HomeMy WebLinkAbout12-30-10PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Thelma I. Amnott
also known as
COUNTY, PENNSYLVANIA
File Number ~' - 1 V - ~ ,~~ Q
Deceased Social Security Number 565-26-6226
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
last Will of the Decedent dated March 10, 1995 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 liter durante absentia; durante minoritate)
Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) a~laheirs: (If
Administration, c. t. a. ord. b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) C'7 ~"-~-
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Naive RPlatinnchin uA~;.~1xrr~ rzw .~-~-.
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(COMPLETE INALL CASES:) Attach additional sheets if necessary. ~ N ~"r i Tt
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal residence at __._
203. Springy Lane, Enola, PA 17025
(List street address, town/city, township, county, state, zip code)
Decedent, then 86
years of age, died on December 26, 2010
at
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
named in the
1,000.00
$ 1,000.00
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:
or printed name and residence
Sherri L. Dove 316 Albion Avenue, Lakeland, FL 33815
$,
Form RW-02 rev. 10.13.06 Page 1 of 2
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
The Petitioners} 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. ~ 1
Sworn to or affirmed and subscribed
before me the ~ ~ f ~ day of
Signature of Personal Representative
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Signature of Personal Representative
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For the Register Signature of Personal Representative ~ ~ a
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File Number: b'2. + -- ~ ~ _ ~ ~ ~ C'{
Estate of Thelma I. Amnott ,Deceased
Social Security Number: 565-26-6226 Date of Death: December 26, 2010
AND NOW, , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Sherri L. Dove
in the above estate
and that the instrument(s) dated March 10, 1995
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Register of Wills
Letters ............... $
Short Certificate(s) ........ $ Attorney Signature:
Renunciation(s) .......... $
Attorney Name: Bruce D. Foreman
... $
... $ Supreme Court I.D. No.: 21193
$ Address: 112 Market Street, 6th Floor
... $
. • . $ Harrisburg, PA 17101
... $
... $
• • • $ Telephone: (717) 236-9391
... $
TOTAL .............. $ 0.00
Form RW-02 rev. 10.13.06 Page 2 of 2
OCAL REGISTRAR'S CERTIFICATION OF DEATH
Vh/ARNING: It is illegal to duplicate this copy by photostat or photograph„
1='ee t-or this i~e.rtificate. $6.0(1
P 17046117
Certification Nu(nher
~ REV ttnoos
'E I PRINT IN
°RMANENT
1LACK INK
phis is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
cc~rtificatE will be- forwarded to the State' Vital
Records Oft)ce for permanent filing.
Local Registrar `A Date Issued
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Inlstructlons and examples on reverse) CTATF FII F NI INRFR
1. Name d Decedent (Fkat, nNdde, last sWPoI) 2. Sex
Female 3. Soda) Sealdty Number
622b
26
565 4. y, year)
/j
Thelma Irene Amnott ~_
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Ape (Lest BMhdey)
5 Under 1 r Under 1 8. Data d &Ah Madh 7. and state a 8e. Plecs d Death (~tetNc on ate
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g A~IMs pays tioure ANlartes
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J u 1 y 2
Solaro Co. California Hospital:
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8b, County d Death 8c. CNy, eoro, Twp. d Oeath 8d. FadlMy Nams (H rat Irotlbdfon, give street and nurtlber) 9. Was Decedent d HleperNC Origin? ~ No ^ Yes 10. Race: Amedcen Indan, Bladr, White, etc.
Dauphin Harrisburg Harrisburg Hospital (Hr,PuerroR~kxn~,aro.) White
11. DeadenPe Ueuel Kind d wok d ab mat d Nfe. Do rat orate 12. Wee Decedent ever M 81e 19. Decedent's Eduatlon (SPAY ony 9rede cortgNted) 14. Medtal Slants: Menhid, Never Martfed, 15. SurNving Spouse (If wile, give maiden name)
d
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Kk,e d Wgrk Kind d elreir>easl tnduatry
Houseduties U.S. Amled Force?
^yro ~],~ ~,~rety l ry (o-f 2)
1 college (1.4 a 5+) pe
ry,
d o w e a r
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18. Decedents Melgrp Address (Street, dry /town, stare, zJp code) Decedents P A u re inD e~nt 17c
Decedent Lived M East: P e n n s b o r o rwp
®Yea
203 Spring Lane .
.
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ActuelReshlence na.State township?
