HomeMy WebLinkAbout09-19-11PETITION FOR PROBATE AND GRANT OF LETTERS
Register of Wills of Cumberland County, Pennsylvania 11
Estate of Mary Rita Dunlevey File No. ~~ ~ - ~ I - Ll ~~~
also known as Mary R. Dunlevey
Late of: Camp Hill Boro, Cumberland County ,Deceased
Petitioner(s), who is/are 18 years of age or older apply(ies) for:
COMPLETE `A' OR `B' BELOW.)
® A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the executor named in the Last Will of the Decedent,
dated 5/18/1988 and codicil(s) dated None
None
(State relevant circumstances, e.g., renunciation, death of executor, etc.J
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 and was never adjudicated an incapacitated person: None
^ B. Grant of etters Adminis ration
([f applicable, enter c.t.a., d. b.n.c.t.a.: pendente life; durante absentia; durante rninoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spou~(if any) and~kleirs: pf
Administration, c.t.a. ord. b. n. c.t.a., enter date of Will in Section A above and compete list of heirs. -_
~ Name Relationship Resideri~ ~'?~~_ .- ~
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(COMPLETE INALL CASES:) Attach additiona[sheets ijnecessary. -
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Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence `1° ~ ~ ~ ---.
at 3423 Bedford Drive, Camp Hill Boro '`" ~
(list street, number and municipality)
Decedent, then 90 years of age, died on August 28, 2011, at 3423 Bedford Drive, Camp Hill, PA 17011
Except as follows, Decedent did not marry or divorce; did not have a child born or adopted after execution of the documents 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 the grounds for divorce has been established as provided in 23 Pa.C.S. §3323(g): None
Decedent at death owned property with estimated values as follows
(If domiciled in PA) All personal property $ 1,000
(If not domiciled in PA) Personal property in Pennsylvania $
([f not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania $ 149,000
situated as follows: 3423 Bedford Drive, Camp Hill, PA 17011
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 undersiened:
Signature Typed or printed name and residence
,,, / Charles Dunlevey
p~/JN 313 West Green Street
Shiremanstown, PA 17011
Form RW-02 rev. 10.13.06 j~age 1 Of 2
Social Security Number 166-14-9832
t)CAL REGISTRAR'S t;EI~TIFICATI®N t)F ~E~~~`Fi
V~JARMNG: It is illegal to duplicate this copy lay pl~otost~t or phctl€~c~sa~if
I c_ ti?~ Uli~: rcrtif~ica(~ ~f' Ilii
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COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
(See instructions and examples on reversal
jl): iniinnulti(u! I)cr~ ~ir~n i,~
i~,i!lal (~~nifi~rll ~ Iyf i_)rath
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1. Name el Decedent (Frta, middle, last. sudix) 2. Sek 3. Social $ectxlly Number d. Dale of Deam (Month, day, year)
Rita Dunleve Female 166 - 1 -
6. Age (Last 13ia,eay) under 1 ear Urtder 148 6. Dale a &nn (MOnm, 7. Birth lace acrd slate or f«e coca Ba. Place of Deem Check ono)
Momhs Days .`fours Mirruas Hospital: Omer
90 vrs. May 26, 1921 Mt . Carmel PA ^ mPatient ^ ER / ompatiem ^ DOq ^ Narsing Home ~ Reatlenpe ^ rnner spetdy
Bb. County of Deam &Ciry. Born. Twp. of Deem 8d. Faaliry Name (If roI InstihOm, give sbeel and number) 9. Waz Decedent of HiSpan[ Origin? ~ No ^ Yes 10. Race'. fvneriGn Intlian, Black, W'tite, etc.
