HomeMy WebLinkAbout01-24-11PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of
also known as
I3eceased
COUNTY, PENNSYLVANIA
File Number ~ 1 ~ 1 ! - 1
Social Security Number 123-30-6713
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 August l9, 2009 and codicil(s) dated N/A.
(State relevant circumstances, e.g., renunciation, death ofexecutor, 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: N/A
® B. Grant of Letters of Administration
(If applicable, enter: c.i.a.; d.b.n.c.t.a; pendente lire; 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) and heirs: (If
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
(COMPLETE IIV ALL CASES) Attach additional sheets if necessary. '4.1 ' a ~" ' ' `
.~ _ :
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her last principal~n~ence at `:~ ~~ --~ '~
4007 Seneca Avenue, Camp Hill, (Lower Allen Township), Pennsylvania 17011 ~ -~• `' -.~,
(List street address, town/city, township, county, state, aip code) -_`
Decedent, then 69 years of age, died on December 10, 2010 at Harrisburg Hospital
111 South Front Street, Harrisburg, (Dauphin County), Pennsylvania 17011
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property $ 26,000.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows:
Wherefore, Petitioner(s) respectfully rec}uest(s) the. probate of the last Will and Codicil(s) presented with. this Petition and the grant of Letters in the appropriate fom~t to
the undezsigned:
~~ tore T or rinted name and residence
~,----•• - ~~•------r_ Robert J. Edwards, 178 Franklintown Road, Dillsburg, PA 17019 (717) 432-4745
Form RW-02 rev. 10.13.06
REGISTER OF WILLS OF CUMBERLAND
Jeffrey P. Shortell
Executor named in the
Page 1 of 2
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OATH OF PERSONAL REPRESENTATIVE -
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Commonwealth of Pennsylvania SS W_.y ~ - -
County of Cumberland '_ ~ ~ i~ "~~ -
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The Petitioner(s) herein named swear or affirm that the statements in the foregoing Petition' true and -~---
correct to the best of the knowledge and belief of Petitioner(s) and that, as personal represtta~ive(s) o`~ the -,~ ~
Decedent, Petitioner(s) will well and truly administer the estate according to law. .~ '~
Sworn to or affirmed and subscribed
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before me this v' da of
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For the Register
DECREE OF PROBATE AND GRANT OF LETTERS
Estate of r. ,~ /" e ,Deceased File Number: 21- ~ ~ -_ ~~
AND NOW, this d~ day of /' ~~ ~~ , in consideration of the Petition on
the reverse side hereon, satisfactory proof having been resented before me, IT IS DECREED that Letters
Testamentary of Administration are hereby granted to:
J (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.)
~ /' ~ Cl ~GZ!' S in
the above estate and that instruments(s) dated G! ~ d described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
,7 _
Glenda Farner St
Register of Wills
FEES:
C ~ ~,~;
Letters ....................$ ~;,
Will ....................... ~~ Ls~~
•--~-
C >cil(s) ...............
(. ~) Short Certificates ~ ~ 1
( )Renunciations.......
Bond ............................
Other .............................
Automation FEE......... 5.00
JCS FEE .................. 23.50
~ ~,
TOTAL ................$ , J ~~
signature of ~:ognsei xequlrea to hn><er appearance
Atty's Signa ~-
YK1N~1 Name:
Supre e ourt ID No.: Z j
Phone:
Fax:
Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2
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I, Jeffrey P. Shortell, the Township of Lower <~llen, County of Cumberland and
Commonwealth of Pennsylvania, being of sound mind, memory and understanding, do
hereby publish and declare this to be my Last Will and Testament, hereby revoking and
declaring null and void any and all Wills and Codicils heretofore written by me.
ITEM I. I direct that all my just debts and funeral expenses be paid. as soon
after my demise as may be convenient to the proper administration of my estate.
ITEM II. I direct that all the rest residue and remainder of my estate into cash
at either public or private, whenever in her/his discretion it may be most expedient for the
proper administration of my estate. In the event of such conversion, I authorize my said
Executrix!Exeeutor to execute a good and sufficient Warranty Deed to the purchaser of
any real. estate of which I may die seized, in the same manner and capacity as I could if
living.
ITEM III . I direct that all inheritance and estate taxes be paid on the proceeds
of the above conversion and on all the rest residue and remainder of my estate from the
residue of my estate prior to further distribution.
ITEM IV. I then order and direct my hereinafter-named ExecutoriExecutrix to
convert my entire estate into cash at either public or private sale, whenever in his!her
discretion it may be most expedient for the proper administration of my estate. In the
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sufficient 'VVarrant~~ Deed to the purchase of any real estate of which I may die seized, in
the same manner and capacity as I could if living.
Page ~ of ?
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ITEM VI. I then give, devise, and bequeath all the rest residue and remainder
of my estate including the proceeds of the above-mentioned conversion to my brother
Thomas Craig Shortel, per stirpes and not per capita.
ITEM VII. I nominate, constitute and appoint my friend, Robert J. Edwards,
as Executor of this my Last Will and Testament. I direct that my Executrix/Executor
shall not be required to post bond other than herlhis personal assurance for her/his duties
as Executrix/Executor.
IN WITNESS WHEREOF, I, Jeffrey P. Shortel~ have hereunto subscribed my
hand to this my Last Will and Testament, this ~7~~ day of
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2009.
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SIGNED, PUBLISHED and DECLARED by the above-named, Jeffrey P.
Shortel~ as and for her Last Will and Testament in the presence of us, who at his request
and in his presence and in the presence of each other, have signed our names as attesting
witnesses hereto.
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Page 2 of 2
OATH OF SUBSCRIBING WITNESS(ES) .
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REGISTER OF WILLS _
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CUMBERLAND COUNTY, PENNSYLVANIA r-- ~._
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Estate of JEFFREY P. SHORTELL ,Deceased
AMY HAMBRIGHT AND JANE M. ALEXANDER , (each) a subscribing witness to
(Print Namels)
the ~ Will ~ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
says} that she / he ///t~he was /were present and saw the above Testato Testatrix sign the same
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and that she the'/they signed the same and that she / he /they signed as a witness at the request of
the estator /Testatrix in her / is presence and in the presence of each other.
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gnature)
122A TWIN HILLS ROAD
(Street Address)
DILLSBURG, PA 17019
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this
day
of
Deputy for Register of Wills
X48 SOUTH BALTIMORE STREET
(Street Address)
DILLSBURG, PA 17019
(City. State, Zip)
Executed out o, f Register's Office
Sworn to or affirmed an ~s~}bscribed
before me this o~ c~~ day
of ~Z,C~1~,~ , ~Ib .
Notary Public
My Commission Expires: ~ Jc~°~ ~) `~
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary'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 RW-03 rev. 10.13.06
NOTARIAL SEAL
CANDY L ABRAM
Notary Public
SUS!]UEHANNA TWP., DAUPHIN CNTY
My Commission Expires Jan 29, 2014