HomeMy WebLinkAbout05-05-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
Estate of Agnes C. IiouCk
also known as
,Deceased
Gerald J. Brinser
COUNTY, PENNSYLVANIA
File Number 21 - 11 --° ~~~ ~ ~~
Social Security Number 205-09-9272
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE `A' or `B' BELOW:)
QX A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the
last Will of the Decedent dated 12/16/2008 and codicil(s) dated
(State relevant circumstances. a g. renunciation. death of executor, etc.)
After the execution of the documents offered for probate: Decedent did not mar ~ was not divorced; was not a party to mending divorce proceeding
wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. §3323 (g); did not have a child born or a opted; was not the victim of
a killing; and was never adjudicated an incapacitated person, except as follows:
B. Grant of Letters of Administration
app rca e, enter: c. t. a.; n.c.t.a.; pe ente r e; urante a sen ra; uran a moron ate
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
Administrat-on, c. t. a. ord.b.n.c.t.a., enter date of Will on Section A above 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 (g), except as follows:
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Decedent, then $9 years of age, died on 04/28/2011 at Messiah Village, 100 Mt. Allen Drive, Mechanicsburg, PA
Decedent at death o~~±ned pronert;; with estimated values as follows:
(If domiciled in r~A) All personal property
(If not domiciled ir1 PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
situated as follows: NONE
$ 27,000.00
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature Typed or printed name and residence
Gerald J. Brinser 6 E. Main Street
- /l P.O. Box 323
~L/.~~;~'/~%,,/~~~~ Palmyra, PA 17078
Executor named in the
Form RW-OZ Rev. 12-26-2010 (interim form, pending action by the Court) Copyright (c) 2010 form software only The Lackner Group, Inc Page 1 of 2
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. t°' ~ ~ " -
Decedent was domiciled at death in Cumberland County, Pennsylvania with his /her fast principal residence ai: _ `
841 Oak Oval, IVlechanicsburg, (Upper Allen Township), PA 17055
(List street address, tewm/city, to~~nsPrip, county, state, zip code)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS
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.
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Sworn to or affirmed and surscribed
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beforE me this ~___ __ da.,i of
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For th,~ Register
Signature of Personal
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Geral J. Brinser
~~gnature of Nersona/ Representative
~~gnature of rersona/ Representative
File Number: 21 - 11 ~~ ~.,( ~
Estate of Agnes C. Houck
Deceased
Social Security Number: 205-09-9272 Date of Death: 04/28/2011
AND NOW, ~~l~~f ~> , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters Testamentary
are hereby granted to Gerald J. Brinser
and that the instrument(s) dated 12/16/2008
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ......................................
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...... $ 1 a
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Short Certificate(s)....: ~? ........... 11 l~
..... $ I~l • ~~ ~ ~ ~(C
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Renunciation(s) ........................ ..... $ Attorney Signature:
~:~ t ~ ~ $ ~ ~~ ~ ~.`~ Attorney Name: Kelt Wagner
.~,~ `'-tea $ ~yi~ y 11.E
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~ Supreme Court I.D. No.: 43891
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' Brinser, Wagner & Zimmerman
$ Address: 6 E. Main Street
$ P.O. Box 323
$ Palmyra, PA 17078
$ Telephone: 717/838-6348
$
$
TOTAL ................................. ... $ ~ "1 `_) . ;r~ i
Form RW O2 Rev. 70-13-2006 Copy right (c) 2006 form software only The Lackner Group, Inc. Pa e 2 of 2
9
in the above estate
OAL REGISTRAR'S CERT11=1~ATIt~N iJh DEA~r~-I'~
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I Name a (kcedent (Fvst 2. Sex 3. Social Secunry Number a Oate d Death (MOnm,• ay, year)
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Agnes C. Houck Female 205 ~9 9272 ~~ 28, 2011
5 age !Last Birtndayl Under I ear Under I des 6 Date of &nn Monm, des ear 1 & ace Ci aM stale a la ei count 8a. Plata of Deam Check oN one) --
Mpnms Days !burs .Nnutes Hospital. Olney.
89 Y.5 June 15, 1921 Farrell, PA ^ Inpatient ^ ER I Outpatient ^ OOA ®Nursing Home ^ Residence ^ Omer Specuv
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Ctiunberland Mechanicsburg Messiah Village MekiCan. Puerto Rican. etc.) _ C;auc.