Cumberland Hill pf yea speciry Cuban (Speciry)
3423 Bedford Drive Me>a°a", Paen° Rra". e,°) White
t t. Decedea's Uwal Oau Lion Kintl of work dare dum most of workin tile. Do not state relir _
12. Was Decedent ever in the 13. Decetlem's Education (Spepry only highest grade canpetetl) ta. Meribl Status: Mametl. Never Marries. t6. Surviving Spouse (II wile, give maiden name)
KiM of Work Kintl of Business/Industry U.S. grtne0 Forces? Widavetl. Divorcetl (SI>ErvyJ
Elementary I Secontlary (0-12) College (t-4 or k)
Book Kee r Accountin I~y
^ Yes L y No 12
t6. DecetlenYS Mailing Address (Street, cnyrlown, state. zip code) Decedent's Penns 1Vanla Da Decedent
y
3423 Bedford Drive Actual Residence 17a. State
j7c. ^ Yes. Decedem Lived .n _ ,ep
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Camp Hill
PA 17011 Tow
ipo
nb coanty Ctnnber'land nd ~NO,Deceatntovenwanln ~P Hi 11
y Actual Units of Ciry I Bono
18. Fable/s Nartte (First, middle, last, SaniX) 19. Momefs Name (Frst, mitltlle, maiden Srunamej
Charles Hirsch Thul
20a. InfortnanYS Name (Type I Print) tab. Inlorrnant's Maifing Atltlress (Street, dry /town. state. zip catle)
Charles J. Dunleve 313 West Green Street Shiremanstown PA 17011
21 a. Method of Dispasltwn ^ Cremation ^ Donaeon 21 b. Date of DisposNOn (Moran, daY. Year) 21c. Place a Disposabn IName a cemetery, crarnalory or other Wacel 21tl Location (CAy ~ Iown, state, 2p code)
Burial ^ Removal from State r Was Cremation or Dortetion ANhorizea
^ Other - ' by Medkal EzaminerlCoroner? ^ Yes^ No
All $t 31 201 1
Resurrection Cemete
22a. - ure of F rat rsan acOrg as such) 22b License Nurnper 22c. Name and Atltlress of Facility g M
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FD - 014889 ar
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aza Way
Mal zzi Funeral Hane Mec is PA 1
te
Cosy when ceR
physiaen 6 rat available at Arne of alh to
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m 23a. pastyofym~y Beam occurtetl at rate lane, date and plate,t5la//tetl. ISgn/aW/re~arM~title)
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7~yyr~ / 230 ree Number U
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hems zaz6 mall pe t«npleted py Ixarson
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` zs Date Deaa (Moran, day rear
~ 26 was case Referred ro Meeinl Examiner !coroner I« a Reaa ' omen than cremation or Donaeorc'
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CAUSE OF DEATH (See Instruecions and exa~ pies) r Approximala interval:
Item 27. Pan I'. Enter the tpyn of events - Oiwases, injuries, or o«n(dicetpns - Wt Grectly caused the aeon. DO NOT Baer lertninal events such as carUac arrest, Onset to Death Pan II: Enlar Omer TJCn^lean[ mxl'_ s contr buene mde~m
but not resuaeg In me undedyiny rouse given in Pan I. 28 Did tobaao Use ContriWle to Death?
~. `yes ^ Pr
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respiratory arteal, «venlripular fibrillation w
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ing me eliobgy. Ust only ore Cduee on each fne.
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IMMEDIATE CA
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condition resole deem
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Due Io (or az a conseguer
rx oQ. Ir,
ot pregnant wimin pall year
n
0atlv list mrrdiaora, A any, p_ -~~J ww /.!1 /:~~iNf ~7 v r`~'r'r"/~
M to ure use I'~sletl on line a.
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t ^ Pregnant at lime a ceaN
Due to (or
as a conseguence ory.
En
er re UNDERLYING CAUSE ^ Not pregnant, but pregnant wimin 42 day s
Itisease « injury that imaatea me
evenri resulting n death) LAST.
