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HomeMy WebLinkAbout03-18-11W-10 ~1ttsf t~~ ~iYt~ ~P~~~IxttPrt~ KNOW ALL MEN BY THESE PRESENTS: That I, ~ , e ~ of the CitylTown of , County of ~ ' S jd and State of --z-r~`~za--~- ,being of sound and disposing mind and memory, do make, publish and declare the following to be my LAST WILL AND TESTAMENT, hereby revoking all Wills by me at any time heretofore made. FIRST: I direct my Executor, hereinafter named, to pay all my funeral expenses, administration expenses of my estate, including inheritance and succession taxes, state or federal, which may be occasioned by the passage of or succession to any interest in my estate under the terms of either this instrument or a separate inter vivos trust instrument, and all my just debts, excepting mortgage notes secured by mortgages upon real estate. SECOND: All the rest, residue and remainder of my estate, both real and personal, of whatsoever kind or character, and ~v~ wheresoever situated, I give, devise and bequeath to my beloved ~: ~ ~~ to be~bsolutely and forever. ~ ;/ vf.' -' THIRD: If my said does not survive me, then I give, devise and bequeath such rest, residue and remainder of my estate to my beloved children, natural , in equal shares, per stirpes, to be theirs absolutely and forever; provided, that the share of any child of mine who has d'ed leaving no issue shall be divided among my surviving children in equal shares, per stirpes. ~ ~--sue" ~ ?~~ ~/~-¢-~-~i S -~.,rz~~~ .~..~.--~~~~ ;~7,~zzti~-~r_.ar'~~~ ~~~ c9- i~ w FOURTH: If my beloved,l}us does not survive me, I hereby appoint (Name) of (Address) Number Street City State Zip as guardian of such of my children as shall then be minors. ;;~,~aa _, ~ ~ FIFTH: I hereby appoint my ~e~ ~ , as Executor of this my ,~~ r LAST WILL AND TESTAMENT. If ~ does not survive me, then I appoint ~' (Name) ~-'"' ~~-. , of (Address) Number Street City State Zip as Executor/Executrix of my estate. I direct that no Executor/Executrix serving hereunder shall be required to post bond. IN WITNESS WHEREOF, I have hereunto set my hand and seal at , this ~ ~ day of ~~'-~y-~~~`` , 19~. ~ 7 c`..~ ~ _ '.~ `' ~ (sign here) L.S. .-, ~ ,~; -- Signedy:-sealed, ~blished and declared to be her LAST WILL AND TESTAMENT by t e within named Testatrix in the r ~ ___. -, -• presence~,gf us, wh~l~er presence, and at her request, and in the presence of each other, have hereunto subscribed our names ',_. ~~ as witnesses: ~ ~ ~ 1 ~- ~_ _ ,~ ____P .__ __, --~ s. ~{ Ci State c"~' ~..~ -= a-. ry ~~ ;~,_ ~:.~ j City State (3) s of Ciry State A F F I D A V I T STATE OF City or COUNTY OF Town Personally appeared (1) (2) and (3) who being duly sworn, depose and say that they attested the said Will and they subscribed the same at the request and in the presence of the said Testatrix and in the presence of each other, and the said Testatrix signed l~aaid Will in their presence and acknowledged that she had signed said Will and declared the same to be her LAST WILL AND;rI'ESTAMENT, and deponents further state that at t.~., time of the execution of said V6`iii ~iic az~ici Tes~atrix appedreii to be of lawful age and sound mind and memory and there was no evidence of undue influence. The deponents make this affidavit at the request of the Testatrix. (1) (2) (3) Subscribed and sworn to before me this day of , 19 (Notary Seal) Notary Public IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of ~i ~~ ,Deceased ESTATE NO: 21- ~" ~5 a/kla: a/k/a: a/k/a: SS NO• ~ I ~ b _ S~ ~~~~ Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as ap licable: .~I A. Probate and Grant of Letters Testamentary or ~ Administration c.t.a., or d.b n.c.t.a. com lete Part C also ( ) and aver that Petitioner(s) is/are entitled to the aforemen Toned Letters ~' under the last Will of the above-named Decedent, dated ~C-~-- ~ ~ / and codicil(s) dated ~`__ -- L~~ -- (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(g): ^ 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 complete list of heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divorce proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(~except as fellows: T~ ---- -.. , ame Address ~'~ shi to edent '- ~, -. ~-7~_ ~; j._..._ 1~.1 .~h.~ f..,..i t it ~~ THIS SECTION MUST BE COMPLETED: Deceden w s om filed at death n Cumbe land County, At ~ ~ t~l~ t~~- ~ n ~ (~ /1 ~ ~-tr t (Street address with Post Office and Zip C Decedent, then __~~~years of age, died ____~ (Mori Estimated value of decedent's property at death: If domiciled in PA ^If not domiciled in PA _If not domiciled in PA _Value of Real Estate in Pennsylvania Location of Real Estate in Pennsylvania: (Provide full address if possible.) (~ SignAture~ Total Estimated Value $~ Namels) & Mailing Adrlrecclpcl SZ- '~ ~ SU r- C Interim Porm RW-02 revised 12.26.10 by Cumberland County pendine action by the Court Pave t ~t ~ ~D ia, with his/her last family or ..r'-i ~.. %~~ ".