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HomeMy WebLinkAbout12-08-11Reset PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF 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 File No:U1.__'!/ ~ C/! ~~ Name: ~or•a~~.~ ~ °^' (Assigned by Register) a/k/a: a/k/a: Social Security No: > g A- ~ ~ - Feld' 7 afk/a: Date of Death: ~ ~ • /~_/B Age at death: ,_ ~Sa /", . - ~ _ L Coun ~_-_ (State) with his/her last Decedent was domiciled at death in - - -- ~ - f ~ ~ ~ ~'~ P t , o ~- ~ t ~ ~ ~,l principal residence at sa$ E Go~o~~- °~ TowesLip or nortw8n ~ ••~+ Street address, Post Office and Zip Code ~'' ` . n Decedent died at D $ - • m ~ ~ t ` ° ~ "" Ci Township Boroagh County Street address, Post t)ttiee and Zip Code ty+ Estimate of value of decedent's property at death: $ 70 e o , o d If doaKiciled in Pennsylvans ............................ All personal property If not don-icikd in Pennsylvania ........................Personal property in Pennsylvania $ Personal property in County If not donucded in Penrsylvaxia ........................ .................. $ ~ Value of real estate in Pennsylvania ...................................... . TOTAL ESTIMATED VALUE.... $ ~ a O 0. - Real estate in Pennsylvania situated at: Ly Towsship or Boroagh County (Anoch additionai sheen, if necessary.) Street address, Post OtTiee and lip Code h', ® A. Petition for Probate and Grant of Letters Testamentary ~ r_ ~~~~ ~ Codicil(s) Petitioner(s) aver(s) he/she/they is/are the Executor(s) Warned m the last Will of the Decedent, dated ~~ - thereto dated State rdeva~ eircnmstanees (ag. renunciation, death ojexuator, dG1 Except as follows: after the execution of the instnrrnent(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(8), 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 Q EXCEPTIONS ® B. Petition for Grant of Letters of Administration p~app~ abled.b.n.c.t.o., pendente lire, durance absentia, dutmrte minoritate If Administration, Goa. or db.n.G~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 fa 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. Q NO EXCEPTIONS ©EXCEPTIONS ~ -z-: Petitioner(s), after a proper search has/have ascertained that Decedent left no Will and was survived by the f~ollovn~ (~~y heu~th~+ additional sheets, ifneeessary): ~ ~,n- t_.~ '~' ~ CO rn -,e - -, ~:.~? :.~ C:. Page 1 of 2 ForneRW-O2 rev. 10/11/2011 Oath of Personal Representative COMMONWEALTH OF PENNSYLVANIA } } SS: COUNTY OF , ot~~is~ use o~ty For the Register Date Date BOND Regaired: Q YES Q NO FEES: Letters ...................... $ ( ~ )Short Certificate(s)...... y ( )Renunciation(s)........ . ( )Codicil(s) ............ . ( )Affidavit(s)........... . Bond ........................ Commissi~n~ ................. / ~ Other L^~/~// To the Register of Wt/Js: Please enter my appearance by my signature below:. Attorney Signature: Priated Name: Sapreme Court ID Number: Firm Name: Address: n ,_ ~ - - E: r- ........ Phone: ~ m ~ _ Automation Fee .....:......... ~ rn ~ C~ ' ' Fax: _. c`~ JCS Fee . .................... ~ ~,h(~~ EmaiL• ' ~ ~ i.` -,. TOTAL..........:. ~ ._.._ _>.. _ T DECREE OF THE REGISTER ~' T~ Estate of File No: ~ 1-=!-I ~~~J- S a/k/a: AND NOW, l~ ~ ~ I ( , in co aeration of the foregoing Petition, satisfactory proof having been presented before me, IT IS DECREED that Letters S~ aze hereby granted to _ I~.Ur ~ ~ \G,n o ~ `" ~--' to the above estate and (if applicable) that the instrument(s) dated / HOC, ~ described in the Petition .be admitted. probate and filed of record as the last Will (and Codicil(s)) of Decedent. v ~ ~Gt/ R gister of Wil C~./ l~ acs- c~ ' Form RW-01 rev. 10/1!/1011 Page 2 of 2 r ne renaoner(s) above-named swear(s) or affum(s) the statements in the fore ' g Petition are true and correct to the best of the lmowledge and belief of Petitioner(s) and that, as Personal Representative(s) of the Decedent, ti swill well and ) truly administer the estate according to law. Sworn to or affirmed d subscribed before me this fS day of Date / - 8'/! $y; Date - / LOCAL REGISTRAR'S C WAF~NING: It is illegal to duplicate tERTpF~CATIOIN OF DEATH F!'e 1!>r this certificate. Y photostat or photograph. X6.00 This is to certify that the information here given correctly copied from an original Certificate of Deai_ duly tiled with me as Local Re istrar. p certificate will he g The origin -- (_-~~ 9__ 3 ~` ~ Records Office for forwarded to the State Vita permanent filing. Certification Numher r ~Z. Id Loca.I Registrar "~~ ~4 Date Issued r'-.3 ~.~ ~. O -,... ~ ? ~ ~ C`3 !'r'i t , ~~~~ ~~ ~, O 1 T t~ '.l • =t] ~~ r '~ W '.~~` HIt6S1.3 RE4 ,t/dpp5 - `..' TYPE / PPoM W ~ t.'7 ~ COMMONWEALTH OF PENNSYLVANIA . DEPAR ~ `r'1 TMENT OF HEALTH , VITAL RECORDS t Nrnsathade„ (~ „,yam ~ ~ (Ses InsERTIFICATE OF DEATH n+ctlons snd e><amplea on reverse Doro - 5. Ap, t<w FYI der, wew why M. Jones 2 s.e 3 ' STATE FILE NUMBER 82 ,awr, thr ,,,,, %. Data a ew, Female soot Saeny ""'°°' T. a. ah a oar, ( %,1, w~l vrs. """` aea,aa a ~,,, 109$ - 22~ 8157 • en. ca,,,, a ~,,,, September 20, 1928 °i Pt.a. a ~, December 15, 2010 x. cry. t+ao, Twy. a own Hartisburg, pa, H t: Cumberland East Pennsboro ~""` %6 Feallry Nang (%ea nceWtlan Pw wetaM nuib„ / ~aMaouN ^ FA / dwatkys ~ %.weaoaca«wa "'0a°a°ww`l'""' Holy Spirit Hospital oe~ ^/~ ~ ~'°"°m' ~ ~q % YM. q, ~v:c °np"a Hn Rriwca' °%"` - %pptr. House~Cee awe s..oona,r, ,z wr ~ ~r ^ tae ~r 1Y °e3a Br us. ,,,,, w., o %» ,3. ~, P,r„ ncr,..r.r a "~. ehac. Fo,at7 ~ewete'e E%ucaYon (Spayy • 1508 ~.~ Cove Street~.eteh.:„~,,r ^ ras No Ehtwiy,l,1c..Y._ (a,z) ~ ~ (dCO~paml ,. ~,+r~,ea, u. Whlt@ ~rl Mechanicsbu °aCe"""~' ~"""%'° sP014a !" ~ a~ n.b„ ,,,,,,,,~ rg, PA 17055 AC°"" ITe. Shb PA UUidowed to.FrbraNema(~t,n:oola,haCeulbc( 17b.Garr Cumberland ,7e^Yea.[kca0e„LNwb ~,aN~ Harvey F. Pearl 176~Ngp,c,der% . fTroe/Pkp( 1t1.