c of seam
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Due to (or as a crosequeree ofj. : Not pregnant, but pregren113 tlays l0 1 rear
d_ before deem
^
Unknown a Pregnaa wANn hie past year
30a. Was an Auopsy
Penormetl7 3gb. Were Autopsy Findigs
available Poor to Completion JT Manner a Deam
~ 32a. Date d Injury (Moran, day, year) 32b. Describe How Injury Orcurtad 32c. Place of Injury: Home, Fann, Street, Faaory,
a Cause of Death? 7
,'
~r-+ ~~aWral ^ Homiptle
OIL Building, etc. (Speci/y/
^ Yes ~ No ^Ves ^ No ^ nmdea ^ Per4mg Inveslgaaon 32tl. Time of Injury 32e. Injury at Work? 321 If Trensporhtion Injury (SpeaFy) 32g. L«anon of injury (Street, city I town, state)
^ Suicitle ^ Could Not Oe Oetemanetl M ^Ves ^ N° ^ Driver /Operal« ^ Passenger ^ Peoestrian
Omer - Speciy: -
33a. CeNfier (Chad onry ore) 33b. signature and me of cerelier
• Lertdylrg phyeichn (Physician certigirg cause of dean when aromer pnysiaan has prmouncetl seam an0 tompletetl Item 23)
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To the beat oY my krwwbdge, tbaM occurtea due to the reuse(s) and manner 88 scaled_ _ _ _ _ _ _ _ _ _ _ _ _ ~
____________________ ` ,/ -c-r L
• Pronauttcin ana cedi
g lying physician (Physidan bon pronouncky tlealn and ceraying to cause of Beam) 33c. L¢ense Number 33d. Date Signetl (Mann, say, year)
To the DHI o1 my knowkaga, death occurretl at the time, date, antl place, ana sue to the cause(s) ana theater as stetetl_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^
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• Meakal Examiner) Coroner ['r/D
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e ~~c _ ~ y, LCv I/
Dn the Gsis al examination end! or imestigatlon, in my opinion, death occurretl at the time, data, and place, and due to the rausele) ana manner as shied ^ 34. Name antl Adpress a Persat Who C«npleted Cause of Deem (Item 27) Type I Pnnl
Reg als Slgrelure and Distract Number
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~ 36. Dale Fled (MMIh, tlay, year) ~ _ ~ /F ~,c SP //L~,!
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U V Disposition Permh No. 0599606
Last Will and Testament c'c~ =_- -- -'-'
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INTRODUCTORY CLAUSE t" ~ ~
1, r~~R~ ~,T~ 0~~~~~Ey
--,also known as
/~ (your full name)
~ h'R ~ /4• ,D un/ L E V E `/ , a resident of the
(your name with commonly used imoals)
(county, parish, borough, etc.) (name of your county, parish, borough, etc.)
~D~QDUGh .of ~A~/D ~~iLL
(aty, town, village, etc.) (name of your city, town, vil
/~ lags eu l
L Dr~r~a~cvEALTiy of_ P~NNS yL,V19n//f)
(state, district, province, etc.) (name of your state, distract, province, etc.)
being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and
Testament, thereby revoking and making null and void any and all other Last Wills and Testaments and/or Codicils to Last
Wills and Testaments heretofore made by me. All references herein to this Will shall be construed as referring to this Will
only.
RESIDENCY CLAUSE
FIRST: Having in mind the possibility that I may reside outside, or be temporarily absent from the
C o m m onJ c~ t A~ TN of PE nIN S y ~ t//9N/ 19 my place of domicile at
(state, district, prcance, etc.l (name of your state, distract, province, etcl
the time of my death, l elect and hereby declare that this Will and each and every disposition and provision contained herein
shall be construed and regulated by and in accordance with the laws of said ~0 /-J n? 0~/!aJ EA L T/f
p (state, district, provnce, etc.)
of /-~NNSYL y19N/19 ,and the validity and effect of this Will
(name of your state, district, province. etcl
and ea~cyh and every disposition and provision contained herein shall be governed by the laws of said
C. D/~/hon~wF.4c TN
(state, district, Province, etc)
It is my desire that this Will be probated in the C~ O h'I M O NW f s9 L % h/ of
lstate, distna, province. etc.l
ENNS y/ L tJi9N/ /9 my place of domicile, and that the principle administration of
(state, distract, province, etc.) ~~J
my estate had in said C~ D M M DNWtA L T!-~ of rEN N S yL VAN/fi'
lstate, distract, province, etc.) (state. district, provnce. etc.)
and that none of the assets of my estate which may be found in my place of domicile, be
remitted to any other jurisdiction for administration or distribution.
