HomeMy WebLinkAbout11-04-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of Charles A. Myers File Number 21 - t b ~ ~ (~ (p
also known as
,Deceased Social Security Number
Roseanna M. Kempf
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE A' or `8' BELOW.)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the Executrix named in the
last Will of the Decedent, dated 0 /Ad/1 AAA and codicil(s) dated
State relevant circumstances, e.g., renunciation, death o/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 Administration
app Ica e, en er. c..a.; ..n.c..a.; n e i e; uran e a sen ia; uran a mmo a
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of ill in Section A above and complete list of heirs.)
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Decedent was domiciled at death in CUmberlanSl__ County, Pennsylvania with his /her last principal residence at
3520 Chestnut Street, Camp Hill, Hampden Township, Cumberland County, Pennsylvania 17011
(List street address, town/city, township, county, state, zip code)
3520 Chestnut Street, Camp Hill, Hampden Township, Cumberland
Decedent, then ~~ years of age, died on 10/02/2010 at County, Pennsylvania 17011
Decedent at death owned property with estimated values as follows:
(If domiciled in PA)
(If not domiciled in PA)
(If not domiciled in PA)
All personal property
Personal property in Pennsylvania
Personal property in County
$ 8,000.00
Value of real estate in Pennsylvania $ 120,000.00
situated as follows: 3520 Chestnut Street, Camp Hill, Hampden Township, Cumberland County, Pennsylvania 17011
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:
I Signature Typed or printed name and residence I
Roseanna M. Kempf 125 S. 31st Street
Camp Hill, PA 17011
Form RW-O2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
couNTY of Cumberland
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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 this ~~ day of
~~~
For Register
Signature of Personal Representative
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of Personal Representative
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File Number: 21 ~'~ o -~~ V'l ~D :~~ ~_.. ~~
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Estate of Charles A. Myers ,Deceased `
Social Security NumJb~er: 189-18-5700 Date of Death: 10/02/2010
AND NOW, ~''~ ~~ Jy~,~ ~! ' b , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Roseanne M. Kempf
in the above estate
and that the instrument(s) dated 02/04/1999
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent
FEES //__//~~ -.
Letters .......................................... $ ~ 1111.1,
Short Certificate(s) ....................... $ pZ~. ~~
Renunciation(s) ............................ $
I~'i II $ 15. bo
~1~15 $ a-3.s~
$
$
$
$
$
TOTAL ................................... $ ~®~.~ .
Supreme Court I.D. No.: 19475
Boger 8- Hipp Law Offices
Address: One West Main Street
Shiremanstown, PA
Telephone: 717-737-8761
Form RW-~2 Rev. 10-13-2006 Copyright (c) 2006 form software only The Lackner Group, Inc. Page 2 of 2
Attorney signature:
Attorney Name: James D. BO
105.805 R8V l0i/07i
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 16809684
Certification Number
H7061t9 pEY 11/[008
TYPE f PPoNf N
nnx
This is to certify that the information here given
correctly copied from an original Certificate of De?
duly filed with me as Local Registrar. The origi certificate will be forwarded to the State Vi
Records Office for permanent filing.
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Local Registra o^~ Date Issued
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COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VRAL RECORDS
CERTIFICATE OF DEATH
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LAST WILL AND TESTAMENT V~ ~ rL~ 1
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CHARLES A. MYERS N -'
I, CHARLES A. MYERS, of Hampden Township, Cumberland
County, Pennsylvania, make, publish and declare this as and for my
Last Will and Testament, hereby revoking all other Wills and
Codicils heretofore made by me.
FIRST: I devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate,
including any property over which I hold power of appointment and
together with any insurance policies thereon, unto my wife, ANNA
M. MYERS, provided she survives me by sixty (60) days.
SECOND: Should my wife, ANNA M. MYERS, predecease me or
die on or before the sixty-first (61st) day following my death, I
devise and bequeath all the rest, residue and remainder of my
estate of whatever nature and wherever situate, including any
property over which I hold power of appointment and together with
any insurance policies thereon, in equal shares, to my children,
)PATRICIA A. BOUFFARD, ROSEANNA M. KEMPF and TONI S. McFADDEN,
provided that should any of my children predecease me, I give and
bequeath such deceased child's share unto my surviving children as
specifically set forth in this Clause.
