HomeMy WebLinkAbout10-16-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF rr,.lal~Jerlo.+tc~ COUNTY, PENNSYLVANIA
Estate of ~01n i~ C. ~o><
also known as 'S'p >n F~O~
,Deceased
File Number ~ ~ ~ / 0 ^, ~ 37
Social Security Number ~ ~S-a7 $ ~ S 3 ~ ~
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
Lod' A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~~l.e.~~'o~ named in the
last Will of the Decedent dated No~+~~vb~r' t3ilgg9 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 execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:_ ,,,.., c
B. Grant of Letters of
(If applicable, enter: c.t.a.; d. b. n. c.t.a.; pendente life; durante absentia;
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in (~u.r~t~lp~.~lanc~ County, Pennsylvania with his /her last principal resipdence at
0 Ri i h: r t)A ~ i 1-0. ~
(List street address, town/ce ,township, coup ,state, zi ode)
Decedent, then ~~ years of age, died on 3 0 7 at Ci 3 lfiKt. ~I / ~/pi l ~,6f ti
Decedent at death owned property with estimated values as follows: / /
00
(If domiciled in PA) All personal property $ ''~~$$j, `
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ /~loit¢.
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 Letters in the appropriate form to
the undersigned:
x ~Y~,~,.~c~~~ I I,~ea„t,~ ~ - fox , to as ch~,t~ ~;rl R~, -~Q,,,,v , Pa- i~s~~
Form RW-02 rev. /0./3.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF ~~ ~l ~ ~ L~
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 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
before me the ~ day of
~~hll P rYl~nOv owl ~
For
Estate of
File Number:
Deceased
Social Security Number: 7 d-~ ~ 53 ~ , Date of Death: 0 _ 1 3- ~7
AND NOW, I ~~- t~N~ye,rn~C~ --~t~ in consideration oft e foregoing Petition, satisfactory proof
having been presented,bl~e~oer ~ e; nT~DEC$.~ED tha tters 11
are hereby granted to 11 ``
and that the instrument(s) dated _ ' ~ ` ~ J~ " ~
described in the Petition be admitted to probate and filed of
FEES
Letters ............... $
~ Cam,-c~,Short Certificate(s) ........ $
Renunciation(s) .......... $
... $_~~.
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $~i~
in the above estate
~c~
Signature of Personal Representative
Signature of Personal Representative
Signature of Personal Representative
the last Will (and Codicil(s)) of
Register of Wills
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Page 2 of 2
Form RW-02 rev. 10.13.06
105.805 REV 1/OS ~,..~/ ~/~ -~/
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.. .
Fee for this certificate, $6.00 '
Local Registrar
P 13519494
No.
Date ~ ~.,,
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~nos~la/REV11r~oos COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS - ~ " Q `;~ Q
CERTIFICATE OF DEATH ~ ~„~ ~-~
(See Instndctlons and ezemples on reverse) ~,•~ ~„ ~ •„,,,,~o ri.
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DypmAin Pemmi No. f~5o ~ d}-4 ,
Last Till and Testament
I, JOHN C. FOX, a resident of Denver, Pa, declare that this is my Last Will and Testament.
FIRST
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1 hereby revoke all previous Wills and Codicils that I have made.
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SECOND
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I direct that the disposition of my remains in the following manner. c7tJ ~ a -~ ---,
1 direct my Executor to carry out such arrangements. -p ~
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I am married to EVA S. FOX, and. all references in this Will to my "wife" or "my spouse" aze to her.
I give ati my jewelry, clothing, household furniture and furnishings, personal automobiles and other
tangible articles of a personal nature, or my interest in any such property not otherwise disposed of by
this Will or in any other manner together with:
(a) any insurance on the property,
(b) any personal life insurance proceeds,
(c) any registered retirement savings plans, registered retirement income funds, pension plans and
annuities,
(d) any income tax deferred assets,
to all. of my children: WALTER, JOHN, AARON, ELIZALETH, SUSAN, LYDL'1, ?,~AP.`~, EV.~,
WEAVER, VERNA and ERVIN to be distributed equally among them.
All references in this Will to "my child" or "my children" include any and all children hereinafter born to
or adopted by me.
FOURTH
I have no minor child, or children.
FIFTH
To EVA S. FOX my wife. Her needs come first, After h:r deaf': estate to be distributed.
No other special gifts aze left, any assets not directly disposed of in this Will shall be given to the
surviving members in order of succession.
SIXTH
I have not adopted any specific charity and therefore do not wish to leave a gift.
SEVENTH
I nominate WEAVER S. FOX as Executor of this Will, to serve without bond.
1 authorize my Executor to sell, with or without notice, at either public or private sale, and to lease any
property belonging to my estate, subject only to such confirmation of court as may be required by law.
I authorize my Executor to invest and reinvest any surplus money in the Executor's hands in every kind of
property, real, personal, or mixed and every kind of investment, specifically including but not limited to
interest bearing accounts, corporate obligations of every kind, preferred or common stocks, shazes of
investment trusts, investment companies, mutual funds, or common trust funds, including funds
administered by the Executor, and mortgage participations, that persons of prudence, discretion, and
intelligence acquire for their own account.
