HomeMy WebLinkAbout12-07-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF Cumber 1 a n d COUNTY, PENNSYLVANIA
Estate of Ethel M • Baker
also known as
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
File Number r~` ~ ~~ ~~
Deceased Social Security Number 19 3 -14 - 7 718
0 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the E X e C U t 0 r named in the
last Will of the Decedent dated 11 / 2 4 / 2 O O 8 and codicil(s) dated
(State relevant circumstances, 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 the 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.; pendente life; durante absentia; durante minoritate)N
4
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following ~ (if any)~d heirs~(~'~;
Administration, c. t. a. or d. b. n. c. t. a., enter date of Will in Section A above and complete list of heirs.) ~~I7 O ~~
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(COMPLETE INALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumber 1 a n d County, Pennsylvania, with his /her last principal residence at Apt • 3 D 3
824 Lisburn Road Camp Hill PA 17011 Lower Allen Township
(Lrst street address, town city, township, county, state, zip code)
Decedent, then 8 7 years of age, died on 11 / 3 0/ 2 010 at H a r r i s b u r g H o s p i t a l
111 S• Front Street Harrisburg PA 17101
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
$ 127,000.00
TOTAL: $127,000.00
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature Typed or printed name and residence
~~' ~ ~r p_~~
1`C Clark
Cam S• Baker
Hill 824 Lisburn Rd, Apt• 303
PA 17011
Pa e 1 of 2
Form RW-02 rev. 10.13.06 g
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 correct 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.
Sworn to or affirmed and subscribed
before me the ~ day of
~~IU
Fo he Register
~~~~~~
Signature of Personal Representative
Signature of Personal Representative
Signature of Personal Representative
File Number:
~~
Estate of Ethel M • Baker ,Deceased
-J
Social Sec ty~Number:l9 3 -14 - 7 7~1,1~8 ~/~, Date of Death: 11 / 3 0 / 2 010
AND NOW, ~ ~ ~ /V~~ y ~"/ ~~ , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters T e s t a m e n t a r y
are hereby granted to Clark S • Bake r
in the above estate
and that the instrument(s) dated 11 / 2 4 / 2 0 0 8
described in the Petition be admitted to probate and filed of recQr~i as the last Will (and Codicil(s)) of Decedent. , n
FEES 11~C.~--~ ' (.CJt- ~L~ ~
Letters ............................. $ /~ ~ ~~ '~
.~U/.LL Register of Wil
Short Certificate(s) ••..•••..... $ T~ ~ Attorney Signature:
Renunciation(s) ••••••••••••.•.. $
~ $ Attorney Name: David H. S one, Esquire
~~" $ ~~
"`" Supreme Court LD. No. : 3 9 ? 8 5
.... $
.... $ Address: 414 Bridge Street
'•'• $ New Cumberland
.... $
..•. $ PA 17070
.... $
.... $
Telephone:
717-774-7435
TOTAL ............................. $ • S
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Form RW-O2 rev. 10.13.06 Page 2 of 2
111~.805 REV (01107)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 17045404
Certification Number
3 REV 1120°8
I PRINT pl
iAIANEHf
aac~
This is to certify that the information here given
correctly copied from an original Certificate of Dea
duly filed with me as Local Registrar. The origin
certificate will be forwarded to the State Vit
Records Office for permanent filing.
GG~n. ~ ~ DEC ~ 1 200
Local Registrar Date Issued
COMMONWEALTH OF PENNSYLVANIA a DEPARTMENT OF HEALTH . VRAL RECORDS
CERTIFICATE OF DEATH
(See instructions and ezampks on reverse) e_,.,~
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F:\DOCS\EP\WILLS\BAKER,ETHEL 11-2008.wpd
LAST WILL AND TESTAMENT
OF
ETHEL M. BAKER
I, ETHEL M. BAKER, of Fairview Township, York County, Pennsylvania,
declare this to be my last will and revoke any will previously made by
mF_
ITEM I: I direct that my Executor hereinafter named shall pay
all my just debts and funeral expenses as soon as conveniently may be
done after my decease from the residue of my estate.
