HomeMy WebLinkAbout03-0030 PETITION FOR PROBATE and GRANT OF LETTERS
Estate oS' Do,\ 37. go
also known as .~ Io4,, To:
Register of Wills for the
~ Deceased. County of Co ~ 6~'~c~ ~ in the
Social Security No. 1 ~ ~_--~ '(~ ~ c~ C? Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut (~ R named
in the last will of the abov_e decedent, dated t~ ~/. I I t q ~4 ~ ,19
and codicil(s) dated fl//~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in (~ ~ t',,x/~ r- ]o,~, ~ County, Pennsylvania, with
h i -~ last family or principal residence at
(list street, number and muncipality)
Decendent, then ~ r7 years of age, died ~'o. tx ~ .~, r--, t al *}x ,71.c~o0~. ,19 ,
at
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of ~.h%w_ill offered for probate; was not the victim of a killing and was never adjudicated
incompetent:(\fitS.
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ ~i _(~__XD. c.xD -
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $.
Value of real estate in Pe~nn,sxlvania $
situated as follows:
WHEREFORE, petitioner(s) respectfully req$est(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters-t-~
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
theron.
·
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~
COUNTY OF L us~be.r-I~,,,'x~ _ ss
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 represen-
tative(s) of the above decedent petitioner(s) will wellt atto truly administer the e~te according to law.
Sworn to or affixed and subscribed ~ ~ ~
bef~e me this ~ gay of [ q ~'
Estate Of , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~M~.G~t2 //-/ , a~9~ ~ , in consideration of the petition on
the reverse side hereof, satisfac ry proof having been presented before me,
IT IS DECREED that the instrument(s) dated Mo~/ . ii , /~
;
~d Letters
Probate, Letters, Etc .......... $
Short Certificates( ) .......... $ 3~ c~O ATTORNEY (Sup. Ct. I.D. No.)
Renunciation ................ $
~ $ /0.~ ADD.SS
TOTAL
Filed . l :. J.~ .Z .OS .....................
PHONE
REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
(each) a subscribing witness tH will presented herewith, (each) being duly qu
law, depose(s) and say(s) thatX"x~.,,x jJ present and saw
the testat ., sign the same and that '"~ ~ signed as a witness at the
of testat in k presence ~ence of each other) (in the presence of the
request
other subscribing witness(~ ~
Sworn to or affirmexl~mffsubscribed before ",,,
me this day of ~(Name)
19__ ~
Register (Ad~,~
(Name) ~.~
(Address)
REGISTER OF WILLS OF '~%,~6~~r COUNTY
OATH OF NON-SUBSCRIBING WITNESS
2.1- o~-5o
(each)~_~e.._a subscriber,~_.% hereto, (each) familiarbe~ng dUlYwithqualifiedthe signatureaCC°rdi~of ' ~law' depose(s)~ ~and say(s)~ that,
codicil
testat~ of (one of the subscribing witnesses to) the ~ presented herewith and
codicil
that ~ believes the signature on the will is in the handwriting of
to the best of ~,~.. knowledge and belief. ~
Sworn to or affirm~ and subscribed before
me this ~'~ day of
(NameJ
(Address)
REGISTER OF WILLS OF COUNTY
OA~}F~SCRIBING WITNESS
~ codicil ~ '
(each) a subs~ribi.ng wit~n .~he will presented herewith, (eac~,~ng duly qualified according to
law, depose(s)and Say(s)that. ~ ~ present and saw
the testat__, sign the sa'me and that '~ sig~s a witness at th;
request of testat__ in h presence and (in"t~presence of each other) (in th'~resence of the
other subscribing witness(es)). ....~....,. ~
Sworn to or affirmed and subscribed before ~'"'"x....% --"~ '" ..
me this _ _ day of ~ '""'(,~ame)
~ (Address)
: Register
.... (Name)
(Address)
REGISTER OF WILLS OF O.(zc-n~iaJ~l_ COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
/' ~ familiar with the signature of ./-~,42( ~ ..~./~/g:Z,'~ ,
codicil ' ~
testat ~ of (one of the subscribing witnesses to) the ~presented herewith and
~odicil
that / believ~ the signature on the ~s in the handwriting of
to the best of ~?~ knowledge and belief.