Page r~N ~ of my Will
®1983, Alpha Publications Of America, Inc. AW-~ ~~ /
DEBT CLAUSE
bECOND: l direct that all my just debts and obligations, including funeral expenses, and expenses incident to my last illness
be paid as soon after my death as practical, excepting any mortgage indebtedness or other long term contractual
indebtedness secured either by real or personal property, or both which may exist as a part of this my estate, may be
continued and assumed by the beneficiary of said property.
My executor shall pay out my gross estate, as they were my debts, and without proration or apportionment, all estate
and inheritance taxes, by whatever name called, (including any interest due thereon) becoming payable because of my
death in respect to all property comprising my gross estate for death tax purposes, whether or not such property
comprising my gross estate for death tax purposes, whether or not such property passes under this Will.
SURVIVORSHIP CLAUSE
THIRD: If any beneficiary, other than my principal beneficiary, under this my Last Will and Testament shall not survive me,
then that share of my Estate which would be given to such predeceased beneficiary shall Q E given to
Ibel (not be)
the C'N f C D R~/lJ of such beneficiary.
(child) (children) (spouse)
In the event, 1 elect above not to give a share of my Estate to the child, children and/or spouse of said predeceased
beneficiary, then that share of my Estate which would have been given to said predeceased beneficiary shall be given as
provided in Paragraph C of the Distribution Clause.
The words "child" and "children," wherever used in this Will with reference to either children of mine or children of any
beneficiary under this my Will, mean and include, not only children of my blood and children of the blood of any child of mine
but also any children who shall have been legally adopted either by me or by any child of mine.
COMMON DISASTER CLAUSE
FOURTH: (A) In the event my Principal Beneficiary and I shall both die in, or as a result of, a Common Accident or Disaster
or under such circumstances that the order of our deaths cannot be established by proof, then I direct that for the purposes
of this Last Will and Testament, my Principal beneficiary shall be deemed to have me.
(survived) or (predeceased)
(B) In the event that any other Beneficiary under this my Last Will and Testament and I or any other person upon whose
death the rights of such beneficiary depend shall both die in or as a result of a Common Accident or Disaster or under such
circumstances that the order of our deaths cannot be established by proof, then, except as expressly provided in the
immediately preceding Paragraph A, I direct that for the purposes of this Last Will and Testament such beneficiary shall be
deemed to have predeceased me or such other person, as the case may be.
Page ~ W ~ of my Will
x1983, Alpha Publications Of America, Inc. AW-1~2
DISTRIBUTION CLAUSE (continued)
(D) 1 give, devise and bequeath of this my gross estate, to each of three below•named benneficiaries, as follows:
1) To my S~~ C ~A~LfS [/LJ~11Lf~f~
Ititk or beneficiary) Insme or benefKiary)
if he (she) (it), whichever the case may be, shall survive me, I give:
(check and initial the item(s) applicable):
^ ~ ( / ) of this my gross estate.
¢ (hactronal anrounv) ~"[~ST Af1~0
r/; ,~:~. ~"~~~ 000 ~%EA! TNous~9NA Do1L~44<~ ~o ~MesT Dollars ($ /LIB OOb );
(dollar amount)
^ Rea} Property: (Legal Description)
^ Personal Property and/or effects
of this my Gross Estate.
2) To my Sam ~lif>:RLFS ,~uNLEi1E y
(title of beneficiary) (name of beneficiary)
if he (she) (it), whichever the case may be, shall survive me, 1 give:
(check and initial t e item(s) applicable):
`~~/)~;~G~. ~Z. ONE-Hq[F~ ~Th ~ ~PF r~IIiNOf~> ( / / '~' ) ofthismygrossestate.
(fractional arraunt)
(dollar anwunt)
^ Real Property: (Legs} Description)
Dollars ($ );
^ Persona} Property and/or effects
of this my Gross Estate.
3) To my .SO/J ~itrArtlotS ~• DJNCfJEy,T,e,
(title of beneficiary) (rome ~ beneficiary)
if he (she) (it), whichever the case may be, shall survive me, I give:
(check and initial he item(s) applicable):
~)~7 ~~~. ~2,~ar~F-KRcf~ (Ttif /QEr-IM,a,p~k~
(fractional amount) ( ~ / ~ ) of this my gross estate.
