HomeMy WebLinkAbout09-13-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER QF WILLS
PETITION FOR PROBATE AND GRANT OF LE'>~TERS
Estate of `1(.C~r..it.~ 1-- L~SS~j+~ ,Deceased
a/k/a:
afk/a:
ESTATE NO: 21- ~ ~ -L~ ~ ~r ~x
SS NO: d~~ .Y`3- -yGG ~
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION °A' or `B' AND "C" as
a plicable:
A. Prabs><te an+d Grant of Letters Testamentary or CTA~Lrlinistration c.t.a., or d.b.n.e.t.a. (co~,iplete Port C also)
d aver drat PetitianecFs) is/are entitled` tQ the aforementioned Letters _~e> ~ under
the last Will of the above-named Decedent, dated __ ~~ _~ ~ ~,;~ and codicils dated
(State relevant circumstances, e.g. renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was noidivorced, aed did riot have a child btxa 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 wherein 8rounds for divorce had been established as defined in
33 Pa. C.:S.A. § 332.3(8):
^ B. Grant of Letters of Administration
(If applicable, enter d.b.n., pendent lite, duraute absentia, durante minoritate)
C. Petitimrer(s~ after a.propec 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 divorcr
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(8). except as follows:-
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THIS SECTION MUST BE COMPLETED: " _ - ~ --- - : ,
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family ~r p#incipal,resided6e
At ~ ~ zi ~o f~ ~ /~ c~C~ ~- C'/.}22 I,s /P PA / 7bl 5- ti
(Street address with Post Office and Zip Code, Municipality: Township, Bomugh, City)
Decedent; there 7 years of age, died _. ~~ 7 ~ ~ U / i at f~i9r1,~ , s ~3 ~t t~ G (~ 1~
(Monet, Day, Y ofear ~ (Citg and State where de~tr oecumdj
Estimated value of decedent's property at death:
kIf domiciled in PA
ivo If not domiciled in PA
~~~ If not domiciled in PA
N~ Value of Real Estate in Pennsylvania
Total Estimated Value
.,~
$_
S
$ _
S
$ T
~~ . C~ Uo~
Location of Real Estate in PenmYMania: (ProviiiGfuli address if possible.} ~+`~ii
an(s- lr9aae(s) & Iliailiag 2~ddress~es-
r ~- (~ ~i1 1710~i -kG 3Q
All personal property
Personal property in Pennsylvania
Personal property in County
ia3lr ryas t ~ fiR\-i?' rL~ a~el l ~ ~ta t t~ h. ~.'umtarrl~~i ~'~~~in9~ lxn~lii~~ a. ieas~ t~~ afire ~ c?uri 1's~_c ; ,,t
OATI~ OF PERSQNAL 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 su~r~'bed
~~ ~ ~ A
For tb,e Register
DEeRE.~ ~ FRdSt~ ~T of LE1'~'ERS
~.
Estate of ~, ~ ~' ~ ~ (~ ~'' (~ ~ ~-~ ~~.~'~ ~,, i` ~ ,Deceased File Number: 21-~_-_~ (.~ ( j
AND NOW, this ~.`~~ day of - ~ ~~~ ~ ~ ~ ~~~_, in consideration of the Petition on
the reverse side hereon, satisfae~ery proof ing been presented before rne, IT IS DECREEDthat Letters
X, Testamentary __._ of Eidministration are hereby gragted€ ~:
i art:~, ~~ t~,., ao~, ar~,.~s,., ~e~.~
'L ~ - ~ in
the above estate d that instruments(s) dated ~ - ~ ~ ' j ~ described in the petition be
admitted to probate and filed of record as the last Will and Codicil(s) of Decedent.
r ~ ~~~~ ~~~~ ~~ ~~ L
Register of Wilms ~ r~~.,~ uf~ ' __ ~\~~ --
FEES:
Letters--------------------5 ~ ' `. ~-
..- , ~~
vvut---------------------- Y ~
Codicil(s) ... ............
