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HomeMy WebLinkAbout01-14-11PETITION FOR PROBATE AND GRANT OF LEf'M'ERS REGISTER OF WILLS OF CUMBERLAND Estate of Nellie Dawslert also known as Anastasia Dawgert Deceasec COUNTY, File Numbet Social SeCUrity VA~IA 202-20-2755 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 12/Od/2AA6 and codicil(s) dated taro rerevam amumsrana3s, e.g., renunaeaon, seam w executor, ecc. After the execution of the documents offered for probate: Decedent did not marry; was not divorced; was not a patty wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323 (g); did not have a child bo a killing; and was never adjudicated an Incapacitated person, except as follows: ^ B. Grant of Letters of Administration (1/epp6cabb, enter. c.t.a.; d.b.n.c.t.e.; pedentelite; duronteabsenda; du Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived by the folic 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 adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for d provided in 23 Pa. C.S.A. § 3323 (g), except as follows: named in the pending divorce proceeding adopted; was not the victim of tare) ~}ouse cif any) and heirs (if oqf a killing; was never f}ad been established as Name Relationship Residence Anne Marie Franchak Daughter 911 Acri Road Mechanicsbu A 7050 F Dennis Dawgert M.D. Son 1006 Woodland ~_ ~ L a r-r-t rr. ~ {'f1 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. ~ ~ ~" ~"!"" i rl _ c;' i .-7 Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principle at -_ ' !~_'~ Golden Livin ~ Rehabilitation Center ~ ~ - {~` (List sheet address, town/ciq; township, county, state, z/p code) -!-I .. r- N ~ry years of age, died on 12/19/2010 at Golden Livin Decedent, then ~ 8 Rehabilitation Cen r ~^-' _ Decedent at death owned property with estimated values as follows: I (If domiciled in PA) All personal property $ ~ 40 000.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domialed in PA) Personal property in County $ Value of real estate in Pennsylvania $ 0.00 situated as follows: ~ gP~et' loner(s) respectruly request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant L in the appropriate form to Si nature T ed or printed name and r idence F Dennis Dawgert M.D. 1006! W land Way ~ }- ~ Clarks u~rtmk, PA 18411-2714 % ~~, I i I Executor norm RW-02 Rev. 1z-26-loos (nrerim twm, pending action by the court) Copyright (c) 2010 form software ony The Lackner Group, Ina ' Page 1 or z II III i 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 came '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. ~, i Sworn to 07 affim7eti and subscribed ~' Signature ofof before me tips ~~ day of Spnature o/ or the Register SJgnature of F Dennis r'- ~ m ~ 3~ rn ~ .~- ~_z~ -~'~ .~ O F_ .Y ~ ~~ c-- ~tition, satisfactory proof File Number: 21-10~Oq(o(Q Estate of Nellis Dawgert Social Security Number: 202-20-2755 Date of Death: 12/19/2010 AND NOW, ~ f / , in consideration of the foregoing having been presented before me, IT IS DECRE D that Letters Testamentary II are hereby granted to F Dennis DawOert M.D. ~!~ and that the instrument(s) dated 12/04/2006 described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent. FEES Letters /~ u, $ tJ ~ /~iYGf.LLC/ ,( G1~~Z~/~LPJ2~ 9G .......................................... . ~ o Short Certificate(s) ....................... nunciation{s) ............................ R e $ 'y~ a+ $ - Attorney Signature: ~ ~ ~ W, I ~ $ ~5~ ~° Attorney Name: Jill M Spott Esq J~ $ zs.