HomeMy WebLinkAbout11-09-11IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS
PETITION FOR PROBATE AND GRANT OF LETTERS //ll
Estate of Claude Rogers III ,Deceased ESTATE NO: 21- ~ / ~ ~~ V
a/k/a:
a/k/a:
a/k/a: SS NO: 152-18-2049
Petitioner(s) who is/are 18 yrs of age or older, apply(ies) for: COMPLETE SECTION `A' or `B' AND "C" as
applicable:
~ A. Probate and Grant of Letters Testamentary or ^ Administration c.t.a., or d.b.n.c.t.a. (complete Part C also)
and aver that Petitioner(s) is/are entitled to the aforementioned Letters under
the last Will of the above-named Decedent, dated 1 t~/1994 and codicil(s) dated
(State relevant circumstances, e.g. renunciation, death of executor, etc.)
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, was never adjudicated an incapacitated person, ;n9d was not ~_~
party to a pending divorce proceeding at the time of death wherein grounds for divorce had been estab1is11Zid® defined71r ~ ~ ~~
23 Pa. C.S.A. § 3323(g): `~ ~ ~'~- ~ "~
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^ B. Grant of Letters of Administration %~- `-'- ~~ ~ '
(If applicable, enter d.b.n., pendent life, duraate absentia, durante minoritat ); ; ,-~
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C. Petitioner(s), after a proper 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 co Tee list of ~ ~ "- r-*-~
heirs); was not the victim of a killing; was never adjudicated an incapacitated person; and was not a party to a pending divo~e ~~
proceeding wherein grounds for divorce had been established as provided in 23 Pa. C.S.A. § 3323(g), except as follows:-
- naaress Itelstionshi to Decedent
USE ADDITIONAL SHEETS IF NECF.SSARV
THIS SECTION MUST BE COMPLETED:
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence
At Forest Park Health Center 700 Walnut Bottom Road Carlisle, PA 17013
(Street address with Post Office and Zip Code, Municipality: Township, Bomugh, City)
Decedent, then 84 years of age, died 7/4/2011 at Carlisle, PA
(Month, Day, Year of death) (City and State where death occurred)
E ti fed al f d
s ma v ue o ecedent s property at death:
Ifdomiciled in PA
_
_If not domiciled in PA All personal property
Personal property in Pennsylvania S _
S 1,601.64
0.00
_If not domiciled in PA Personal property in County _
S 0.00
-Value of Real Estate in Pennsylvania _
S 0.00
Total Estimated Valne _
~ 1,601.64
Location of Real Estate in Pennsylvania: (Provide fWl address if possible.)
Signature(s) Name(s) & Mailing Address(es)
,~ "~ David Rogers 26 Half Moon Way Stamford, CT 06902
Interim Form RW-02 revised 12.26.10 by Cumberland County pendine action by the Court
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LOCAL REGISTRAR'S CERTIFICATION OIF DEATH
WARNING: It is illegal to duplicate this copy by photostat or plhotograph.
~ee 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 griginal
certificate will be. forwarded to the State Vital
Records Office for permanent filing.
P 17626793
Certification Number
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Local Re€;istr• Date Issued
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/oste3 REV 1111008 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
TYPE / PRNiT M
1'EtYAArsENT CERTIFICATE OF DEATH
BLACK 9d(
(See Inshuctions and ezamplss on reverse) ~,,,< <~~ ~ •,, ,.
,•-,~ ~ ~~e Imw, moue, wsr, surml _ 2. Sec 3. Sobel Sawrily Nunher 4. Dab d Deem (MaAh, day, year)
Claude Rogers III Male 152 _ 18 - 2049 July 4
2011
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18. Famers Name (Fkn, middle. hn, sulmQ
19. Mdhefs Name (Fkn, mdb, meieen wnwrre)
Claude Rogers II
Haze]. Lands
20a Irdormanl's Name (rype /Print)
20a. InrortNnfe Madkg Atldwea (Stroet Day I Gown, ebb, st0 code)
David Rogers
26 Halfmoon Way, Stamfox•d, CT 06902
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dwd a Dhposdlorl r [~ Crematron ^ Donation 21 tr. Dan d Oispaition (Momh, day, rirl z1c. Place d oieponlbn (Name of cenl•tery, aerrelwy a odwr phce) 21 d. Lm1tim (city/roan. able, zip code)
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w.cnmdon«DaWonAWwr4d 7-g-2011 H.G. Smith Cremator
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Ibrrl 27. Pad I: Ems dw chain d xaas - CAUSE OF DEATH ISM Innruct{dm old exwmplq) r Approckrwb ManreF.
dweaeea, uyunee, a mmpfratioris ~ mal6recdy caused me deem. DO NOT area bnninn events such as cardiac arrest. r Orwet to Deem
k Pad II: FMar omer X01..1&! 28. Did Td>aao Use Caanbrre ro Denh?
