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HomeMy WebLinkAbout04-04-11PETITION FOR PR//O~~ BATE AND GRANT OF LETTERS REGISTER OF WILLS OF l~U l11 ~ q ~~ COUNTY, PENNSYLVANIA Estate of ~7 ~? a ~ f/- ~ ~ sQ/~'ll ~ /vC/` File Number /' ~ I ~ - ~ ~ ~(Jl~ also known as Deceased Social Security Number o1Q (~ -^ ~V " S 7.Cf ~o Petitioner(s), who is/are ] 8 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testamentary and av^~er that Petitioner(s) is /the ~X~ Lu T~ 1r' named in the last Will of the Decedent dated A gus, 1$ a~ndbodicil(s) dated ~)ON~. (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 for probate, was not the victim of a killing and was never adjudicated an incapacitated person: B. Grant of Letters of Administration (Ifappticable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; instrumeas) o 'ta ti> t ~.. ~. ~ , Petitioner(s) after a proper search has /have ascertained that Decedent left no Will and was survived by the following e~i~i 'any)d heirs;:.(/,~-i Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) '.? ~ ~_~ r-~ !+.] _ ?n (Lisd street address, town/cpity, township, county, s't~e, zip code)y~ /1 / / D c dent then O ~ years of ge, died n /~IGjI" 0~8 o't0 / at A~/4 ~~//'!~ dTDS~/ ~ ~,.~a,0 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $ rQ~ ~© (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ ~ 4©~ Q d ~ ,Q ~ ~p -~ situated as follows: O~~ ~S ~ ~u N~q h ~ /,/Y0f14~ ~/lp~~ e~ J' ~~s.~~~ Wherefore, Petitioner(s) respectfully the undersigned: )the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to or printed name and residence r~ I t ' ~~ I ao 3 ~(/es .~ ~ u r ~l~ /~Y~e ~K e Form RW-02 rev. l0. /3.06 Page I of 2 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent as dotr~iciled ~t death in .Qt` (A h County, P nnsylvania wit~his last principal res~ence at _ eZ ©~j 49es~ (;9uNFluail/ 1~..~_..o __a.,~...~ .~.... /~a ---~- I ~ t-- -- Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA /~~ ~ SS COUNTY OF ~YL ~~q i~{~~ , The Petitioner(s) above-named swear(s) or affirm(s) 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 before me the ~_ day of Signature of Persona! Representative Fort Register Signature of Personal Representative =~ ~ tom.. ~..._ -.~. _ ....7..,7 D L~7 aa~-l~-~~~~ ~d Fi li~e jjN~~umber: Estate of i'IU~~X ~ ~ ~~C,u'1~~r2:~ ,Deceased Social Security Number: d~~(~" ,~U ^ _~~ ~ -"/ Date of Death: 1vlQ.Y~(~h o~-~ ~~ AND NOW, _ T~ C~ ~r I ` , ~_, in consideration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DEC~E~D th Letter ~~ f 1'1 ~yD'1~ 4~L.1 are hereby granted to ~.^ ~Y K ~ ~ ~ ~l,I `~t~ , and that the instrument(s) dated described in the Petition be admitted to FEES 4~ ~ti, ~.: :~? -~W .~ .. ~ .. . ~:, .Z ~ - in the above estate and filed of record as the last Will (and Codicil(s)) of Decedent. Letters ........... $ ~~~~ Short Certificate(s) . ~.... $ ~ ~~ Renunciation(s) .......... $ ~.... $ $ ... $ ... . . $ . $ ... ... $ ... $ TOTAL .............. $~(n 5 .~-- Register of Attorney Signature: Attorney Name: C3'~'`-~-,d,~ H -C ~ K~e~/ Supreme Court I.D. No.: _ 0~3 ZO J^ Address: , ~3r~o ~'yr,~iv,~, ~-~,~ n e l~rrr~s~hv~ Il~ ! 2 / l 1 Telephone: `T ~ °]-- 23 ~ 0 ~/ j ~! Form RW-02 rev. 10.13.06 Page 2 of 2 105.805 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 17296906 Certification Number This is to certify that the information here given i correctly copied from an original Certificate of Deat duly filed with me as Local Registrar. The origins certificate will be forwarded to the State Vit Records Office for permanent filing. ' ~ 3 3i // Local Registrar Date Issued C 1 rv c. ~~ ¢ C7 ~ r -- '~ C.'"