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Home My WebLink About02-08-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS /` , Estate of 1`~ "~C ~ ~'~~ `~~' 1~a ~ ~ ~ ~~ S C t~ f~ ~'~~ Deceased ESTATE NO: 21- ~ ~ ~ ~~ ~ tr/ ~s a/k/a: f~n rz ~~ ~~~gS6~'c~ r a/k/a: Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as applicable: l~ A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) and aver that Petitioner(s) is/are entitled to the aforement'oned etters under the last Will of the above-named Decedent, dated (° ~. 1 7 ~ y o .S 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 instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death wherein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(8): ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante minoritate) C. 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 and heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), ex ~~ ` K~ :TJ ._.- ~ ~~ m ^ ete list Y'~~ :.:~ ~::, `+ - g di~-ce ~ _ M ' 110W ~ ~'3-- ~ -Y.,~ .. ..=~ f~ Name Address Relatio'lrsh4 ~B.Deced (~C~. e ~. - _ ~r~1 ..__ ... r ~..~ r`~: C's't . , /a (~ .F" ..*.3 ~"' UAL Allll177VIVAL JH~E7> 1N iV~C;E,:fAKY THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At .~~ 3~ ~ r ~' ~ ~ 1~r; r /'~?-~ c~a~ ; c~~~r v r~- ~A 7 c~..S-S" (Street address with Post Office and Zip Code, Municipa ity: Township, Borough, City) i ) Decedent, then ~ ~ years of age, died L7 ~ I Q ~ ~ 1 at ~u rr % S~~ ~ r*i 1''~~ (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: ~If domiciled in PA All personal property ~ ~~S If not domiciled in PA Personal property in Pennsylvania $ _If not domiciled in PA Personal property in County $ _Value of Real Estate in Pennsylvania $ Total Estima/t_e'd Value $ 0.00 Location of Rea] Estate in Pennsylvania: (Provide full address if possible.) ~ ~ ~ -~~ ~~ C~Se ~ ~U ~ -' ~ ~ ~- ~ E' ~ ~a n ~ t ~ ~~"ni; ~ ~ ~~ ~ ~'~ Signature(s) Name(s) & Mailing Address(es) mtenm roan xw-u~ rev~sea «.Ib.~u dy Lumnenana Lounry penamg acnon oy the court t'age t at 2 OATH OF PERSONAL REPRESENTATIVE Commonwealth of Pennsylvania ~ SS County of Cumberland The Petitioner(s) herein named swear or affirm 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 c;~-, before me this ~~ ~ ~ ~ day of 7~' ~ ~ (' ~~~ ~,. ' ~ r' j ,~ ~ m~~ ~ ~~ ~~ _ ~-~ For the Register ''~~~ ;~ ~~ ~ `~`' ~ ~ --°~3 . ,-..- DECREE OF PROBATE AND GRANT OF LETTERS .~-=' ~ ,~,.~ / ~_. Estate of /' ~ ~ ~ /) ~~'` ~ Deceased File Number: 21- - ~ ~~ cy' ~? ~"`" ~z~ ~;~~ Q/ ~~ ysGc~or' _.-- . AND NOW, this day of ~ {~ ,6rr r' C'1 J~ , in consideration of the Petition on th reverse side hereon, satisfactory proof having bee resented before me, IT IS DECREED that Letters Testamentary of Administration are hereby granted to: ' (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) the above estate and that iYStruments(s) dated - ~~ ~ 1~ `-~ described i;'~ the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Register of Wills FEES: Letters ....................$ (11Q` ~i0 Will ....................... , OCR Codicil(s) ............... _ (Short Certificates ~ Q ~ ( )Renunciations....... Bond ............................ Other ............................ ................................. ................................. Automation FEE......... 5.00 JCS FEE .................. 23.50 TOTAL ................ $ :~ ~~ i ~-. f ';s _..s - ~~ -, ,- -~• , ....~ -_, ~,...... ~.n d Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.:_ Address: Phone: Fax: ~~ Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 OATH OF NON-SUBSCRIBING `VITNESS(ES) REGISTER OF WILLS ~'~ ~ COUNTY, PENNSYLVANIA ~l-/%-~1~~~ Estate of Flo Deceased ~~~.., ~ ~~ and ~ ~ ~_- ~ ~ ~, (each) being duly qualified according to law, de se(s nd say(s) that s e / he /they was !were well- ` ~,, /~~ ~ acquainted with ~ - t ~~ and am/are familiatr with the handwriting and signature of the decedent, and that the signature of to the fore oing instru et~t purporting to- e he Last Will and Testament/Codicil of } ~ ~ s m is/her own proper handwriting. (Signuiui'e) (Street Address) //•/~ /J .f/ ~l (City, Stnte flip) Executed in Register's Office //~ ~~ ~. (Sign re •-----~ ,. ~ ~ ~- l_ . (S re t Address) ~ . ~._.rr~ ~ ~ ~ ~ ~ (City, Stnte, Zip) Sworn to or affirmed and subscribed Ch before e this w,~_ day ~, , pity for Register of Wills ~_ , _~; ~ { C "'I' -~ ~r C7 1... _R ~ ~ ~ ' ~ `~ ~ ~ '- 1 - . -- ~ f~ ~ ~ c~ ~ ~~ . C •-- ~ ~"~ ~ n o c.~ ~ - :-~ ~~: Form RW-04 rev. 10.13.0< l " ~ /~ ~~%~v~~ LAST WILL AND TESTAMENT OF ANTOINETTE HOLLINGSWORTH a.k.a. ANN HOLLINGSWORTH KNOW ALL MEN BY THESE PRESENTS, That I, ANTOINETTE ~. Q =~ ~~ ~-~- ~~ ~, .-n t~ } -.... ~ ._ -~ -~ ~~= ~. ~_. ~.