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4:ROGERS-W;Draft#2;11-7-94;bd
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LAST WILL AND TESTAMENT ',_~
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OF ~`" `~
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CLAUDE ROGERS ~ ~ `-~ -'~' 4~
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I, CLAUDE ROGERS, a resident of Scotrun, Monroe County,
Pennsylvania, being of sound and disposing mind and memory and
not acting under duress, coerc ion or undue iri fl uence o f any
person, do make, publish and declare this as my Last Will and
Testament, hereby revoking all pr for Wills and C:od is it s made by
•
11- ia~y
me.
FIRST: I direct that all my legally enforceable debts
and funeral expenses, including grave marker, shall be paid from
my residuary estate as soon as practicable after my death as a
part of the expenses of the administration of my estate.
SECOND: I give, devise and bequeath all the rest, residue
and remainder of my estate and property of which I may be seised
or possessed or to which I may be entitled at the time of my
death, wherever situate or of whatever naturE:, be it real,
personal or mixed, including lapsed legacies and any property
over which I may have a power of appointment to my beloved wife,
JEAN LORAINE ROGERS, a s her sole and absolute property i f she
shall sure ive me.
THIRD: In the event that at the time of my death my
beloved wi fe, JEAN LORAINE ROGERS, does not sure ive me, I then
give, •devise and bequeath all the rest residue and remainder of
my estate to be divided in equal share among the following:
a) My daughter, CYNTHIA J. KANE, if she shall
survive me. In the event that my daughter
CYNTHIA J. KANE shall not survive me, I then
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give her share to her son, JAMES KANE, per
stirpes and not per capita;
b) My daughter, LAURA BLOMQUIST, per stirpes and not
per capita;
c) My son, DAVID ROGERS, per stirpes and not per
capita; and
d) My son, RICHARD ROGERS, per stir. pes and not per
capita.
FOURTH: I hereby nominate, constitute and appoint my
beloved wife, JEAN LORAINE ROGERS, as Executrix of this, my Last
Will and Testament, and I request that she be permitted to serve
without bond or surety thereon and without the intervention of
any court or courts except as required by law. I hereby
authorize and empower my said Executrix, in her absolute
discretion, to sell, exchange, convey, transfer, assign,
mortgage, pledge, lease or rent the whole or any part of my real
or personal estate; to invest, reinvest or retain investments of
my said estate and to perform all acts and to execute all
documents which my said Executrix may deem nece:>sary, convenient
or proper in regard to my property.
FIFTH: In the event that at the time of my death, my
beloved wife, JEAN LORAINE ROGERS, does not st~'vive me, or is
unable or unwilling to serve or continue to servE~ as Executrix, I
hereby nominate and appoint my son, DAVID ROGERS, as Alternate
Executor, to serve in her stead with the same powers and
authority.
-2-
IN WITNESS WHEREOF, I have hereunto set my hand and seal to
this, my Last Will and Testament, which consists of three pages,
this 9th day of November, 1994.
~~ (SEAL)
CLAUDE ROGERS ~~
SIGNED, SEALED, PUBLISHED and DECLARED by CLAUDE ROGERS,
the above-named Testator, as and for his Last Will and Testament
in the presence of us, who at his request and in his presence and
in the presence of each other, have hereunto subscribed our names
as Witnesses.
of Henryville, Pennsylvania
o f Mount Pocono, Penn sylvan is
-3-
COMMONWEALTH OF PENNSYLVANIA )
> SS.:
COUNTY OF MONROE )
I, CLAUDE ROGERS, BETH A. DONSCHIETZ, and W. BRIAN GOLDEN,
the Testator and the Witnesses respectively to the Last Will and
Testament of CLAUDE ROGERS, dated this 9th day of November, 1994,
being duly sworn according to law, do hereby declare to the
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