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HomeMy WebLinkAbout12-02-11PETITION FOR GRIIANT OF LETTERS REGISTER OF WILLS OF CK w, ~,~ aH d COUNTY, PENNSYLVANIA Petitioner(s) named below, who is/are 18 years of age or older, apply(ies) for Letters as specified below, and in support thereof aver(s) the following and respectfully request(s) the grant of Letters in the appropriate form: Decedent's Information Name: ~ ose ~lo.n ~`t~ ~4~ ~ j ~ovw_ File No: ~ ~ - ~ ~ '- ~ ~``~~ a/k/a: (Assigned by Register) a/k/a: a/k/a: Social Security No: ~ 6 $ - ,~ ~ - 7 7 7 (e Date of Death: Not/. ~ ~~ '~r / Age at death: ~'-( vows Decedent was domiciled at death in ~aGO^,Zn County, (~ /~ (stare) with his/her last principal residence atZO~o ~Nl',~cl.l f~ /)O II ~ n [d,'1l 9eroHaln G,~uvtherlaNc~ Street address, Post Office and Zip Code City, Town lp or Borough County Decedent died at etxro~yv. ~.roz.~o y S(q~c Qe St~dt.tice. . Ss~SOaGl~tanytG 'r~•-~ ~etu tD~i,'N Pp Street ad ress, Post Office and Zip Code City, Towns ip or Borough Co ty State Estimate of value of decedent's property at death: ~-- If domiciled in Pennsylvania ............................ All personal property $ '~ J~ btu f~ ~ Od If not domiciled in Pennsylvania ........................ Personal property in Pennsylvania $ If not domiciled in Pennsylvania ........................Personal property in County $ Value of real estate in Pennsylvania ......................................................... $ ~ r~~ O O~~ DO ~~-- nn TOTAL ESTIdIMATED VALUE.... $ / c fT0 a o. Real estate in Pennsylvania situated at: ~d7~ ~'WtG~ S'/"/~O// Cp-+1b ~t~ 130/'0 R ~IM~e~'gM~ (Attach additional sheen, ijnecessary.) Street address, Post Oftce and Zip ode City, Township or Borough County A. Petition for Probate and Grant of Letters Testamentary Petitioner(s) aver,(s~~ she/they is/are the Executor(s) named in the last Will of the Decedent, dated ~ S and Codicil(s) thereto dated ~~((// State relevant circumstances (eg. renunciation, death of executor, etc.) Except as follows: after the execution of the instrument(s) offered for probate Decedent did not marry, was not divorced, was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(g), and did not have a child born or adopted; and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. ~NO EXCEPTIONS ^ EXCEPTIONS ^ B. Petition for Grant of Letters of Administration (If applicable) _ c.t.a., d. b. n., d.b.n.c.t.a., pendente lite, durante absentia, durante minoritate If Administration, c.t:a. or tl:b.n.c.t.a., enter date of Will in Section A above and complete list of heirs. Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa. C.S. § 3323(8) and was neither the victim of a killing nor ever adjudicated an incapacitated person. ^NO EXCEPTIONS ^ EXCEPTIONS Petitioner(s), after a proper search has>have ascertained that Decedent left no Will and was survived by the following spot~sc (if any) and heirs (attach additional sheets, iJ'necessary): - Name Relationshi Address ~~ ~ ~- rte- t"s ~ ~~. ~~~ N - _"7 ~~~ - D - .. ~;~ G~ Form RW-02 rev. l0/11/2011 Page 1 of 2 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF } Official Use Only C" ~37 ~ ~ r. Petitioner(s) Printed Name Petitioner(s) Printed Address ~ , _ ~7 N ~ ~u~ ~ ~ o~ P~~~ v r~{ ~ ~ ~ - ~ ~ 8 ~.~ ` :~ ._..-, =1 ~~ Y {~ '-r'# The Petitioner(s) above-named swear(s) or affirm(s) 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~D~ece~dent, the Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before ~i'~/.i~!"•Cuj•H.~j /~~~ Date /z _~ me this day o ~~,°~,~° U 1 i Date $y; ~ Date For the gister Date BONDRequired:QYES ~NO FEES: ~J W Letters ...................... $ (j C/• _ ( / U )Short Certificate(s)...... yU • UU ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commission ................. . Other ~,L), I V ........ ~s ~O Automation Fee ............... 5. UU JCS Fee . .................... ~?3 . ~ TOTAL ..................... $ 3y3 Sd To the Register of Wills: Please enter my appearance by my signature below: Attorney Signature: Printed Name: Supreme Court ID Number: Firm Name: Address: Phone: Fax: Email: DECREE OF THE REGISTER Estate of ~(,l tr) ~ 7 II (~ S~y1 File No: ~~~ - ~ ~ - la ~D a/k/a: AND NOW, ~~~ C ~2Y`~~P_1/ o~~ I , in consideration of the forging Petition, sattsfactory proof having been presented before me, IT I DECREED that etter/r1s~ -~~, ,,v~.^~ G~' are hereby granted to ~~~ ~~lG m ~ ~"~v~ in the above estate and (if applicable) that the instrument(s) dated described in the Petition be to probate and filed of record as the last ills (and Codici},~s)) of Form RW-02 rev. 10/11/1011 V Page 2 of 2 HIQ~.ftOS RHO' if1 U0-1 LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 P 17926968 Certification Number 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. ~~~ ~ ~ N0~12 82011 Local Registrar Date Issued to REV n2ao9 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS E f PRYIT YI "M""E"T CERTIFICATE OF DEATH uac ~ (See Instructions and examples on reverse) ~ °~ ~ C/)~ tV , r a-' -. ~ _rs -~~ ~ ~-i ~ I:~ '+. ~ CTeIF FII F as aaaFO 1. Nra d Oeaeare lRr. nidde, bM, ~ 2 Sr 3. Sodr SectaYy Mnber ~. Dm d Deem (Montle, der. year) Rase 'e Allison Female 168 - 22 - 7776 November 26 2011 s. Ape Nr eYYderJ lAldr ~ ands ~ B. Oeb a sum T. endama a 9a Prop a Derr CMck ore ~e D•Ye Han A~aY•e Hapnel: OIMr: 84 rte. October 28, 1927 Clearfield, PA ^ ,,,~,,, ^ ER, Ouo•tlem p txM wr,b, „«,,, ^ Rrberlce ^ Otller . sPeauy ax Coady d Derh 8a CYy, Sao, Twp. d Deem Bd FacMy Name (Y nd YrauOa, Blw abet ant ren~her) B. Wr Deeded d FNprlk Odyrl7 No ^ Yr 10. Race: AmeMbn Indian, tneG4 White, elc fn yae, m•aA' Cu6ul, IsPedM • Carol CrOXt017 S18ne Re3ldenCe Mebalr, Puero iwxn, eb.l ~~ 11. Deader4lbul d wakdar mntd Ma Do mtebb 12 Wr Deaedrd awr b tlp 13. Dandra'e EAbetlorr )8pedly any lidlw pads canpMYd) 11. Medal Sbtn: Marled, Nwdr Melded, 15. 0 ~r IM wtle, qn meben name) ~'ra'~'ive Asst PubtBldic~' 1 ' ss U.S. Amrd Facry Widowed, Ohacad (Spo'NI Er~ mry I s ° a~'Im" lo-,z> cd°°° I,.. a s.) 2 ~d~ ^ Yr ®Na ~~nr .~~ 'LV/V Cllr lCLi.~~~~~) n ~ , , sYr rC-R1aVlyania Larva In end tTa A~ rRrklerce na ^vM OeadeM LNeO in T Camp Hill, PA 17011 . . wp. ~woer ~,.ej, Oimberland T°"'r"P' na.[ ~~ X11 ,>b d ~~ c~ ~ , 18. Famere Name (Bret, mldde, br, euAlx) 1B. Mamefe Name (FYeI, mbdb, nrMr rmame) William Bechelier IIizabeth 20a. Momwd's Nrr RYP• I NMI a0b. Momrrre MrMp Adder (9M1, dy I ben, stab, rp adel James H. Allison III 20 Bishop Parkway, Pittsfield, MA 01201 2ta 1Mtlbd d DYPaaRbn I ^ CnmaYa ^ Dartlon 21b. Dab d OhporYa (~~, d•r, Y••/l 21a Pha d RwM d Merv, Q•~Y a atlrr P~•1 21d. Loeetlon (Ctlylbwn, ebb, dp ode) ^ ~ tAaW ^ "~""'°"a"b ~ rr°"° care^ Y«^ No 30 2011 I•bl Ct7033 Comet Harrisbur , PA ZZd 226. tJaelree Nunber 22e Nama elyd Addn)Y d FedYy era- - 014819 1 3 Market St. Hill PA 17011 CagMbYm 29ec any eAn orayinB z3a ~omebrtd rYb ant pea etaeM.