HomeMy WebLinkAbout03-18-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS
Estate of Y0. ~ i nQ, (V{ f V~,v 0 ~ ,Deceased ESTATE NO: 21- ~ ~ - V ~J 7
a/k/a:
a/k/a:
a/k/a: SS NO: l ~ ~ ' ~~ ~' ~(o Z~
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or °B' AND t°C" as
a plicable:
L~A. Probate and Grant of Letters Testamentary or pAdministration c.t.a., or d.b.n.c.t.a. (complete Part Calso)
and aver that Petitioner(s) is/are entitled to the afore entio d Lette under
the last Will of the above-named Decedent, dated l Q ~ and codicil(s) dated ,
c ~ ~ ~: _
-r~ ~ _
(State relevant circumstances, e.g. renunciation, death of executor, etc) r-i ~r~-
Except asfollows, Decedent did not many, was not divorced, and did not have a child born or adopter `~ecutt~,of the.
instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitate~p~"
r~t ,and was not a -
party to a pending divorce proceeding at the time of death wherein grounds for divorce had bee@-~6ed a~.defined ~ti
23 Pa. C.S.A. § 3323(8): ~ , ~_ -w- -
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^ B. Grant of Letters of Administration ~ ~" -'~'
(If applicable, cuter d.b.n., pendent life, dursnte absentia, durante miaoritate) '
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 wss not a party to a pending divorce
proceeding wherein grounds for divorce bad been established as provided in 23 Pa. C.S.A. § 3323(8), except asfollows:-
to
IF
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland Coun enns lvani th his/he last family or prin pal residence
A^ n h', a,
At J '_lQ-I~d r C~fL q~ /~ ~n~ 6 Orn i . ~! /~ l~i.w- L~ .J ~ f ~ f , w I ~ ~A r s-~ i~
(Street address with Post Office and Zip Code, Municipality: Township, Boronugh, City) n
Decedent, then ~_ years of age, died L .~ ~ I uI ~ ;b t (~ at t..k.r~ 6 6 ~~ I /~'
(Mo thn Day, Year of death) (City and State where death occurred)
Estimated value of decedent's property at death:
_If domiciled in PA ~;u personal property $ ''~D UU . U U
_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 Estimated Value $ p (~ (~~( ~-
Location ofReal Estate in Pennsylvania: (Provide full address if possible.) _ l~ I Q
Signature(s) Name(sl & Mailing Addresslesl
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Interim Fnrm RW11~ ~.....~o.i t~ ~~ in ti., r....,.~.-_~__a n_.._~. ___,.
.~ ..,.~..,ti~~a~ti .,.,~~~:y Ncuumg uauun oy me court Page t ot'2
Oath of Personal Representative
COMiV10NWEALTH OF PENNSYLVANIA
SS
COUNTY OF~ ~.r(l~~P~~axld
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are tare and conect 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 affirm+e(d~and subscribed
before me the ` C%~~ day of
(~Y kl ~ I
~'
Fo t Register
r --. ~~ C~
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File Number: ~ ~ ° ~ ~ ` ~ ~~.~
Estate of 6~~ cS ,Deceased
Social Security Number: ~ ~`~ ~lh ~ Vl~1~O Date of Death: ~ of ~ ~y- - ~ O
AND NOW, __~ O' ^ lJf Ml.~,.r~'~ / , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters I ~~ YY1°rl `~Q.Y</
are hereby granted to
in the above estate
and that the instrument(s) dated R ~ .~ oZ , l ~ ~,~
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
I If A e ~' _ ~~ _ / . /
FEES
Letters ............... $
Short Certificate(s) ........ $
Renunciation(s) .......... $
... $
~ ... $
~,, .. $
... $
... $
... $
... $
... $
... $
TOTAL .............. $ 8
~.. _„
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Signature ojPerso !Representative 'T) --Zj ~~;; - ~
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Sign re ojPer nal Representative ~ ~ C J T
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Signature ojPersaial Representative ~ --i ;~._ rTt
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Register
Attorney Signature:
Attorney Name:
Supreme Court I.D. No.:
Address:
Telephone:
Fa~m RW-0? rev. lU.13.06 Page 2 of 2
110~.`i05 RG~~ (01/OT ~/ _ /f `~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph. ,
Fee for this certificate, $6.00
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This is to certify that the information here given i
correctly copied from an original Certificate of DeaU'-.
duly filed with me as Local Registrar. The origina-
certificate will be forwarded to the State Vif~.
Records Of 'ce fo rmanent filing.
Local Registrar ~ r-~} Date Issued
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.1~a atv naaos COMMONVYEALTN OF PENNSYLVANIA .DEPARTMENT OF HEALTH .VITAL RECORDS = -~ - _ ` ~
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,,,K CERTIFICATE OF DEATH D _ `~
(Ses InatrucUona and a3wnplaa on rovaraa) Surf FaE NiwraEa ~ ' "r7
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Pauline M. Myers Female 164 - 56- 5670
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Drpoeiem Parr No.