~ _ $ ~'~ Supreme Court I.D. No.: 88640 Sheds Law Assn $ Address: 108 North Abint $ Clarks Summit, $ Telephone: 570-587-2600 TOTAL ................................... $ I7J1 _~a Form RW-02 Rey. ra~3-2o06 copyrgnt ~c~ zoos form wnwere ony Tne Lackner Graff, inc. in the above estate P.C. 8411 Pape 2 of 2 _. - __... _ _ I -- I H105.805 REV (Ot/07) ~ ' LOCAL REGISTRAR'S CERTIFICATION OF DE/~-TH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17061064 Certification Number b This is to certify t at, the information here given is correctly copied fro an original Certificate of Death duly filed with me as Local Registraz. The original certificate will be forwazded to the State Vital Records Office fnr ermanent filing. ~_ n /'Lfi'no Local ar~w rev lumok COIIIIIOHIYEALTH OF PElaairlVAN1A . DEPAai1NFNT OF HEALTH . YRAL RECOROB T!IEIa1NfN ^1°~""AOI°1M cERTIFKiATE GF DEATH tats NNb'110MpN aIIW OII IrYM'!r) HTATE R~ ~ d~ i c~ Date Issued r. n ~ ~~ ` c:~ ~ - - r a _~-~ .. -` ~ ~~ t.~.-, -1.IYadOrrrrrid.~IMtibwwrd !!r la.wbrM'rrlla '~ a doraM~Rti,rh N~NI~ FaanaM 202 - 20 - ~' Daoar~Uar10, 2010 ! M aa+~rr9 IaISI l r ! Orl d ie r. d Clr! rrrr awr rb^. rr IAgMIa: Oulr: ~ ,,,! 2s,1~1a tuew.*~ ^ ^aa, ^~, a9 ~, aral ^rrrrr. ^,,,,,. aGagdO~ seaM•!rlar,oalOlri aaFtlyrrrMndY~Uils~,~ri,n~raareaf a.Nwprildlgar Ibl ra MlbsMreorw`trdeiwakt CrlNllbsr~alld •Fast P•INbi~10f0 ~A ~~ +t ~ C.Nlbr Y~ i~ ~ gel L 14»M /7. 6. M Iru Orlrr wa b M M Orrld~ [•Ilrr (+M' N' w~ wM rgYbO r1. IW Ys M MMr liar M W. M arYn irr) N/dMM AddilYMl/YrYMr ~O nWM U8 Mra loan? g,rrUrf!lrOldrl (a>~ CaIIM j41 aN1 ~4 ~b~ '.. 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A-C+aMrrrMwbl • 4r~ryM~+~PM~rrrhrrdwn.urwnaMyrdnwv~rsr~raa.w.an.nan - ~yWjarn ern `r A~aY.rAgirrM+.rwi~rnrrrYtrrryyrawr~rrrw--°_'----------------"-"'-°" ^ A~lrl~rlblAdrb~NMrlrrNpasakY9MFrraal~wpborrdC.Yd piMNdalabraraP,AararawrrNYn,err.rrabn,rrMUM~IaMWrrrrrrrw__________________^ • rrMl~irrl~nr ale lJwnw lMda M~ a2~ t~$3. ~ '. md.gb 81P~I~,M~1rA ~~ _ Zp ~-l-rJ/v O~rYlbdrlrlr rrlab+w~MRYrr.IYY~wnra.wartyrb.~w..reMrr~.rrb9nrMgw.rwardrt ^ al.wrad~.~wna d G~f'L(~f !Pp/y~~~y, y ~ ~~ ~~ . " ~ ~" r~nr~ ~ f .-~~ 4 l n 7 r~ ~/ `~ ~ ~~ r~-.~ ~a NELLIE DAWGERT '' r~ ~ ca ~~m ~ ~ ,~._ ~ ~ I, Nellie Dawgert, also known as Anastasia Dawgert, a resident of an~ ~o#~~~'in the-' '~ ~ ~~ Borough of Elysburg, County of Northumberland, and State of Pennsylvania, db h ~eby made anc~'= publish and declare this to be my Last Will and Testament, hereby revoking all 1W l~s and Codicils at any time heretofore made by me. FIRST: I direct that all my legally enforceable debts, secured and uns~c~r~d, be paid as soon as practicable after my death. ', SECOND: I direct that all estate, inheritance, succession, death or sir~il~r'~ taxes (except generation-skipping transfer taxes) assessed with respect to my estate herein d~sp'p$ed of, or any part thereof, or on any bequest or devise contained in this my Last Will (which term wherever used herein shall include any Codicil hereto), or on any insurance upon my life pr ~~ any property held jointly by me with another. or on any transfer made by me during my lifeti~ie ~lo~ on any other property or interests in property included in my estate for such tax purposes ~e paid out of my residuary estate and shall not be charged to or against any recipient, benefici~r~, transferee or owner of any such property or interest in property included in my estate for s~cl~ tax purposes. THIRD: I give, devise and bequeath all the rest, residue and remainder!of nhy property of every kind and description (including lapsed legacies and devises), both mall end personal, i wherever situate and whether acquired before or after the execution of this X11 to my two surviving children, (i) F. Dennis Dawgert, M.D., and (ii) Anne Marie Franchal~, ~n~equal shares, per stirpes. ~~~ ~~~~~ r; cV7 ~; t _', -7 ' i'3 rt ~~ __ _ _ _ , _~~,., FOURTH: I hereby nominate, constitute and appoint as Executor of this Last Will and Testament my son, F. Dennis Dawgert, M.D. In the event my son predecease me or for any other reason does not qualify or having qualified ceases to act, I appoint my dauigh~r, Anne Marie Franchak as successor Executor. I direct