HomeMy WebLinkAbout03-11-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of ~pljfJ~-.r ~~y.~ y. ~Y. ,Deceased ESTATE NO: 21- ! ` n~v~
a/k/a:
a/k/a:
a/k/a: SS NO: ~ ~-~ ' ~ ~ ° 7~~0 3
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION °A' or °B' AND °~C" as
applicable:
~;A. Probate and Grant of Letters Testamentary or ^Administration c.t.a., or d.b.n.c.t.a. (complete Part Calso)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters under
the last Will of the above-named Decedent, dated and codicil(s) dated
(State relevant circumstances, e.g. renunciation, death of executor, etc.)
Except as follows, Decedent did not many, 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 incapacitt~d person, and v-+as not am
party to a pending divorce proceeding at the time of death wherein grounds for divorce had b~~tsblishedas de#~'e$ b~
23 Pa. C.S.A. § 3323(8): ~-~-, ~ ~~;, - .,
aj „~, r'~
^ B. Grant of Letters of Administration ~ ~ -- ~ '-
applicable, enter d.b.n., pendent life, durante
C. Petitioner(s), after a proper search, has/have ascertained that Decedent left no Will and was survived the ~~ " ~-r~
,. __.
o lowing spouse (if any) and heirs (If Administration c.t.a. or d.b.n.c.t.a., enter date of Will in Sectio~A and comp.Jete listb'1~ a
heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pefi~Ing divorce
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8), except as follows:-
IF
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/tier last faml~y or principal residence
At ~7rh /JP it /.. Ya ~ ., Nrrr- v ua_, ~9 I,., . -- " _._L ~... n_ ~~ r ~ _~y ,
(Street address with Post Office and Zip Code, Municipality: Township, Borough, City) ~
Decedent, then~~years of age, died 3 ~~ ~// at ~~r5/a /~~-
(Month, Day, Year ofdeath) (City and State where death occurred)
Estimated value of decedent's property at death:
_If domiciled in PA All personal property $ ~~~ /( X !'yt
_If not domiciled in PA Personal property in Pennsylvania $
_If not domiciled in PA Personal property in County $
-Value of Real Estate in Pennsylvania $ :~~8 I I ~ ~ C~ C ~
To~ta~l E/s~ti_mated Value $ - puj ~ /~ m
Location of Real Estate in Pennsylvania: (Provide full address if possible.) ~~!~~`( ! Jx i.U Vl ~.[L ~J ~J~p~ y~ f.~e, D Pq,.. 1 ~~~
Signature(s)
Name(Sl & Mailing Addresslvcl
~elj'~ 17~
~LS/e 1As
Lar` I S G. ~ o
n e - ~ ~ o rv s _ J n e o (?.nw v~ lce ~ ~l~i
/
--t<r, c i s ~~ G /S ~~ ' luCrac tu~~- ~ Ffi'rr~ ~ ~ ~t"'Y'P.¢ n l a 117 ~r
Interim Form RW_0~ rev;cad i~ ~F to ti., r....,ti-.ie..a r,........ _.._a:__ __.:__
.,..,,..,y ycnuwg acuun uy ine sour[ Page 1 Oft
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA .
SS
COUNTY OF ~1~~ ~ ~~ ~ C~ ~ .
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are hue 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
~~ ~ ~ ,~~CI , ~~ ~ l
Fo'r t e ister
Signature ojPersonal Representative
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File Number: ~ ~ ~~ _ ~~_,~
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Estate of _~~bs~l ~. ~~(~1/ , Dece~d -~ ~
- ~'
Social Security Numnbenr: ~- ~ ~ ' ~ I _ Q 3 ~ Date of Death:~~ - lIJ ' ~~
AND NOW, (ICI ~ ~V ~t.{,1 ~~ ~ , c~ in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS~DECREiED that Letters ~ ~QYYI ~ ~(~/
are hereby granted to ~Q r 15 1 .r . ~J ~ n ~' ~ ~L. I?ii ~r' i (' i rl ~~ ~r~ /+1 v-~
in the above estate
and that the instrument(s) dated ~ ~ - (p -~~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............... $~~~~
Short Certificate(s) ........ $ -
Renunciation(s) .......... $
... $ J~
... $
... $
... $
... $
... $
... $
... $
TOTAL .............. $
rurorney signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Form RW-Od rev, lU.I3A6 Page 2 of 2
S~gnnture ojPersonal Representative
105.805 REV (01/07)
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 17115698
Certification Number
H10S113 REV 113000
nPEiPRwrw
Hr
This 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
certificate will be forwarded to the State Vital
Records Office for permanent filing.
ocal Registrar Date Issued
COMMONWEALTH OF PENNSYWANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See Insductions and examnba on reverwel
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LAST WILL AND TESTAMENT -~ ~,rn -- =+
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I, ROBERT A. GRAVER, of West Pennsboro Township, Cumberland
County, Pennsylvania, declare this instrument to be my last Will end
Testament, hereby revoking all GJills and Codicils heretofore made by me
1. I direct my executrix to pay my debts, funeral and administrative
expenses as soon as may be done conveniently after my decease.
2. I authorize and empower my executrix to sell any realty owned
by me at my death, and .not specifically devise or bequeathed herein, at
either public or private sale, and to give good and sufficient deeds
therefor, in fee simple, as I could do if living.
3. I devise and bequeath all of my estate of every nature and
wherever situate to my wife, Martha B. Graver; providing she shall
survive me by sixty days.
4. Should the gift in Paragraph No 3 not take effect, I devise
and bequeath all of my estate of every nature and wherever situate to
my children, Doris G. Jones, James L. Graver, Robert A. Graver 11, and
Patricia K. McKeehan, to share and share alike, the child or children
of any deceased child taking the share their parent would have taken
if living.
5. I nominate and appoint Martha B. Graver to be the executrix
of this my Last Will and Testament; she is to serve as such without
bond. Should she die before my depth, renounce or refuse to serve for
any reason, or die leaving any of my estate unadministered, I nominate
and appoint Doris G. Jones and Patricia K. McKeehan, as substitute
executrices, also to serve as such without bond, with the same powers
as are given herein to my executrix.
page 1 of 2
page 2 of 2
IN WITNESS WHEREOF, I have set my hand and seal this Sixth
day of November , 1989..
Robert A. Graver
Signed, sealed, published and declared by Robert A. Graver, the
testator name above, as and for'-his Last Will and Testament, in the
presence of us, who at his request, in his presence and in the
presence of each other have subscribed our names as witnesses hereto.
Subscribed, sworn to and acknowledged before me by the Testator
and the witnesses above named, this ~~~ day of (~pdQfY~bp~
1989.
a.
Notarial Seal
Barbara A. Day, Notary Public
Carlisle Borough, Cumberland Courtly
My Commission Expires Jan. S, 1990
Member, Pennsylvania Association of Notaries