HomeMy WebLinkAbout12-16-10PETITION FOR PROBATE AN D GRAI~TT OF LETTERS
REGISTER OF WILLS OF LL>"•.t~3 Yt2z~ ~ ~ COLitiTTY, PENNSYLVANIA
Estate of ~~~ ~},~~- (-~ /~c ~ l.;` ~~ /~
also known as
Deceased
Petitioner(s), who is/are 13 years of age or older, apply(ies) for:
(COttiIPLETE 'A' or 'B' BELOW:)
Pile Number
Social Security Number .~ ~ ~E'" C° ~ -~ -~
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
last Will of the Decedent dated t ~"~ ~ z. ~ - `~ ~ and codicil(s) dated
(State releva~tt circurnstances, 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 tl-~e 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
(If applicable, enter: c.t.a.; d. b. n. c. t. a.; per:dente life, durance absentia; du
Petitioner(s) after a proper search has / ha °rtained that Decedent left no Will and was survived by the followin
Administration, c. t. a. ord.b.n.c.t.a., enter date ny ;dill in Section A above and complete list of heirs.)
Name
Relationshi
znte nrinoritate)
7 ~;
~,pe (if any} Ueu~:.(If ~'
__
- -. ,,. ~,
::~7 N - .
`~ ---
. C,7~
(COtI'IPLBTE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in G-""~' ~ ~ ~`«~ '~' `~ County, Pennsylvania with his !her last principal residence at
~ 2 '2. D c~ C~ -+~ 4 ~~ t~ ~ r~z ~ v' ~.` 1'Yl C (. tt t~ w; . c s' K ~--' rr~ G t'' ~~ - _~
(List street trddress, town,/city, totivnship, count), state, zip code)
Decedent, then ~' ~ years of age, died on l ~ 2oto at {•v'(C S S r /~ E:-( V 1 L ~R e:--' C.f ~'/~t=,~+%7~2 ..r ,ss r~
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: ~?~~ ~~ +' ~'`' Fv `~~'`~ 1~ t~t~~
Q
Wherefore, Petitioner(s) respectfully request(s) the probate of the {ast Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature Ty ed or printed name and residence I
.. '~
named in the
Form RYV-D? ,~~~-. 10.13.0 Pale 1 of 2
Oath of Personal Representative
COI/I~IONWEALTH OF PEi~1'iv`SYLVANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or affirnz(s) that the statementsain the foregoing Petition are true and con•ect 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. ~'
..--~ C7
Sworn to or affirmed and subscribed =n t--"t - f;
~,`i Signature ojPersonal Rzpresentatwe =~ ~ ~-
befo me the ~ day of ~~ ~"
~~
For the Register
Signature ojPersonal Representative `~~ t., ~-~~
`~~~•~~ ~' -' ~^~
_..~ .. _
Signattu•e ojPersonal Representative ?> ""
C7C
File Number: "~ ~ `- ~~ _ ~ 1~~
Estate of Donald A. Wion ,Deceased
Social Security Number: ~ (U " ~ (~ - ~~' ~~`~~ Date of Death: (2. ~ 1 - ~ C~ ~ ~~
AND NOW, _`j ~~ l' ~, y-}~ ~ ~~~~ t-- ~ (~ Z~"~r , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters (-~c~~~ 1 ~~1~' ~' ~-~~~ ('~•
are hereby granted to ~j X' ~~CL CSC. ~) . ~ ~'~' 1 ~~;
sue- in the above estate
and that the instruments} dated ~ ~~ - ~ ~ - (~~_~1'
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Dece~denft.