THIRD: I acknowledge that I have a daughter, CARLA A.
EBRIGHT. While acknowledging this child, I am specifically making
no provision for her benefit under this, my Last Will and Testa-
ment.
FOURTH: In addition to all powers granted to them by
law and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers, applicable to all property,
exercisable without court approval and effective until actual
distribution of all property:
(A) To sell at public or private sale, or to lease, for
any period of time, any real or personal property and to give
options for sales, exchanges or leases, for such prices and upon
such terms (including credit, with or without security) or
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and to
receive the proceeds of any disposition of it.
(B) To partition, subdivide, or improve real estate and
to enter into agreements concerning the partition, subdivision,
improvement, zoning or management of real estate and to impose or
extinguish restrictions on real estate.
(C) To compromise any claim or controversy and to
abandon any property which is of little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
~1n insurance policies or in other investments.
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held under my will, and for
investment purposes.
(I) To select a mode of payment under any qualified
retirement plan (pension plan, profit sharing plan, employee stock
ownership plan, or any other type of qualified plan) to the extent
the plan or the law permits them to do so, and to exercise any
other rights which they may have under the plan, in whatever
manner they consider advisable.
FIFTH: I direct that all inheritance, estate, transfer,
succession and death taxes, of any kind whatsoever, which may be
2
payable by reason of my death, whether or not with respect to
property passing under this Will, shall be paid out of the princi-
pal of my residuary estate.
SIXTH: All interests hereunder, whether principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distributable,
shall not be subject to attachment, execution or sequestration for
any debt, contract, obligation or liability of any beneficiary,
and furthermore, shall not be subject to pledge, assignment,
conveyance or anticipation.
SEVENTH: I nominate and appoint my wife, ANNA M. MYERS,
Executrix of this, my Last Will and Testament. In the event of
the death, resignation or inability to serve for any reason
whatsoever of the said ANNA M. MYERS, I nominate and appoint
ROSEANNA M. KEMPF, Executrix of this, my Last Will and Testament.
I direct that my Executrix or Executor, as the case may be, and
their successors, shall not be required to post security or a bond
for the performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
to this, my Last Will and Testament, this a~{~ day of y
1999.
~~~ , `~~~~. ( SEAL)
CHARLES A. MYERS
Signed, sealed, published and declared by the above-
named Testator as and for his Last Will and Testament in our
presence, who, at his request, in his presence and in the presence
of each other, have hereunto subscribed our names as attesting
witnesses.
,~
Address
Address
3
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND
COUNTY, PENNSYLVANIA
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Estate of Charles A. Myers ,Deceased
James D. Bogar , (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 presence and in the presence of each other.
(Signature)
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Deputy for Register of Wills
(5i ature)
One West Main Street
(Street Address)
Shiremanstown, PA 17011
(City, State, Zip)
Executed out of Register's Office
Sworn to or affirmed and subscribed
before met is a T f h day
of O~aia.
Notary Public
My Commission Expires: /a//a ~l
(Sigrtature and Seal of Notary or other official quali ed 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. 10.13.06
pMMONNIEALTN OF PENNSYlYAN111
NOTARIAL SEAL
SETN B. LENGEI, NOTARY PUBIiC
~IIIREMANSTOWN BORO., CUMBERWlD COUNTY
MY COMMISSION EXPIRES DEC. 12, 2011
OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of
Charles A. Myers
Roseanna M. Kempf and
(each) being duly qualified according to law, depose(s) and say(s) that
Deceased
she / he /they was /were well-
acquainted with Charles A. Myers and am/are familiar
with the handwriting and signature of the decedent, and that the signature of Charles A. Myers
to the foregoing instrument purporting to be the Last Will and TestamentlCodicil of
Charles A. Myers is in his/her own proper handwriting.
(Si azure)
125 S. 31st Street
(Street Address)
Camp Hill, PA 17011
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
of
day
Deputy for Register of Wills
(Signature)
(Street Address)
(City, State, Zip)
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Form RW-04 rev. 10.13.06