HomeMy WebLinkAbout12-20-10Reset Farm
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSIYT~,VANIA
Estate of Miriam E. Davis File Number G ~.' ~ ~ ~ ~ ~ ~~
also known as i
Deceased Social Security Number 201-16- 0 4
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' 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 August 25, 2009 and codicil(s) dated N/A ~I
(State relevant circumeta»ces, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of a instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: N/A
f^'7
W.~ n. i,ranr of l,ettera of Administration
pfapplic•able, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; durantea6sentia; du
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.) ant minoritate)
se (if any)~d heirs: (/
,~
~~
Name Relationshi R n
N
`A
(COMPLETE 1NALL CASES:) Attach additional sheets ijnecessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principa
Sarah A. Todd Memorial Home Carlisle Cumberland Count Penns Ivania
~ re
~"
idence at ....
(List sheet address, lawn/city, township, county. slate, zip code)
Decedent, then 87 years of age, died on November 25, 2010 at
S
h A
ara
. Todd Memorial Home Carlisle Cumberland Count Penns lvania
Decedent at death owned property with estimated values as follows: ~I
(If domiciled in PA) Allpersonal property I
$
70,000.00
(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:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will-and Codicit(s) presented with this Petition and the grant of~Le
the undersigned: ers in the appropriate form to
Si aturc T ed or rioted name and residence
Susan K. Davis, 229 Walnut Street, Carlisle, PA 17013
Form RW-Ol rev. 10.13.06 ~ P1ge 1 Of•2
I
j
--- -- -__ __- ~i I
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CST.AAIn
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are. tru e and correct to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner s) jwill well and truly
administer the estate according to law.. '' ',
Sworta to or, affirmed and'subscribed ~~~//~iJ _/~. /L(/Q~ ~ II
Srgnature of Persona! Representative
~ ~~
before ~e the' -
day of
X61 D Signature of Personal Representative
~
rrte~// ("! .7~
~~~~
l
For the Re !Stet Si atare o Personal Re resenlative
i
g Sn r p I nth
~.-` J
File Number: 2 /' / (~" / ~:!'~~-/' I,
Estate of Miriam E. Davis , Dedea
Social Security Number: 201-16-1024 Date of Death: November 25, 201011
i
AND NOW, ~ ~o~r, , in consideration of the foregoing Pe~iti~
having been presented before me, I DECREED that Letters Testamentary
are hereby granted to Susan K. Davis h
and that the instrument(s) dated August 25, 2009
described in the Petition be admitted to probate and filed of record as the last Will (and Codici
FEES /3 ~
er
Letters ............... $
Short Certificate(s) ........ $ Attorney Signature:
Renunciation(s) .......... $ ~"
~~ jI ... $ / .~ `~ Attorney Name:
• • • $ .Supreme Court LD. No.: 34349
... $
$ Address:
... $ .
... $
... $
' ' ' $ Telephone:
... $
'" =~
cp
satisfactory proof
in the above estate-'
i
i
200' N. Hanav
~xi street
Carlisle, PA'I 7013
(717) 243-55 ~11I
TOTAL .............. $ /~ln_'~' `~
of
Form'RW-0l rev. 10.13.06 Page 2 Of 2
1f1G QIIS TZcV I(lt ~n^I
zl- l d ' l Z~~
LOCAL REGISTRAR'S CERTIFICATION OF aE TH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00 This is to certify Ilhat the information here given is
correctly copied fr~m an original Certificate of Death
duly filed with I m as Local Registrar. The original
certificate will! b forwarded to the State Vital
Records Office fo permanent filing.
P 16855570 ~,~' 29 2o~fl
Certification Number Local Registrar. Date Issued
as
,.
h
~~
m
~.•
I
~3 I _ . _.
NIlbiq NEY iN8G01 COM~IONWEA~TH OF PElNISYWAMA .DEPARTMENT CF ~~ . V1TAl WECORDS
irME i NMN' N 'I
1. rrararoawrrlwr.rrs~.ba1.«ie0 ~xnnplos °A ~ aT~T¢ Fae
2 Nr a eaoY ~ Nu18ar DYa d Darr AbaA eq.1+a11
s,ppwrerq~ urr+ urr T. w.rra -
rr. alw lrra r~r.
87 vl.. March 1 1923 ..Gardners Pa. ^-orrr ^9lrwplrll ^ot~ ^,~„~„„ ^a,,,.
