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HomeMy WebLinkAbout06-20-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS / ~p~ Estate of RAYMOND S. BLACK ,Deceased ESTATE NO: 21- ~' - ~1~~ 1 a/k/a: a/k/a: a/k/a: SS NO: 168-26-5072 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 c.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 TESTAMENTARY N under the last Will of the above-named Decedent, dated 7/27/2001 and codicil(s) ;'- ~ RENUNCIATION FOR JAMES E. HUGHES IS ATTACHED HERETO. c-- ^~' OD C ~_ ~ ~ L fv ~-;^~ rry (State relevant circumstances, e.g. renunciation, death of executor, etc.) Cl~ O ,z 3 i_? Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted cutip$ of t}fc:; instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitate , and~tas n~'*q'' party to a pending divorce proceeding at the time of death wherein grounds for divorce had been: s lished pydefi' r~ 23 Pa. C.S.A. § 3323(g): N/A ~_~ C~ c ^ B. Grant of Letters of Administration (I[ applicable, enter d.b.n., pendent Gte, durance absentia, durance 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 (lf 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(g), except asfollows:- SHEETS IF THIS SECTION MUST BE COMPLETED: Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence At 139 E. SOUTH STREET, CARLISLE, PA 17013 (Street address with Post Office and Zip Code, Municipality: Township, Borough, City) Decedent, then 79 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 All personal property Personal property in Pennsylvania Personal property in County Total Estimated Value Location of Real Estate in Pennsylvania: (Provide full address if possible.) $ 12,000.00 S $ 35,000.00 S 47.000.00 Signature(s) Name(s) & Mailing Address(es) ~j , ~' r ROGER B. IRWIN, 60 WEST POMFRET ST., CARLISLE, PA 17013 interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of 2 years of age, died 6/10/2011 at CARLISLE, PENNSYLVANIA (Month, Day, Year of death) (City and State where death occurred) 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 the estate according to law. Sworn to or affirmed and subscribed ~// ~ . C.-fit..... _ b e me this ~ day of ~- // or a gister ~ x c} en o ~"~ ~~ DECREE OF PROBATE AND GRANT OF LETTE -~"~ ~q Estate Of RAYMOND S. BLACK ,Deceased File Number: 21- ~/ ~~ (f~ll!y to `'~ AND NOW, this day of 1.~~- ~ < < , in consideration of the ~etition on the reverse side hereon, satisfactory proof ving been presented before me, IT IS DECREED that Letters x Testamentary _ of Administration are hereby granted to: (If applicable, enter ats., d.b.n., d.b.n.ct.a„ etc.) ROGER B. IRWIN in the above estate and that instruments(s) dated 7/27/2001 described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ClYenda Farner Strasbaugh~ ' Register of Wills --~"'V~~ FEES: Letters ....................$ 90.D0 Will ........................ ls.Do Codicil(s) ................. (2) Short Certificates 8.00 (1) Renunciations....... 5.00 Bond ............................. Other ............................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 TOTAL ................$ 146.50 Signature of Counsel Required to Enter Appearance Atty's Signature ~ -~- PRINTED Name: ROGER B. IRWIN Supreme Court ID No.: 6282 Address: 60 WEST POMFRET STREET CARLISLE, PA 17013 Phone: (717) 249-2353 Fax: (717) 249-6354 Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 H7115 R05 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 17451551 Certification Number I~~~ ,4 O I 1 ^ (~ 1~ This is to certify that the information here given is correctly copied From an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~~ a~t+r.>~.1~~ ~u~ i ~/zat~ Local Registrar Date Issued N 1~ ~' S~ Ci 1 x / ry t `Z (~ ~ ~ ~g ~ ."F7 ~` ~~' ~ '~T'1 Y' ~ ~ n? {-- ``~ ~ w c + H,m.w 11EY ,190e1 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH . VRAL RECORDS TYPE/PMf N CERTIFlCATE OF DEATH (Sw ItwtrutSlont tteTd wmgw «n er,wrew) BTATE t~ wlaeen t.rraowreryb~bbab,w.rbe ter &MYOabM Nbew lDr~dib.b Pebta b/.rrA Ra and S. Black male 168 _26_5072 June 10,2011 6.Ip QM AIiEry) IbWt UO'1 0.uralr i. rrrrbs e~4bena 0r. 79 te... on• rbr taa. 1lenppY Oebr rr. June 10,2011 Carlisle, PA ^m/ ^t>a ^ for ^~ ^~ row ntagao.r~ rq,0.ba rp. atsrn YrnMwrPmb++r,OMrwrenuneM aNromertgrr uV~'+ r rr +a a.r YnbYriMtlb4 rettMr. r: Cumberland S. Middleton twp .Carlisle Regional Medical ~a ~r:1 Where n. trr drew .wa. w:urtrb 1s tw tbenabe ~wr b M 1a otrew(e Eeiaer IBeeteFrM 1e0.r e~ mnPbbel to rMr 8WC rote; tbMtr robe, 16. ficu p er, W teen row a~e JuniorpneEngineer Ma~°u«{~"r~"l~°"ng 1 us.0..raFat«+ °i'""'"/~1at Qanu.i+{«sq DiV d [~rr ^ r 10.0nan/nnYe /dbwp~,shls.