^ (dollar amount) Dollars ($ );
^ Real Property: (Legal Description)
^ Personal Property and/or effects
of this my Gross Estate.
Page.~~ of my Will ~~ ~ ' ~,l ~~~ ~ ~~~. ~~ t
1 tore)
~t983, Alpha Publtcetions Of America, Inc. AW-1O4
DISTRIBUTION CLAUSE (continued)
4) To my GRANOAUG~T~,Q ~L~2A(~~=7^H /~. ,QuNC.E~/£~/
(tide of beneficiary) ~ (name of beneficiaryl
if he (she) (it), whichever the case may be, shall survive me, I give:
(check and initial the item(s) applicable):
^
amount)
/ ) of this my gross estate.
^ (dollar anaunt) DOIIarS (~ );
^ Real Property: (Legal Description)
yJ ,^ ~ Personal Property and/or effects ~i A M a ND ~N GAG 6 ME N T Q , ~/ G A N D
LyFOD/~G QAn~D
of this my Gross Estate. _
5) To my CRAn/D/9UGNTE~ ~IOAN// /j'J. ~un/LEUE)/
(title of beneficiary) ~ (name ~ ~~YI
if he (she) (it), whichever the case may be, shall survive me, I give:
(check and initial the item(s) applicable):
^ (fractional amount) ( / ) Of this my gross estate.
(dollar amount)
^ Real Property: (Legal Description)
Dollars ($ );
)~
Personal Property and/or effects R L L PE W TF fQ / T'E lYI S ~.~J i TN TN E
7C C F P i ~o ~1 o f TCV O /~/ G HTSTAND L ~9M /°S
of this my Gross Estate.
6) To my GR~9NpAUGNI E,Q ~Li2A6ETl~ f~_ S. .~uNL~c/E
(title of beneficiary) (~~ p( y~(~y)
if he (she) (it), whichever the case may be, shall survive me, I give:
(check and initial the item(s) applicable):
^ (fractional amount) ( / ) of this my gross estate.
^ Dollars (s );
(dollar anaunt)
^ Real Property: (Legal Description)
~~.-
Personal Property and/or effects ALL Qf /qA ~N /N 6 TE t.J f L ~ y ~ ~R~r i APE ~ r: R E
S~[.UfQ fNG~PA~lD Qet,,iL (f{ of C
of this my Gross Estate.
~)
Page~of my Will %"/~~ ~ ~~~~ /~~ ~ ~,~ r, 'a~,~~
( gnaturfl )
m1983, Alpha Publications Of America, Inc. AW-~~5 ~ ~ , ~
:~~~ C L. GL ({-Cfa_.C.C ,G'r'7 Q1::- !r /'L( L ,l~_. - ~ _ J/~ ~ i
EXECUTOR (EXECUTRIX) APPOINTMENT CLAUSE
F, F ~ rf - 1y .k' ~
(A) I nominate, constitute and appoint ~ 1~ So ~
(title of first nominee)
C `I /9 R L f S Q u n1 L e U £ >/ , to be the Executor (Executrix), whichever the
(name of seeend nominee)
FrR 5 T
case may be, of my Estate.
(B) If, for any reason, my First Nominee Executor (Executrix), whichever the case may be, should fail to qualify or be
unable or unwilling to accept or continue as Executor (Executrix) of my Estate, 1 nominate, constitute and appoint my
M /i So N f RAN<<S M• Du~v~ E ~£ ~l Tit
(title of second nommeel {name of third nominee)
,S CCONQ
to be the Executor (Executrix), whichever the case may be, of my Estate.
(C) If, for any reason, both of the foregoing designated Nominee Executors should fail to qualify or be unable or
unwilling to accept or continue as Executor (Executrix) of my Estate, l nominate, constitute and appoint my
~Y BROTHER Ti~mES V N~~esc N
(tide of th,rd nominee) ~ (name of th,rd nominee)
to be the Executor (Executrix), whichever the case may be, of my Estate.
EXECUTORY POWER OF APPOINTMENT
(A) All directions in this Will that use by reference the word "Executor" mean and include any person herein named as
my Executor or Executrix and any person who may be acting in either capacity, at any time. Such person shall have
reasonable discretion under the directions of this my Cast Will and Testament with respect to any property, real or personal,
left by or held by me, or acquired by my Executor (Executrix) on behalf of my Estate.