~ ~- HOLLINGSWORTH, a.k.a. ANN HOLLINGSWORTH, of the Township of Lower Allen, County of Cumberland, and Commonwealth of Pennsylvania, do make, publish, and declare this instrument to be my Last Will and Testament, hereby revoking and making void any and all former Wills by me at any time heretofore made. FIRST: I direct the Executrix hereof to pay all my just debts, funeral expenses and costs of administration as soon as conveniently may be done after my death. I further direct the Executrix hereof to pay all inheritance, estate, transfer and succession taxes which may be levied or assessed upon any property which is included as part of my gross estate for the purpose of any such tax. SECOND: I give and bequeath to my son, ROBERT A. HOLLINGSWORTH, JR., and to my daughter, BARBARA CASLER, per stirpes, any bank account that I might own at the date of my death in the following proportions: a.) Robert A. Hollingsworth, Jr. -two thirds; b.) Barbara Caster -one third. THIRD: I appoint my Daughter, BARBARA CASLER, to be Executrix of this my Last Will and Testament. I do hereby give to the Executrix hereof full power, discretion and authority at any time or times to sell, at private or public sale, mortgage, lease pledge, exchange or otherwise deal with or dispose of the property comprising my -~- A estate as deemed best, to settle and compound any and all claims in favor of or against my estate as deemed best and, for any of the foregoing purposes, to make, execute and deliver any and all deeds, mortgages, contracts, leases, bills of sale or other instruments necessary or desirable therefor. LASTLY: I direct that no fiduciary appointed by this, my Last Will and Testament, shall be required to give bond and that if, notwithstanding this direction, any bond is required by any law, statute or rule of court, no surety shall be required thereon. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of two (2) typewritten pages on the margin of which (except this page) I have affixed my initials this 17th day of June, A. D. 2005. ~~ ., ANTOINETTE HOLLING ORTH a.k.a. ANN HOLLINGSWORTH Signed, sealed, published and declared by, the above-named Testatrix, as and for her Last Will and Testament, in the presence of us and each of us, who at her request, and in her presence, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. .~ ,,.- /'~~' ~... ~- `.,/~ -2- County of Cumberland Commonwealth of Pennsylvania ss. ACKNOWLEDGMENT AND AFFIDAVIT We, ANTOINETTE HOLLINGSWORTH, a.k.a. ANN HOLLINGSWORTH, the testatrix, and the undersigned witnesses to the Will, the attached or foregoing instrument, having been qualified according to law do depose and say: (a)that I, the testatrix, do hereby acknowledge that I signed the instrument as my Will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b)that we, the witnesses, were present and saw the testatrix sign the instrument as her last Will, that she signed it willingly and as her free and voluntary act for purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the Will as a witness and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed before me by ANTOINETTE HOLLINGSWORTH, a.k.a. ANN HOLLINGSWORTH, testatrix, and Amy Knauer and Beth Myers, witnesses, this 17th day of June, 2005. ~ ' avid W. Knauer ATTORNEY I.D. No.21582 /~ '~/~ ' ANTOINETTE HOLLINGSW TH a.k.a. ANN HOLLINGSWORTH A (Witness) j ~~ ~~ ,~ .~ ~ ( fitness) _= -3- ACKNOWLEDGMENT On this, the 17th day of June, 2005, before me the undersigned officer, personally appeared ANTOINETTE HOLLINGSWORTH, a.k.a. ANN HOLLINGSWORTH, known to me, (or satisfactorily proven) to be the person whose name subscribed to the within instrument and acknowledged that she executed the same for the purpose herein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~' r '16t,.-~--/ NOTARY PU LI;C r.. My commission expires: Nov~w. sou. AAAY KNAUER I~otory Public My Commb~ion Expke: J~ 25.2009 -4- C~IZ~I~'~I~~.TIO~v O~ NO~I~~ U~i~~'I~ JP~. O.~'. I~~~le ~.~{~) REGISTER. OF ~~ti'ILLS rn~ ~~ ~ - cr ~~ ~~ CGU~,~TY. PE~+~rSYI,~/A`_v~IA i~(arr,e of Decedent: l~n~ Date of Death: ~ Z r Date Letters Granted: ~~ File Number: ~ ~ ~ ~ ~ ~ t~a ~ _ To the Register: I certify that Notice of Estate Administration required by Pa. G.C. Rule ~.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on r J > Name: Address: (If more space is needed, attach separate sheet,} Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except: .~a Date- _ G .~ ~~ ~, (~ f t~ tJ V _~ ~~ ~. ~ t..i...! .~"~ ~ ~ ~ - ~ + -_ ~._. ,,...._ Y~ i .. _, 4, ~' G l ~ + -- 1 W `=~ __ . .• ~. ~.~ i'-" .... Cx.' ...-' C.3 Tzlephone ',~ Sib afore oJPerson Filing this .Form Capacity: 0 Personal Representative ~ Counsel Name'/yojPerson Filing this/JyForni ~1"~ ` y ...~ ~/ '~ ~ ~~ tl 1. ~ ~ ~' M1.. ~ ~'~`1 V Address ~Gi ~' o-~,~ ~{.~, ~ ~ ~ ~ 1 s{ f ____ ~,, --- - ~~ O~ Form RW-08 rev. 10.13.06 -