~r~r enrrl 139 E. SOUth SL- O.ondbtn tYtl onrebe yaw rdanr In sab PPnnr,~l vania u.b. 1x.^rr, o~rua uab nq. PA 17013 Carlisle ,ntxbey Cumberland Tnraor +Ta ~~ U«+~ Carlisle , a , ay/ero u rrr.rYrlantbbr,brbdb) larewbr.pir,aeeniwenbn.tr) Earl Black Anna Mae Egolf aatibrrrnw~./~ Joel Black ~~~~~/dar4e~a 17015 2657 Ritner HWY Carlisle r. rebeauouwm ~ ^or.em e,b tbbantFSmrybet ea.wl s,o- ebaaorw+b"Rr~ba..rt.~,a«~+ur«arvbl s,atmY~R~/b.n w., tVrug17065 6/14/2011 « °~°~ ~ ~ ^ ""°w1ian8" ; ~ ^ Hollinger Crematory t HOll S rin a PA b .r J rr^ O IEr . y g p , es0.yraaFbra tarryrwbmvi4rreq ~ ~tairbneb 011589E bbrnrMe.rdFra/ , PA 17065 Ho111ngerFH&CrematoryMt.HOllySprings 1`aryYYenr'8tee,nbnn ~Teerrrrr/Innrbn rMemnnlrbeR tlrrrpbrrr hprnrtlebl Pte. UObr beer mot ebre lbbe4aM•frA pMdan b nr nebbb r er a ens. b r.,mnarri. 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BLACK, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executors to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executors to sell any realty owned by me at my death, and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I devise and bequeath all of my estate of every nature and wherever situate to Wendy Kay Homer and Tracey Ann Ray, share and share alike, or the survivor thereof. However, as long as Fae L. Horner desires to do so and actually does so, I direct that she shall be able to live in my house at 139 E. South Street, Carlisle, and use the contents therein, provided she pays the taxes, utilities, insurance and upkeep. N_ r ~] ' " C.. ~ Y 1 4 Va ~ ~ O T~ jf'7 ~ ~j ~D 1'r -f-~ W ~. 4. Should the gift in Paragraph No. 4 not take effect, I devise and bequeath all the rest, residue and remainder of my estate of every nature and wherever situate to the children of Wendy Kay Horner and Tracey Ann Ray, share and share alike, per stirpes. 5. I nominate and appoint Roger B. Irwin and James D. Hughes to be the executors of this my Last Will and Testament; they are to serve as such without bond. Should they die before my death, renounce or refuse to serve for any reason, or die leaving my estate unadministered, Inominate and appoint Marcus A. McKnight, III, as substitute executor with the same powers as are given herein to my executors, and also without the filing of any bond. 6. I hereby suggest that my personal representative retain the services of Irwin, McKnight & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 27~` day of July, 2001. S /` AL) RA OND S. BLACK Signed, sealed, published and declared by RAYMOND S. BLACK, the Testator above named, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other have subscribed our names as witnesses hereto. 2 ,. ... ACKNOWLEDGMENT AND AFFIDAVIT WE, RAYMOND S. BLACK, CHERYL L. CLELAND and MARTHA L. NOEL, the testator and 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 he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. COMMONWEALTH OF PENNSYLVANIA . SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by, RAYMOND S. BLACK, the testator herein and subscribed and sworn to before me by CHERYL L. CLELAND and MARTHA L. NOEL, witnesses, this 27TH day of July, 2001. 3. c~`.. Notary Roper B. Irwin, NWery Public Cartlefe Boro, Cwnberland Co My Commiselon t.~ires Oct, 9, tdwrger, PenrrsyNanlapseoaaaonaNObufes .....~~ -~ ~C/ ~co~~< <y;~,c~ ~ srv 1 RENUNCIATION ZD l i JUN 20 P~ 2~ 3 U REGISTER OF WILLS '~ ~Rj CUMBERLAND COUNTY, PENNSYLVANIACIJMBFF~I-ANL~ C~ . PA Estate of RAYMOND S. BLACK I, JAMES D. HUGHES Deceased in my capacity/relationship as (Print Name) CO-EXECUTOR of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to ROGER B. IRWIN ~--/S-// (Date) SPRING ROAD Address) CARLISLE, PA 17015 (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this day of , Executed out ojRegister's Office Before the undersigned personally appeared the party executing this renunciation and certified that he or she executed the renuncia ion for the purpo fated within on this day of /UA-P , e_~lll// Deputy for Register of Wills Notar}~ Public _ My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration ofNo[ary's Commission.) Form RW-06 rev. 10.13.06 MM N ~ Karon s. NoNN~-1' conNnNilon ~ 3 1ME~