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LAST WILL AND TESTAMENT OF PAULINE M. MYERS
I, PAULINE M. MYERS, of Penn Township, Perry
County, Pennsylvania, being of sound mind, memory and
understanding, do hereby make, publish and declare this to
be my Last Will and Testament, hereby revoking any and all
Wills by me heretofore made.
FIRST: I direct payment of all my just and lawful
debts, including any mortgage or lien on my real estate or
any lien or encumbrance or pledge on any item of
personalty, as well as the expenses of my last illness,
funeral and burial costs from my Estate as soon after my
death as conveniently may be done. All Federal, State and
other death taxes payable because of my death, with respect
to the property forming my gross Estate for tax purposes,
whether or not passing under this Will, including any
interest or penalty imposed in connection with such tax,
shall be considered a part of the administration of my
Estate and shall be paid from my residuary Estate without
apportionment or right to reimbursement.
SECOND: I give and bequeath my automobiles and
personal effects, such as furniture and household goods, if
any,, as may be my individual property and not the property
of my spouse, Glenn F. Myers a/k/a Glenn F. Myers, Sr., or
owned jointly by me with my spouse, Glenn F. Myers a/k/a
Glenn F. Myers, Sr., and other tangible personalty of like
nature, not including cash or securities, together with any
existing insurance, to my spouse, Glenn F. Myers a/k/a
Glenn F. Myers, Sr, provided my spouse shall survive me by
sixty (60) days.-
THIRD: All the rest, residue and remainder of my
estate, whether real, personal or mixed, of which I shall
die seized and possessed, and to which I may be entitled at
the time of my decease, and wheresoever the same may be
situate, I give, devise and bequeath unto my spouse, Glenn
F. Myers a/k/a Glenn F. Myers, Sr., provided my spouse
shall survive me by sixty (60) days.
FOURTH: In the event my spouse fails to survive
ALLEN E. HENCH
Attorney at Law
227 Walnut Street
Newport, Pa. 17074
567-3139
me, then:
A.
automobiles and
household goods,
following:
I give, devise
personal effects,
to be divided in
and bequeath my
such as furniture and
-equal shares among the
Glenn F. Myers, Jr.
Gary L. Myers
Connie J. Hoffman
Kay D. Richmond
Kathy E. Hummel
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real estat~be sold'., anal,; ~,-,
into five equal shares -~'
Paragraph Fourth A above.
B. I direct that my
the proceeds therefrom be divided
among the beneficiaries listed in
C. All the rest, residue and remainder of my
estate, whether real, personal or mixed, and wheresoever
situate, I direct be divided into fine equal shares among
the beneficiaries listed in Paragraph Fourth A above.
ALLEN E. HENCH
Attorney at Law
227 Walnut Stnot
Newport, Pa. 17074
367.3139
D. In the event a beneficiary listed in
Paragraph Fourth A above does not survive, I give and
bequeath that share to his or her issue, per stirpes.
FIFTH: In addition to all powers granted to him
by iaw, I give my Executor, hereunder, the following
powers, which may be exercised without leave of court:
A. To retain and to invest in all forms of
real and personal property;
B. To compromise claims and to abandon any
property which is of little or no value, if deemed
appropriate to my Executor;
C. To sell at private sale, to exchange, or
to lease for any period of time, any real or personal
property, or interest therein, and to give option for sales
or leases, and to give a good deed of conveyance or bill of
sale for the transfer thereof;
D. To allocate any property received or
charge incurred to principal or income or partly to each,
without being obliged to apply the usual rules of Trust
accounting;
E. To distribute in cash or in kind
(according to the fair market value prevailing at the time
of distribution) or partly in each.
SIXTH: I nominate, constitute and appoint my
spouse, Glenn F. Myers a/k/a Glenn F. Myers, Sr., as the
Executor of this my Last Will and Testament. In the event
my spouse is unable or unwilling to serve, then I nominate,
constitute, and appoint Gary L. Myers and Rathy E. Hummel
as co-Executors.
SEVENTH: I direct that no fiduciary acting under
this Will created thereby shall be required to enter bond
for the faithful performance of duties, in any
jurisdiction.
IN WITNESS WHEREOF, I, the said PAULINE M. MYERS,
have hereunto set my hand and seal, to this my Last Will
and Testament, this 22nd day of August, 1985.
~CZ~~~~~1~ __ (SEAL )
PAULINE M. MYERS~~~
The writing contained in this and the preceding
sheet was signed and sealed by the above named, PAULINE M.
MYERS, and by her p lished and declared as and for her the
Last Will and Testa, ent, in the presence of us, who have
her unto subscribe our names as witnesses at her request,
in ~ ese~ce.
~~ ~-=--
OATH OF NON-SUBSCRIBING WITNESS(ES)
ISTER OF WILLS
COUNTY, PENNSYLVANIA
Estate of
Deceased
and ,
each) being duly qu~ified according to law, depose(s) and say(s) that she / he /they was /were well-
acquainted with
with the handwriting and signature of the
and that the signature of
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
is in his/her own proper handwriting.
ignature)
~jStreet Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmedpand subscribed
before me this f 0 day
of rch , ~.
eputy for Register of Wills
and am/are familiar
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Form RW-04 rev. 10.13.06
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{~'~-FC~I~ . ~J-
(City, State, Zip)