(SlprWn 1 29b. 23a d'y pyrdr b rot aea9rble r dro d deem b ~t ~ ~ ~~ r stay a.w d aeeY~ J l Msn 2149 mW b. aonlpwd M Orean 21. Time d r 25. Deb Deed ,year) Ze. Wr Ceea FbNned Ennlerer 1 Comrr far a Rera Omer men Crartlan a Dorotlon7 Nlo Ormana• dMR / M. L l ^ Yr Na C OF DEATH fees Irrtreweom erW ) I kP~rnre YMuek Purl Firr dher 49. DM Tdwao Use ConhlaM to Yerri 27. Pal t FsW the ~IhyL9`atle- deaaeee, Mures a arrylcrab - tlaa dYelMy crwd tlla dare. DO NOT enbr blrllYW awalb eurh r order emst i drat b Deem hue rat IrtNYIB h me urrdyirlp alt 06'•rl h Pad I. ^ Yr ^ ProbWy reaprapy error, a waedaW Ibarbll wYMut elbMnp tlu etldo~. llr ody are nee a rdl M. I I ^ No ^ lMmown Ea~p~ BE (F~ _ 1 ~ /~ ,, ~, ~ cadlm I~s~p YI star) ~ r ~ ~ Q L ~~ ~ ~ G ~ n 29. n Femab: _~ e. ~{ ~. N (~9c--L:- / d . .1 I ^ Hd rl i • Due b (a r e axleaglrar aA: r pngnerd v r n pep yrr ^ PlagleM r da d drm Ir aallrYrR Y ary, b, I ^ e On to (a m a aruepnrre off: RL ~U ~ E Na pregrd, bd pr•Ard witlin 12 ~Ye i ~ ~ ~ y ~ y seem nal~rll~ 1r 6em) LAST ~ i d ~ ^ . Dam (a r e anee411elra on: I Nd prtpwd, dA pepwe 43 days b t year oelors seam d. i ^ IArlorown Y prgryd eitlYn the Per yrr 90a Wr an Aubpey 30D. Wee Aubtby FbdYp 31. Mrlw d Deelh 9Ze. Dab d Mal Qloret4 asY. Y••d 9ab. Dseab How hllury Ominsd 92e. Pbn d Man! Hans. Farm. 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Nra,/rrd~kNre d Perem WlbpCar~pM~bd~Cr/~r d lMM (hem all Type / P S ~ R 39 bMf d• ' D J e/ /~ 1" /b N ~..~/` /~+'/ ~ . ep a an / f / / 3& ab Red )Morlm hl', yam) Dbpadlbn Pamk Pb. 0650961 .. , SAIDIS, FIAWER ~ LIlVDSAY eruw 2109 Market Street Camp Hill, PA LAST WILL AND TESTAMENT ~ -`- ~© _,.. ~~ ~~~t t~T_C~ t`s OF ~?~, ; , _:~ ~ n:, vi ~~'- ROSE MARIE ALLISON `, ; ca ~-_~ ~- ~~ I, ROSE MARIE ALLISON, of the Borough of Camp Hill, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any Will. previously made by me. I. I direct the payment of all my just debts and funeral expenses out of my estate as soon as maybe practical after my death. III. I devise and bequeath all the rest, residue and remainder of my estate of whatever 'nature and wherever situate to my children, JAMES H. ALLISON, III, and WILLIAM B. ALLISON, in equal shares, the share of a deceased child to be paid to his issue, per stirpes. IV. I nominate, constitute and appoint my son, WILLIAM B. ALLISON, as Executor of my estate. Should my said son fail to quality or cease to act as such, then I appoint my son, JAMES H. ALLISON, III, as Executor of my estate. None of my Executors shall be required to post bond in this or any other jurisdiction. _~ IN WITNESS WHEREOF, I have hereunto set my hand and seal on this, the _`~' day of , 2010. - ~ ~ 'EAL) E MARIE ON i '1'! 'J { ' `-- ;_, rY "Tl Signed, sealed, published and declared by ROSE MARIE ALLISON, the Testatrix herein named, on this and two (2) other sheet of paper, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Z~ ~ ~_._-~~ ~ ~ ~ .~~"-~, ~ . l ..3 -1 -z,--~ ~ _ Name ~- Address SAIDIS, FIAWER Sz LINDSAY vs•.vuw 2109 Market Street Camp Hill, PA ~, Name Address COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND :ss. WE, the undersigned, the Testatrix and the 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 Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will and voluntary 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 their knowledge the Testatrix was at that time eighteen years of age or older, of sound mind, and under no nstraint or undue influence. . ~ ROSE M LISON, Testatrix ~~ fitness ~f ~~ ~,-1-- -~ -- Witness -2- COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND On this the ~~ day of , 2010, before me, ~~nIJ \`~'.A-~/ , the undersigned officer, personally pear John E. Slike, Esquire, known to me or satisfactorily proven to be a member of the bar of the highest court of Pennsylvania, and certified that he was personally present when the foregoing acknowledgment and affidavit were signed by the testator and witnesses. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~~ Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal public vo Ann Seker, NotsuY Camp Hill Boro, Cumbe j~ ~ 2011 My Commission fr ~~~ Member, ~'ana+~vlv~h N SAIDIS, FLOWER Sz LINDSAY erro~n~eruw 2109 Mazket Street Camp Hill, PA -3-