that any such Executor shall serve Vwi~hput bond. FIFTH: In addition to the power given by law, my Executor shall hajv~ Full power and authority, without the necessity of obtaining the consent of any. court, to do ail acknowledge and deliver all instruments, which may be necessary or expedient the powers granted herein, and to exercise for the benefit of the income powers and discretion which would be lawful for the Executor, were the owner of the property, including by way of illustration but not limitation, '~, a following: to retain, sell, convey or grant options with res ect to an ro I, P Y P PertY, at public or private sale, for such amounts and upon such terms and conditions shall deem advisable; to invest and reinvest in any form or property collective or common trust fund, stock, any form of life insurance, investments now or hereafter authorized for fiduciaries; to exercise in person voting rights and other privileges appurtenant to any securities held hereunder; to to execute, the exercise of ~'Y any and .all '~, the beneficial ~, or all of the ~l or personal, the Executor ,including any 'restriction to by proxy all property in nominee name; to lease for any term and to manage and operate all real estate; ! to rlepair, alter or improve any real or personal property; to borrow money from any source, ' a~ mortgage any property as security for. any loan; to employ such professional and and my Executor shall deem advisable; to accept and distribute any property, inlcb interests therein, in kind; to allocate receipts and expenses between principall, a generally, to exercise all rights and privileges appurtenant to any property held to pledge or assistants ing undivided l income, and ~ them. ~~ SIXTH: No beneficiary of this Will shall be deemed to have survived me if the beneficiary dies within sixty (60) days of the date of ~II my death. IN WITNESS WHEREOF, I have hereunto set my hand and seal this III ~ day of December, 2006. ~, NELLIE DAWGE T ~~ Signed, sealed, published and declared by the above named Ted or, NELLIE DAWGERT, as and for her Last Will and Testament, in the presence of us, whd i ler presence, at her request, and in the presence of each other, have hereunto subscribed our nom ~ as witnesses thereto. ~~ ADDRESS: ~~0. ~( n ~, ~~ ~v S~~~q ~~- i ~32~4 ~, ~ '~ ~I COMMONWEALTH OF PENNSYLVANIA: SS: i COUNTY OF LACKAWANNA I, NELLIE DAWGERT, Testator, whose name is signed to the atta~h I or foregoing instrument, having been duly qualified according to law, do hereby acknowledge 't I signed and executed the instrument as my Last Will; that I signed it willingly; and that I sin it as my free and voluntary act for the purposes therein expressed. NELLIE DAWG~RT U ~, ~, ~~ Sworn or affirmed to and acknowled ed f r g be o e me, by NELLIE DAW~G ~T, the Testator,,,t~hhis ~ ~y of o~.t' , 2006. ~, NC~T,ARY PUBLIC `71~ COMMONWEALTH OF PENNSYLVANIA: COUNTY OF LACKAWANNA : SS We Nellie Dawgert, ~~~~ ~ -~~vc• ~ 45-~ ,and ~Qan the testator and the witnesses, respectively, whose names are signed to the attaclpe instrument, being first duly sworn, do hereby declare to the undersigned authori~y signed and executed the instrument as her Last Will and Testament, and that she', s and that she executed it as her free and voluntary act for the purposes therein ex~r ~r foregoing ~~t the testator fed willingly fed, and that each of the witnesses, in the presence and hearing of the testator, signed the Wild witness and that to the best of his or her knowledge the testator was at that time eighteen yews f age or older, of sound mind, and under not constraint or undue influence. Testator ,--~ W ~. ,~ Subscribed, sworn to and acknowledged before me b. Nellie Dawgert, teC subscribed and worn to before me by ~, ~ ~ r, and ~c~l~n S ~~ ~~ ,witnesses, this day of A _ ,.. r~r~cu y r uuiit~ N. V and ~1 N