Sworn to or affirmed and subscribed before ~~/~/,
me this /~/~ day of ·/ f ,fNa~
(Address)
RENUNCIATION
In Re Estate of 9 ~ L. ~ ~ ~ "~ ~['~ deceased.
To the Register of Wills of O~ [/L ~/] ~'~x.~ ~ County, Pennsylvania.
The undersigned -'~"D ~3,_(~..~ [~.~ ( ~:~ ~'-~---/_~ [J~--[O ~ ~ of
the above d~edent, hereby renounces) the ri~t to admi~ster the estate and resp~tfully ~k(s) that Letters
WITNESS
r ~
~,,;,,OF ~$.
GABRIELLE L WILSON (Signature)
'iOIARY PUBLIC, STAT[ OF ~ISSOURI
JACKS0~ COU~TY
,~;Y c~d~!: SIC~ EXPIRES APRIL 21, 2006
(Address)
(Signature)
(Address)
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local P...egistrar. The original certificate will be forwarded to the State Vital Records Office for permanent"filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate. $2.00 ~~ ~5)~,/vz-~t.'r~.~Local'/0~R~gistrar "k J~.~.~
P 8010358 , oo
No. ~ ~'/ date !
H 105144 Rev. 1191 COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH * VITAL RECORDS
TY,E,RR,N, CERTIFICATE OF DEATH
,R (Coroner)
PERMANENT
, Dale A Batr 2 Male 3 172-36-0590 4January 4, 2002
AGE i as {~ hOay) UNDER I YEAR UNDER 1 DAY DATEOFBIRIN 81RTHPLACE CIa d~ A ' '
, ~c~, PA 17055 ~,o~.,,.~.~ __ . ,o.~
,,- ~ ~ ~ ,,. ~IS R;
J~ ~ ~ir ,~02 St. ~k's R~d ~jcsh,,ro. PA 17055
~ ~,.U ~,,,<s~ - ~ ~,~olling~ ~to~
~ 2002 ~. ~lly Springs, PA
i 1667 L [~l~zzL ~al H~ ~hanJcR~]ro. PA 17Oqq
~r~n w~ module, ~lh y, ~ar) ~S CASE REFERRED ~ ~ EXAMINE~ER?
5:00 A. ~ January 4, 2002 ~,.
, Occlusive Coronary Artery Disease ; Remote HI, COPD
r~ ~ ~ ~, 1Acc~nl L~ Pe~ Invesli~t mn ~ ~- I~- ~
Tolhe~stofmyk~Mge,~a~c~Mll~tim, MM,~K/,l~d~lo~u~i)t~mlnMrMiliM .......................... ~ ~,,. a*d. January 7, 2002
'MEDICALEXAMINE~CORONER (Item2l)Ty~Pdnt ~C~ ~* ~Or~S~ Coro~er
~n~inm~n~rinv~'~3~n~nmy~p~n~n~de~h~cun~at~he~me~ndp~'~ndduet~thec~u~(~)~ ~375 Basehore Road, Su/te
Ila.~nner~e~t~t~ .................................................................................................. ~32. Hechantcsburg, Pa. 17050
LAST WILL AND TESTAMENT
OF
DALE ALAN B~ r~ ~ ·
I, Dale Alan Bair, of Mechanicsburg, {~A,~voke my former Wills and Codicils and declare
this to be my Last Will and Testament. ' ·
ARTICLE I
IDENTIFICATION OF FAMILY
I am not currently married to anyone.
The name of my child is Jonathan Alan Bair. All references in this Will to "my children" are
references to the above-named child.
ARTICLE H
PAYMENT OF DEBTS AND EXPENSES
I direct that my just debts, funeral expenses and expenses of last illness be first paid from my
estate.