^ ~ L7 -- - Z m I , ,~ ~vix ,r- _ _ _~:: j ~ -~-I ~ -~.-1 a ~ ~r fY r~'t~"1 ~ ~~ ~' 'i'1 H106,q REV 11!!W6 TrrEVEirvu o~ N aAC,c »« C ln~ V / is COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH rsrr la,...rr.,n...,• ..... _-_~-__ ___.___. __• STATE FlLE NUMBER 1. tlenr a Grdre IFM mere, K ~) 2 S« 1 Soar Sewy temeer !. Ore a Daetli Mash M. Err) Howard Sanford, Jr. Male 200 - 20 - 5296 March 28 2011 s A , pe M1er BFMy) umr i tA,ar, 6. Gr a Byn T. end rer m h Pir a Gen an rare D.ye Naee rtes. Noyney OYrr 83 rm. July 3, 1927 Pittsburgh PA , ®e~e ^ ER / adprim ^ DOA ^ Nerq lbn ^ pry„, ^ oerr. m Guy a Detn e p . a r. Bom, rep. d Gw ed Feaiy Nrro In nt briaa, 6Ne east rr mmEer) a. wn DeoeetrA a wy,ae olgini f~ W Ne ^ Yr 16. yan. BYtlc rAnr rc , pl Yr. ~T cr.4 Cumberland East Pennsboro 21ap Holy Spirit Hospital r d P R s nn, arlo ,rru rc) White ,i. Gnare'a Urri dwakdorr mntd Ya. G na eLb 12 wr Gerre awr b tlr 13. drearfe Earatla (Spady ary Nprr pedt eanpir~ 1!. w ~tl ~ rrer, is. SuMriq SPe~« R r4. YNe meiM nrnei larawere iDraG:r./bary u.s.AmreFaar/ ~ . ( Sales tats Phart[IdCeutlC3 ®Vr ^ Ne ~~ / n (aye O°A°p° (,-4 m s•) 4 Wie]r~wiBd ,s. Derara~.wirgAmr.lse.ecar/brl..w.aomne) Dx~.a.rc A r R i lv S i ~ ° aetle" 203 W. Courtlarld Avenue a r aNCS m stm y an a b n~ ^ r«, G~.edn W.e r SI.11rHIIan3tCgifl PA 17011 ,7D.Guy (SmharlaTV~ Tawrrg7 na~NaGcear+tAeewb:~ TAD Aaur linNed Shinananstown 16. FrlrraIWn.lfir. nilaae, Mr, adhj cy/Bmo 19. Werra Nem.IFYq. nidae~ nry« rmm) HoaTard Sanford Sr. Helen Mexner zo^ n+amr,h Nrr (Type / ~ zro. barwpe Mar+u Adore lstnr, ay / ben, ebr, ap nee) M k H d ar owar Sanford 203 W. Courtland Avenue Shiremanstown PA 21a. 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Sfpiewa endo~r~rr ~ I / t-~ I ci '~ I ~I / I GL LlG Fra Maw. ear, r«rl S uSh mG I~aush;K , M O . ti . y 5~ 3 /~(. 2.1 S+. `j-t ~~e+ CRm ~ t-~y l ~ l (~jQ 17 G { 1 '~ Oiep«ina Para W. U5yy4l l n .~-- Q r~w~r :`.::: ""' ~ ~ ~ ~"t ~ i~~ -r^~ ~~ yryry n~~ ~ '. `rte, ;~ ~ ~' -_~ :.~'J LAST WILL AND TESTAMENT :n ~ F. `~ HOWARD H. SANFORD KNOW ALL MEN BY THESE PRESENT THAT I, Howard H. Sanford of 141 Tory Circle, Enola, Cumberland County and the Commonwealth of Pennsylvania, being of lawful age, sound mind, memory and understanding, do make, publish and declare this instrument to be my Last Will and Testament, hereby revoking any and all Wills and Codicils heretofore made by me. Item 1. I hereby direct my hereunder Executor to pay out of my estate all my just debts, including all the expenses of my last illness. Item 2. My said Executor is also authorized and directed to pay out of my estate all inheritance, legacy or estate taxes on my estate or on the devolution of any portion thereof or levied by reason of my death, including those levied on proceeds of part of my estate at the time of my death. Item 3 (A). In the event my son, Mark H. Sanford, survives me, I give, devise and bequeath unto my son all of my property, real, personal and mixed, wherever situate and whether acquired before or after the execution of the Will, or to which I am entitled at the time of my death. Item 3 (B). However, in the event that my son should predecease me, or if my son and I should die in a common disaster or under such circumstances that it cannot readily be determined which of us died first, or if my son, regardless of the cause of his death, should survive me for less than thirty days, I provide that