~ ~ 29"ID-D~~~ `'' File Number: • Estate of ,Deceased • Sociat Security Number: ~~" ~' ~ ~-7-~ Date of Death:__~~~~~~~ ' -T- AND NOW, ~ D D ,inconsideration of the foregoing Petition, satisfactory proof ' having been presented bef a me, IT I E h Letters are hereby granted to in the above estate and that the instrument(s) dated described in the Petition be admitted to probate acid filed of record as the last Will and Codicil(s)) ecedent: ' FEES `" / Regi ter oJWi1Ls Letters ............... $ ~Q m Short Certificate(s) ........ $ ~°a Attorney Signature: Renunciation(s) .......... $ .~p,e'~' •~/ $ Io Attorney Name: t1 .. $ ~•SD Supreme Court LD. No.: .. $ ,$-°y $ Address: .. $ _ a-. ... $ ... $ • • • $ Telephone: .. $ TOTAL .............. $ . Jam' 0 ' Page 2 of 2 form RIV-0' rev. lU.13.Ub r.,a ~ Cy , ,, ~. *-r ~, r i-rt s ~ RENUNCIATION `~"` ~ `' ~,.~,F - c I i '' d ? REGISTER OF WILLS ~ ~ ' ~ "~' ~ ~: '. ~ COUNTY PENNSYLVANIA ~:. ~ ', ~`=~ , :;, `~' , ~, ~ ~ w Estate of _ ~Y ~.~i.~~ ( .~/1~ ,Deceased I, ~,,,~„_f1/'S ~/P~ ~/YC.. in my capacity/relationship as (Print Name) DAB^J,j T,~'Z. of the above Decedent, hereby rjenounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (Date) (Signature) of ~1~ G~~it. es ~~~ /~{ Executed in Register's Off ce Sworn to or affirmed and subscribed before e t '~ _ ~' day of (O Depu for Register bf, Wills (Strset ~lddreu) (City, State, Zip) Executed out of Register's O~~e Before the undersigned personalty appeared the party executing this renunciation and certified that he or she executed the renutnciation for the purposes stated within on this ~_,____ day of ,', Notary Public My Commission Expires: (Signature and Seal of Notary or other official ~pwalified to administer oaths. Show date of expiration of ~,otery's Commission.) Form R W-06 rev, 16.13.06 C"3 C ~_ o ; `. RENUNCIATION =~~ r tom. w `~`. ``°~ r =- ~ ++]--'ice~ +J~V ` ~Y ~.~. REGISTER OF WILLS ~~ "` ~-rt ~ = ~ t r C u i~1at rya hc~ COUNTY, PENNSYLVANIA ~ -+ ~ :~ ~~ w , Estate of 1- O ~' Y' e~~ ~ ~ r ~, _, Deceased I; ~QSTe t' l-.• ~dc~e r ~ r , in my capra~ity/relationship as (Print Name) S ~ t~ of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ~f -2~- ~o (Date) Executed in Register's Office (Srgnanve) ~ ~ ~ C'3O CtJpc~,P_ ~cx~ C~~'c. P~ (Street dddrassJ ~ t~~e~r ~a ~~?~`~ I ~ (City, State, Zip) Executed out of Register's O~~e Sworn to or affumed~ and subscribed before a th` day of c~~~2~f2fi~G- epu for Register of Wills Before the undersigned person~~ly appeared the party executing this renunciatipn and certified that he or she executed the renunciation for the purposes stated within on this '~ day of , Notary Public My Commission Expires: (Signature and seal of Notary or other official~'~ gmalified to administer oaths. Show date of expiration. of l~iotary's Commission) Form RW-06 rev. 10.13.06 s.Q05 2 ~ ~~,1~7) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6:00 This is to certify that the information here given is tl 'ed frdm an on final Certificate of Death P 16355811 Certification Number correc y cope g duly filed with me as Local Registrar. The original certificate will' bu forwazded` to the State Vital Records Office- for permanent filing. Local Registrar Date Issued ~,, C o C r°r1 r- t IV 'fir s <~..r~ ry 1 l ',,w r--° 1 ~ ~ ~-q C ,'-'~ ~~ t1J r W N1BSIQ.NH/11/J00! COMpdNWEALTH OR PEfA1SYLVAHIA • DEPARTMENT OF HEALTH • VRAt RECORDS TYPEYPI~rt N CERTIFICATE OF GEIITH (SM IIIE~Y000M illd ON Fr11tl'NI STATE PaE NlllllER ', i n +. wnrror.rtpbxrrr.rt+t se. ae•rar•Mw•eg , • ornPmh4xwd _ Loretta M. Wert Femal 174 `- 20 •-1745 , _ u l 22,2010 sM.n•+ewia~ YMr+ uro.+ aardNe x n+rrd a 85 r... oM ""` '." 4 30 / 1925 rR `Mt, dolly Spring '> +~- C1evo*r.~ pca O ~.rr. pa.-+aa-r• saa..rarwn raq~Ebanvdorn la PrMrlYwdr~Y•.+.a awro.e.ar~dNOrbopb+ !w w• taRrKMrbrbrKMrY.1Mr.dt :Cumberland Garliale 262 McKnight St p ~ ~ ~ '~ ~ ~ it :.. . 