HomeMy WebLinkAbout07-20-11PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Estate of ,~A C K D WAGON R File Number ~ ~ ~ ~ ~ ~ ~ ~~
also known as
Deceased Social Security Number ~~
SACK E WAGON R
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW.)
a A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the E X E C I I T 0 R named in the
last Will of the Decedent dated ~~ ~ 18 / 2 0 01 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 instrument(s) offered
for probate, was not the victim of a killing, was never adjudicated incapacitated, and was not a party to a pending divorce proceeding at the time
of death wherein grounds for divorce had been established as provided in 23 PA C.S. section 3323 (g):
B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente liter durante absentia; durante minoritate)
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 above and complete list of heirs.)
Decedent, then ,9 7 years of age, died on 6/ 9/ 2 011 at '1 ~ c c T e N y T I I A G E
100 MOUNT ALLEN DRIVE
Decedent at death owned property with estimated values as follows:
(If domiciled in PA) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in PA) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ 7, 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 nnr~ercivner~•
Signature Typed or printed name and residence
~._ JACK E- WAGONER 1917 COLUMBIA AVENUE
P
Page 1 of 2
Form RW-02 rev. 10.13.06
(COMPLETE INALL CASES:) Attach additional sheets if necessary. ~'' r f, ~.~
Decedent was domiciled at death in C I I M B E R I_ A N D County, Pennsylvania, with his / Aker' last principal residence at
100 MOUNT ALLEN DRIVE MECHANICSBURG PA 17055 UPPER
(List street address, townlcity, township, county, state, zip code)
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA ;
SS
COUNTY OF CUMBERLAND
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,~an-~,d~ subscribed
before me the ~ ~h day of
,~
a
For the Register
Sig ture of Personal Representati
Signature of Personal Representative
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Signature of Personal Representative
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File Number: ~ ~~ r ~ ~~ ~ ~~ ~ :`, ~ .~'
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Estate of ~ ~ ~ ~ K D • WAG 0 N E R ,Deceased ~ ~
Social Security Number: 16 6 - 0 3 - 0 2 6 4 Date of Death: 6 / 9 / 2 011
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AND NOW, , 2011 , in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters T E S T A M E N T A R Y
are hereby granted to JACK E W A O N E R -
_ in the above estate
and that the instrument(s) dated ~~ e N i i e R Y i. A, 0 0 i,
described in the Petition be admitted to probate and filed of reco~has the last Will .(and Codicil(s)) ~ Decedent. ~, f
FEES
:d'~i,
Letters ............................. $
• , 40
Short Certificate(s) • • • • • • • • • • $
Re unciation(s) •••••••••••••••• $
.... $ _ ~=_Z..~~L'
.... $
.... $
.... $
.... $
.... $
.... $
TOTAL .............................
Attorney Signature:
Supreme Court LD. No.: ? n 7 ~ 5 0
Address: 2331 MARKET STREET
Telephone: 717 - 7 6 3 -13 8 3
Form RW-02 rev. 10.13.06 Page 2 of 2
Attorney Name: N F F I Y E• MEAL S
000523-00001/01.09.01/EGM/KLT/142262.1 ,
~~tt,~t tll ~n~ ~E~tttntent
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JACK D. WAGONER
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I, JACK D. WAGONER, of the Borough of Lemoyne, Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding, do hereby make, publish and
declare this as aid for ~~~y Last ~. Jill ur~3 ~ esta-r~cnt, hereby revelcirg ar~d makinb void any ar_d all_
Wills or Codicils at any time heretofore made by me.
ARTICLE I
DEBTS
I direct the payment of all my legal debts, and the expenses of my last illness and funeral
from my Estate as soon after my death as conveniently maybe done.