ARTICLE llI
DISPOSITION OF PROPERTY
A. Residuary Estate. I direct that my residuary estate be distributed to Jonathan Alan Bair,
Mechanicsburg, Pennsylvania. If such beneficiary does not survive me (or is not in
existence), my residuary estate shall be distributed to my heirs-at-law, their identities and
respective shares to be determined under the laws of the State of
~_~ o,,,,,,_n ~ ~ ~ ~..L~.~ , then in effect, as ifI had died intestate at the time fixed for
distribution~3under this provision.
ARTICLE IV
NOMINATION OF EXECUTOR
I nominate John Wiesen, of Kansas City, Missouri, as the Executor, without bond or security.
ARTICLE V
EXECUTOR POWERS
My Executor, in addition to other powers and authority granted by law or necessary or
appropriate for proper administration, shall have the right and power to lease, sell, mortgage,
or otherwise encumber any real or personal property that may be included in my estate,
without order of court and without notice to anyone.
My Executor shall have the right to administer my estate using "informal", "unsupervised", or
"independent" probate or equivalent legislation designed to operate without unnecessary
intervention by the probate court.
ARTICLE VI
MISCELLANEOUS PROVISIONS
A. Paragraph Titles and Gender. The titles given to the paragraphs of this Will are inserted
for reference purposes only and are not to be considered as forming a part of this Will in
interpreting its provisions. All words used in this Will in any gender shall extend to and
include all genders, and any singular words shall include the plural expression, and vice versa,
specifically including "child" and "children", when the context or facts so require, and any
pronouns shall be taken to refer to the person or persons intended regardless of gender or
number.
B. Liability of Fiduciary. No fiduciary who is a natural person shall, in the absence of
fraudulent conduct or bad faith, be liable individually to any beneficiary of my estate or any
trust estate, and my estate or the trust estate shall indemnify such natural person from any and
all claims or expenses in connection with or arising out of that fiduciary's good faith actions
or nonactions as the fiduciary, except for such actions or nonactions which constitute
fraudulent conduct or bad faith.
C. Beneficiary Disputex If any bequest requires that the bequest be distributed between or
among two or more beneficiaries, the specific items of property comprising the respective
shares shall be determined by such beneficiaries if they can agree, and if not, by my Executor.
Page2 ~tim: '~ %
IN WITNESS WHEREOF, I have subscribed my name below, this I ] day of
~10 Cn_w' ,19~_.~.
Dale Alan Bair
We, the undersigned, hereby certify that the above instrument, which consists of
pages, including the page(s) which contain the witness signatures, was
signed in our sight and presence by Dale Alan Bair the "Testator" (or another person directed
by the Testator to sign the instrument for the Testator in the Testator's presence), who
declared this instrument to be his/her Last Will and Testament and we, at the Testator's
request and in the Testator's sight and presence, and in the sight and presence of each other,
do hereby subscribe our names as witnesses on the date shown above.
Witness Signature:
Stat :
Witness Signature:
Nme:
City:
State:
JRD/June 30, 1992/17858
In Re: Estate of DALE ALAN BAIR : ORPHANS' COURT DIVISION
Late of UPPER ALLEN TOWNSHIP : COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY
Estate No.: 21-03-30 : PENNSYLVANIA
:
: NO. 21-2003-30
NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT
ORPHANS' COURT RULE
Personal Representative: JONATHAN ALAN BAIR
Counsel for Personal Representative:
Date of Grant of Original Letters: 01-14-2003
Date of Delinquency Notice: 04-24-2003
The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6,
Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Common Pleas of Cumberland County, that neither the above named personal representative nor
the above named counsel for the personal representative have filed with the Register of Wills or
Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court
Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court
Orphans' Court Rules, was given by the Register of Wills on APRIL 24, 2003, and that the ten
(10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e)
the Court is hereby notified of such delinquency and the undersigned requests that a Court
conduct a hearing to determine whether sanctions should be imposed upon the delinquent
personal representative or counsel for the delinquent personal representative.