FEES ~ i ~-__ ? ~ ~ -~~~ t ~ ~-~~ %i~~ kJ C~ ~.1 ~~~
~ ~ _ ~ ~ -- ~ ~i. ~ L, ~ (~ r~
Letters ............... $ ~ Re Is r Wills
( ~ . C~_O
Short Certificate(s) ........ $
Renunciation(s) .......... $
~~ ~ ...$ IFS CiZj
CY ~ ... $ ~ ~ / c~
_~
... $
... $
... $
... $
... $
... $
TOTAL .............. $ l ~ ~~~
~~"f C~`~?~~
C~ t /~ `~`
Attorney Signature: ( `"'r'~~ ~ ~
Attorney Name: Robert A. M-iix, Es wire
16164
Supreme Court I.D. No.:
Address: ~:~5 E. High Street, P.O. Box 179
Bellefonte, PA 16823
Telephone: 814-355-4769
Furor RbV-0' rev. rv.~.~.v~ Page 2 of 2
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3HEV tl2aoe COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ~ -..• '~ ~ ~-'
! PRINT W i
AkCKItNIN(T CERTIFICATE OF DEATH ~
(See instructions and examples on reverse) STATE FILE NUMBER
1. Nona d Oecedant (Fksi, nedda, fast, wtlu) 2. Sea 3. Sodal Setaagy NtmWr ~ Dab d Death (Monts, day. year)
Donald Andrew Wion Male 210 -16 - 0335 December 7, 2010
5. Age Ilan eavday) Under t year Undo t day 6. Oats d &rm (Mttrrth, day, yea) T. BsYgtea (Cey and suN a couary) Ba. PNCe d Oeam (CMCk orwl
kbrr lays tars Fla'Raec
Fbsplal: QttMr.
Yr:. May 2 0 , 19 2 3 Bellefonte , PA ^ lnpalkrK ^ ER r otApabent ^ oa- Nursnq Htme ^ Resdata podw - Spedy:
' 8D. Courly d Oeam 8c. Cny, Bao. Trop d Death Bd. Foolery Name (a not rtaGMion, give street and ranttwr) 9. Was OecWen d lMspnrc f)rgirt? ®No ^ Yes 10. Rau: Artraicart trttlarL Bkpt. tMtfl., etc.
Cumberland
Mechanicsburg
eSS1~411 ~l/~a~ -Q-
(
~ Id YK. wwN ~.
AAearcan
PfreMRican
.R
) ISP~A1
,
i ,
,
. White
11 Oeceoerd's Uswl Occ butt Knd d won o ohs W ar rrrosl of work u1e. Do nd stab tweed 12. Was Decedent ever in the 13. Decedent's Etiucabon (SpeGry aNy highest grade compl eted) 1 J. Mardal Status: Marrteq Plover Married, 15. Survnulg Spo use (q wtk, giv. harden rwne)
Kad d Work Kud d Busrrss (kgtmtry U.S. Armed faces? Etemenury 1 Secondary (0•t2) Coeege (t •I a Sr) WidnNed• mad (SP•o'M
Me hani al En inset Industrial ®Ya ^No 4 Widowed
~ iti Decedas's Ydaletg AAdreas (Buser, aY t town, sale, zp code) l)ocedaN's Dtd Drtcedertt
m
a
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p. y
~~ ITLStaN Pennsylvania
Wn Upper Alle
}T
t7c
®Yes
sU
Deced
522 Dogwood Drive T~
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Mechanicsburg, PA 17055 1O D Ne. D.e.dr+ t.,rw wa,et
t ~. ~+ry Cumberland
Awwtrnlsa caylBoso
I8. fame's Name IFesL rtrd0e. last, sudu) tg. Mttmw's Nsme (Fwsl nadt/e, maiden sumarne)
Willis Wion Bertha Breon
2l>a lM«mara's NanN (Type !Pmt) 200. btbnnafa't Maeng Adtress (StreN, cdy r bwn, stab. tp code)
Susan J. Bertram 1204 Winter Hunt Road, McLean, VA 22102
21 a. Method d ospocuion Q Cranfatan ^ po„app,
~ 21D. Oak d Dispast0orf (Month. day, year) 21c. Plan d Dicposeart IName a cemMery, aematay a oma Dkal 210. location (Cey I town. skN. zq code)
~ Btrul ^ ; Wa Ceentetiott or Dohetlat Atllholiad
D onw• : DylledkalEaathietar T OvesDNo
'
ecember 14, 2010
Union Cemetery
Bellefonte, PA
•
na a Fora (« person root) 226. licenw NurtWa 22c. Nartfe and Address a FaaMy Z imme rman-Auer Fune ra 1 Home , Inc .