Cumber 1 and 17d
lived within
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18. Fathers Name (Firet rtNddN, lest, suMbt) 19. MoBtera Name (Flat, rtNdde, melden wmertle)
Charles Robertson Elsie Wisner
2f)e. Irdanlent's Name (type / Prhd) 20b. Intonnent'e Mdlh9 Addreu (Street, dy I brm, slab, zip Dods)
Sherri L. Dove 316 Albion Ave. Lakeland, Florida 33815
21a. Metltod d DfepaMbn I ®~feflNtlOn ^ DOrlatlan 21b. Date d DYpaNlon (Month, day, year) 21c. Plea d Dhpaltlon (Name d rxrratery, CfenMbry a other pace) 21d. LOCatrorr (CIry! town, state, rip code)
[] Budef ^ Removelfromstem ;
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December 29 Hollinger Crematory t. F.[olly Springs PA 17065
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22a. signature d Funeral Servkx Llceneee (a penal •cgrr9 m ouch) 22b. Clones Number 22c. Name and Address dFadlny
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• FD 012774-L Richardson Funeral Home Inc. 29 S. Enola Dr. E~nola, PA 17025
ComplaEs Moms 23ac sly when cartllylrp 23e. To d my knowlsdpe, death oceuned at the tlme, deb and plea~g (Signature end tltle) 23b. lkeroe Number 23c. Date Signed (Month, day. year)
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Marro 2428 moat be complslad by person 21. Thad 28. Date Pronaxlad Dwd (Month, day, year) 28. Wes Case R ro Medkrel Examiner !Coroner fa a Reason Otlar than Crematbn or Donation?
^
• who praalxaes dee8t. ~ ~ ,~ ~ M IZ p ~ Q vas No
CAUSE OF DEATH (See Iststrucaone end a ) r ApproxhneN inbrvel:
qem 27. Pad I: Fster the - dlseasea, Injuries, a complkartlona • Hyt drectly alleed the death. DO NOT enter Mrtnhud everts alldr u ardec arrest, ~ Onset ro Death Pad 11: Erder otller
bd not resultlng in the undedyhlq sues gNen in Pad I. 28. Did Tobacco Use Contribute to Death?
^ Yes ^ Probeby
rMpiratory arrest, a ventdaallaer tlbdl{s8on wMhad ehowhg ale e9otogy. Lfet ady ab sues on each qne. r ^ No ^ Unknown
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29. H Female:
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30e. Was an Auropey 30b. Were Autopsy Fhtdngs 31. Manner d Dath 32a. Dart d Injury (Mundt, daY, year) 32b. DesaWe How Injury Occurred 32c. Place of In(ury: Hurtle, Fenn, Street Fadory,
Office euiMirg, etc. (Spedry)
Perrortrled? AvaNeble Prbr ro Completion
d Cause d Death? ~Neturel ^ Harddde
^ Yes ~
^ Yes ^ No ^ Acddem ^ Pendhlg Invsetpetlon ~. Time d Injury 32s. Injury at Wak7 32f. H TrerlepoMtlon Injury (SpecrYyJ
sretor ^ Passenger [] Pedestden
^ DdvsrlO 32g. Locatbn d Inury (Street dry /town, state)
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93a. Certlfler (dwdr ally one) .
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330. Number
th, day, year)
33d. bete signed (Mon
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34. Name and Address d Person tNla CarpkMd Cave d Deeth (lkm 2» Type !Prim
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LAST WILL AND TESTAMENT
OF ~•..~
G
THELMA I. AMNOTT ~~
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I, THELMA I. AMNOTT, of 6 Poplar Street, Worm~~~urg,
Pennsylvania, being of sound and disposing mind, me~tr ar~,~
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understanding, do hereby make, publish and declare this to be ~
Last Will and Testament, hereby revoking all other Wills and
Codicils previously made by me.
ITEM I: I direct the payment of all my just debts, expenses
of my last illness, funeral expenses, perpetual care of my burial
lot, suitable marker for my grave and the costs of administrating
my estate from my estate as soon after my death as conveniently may
be done.
ITEM II: I give, devise and bequeath all of the rest., residue
and remainder of my estate of every nature and wherever situate,
together with all insurance policies thereon, unto my two
daughters, namely TANYA JEAN MILLS and SHERRI L. DOVE, absolutely
share and share alike and in event either of them predecease me,
her share to go to her children then living, share and share alike .
Otherwise to my said surviving daughter.
ITEM III: I direct that any and all taxes that may be assessed
in consequence of my death, including all Inheritance, Estate and
Transfer Taxes imposed upon my estate passing under my Will or
otherwise, shall be paid out of the principal of my residuary
estate as a part of the expense of the administration of my estate .
