HomeMy WebLinkAbout12-10-10 ETITION FOR PROBATE AND GRANT OF LE'T'~'ERS
REGISTER OF WILLS OF COLTNT~', PENN~YiLVANIA
Estate of >EL07S~ LAAijE ~)~ ~~+,~ File Number ~fl _ I ~''~ ' 1 a
also known as w1 ~~ -~ ~ 2
ELOlS~-L-•~''1~ ,~d J~>~'/~,~L ,Deceased Social Security Number ~u ~ d
u sA~,vo
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW.)
A. Probate and Grant of Letter Test entary and aver that Petitioner(s) is /are the V~ C 2ND ~E
last Will of the Decedent dated-=f= ~q~ / and codicil(s) dated 07th
tI0
in the
(State relevant circumstances, e.g., enunciation, dealt ojexeeutor, etc.) ',
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after executio o>~'the instrument(s) ffered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person:
^ B. Grant of Letters of Administration
(Ijappiicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lire; durante absentia; du ant ntinoritate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the followin sp~use (if any) and h its: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) i
Name Relationshi Re ide ce
(COMPLETE IN ALL CASES:) Attach additional sheets rf necessary. i
Decedent was domiciled at death in ~ ounty, Pennsylvania wi 's /her last princip 1 rq~sidence at
v e sr e ~ s
(List street address, town/city, lownsltip, county, state, zip code)
Decedent, then ~_ years of age, died on /r7 z~ l ~ at ~ /(ysl3G1 (o
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
situated as follows:_ Y ~] ~] W tl~~ ~S7- n~ , ~,~~~f~,K,~esQ u,~ , ~
Wherefore, Petitioner(s) respectfully request(s) the probate ofthe last Will and Codicil(s) presented with this Petition and the grant
the undersigned:
Form RW-02 rev. !0.!3.06
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rioted name and residenc
z/~7 k/~,o~n
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l7~
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~'7oSd
in the appropriat form to
2
RECORDED OFF E OF
REGIST~rO LLS
2010 DE 3
CLERK OF
ORPHANS CO RT
(UMBERI..~ND CO RT, PA
_a.~..,.,~_.,...~._:L . L 1___
Oath of Personal Representative ',
COMMONWEALTH OF PENNSYLVANIA .~'
SS
COUNTY OF
The Petitioner(s) above-named swear(s) or affirm(s) that the statements+in the foregoing Petition are hv'~e and correct to
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitio er(gs) will well and
administer the estate according to taw. /~
Sworn to or affirmed~d subscribed
before me the _i day of
Zt~io
. ~ • a ~~,
For the Register
Signature ojPersoaai
...a•....w,~ ~ ~crovnu~ ncprrremanvc
Signature ojPersonn! Representative
File Number: Z/ ~ l0 ' / t qf~
Estate of __ ~~-~ ~5~~ ~,~ / ,l i~~/V/~ ~(~ ecu
Social Security Number: ~ 7I ~ ~o ~0 3 ~ ~i Date of Death: U
AND NOW, ID , in consideration of the foregoing e
having been presented before me, IS DECREED that Letters
are hereby granted to . "j` r
and that the instrument(s) dated _ Z ~ ~% /
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of
FEES
Letters ............... $ c.3~~.
Short Certificate(s) ........ $ g• ~° Attorney Signature:
Renunciation(s) .......... $
~/; ] ~ $ ~ ~ o, Attorney Name:
S • • $ Z3.5z' Supreme Court I.D. No.:
$ Address:
... $
... $
... $
$ Telephone:
TOTAL .............. $ 7 ~~- SD
Furor RW-U: rev. !U./3.Ub
ojwills
e best of
/U
satisfacto proof
_ in the ab ve estate
REC:OItDED OFFICE ( F
REGIS'IRI?1Y~I~WI S
X0!10 DEC 3
_ CLERK OF
ORPI I?~NS COURT
CUM$ERL~ND COUR PA
~i
'~ Pa 2 of 2
.ngQn9 q>;V mt~m~
LOCAL REGISTRAR'S CERTIFICATION OF DIEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
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LAST WILL AND TEST FN'S'
I, ELOISE L. TJERNAGEL, currently residing at 47~ Wood Cres
Drive, Mechanicsburg, Pennsylvania 17055, and being o Lsound mii
and memory, do hereby make, declare and publish this t be my La.