(~) Short t:'e~rtificames _,~? t :~ y L,
( )Renunciations.....
Bow ----------------------------
Other -------------•-------.......
A~rtomation FEE_____.... 5.00
JCS FEE ................... 2350
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TOTAL ................S
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Signature of Counsel Required to Enter Appearance
Atty's Signature
PRINTED Name:
Supreme Court ID No..
Address:
Phone:
Fax.
int~rin} i'or~rr Rte-rl2 reyise~l 12?h iU Pr} (~umbcriand C:nuntp p~ndin~ ~cuon h~ the C.~utarl P;~e~ 2 Sri'
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LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photoc~l aph.
Fee for thi; certificate, $6.0(1
P 1769302
Certification Number
~hi~ is t~~ ,~~r;+.~ :'rrlt ~Pu• illfilr ~7,T;r.~ }u b ~r~t~r= i
orrectl~' ~o}~i~~, ~ ~.:~ ~rl uri~in ;f t ~r~111~_n~ r,i i>r,al
u1v tiled c~ii~~ -,~ al' a~ 1 u,'al f2<,~- .tr~.lt'. thl~ rnis~ina
el'Ti~ll;lte Atil' i,` 1(~fib'aflllr" ! - l'it'- S1Ltie V`Ifl
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PERMMlENT -_
rrPE PRdrt IN COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF HEALTH .VITAL RECORDS ~ £ _
Boca ~~ CERTIFICATE OF DEATH 4.
NameaD.ceaerxlFVSLnaa7e ~ ' (See Instructions and examples on reverse)
STATE FILE NUMBER
Richard Lee Lissner 25„ 1Sonn Sesnsary NlanOer
- s. Aga Iran evmoa a Dar a owm IM«•I, mr, wari
ri 1r0B" " ua,rlm e.araarm Maom.aa, ar Male 208 - 42 - 4068 Se tember 7
57 ~'"` °in rwa: ry,,,,„ ? G andwu«I« w Pla<,aDwm cnaca aro 2011
rrs, March 13, 1954 Harrisbur pA Nowrw. om.r
' eo. Canry a Deem &. city. B«o, ray. a Dwm 8 a ^ hlpaaery ^ ER / Daoaaerd ^ DDA
Dauphin ea. Fausaly Name III rwl awwum, give wwl arq «na«I ®Nursvg Nome ^ Reaiderce ^ O•w ~ Spp1Y
Swatara 1tap, Spring Creek Nursing Home 9j0 mo.cedemawspancDryn? ®"° ^Y'° 'OR~~ws•r
I I Deuxdenrs uswl ac v sPecar Cuoen, I~1 era. IMre, at
KinO of cork oor• Ar' most d 91e. Do nd sute r Mewwn, Puerlp Rican, ew.)