ARTICLE II
TANGIBLE PERSONAL PROPERTY
I give and bequeath my motor vehicle(s), household and personal effects and other tangible
personalty of like nature (not including cash or securities), together with any existing insurance
thereon, unto my wife, AUDREY T. WAGONER If my wife, AUDREY T. WAGONER, fails
to survive me, I give and bequeath the same under my sons, JACK E. WAGONER and
JEFFREY H. WAGONER, to be divided between them by my Executrix or successor with due
regard for their personal preferences in as nearly equal shares as practical. In the event that either of
my sons predeceases me, I give and bequeath the items described in this Article II unto the survivor
of them.
000523-00001/01.09.01/EGM/KLT/142262.1 I
ARTICLE III
REST, RESIDUE AND REMAINDER
I give, devise and bequeath all the rest, residue, and remainder of my Estate, of whatsoever
nature and wheresoever situate unto my wife, AUDREY T. WAGONER If my wife, AUDREY
T. WAGONER, fails to survive me, I give, devise and bequeath the same unto my then-living
issue, per stirpes.
ARTICLE IV
UNIFORM TRANSFERS TO MINORS
In the event that any beneficiary of my Will shall not have reached the age of twenty-one
(21) years at the time for distribution of his or her share, distribution of said share may be made in
the discretion of my Personal Representative after considering the age and needs of the beneficiary,
either directly to the beneficiary or to a Custodian under the Pennsylvania Uniform Transfers to
Minors Act, 20 Pa. C.S.A § 5301 et seq., or the applicable Uniform Gifts to Minors Act or Uniform
Transfers to Minors Act in the state of residence of such beneficiary as the case may be. My
Personal Representative may designate as such Custodian any institution or person, including my
Personal Representative, qualified to act as a Custodian for such beneficiary under such Act in
effect at the time such distribution is made. A receipt for any payment or distribution so made shall
be a full discharge therefor to my Personal Representative, who shall not be responsible to see to, or
be liable for, the application of such proceeds thereafter.
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000523-00001/01.09.01/EGM/KLT/142262.1 ~ I
ARTICLE V
APPOINTMENT OF PERSONAL REPRESENTATIVE
I name, constitute and appoint my wife, AUDREY T. WAGONER, Executrix of this my
Last Will and Testament. Should my wife, AUDREY T. WAGONER, fail to qualify or cease to
so act, I name, constitute and appoint my son, JACK E. WAGONER, alternate Executor to
complete the administration of my Estate, and should my son, JACK E. WAGONER, also fail to
qualify or cease to so act, I name, constitute and appoint rr~y son, JEFFREY H. WAGONER,
alternate Executor to complete the administration of my Estate. I direct that no fiduciary appointed
herein shall be required to post bond for the faithful administration of the duties required in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and Testament, this ~ day of January, 2001.
(SEAL)
J K D. AGONER
Signed, sealed, published and declared by the above-named Testator, 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 hereunto subscribed our names as witnesses.
~~
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000523-00001/01.09.01/EGM/KLT/142262.1 ,
AFFIDAVIT AND ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
We, JACK D. WAGONER, ~1~ s~ C- ~L of and
~1i ' C;e~ ~ ~ ~C1^S~d. ,the Testator and the witnesses, respectively, whose
names are signed to the attached or 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
purposes therein expressed, and that each of the witnesses, in the presence and hearing of the
Testator, signed the Will as witness and that to the best of his/her knowledge the Testator was at
that time eighteen years of age or older, of sound mind and under no constraint or undue influence.
a
CK D. WAGON
Witness
Witness
Subscribed, sworn to and acknowledged before me by JACK D. WAGONER, Testator,
and subscribed and sworn to before me by Cl.!1'~lUrd, ~ ~ m~~ ~ r~S and
-~ ~~sSti ~~ ,witnesses, this ~ ~~ day of January, 2001.
__--~
Notar~a~ Seal Public
Darla C. Parmer, Notary County
Lemoyna Boro, Cumberand 29, 2001
My Commission Exc,~"~~ rec. -'_'"'
emt~r, Pennsyivan3a ,~~~cc;atiUr~ o~ ~otarios
~A
Notary Public
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