~. Caaaraoaab la dy,Nw, Trty.d Drr r: F.e~•M.n.rym brerbti yw rr.r rre.l Y; Mha Dradr,d HlprYe(MOb4 r« 1a Nwr MwIr~IMrS H~Iy, rMly.rt,
Cumberland .Carlisle Sarah A. Todd Memorial Home ~ ~.~ i ~~
n. u..1 r.r a 1: Nrs aar+«a b n. u. o.aw`. Sar~N. Wh3 to
~ wrrrrk grMlilin«I LLa Anlr! Faowi ~/ ~M' aMblt 9~ 4aTbb~ 1{. WYI BMS M~Md 16 8aMM1.>3prs (MM/. 01r tiddm inmN
.oi Cook f t ~" ^ rw ~ r s«aa~n ro•+s1 ~w p{ a &) wm••a, O-awa
~ uoaNrarrowr.r~.«,dr+raMra~OaaM oawe.r,
cei 4341 Carlisle Road ~arNwa.lwmsw Pa_ u°dnb°i;°'" +~,~+,,~ b~ nic~kinsc+n m.~n TYa
Gardners, Pa. 17324 lmcwaytumhorlanA °"'"°' 1m^~ duwa
~ ayrero
-9i..FNah we.lgrt r~r, Y~LrINp tt. wr.rrlrliht+lieer. nwl ralr~9
1 Christine S a ner
aaa rrrriOl Naa (Tpa~ AYQ aaa wan.~n ~wro ~a-w 18~.r, W ~ b.n w1.; ~4 «~
sl~rrrardap+bll I 17 1
^Cwlblon ^Dawlm tt0.0~rrOhiaalfenllM4dgtM ~1ec1saa4oralpMraari.~.r,aanr„raarrMbl a~aermp+~brl,rlr~bpas)
~el.r ^ Nrorr~ar8rr rlr~r 'e:r,rr°"i~~.n~i1 ^ rw^ No
D c 1 Mt.HOlly Sprin s Cemeter t.Holly Spgs.Pa.1706
>~9~MawrNrar 9rNw Urawppelarq as wdq 4>p.llebw NUlrr 7lc,Nm rr Adbwad Fw~r
~ ~ ' FD-011589-L 5 1 NI. Aaltimore Ave.
:~M+Uw ~sarrwaa^wrq mr Awrarna0r +ob.rraldgo rrm.ta4r...nerp
111~atlrlrMrrblbrraaddwllb 7>b. UCrib NbrNr me. &prl bn lal
.wlN,wl..dsr. ~~ ~ .. ~.h `~{ D 3t, ~
M2ai lrrl ea awgYaebypaiw 2t.iMd 4SDra PiawraA Datl PIan14 h1SYWl 2a Ww Gw Rabalb ~Cavrr br~Nram M aDwrrll
+re llamrrwraR M. ~ .
^ Vw I7.Na
CAIw~ Os OIUITM (Mw rwrrauwr rad wrllob~ 11r b
Mw a.MkFabr/~1~111AY-rb~r,1~MM.rrnpaiab•dti~NrarrkhOrl~UO NOT rlbrbmM1~Iwrib ~rlwaA~e+m4 ~ 011«ta D~rh .hd ml bb ^rw ^Aably
IrMabnrrltarrr4rreroa Mrd dbAgMakbp.lilayalrgran wdl M. I ~0 bdnlAi IM I.
I
^ No Uralaw
CdP~Ey/oix ~'~~
as aqa dk b~ //~ I-~e i Nrpgrr lMihPwllar
~-Y ~=.~..'L 0.I /7`Z!/G~~~'[~ ~~b L_y1'f~ i ~"1d.s c" ^Rgrfrrlyddwh '
°~Ylj ~~ @-y~ Ow b ~r «~ mrp«le~ d~: I L3Q~
a1~a1M#riYOM I ^ NdpgN;pr pp«y.ANn l2 yp
it e ~
lard ~tAfr. Oil, b (a r, mlrpws dp I ~ dUarl
^ Nd pglrl, W pgwr q 6p b 1 yar
G i ~ 61i1b Obb
I ^ UdmwlM
.>ML MIwnMtopar NL r~rr~~ ~ 81. Wgard ^ilonYdtla I ~~~BYrIFmY•
tia.rdl sr.ordqurPbrhdd.raM a~nOnabNrrblw0eaulad
a c.r. a DaaNt
~ ^ rw yLl N. ^ rw S~ ^ Aiddlr ^ vrag w+.lgrm aas nlr r Mq sr, q.yrwrn aw ~T,d.~~arNn gn l~.rb aa~ a t~wt ayr bra. abl
^ BaIIG. ^ CaM IAM. Drrlirra
^ Yw ^ Na ^ DIMrlOprMr ^ FawriOr ^ Pad116M I
~
~•~a8
,AO-DaIMarMlalkolYaq
aaa aaarrdawa
• ~+~hMMr~w•0'h~r+lwlly+oar..aerlwrl.lgnry~dlrlnrameuoes.brrwnprrare,aa~
T~rNarrwlrwbM w«rwr~.rN..rra~gw rrrrw rrw_. -'--• Ip -
' ~nwrM10.a0arlMyl+0~1w 04r11maar
opmld
d
l
P
g
b
iararll+Ygbarlwdarl@ ~7C I
Tsrr.rrbr~...r+ww.a.aarrN.u..+Ir.aura....aiwrN.e.a~gr,.aa.+arw------------------^ ~1 Q o~l~~
• rrere..b.ica.r
a r Dr•
j'ap a2rJl!}
r wrra~rrw.ri«rwy+a.rwep+r~wal.rarwr.. wa.rr p~aa,wa..aeawyb.r.w...wt. ^ N.rwl..rl~m.arnnea x+wcapNra
..yd~
~ a rr ~/~1'fOf»wA 7 ~ (/t~c96f~
rya.ivna
- Ia, ~ ~~ ~ ~ ~ n ~ or.~reaa.I.M.Nan ~ a ~
i~7LfLt~gr ~
,w 7Ut1
ohpoaNal rrni Na'• nS'y-h~
-_ I'.