~ < FD013801-L 4100 Jonestown Road, Harrisburg, PA 17109
CorrtpMe Owns < ony a/fsrf 23a. To tlN best d my knowledge, oaurrw at the hne, thN atld plan stated. (Sigrtattae ono title) 23b. lkerue Number 21c. Dab
StgrfW (Mttnm. day. year)
pnysrpen K n« avalabN ar d Osaet b
'
arty crw a steam
sierra 2e•~ muq ~ a ~~
~ 21. Tarty d Deam
^ 25. Date P (Monet, day yw)
~ 28. Wa Case Rekrred b EsanwNr I C«orNr br a Reason Oerr dtan t:tarta0on « Donttion?
role pmraurces deatff. ~ ,
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/ (~ ^Yn
CAUSE Of DEATH (Sets irrlruetfons ens ettamples) r Approzanare reshot: Pan II: Erna ama 2tl. Od ToOaxo Use Cantr4uY b Doan?
treat 27. Pan L E«er dN ~;yt,~ - dseases, ayurNS, « WmpkaO«n - d+r oreory armed dM t>am. DO NOT sate terrnirtal svsna such u cardaC arrest. r Oras1 to Oeam DW rot resudrp n dM urfde°ytrg nose given n PaA 1. [] Yes D Props0ly
raspaatory arrest. «verMncWar ItDNaoon wdltaa showvg dfe euobgy. lot oHy oM atra on each YN. r
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UNOERIYtMG CAUSE a Oue to (a as a wnsequenu d): ~
Ever fN ^ Nd prpnrr, but pgwa wttln I2 daya
(Oeeere~g mat ) ~ ~
evens r ~ n deeamr~aq c d dnMf
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30a. Was an Autopsy ]00 Wae Aubpsy Ftrtatttgs 3t. lAarvwr d Deem 72a. Dre d Irytrry (Moral, day. year) 32D Descrt6e How Irtpry Occurred 32c. Plan d NNrY: Flume. Pant, Sheet FaoOry,
Pabrrned? AradibN Pray b CorrtPl••drr ~~ ^ ~~ Oefa 8ui0tftg, ere. ISP•~-1
d Guse d Dsam? ~
Yes tlo
~ Yes Q do ^ A ^ paarg m nd. Tme d bMruY 32e. terry at Wax? 121. M Tramponatbn Injury iSP•o+N!
aabr ^ Pssawt
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W 32g. Locatan d IrMry (Strew. city r town. stale)
^ Surpde ^ CaulO tld be Osterrrwwd p
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n
^ Yes ^ No
M Oew ~ Speuy:
33a CNWNr (('JACK 4Ny Ono)
Caro reign IPn swn teal cause d dean whets arrow steers has anouncad deem arts red hem 27
• M•n9 phY r Mng phr w cOrrpte 1 3.'b. $~gnitUr N! r ~` -_
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To tIN best of my YnowNege, tMath occurred dal to tM cauage) and trtrtrter as slaFed_ _ _ _ _ _ _ _ _ _ _ _ _ ., _ -' _ _ _ _ _ _ _ _ _ _ _ _ ., _ _ _ - . 1
• Rawurtcup and ceroryutg physrcun (Pnysrcwt Ddn proraurtcrig seam and cenlyng 10 cause d deaml ~ 13G Lrense NtntOer
330 DiN dt. y, )
Te bN beat d my knowledge, death occwra0 at me lime, deb, and pkce, af10 dal to Ute cause(s) end manna as skkd._ _ _ _ _ -' _ _ _ _ _ _ _ _
• N.weal eaartiner / caaNr _ _ - _
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On the bash W eaanftnaliort std / a investrgetion my .death occttrrN al dk time, dab. and plea. and dtte to the cause(s) ttrd mama u ewed_ ^ _
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11. am Address d P Who Camegted C~usa d Daam tlkm 7) Type r Pmt
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35 Rerpstrar s ue r Nu r . Dag Fled (Moron. day. year) l
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DtsPosruo^ ParrtM NO.