Date: 05-16-2003
~li~-Register o~Wi(,l~ U 0~
Distribution: Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled for ~ at ~:jo/q_~,jt In Courtroom No. 3. Ifthe
Certification of Notice is filff~l prior to the hearing date, the hearing~will automatically be
cancelled, t'~~
George~. ~ f['er,~. J." ~
ri
m
nj
Postage $
I.rl Certified Fee
Postmark
ri Return Receipt Fee Here
r"~ (Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
nj I SentTo ~ /~ ~
[ ....... ~~~___~~__'~ ...............
r-1 I Street, Apt. No.; ..~
~ I Ci~ ..................
.n Postage $
U"I Certified Fee
,.J3 Return Receipt Fee -- Postmark
~:3 (Endorsement Required} Here
1:::3Restricted Delivery Fee
r-i (Endorsement Required)
Total Postage & Fees
15573606122003 Cumberland County - Register Of Wills Pa~e 1
ROW621 6/~2/2003
File No 2003-00030 PA File No 2103-00030
Decedent BAIR DALE ALAN
Docket Entries
D/E Date
No. Filed
001 01/08/03 PETITION FOR PROBATE AND GRANT OF LETTERS TESTAMENTARY
OATH OF PERSONAL REPRESENTATIVE
RENUNCIATION
OATH OF NON-SUBSCRIBING WITNESS
DEATH CERTIFICATE
002 01/10/03 OATH OF NON-SUBSCRIBING WITNESS
003 01/14/03 DECREE OF PROBATE AND GRANT OF LETTERS TESTAMENTARY
June 13, 2003
Jonathan Alan Bair
302 St. Marks Road
Mechanicsburg, PA 17050
IN RE: ESTATE OF DALE A. BAIR
Failure to File Certification
Dear Mr. Bair:
A hearing was set for June 13, 2003, at 9:30 a.m., in the Courthouse in Carlisle, at
which you failed to appear.
The certification must be filed in the office of Register of Wills.
We must hear from you within twenty-four hours; please phone Jackie in the
Register of Wills office at 240-6409, if you have any questions.
Sincerely,
Sandra S. Gobrecht, Secretary
Judge Hoffer's Chambers
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 12/01/2004
BAIR JONATHAN ALAN
302 ST MARKS RD
MECHANICSBURG, PA 17050
RE: Estate of BAIR DALE ALAN
File Number: 2003-00030
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing will become delinquent on: 1/04/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
GLEN-DA FARNER STRASBk0GH
REGISTER OF WILLS
cc: File
Counsel
Judge
Estate of BAIR DALE ALAN
Late of LOWER ALLEN TOWNSHIP
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
Estate No.: 21-03-00030
Date:
2/11/2005
NO.: 21-03 -0003 0
BAIR JONATHAN ALAN
302 ST MARKS RD
MECHANICSBURG PA 17050
NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE
Personal Representative: BAIR JONATHAN ALAN
Personal Representative Counsel: ** NO INFORMATION FOUND **
Date of Decedent's Death: 1/12/2002
Date of Delinquency Notice: 1/04/2005
The undersigned, Glenda Farner Strasbaugh, Clerk of Orhans'
Court, in accordance with rule 6.12, Supreme Court Orphans' Court
Rules, hereby notifies the Orphans' Court Division, Court of Common
Pleas of Cumberland County, that neither the above named personal
representative nor their counsel, have filed with the Register of
Wills or Clerk of Orphans' Court, his/her Status Report required by
Rule 6.12, Supreme Court Orphans' Court Rule, and that the
requisite notice, pursuant to Rule 6.12, Supreme Court Orhans'
Court Rules, was given by the Clerk of Orphans' Court on 2/10/2005
and that the ten (10) day notice to file the status report has
expired. Accordingly, in accordance with Rule 6.12 the Court is
hereby notified of such delinquency and the undersigned requests
that a Court conduct a hearing to determine whether sanctions
should be imposed upon the delinquent personal representative or
their counsel.
Itktt~~~
cc: File
Personal Representative
Counsel
Glenda Farner Strasbaugh
Clerk of Orhans' Court
A hearing is scheduled for April 01, 2005 at 9:30 AM in
Courtroom No.3. If the Status Report is filed prior to the
hearing date, the hearing will automatically be cancelled.
GEOR~
;
v