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HomeMy WebLinkAbout07-14-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS ~/J ~~~ D ceased ESTATE NO: 21- Estate of Y ~ J"/~ t" ~ e a/k/a: Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or ~B' AND "C" as ap licable: A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also) a d aver that Petitioner(s) is/are entitled to the aforementioned Letters under the last Will of the above-named Decedent, dated D ~ c. 1 Z /4~ and codicil(s) dated (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 of the instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated person, and was not a party to a pending divorce proceeding at the time of death h rein grounds for divorce had been established as defined in 23 Pa. C.S.A. § 3323(g): ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, durante absentia, durante 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 (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 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: Address hi to Decedent i~au~c ~U k ~, /~ur /h U Ever /'~~k ~ ~°~ ~ .SDI7~-~.. f'U ..~ ~,~ .~~ = ..~ ~. ;''"' ~~ ~°~ ~ C_.. USE ADDITIONAL SHEETS IF NECESSARY ~~-~ ~ ,, _I: , -! ~. ... C7 ~ -.~ ~ r `~- E "~t THIS SECTION MUST BE COMPLETED' ~ ~ ~ ~"' ~ ~ .~-~ r~: ~ Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family orincipal~eside>~i At UO L -~ vL' c f ~/~ ' G t.. l7asS- ~ f.~ _ ~~ (Street address with Post Office and ip Code, Municipality: Township, Borough, City) ~` Decedent, then 9 ~ years of age, died ~u K a ~s Z d~~ at /~EGff ~Nl~C S &'u~'~, ~~ (Month, Day, Year of death) (City and State where death occurred) Estimated value of decedent's property at death: If domiciled in PA All personal property $ ~'04T, dfl~,. 00 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 $ !o ©d ; f~• U ~ Location of Real Estate in Pennsylvania: (Provide full address if possible.) ~~~"' Ci..noturn/c~ Name(s) & Mailing Address(es) o `~~ ~G~2~~ ~J rt V4 ~ . ~dt'"I 6'bl ~'~~dL° fC~'~? ~ ~~~ ~/~ ~ . ~ ~'/off' -. ~. D~..e t ..4 7 lntenm t'Ort11 KW-Ul reVlSea IL.LO. IU Dy l,UmvCnanu ~,vun~y Ncuun~g acuvn uy uic ~,vwa ~, 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 cif zmed and subscribed before ~>!'ne t:his ~ ~ __ day of ~, ~ ~~ ~: ~ c.... ~ ~: ~.~ i~M ~~~~ For the Register DECREE OF PROBATE AND GRANT OF LETTERS ..~ ~y ~e- ~°~, v:- i= ~.`~ ~~ ~~ ; ~:~ ._. ~_.. "' F"t - `~:~ ~~ ~:~ ~ -t-a Estate of ~ ~ ~ ri ,Deceased File Number: 21- AND NOW, this d~of [~ ~~~/ , in consideration of the Petition on the reverse side hereon, satisfactory proof having b en presented before me, IT IS DECREED that Letters Testamentary of Administration are hereby granted to: `~ (If applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) ~o%~o ~~ /"( a/~7i2o _ in the above estate and that instruments(s) dated descrih~ed in~the pet~tic.:n be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. ,~ % ~'' G enda Farner Strasbaugh, ; , ~ `'i~~ Re ister of Wills g FEES: Letters .................... $ Will ....................... Co i ' (s) ............... ( )Short Certificates `~34 ( )Renunciations....... Bond ............................ Other ............................. Automation FEE......... 5.00 JCS FEE ................... _ 23.50 ~~~. TOTAL ................ $ Signature of Counsel Required to Enter Appearance Atty's Signature PRINTED Name: Supreme Court ID No.: Address: Phone: Fax: Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 2 of 2 WILL ~~" o ~., OF ~'~~ r.,... ..r.. ~ ~ .C' MARY D. MARTIN ~ ~ ~ „~,, ~~ ~ ..t7 -~ .. I, MARY D. MARTIN, cut~ently of the Borough of Elizabethtown, Lancaster 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 maybe 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 intend to keep with this my Will a separate memorandum concerning disposition of certain items of tangible personal property. I bequeath the items on said list to the persons designated. IV. All the rest, residue and remainder of my estate, of whatever nature and wherever situate, including property over which I hold a power of appointment, I devise and bequeath equally unto my four (4) children, namely, Barbara, John, JoAnne and M. Suzanne, or their issue per stii-pes. V. I appoint my son, John D. Martin, Executor of this ~.y Will. In the evert that l~.e fails to qualify or ceases to act as Executor, I appoint my daughter, Barbara M. Ulery, Executrix 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, MARY D. MARTIN, herewith set my hand to this my Last Will, typewritten on two (2) sheets of paper including the attestation clause and signatures of witnesses, this 22nd day of December, 1997. ~ L) -1- MARY D. ~ ARTIN -~~ ~~ ~~ ~, .t_ ~~~- ~.~ c~ --r, Signed by MARY D. MARTIN, by her declared to be her Will in our presence, who have hereunto subscribed our names as witnesses in her presence and at her request, this 22nd day of December, 1997. residing at ~ ,., t.~- residing at ~ G -2- COMMONWEALTH OF PENNSYLVANIA COUNTY OF LEBANON WE, MARY D. MARTIN, GERALD J. BRINSER and JOLEIN L. SHENK, 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 volunta.iy act for the purposes therein expressed, and 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. 6 MARY D. RTIN c ITNESS ;~ wyrrESs Subscribed, sworn or affirmed and acknowledged before me by MARY D. MARTIN, the testatrix, GERALD J. BRINSER and JOLEIN L. SHENK, witnesses, this 22nd day of December, 1997. ,. (SEAL) ary Public ~~ Notarial Seal Wendy L, Hunking, Nota Public Palmyra Boro, t.ebanon~ounty My Commission Expires Sept. 10, 2001 -3-