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~~
?~rzsY 3~i11 ~n~ ~e~Yttm~nt
OF
DONALD ANDREW WION
I, DONALD ANDREW WION, of Lower Paxton Township, Dauphin
County, Pennsylvania, being of sound mind, memory and
understanding, do make, publish and declare the following t:o be my
Last Will and Testament, hereby revoking and making void, any and
all wills, codicils and testamentary dispositions by me at any time
heretofore made.
ITEM I. I direct that all my just debts and funeral
expenses be paid and satisfied by my Executors hereinafter named
as soon as conveniently may be after my decease.
ITEM II. All the rest, residue and remainder of my
estate, whether real, personal or mixed, of whatever kind and
wheresoever situated, I give, devise and bequeath unto my son,
;DOUGLAS A. WION and my daughter, SUSAN J. BARTRAM, in equal shares,
Iper stirpes. If any of my said children shall predecease Mme
jwithout issue, then I give, devise and bequeath the share of that
h survivin child er stir es.
child t• t c g p p
ITEM III. I nominate, constitute and appoint my son,
DOUGLAS A. WION, as Executor of this my Last Will and Testament.
In the event my son, Douglas A. Wion, is unable or unwilling to
!I serve in this capacity, I nominate, constitute and appoint my
daughter, SUSAN J. BARTRAM, as Executrix of this my Last Will and
Testament.
ITEM IV. All estate, inheritance, transfer, legacy,
succession, and other death taxes of any nature, payable by
reason of my death, which may be assessed or imposed upon or with
respect to property passing under this Will or property not
~ d
ar°'„y
~ ~ f "'
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passing under this Will, shall be paid out of my estate as an
expense of administration, and no part of said taxes shall be
apportioned or prorated to any legatee or devisee under this Will
or any person owning or receiving any property not passing under
this Will.
ITEM V. No fiduciary herein named shall be required to
enter bond or security in any jurisdiction for the performance of
duties.
IN WITNESS WHEREOF, I, DONALD ANDREW WION, have hereunto set
my hand and seal this ~ ~ day of l~ ~'~ e-`~3 ~~ 1993.
-,,
Donal Andrew Wion
Signed, sealed, published and declared as and for the Last
Will and Testament of DONALD ANDREW WION, the Testator, in our
presence, who in his presence, and in the presence of each other,
and at his request, have hereunto set our hands as subscribing
witnesses hereto.
r
~ ~
t,~~u
Name
~~ ,~'~° .
A ress
Name ~ ~ A ress
r ~ .
i
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
a
We, DONALD ANDREW WION, ~.,, _ .-1-- -~ ~ _j , `-. •~ ,
,~
and ~ ~ ,,~ ~ . ,...`,; ~, ~ .~---- , the Testator and t h e
witnesses re p ctively, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby dE;clare to
the undersigned officer that the Testator signed the instrument as
his Last Will and that she signed voluntarily and that each of the
witnesses in the presence of the Testator at his request, and in
the presence of each other, signed the Will as a witness and that to
the best of the knowledge of each witness, the Testator was at that
time 18 or more years of age, of sound mind and under no constraint
or undue influence.
i 0~.•~ ~~„ ~~,,,.,,~t..cs~,~...>
Testator - Donald An rew Wion
z
~'t,,,~ i ~,.v
Witness
~.,_
r _ ~
,.
... ,- ~~
~~
_ __ ~ -~. r ~~, ,~
,~ ~- ~ Withess
~'
Sworn to and subscribed before
me by DONALD ANDREW WION,
the Testator, and subscribed and sworn to
before me by ~ . ~,,, ~ and
-.~
z~-~ ~~ ;~.~ ~ (~~°--" the witnesses,
one t is ~ "' y o _ ,iC: .L_, _ 1993 .
otar~'" Public
My Commission Expires:
NOTARIAL SEAL
ANN J. LONG. Notary Public
Harrisburg. Dauphin County. Pa,
My Commission ~xpir2s pct. 3p, ig95