(B) As 1 wish my Executor (Executrix) to exercise broad and reasonable discretion in dealing with my estate, so as to be
able to do everything he (she) deems advisable for the best interest of my estate and the beneficiaries thereof, I direct that
my Executor (Executrix) perform all acts, take all such proceedings and exercise all such rights and privileges, although not
specifically mentioned in this Will, with relation to any such property, as if the absolute owner thereof, and in connection
therewith, to make, execute and deliver any instruments and to enter into any covenants or agreements binding my estate
or any portion thereof.
(C) No such person named in, or appointed in connection with this Will in a fiduciary capacity shall be required to file
any bond or other security for the faithful performance of his or her duties as such fiduciary in any jurisdiction; and if, despite
this direction, a bond should be required, I request that it be accepted without sureties and in a nominal amount.
Page ~~ V ~ of my Will
=1983. Aipna Pubiscations Ot America. inc. AW-107
re
SAVING CLAUSE
S l x T N In the event any of the separate provisions of this Will should be held invalid, the invalidity of such
provision or provisions shall not affect any of the other provisions hereof, as it is my intention that each of the separate
provisions shall be independent of each of the others so that all valid provisions shall be strictly enforced irrespective of the
invalidity of any of the others.
tN WITNESS WHEREOF, I hereunto set my name and affixed my sea! to this my I~st Will and Testament, this
day of ~I~ft y 19~..
/~/
~~~ak:a t
tyout Ignd: F)
ATTESTATION CLAUSE
c (/N«uO/NG ~~A~
THE FOREGOING Last Wili and Testament, consisting of SEVf N pages which have been individually
signed by
the testator
(testatrix), was on the date last mentioned, sealed, published and declared by the above named testator (testatrix) as his
(her) Last Wili and Testament in the presence of each of us, and at the same time, we, at his (her) request, in his (her)
presence and in the presence of each other, hereunto subscribed our names as witnesses thereto; this attestation clause
having been first read aloud; and we hereby certify tha*, at the time of the execution hereof, we believed said testator
(testatrix) to be of sound and disposing mind and memory.
-~} ¢ ~
1. r '~~~~-yy"^~-_~-?--~~`7~ Residingaf~~.'~'S /~`~ fc:~/~~%/5'~~ LAN
(witness signatu (untn¢ss address)
(adtrass signaturei
/ ,~ ~ i
(wtrass signal
(city and state)
Residing at ~ ~~ Y y ~~~-:2~~~ ~f~ r ~~-~
(witrasr~addresal
) ~ '1 ~~
t
L' •~
~" ~ ~ C~
felt a state)
,,
Residing at ~`~'~~' ,~)F'cZ ~ri ( ~~~ , ,: i`
(witness address)
(city and sate)
(wrt ness signature)
Residing at
(udtness address)
(city and state)
5 (witness signature) Residing at
Page ~-of my Will
(witness address)
(dry and state)
X1983, Alpha Publicafions Of America, Inc. AW-1 O9
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~-; -__ -
OATH OF SUBSCRIBING WITNESS(ES) = -~~' ~-~-~~
- - -_;
- ~ ~-,~ - -
REGISTER OF WILLS - , --
~uMBfR Lr4nt Q COUNTY, PENNSYLVANLA ~-~
Estate of / ~ / J~/Z Y ~ • ~ un~ L ~ U £ ~ ,Deceased
~l j'~ C~G~. ~/GL/7~PI' ~K Q ~ /~~(( ~o~r~ , (each) a subscribing witness to
(Print Name/s)
the Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she % he /they was /were present and saw the above Testator i Testatrix sign the same
and that she / he /they signed the same and that she i he /they signed as a witness at the request of
the Testator /Testatrix in her /his
(Signature)
(S[ree! Address)
(Cry, State, Zip)
Executed in Register's Office
presence and the pre nce of each of r.
