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HomeMy WebLinkAbout11-07-11 (2)IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA REGISTER OF WILLS PETITION FOR PROBATE AND GRANT OF LETTERS Estate of _f-"~iy~~ a ~ ~ ~ /,1 ~ ~ ~ N ~n 110 2 , Deceased ESTATE N0: 21- I I q~ a/k/a: a!k/a: a/k/a: SS NO'- ~ ~ ~°' /~ ~ 3 ~ 7 9 Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION °A' or °B' AND °~C" as a~licable: 4~JA. Probate and Grant of Letters Testamentary or pAdministration c.t.a., or d.b.n.c.t.a. (complete Part~~L'also) and aver that Petitioner(s) is/are entitled to the aforemen Toned Letters ~? 'under ?~ the last Will of the above-named Decedent, dated and codicil(s) datec~zr =~- ";M :~ r ; -T ~ -'~ - ~T~ r i~~ 1 r i ~) X ~~ (State relevant circumstances, e.g. renunciation, death ofexecutor, etc.) Except as follows, Decedent did not many, was not divorced, and did not have a child born or adopted a~ c ,l e~tion~the ~- instruments offered for probate; was not the victim of a killing, was never adjudicated an incapacitated p`e'r ~, and w~not a ;= ~~-~,--; party to a pending divorce proceeding at the time of death wherein grounds for divorce had been t~tbltshed as~finec~.in O 23 Pa. C.S.A. § 3323(g): -Y, ~. ^ B. Grant of Letters of Administration (If applicable, enter d.b.n., pendent lite, dunnte absentia, dunnte minoritate) C. Petitioner(s), after a proper seazch, 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 Wil l 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:- THIS SECTION MUST BE COMPLETED: Dec ent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or rincipal residence (Street address with Post ce and Zi Code, Munici ~ P pality: Township, ,Borough, City) Decedent, then ~ years of age, died /' D~LL__at ~ ..41~. fi S /F, 'h- ,9 / 70 /3 (Mo th, Day, Year ofdeath) (City and State where death occurred) Estimated value of decedent's property at death: _If domiciled in PA All personal property $ _~ 8Q D , 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 $ y 80D, Q Location of Real Estate in Pennsylvania: (Provide full address if possible.) Signature(s) Name(s) & Mailing Address(es) Interim Form RW-02 revised 12.26.10 by Cumberland County pending action by the Court Page 1 of 2 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 before me this day of N©yP.rr~~ ~i V For the Register y -n - . ~ -- , , ~ VI.t '~TC7 c «~ ~ , , ; ~_; ~7 '.~ m --n 1 ~„~ = -- JJ h . ~ 4J~ ~~ _~ _ `j ~y DECREE OF PROBATE AND GRANT OF LETTERS Estate of ~~ ~ ~ ~ ~, ~~ ~~ I ~~ ,Deceased File Number: 21-~_-~~? AND NOW, this ~~"' ~iay of ~~~, in consideration of the Petition on the reverse side hereon, satisfactory proof having been pres~d before me, IT IS DECREED that Letters _/Testamentary _ of Administration are hereby granted to: (It applicable, enter c.t.a., d.b.n., d.b.n.c.t.a., etc.) in the above estate and that instruments(s) dated - - _ described in the petition be admitted to probate and filed of record as the last Will and Codicil(s) of Decedent. Glenda Farner Strasbaugh, Register of Wills FEES: Letters ....................$ Will ........................ Codicil(s) ................. ( 7j) Short Certificates _ ( )Renunciations....... Bond ............................ Other ............................. ................................. Automation FEE......... 5.00 JCS FEE ................... 23.50 s 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. ] 0 by Cumberland County pending action by the Court Page 2 of 2 H105.805 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, $6.00 This is to certify that the information here given is correctly copied from an original Certificate of Death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. P 17 9 7 8 3 5 2 ~5~.