HomeMy WebLinkAbout01-06-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Glenn G. Fertenbausih
also known as
COUNTY, I~E~VINSYLVANIA
File Number 2'~ - f ~- (~25
,Deceased Social Security N
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
last Will of the-Decedent, dated Adl16t194d and codicil(s) dated
Executor
rare nerevanr prcumstanoes, e.g., ranunCratlOn, death of executor, eta
After the execution of the documents offered.for probate: Decedent did not many; was not divorced; was not a party] to
wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323 (g); did not have a child bom~or
a killing; and was never adjudicated an incapacitated person, except as follows:
^ B. Grant of Letters of Administration
(Nappticab/e, enter. c.t.a.; d.b.n.c.t.e.; pedsnte fife; durente absentia; duranteu
Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived by the followin~
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will on Section A above and complete list of heirs); was not the vict
adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divor
provided in 23 Pa. C.S.A. § 3323 (g), except as follows:
Iber 209-12-8154
named in the
«-_
pending divorce proceeding
bpted; was not the victim of
Ste)
~tse (if any) and heirs (ff
~ kiihng; was never
(1 been established as
Name Relationship Residence
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(COMPLETE iN ALt CASES:) Attach additional sheets if necessary. < ~ ~ ! :~:~
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last princip, @nce at "`~ ,.
2 Wa ne Circle Cam Hill Lower Allen Townshi Cumberland PA 17011 ~~ ~'~
(List street address, town/city, township, county, state, zip code) ,,,,,;
Decedent, then ~~ years of age, died on 12/13/2010 at Forest Park Nursing Home. CaHisle, C~ImT ~land County Pennsylvania
Decedent at death owned property with estimated values as follows: ',
(If domiciled in PA) All personal property $ ' 21 500.00
(If not domiciled in PA) Personal property in Pennsyvania $ _
(If not domiciled in PA) Personal property in County $ .
Value of real estate in Pennsylvania $ 100 OOtJ~UO
situated as follows: 2 Wayne Circle, Camp Hill, bower Allen Township, Ober t^~n~,
Pennsylvania 17011
Wherefore, Petitioner(s) respeclfuly request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of L e
the undersigned: im the appropriate form to
Si nature T ed or tinted name and 'esi nce
William G. Fertenbaugh 35 Autuknn Drive
Dilisburg, A 17019
i
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rrorm KW-0L Rev. 12-26-2006 (interim form, pending action by the CouR) Copyright (c) 2010 form software only The Lackner Group, Inc. I Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY OF Cumberland }
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and come to the best of
the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well~nd truly
administer the estate according to taw. ,
Sworn to, or affim~i and subscribed
before me this ~ 'r day of
For he Register
rgnature of Personal Represen alive William G. Fertenlba
~,
Signature of Personal Representative " ~ ;-~
~, r^rs Z"7
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Signature of Personal Representative ~ ~ s G -j '~--~
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File Number. 21 -{ )-OO ZS
Estate of Glenn G. Fertenbaugh
Socia11l Security Number. 209-12-$154 Date of Death: 12/13/2010
AND NOW,~?M~~ ~ , ~.._ , in consideration of the foregoing
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to William G. Fertenbaugh i
and that the instrument(s) dated 04/16/1994
described in the Petition be admitted to probate and filed of record as the last Will {and Codicil(s)) of Decedent.
FEES /~ Lam/ J/~%y~ -~.GbIL'K~ ~cJ
Letters .......................................... $ Zl~ ~° r/"f.C Res
Short Certificate(s) ....................... $ ~(~,°°
Renunci1iation(s) ............................ $ - Attorney Signature:
~1 ~1 $ ~ ``~~`'~' Attorney Name: ameS D. E
~ $ ~°~
~~ $ ~~ ~ Supreme Court LD. No.: 19475
Bogar 8~ Hi
$ Address: One West I
$
$ Camp Hill,
$ Telephone: 717-737-87
$
$ 2
TOTAL ................................... $ ~Z3. S°
Form RW-02 Rev. 16132006 Copyright (c) 2006 form software only The Lackner Group, Inc.