(Signature)
_ IaDS ~ ~~<~ ~ ~r ~DC,~
(Street Address) /l
~~ /~~ / [
(City, State, ip)
Sworn to or affirmed and subscribed
before me t his
of
day
Executed out of Register's Offcce
Sworn to or affirmed and subscribed
before me this ] 7 T'1 day
of _ J ~ 7~+ lt~zc~ _, 2-C rl
~~~ E.-rt ~' ~~ ~h<c'~~z.S.
Deputy for Register of Wills
Notary Public _
My Commission Expires:~f~tti'~ Zl~ 2 U1 SJ
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission. j
COMM NWEALI'H 4F pENN$YLYMIIA
NOTE: To be taken by Officer authorized to administer oaths. Please have present the origina [tT4~'e o~otarization.
Susan Kirby Rostl5, Notary PubMc
Hampden 7W mbet'land Cwnty
Form RW-03 rev. 10.13.06 ~„~Y ~~ )Une 21~ 2015
•Ewat: ^ ~nMS!' VP.NIA ASSOCfATtON OF NpTAltIES
n -_- ,
_ ,--~ ~. ,
,,
..
~-
1 ~_a ---
~ t- ;:_ <.
OATH OF SUBSCRIBING `VITNESS(ES) ~_;^::4
;._ _.
..
REGISTER OF WILLS
Cum,6f_,Ptdtn~~ COUNTY, PENNSYLVANIA ~ ~-'
Estate of /~fl/~ `~ ~. .lJ un~~ ~ y ~ ?~ ,Deceased
~~~~ ~ ~~ ~ ~ ~- , (each.) a subscribing witness to
(Print Name/s)
the Will ^ Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and
say(s) that she ~ they was /were present and saw the above Testator /Testatrix sign the same
and that she he they signed the same and that she / e 'they signed as a witness at the request of
the Testator /Testatrix in her /his presence and in the presence of each other.
`~ /~ ~~ --~-- ~
v,
(Signature) (ignatau-e)
(Street Address)
~Ar~~ P ~~ L L, ~A / 7 0/
(City, State, Zip)
(Street Address)
C~~/ /> f/i L l //~r'~ / 7C~ / /
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Executed olct of Register's Office
Sworn to or affirmed and subscribed
before me this ~~`~~ day
~~
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other oft3cial qualified to
administer oaths. Show date of expiration of Notary's Commission.)
~~F p~INSYWIWU
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of in NOtarla
Susan KKbY Rostis, Notary ~~
Hampden Twp., Cumberland County
Form RW-03 rev. 10.!3.06 ~ ~ ~~ ~~ 21, jQ15
MEMBER, pENNSYWANIA ASSOCIATION OF NOTARIES
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland SS
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition aze 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 and affirmed and subscribed
I ~1 Srgnature of Personal
before me this C{- day of
~` ( Srgnature of Personal Representative
`-~ d , 2011.'
. ~~t1 a tiL.~~ r ~ ~-'~ Srgnature of Personal Representative
,. _~
File Number: ( ~~ tJ~
~
~ !v f ~
~
Estate of Mary Rita Dunlevey a/k/a Mary R. Dunlevey Deceased ;~' t~i~ ~
,
Social Security No.: 166-14-9832 Date of Death ry~
J~\.1
August 28, 2011 '~ CCU -r, p7
7'
~7 __ '
AND NO W, ~p ~ 4~4~V ~ ~ ~' c,o
2011, in consideration of the foregoin
Pefih"b `-
h
i
~
been presented before me, IT IS DECREED that Letters Testamentary g n,
av
ng
are hereby granted to Charles Dunleve
in the above estate
and that the instrument (s) dated Ma 18 1988
described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
Letters ............. ........
Short Certificate(s) ~~.T ....... .
Renunciation ................. .
U1.1~ 6)
J~
RU~O~RC,I hU`(1
$~
TOTAL .................. $ . s~~
~~ ~
24010v1
Form RW-02 rev. 10.13.06
r ~.
Register of W lls ~ ~
Attorney Signature ~P
Attorney Name Vic y n Trimmer
Supreme Court I.D. No.: 49679
Address: 1700 Bent Creek Boulevard
P. O. Box 659
_Mechanicsbur , PA 17055-0659
Telephone: 717-620-2440
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