No bequest provided for in this Will or in any codicil hereto shall beaz interest if not paid or satisfied
within any period prescribed by law.
EIGHTH
I direct that all inheritance, estate, or other death taxes that may by reason of my death be attributable
to my probate estate or any portion of it, or to any property or transfers of property outside my probate
estate, shall be paid by my Executor out of the residue of my estate disposed of by this Will, without
adjustment among the residuary beneficiaries, and shall not be chazged against or collected from any
beneficiary of my probate estate, or from any transferee or beneficiary of any property outside my probate
estate.
NINTH
Except as otherwise provided in this Will, I have intentionally failed to provide herein for any of my
heirs, and I specifically disinherit any person claiming to be my heir who is not provided for in this Will.
If any beneficiary under this Will in any manner, directly or indirectly, contests or attacks this Will or
any of its provisions, any gift or other provision I have made to or for that person under this Will is
revoked and shall be disposed of in the same manner provided herein as if that contesting beneficiary had
predeceased me without issue.
TENTH
As used~~in this Will, the term "issue" shall refer to lineal descendants of all degrees, and the terms
child, children, and issue shall include adopted persons. However, in no event shall any of these
terms include any foster child or stepchild, regardless of the existence of a pazent-and-child relationship
between that person and myself.
I sign my name to this Will on 11-13-99, at Denver, in the County of Lancaster, in the State or Province of
Pa.
~~ ~ ~
JOHN C. FOX
On the date written below, JOHN C. FOX declared to us, the undersigned, that this instrument, consisting of
these few pages including the page signed by us, as wifiesses, was his Last Will and Testament and
requested us, to act as wifiesses to it.
He thereupon signed this Will in our, presence, both of us being present at the same time.
We now, at his request, in his presence and in the presence of each other, subscribe our names as
witnesses. Each states that the Testator is not a minor and appears to be of sound mind and that we have no
knowledge of any facts indicating that the foregoing instrument, or any part of it, was procured by duress,
menace, fraud or undue influence.
We, each for himself or herself, declaze that each of us is over the age of majority, and that each of us
is, and the others appear to be of sound mind.
We, each for himself or herself, declaze under penalty of perjury that the foregoing is true and correct and
that this attestation and this declaration aze
executed on the day of ~r, , 19~at Denver, in the County of Lancaster, in the
State or Province of Pa.
Page 2
Witness #I
~/~/~ c{ of ` S ,~d.r residing at: ~,/-P!'t y-C y ~r9
Print Name
Sign
Dated: l/'/3 - P9
Witness #2
Q residing at: ~2° ('~ (/~, y
Print Name
Sign
Dated: ll -- / 3
Last Page of:
THE LAST WILL AND TESTAMENT OF JOHN C. FOX
Page 3
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REGISTER OF WILLS -~-' ~ ~°% ~~>
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_~k~br.-~vtic/ _ COUNTY, PENNSYLVANIA w ,
Estate of _ Ja ~ n C ~ -r- ,Deceased
~i~/,e a vtr S"`. ~v,~ , (each) a subscribing witness to
(Print Names)
the ~kl Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was 1 were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
(Signature) (Signature)
`'.~2.G~~s~nrcf l~ll ~~
(Street Address)
~e~v~er (sr g / ?~/7
(City, state, ZipJ
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me,th,,i^sl,, ~ day
of~~~!'YWJ~ ~~~ .
Deputy for Register of 1
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form RW-03 rev. /0.13.06
r.s
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OATH OF SUBSCRIBING WITNESS(ES) ~~~ '~ ~-~'
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REGISTER OF WILLS boo i
C~.~.t`1o~fl~.r~~ COUNTY, PENNSYLVANIA ~ ~
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Estate of ~olnn C . FoX ,Deceased
W 2QVat- 5. Fnx o~na ~o1-.n U . ~nx. , (each) a subscribing witness to
(Print Name/s)
the ~. Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she / he /they was /were present and saw the above Testator /Testatrix sign the same
and that she / he /they signed the same and that she / he /they signed as a witness at the request of
the Testator /Testatrix in her /his
x
(Signature)
presence and in the presence of each other.
~ (~~ Ch s}~ .t 1ki11 Rd~l~-
(Street Address)
z ~~~..~u- ~ PR , I'iSI'1
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
x
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x ybA ~/~ Qod~~
(Street Address)
~ ~~nvt>.r. I~1~ l I '151'" .
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before me this ~ day
of , d ~'L , ~~.
of ,
Deputy for Register of Wills
NOTE: To be taken by Officer authorized to administer oaths.
Form RW-03 rev. 10.13.06
Q
N tary Public
My Commission Expires: V 1,v~~c ~~~~~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Please have present the original or"" ~ ~~t~Or~tNL~Utlal! e
Notarial Seal
Laurie A. Hartranft, Notary Public
East Cocalico Twp., Lancaster County
My Commission Expires June 24, 2013
Member, Pennsylvania Assodation of Notarise