Now d Waa 12. Wm Dacaent avar h me t3. Decedents EWwaun ISpxrry only WlliCe
Nirw OlBuvnewrlnWyer U.S. ArrwO F«ces7 ngnmt ryaae conyrudl le. Marital stews: Marna. Nwer Marred, 15. Survrv
Laborer S t e e 1 Ermenlary !Secondary 1012) Cotlege (1.1 or S.i '". Oiv«ced ~ saaah/ s'S space ,e aae, ye, ,~ nanri
I6. DecaaYS MaYinq Mdrem ISUeeI, ~ry r mwn, trb. zip copal ^ v89 ®No 12
4520 Clarendon Street aecwnResidnlcs na.srar Pennsylvania Divorced
Da Decaea
Harrisburg, PA 17109 '"""' 1T<.gJrat.oxamnwY.o" Lo--~:oton
19. Fddlet4 Marne IFirs6 mdlfe, Imo soma) 1 m. ~rnN Da~nh in Toasbllp? 17d. ^ No, Decederu Uva a+rsn T•p_
Donald C. Lissner +a Modalt NarneF pcwal Lnraba '
l nt reaae, own,,, y,,,,,,,,,, GlrrBa•
20a. Int«rlsarv~s Name (rrpe/PNe) ueen Eleanor Mateer
Kathy Hord zae. adortrwws Marrg Amrew Iseea wr r wan, wr, ~ <emi
21aA1e°'otl"D~'~a<^ 4520 Clarendon Street, Harrisbur PA 17109
^ Bunal ^ ; ®Cremaaon ^ Doruaon 210. Dale a DWposiaon (MOnm, oar. year) 2tc. Place or o
^ Omer - Gre Ww Crxned«I « ispovaon 1Name d <enletery, crert~atory «omer Prcel
~ Eaa"Il"'rr Ym^No Se tember 12, 201 ltd. LOprwn (Gryrwan, wb v0ronel
LL ~ zze eaF I« m ~ Cremation Societ of PA
IL- z2c.NamearwAaressdFapary Harrisbur , PA 17109
` FD013801-L Zimmerman-Auer Funeral Home, Inc.
D«ryle"'`a°i23a`°"'r zda.TOmewnany 4100 Jonestown Road,
°r"s'<""'cn°Ia° "^~ao~w ";o"lao9a'oaaln°cc"r'am'neon".oabanowa<.wNa.lsipr,awreawoual Harrisbur PA 17109
<aroM cause d aam. ~ ~ J • zm. Lram• N«npar
Delos 2x26 mast oe <oeprW d/ person N_ a paam (/(J N QN 660 ~O ~- 2~c. Dw Si9na IManm, p.~, y~
~` • as prarp«kes deem. 25 Dar P a IM«,m, rear) I
J 5 ~ M. S 26. Wat Caw Relert w Meawl Eaanrrr : D«arw wr a Oma man
CAUSE OF DEATH I I ^ Vu No cr«er«r « D«Wwri?
` awn 27. Pan I: Enter me SNm a ev b - dseaset, uyunm, « IS« in•bualpsy •xamp4a)
r spral«y anen, «venoicWar abnaaaon aelqullsyparg y(~y~q/lp~~,~~q~ <~Lf~o~wm.~/ NpUT~enW Urrnaul evanb cud, m caroia< anes~ ' ~~ ~le~ ar: Part II: Er~aar omer
,~ SSE IFxul) uwma a ~ _ ,_•y ~. _ 1 1 e'" ~ 1 Y V r bW na resW in 2e. Da Tdiacw Uw C«ridM n Daarh?
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~SepwraMr f4 <m6G«t4. A arty. ~AS~ `.~ ~ 'mil
' w ma cauw anew m iew a. °~ ~u•.S ^ Na pa4rara Mn prt par
UNDERIYaYG CAUSE Duo to 1« m
IOwaw « vyyrr mm nxwrn dle
ewNS recul6iy n dwrn) LAST. ~ ^ Preywe m 6Yr d da•m
c. Duo ro 1« m a ur,; ^ ~ PrepMrll «A pr•ysy •Yln {~ dM
d a cream
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a caaw a Deam? ~ Nawrm ^ gp,„~iy r v I aze Dews Noa o-w,ry aorta ^ unma„ a Prepsre am er Wm vur
^ Vss ~<' ~• a ml«Y Nonr, Farm, ,sue.
^ vet ~w ^ ~ ^ Acanent ^ Peaatq a,~,oram„ szd. ran. a ny«y ~, ~ olsw esq. ac rsip•drrS1°°c F
^ sW<ine own al w«a? J21 n Transponaaon Iryyrr rsPeory~ ~
^ Caw Nd oe DebmWad ^ Dm•rr ~~ °G0°n a'ry"7 ISOen, <aY r wssn, srrol
~ Ceraaer laienr ~ ~) M, ^ Yet ^ No Operawr ^ Passergw ^ Pedeteyn
pNr' Spepy.