CK
lion, satisfactory proof
r„_ in the above estate
Page 2 of 2
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OATH OF NON-SUBSCRIBING WITNESS(~S~
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
Estate of
GLENN G. FERTENBAUGH
William G. Fertenbau~h and
(each) being duly qualified according to law, depose(s) and say(s) that she / he /they
acquainted with Glenn G. Fertenbaugh Inc
with the handwriting and signature of the decedent, and that the signature of Glenn; G
to the foregoing instrument purporting to be the Last Will and TestamendCodicil of
Glenn G. Fertenbaugh is in his/her own prof
ignature)
35 Autumn. Drive
( et A ess)
Dillsbur , PA 17019
(City, Mate, ip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this ~ day
of l I/~~u~riLVL o C>
Depufy for Register of Wills
Form RW-04 rev. 10.13.06
-_ - -
( !reef A s)
(City, State, Zip)
Deceased
/were well-
amaze familiar
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~, OATH OF SUBSCRIBING WITNESS(ES) ~~ ~,~
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REGISTER OF WILLS r,~ ~
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CUMBERLAND COUNTY o ~" :~ `*' ~ ,
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Estate of ~ GLENN G. FERTENBAUGH '~ ,Deceased
Elizabeth B. Klinger , (each) a sub~¢ribing witness to
(Print Names)
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 witne~s at the request of
the Testator /Testatrix in her f his presence and in the presence of each other.
f~
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(Signaave) (Signature)
1 Wayne Circle
(StreetAddress) (Street Address)
• Camp Hill, PA 17011
(City, State, Zip) (City, State, Zip)
Executed in Register's Dice
Sworn to or affirmed and subscribed
before me this
day
of ,
~ „
Executed out of Register's Q, fJ~c~ _` _.
~-
Sworn to or affirmed and sublsc~itbed -, _ ~ . .
before me this ~~ ~•-- ~ day .
;,
Of OTARtAI SEAL
/) i /] MY ~~OM IS5i0N EXPI ES NOY MBERD 3~201T1
Deputy for Register of Wills Notary Public (/
My Commission Expires:
(Signature and Seal of Notary or other official q 11'pfied to
administer oaths. Show date of expiration of No~ar^y'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 R W-03 rev. 10.13.06
105.805 REV (01/07)
2~-//- oovs
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.Q0
P 1702.9291
Certification Number
This is to certify',that the information here given is
correctly copied fr<oin an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will ble forwarded to the State Vital
Records Office, fo~• permanent filing.
o
cal Registr ~~ Date Issued
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#d WILL (Married Man Without Minor Children)
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being of full age and sound and disposing mind and memory, hereb}~ eke, publish
and declare this to be my Last Will and Testament. ~I
FIRST: I hereby revoke any and all Wills and Codicils b~ ~~e anytime
heretofore made.
SECOND: I direct that all of my just debts and funeral expensles I be paid out
of my Estate as soon as practicable after my death.
I
THIRD: I am presently married to ~~~~.~~~~ ~' ~~ ~ CJ ~ ~''~
FOURTH: I hereby give, devise and bequeath all of my Estate,', r al, personal
and mixed, of every kind and nature whatsoever and wheresoever siku fled, to my
beloved wife absolutely and forever.
FIFTH: In the event that my wife shall predecease me, then and'inl that event,
I give, devise and bequeath my Estate hereinabove mentioned in ~ paragraph
"FOURTH" herein, to my beloved child or children or grandchildren ~u~viving me,
Pte' s~s•
SIXTH: In the event I am not survived by my wife or any children or grand-
children, then, and in such event, I give, devise and bequeath my said !E fate to the
following named beneficiary/beneficiaries or their survivorJsurvivors in ~9 ~1 shares.
a. J ~ t ~ 1 A
Name and addr of beneficiary
,, ~~
r~ d E ~ i~ ~~'f~Y~~~llbC1 trl~. ~ ~!~., ti~ ~ u .~i r a~e_ e~L~'N PI}-41(', (1~ f~~
and address of beneficiary
c. ---
Name and address of beneficiary ~,
a
Name and address of beneficiary
e.
Name and address of beneficiary
(Over)
SEVENTH: I hereby nominate and appoint my beloved wife to be the
Executrix of this, my Last Will and Testament, and I direct that no, bond or other
security shall be required of her in any j n. If m said wife is unable to serve
as Executrix, then I nominate and appoint ~ ~~A r ~ ~ fj ~ ~ ~ ~
Executor/Executrix of this my Last Will and Testament, and I further direct that
he/she not be required to post any bond or other security.
EIGHTH: I give to my Executor/Executrix, authority to exercise all the powers,
duties, rights and immunities conferred upon fiduciaries by law with full power to
sell to mortgage and to lease, and to invest and reinvest all ox any part of my
Estate on such terms as he/she deems"~ best.
IN WITNESS Wi IEREOF, I hereunto set 'my hand this R ~ ~ .day
of ~f''/~ 1 ~- 19
(SIGN HERE)
Signed, sealed, published and declared by the above named testator, as and for
his Last Will and Testament, in the presence of us, who at his request, in his presence,
~ and in the. prese~e of one another have hereunto subscribed our names. as attesting
witnesses, the day and year last written above.
~' J
residing at ~ ~~
~Ca~rrt~ ~~Y ~ ~ 7 a / /'
--~ residing at ~ G~J °~~'~'"-~~ '~
~C°~l.~~t/~-~9 / TG~ / ~
residing at