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HomeMy WebLinkAbout03-25-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS q Estate of r 1 ~ Deceased ESTATE NO: 21- 0) U~ ~' ~`~9 a/k/a: a/k/a: SS NO: I~Jg ~Z(o -~?J 50 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 e.t.a., or d.b.n.c.t.a. (complete Part C also) 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 bom or adopted a instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated party to a peadie8 divora proceeding at the time of death wherein grounds for divorce had been t 23 Pa. C.S.A. § 3323(8): .ate. rn ~ ;_' Q ,., <, on tt£the ~' ' -z? wsfls7tot a. i-~ '~~ .~.. asadetined in , -, '° _.: tX) ~~- : 7 -~--i-=- r'T~ ^ B. Grant of Letters of Administration r' `~ Q (If applicable, enter d.b.a., pendent life, durante absentia, durance minorihte) 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 e.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 proceedin8 wherein 8rounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(fJ, except as follows:- THIS SECTION MUST BE COMPLETED: Deceden „~s,~icije¢eat eath ii~l r >lelilnd~u~Orftn~~ar l~~a' z~ast f~ttjly gr~Pt~nCrr~~ ~ in nee d(7 (Streetlad~dress with Post Office an1,.Jp Code, Mumc~ ny:llTownship, B`o'~ug_h, Cit) N~i~l (J ! -~2° Decedent, then ~ years of age, died ~~~ ~ at I'tcfS~V (Month, Day, Year of death) (City and State ere death occurted) Estimated value of decedent's property at death: _If domiciled in PA All personal property S dd 0 _If ant domiciled in PA Personal property in Pennsylvania S _If ant domiciled in PA Personal property in County S , /Value of Real Estate in Pennsylvania S Total Es((fi~~m~at~ed Value S 2 Location of Real Estate in Pennsylvania: (Provide full address if possible) ~V~ ~ ICJ i° iyG) ~ f l ISI ~ ~~ ~~C 13 Q Sigaatore(~ Name(s) & Mailing Address(es) ~ r ~ 0 Irl~l C9.u~, s ~ 11 a ~ Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 oft 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 a estate according to la . Sworn to or affirmed and~spubscribed i befor 's ~ y of ~~ ry ter, t~rttle x~glster ~z~ N ~~x ~ DECREE OF PROBATE AND GRANT OF LETTERS~g~ _ ~ cao Estate of 1 '1 "e~ ,Deceased File Number: 21- 6~ ~ ~~~ 0 t~ r_. > .r7 _; r-~:. ~' 7 ..~~<.v ~,_., ,. ~'.~ ~:`7 ~_ rn ~n p AND NOW, this of day of ~~'(~ir~ liY ~}1 ~ , in consideration of the Petition on the rev se side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters estamentary _ of Administration are hereby granted to: pf ~pplk~bk, enter at.a., d.6.n„ d.b.a.a4a., eta) 111 the above esta d that instlvttlents(s) dated described in the petition be admitted to pr to and filed of record as the last Will an is 1(s) of Decedent. , Glenda Farner St Register of Wills FEES: %'r~~~ Letters ....................$-~71~~~..~- will ........................ m codicil(s) ................. (~~Short Certificates ( )Renunciations....... Bond ............................ Other ............................. ................................. ................................. Automation FEE......... 5.00 JCS FEE ................... 4(/ TOTAL ................$ `77--2~6~ Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: interim Form R W-02 revised 12.26. l0 by Cumberland County pending action by the Court Page 2 of 2 705.805 REV (01/U7) 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 17244113 Certification Number ~~as,u my na]a nrE vanr w vE~ ~r ,~,~""'`jH OF p 's ,~~~~P E~yJ1. _ lL ~ r a Z3 ~ a@ v ~* 8 F ~~ ~991MEN10E,~"P~ I This is to certify that the information here given is correctly copied from an original Certit3cate of Death duly filed with me as Local Rf=gistrar. The original certificate will be forwarded to the State Vital Record~O~1 ~e f ermanent f ling. 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Spran N Ta. a~ / - ~ r Oa r amw in ar • drl ~avna'M'9uw aM Wn lfb to arxMMary MaMaOr.araaa.MarYnryalaalarraraw/_________________________________^ (~ axYl.~ • ~aaernaxx,alybr IN,IOarxor/arr~aOOaararal,YNgbuW tlOraq ~ bO O~Sgrl ~Ya~a a~Nl T•alxa May bnrlxa axr arrw/awaaaaw.YMllaer.WYYlrrryy YYOrwrar__________________ • a Mr w Ya lMi r /x aas V P a r r r r ar MaYflMarNYr1xr11r adalrigaaaax~alxaaxraa.aaaaxY]aaONrlMeayxl wMarOn1/aa11. ^ a . x xwaaxnr tlva •en Nln C tlaaallxllln2Tl Tyry/RA. ] W x ] r f, ~ { L Il]IC~1A6~ .1 s"frM MD an >l a araxw•N M.S.HersheyMedialCtr. _ ~ / //- .~~% ~~ .~ ~ -~.~ .~, , ~ ~, „ _. - FAST WILL AND TESTAMENT ~ ~ ~ ~ ~,~, . ~= ~; , :., ,_ ( '{~ J~~ ~ s : . , - _.,_i OF ~ ~ ca ~_.r~n ~ ~-, <" ~; CARL MEYER _. I, CARL MEYER, of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all former Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made. FIRST: I hereby order and direct my Executrix or Executor, hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be conveniently done after my death, out of my residuary estate. Further, to the extent that sufficient assets exist in my estate, any and all inheritance or other estate taxes, whether to non- charitable or charitable beneficiaries, shall be paid by my Executor or Executrix from the residuary of my estate prior to distribution and no part of the taxes paid shall be prorated or apportioned among the persons or beneficiaries receiving the taxable property regardless of tax rate applicable by law to each such persons or beneficiaries. SECOND: I give devise and bequeath my entire estate to my daughter, SHELLY L. CRAWFORD, provided she survives me by sixty (60) days. THIRD: I intentionally leave my two children, CHERYL A. MEYER and CARL D. MEYER out of my Will. LASTLY: I nominate, constitute and appoint my daughter, SHELLY L. CRAWFORD, to be the Executrix of this my Last Will and Testament. No Executor or Executrix shall be required to file bond in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 1 ~~T -~ day of ~ , 2011. CARL M R SIGNED, SEALED, PUBLISHED and DECLARED in the presence of: ~° ~ 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss I, CARL MEYER, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified acoorciing to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed ~ willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Swom or affirrned to and acknowledged before me, by CARL MEYER, the Tfa Testator, this ~~ day of ~ y , 2011. ~L~X~ U V ! r~ a-, % CARL MEYER, Te 2l/Y~w„, X~ .~fi1,6, Notary Public coru~onwF,,"ni of aE v~wrn Mowai s~ M~a~co„ t~i~p~Ra,~,°p'bN` cormwrlon ~ pc IM~Y of ranw~s 3 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND F~~ We, George F. Douglas, III and ~~z,-~., Q«~.-~a ,the witnesses whose names are signed to the attached or foregoing instrument, being duly qual~ed according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Swo-~ or affirmed to and su scribed to before me by George F. Douglas, III and ,~ fs,~~~~,f, this ~~dayof ~.w~ ,2011. George F. Douglas, III, fitness Witness Notary Public o~+ .~ n+ a~wV vrwv- NoaAM sui Tamlr~ S. Slglrt, NOfary PubNc Souh Cadi1Y11o11~~ ~D~ic~201 atEMBER, PN1161~WANIA A990QM10N OR gQrARiES 4