subsection (A) of paragraph three shall be null and void and the remainder interest shall pass with Item 4 of this Will. Item 4. Under the above stated conditions, in the event that my son predeceases me, I will and direct that all of my property, real, personal and mixed, wherever situate and whether acquired before or after the execution of this Will, or to which I am entitled at the time of my death be distributed as follows, to wit; 100% thereof I will unto my sister, Nancy S. Persinger. Initials: J -1- Item 5. I name, constitute and appoint my son, Mark H. Sanford, as the Executor of this my Last Will and Testament, and in the event of the death, resignation, refusal, disqualification or other disability of said Executor hereinbefore named or designated while or before acting as Executor hereunder, I hereby name, constitute and appoint my sister, Nancy S. Persinger as the alternate Executrix of this my Last Will and Testament and she shall have all the rights, powers and duties as are vested upon the Executor hereinbefore designated. Item 6. No one acting as an Executor or Executrix, or otherwise acting an Administrator of this my Last Will and Testament, shall be required to give bond or other security in any jurisdiction, and if despite this exoneration bond is nevertheless required, no sureties shall be required. Item 7. Severability - If any provision of this Will is held invalid, that shall not affect other provisions that can be given effect without the invalid provision. SIGNATURE I, Howard H. Sanford, the testator, sign my name to this instrument, this /~~ day of ~ ~ , 2007. I declare that I sign and execute this instrument as my last Will~ign it willingly, and that I execute it as my free and voluntary act. I declare that I am of the age of ma~onty or otherwise legally empowered to make a Will, and under no co s aint undue influence. Howard H. S f -2- WITNESSES We, the witnesses, sign our names to this instrument, and declare that the testator willingly signed and executed this instrument as the testator's last Will. In the presence of the testator, and in the presence of each other, we sign this Will as witnesses to the testator's signing. To the best of our knowledge, the testator is of the age of majority or otherwise legally empowered to make a Will, is mentally competent and under no constraint or undue influence. We declare er penalty of perjury that the foregoing is true and correct, this /~~ day of , 2007. Witness # 1: Address: Witness #2: Address: 3712 Woodridge Drive. Harrisburg PA -3- ACKNOWLEDGMENT AND AFFIDAVIT Commonwealth of Pennsylvania: County of Dauphin ss. We, Howard H. Sanford, James J. McCarthy, Jr., and Larry Weisberg, the Testator and the witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will, and that the Testator signed willingly, and that the Testator executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses, and that to the best of their knowledge, the Testator was at that time eighteen years of age or older, o~'sound mind and under no constraint or undue influence. Testator: Witness: ~ ~'~-- •J- ~ -- l.cA Witness: Subscribed, sworn to and acknowledged before me by Howard H. Sanford, the Testator, and subscribed and sworn to before me by James S. McCarthy, Jr. and Larry Weisberg, witnesses, on this, the f ~ day of ul s y- , 2007. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public My commission expires ~0 ~02 /a?O/D NOTARIAL SEAL Linda M Nace NOTARY PUBLIC City of Ha-risburg, Dauphin County M Commission E ices 10/02/2010 -4-