__ ,
wl~~ of
MIRIAM E. DAVIS
m
~~
N
~ ~ ~, ~
r~
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
suITE lol
CARLISLE, PA 17013
I, Miriam E. Davis of Cumberland County, Carlisle,
Pennsylvania, declare this to be my last Will and hereby re~ro}Ce all
prior Wills and Codicils.
1. I direct that all my just debts, funeral expense ,
gravemarker and administrative expenses sh II be paid
from my residuary estate as soon as practica I after my
death.
2. I direct that all inheritance, estate, transfer, s c ession
and death taxes of any kind whatsoever whic ~y be
payable by reason of my death shall be paid u cif my
residuary estate.
3. I direct that my entire estate be distributed as fo Idws:
A. I direct that my entire estate be divided in d equal
shares between my son, Dennis L. Da is my
' daughter, Susan K. Davis, and my gra d on,
~ Michael L. Davis. ~
B. Should any of the above mentioned pr d cease
me, then their share shall lapse and be di ided
into equal shares between the survivor f the
'' above mentioned.
4. I appoint Susan K. Davis, as Executor of this y I~st Will.
If Susan K. Davis should predecease me or c a ~ to act
in such capacity, I appoint Dennis L. Davis as al e~rnate.
5. The Executor of this Will shall have the power to
distribute my estate in kind or in cash, or partl i either.
6. I direct that no Executor acting under this Will ~h II be
required to enter bond in any jurisdiction.
IN WITNESS WHERE F, I have he eunto set my ha
S day of 2
.,
Miriam E. Davis
this
t~ ~i
J
The preceding instrument consisting of this and onei,other page
was on the day and date hereof signed, published and dec~ar~d by
Miriam E. Davis as and for her last Will in the presence of s, who at
her request, in her presence and in the presence of each o~h~r have
subscribed our names as witnesses hereto.
~v~; ~~
WITNESS WI NESS
LAW OFFICES OF
STEPHEN J. HOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
- __ __ _ -_
r
tww offices of
STEPHEN J. NOGG
19 S. HANOVER STREET
SUITE 101
CARLISLE, PA 17013
ACKNOWLEDGMENT
State of Pennsylvania
ss
County of Cumberland
I, Miriam E. Davis, the Testatrix, whose name is sig.
attached or foregoing instrument, having been duly qualifiE
to law, do hereby acknowledge that I signed and executed
instrument as my last Will; that I signed it willingly and as r
voluntary act for the purposes therein expressed.
'YY~.ti r, ~a~,
Miriam E. Davis
Sworn to or affirmed a~ acknowle~
Davis the Testatrix, this ~ day of
2009.
•1l1~11 d004-MpfMY RINJC
CAI{/ ~Olq. CUI~Mp OD., M
~~~ ~~ ~NIYMMII ~, f~
Not rv Public%
AFFIDAVIT
State of Pennsylvania
ss
County of Cumberland
We, ~i~r e[.~ 64 8L~4 ~ ~ and s ~ r
witnesses whose names are signed to the attache or fore
instrument, being duly qualified according to law, do depo~
that we were present and saw the Testatrix sign and exec
instrument as her last Will; that the Testatrix signed willing)
executed it as her free and voluntary act for the purposes t
expressed; tha# each subscribing witness in the hearing an
the Testatrix signed the Will as a witness; and that to the b
knowledge the Testatrix was at that time 18 or more years
sound mind and under no constr 'nt undue infl nce.
.TES rn to or affi
this day ofof
Notary Public/
to before me by
~ , 2009.
to the
cording
de and
am E.
tale
say
t of
our
:, of
r