HomeMy WebLinkAbout12-14-11ION FOR PROBATE AND GRANT OF LETTERS
PETIT
COUNTY, PENNSYLVANIA
REGISTER OF WILLS OF CUMBERLAND ~~~,
File Number 91
Estate of
also known as ~~~~~~ °~1
,Deceased Social Security Number
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:) GxF(`l ITRIX named in the
a A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
~t~12006 -and codicil(s) dated
last Will of the Decedc'r-t dated T--
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not mZtirry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) 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 grounds for divorce had been established as provided in 23 PA C.S. section 3323 (g):
[ a hcable, enter: c.t.a.; d.b.n.c.t.a.; pendente life; durante al>sentia; durante minoritate
B. Grant of Letters of Administration (f pp
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., elnter date of Will in Section A above and complete list of heirs.) Rai ce ~ W°-
Relationshi .~,. t.,f,
Name ,_"~~~y _ r '„t
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(COMPLETE IN ALL CASES:) Attach additional sheets if necessary. --
~~ ~~y!Swt AND County, Pennsylvania, with his /her last principal residence at
Decedent was domiciled at deatlj in
(List street address, town/city, township4 county, state, aip code)
A°1°12011 at
Decedent, then q4 -_ YT's of age, died on
with estimated values as follows: $ 300.000.00
Decedent at death owned property pll personal property
(If domiciled in IPA) m Penns lvania $
(If not domiciled in PA) Personal property ~ Y $
Personal property in County 150.000.00
(If not domiciled in PA) $
Value of real eskate in Pennsylvania
22 HILL BLWD., MECHANICSBURG, PA 17055
situated as follows:
Wherefore, Petitioner(s) respectfully r@quest(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate fotm to
the undersigned:
Typed or printed name ;and residence
Signature
LORAINE M. O'CONNELL
~ll'~ 771' ~~
Form RW-02 rev. 10.13.06
Page 1 of 2 \
~~
Oath of Personal Representative
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-names( swear(s) or affirm(s) 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 lbw.
Sworn to or affirmed and subscribed (J~c.a.r~ye. D ~~
Sig ature of Personal Representative LORAINE M. O'CONNELL
bef re me the .~ day bf
~~~/
' --~'- Signature of Personal Representative
1
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For the Registier Signature of Personal Representative - OAT ~`~
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File Number: 21 ~ ~ / -3 ~- ~ ; z . ,
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Estate of 11iOMAS.l. O'GONNEL~ -"-~ ~~ - ~
Deceas~l c., t---~.
c;,
~ociat Jecurtty Numbert 207071921 Date of Death: 12/9/2011
AND NOW,
having been presented before me,
are hereby granted to LO~~
in consideration of the foregoing Petition, satisfactory proof
IS DECREED that Letters TESTAMENTARY
and that the instrument(s) dated
described in the Petition be adn
in the above estate
to probate and filed of
FEES
Letters ............................. $ -
Short Certificate(s) ............ $
Ren ciation(s) ................ $ -!'
~~ ~ ~
~ S ~ .... $ SZ~
l'-h~ .... $ ~o
.... $
.... $ ~
.... $
.... $
.... $
.... $ ~~
TOTAL ............................. $
Attorney Signature:
Supreme Court I.D. No.:
Telephone:
Form RW-02 rev. 10.13.06
Page 2 of 2
Address: ~4 E. MAIN STREET
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, `66.00
P 18037624
Certification Number
---7 -
---i-
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.
Local R(:gist r Date Issued
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H106.iH REV 1,12006
TYPE/PRIM IN ~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VrrAL RECORDS
PERMANENT
~"'"" ' CORONER'S CERTIFICATE OF DEATH
#33-161 (See instructions and exampbs on reverse)
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LAST WILL AND TESTAMENT
BE IT REME~VIBERED THAT
I, TH(pMAS J. O'CONNELL, a resident of Cumberland Coun
Pennsylvanian being of sound mind, memo and u ~'
ry nd.erstandmg, do make,
publish and !declare this to be my LAST WILL AND TESTAME
NT, hereby
revoking any ~nd all Wills and Codicils previously made by me.
I
I direct ghat all my just debts and funeral expenses shall be ai
p d from my
residuary estate as soon as practicable after my decease.
II
I direct tat all taxes that may be assessed in conse~
quence of my death,
of whatever nal,ture and by whatever jurisdiction imposed., shall be
paid from
my residuary estate as a part of the expense of the administration of m estate
Y
III
I give and I~equeath the sum of Two Thousand Dollars $2,[100.00 t
( ) o CONTANCE
OTTER, per stirpes.
IV
I give and bequeath the sum of One Thousand Dollars $1000
( .00) to my niece,
KATHLEEN GEIB~ per stirpes.
V
All the rest~l residue and remainder of my property, whether real or
personal,
wherever situate, including any property over which I may have a power of a ointme
PP nt,
I give, devise and bequeath to my niece, LORAINE M. O'CONNELL, per stir es.
P
'' VI
I nominate, ~Ilconstitute and appoint my niece, LORAINE M. O'CON
Executrix of this L~ST WILL, to serve without bond. HELL, as
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IN WITNESS WHEREOF, I, THOMAS J. O'CONNEL:L, have set
this LAST WI~.L this G~ mY hand to
day of ,r ~~~
2006.
r/ r
THOMAS J. O .ONNELL
Si
fined, healed, published and declared by the above-named THO
O'CONNELL, a~ and for his Last Will and Testament, in the re MAS J.
at his request's and in his presence, and in the presence of Bence of us, who,
hereunto subsdribed our names as witnesses. ach other; have
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ACKNpWI,EDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~UMBERI-AND ss.
I, TH011~IAS J. O'CONELL, Testator, whose name i
or foregoing i strument, havin been dui
acknowled e g Y qualified according to lawh do here ed
g at I signed and executed the ins by
signed it as m free and volun ~rnent as my LAST WILL; that I
~ry act for the purposes therein expressed.
I
i
THOMAS J. O CONNELL ~
Sworn or affirrr~ed to and acknowledged before me
Testator, this I ~, ~ day of by THOMAS J
'~~`~J l/ , 2006.
O'CONNELL,
,~
Notary Public
i
NOTARIAL SEAL
DEBORAH L. RYAN, Notary Public
Mechanicsburg Boro., County of Cumberland
My Commission Expires June 11,2010
AFFIDAVIT
~VSYLVANIA
ss.
!~A C ~~~1,('
are si ~~( and JiGiivk, ,y~ • ~n~`~~--
gned to the attached or foregoing instrument,
lg to law, do depose and sa
execute the instrument as his LAST WILLresent
ied willingly and that he executed it as his free and
's therein expressed; that each of us in the hearing
ed the Will as witnesses; and that to the best of o
at the time 18 years of a or more, of soun ~~~
idue influence. / ~ d
6'
Sworn or affirmed to and acknowledged befor
this !~~ day of e me
~~~~'~-' , 2006.
r
No ary Public
NOTARIAL SEAL
DEBORAH L. RYAN, Notary Public
Mechanicsburg Boro., County M Cumberland
My Commission Expires June t 1, 2010