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WERT, of Carlisle, Cumber~L~nd County, Pennsylvania, being of sound and disposing minds memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking al~''other Wills and Codicils heretofore made by me. FIRST I direct the payment of my just debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. L I direct my personal representatives to ar~~nge for my interment at my father's plot in Churchtown. '~, Further, I authorize my personal representatives to expend fuinds from my estate, in such amount as my personal represent'la~tives shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. s$coNn I give, devise and bequeath all the rest,', residue and SAIDIS, SHUFF & MASLAND w w. ili~h Sweet Carlisle, PA remainder of my estate to my beloved children, JO1~I',tC. BRICKNER, LOIS E. GLEIM and LESTER L. GOUFFER, JR., share and~~~hare alike, the children of any deceased beneficiary taking the share their parent would have had if living. ~~ /~/~~~ ~~r~~~p~~~l~y~~~ II I~i 'i~J J,tVVtr`i~~aV ~~ ~~~J ', jfs `Gi ~C L~ 13~i 01OZ~i ~ 1 IJ1I ~ .~ .- _;_. / ,^ ~,y{ ~'~." ~ + ~~.~ i +v Zi- :: LL_ rr THIS I direct that any and all inheritance, estate, and transfer taxes .imposed upon my estate passing under this Will' or otherwise shall be paid. out of the principal of my residuaxyl~state. FOIIRTH In addition to the powers conferred by law, I ~uthorize any personal representatives acting under this instrument, in their absolute discretion: A. To retain in the form received, or t~'sell either at public or private sale any real or persor~a~ property; B. To exercise any options to subscri',b~ for stocks, bonds, or other investments; 3 a SAIDIS, SHUFF & MASLAND A'!'!~lQ~ATMAW xb w. e~ saac CarlWe, PA C. To join in any plan of lease mortgage, consolidation, exchange, reorganization or fc~~teclosure of any corporation in which my estate or any tr~~st may hold stocks, bonds or other securities; D. To sell, transfer, convey, mortgage, ~~.edge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the paym~er~t, of debts or taxes, or for any purpose of administration or ~~stribution, for such prices and upon such terms as ~,~ny personal representatives, in their sole discretion, ~m~~ deem wise, I and to execute and deliver deeds of conveyarac~'or transfer thereof; ', ~i E. To make settlements and compromised ~~ such terms as my personal representatives in their sole d~i~cretion may I, 2 _ ~_ deem wise without the necessity of obtaining approval thereof; any court F. To make distribution hereunder eithekr in cash or kind, as my personal representatives in their. dki~cretion may deem wise. FIFTH I do hereby nominate, constitute and appoint my children, JONI K. BRICKNER, LOIS E. GLEIM and LESTER L. GOUFFE~R~, JR. to act as Executors of this my Last Will and Testament. SIXTH 3 I direct that no personal representative, guar~i~an, trustee or other fiduciary appointed under this instrum~rt~t shall be required to give bond for the faithful performa~~e of their duties in any jurisdiction. IN ~PITN$SS NFffiREOF, I, LORRETTA M. WERT, havelhereunto set my hand and seal to this my Last Will and Testameni~, consisting of f ive ( 5 ) typewritten pages, the first two ( 2 ) ofw~ich bear my signature in the margin for identification, this ? day of 1~ ~. 1998 . O;~ ~~ ~ ; LORRETTA M. WERT SAIDIS, SHUFF & MASLAND a~ u w. e~ ease Carlbk, PA Signed, sealed, published and declared by thy'above-named LORRETTA M. WERT, Testatrix, as and for her L~~t Will and Testament in the presence of us, who have hereunto sju~scribed our 3 n I' names at her request as .witnesses thereto, in they presence of said Testatrix and of each other. ~ GC/ ~~ ~ ~_ 1~d~~ ADDRESS 2-~ ~• ~ _, SAIDIS, SNUFF & MASLAND ersaasa~•~rrw~r a6 w. Nye saeec GrWle, PA CO~iON1iFALTH OF PSNN3YLVANIA se. COUNTY OF CUI~ERLAND s We, LORRETTA M. WERT, Q and %~ , the Testatrix and witnesses, respectively whose nam~els are signed to the foregoing or attached instrument, being first'duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will ~$~d Testament and that she signed willingly and that she execute~l''as her free and voluntary act for the purposes therein expres~~d, and that each of the witnesses, in the presence and hearing of the Testatrix signed the Will as witnesses and that tm the best of their knowledge the Testatrix was at the time eigl~t~een (18) or more years of age, 'of sound mind and under r~o constr~lint or undue influence. _ ~ 4 ~r ~~ Subscribed, sworn to and acknowledged before me by LORRETTA M. WERT, the Testatrix, and subscribed to and savor or affirmed to before me by '/~SP~7Pr° ~/.~rrCtc.;1 and ' /P r witnesses, this _~~~ day ~A~~~ 5~~ 5v1i".fE CPSR1':fi9~9, 'rse~~a~j+ S's;btic Ca~iis;~ ^~r©, Curssl.~~rtanJ C©., PA Mr Com~i~Feq ~.~;P'sns~ ~art~ ~'°~, 2~''~Q SAIDIS, SHUFF & MASLAND A77~[iHM'hI~1W z6 w. ~ strac CarlWe, PA 5