I I Decedents Usual Oa ooh KinO of work done dorm most W waiu INe. Do not state retrced 12. Was Decedent ever n the 13. DeCedent't Educatbn (Speaty only hiighast grade carpleledl 14 Mantel Status Mama1, Never Marned.
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Id Falners Name jFirsl, miode. last. suttirl 19 Mother's Name (First, middle, maiden surname)
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>Oa Iniurmanl z Name (Type ; Pnnt) 200. Infamanrs Maiing Address (Street, pry I town, state, zq code)
Gerald Brinser 6 Fist Main St. Palmyra, PA 1707E3
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21 a MethW of Disposnan U Gemation ^ Oonaoon 2 t b Date of Disposition (MOnm, day, year) 21 c. Place of Disposition (Name d cemetery, crematory a omen place) 2 t d Locatwn (City /town, stave. zq codei
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CAUSE OF DEATH (Sts instructions and e><amplss) , Approximate interval. Pan II. Enter aher sirn!li~! mrdioons [mtribu0a, to deatt6 28. Did Tobacco Use ContnDute to Deam
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AGNES C. HOUCK
I, AGNES C. HOUCK, currently of Upper Allen Township, Cumberland
County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking
any and all prior Wills and Codicils made by me.
I. I direct that all my just debts and funeral expenses be paid from the assets of my
estate as soon as practicable after my demise.
II. I direct that all estate and inheritance taxes that may be assessed in consequence
of my death, shall be paid out of the principal of my general estate to the same effect as if
said taxes were expenses of administration and all property includable in my taxable
estate whether or not passing under this Will shall be free and clear thereof.
III. I bequeath unto my friend, Joanne Taylor, my two (2) red leather chairs. If she
predeceases me this bequest shall lapse and pass as part of my residuary estate below.
IV. All the rest, residue and remainder of my estate I devise and bequeath unto
Messiah Village, Mechanicsburg, Pennsylvania, to be used in its Endowment F~ und.
V. I appoint Gerald J. Brinser Executor of this my Will. In the event that he fails to
qualify or ceases to act as Executor, I appoint Keith D. Wagner Executor of this my Will.
VI. I direct that no bond be required of my fiduciaries for the faithful performance of
their duties in any jurisdiction.
IN WITNESS WHEREOF, I, AGNES C. HOUCK, herewith set my hand to this
my Last Will, typewritten on twf~o (2) sheets of pa er including the attestation clause and
si natures of witnesses, this 1(~ da of L~~~'~-l 2008.
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A ES C. HOUCK
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Signed by AGNES C. HOUCK, by her declared to be her Will in our presence,
who h~av~e hereunto subscribed our names as witnesses in her presence and at her request,
this ~~ day of ~~~'~..,, , 2008.
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.,~1-~~f'~ -~ residin at `~L-~-1 G-~.~~~~ ~-
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF LEBANON
~~
WE, AGNES C. HOUCK, GERALD J. BRINSER and ~w-~yl~::.-~.~, :.~ ~Ls ,
the testatrix and the witnesses, respectively, whose names are signed to the attached or
foregoing instrument, being first duly affirmed, do hereby declare to the undersigned
authority that the testatrix signed and executed the instrument as her Last Will and that
she signed willingly (or willingly directed another to sign for her), and that she executed
it as her free and voluntary act for the purposes therein expressed, ar~d that each of the
witnesses, in the presence and hearing of the testatrix, signed the Will as witnesses and
that to the best of our knowledge the testatrix was at that time eighteen years of age or
older, of sound mind and under no constraint or undue influence.
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AGNF~ C. HOUCK
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ITNESS
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WI ESS
Subscribed, sworn or affirmed and acknowledged before me by AGNES C.
HOUCK, the testatrix, GERALD J. BRINSER and C'~ ~Y ~a~^ -~ ~ -~s ,witnesses,
this ~~ day of ^ ~~k~ , 2005.
AL)
Notary Public ~ ,~
N0~,4RiAL Sf;AL
V'~NDY L. CR~~N~ORD, Notary ~i_;~~9~~;
?:~lrnyra Boro., Lebanon Cour~ky
~~~>' ~~mmsssion ~xpirPS September ~(~, ~~j~9
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