• GwA'w9 PnYewrn iPnrtna„ cworysg cause a aam anon an«Iw parourcen dwm as <onylebd Item 23 ~ S9bnn arN r a CeMrr
• To%~~r9w~aw wrra~in.n~Pnrama ar~w,~•~rrn.ra----- i i ~ -
ro dr owtamr <e'aMn9wcar,wddeem --------------------------~
• awaiul Earwnr dwm au•rred m w ame, deoe, end Pt•u•+Ik due b nr rawyel asq mr•ler w ergd_ _ _ _ ~.
on nw oawa. Caraw ^ ~ ~S~ ~~6 L av. Dar~I
aarnwatwrs and, «In n mr oFid«r. dwel ecel•sed m m. dole, dW, anE -
pra, arM due w dr aauwlq end marvw m
Re¢nr , "ate ^ k d own ~vno Cauw d Daam Ilbm $7) Trye; Pryy
are dar. par. ~'l. ~~ i ~,kc~ r ,
Ditposidon PemW NO. 0667416 ~ 5~
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LAST WILL AND TESTAMENT ' ~,'~ ~ ~3
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RICHARD L. LISSNER '_`~ ~_; -_~ -
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[, RICHARD L. LISSNER, of Carlisle, Cumberland County, Pennsylvania, be ng of --
sound and disposing mind, hereby make, publish and declare this to be my Last Will and
"testament hereby revoking all former Wills and Codicils made by me.
ITEM I: I direct that all my legal debts and funeral expenses shall be paid from the
assets ol~my estate as soon as practicable after my decease.
ITEM IL I direct and bequeath all of my estate of every nature and wherever situate,
in three equal shares, to my sister, Kathy L. Hord; my nephew, Jason L. Hord; and my nephew,
laci< M. Hord, who survive me. If any of the above does not survive me, his or her share shall
he equally distributed between the survivors.
ITEM IV: 1 direct that all taxes that maybe assessed in consequence of my death, of
whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as
a hart of the expense of the administration of my estate.
ITEM V: I appoint Kathy L. Hord, Executrix, of this my Last Will. Should she fail
to survive me or is otherwise unwilling or unable to serve then I appoint Jason L. Hord, as
Executor, of this my Last Will.
ITEM VI: I direct that my Executrix or her successor shall not be required to give
bond Cor the faithful performance of their duties in any jurisdiction, and should, notwithstanding
this direction, a bond be required, I direct that a surety bond not be required.
IN WITNESS WHEREOF, I have hereunto set my hand this ~ day of July, 201 l .
~~r~iV------~
RICHARD L. LISSNER
-2-
The preceding instrument, consisting of this and two other typewritten pages identified
by the signature of the Testator, Richard L. Lissner, was on the day and date thereof signed,
~~ublished and declared by Richard L. Lissner, the Testator therein named, as and for his Last
W i 11, 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.
- ~ ,
Name
Nallle
Address
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Address v
COMMONWEALTH OF PENNSYLVANIA )
ss:
COUNTY OF DAUPHIN )
We. ~~~12~~ L
1.6~-~~' e ~ ~- and c~~i(, ~/' G ~j G ~~
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
~hestator signed and executed this instrument as his Last Will and Testament and that he had
signed willingly and that he executed it as his free and voluntary act for the purposes therein
expressed, in that each of the witnesses, in the presence and hearing of the Testator, signed the
W i 11 as witnesses and to the best of their knowledge, the Testator was at the time eighteen years
~~f age or older, of sound mind and under no constraint or undue influence.
/ ~-
~" IN l ,-
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SWORN and Subscribed to and
hefiore me this ~ 3~ day of
2011.
otary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARUIL SEAL
LM~A WITHER NOTARY PUBLIC
T1f OF MARli188URa, DAUPFNl1 COUNTY
MY COMMON EXPIRES MAR 20. 4012