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HomeMy WebLinkAbout11-04-10PETITION FOR PROBATE ANDG~R(,ANT OF LETTERS REGISTER OF WILLS OF ~~~ ~~~" -COUNTY, PENNSYLVANIA Estate of (_?~ /^ Q G+~ / r ~ , ~q GJeec, ~ ~ I ~ ~l1 ~~~-. - Viz ~ ~ File Number also known as C~D ~7f r 30 ~ 2 D / O ,Deceased Social Security Number ~ ~ G ~ 6 - ~7 / 9 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW.) t1~ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the ~~CL_ CCJ~OI^ named in the last Will of the Decedent dated it 0 - 2 7 ' 1995 and codicil(s) dated (State relevant circwnstnnces, 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: ^ B. Grant of Letters of Admin (Ijapplicable, enter: c. t. a.; d.b.n.c.t.a.; pendertre life; durance absentin; durnnte minoritate~y .-.. 4 Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followiitse (if Adntirtistratiott, c. t. a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ,.,., (COMPLETE INALL CASES:) Attach additional s/Teets if necessary. .~ ~ •'~ t.? Decedent was domiciled at death in (List sheet nddress, [owie%ity, township, county, state, zip code) Pennsylvania with his /her last principal residence at 2 5~ 1 - __ Decedent, then ~ years of age, died on ~0-30-.?DJU at t-y 6 ~ta .S T~ I Ir t ~ l`fDS~J i ~i ct Decedent at death owned property with estimated values as follows: Q (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 $ ~ 5, p00., r situated as follows: Form R6V-03 re,-. lo.r3.o6 Page 1 of 2 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: Oath of Personal Representative ;;~ COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF ~ U ~N ~-er~ An 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 l ~~ - v/ ~ For a Register Signature ojPersona! C) o Signature ojPersona! Representative ~ ^Z` ~ ' f'r7 CJ © £,i ~ C ~~ Signature of Personal Representative ~l1~ X •~' ©d ~ ~{ ,~ ~~-- ~~ r~ ~'. ,~. c ~ File Number: oL ~ ~ ~ l~ ~ 1 ~..~ !~- x" ~-' Estate of~~~P„~ 'V` ~~~~-•~ ° ` UI ~ ,Deceased Social Security Number:-~ ~ ~ ~~ _ I ~ ~ ( Date of Death: AND NOW, °~~ Vf ~~ , ~/ ~ , in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT.~S DECRE D that Letters ~Q ~~mP-h~Q.~ .~ ' are hereby granted to r'lin ~ r1, ~ ~ ~lCi~ P,lr __ and that the instrument(s) dated ~~' ~-~" ~~~ described in the Petition be admitted to probate and filed of FEES c. ~ Letters ............... $ ~J Short Certificate(s) ........ $ Renu~~ncCCiation(s) .......... $ - t~-~~ \.. $ ... ~- ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ Furor RW-0•' rev. lU./3.U6 in the above estate I eco s the last Will (and Codicil(s)) of Dece nt. ~` Register ojWi1C Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: Page 2 of 2 105.805 REV (01/07) 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 16855202 Certification Number p nosh REV nnooN TYPE / PRN1i N PERMANENT suet rm This is to certify that the information here given correctly copied from an original Certificate of Dea duly filed with me as Local Registrar. The origir certificate will be forwarded to the State Vii Records Office for permanent filing. L~~~~~~ NON I _[201 Local Registrar Date Issued na o c x~ ~ ,~ c~ 7 r ' O r: ~ ~~ % ' ~ ~ ~ t~ ~ Q~ ~ '1 .~.1 cfy, f,.-il ~ ~~ ~ ~ N .:-n -~ F _,~ p -- t r ~ _ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) ~.,.~ n, ,. t. Name a oeaere (Fiat mMAe, wL reW z. Saz a sand s.amr ~« ~. DW a o«N, (Mae,. ax Yra Mackey Vold Grace M . F 210 - 26 - 9191 10/30/2010 5. Aye (lad X11 Untler 1 IAide 1 B. Der d BIM (M.M, 7. BNhprp (Gy re rr a Be. Plop d Derr (CMdi ae) e.+. ~ ~.. r.re 12/6/1933 oNw 76 rm. Carlisle. PA ®ivadaa ^ER/aupaam ^ooA ^Nadny,bme ^Raddrip ^oNer-~.cqt 9e. CouNr a ors ec cNy, Bom, T^p• a oedn ed. FaaNy Nrp (N nd iretlbtlar, We red aM ane«) 9. wr DeaMeM a Mewnb QIpr2 ®No ^ Yee to. Rep Anedmn ~, Brds WFNe. r:. Cumberland East Pennsboro map Holy Spirit Hospital ( ~ ~.) White 11. oerdere's llul d aoA dde mod a Nr. Do pl rw 12 Wr Depanl era, b rr 13. DecedenYe EArtaNOn (BPeaIY pN ryNMd rma ~P~I 11. Meld Brae: Mrad, Never Mr W, i5.3aNrip Spar (N.dr, gN+mdtlen me) Nix a wad< land a Budner/ Nrurr us. Annex Faas2 Ernmra / s«.aary latzt cdrw (u a s.) Wuo..a, orated (Sped!)? Flananakex Her own home ^rr ®No 1~ Widowed - ts. oewaenr. Meip AtlOer (Bier, oNy / ban, woe, appal rapdrN'e old DecadarN PA 24 FOx Lane AdW Raelderre na srr u+b ^ rn. []CVaa, Depdrd ue.a r ~~T' FrankfnrA TNp -- - PA • ,n.