~~'~~~'`~'~°~ s ~/ZO» Local Registrar Date Issued Certification Number .,., C'7 C O - --~~ ;-., ~~~ ~~ C. t!. _J 1 J ~~ ( __ `1 `..-..:.,,.J r..1 - i 1 _ _"\ ... ~ [`.1 f r~ ~~ O C~ .~•, ~..,- R,oe,A9 ~y ~~~ COMMONWEALTH OF PENN3YLYANU • DEPARTMENT OF HEALTH • VITAL RECORDS T TM~~ «« CERTIFICATE Qf DEATH e~K ~ (Saa Instructions and szamplp on ravsrtsl STATE FILE NUA~ER 2. 8r 9. Sadr SeaeliY MnCr A. Dab d Daab (~~ aaY, Y•al ' "'"id0ir"'"~"''"'"""""`I Fenale 179 - 10 -3879 .10/30/2011 Anna E. Failor SAP bzr BenidM Under, Under t & Deb a BYb 7. ane rte a a4 Prr r Dena llrpnal: Onrr: Abun Drys Roue IIVAr - 98 yn. 1/31/ 1913 Waynesboro. PA ^ rprar ^ ER r <Ape,irn, ^ DDA ®Rurrq Rat ^ Reabam ^ onar -sF.rir 9. Wr Derdue a RYprYe Oadh4 I$ NO ^ Yr 1a Rrr. Anaakr kalr, aedt Wie,e, ab. er. ~w+r a D.n ec DM. eaa T•a a D.as aL Faah ~• IM ~a bnwra~, pr w.rana m.naA may, I~ri Ccanberland ' ddlesex C1araTnnt Nurs ' & Rehab. Cntr. ~, w~ab ~., .r l White 11.Oradrfa UeW dualcdar raard N.[brlrra - t2 Yrr DearM ter b er t9..DFOeOlnfe FMlldn 19peck aoM hlpbr 9~ ~Or~t u' d~Diraa~a~f~Yl ~• ,s. SyNAq Spouse (r re. 9A+nWdr iwria) i«rawaA naraarraelbeaer u.sAeaedFaorT Ey,y,r,y~Saoaraylo-+~ Cdbgefu«s+l Seamstress Carlisle Gaanent . ^ yr <$rb 8 Widowed D'd~den1 Middlesex rwp. 1S Darden'a raaq Aadiar lSYar. ar,bun. reb, iiPaadal D°r~t PA Lleene 17c. ~Y«. Derdwn Lrrr Aar Recbace ,~.. smb ,land 1000 Clara[lont Rd. TO""1HpT na. ^ ~~ ~~++ ~~~ ,m. Daa-r tr. AbtliMe Nur (Fln0. niNe, nantrn uaruau) ,S FaMr•R.r IFM n:dr.•re1, Mb1 Del].ah E. Miller Isaac A. Printz tae.lMire'e teas AaAw 1~•k are brm, eb,4 av ~) za.eeanrr~er.n.frm•~~1 1490 Lon s Ga Rd. Carlisle PA 1 01 Gloria M. 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FAILOR, of Silver Springs Township, 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 executrix to pay all of my debts, funeral .. ::. . and administrative expenses as soon as may be done convetly `~- ~~~ r. '.~ C"i after my decease. ~7~ r~~; , -rr, 2. I authorize and empower my executrix to sell any-7 '~~y ~~ =z-i c.. owned by me at my death and not specifically devi~'ed or <~~> C5 e bequeathed 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 give, devise and bequeath all the rest, residue and remainder of my estate, of every nature and wherever situate to my three children, share and share alike, the child or children of any deceased child taking the share their parent would have taken if living. 4. I nominate and appoint Gloria M. Adams to be the executrix of this my last will and testament; she is to serve as such without bond. -~-~~ r ~ f =i ~ ..'.i ~~ 5. I hereby suggest that my personal representative retain the services of Irwin, Irwin & McKnight as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~©'--day of April, 1988. .-- Signed, sealed, published and declared by Anna E. Failor, the testatrix above named, as and for her last will and testament, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. 2 ACKNOWLEDGEMENT AND AFFIDAVIT WE, ANNA E. FAILOR, SHARON L. SCHWA LM and KATHLEEN M. KENNEY, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she. had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in their presence +~nd hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ~ ~~ --~--«~ ~:,e COMMONWEALTH OF PENNSYLVANIA: ss. COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by ANNA E. FAILOR, the testatrix, and subscribed and sworn to before me by SHARON L. SCHWALM and KATHLEEN M. KENNEY, witnesses, this ~8~ day of April, 1988. BETZI A. MORR4SO~NOTARY'PUBLIC CARLISLE BORO, CU ERLAND COtIiiTY MY COAII~ISSION EXPIP.ES DEC. 15, 1385 Member, Pennsyb,znia ;lssoci2ticn ~t f~~~tsr'.es