ITEM II: I devise and bequeath all the rest, residue and
remainder of my estate, of every nature and wherever situate to the
following named persons who survive me: ~~ =' ~;-~,
r r ~ n ~T7 -c-.'
A. Twenty-Five (250) percent to LEIGH GOAS. ,=I?_ ~- `~ c ? {~
.` t!1 i~ v 7 ~..~..i
B. Fifteen (150) percent to MARILYN L. VANDE ~ ~-
sa, ~ .
'J C 'S -T 7
C. Fifteen (150) percent to AIMEE SILK. ~~~~- !~? f T',
c.,~ , . ~,.~ ~~
D. Fifteen .(150) percent to KAREN BERQUIST. '~
E. Fifteen (150) percent to LISA STARSINIC.
F. Seven and One Half (7.50) percent to JEFF VANDERZEE.
G. Seven and One Half (7.5o) percent to VICKI KUNKEL.
ITEM III: I appoint my spouse, CLARK S. BAKER, Executor of this my
last will. Should my spouse, CLARK S. BAKER, fail to qualify or cease
Page 1 of 4
to act as Executor, I appoint my spouse's granddaughter, LEIGH GOAS,
Executrix of this my last will.
ITEM IV: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his or her duties
in any jurisdiction.
IN WITNESS WHEREOF, I, ETHEL M. BAKER, have hereunto set my hand
and s e a l t h i s ~~ day o f ~ ~-C.~rPn,.'~.e.._ , 2 0 0 8.
ETHEL M. BAKER
SIGNED, SEALED, PUBLISHED and DECLARED by ETHEL M. BAKER, the
Testatrix above named, as and for her Last Will and Testament, and in
tr,A YIYPCPYI(`P of „~ _ why at her request, in her presence and in the
ubscribed our names as witnesses.
414 Bridcte St., New Cumberland, PA
Address
414 Bridge St., New Cumberland, PA
Address
Page 2 of 4
COMMONWEALTH OF PENNSYLVANIA:
. SS.
COUNTY OF CUMBERLAND
I, ETHEL M. BAKER, the Testatrix whose name is signed to the
attached or foregoing instrument, having been duly qualified according
to law do hereby acknowledge that I signed and executed this instrument
as my last will; that I sicxned it willingly and that I signed it as my
free and voluntary act for the purposes therein contained.
ETHEL M. BAKER
Sworn to or affirmed to and acknowledged before me by ETHEL M.
BAKER, the Testatrix, this ~ day of U Y1~ 2008.
VANIA ~J~ ~'
COMMONWE FPENNSYL Notary Public
BROOKE E. i~JD'PA, NiotarY J'ublic
New Cumbe~au~d Moro. Ctxr~risnd Co.
Commissbn ,Jana 6, 2Q12
Page 3 of 4
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF CUMBERLAND
We, ~``~ v~~ ~ ~'~~cv--~ and ~0(`~~.~-eC' ~-~~ 1~ ,
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix sign and execute the instrument as her
last will; that Testatrix signed willingly and that she executed it as
her free and voluntary act for the purposes therein expressed; that each
of us in the hearing and sight of the Testatrix signed the will as
witnesses; that to the best of our knowledge, the Testatrix was at that
time eighteen or more years of age, of sound mind and under no
constraint or undue influence.
Sworn to or affirmed to and acknowledged before me by
C V:r.~ +C. ~j~~ and S-e~n~~~e~- ~, - `t'+e~~a,
k"
witnesses, this ~~ day of U~-~'~Y 2008.
COMMONWEAIi H OF PENNSYLVANIA
A 1. ~~
BROOKE E. FELI:PPA, Notary Public
New C~nberlarrd Bono. C~xrib~d Co.
M Cornrtdssion roa Jww 6 2012
~~~
Notary Public
Page 4 of 4