ITEM IV: I authorize and empower my personal representative
and/or said Trustee representative may deem proper, all debts and
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claims owed by or to me or my Estate; to sell, lease or exchange
at public or private sale or in such manner, at such prices, and
upon such terms of credit or otherwise, as my personal
representative or said Trustee may deem proper, all or any part of
my property, real or personal; to execute, acknowledge and deliver
instruments of conveyance, including deeds in fee simple; to borrow
money for the purpose of paying estate, inheritance or other taxes
which are required to be paid and to secure any such loan by pledge
or mortgage of all or any part of my property and to execute the
necessary instruments to carry out such powers; to distribute my
estate in kind or partly in money or partly in kind, and to
determine the fair value at which any property so distributed in
kind shall be received by the distributees; to conduct any business
in which I have an interest at the time of my decease, for such
period as my personal representative may deem proper, ,power to
borrow money and pledge assets of the business and the power to do
all other acts that I, in my lifetime could have done, to delegate
such power to any partner, manager or employee without liability
for any loss occurring therein and to organize a corporation to
carry on said business as capital to such corporation and accept
stock in the corporation in lieu thereof and hold such stock for
the uses of this my Will, and to vote said stock or sell the same
as to my personal representative may seem best; to retain all
stocks, assets, bonds and investments owned by me without being
confined to what is known as legal investments; to execute any
options to purchase, to apply for stocks, bonds or other
investments, to purchase or otherwise acquire real estate and to
execute the same powers thereover as hereinbefore provided, to
retain indefinitely any part of my assets, real or personal, which
is or may become unproductive or to make sale thereof; to pay
carrying charges and expenses of the property out of other
principal or income of my estate; to invest and reinvest in all
forms of property without restriction to investments authorized for
Pennsylvania fiduciaries, as they deem proper, without regard to
the principle of diversification or risk; to exercise any law-given
option to treat administrative expenses either as income tax or as
estate tax deductions, without regard to whether the expenses were
paid from principal or income. The powers herein conferred shall
be to my named personal representative and said Trustee and all
successors thereto and shall be in addition and not in limitation
of other powers conferred on said fiduciaries.
Any and all payment or payments of any sum. or sums,
whether in cash or in kind and whether for principal o.r income,
payable to any beneficiary shall be made upon the sole receipt of
the respective beneficiary to whom the payment is made, and free
from anticipation, alienation, assignment, attachment, and pledge
and free from control by the creditors of any such beneficiary.
All shares of principal and income hereby given shall be free from
anticipation, assignment, pledge or obligation of the beneficiaries
and any of them and shall not be subject to any execution or
attachment, levy or sequestration or other claims of the creditors
of said beneficiaries or any of them.
ITEM V: I nominate, constitute and appoint my daughter,
SHERRI L. DOVE, sole Executrix of this my Last Will and Testament.
,~ ,
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In the event of the renunciation, death, resignation, refusal or
inability to act for any reason whatsoever of my said daughter, I
nominate, constitute and appoint my daughter, TANYA JEAN MILLS,
sole Executrix of this my Last Will and Testament.
IN WITNESS WHEREOF, I , THELMA I . AMNOTT, have, to this my Last
Will and Testament, set my hand and seal this ~ ~~ ~/i' day of
19
p1~~ ~~ `(SEAL)
THELMA I. AMNOTT
Signed, sealed, published and declared by THELMA AMNOTT, the
above-named Testatrix, on the day of j
19~, as and for her Last Will and Testament in t e presence of
us, who, in her presence and in the presence of each other have,
at her request, subscribed our names as witnesses hereto.
residing at ~~~
Nam ~~ b
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Name 1~~ ~ ~C~' ~L~ ~~ J _
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COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF ~~- )
We, the undersigned, the Testatrix and the witnesses,
respectively, whose names are signed to the foregoing instrument,
being first duly sworn and qualified according to law, do hereby
declare to the undersigned authority that we were present and saw
the Testatrix sign and execute the instrument as her Will, and that
she had signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed, and that each of
the witnesses, in the presence and hearing of the Testatrix, signed
the Will as witnesses and that to the best of their knowledge the
Testatrix was at that time eighteen (18) years of age or older, of
sound mind and under no constraint or undue influence; and I, the
said Testatrix, do hereby acknowledge that I signed and executed
the instrument as my Last Will and Testament, that I signed it
willingly, and that I signed it as my free and voluntary act for
the purposes therein expressed.
Testatrix
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Witness
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Witness
Sworn to and subsc ibed before me his
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No ary Public
Commission Expires:
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