~%rhNamarFret.mdae,,,,.e,,,,ai.m.) "~B'uMr.a~w%wroen Mechanicsburg Tt$w%b%ao:~,,, Larry D. Jones Doroth ~' o z%n.uaom,,,,~,,~l~ y Mae Stambaugh ^ 011',,,&"' ~ nw,rr M1am Ste,. ~ a""'OO" ^ oaweon - aN / bn. atw, nP ooES) _ ~ aFwry ; ~Ibdutta.mctb„~w0a~ ztaoaaan,oo,le„(wwn.mr,watl z c~va 508 E. Coover Mechanicsbu _ ~ ( ~~/ ~0'°""T ^Y.at]No December 21, 2010 r"V°°a,"„"~•~~'^~raan.,gr, rg,PA17055 zm. uw,,,,,e,,,y, Chestnut Hill Cemete ) 216 ~"'~ (p"'/b""' ry ~,~a~aar py,Ew,:,,,, teat ~ ~,. , a FD-012662-L 22~~"b'~°'aF'°~' Mechanicsbu I ~r~r..aye,, tl1Hja°w'b y„aanawrm,%er, Myers Funeral Home, Inc. r9, Pa. 17055 °qj""P~'`'+~ ts~vw~e.a„e,by 37 East Main Street ~~ Cr; ~*~` Mechanicsburg, pq 17055 rib p,a~b,,,,n~i tl~~, M Paism z~. rme a oa.n ~ ~ ~~~ 23b. lien„ µ,ro. zs or, Pronq„~ ~~ a + zx. oete Sipy% ~,,,,, mr. ywl ~. Y tom, ~ °i% mr, rwl A tt Z !Ym 27. Pyt t: Entw tly _ year. M+bc. aUSE OF DEATH (eaw 4tabucclona ,ur a I~ ~ 26. Wac Cw Y~~~ ~eaY enw. a,wntncaer Abrimo,n „~, ~ M MgN r+use%M ye. W NOT 0 ^ Yw ~°^b b N4Ak~ r / Carew to a ga,q, 's Z ~~ _ m,ron",o, (Enet saws a /~ fir. ~ °^~Y ar qea, ai „yi i~a. ~ r^^hY aanm m#~ as pnfec anw. ~ ~~b ~^'r: Part II: EnW o%er ' ~` ~ ar ~an%m7 °w'1 -~ a n~yy~, a~ ; ~aet/b orm r,m ,bt,.,,ea0q°~w """M~e aw.0-tlere, za ob rae~,~o the ~.waMltl an i~ia~t e. ee'Cti°' °~~ ~~w~~ ~,'1/fir 9h'ann Prtl. ^Yaa []per b~eW7 (ecacaa b'~ ~CAtaE D~y~o, ace ~- T - ~1'~'• • ^ No wnk b~ <-'i 00~uMOa M: ~'~ ~ 29. %Famak ya tABr. o -Y ~ --~ Ous b (a Y e ~ Not prap~„„ weib Pw ywy 6 ~Pw1tw ~~ 1 ~ -_ ~AWwKel Olle ayart %%aW~,t, 3W. W«.,Wtapst, F,~,~ ~ ^Na Pn%ewt pu paiwc w7%eeu Asraey Prior b C~'rwhean 3~1pM.w~rra 4a,n ; °I4MA ~ ^ v a Oa.. a owns y~aaeai ~ Hureoo, 3z^. ow a,ryar (~,~,~ yet, rw) 3zb. Oaer na How ^ yxen ~ °'° P'ePwtm 13 mw b t wr ~Ns ^Ya p %MaY OonrmE '~ `Z"° ^ ~.n, O Pw,yq imwyr,%„i 3z6. tart a ~ ~~ tn%ob,,, %papw%ai%rt,M t>.u rw 3sa CarY%w lam oHy ar) ~ ~ectl° ~ Cau%Na t» oer,,,;,r ~•. %~ter et WorK! 321. %rmpo,yy„i oPino; ~~ ,HOb'"'• ~ %oset. Fegyy, ~re41 P,ryaianrlFMaiden M. ^ Yr ^ Ne ^ Orier/Op,r,b, ^(~wrY) ~G forma, a:p,ry (Sow. l~Yl • Te~~~y~4e.ar%an ~en~rrr ^wrwrahh6 °°°°""°°°taiwenem zap °~'SPaay- ~P'..«,w OPayrnhn °h'/mwri. ar) • To tlb• °~%M WMwYe OarmRv ~~ rarrrsom„a:.'°r°'oa+.,.armae`wap d~'°i,,w~ ~wmu,uaaye)'-------------------------~ - ewernaatitro„aM/ar tlereM+yq atM nunurnataMd___________ 33~licanaa NUe%,r ~'~' 36. ~ baa't4+bne,arawtaat.%..In«a.n%.tnr ---__-- (] o Y. - Oaa,ar,ana,rn,,,matab%»e.,,,,la).e%awwrayh~ ^'`~°OC -ty2S.~. ~ ~rM>ntl,, d,, `~ 3<. wemara ~- ~ ~ eZt j - ~I .~ 17i ~ x°.rFw^lha.t.dr.,..p ~iWhoCCa-r~pyyeC""~~ Pma s ~+ ~ is ~ ~. ....r_ ---.- ~~i~csk i~~ ~t-~~ t~esk~~tt~rct OF DOROTHY M• JONES D that I, DOROTHY M• JONES, of 707 S. York Street, BE IT REIVIEMBERE ~ do make, s lvania, being of sound mind, memory and understanding, Mechanicsburg, Penny revoking and lace this as and for my Last Will and Testament, hereby publish and dec ~ in the nature thereof null and void any and all Wills and Testaments and writing~~ making by me at any time heretofore made. aid as soon after EM 1: I direct that all my just debts and funeral expenses be p IT~_ my demise as may be