Will and Testament, hereby revoking any and all Wills njd Codicil
heretofore made by me. ~
ITEM I. I direct my personal representative to p y ~~,all of m~
debts, funeral and administrative expenses as soon as convenient
after my decease. I~
STEM II. I give and bequeath certain items of t n~ible
personal property to those persons designated in a se mate
writing, if such a writing is in existence at the timbf my
death, signed by me and attached to this will, descri i~g those
items and recipients of them as required by law. If ugh a
writing is not so attached, then this gift shall lapse aid becomf
a part of my residuary estate. ~,
ITEM III. All the rest, residue and remainder of m ~~operty,
real and personal, I give, devise and bequeath to my p~use, Sve
L. Tjernagel.
I
ITEM IV. In the event my spouse should predeceas $ne or fai
to survive me by a period of sixty (60) days, I give n~ bequest
all my tangible personal property to my spouses child e~, namely
Steven L. Tjernagel, Susan Lorraine Tjernagel Crowe an $.aurie An
Tjernagel, in equal shares, share and share alike. ',
ITEM V. In the event my spouse should predeceas ~e or fai
to survive me by a period of sixty (60) ys, then, in ,h~t event,
t
o ~'
Va~M ~~
ww V O~~
o~W ~
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SAN O
~~
I give and bequeath all the rest, residue and rema
estate to the SVEN L. TJERNAGEL and ELOISE L. TJERNAG~L'
LIVING TRUST. This property shall be distributed by
separate and apart from this my Last Will and Tes
any reason this bequest is not operative or is invalid
aforesaid Trust fails or has been revoked, I give
r of
Trustee,
', If for
br i f th~
residua
estate to the TRUSTEE named to act in the aforesaid rust, and
direct said TRUSTEE to divide, administer, hold and di tribute t
trust estate pursuant to the provisions of the aforesa dl Trust,
hereinbefore referred to, as such provisions now exist tp the sa
extent and in the same manner as though the aforesaid '$rust we
herein set forth in full. The TRUSTEE, or any
named in the aforesaid Trust shall serve without bond.
ITEM VI. I authorize and empower my personal rep e~entativ
to sell any real and/or personal property owned by me ate my Beat
and not specifically devised or bequeathed herein, at e't~er publi
or private sale or sales and to give good .and suff client dee
and/or bills of sale therefore, in fee simple, as I oh~ld do i
living. My representative is authorized and empowered olengage i
any business in which I may be engaged at my death, for such perio
of time after my death as seems expedient to said repr tentative
ITEM VII. I nominate and appoint my spouse to be t e',personal
representative of my estate, to serve without bond. I 'for any
reason my spouse cannot or does not serve, then I appo'r~t my
ISE L. TJ
2
s
sister, Kay Lane Gray, currently residing in Canandaigu
to be the substitute personal representative without t
any bond. and within the same powers.
IN WITNESS WHEREOF, I have hereunto set my hand at
„~ ~ , Pennsylvania, this y~.4- day of ~
in the year One Thousand Nine Hundred Ninety-One.
,'~ New Yo
3, filing
- U~
ELOISE L. TJ GEL
The within and foregoing instrument consist-ing of h~fs and tw
(2) other pages was at the date hereof signed and s~aled an
published and declared to be her Last Will and Testame thin
our presence. ',
~,
We have hereto subscribed our names in her presen ~ and
in the presence of each other and at her r quest, a
~~ `~/
Pennsylvania, this s~~ day of
in the year One Thousand Nine Hundred Ninety-One. ''
Address 3~,
Address 5~'/
3
__
__
___
.~ / `
s
Address
COMMONWEALTH OF PENNSYLVANIA
l~~DF.~ 7bW~S~rPj To-wit:
COUNTY/CITY OF ~jµ~KlaM~ CcwNT )
Before me, the undersigned authority, on this da ~personall
app ~ ed ELOISE L. TJERNAGEL, ~-R ,
e Y n ~~ len-~l , and
known to me to a the Testatrix and. the w tnesses, r s actively
whose names are signed to the attached or foregoing ins r ment and
all of these persons being by me first duly sworn, LOISE L
TJERNAGEL, the Testatrix, declared to me and to the wit e' ses in m
presence that said instrument is her Last Will and Te ament an
that she had willingly signed or directed another to s g the sam
for her, and executed it in the presence of said witne s s, as he
free and voluntary act for the purposes therein expr used; tha
said witnesses stated before me that the foregoin ,Will wa
executed and acknowledged by the Testatrix as her La t!, Will an
Testament. and in the presence of said witnesses, w ~, in he
presence and at her request, and in the presence of eac Cher, di
subscribe their names thereto as attesting witnesses o he day o
the date of said Will, and that the Testatrix at the i~me of th
execution of said Will, was over the age of eighteen (1 )'.years an
of sound and disposing mind and memory.
lit.,./ ~ ',
W tness
4
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.•
Subscribed, sworn and. acknowledged before me
TJERNAGEL, the Testatrix, subscribed and sworn to
- /~ Bch ear
w tnesses, th s ~-
~'~i+u~na •, , 1991.
ELOISE
ire me y
,a d
- Notary Publ c~ ~-
(~)
My commission expir s~,: /~
NOTARIAL SEAL
KENNETH L. SCHLEGEL, NOT R~PI~LIC
HAMPOEN TWP., CUMBERLA d., PA
MY COMMISSION EXPIRES R. ~$, -t 993
MEMBER, PA ASSOCIATIpN 1'ARIES
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