~`~ municipality: Township, Borough; City) / ` ~ at ~ ~' /` Day, ear of death) (City and State where death occurred) All personal property Personal property in Pennsylvania Personal property in County /~? j .,.. ,._' - _. .mil Oath of Personal Representative ~ ~~=-,; - :~ ~____ COIv11~10NWEALTH OF PENNSYLVANIA ~ - r ~-~-~` _, . S S .., {.... .? .^..i '1 ~. ..L COUNTY OF - _~ ..,..~_ -; ~; ~.-_, The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are trued con-ect to `the best o~~a ;~ the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Dxedent, Petitioner(s) will well and-truly administer the estate according to law. Sworn to or affirr.~ed and subscribed before me the ~ ~ ~~ ~ day of ~~ /~ r Fer the Register of of Personal Representative Signature of Personal Representative File Number: ~ ~ ~ (~ ~ ~ ~ ~ ,~ Estate of Deceased Social Security Number: ~ ~ ~ ~")~~' / T- Date of Death: 1 AND NOW, Q ~~- ~ ~ +~ ~ in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS D REED that Letters ~~ are hereby granted to Q ~ -- in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) ~f l ecedent. ~ ~ ~ Letters .......... $ Short Certificate(s) . ~ ... $ Renunciation(s) ... ~.... $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ ... $ TOTAL .............. $ Attorney Signature: Attorney Name: Supreme Court I.D. No.: Address: Telephone: F~,-rr, Rw-o~ rev. lv.l3.v< Page 2 of 2 FEES ~~~'~'l"Y~j'~/d ~u~suLl.-~ ~~ .~1.(~1~~~[.1~.-~ jj'~ ~j • ~ Register of Wills ''p~,t.~7 OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS ~`"y~~~+~~ayh,'C- COUNTY, PENNSYLVANIA Estate of ~~'`~~(>~1 ~- ~ ~:-j-~Z~-~ ~~~. ,Deceased ~ , ~~ ~. ~~~~~-\~~~~~~~ ~~' ~ ~-ti'~f~, and ~~~ ~ ~,;, ~~ ~ - ~~~~,Z~ ,~ ~.~ -- (each) being duly qualified according to law, depose(s) and say(s) that she / he they ,~ was / \ re ~~~ well- acquainted with ~~~~'~~- > ~ ti ~~- ~ l c~ ~ ~~ and a are'~~familiar with the handwriting and signature of the decedent, and that the signature of .`_~~'s~ .D ~ l rY '-r~ k ~' ~~- P ~ to the foregoing instrument purporting to be the Last Will and Testament/Codicil of -~~' ~ "1 ~~1-~ 1~_ is i his~'her own proper handwriting. ( Mature) r~ ~ <-' ~ ~~,~ (~ (Street Address) ~ ~~ ~-~ ~-r~ .5~~ ~ r~_ ~" , l 1 I ~ 1 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and//..subscribed + '~+ before me this day of ,~C1~1 D~~ty for Register of Wills L C!t, iT r: ~ ,? , v Signature) ~ (Street Address) ity, State, ~fp) `-- ~ -~ ~T. J -c ~ - t-, ~ . ~J C.:. ; .. ; 1 ,.... .., '.. - ~ .. ~_ r n l ._.,.. =,~ .. ~_. ` ~~ r ,, _~.l Form RW-04 rev. 10.13.06 RENUNCIATION REGISTER OF WILLS ~ m ~ ~ ~ E u ~ ~ COUNTY, PENNSYLVANIA Estate of J D S ~ ~ ~ ! _ . ~ ~- CL ~~ Deceased I, ; v~. a~ L t~.l a ~ ~ , in my capacity/relationship as (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to (Date} 1 (Si lure) Executed in .Register's Office Sworn to or affirmed and subscribed before me this day of , Deputy for Register of Wills Form RW-06 rev. 10.13.06 /'`~ \. 1 ! - _. .- " . ,... 'T"1 ..., "i ~ 1 -~ t~ ~. __._ .-. -. - - - - ~-ref .. .. __.. ~ .r ,_ ..>~, - ~-~ ~. 1. ~ .1 S _t - -....._ r -~ ..... . _:_. .: - ~.. ~ ~+ • .. ~~ ~, -~-' ~' ~ ~ 3 ~= ~ tel. ~.. ~_ (Street Address) (City, State. Zip) ,~'xecarted out ofRebiste~'s Office Before the undersigned personally appeared the parry executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this d? ~ day of YY~ ~~~ ~'- ©( I Nary Public My Commission Expires: 6~1~ :3 is ~ ~ [~ t ~ (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission,) RlLIE WISEN IYir~Ooup ~~ l~Yri 07/i1i~014 RENUNCIATION REGISTER OF WILLS ~,. COUNTY, PENNSYLVANIA Estate of C 7 _~: ~r~ _ ~ . J,~ - ' Z.~ -- . ' ~r ~ _t_-1 ._ __ -._ _.~ -r, .- .~_. , _ .. ;_ L , ~~ . _ :, Deceased ,p , I, _ 1\ ~S~ s~-Q 1 ~~ , in my capacity/relationship as (Print Name} of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ,~ ~ .S~ e ~ ~~3~-~~ (Date) ~~ ~ _ ~~. (Signature) (Street Address) (City, State, Zip} Executed in Register's Office Sworn to or affirmed and subscribed before me this day of _ _ Deputy for Register of Wills Form RW-06 rev, 10.13.06 Executed out of Register's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renunciation for the purposes stated within on this ~~ day .QJn .~-S rcc Yr ~ c~ l ~1 P~n77S-t'~~Ck.~i` ~~'~'''' ~'~ °1~L~.. ~. D ~ y' i ra -, Nota b i ~ pc qcr• ~ (~~' ~ ~~- S cti~ ~~-~ My o mission Expires: d~~ ~ °LC fz'' (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) ~~''~ ~ r `.' ~i '~ !,P ~ ~,frynrr tMi=i~f!,.xc{