convenient. esidue and remainder of my estate, oi~whatsoever nature and ITEM 2: All the rest, r ro erty over which esoever situate, whether it be real, personal or mixed, including p P whey son, LARRY D. have a power of appointment, I give, devise and bequeath unto my I JONES. son, LARRY D• JONES predecease me, or should we die ITEM 3_ Should my . n ive, devise and bequeath my entire residuary estate unto my simultaneously, Ithe g grandchildren, NNE JONES and MELINA JONES. ritance, estate, EM 4: I direct my hereinafter named Executor to pay all mhe IT_- estate or the ' on and legacy taxes of whatsoever nature and kind, 'to which my successi demise, roe passing hereunder or otherwise passing by reason of my transfer of any p p rtY Estate, it being my intention may be subject and to charge such taxes against my residuary aid taxes, either federal or state, on any property required to be that none of the afores ~ , (SEAL) DOROTHY ONE c~ ~~' '~ ~ ', _~ "t~l ~ /^~ ~ r• ~~ . ~i ~~-~-~e c"~ ~'' E ~ C.._j ~ 3 ~~ "s'1 -~~S °~ ~~'. "~ c.a --~ A ~.l -1- ~. WITNESS: the rovisions of any state or federal law now in force included in my gross estate, under p ated among the persons interested in my estate to whom or hereafter enacted, shall be pror benefit accrues. such propem' is or may be transferred or to whom any Last Will oint my son, LARRY D• JONES, as Executox of this my ITS 5: I app son redecease me, fail to qualify, cease to act or renounce and Testament. Should my p andchildren, JUNE JONES and MELINA JONES, as probate, I then appoint my gr lternate Co-Executrices of this my Last Will and Testament. a uired to give (,; I direct that my Executor, or his successors shall not be req IT_ EM _ for the faithful performance of their duties in any j~sdiction. bond EREOF, I have hereunto set my hand and seal this 15'`' day o IN WITNESS WH May, 2007. ESS: EAL) ~^ ~ ~~ DOROTHY .DONE -2- COMMONWEALTH OF PENNSYLVANIA COUNTY OF YORK •. SS WILEY, ESQUIRE and MARCY K. JONES, JAN M• ~,~,hose names are signed to the We, DOROTHY M• declare to the RENSHAW, the Testatrix and the witnesses respectivsWOrn' do hereby instrument, being first duly attached or foregoing estatrix signed and executed the instrumeanother to sign for undersigned authority that the T 1 or willingly directed act for the purposes therein and Testament and that she had ag her frelenand voluntary rin of the Testatrix, her), and that she executed resence and hea g e the expressed, and that each of the witnesses, in the p id mind and under no d Testament as witness and that to the b sowf their knowledg signed this Last Will an hteen (18) years of age or older, of Testatrix was at the time eig constraint or undue influence. Sworn to and subscribed before me this 15th day of May, 2007. NOTARY PUBLIC MY COMMISSION EXPIRES ~. ~pRO'THY .DONE ~ ,pf;"„9JF~1L3;-1 CF PENNSYLVANIA Notarial Seal S. Dawn Gladfelter, Notary Public Dilisburg Boro, York Co~ 2008 My Commission E~1res May Member, Pennsylvania Aasoolatlon of Notarla -3-