~r Cumberland T°"rrHp2 nd ^ ~a ed.dNd. cNF I Bom 18. 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Nrp rdAdars d Prep Who carorw care d oe.n (He ro 27) Tye / PrM 36.E •~ ~'+ - 1Yn°" I .~. I I I d l l l O l c oa3Fr°nam,ar,r«n S~rrU- rtgrNtc Yd 3 ~' • a (,'r S/ ( I~I rA (7o r eN. r~ l CYpaNbn PMNI No. ~ ~ ~U 5 t55~y' N "~4 ~ ~' .:~ rn ~~C7 ~ G RENUNCIATION C!) ~ ~" ~'I'i '~ ~ , © ~ ~ ~- c . ~ ;- ;-n GISTER OF WILLS y-' ~. ~ ~~ COUNTY, PENNSYLVANIA ~ J -) ~ - //~ ~--. Estate of ~S" r'Gt c•e. / ' ~ . ~ a c ,~-e ~ - 1/d ~ t~ ,Deceased I, `~ O~~ n'e ~ ~ C©o 1~ ~~" , in my capacity/relationship as (Print Name) ~Q v 4 yi ~~~- of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to 1~ I ~T r~ c~ ~ z2 i C~ ~~ev ~o V~em b~- ~f ,201 O (Date) Executed in Register's Office Sworn to or affirmed nd subscribed befor me this '~ day of ~ , ~L~. Deputy for Register of lls (Sign re) ~ 9 / ~ ~t~, (Street Address) (City, State, Zip) Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation 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 qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 ~ ~ _ C {-~ CT r ~ ~ LAST WILL AND TESTAMENT p ~ ~cri ~ ~' ~-=-~ '- , r~ OF . x c~ _ _~ ._, .,_ GRACE MACREY VOLD ~o c->O-n i , , -'~~~~ r I, GRACE MACKEY VOLD, of Upper Frankford Township, ~~,. Cumberland County, Pennsylvania, declare this to be my Last Wil l, hereby revoking all prior wills and codicils. FUNERAL EXPENSES FIRST: I direct the payment of my funeral expenses, including my gravemarker, as soon as may be convenient after my death. PAYMENT OF DEATH TAXES SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of administration of my estate. PERSONAL PROPERTY THIRD: I bequeath those items of my household furnishings, personal effects, and personal property as I may set forth in a separate signed memorandum to the persons named in that memorandum. DISTRIBUTION OF RESIDUE FOURTH: I give the rest of my estate to companion, THOMAS R. MACKEY, SR., providing he survives me for a period of thirty (30) days. If he shall not so survive me, I give the rest of my estate to my children, JO ANNE ELAINE COOPER, KATHY MAE MACKEY, DIANA FAY ZEIGLER and THOMAS R. MACKEY, JR., equally, or their issue, per stirpes, who survive me for a period of thirty (30) days. POWERS OF EXECUTOR/RIX FIFTH: I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or times, in such manner, and for such price or prices, and upon such terms and conditions as my rvi . Y. initials executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof, without liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so- called "legal investments;" to make distribution in cash or in kind; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. APPOINTMENT OF EXECUTOR/RIX BIXTH: I appoint JO ANNE ELAINE COOPER and DIANE FAY ZEIGLER, or the survivor, Executrixes of my will. I direct that my Executrixes shall not be required to furnish security in any jurisdiction. INTERCHANGEABILITY OF LANGUAGE SEVENTH: Words used in the singular may be read to include the plural or the plural may be read as the singular. Similarly, the masculine form may be read to include the feminine and neuter; the feminine may be read to include the masculine and neuter; and the neuter may be read to include the masculine and feminine. HEADINGS EIGHTH: The headings used on the various paragraphs of this will are included for convenience only and shall have no legal significance. I have signed this will this pZ.~day of ty C~~~~J~ 1995. Testatrix, Grace Mackey Vold i ~~'1~/ ~ Ro ert R. Black Witness ACKNOWLEDGMENT and AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, Grace Mackey Vold, the Testatrix in, and Robert R. Black and ~ `~M~, the witnesses to the last will, the attached or foregoing instrument, who have signed the instrument, having been duly qualified according to law do depose and say: (a) that I, the Testatrix, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the Testatrix sign and execute the instrument as her last will, that she signed it willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as a witness and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Testatrix, Grace Mac ey Vold Witness, Robert R. Black Wi ness Notary Public Notarial Seal Susan K. Guyer, Notary Public Carlisle Boro, Cumberland County My Commission Expires Sept. 4, 1999 Member, Pennsylvania Association of Notaries